374951 (ELEC)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DSr
374951COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Job Address
Community
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
F.C.C.
MH Permit Fee s
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
S R
FLOOR DRAIN ,t
MECHANICAL FEES
SWIM POOL, COMM
Type
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Bond Amt.
E
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plan Checker
Final Date V
(J —%5-79
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE ME ER
Const. Lender
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
rmit Numbers
/
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
Address City Zip
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
ZOen,
..,�
SHOWER
BOILER B.T.U.
SQ. FT. @ c
Zip
BATH TUB
Total Fees
SQ. FT. @ c
A dress
WATER HEATER
SQ. FT. RESID @ 1 t/. c
SEWAGE DISPOSAL
M.O. N.C. El Cash Ej Check
SQ. FT. GAR @ s/. c
HOUSE SEWER
Tel.
GAS PIPING
PERMIT FEE
PERMIT FEE
Trees requ e`d
PERMIT FEE
DBL.
TOTAL FEES
cf.�
MOB.HM.FEE
IL
MICRO FEE
MECH. FEE . CK. FEE
CONST. FEE
. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1374951j
Job Address
Community
/
/
-
a uotion
E
Space Zip
Owner
Dist.
T
F.C.C.
MH Permit Fee s
Micro Film Fee
Cop E
U e o Per it
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Parcel No.Use/Case
No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee E��
Se Backs
Lot Size
Construction Fee Dbl E
Legal Description
I—
'A'16C5?0
F
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5
S R
Electrical Fee Dbl $
SMI Fee E
Zone Re i tions
1
Group
Type
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Date V
(J —%5-79
Inspector
Unit
Sp. Insp. Fee E
Dental. Fee
E
Const. Lender
Branch
Supplime a
rmit Numbers
/
Fee E
Mileage
Mileage Fee E
e
Address City Zip
Witness Fee E
Reinsp. Fee
E
ZOen,
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Tel.
f
42
Zip
Total Fees
E
A dress
'
City
Zip
M.O. N.C. El Cash Ej Check
Received by .
Contractor
Tel.
`'`
License#
Trees requ e`d
Sewage System
Address
City
Zip
T LL P
`Sewer District
�A
Form 284-208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
FIN
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade r
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15— Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
r
P/
26 Power Pole �3 : 2
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final �v
STREET NAME
BUILDING PERMIT
PERMIT NO.
374951
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE F.;i-;]
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
aluation
S
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS '
'
Cop $
Use of Permit
J//�/L;:;Ic �'77;7-
V ( 6-'�;'V /// �„
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Type
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Dbl EBond
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Final Date
"s—
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Sp. Insp. Fee E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Const. Lender -
fit'
LAUNDRY TRAY
AIR HANDLING UNIT CFM
r
IDLE METER
Mileage Fee $
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Is
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
Zip
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Address
SHOWER
BOILER B.T.U.
SQ. FT. @ c
M.O. 171 N.C. Cash CheckQ
BATH TUB
SQ. FT. @ c
WATER HEATER
License#
SQ. FT. RESID @lt/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/ c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT fEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE L. CK. FEE
CONST. FEE
7. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1374951
r
Job Address
Community
aluation
S
Space Zip Owner
Dote Disl.
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop $
Use of Permit
J//�/L;:;Ic �'77;7-
V ( 6-'�;'V /// �„
Parcel No.
o o7j
Use/Case No.
Ck. By
4:2Pl.
Mech. Fee Dbl E
Ck. Fee S
Set Backs
Lot Size
'
Construction Fee Dbl $
Legol Description
C
/y��1
-�",t"y�� "" ~/� 9
�, T!"
F S S
R
Electrical Fee Dbl $
Zone Res ' ions
1
Group
Type
SMI Fee S
Plumbing Fee
Dbl EBond
Amt.
$
Plan No.
Plan Checker
-
Final Date
"s—
Inspector
Unit
Sp. Insp. Fee E
Demol. Fee
$
Const. Lender -
Branch
Supplimental Permit Numbers
z/
Regisir. Fee $
Mileage Fee $
Address City Zip
Witness Fee E
Reinsp. Fee
Is
Owner/ enc
�r
Tel.
Zip
Total Fees
Is
Address
✓
City
�'
Zip
`
M.O. 171 N.C. Cash CheckQ
Received by
Trees require
Contractor
Tel.
License#
Sewage System
Address
City Zip
.
T LL P
Sewer District
Form 284-208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.