AR (403140)BUILDING PERMIT
ERMIT NO.
403140
PERMIT No.
0 3140
-Job Address
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
DST
CONSTRUCTION ESTIMATE
,
j
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
o6O.
ESTIMATE C N T1 6N
SO. FT. .@ $
i r
UNITS
Wt
4y -r•
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
FT. @ ., ..
URINAL
VALUATION $ F ' a
WATER PIPING
NOTE: Not to be used os property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Type
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
n•Ido. ;
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Unit
Sp. Insp. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Branch
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Witness Fee $
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING -SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ a
BATH TUB
Zip
M.O. ❑ .C. ❑ Cash k
SO. FT. @ a
WATER HEATER
/
SO. FT. RESID @ 1'/4a
SEWAGE DISPOSAL
Rece7,'X by �,,,,•�
Contras r
SO. FT. GAR @ J/44
HOUSE SEWER
Tel. i41 E.
b4
/
GAS PIPING
PERMIT FEE
Address
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESM
OB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
l}pc/J
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
ERMIT NO.
403140
-Job Address
_ , -
r
Spoce Zip
I
,
j
CammRtlffy�
i r
%fi oti
$
Wt
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'O ti- riC.C.
w"�
MH Permit Fee $
Micro Film Fee Cop $
Use of m
"'�'�
T..t,e t
r$ No. ('�
or I
F S S
se/Ca
Uo. k. By
Lot Size
R
Mach. Fee Dbl $?11
PI. Ck. Fee $
Construction Fee Dbl $
l IkDe do ` —;NC 4 \."j C
Electrical Fee Dist $ C,
Za tdctions
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
n•Ido. ;
,i ,lo
h 'r
Final DtAW— Inspector
IO G 8(f
Unit
Sp. Insp. Fee $
Dental. Fee g
Const. lender
Branch
Supplemental P mit Numbers
Fee $
Mileage Fee $
Mileage
Address; City Zip
Witness Fee $
Reinsp. Fee $Qvi
Agent
Tel.
t
Zip } ,
Total Fees $
Addkss
14
L..+�,•City
Zip
M.O. ❑ .C. ❑ Cash k
_
/
�r
Y3s(.4w
Rece7,'X by �,,,,•�
Contras r
Tel. i41 E.
b4
/
Trees veq.TfbcIJ
Sewage System
Address
_
City
Zip
t
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sower District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
µ j
I HEREBY AGREE THAT rALI,.MORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
s THE LAWS OF RIVERSIDE`COU0 TY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY TH.AT-;T}tE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284408 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
0 -*
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
n
D,� ?-7(/'�
UUUv
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
La --?�
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.M
—
43
Final
loA
Fireplace T. 0.
_V J/�
°o
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 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
P/L P/
'
l�
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME S�p PERMIT NUMBER
INSPECTION
C./ (REQUESTED
SPACE N0. FOR:
ADDRESS
'� - ��/ ��L' �L'��6� ' ❑ A.M.
OWNER COMMUNITY
P.
MECHANICAt
ELECTRICAL r
BUILDING PLUMBING n MON
l.._J
a
1
TUES
aWED
ti REMARKS: THUR
FRI
D4
y
OWNER/CONTRACTOR TEL.NO. 28 1145
DEPARTMENT OF BUILDING AND SAFETY ..COUNTY OF RIVERSIDE
TIME PERMIT NUMBER
OFFICE DATE
INSPECTION
/0 - w REQUESTED
I SPACE NO. FOR:
ADDRESS I
-5-127 D �/ U [] A.M.
COMMUNITY
OWNER
PLUMBING
ELECTRICAL MECHANICAt MON
BUILDING
TUES
2WED
REMARKS: Q THUR
�.FRI
OWNER/CONTRACTOR TEL-NO. T' 29446 t145
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE
DATE
TIME
PERMIT NUMBER
INSPECTION
REQUESTED
FOR:
a A.M.
❑ P.A.
ADDRESS SPACE N0.
J
OWNERCOMMUNITY
Z Q
BUILDING
PLUMBING
ELECTRICAL
MECHANICAL
El wm
� TUES
/ 7
l
WED
THUR
REMARKK S:
r
FRI
OWNER/CONTRACTOR TEL.NO.
'
281 {1/75
PERMIT NO.
PERMIT No.
0 1 0
Job Address -
y„
DEPARTMENT OF BUILDING & SAFETY.
COUNTY OF RIVERSIDEILL
FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ' ' ELECTRICAL FEES
NO. PLUMBING FEES '
1ST FL.
219D. FL`.
' FOR.
GAR.
CAR P.
WALL
- -
CONSTRTI N
ESTIMATED UC
SO. FT. @ $
UNITS
MH Permit Fee S
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
• •
SO. FT. @ "
DRAINAGE PIPING
SO. FT. @ `
DRINKING FOUNTAIN
O. 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
Damol. Fee S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Supplimental Permit Numbers
♦ -
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.
SO. FT. @ a
BATH TUB
r
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 1 t%a
SEWAGE DISPOSAL
'
f S0. FT. GAR @ 3/aa
HOUSE SEWER
Re<biv by
Contract rTeL
GAS PIPING
PERMIT FEE
¢en
PERMIT FEE
.PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
16V
CONST. FEE ELECT. FEE
SMIFEE
FEE PLUMB. FEE
PERMIT NO.
Job Address -
y„
- -
Space Zip
4031 4 0
Community
-Aa uah
$
e - Dist. O .
(�•9
.C.
40 I
MH Permit Fee S
Micro Film Fee Cop $
Use of a
It.
rce'No. Use/CoA o.
Bac to Size
Ck. By
Mach. Fee Dbl S
PI. Ck. Fee S
Construction Fee � Dbl $
eg 1 es ptio ,
F
S S R "
Electrical Fee Dbl-. S
W \'''a
If A.�.
e estriction3 GroMe Type
SMI Fee S
Plumbing Fee Dbl $
Bond Amt. Pan No:
$//--,)
(1 an hec 'r Final
Dote Inspec r Unit
Sp. Insp. Fee $
Damol. Fee S
Const. Lender
Branch
Supplimental Permit Numbers
♦ -
;
Registr. Fee $
Mileage Fee $
Address L ,. City Zip
_
.�."`t'•4"
Witness Fee S
Reinsp. Fee $
Ow Agent' '. �;r ._"
�'4'- - s e` +f++'
s r
Tel.
- Zip
Total Fees - S
A �
-
City •
Zip "
r
�
M.O. ❑ C.0 Cash hec
-
Re<biv by
Contract rTeL
¢en
Trees require
-
Sewage System
Address
-
City - Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified bty:
Sewer District FOR 120 DAYS• SHALL ALSO CAUSE PERMIT TO BECOME' VOID. j
y _ .I HEREBY AGREE THAT ALL WORK IN.CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
E LAWS, OF RIVER51DE COUNTY AND THE STATE•OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) ACCORDANCE. WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. .�
f
IilO �T j1
APP'R 0 By NNING & DEVELOPMENT DEPARTMENT
BY DATE A�- I
EXHIBIT
CASE NO.
. m
6l 15
[LM
OATE.
SCALE
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HF- JOB NO.
SHEET
CLF so.