SFD (374676)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING A SAFETY DST
3 7 4 6 7 6 COUNTY OF RIVERSIDE FIELD j `
-CONSTRUCTION ESTIMATE
`.`-
NO. ELECTRICAL FEES
NO. PLUMBING FEES
S FL.
2ND. FL.
POR.
SQ. FT. @ AD I
Z 2 - ZZ
UNITS
�.�
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ f MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @URINAL
ESTIMATED CONSTRUCTION VALUATION $7_57
I I
131-1 .r-
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
WATER PIPING
NOTE: Not to be used as property tax valuation
PI. Ck. Fee $ -�
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
legal Description G _
.J� ,.
•i ` A
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Zone Restrictions
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plumbing Fee Dbl $
Bond Amt.
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final a�•y n�
Inspector
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Demo!. Fee $
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Mileage Fee $
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Owner/Agent
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Address //r
!vt /
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Contractor •� '_r
- � '�
t'1 6i ft,sr� s ' �
,( i
SQ. FT. @ t
BATH TUB
Trees required
Sewage System '
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1 /.c
SEWAGE DISPOSAL
SQ. FT. GAR @ 's/. C
HOUSE SEWER
t
GAS PIPING
PERMIT FEE
PERMIT FEE
\ PERMIT FEE
DBL j
TOTAL FEES
MOB.HM.F_EE
MICRO FEE
"MECH. FEE
PL. CK. FES
,,CONST. FEE ELECT. FEE
' SMI FEE
FEE PLUMB. FEE
,» PERMIT NO. ,. �.1
3 7 4 6 7 6'
`.`-
Job Address Space
Zip
Owner
i A o LAN a r',
Community �.
4- F\ !Y `.A "t i\�) f�`'
Valuation
$
Date
` _��'�
�.�
Off,
F.C.C.
'"'•
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
��_ r4,..� t /^ y..,,..
-
Parcel No. V.--
a ;-• 9�
. Use/Cose No.,
Ck. By
Mesh. Fee Dial $ ♦
PI. Ck. Fee $ -�
Set Backs
Lot Size
cz, !.N,
Construction Fee Dbl $
legal Description G _
.J� ,.
•i ` A
F •,
S �7 S / R: j'
Electrical Fee Dbl $.
Zone Restrictions
Group
Type
SMIFee., $.
Plumbing Fee Dbl $
Bond Amt.
$
Plan No. ]PI
.�
ker
r• t
Final a�•y n�
Inspector
Unit
Sp. Insp. Fee $
Demo!. Fee $
Const. Lender»>+ Branch
'
Supplimp nta! Permit Numbers
J {
Registr. Fee $
Mileage Fee $
Address Cit
AddY Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees Is -'1,4,,
Address //r
!vt /
City Zip
M.O. 0 N _C! Cash _ Check . - "
Received by � •' ,'•^:f�
Contractor •� '_r
- � '�
t'1 6i ft,sr� s ' �
,( i
Tel.
3t`-0- 0?9
Licenseq
�-' Z
Trees required
Sewage System '
Address
�C.� t/'4 � C. � ; /� 6
Cit Y //kj,/) / 0 C rl
T LL P I
1 Sewer District
b -
i, `
lForm 284.208(Rev.8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 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:
7
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
IDA
Fireplace T.O. ❑
No ADDITIONAL INFORMATION
//
'12 011
�"/�%�/�G+�/ _.''% "`' —
— — —
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Botts)
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 LAine
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
'`•die.
re STREET NAME
BUILDING PERMIT
PERMIT NO.
3.7 4 6 7 6-
PERMIT No.
Job Address "'" ' Space
`�� �vnc�
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
CommunityValuation
3746 C
t
COUNTY OF RIVERSIDE
F.C.C.
DST
F1
CONSTRUCTION ESTIMATF
ELECTRICAL FEES
NO. PLUMBING.FEES
ST FL. SQ. FT. @ $
UNITS
Fee Dbl St
2ND. FL. SQ. FT. @
Set Backs
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
?
GAR. ✓ SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Type
DRAINAGE PIPING
WALL SQ. FT. @
Bond Amt.
$
DRINKING FOUNTAIN
SQ. FT. @
Final Date
URINAL
ESTIMATED CONSTRUCTION VALUATION $
I ..+•�
WATER PIPING '
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
I MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Total Fees $41A. W
M.O. El N. C h Check
Received by
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Trees required
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. @ t
BATH TUB r
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @lthe
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
GAS.PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEEb
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE,.
CONST. FEE ELECT. FEE
SMI FEE -
FEE PLUMB. FEE'
MI6.
t 6 D,._.(/
PERMIT NO.
3.7 4 6 7 6-
Job Address "'" ' Space
`�� �vnc�
Zip
gzas
Owner
auNur I
CommunityValuation
Dote
t
F.C.C.
MH.Permit Fee $
'Micro Film Fee Cop $
Use of Permit (�t-�r
..{r `� t� /�'1A
01-7r V /'FAK
Parcel No.
I —1 51?01-7•./-,�
Use/Cose No.
Ck. ByMech.
Fee Dbl St
PI. Ck. Fee $'A
Set Backs
Lot Size
Construction Fee Dbl E
legal Description �• r34 /
/' �
G..- ��v (,,,A( � ( h/ /V/%
F ;��o I S aS
R 1
Electrical Fee Dbl $
Zone strictions
Gro
(S.L.�.1I
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Pion No ' •
J
P Check
Final Date
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender *'"'"" Branch
Supplimentol Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
• .q
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees $41A. W
M.O. El N. C h Check
Received by
Address
r Contracto-
_
...] (•r �/ .Y (/ r V
City Zip
` LicenseM
Tel. 3—/
�+ O 4•� [] /� �,��Z�
Trees required
Sewage System
Address
0/C / 1 �/�J� 7 (yam
Ci ry ��l���
r. T LL P
r
.Sewer District
.e
Korm 284-208 (Rev.B/78) s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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.