354447 (SPIN)(a�o-rvo-�v rGRm1 _
PERMIT No. DEPARTMENT OF BUILDING & SAFETY FIELD
CODST
54447
3 ...... .
F' °Y - r ^ .ate • o- • v �_s . .'s a r y, v'.h .
COUNTY OF RIVERSIDE
AlkY
c.--_—.__.�
PERMIT NO.
CONSTRUCTION ESTIMATE _t" , NO.-
ELECTRICAL FEES
NO. PLUMBING FEES
;
IST FL.
2ND. FL.
POR.
SQ. FT. @ $ _
UNITS
Q . (3f
i . ,
it ? � ,3
SQ. FT. @ YARD SPKLR SYSTEM
� a.r • , .
SQ. FT. @ MOBILEHOME SVC. BAR SINK
i GAR.
-
q
Comm�u^;n�i-ty-. ,,...r��
.Er.=Y ;'r} I"^s-r ./.:af'(+i� r J✓�""
SQ. FT. @
POWER OUTLET .. «a
ra . , t .:. �' ROOF 'DRAINS- ,..x
; e
• CAR P. 1 SQ. FT @
WALL yre..O,y i « . r x, :s a.r'o,-«�.x
SQ. FT.; @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
F;C. C.
" DRAINAGE PIPING
DRINKING FOUNTAIN -t
•URINAL
WATER PIPING
NOTE: Not,to be used as property tax valuation
SWIM POOL, PVT
Use of Permit • f'k -
i.// %/
- .i C .�
FLOOR DRAIN
Use/Case No:. �Ck.,
•
ByMech. .
MECHANICAL FEES
SWIM POOL, COMM
Set Backs
WATER SOFTENER
_
•:
VENT SYSTEM
FAN EVAP. COOL HOOD -
SIGN
F • " S _
WASHER (AUTO)(DISH)
R
APPLIANCE
DRYER -r
Grou P
Type
yp
GARBAGE DISPOSAL
FURNACE
UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
` KITCHEN SINK
Dbl $
ABSORPTION SYSTEM B:T.U.1 '
TEMP USE PERMIT�SVC'
Plan No.
' '�
WATER CLOSET
r
*
COMPRESSOR ' C HP ,
POLE,TEMP/PERM y
_
LAVATORY -
r
HEATING SYSTEM _ FORCED '• ` L yGRAVITY ) e :%
AMPERES SERV ENT
1
^SHOWER
BOILER
B.T.U. a
$Q. FT. @ t
Mileage Fee $
F BATH TUB
Witness Fee
$
SQ. FT. @ t
l WATER HEATER
'SQ. FT. RESID @I Wc-:
$
SEWAGE DISPOSAL.-
z3s'
-
Tel.
SQ. FT. GAR @ '/, c
.Y' .
HOUSE -SEWER
$
` ry
Addt "City
Address ss
�� (Y. ,!-�•[ ,�'��p't!�h°V.Y�a <-lA"\.i
�T '• 7f ��
.,._e.a r
✓• ,p.i�..W s2, 4�4: WIl,.t� 1 KwF.-„[K1�i ,:g�,rt .�
GAS PIPING
>�
PERMIT FEE
t ' �' •i ' Y,
PERMIT FEE
PERMIT FEE
Receivedby .
DBL y
y`y/p
F•f
TOTAL FEES
("�'sriG
�
MOB.HM FEE
S`:"1a r
(�i. J
MICRO FEE ,� MECH. FEE PL. CK. FEE
+?k'S• w.W.pj�r�wS. J _ +.+
r,�wit 4,� '.
CONST FEE ELECT. FEE ' SMI FEE 4'ior s FEE. PLUMB'. -FEE
,. �±•w., f ,�."�.`j'
� « 4 n>w, � .''a^M#�a ;.•H.a�� ._ }'A".F�r,
c.--_—.__.�
PERMIT NO.
.. �.
.r
"
^•-".mow-• _._ -.
.Job Address k' .,; apace
d ._•� •
"�
.Zip,
.�. _
Owner" • . ,�,�
`
�.•.� r'
Q . (3f
i . ,
it ? � ,3
�1 t � l e "' '��,t
� a.r • , .
x;354447
('
4.� ., `
-
q
Comm�u^;n�i-ty-. ,,...r��
.Er.=Y ;'r} I"^s-r ./.:af'(+i� r J✓�""
Valuation �
$
-.
Dote ? - �
-' Dist.
Off.
F;C. C.
M&Permit Fee $
.
Micro Film Fee
Cop $
#
Use of Permit • f'k -
i.// %/
- .i C .�
Parcel No. ( r
./_l.F,-.,�� / C� /1
Use/Case No:. �Ck.,
•
ByMech. .
Fee Dbl $C
PI. Ck. Fee Is
Set Backs
Lot Size
_
•:
FConstruction Fee i Dbl $
Legal Description , - - -
-
' t
F • " S _
S
R
Electrical Fee Dbl 8 -
Zone Restrictions r -
Grou P
Type
yp
SMI Fee
$
Plumbing Fee
Dbl $
Bond Amt. • t
y'
Plan No.
' '�
Pion Checker
r
*
Final Dat
/ 7, 4.
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
-
Const. Lender { - Branch ;'
Supplimental Permit Numbers�,�Q/ -
i 4 Is�,..,:..y.•.... tomo- �s,,r.
-
#sty-.�i
Registr. Fee $
Mileage Fee $
Address , :- `City _ Zip -
Witness Fee
$
Reinsp. Fee
$
•L:
Owner/Agent' A
-
Tel.
Zip '
Tocol Fees
$
` ry
Addt "City
Address ss
�� (Y. ,!-�•[ ,�'��p't!�h°V.Y�a <-lA"\.i
�T '• 7f ��
.,._e.a r
✓• ,p.i�..W s2, 4�4: WIl,.t� 1 KwF.-„[K1�i ,:g�,rt .�
•.SJ'�.t... Y'r.1
>�
M. N.C. C.Sho Chec^ Mi
y
'Y -'•� '�
Receivedby .
�+
Jam• ; :
Contractor ^,yy`?!Pf%y`„��f,,,F;�•�• ��.....,,...j'
-nr,•.=. :%R.`Jr''Mt;
P>a .>. ,
TeL. - j -
•. :, r.{ir N,��/i ., .. �"'°rl r,it.:: '•,'.
LicenseN
M .
�,�!..�'�:�+
Trees required
q...M:1.s.�•S_x....,..?rt�r'�nj:.•r/�'..9a.
Sewage System
Address''
City,pJ .y Zip
I' T Ll P THIS PERMIT SHALL BECOME' VOID IF WORK IS NOT COMMENCED WITHIN.120 DAYS. CESSATION OF WORK verified Ity:
Sewer District s FOR 120 DAYS SHALL ALSO SE PE IT BECOME VOID.
J
I HEREBY AGREE:THAT A�WOpkK LN NNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE.COUNTY A THE STATE OF CALIFORNIA.
A ,
'r %( I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
� '
ACCC!RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
arm 284-208 (Rev.
F8/78) I Y "”' • v 1 "
/', .; _., � _ .. _. _ _ • � a,�,,.....� ._._ .-._, «»._ .., .- _. . ,_._ ... III -
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs i3 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
I
10
Fireplace P. L.
43
Final
IDA
Fireplace T. 0.
P'
ADDITIONAL INFORMATION
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 Fin . .
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
•
PSL
REAR OF PROPERTY LINE
_
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final L3—1 —%9 !L!/
STREET NAME