SFD (360480)ovsrvrw A-GRI�11,
PERMIT NO. DEPARTMENT -OF BUILDING & SAFETY,', FIELD -D ?
3
60480 COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL' FEES
NO. PLUMBING FEES
IST FL.,
2ND. FL.
POR. r
GAR.
CAR P.
SQ, FT, @ S
- — —
UNITS
Vd anon
E
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ I MOBILEHOME SVC.
,BAR SINK
SQ. FT. @ C ! POWER OUTLET
ROOF DRAINS
...
SQ. FT. @
DRAINAGE PIPING
'`WALL`
td., FT.. @
Parcel No.
` ` ^' "
DRINKING FOUNTAIN
SQ. FT. @
Pl. Ck. Fee E'(,��'/�""
- Set oc s-�
URINAL
ESTIMATED CONSTRUCTION VALUATION $
/J
Construction Fee Dbl E
WATER PIPING
NOTE: Not to be used as property tax valuation
u
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES'
Type
SWIM POOL, COMM
WATER SOFTENER
VEkSYSTEM "FAN" EVAP. COOL IHOOD
Dbl E
SIGN "`
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Pion Checker
_
-
GARBAGE DISPOSAL
FURNACE UNIT WALL- FLOOR SUSPENDED
Sp. Insp, Fee E
LAUNDRY TRAY
AIR HANDLING UNIT ti CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Address City Zip
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c -i
BATH TUB
. wu..:a «-.k . w5q fa,.•" . 4.i
,-
+ - r`r r'"SQfi FT. @
WATER HEATER
City
SQ. FT. RESID @1'/,c
SEWAGE DISPOSAL
M.O. 0+ N.C. CashEl Check
Received by,rte -•
SQ. FT. GAR @ s/. c
HOUSE SEWER
Tel.
a '.«�. ..7
:�
License#
"/"
GAS PIPING
PERMIT FEE
Sewage System
PERMIT FEE.
PERMIT FEE
DBL.
TOTAL FEES
l , r
MOB. HM. FEE
MICRO FEE
MECH. FEE
�....
PL. CK. FEE
CONST. FEE FELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO. - " •
36048 Q
'
'Job Address - ^ "R + ... w_ * .. .., ,e. , SpaceZip
Owner
- — —
Communit '�
Y
f •>. �^ ?
Vd anon
E
Date
_ '•
Dist.
Off.
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop E
Use of Permit
ff • _ .•J �'
Parcel No.
se/Case No. -r jjCkBy
Meth. Fee .. .. Dbl E
Pl. Ck. Fee E'(,��'/�""
- Set oc s-�
Lot Size
Construction Fee Dbl E
Legal Description
�� % �•�
F S
S R
Electrical Fee Dbl E�
V "�
Zone Restrictions
f
Group
Type
SMI Fee E
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No. V
`
Pion Checker
_
Final Dat
�C
Inspector
Unit
Sp. Insp, Fee E
Dental. Fee
E
Const Lender I •Branch
Supplimentol PjVmit Numbers
'
Regisir. Fee E
Mileage Fee E
Address City Zip
Witness Fee E
Reinsp. Fee
E
Owner//A/gent r
t`�/' ._ � � * ,/ ;•amu«.:.
Tel.
Zip
'
Total Fees _r
E
`Address
- t
City
Zip
M.O. 0+ N.C. CashEl Check
Received by,rte -•
Contractor •
r i �,• a .. ,. ♦ . r .
Tel.
a '.«�. ..7
:�
License#
"/"
Trees iequ`ired' ` «�. r. •i^.- a
Sewage System
Address -
City
Zip
t LL P THIS PERMIT SHALL'BECOME VOID,IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District 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
r THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
• r
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.8/78) I
.. - - . 4. A . . .r .. .. — 3 ._. - __ . ..
verified by:
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 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.
FIN
ADDITIONAL INFORMATION
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
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
t
STREET NAME