SFD (387945)DWILtuttl\v rCKMIN
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PERMIT NO.
1-387945
PERMIT NO.
.387945
Job Address
ommunit Y
o erm
egal Description
Jj
4, 'moi•
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST Fl.
2ND. FL.
POR.
SQ. FT. @ $
UNITS
Plumbing 'Fee
Sp. Insp. Fee
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
GAR.
SQ, FT, @
POWER OUTLET
ROOF DRAINS
CAR P.
WALL
SQ. FT. @
Const. Lender
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Mileage Fee $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VEOT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Total Fees
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
t
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 @ 11/. c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
t
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
—
FEE fq7AB. FEt-op
%F— e .
PERMIT NO.
1-387945
Job Address
ommunit Y
o erm
egal Description
Jj
4, 'moi•
r
t'
.r
Space Zip
Valuati Date
�fG
E �,
Parcel No.
Se ks
F S
i
(,. � (-A Zone Restrictions
f� ,5
Owner
ist. 6V.
e/C a o.
_ .
Lot Size
S R
Group Type
F.C.C.
Ck. By
MH.Permit Fee E
Micro Film Fee Cop E
Mech. Fee Dbl b
PI. Ck. Fee y
Construction Fee Dbl $/
Electrical Fee Dbl $
SMI Fee E
Plumbing 'Fee
Sp. Insp. Fee
Dbl E
$
Bond Amt.
$
Plan No.
Plan Checker
Final Date'` Q . /
��i —U0 v
Inspector ^ J� 1/^ Unit
(s W 14
Demol. Fee
E
Const. Lender
Branch
Supplimental Permit Numbers
Regist, Fee $
Mileage Fee $
Address / City Zip
Witness Fee $
Reinsp. Fee
$
O ne YA nt
4). t�
"9
Tel.
Zip
H
Total Fees
$ -
Address
t
City
r—
Zip
M.O. C1 N.C. C Ch
Received bN
r .1,
Contractor
Tel...�
^City
is nsep
Trees required
Sewage System
Address
Zip
T LL
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: s 1
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
t '
l 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.
HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78) @s
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
1
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
ti
2
Ftgs & 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.
No
ADDITIONAL INFORMATION
T
t
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 z _ _ D ��
25
Final
Tank Pit L.line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT
PERMIT NO.
1387945
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE Fill
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Space Zip Owner
Voluati' Date fist.
p
NoUse/Co a No.
r '
V Se acks Lot Size
// F S S R
�%
J(/",J(} `` Rest fictions Group Type
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Pl. Ck. Fee $
Construction Fee Dbl$
YARD SPKLR SYSTEM
SQ. FT. @
SMI Fee $
MOBILEHOME SVC. BAR SINK
SQ. FT. @
Dbl $
$
POWER OUTLET ROOF DRAINS
SQ. FT. @
Plan No.
1
DRAINAGE PIPING
SQ. FT. @
Plan Checker
1 1aC
DRINKING FOUNTAIN
SQ. FT. @
Inspector
fsa1
8r,"p
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
$
NOTE: Not to be used os property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Supplimental Permit Numbers
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Address City Zip
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
O ner A nt
APPLIANCE DRYER
GARBAGE DISPOSAL
Zip
FURNACE UNIT WALL FLOOR SUSPENDED
Total Fees
M.O.
LAUNDRY TRAY
Adddress�r
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Zip
"
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 @1'/.<
SEWAGE DISPOSAL
SQ. FT. GAR @ 3% c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE OLAOUB.
FEE'"
6
PERMIT NO.
Job Address
Community
OMfof frerm.r-'yParcel
egaI Description
(/
4 A0'T11 1
Space Zip Owner
Voluati' Date fist.
p
NoUse/Co a No.
r '
V Se acks Lot Size
// F S S R
�%
J(/",J(} `` Rest fictions Group Type
F.C.C.
Ck. By
MH.Permit Fee $
Micro Film Fee Cop $
Mech. Fee Dbl $
Pl. Ck. Fee $
Construction Fee Dbl$
Electrical Fee Dial $I'l
SMI Fee $
Plumbing Fee
Sp. Insp. Fee
Dbl $
$
Bond Amt.
$
Plan No.
1
Plan Checker
1 1aC
Final Date
-5- -ro
Inspector
fsa1
8r,"p
Unit
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
O ner A nt
Tet.
Zip
Total Fees
M.O.
$
N.C. C 'Che
Adddress�r
City
Zip
"
Received b'
Trees required
Contractor
Tel.
icense#
Sewage System
Address
City Zip
T LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL AL 50 CAUSE PERMIT TO BECOME VOID,
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
�j THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
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.8/78) @s
verified by: