SFD (359926)53930 Avenida Madero
359926
NUILYllnb VCKIMII
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY r FIELD F/I
ST
359926
DST
OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
•DIST FL.
SQ. FT. @ $
Off.
UNITS
MH.Permii Fee S
2ND. FL.
SQ. FT. @
Use of Permit
YARD SPKLR SYSTEM
..:.POR. +. •
' _
SQ. FT.`@
'
MOBILEHOME SVC.,,.. ...
BAR SINK
_-
GAR. SQ. FT. v
r -
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
....
on '
` K
1 J ,>/ G / {% 4'1' f'
DRAINAGE PIPING
WALL SQ. FT. @
Electrical Fee Dbl $
Zone Restrictions
DRINKING FOUNTAIN
SQ. FT. @
SMI Fee E
URINAL
ESTIMATED CONSTRUCTION VALUATION r $ .
'
Bond Amt.
$
WATER PIPING
. ,,NOT)E:.No! fo be used os property tax voluation
• s
SWIM POOL, PVT— :*Xr_ ,.w.
FLOOR DRAIN
MECHANICAL FEES
i
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
$
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Supplemental Permit Number`Q
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Regist, Fee $
Mileage Fee $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Reinsp. Fee
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM . B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP. ,
Zip
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
"`' •
'"
SD; FT. RESID L@I'ht
SEWAGE DISPOSAL
Trees required
Sewage System
S0. FT. GAR @ % t
HOUSE SEWER 1 '
Address
i
-
GAS PIPING
PERMIT FEE
PERMIT FEEPERMIT
+
FfE
DBL.
,TOTAL FEES
MOB. HM.FEE
MICRO FEE
MECH. FEE
PL. CK.
ELECT. FEE
SMI FEE
_- - / FEE PLUMB' FEE.,
rrFF E♦E
PERMIT NO.
;359.926
'
Job Address
Coram Uy
L
, +'
" ,y,
V.6.in
• 'Space Zip Owner • ,
µ
Dote • " ' Dist.
7
Off.
F.C.C.
MH.Permii Fee S
Microfilm -Fee
Cop $
Use of Permit
-
/ 1' ' • 'f'S"+
Parcel No. a
~'*
Use/Cas o.
Ck. By
Mach. Fee Dbl E
PI. Ck. Fee $ . _
/ Sa Ba s !
Lot Size
Construction Fee Dbl $ .r +w
Legal Des 'Tlfi
J
1r-
on '
` K
1 J ,>/ G / {% 4'1' f'
-09
,,N
' /u C ,
F S S R
1 s
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee E
Plumbing Fee
Dbl S
Bond Amt.
$
Plan No.
.. h„ , ,
PI ack
4
Fi al Date q
Y 2 • 7 /
Inspector •=
i
Sp. Insp. Fee $
Dental. Fee
$
Const. Lender
• Branch
Supplemental Permit Number`Q
Regist, Fee $
Mileage Fee $
Address City Zip
I E
Witness Fee
Reinsp. Fee
E
Owner/Agent
Tel.
Zip
Total Fees . SAddress
M.O. 0 N.C. CashEj
Check
.. .,
City.
Zip
Received by
.
Contractort
' '` -- '
-"t-
Tel.
License#
Trees required
Sewage System
J
,r it/`0
Address
&4y/
City v 'r Zip
Sewer District
Form' 284-208 (Rev.8/78)
THIS PERMIT 5 LL BECOME VOID IF WORK.IS NOT COMMENCED 1N 114 120 DAYS. CESSATION OF WORK
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.
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & 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.
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 1 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
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
STREET NAME