RPL (391373)Yv PERMIT NO. DEPARTMENT OF BUILDING &SAFETY
3913731 COUNTY OF RIVERSIDE
FIELD 7DST
CONSTRUCTI
N ESTIMATE
NO. ELECTRICAL FEES
NO, PLUMBING FEES
'
IST FL.
2ND. FL.
POR.
SQ, FT, @ $
UNITS
Community
t -
/�
Voluatio
§ c�f ? f' 2 �f
SQ. FT. @ YARD SPKLR SYSTEM
Dist.
r t
SQ. FT. @ MOBILEHOME SVC. BAR SINK
F.C.C.
GAR.
SQ. FT. @
POWER OUTLET
ROOF DRAINS
Use of Permit , +Fi
..L
CAR P.
SQ. FT. @
Ck. B y
6.S
DRAINAGE PIPING
PI. Ck. Fee §
WALL
SQ. FT. @
Construction Fee Dbl f
DRINKING FOUNTAIN
F 1 S S
SQ. FT. @@ URINAL
Electrical Fee Dbl E K
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Final Date
1- Z
VENTtSYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Sp. Insp. Fee E -
APPLIANCE DRYER
E
GARBAGE DISPOSAL
Const. Lender Branch
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
Mileage Fee §
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
E
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
fy �'
3 %' (R
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
N.C. Cash Check
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
•,.rf.. �.
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Contractor %
SQ. FT. @ c
WATER HEATER
LicanseX
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Address
SQ. FT. ,GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
BL.
t 4 jjIt
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
/
CONST. FEE ELECT FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
39137.3
Job Address .�
��� ��1 : A/tIV>
Space
Zip
Owner )
Community
t -
/�
Voluatio
§ c�f ? f' 2 �f
Date
— c�
Dist.
r t
�' Off.
F.C.C.
MH.Permit Fee §
Micro Film Fee
Cop §
Use of Permit , +Fi
..L
Parcel No.
-77),, QUC
Use/Case No.
I
Ck. B y
6.S
Mech. Fee Dbl $ 7
�
PI. Ck. Fee §
Set Backs
Lot Size
r
�X00
Construction Fee Dbl f
Lof Description
i Ption
` +
Lin7
F 1 S S
R
6/
Electrical Fee Dbl E K
Zone Restric ions
Group
Type
SMI Fee • E
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Date
1- Z
Inspector
Unit
Sp. Insp. Fee E -
Demo!, Fee
E
Const. Lender Branch
SupplimetoI it Numbers
i
Registr. Fee §
Mileage Fee §
Address City Zip^"'
Witness Fee
Reinsp. Fee
E
O r A on r
i 1
Tel.
fy �'
3 %' (R
Zi P
all
Total Fees
M.O.
N.C. Cash Check
Address
h� - j� } •� ,�7', :?
City
�� y
•,.rf.. �.
Zip
Received by
Trees required
-ca
c
Contractor %
Tel.
LicanseX
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 by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
CI HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THF,STAIVOF CALIFORNIA.
O I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
CCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. C
Form 284-208 (Rev.8 ) s
NO.
OPERATION DATE
INSFLCTC;k
Nn.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts -r —
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
3 ��La'ej J �j�/G'%'
39
Appl. Clearance
7
Framing
-/ f —
40
Fire Damper
B
Vents
41
Smoke Detection Device
9
Garage Fire Wall �. Z -
42
Commercial Hood
10
Fireplace
P. L.
43
Final
10A
Fireplace
T. 0.
No
ADDITIONAL INFORMATION
0
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath -
00
12 Internal Lath
12A Drywall Z.
13 Finish Grade
�+
INSULATION Thick R
Value
7A Walls (Batts) -a—AM
12B Ceiling (Batts) C"(_
12C Ceiling (Blown)
14 Final Z Q
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 . 2,
24 Gas Test
2s
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
�-----�
' {�
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring > 6 U
29A Grounding Wire
29B Bonding
30 Fixtures . 2
31 Service
32 Final
STREET NAME 1Shir 46,6la Dd 2
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE 7i�/
39 7 3 COUNTY OF RIVERSIDE
CONSTRUCTI N ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
Owner
UNITS
Communis
G �/" .A
Vol uat' oLf,� �j Dat�ej
E / / �. �� pL � S
YARD SPKLR SYSTEM
SQ. FT. @
Off.
SQ. FT. @ MOBILEHOME SVC. BAR SINK
MH.Permit Fee E
POWER OUTLET ROOF DRAINS
SQ. FT. @
§
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
Use/case No.
URINAL
SQ. FT. @
Mech. Fee E
EDb
VALUATION $ WATER PIPING
Set Backs
NOTE: Not to be used as property tax valuation
Construction Fee Dbl E t
SWIM POOL, PVT
Fqt�
FLOOR DRAIN
R
MECHANICAL FEES
Zone Restri 'ons/
SWIM POOL, COMM
Type
WATER SOFTENER
SMI Fee E
VENT SYSTEM FAN EVAP. COOL HOOD
Dbl E
SIGN
Plan No.
WASHER (AUTO)(DISH)
APPLIANCE DRYER
In
Unit
GARBAGE DISPOSAL
Sp. Insp. FeeE
FURNACE UNIT WALL FLOOR SUSPENDED
E
Const. Lender Branch
LAUNDRY TRAY
AIR HANDLING UNIT CFM
RegFee §
IDLE METER
Address � Cit / Zi
J// Y P
KITCHEN SINK
Reinsp. Fee
ABSORPTION SYSTEM B.T.U.
e p'
+; 1 -
TEMP USE PERMIT SVC
Tel. 3
WATER CLOSET
Zip
COMPRESSOR HP
Total Fees
POLE, TEMP/PERM
Address
pr
LAVATORY
City
/ '� L ./L
HEATING SYSTEM FORCED GRAVITY
M.O. U N.C. Cab 11 Check
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Sewage System
Address
SQ. FT. @ c
City
WATER HEATER
SQ. FT. RESID @lthc
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
TOTAL FEES/
MOB. HM. FEE
MICRO FEE
MECH.
.FFEE
.�
PL, CK. FEE
I CONST.EE
ELECT EE
SMI FEE
FEE
PLUM
PERMIT NO.
9 3 7 3
Job Address
-0 40 Ark)
Space
Zi
JA
Owner
'
Communis
G �/" .A
Vol uat' oLf,� �j Dat�ej
E / / �. �� pL � S
jDist.
/
Off.
F.C.C.
MH.Permit Fee E
Micro Film Fee
§
Use of Permit �^
IL .r,.diz-
e'll No. �/ / '�j /�/
Parc77,V-
/ 7T „ / /„� • 00C
Use/case No.
Ck. BBy
L/J
Mech. Fee E
EDb
PI. Ck. Fee §
Set Backs
Lot Size
10
Construction Fee Dbl E t
1.gol Description
f L,,.
Fqt�
5 5 '"-
a./o
R
Electrical Fee Dbl E d^
Zone Restri 'ons/
Group
Type
SMI Fee E
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Date
In
Unit
Sp. Insp. FeeE
Demol. Fee
E
Const. Lender Branch
Supplimental Permit Numbers
RegFee §
Mileagstr.e
Mileage Fee E
Address � Cit / Zi
J// Y P
Witness Fee E
Reinsp. Fee
E
e p'
+; 1 -
Tel. 3
Zip
Total Fees
§
Address
pr
1�J�- ',.$
City
/ '� L ./L
Zip
M.O. U N.C. Cab 11 Check
Received by
Contractor
Tel.
License#
Trees required
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 by:
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
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
Form 284-208 (Rev.8/7.4)sCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.B/78) s