387327 (ELEC)DUILDINU VLKMII
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
387327 COUNTY OF RIVERSIDE FIELD[—DST
I
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Micro Film Fee E
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
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
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Cd jjs
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Demol. Fee E
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Raceivedb
SQ. FT. @ c
WATER HEATER
LicenseN
SQ. FT. RESID @11/4c
SEWAGE DISPOSAL
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r
SQ. FT. GAR @ '/. c
HOUSE SEWER
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GAS PIPING
PERMIT FEE
Sewer District
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
o�
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE EL
'�r SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1387327
Job Address Space Zip Own f
Community Valuation Date Dist. � F.C.C.
L ''.. E . -ri I i , hj!�
MH.Permit Fee E
Micro Film Fee E
Use of Permit r�
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Parcel No.
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a/Cos NJ.
Ck. By
ch.Ck Fee $
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Set Backs
PI. Ck. Fee
Pl.
Lot Size
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Construction Fee E
Legal Description ,,,,,,///���
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Electrical Fee Dbl EV
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Zone Restrictions Group Type
SMI Fee E
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Plumbing Fee Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Date
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Inspect r
nit
Sp. Insp. Fee E
Demol. Fee E
Const. Lender Branch
Supplimentol Permit Numberts„ �
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CI / "•IT
Registr. Fee $
Mileage Fee E
Address City Zip
Witness Fee E
Reinsp. Fee E
Owner/Agent
Tel. Zip
Total Fees E
Address I
4
City Zip
.O. N.C. Cash Chec
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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.
T LL P
Sewer District
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.
Form 284-208 (Rev.B%78)' s
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 Gr9de
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. 0
43
Final
10A
Fireplace T. 0. ❑
NO
ADDITIONAL INFORMATION
i
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
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
P/
26 Power Pole 2.
27 Conduit
28 Service Entrance
29 Wiring Z 7&
29A Grounding Wire f .'
29B Bonding
30 Fixtures
31 Service
32 Final Z Fry
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
o �I INSPECTION
REQUESTED
ADDRESS I SPACE NO. FOR:
S-3 E2
❑ A.N.
OWNER COMMUNITY
P.N.
BUILDING PLUMBING ELECTRICAL MECHANICAL
IN'OtJ
TUES
aWED
REMARKS:
THLm
rIFRI
OWN ER/CON TRACTOR TEL.NO.
281-61 11/75
BUILDING PERMIT
PERMIT NO.
387327
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
SQ. FT. @ $
UNITS
Dist.
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P.
SQ. FT. @
Set Backs
DRAINAGE PIPING
WALL
SQ. FT. @
S i S
IL
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
Group
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
C-4
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Mileage Fee $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ C
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @I!Ac
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
CIO
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT.. F�
` e
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
38732714-0�10Ts-
Job Address Space
Zip
Community
Valuation Date
$
Dist.
F.C.C.
MH.Permit Fee $
'Micro Film Fee Cops
Use of Permit (�
\ 4✓ c•-+� `^may..
Parcel No.
Use/Cas4 Nd.
Ck. By
Mech. Fee Dbl $
. PI. Ck. Fee
Set Backs
Lot Size
-�7_
I V /
Construction Fee Dbl E�
Legal Description
y // /
v `••t(
S i S
IL
Electrical Fee Dbl s
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
fPI.nChecker
Final Date{
I —ZD
In/�'sy\ector
�,/
Unit
Sp.,lnsp. Fee $
Demol. Fee $
Const. Lender Branch
Supplimental Permit Numbers
} -7 ("
A /
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees $
O. N.C. Cash Che c
Addrjs3-"1jCity
o c'to r
�^
Zip
Tel. LicenseN
A�' ��{ • �3 y
Received b If
Frees required
Sewage System � � l
{� /)
AdQ.e�
bn
City Zip
LL r
Sewer District
Form 284-208 (Re,.B�eps
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.