(397972)BUILDING PERMIT `
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD Mk97972 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
,,.a$
Zip
UNITS
�—
1ST FL. SO. FT. .@
1 U.
.%
$
-7/
2ND. FL. SO. FT. @( '
V•Dis
'a
YARD SPKLR SYSTEM
POR. SO. FT. @
MH Permit Fee $
MOBILEHOME SVC.
BAR SINK
'
GAR. SO. FT. @
v
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. .@. J
.'!.•.
PI. Ck. Fee $
sLry
DRAINAGE PIPING
WALL SO. FT. @
r ,e.,• ��
Construction Fee Dbl $ -
DRINKING FOUNTAIN
SO. FT. @
y l
F
URINAL
ESTIMATED CONSTRUCTION VALUATION $
2 LZ
Electrical Fee Dial Sbrm(/�!
WATER PIPING
NOTE: Not to be used as property tax valuation
Typa.
SWIM POOL, PVT
FLOOR DRAIN
,,,- MECHANICAL FEES
Bond Amt.
$
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM _ FAN EVAP. COOL HOOD
Fina to
XID
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Sp. Insp. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK .
ABSORPTION SYSTEM B.T.U.
Witness Fee s
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. ❑ N.C. Cash Check'
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 1 U<a ,
SEWAGE DISPOSAL
Ucenself
S0. FT. GAR @ t/<a
HOUSE SEWER
A r sda` -r / . /
-.y,
qty r
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 PLUMB. FEE
am
PERMIT NO.
397972
Job Address
-
i.,
Space
Zip
Owner
�—
C niry /,r E7
{�/
1 U.
.%
$
-7/
V•Dis
'a
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee Cop $
se, ot',Per i yr P17—Parcel
- / .h
No.
'
Use/Case No.
Ck. By
Mech. Fee Dist $
PI. Ck. Fee $
sLry
t s "
Lot Size
/
L'
r ,e.,• ��
Construction Fee Dbl $ -
LegaP a ti ` ) Y 1!I f�
_!,I
M�^: / ✓ ... d 3�. + ,F F_
- J
... �r
y l
F
S S
R
-r
Electrical Fee Dial Sbrm(/�!
UtR rictions
Gro -
Typa.
SMI Fee $
Plumbing Fee Diet $
Bond Amt.
$
Pion No.
y„
ker—
Fina to
XID
'Inspector
Sp. Insp. Fee $
Demol. Fee $ -
Const. Lender B nch
Supplimentol Permit Numbers
/6 ,
[//y\�/ 1
Registr. Fee
Mileage Fee $
Address - City Zip
Witness Fee s
Reinsp. Fee $
Owner/Agent
rv.
Tel.
Zip
Total Fees $ .,,
Ad dr s /)
,/ ,. -•r..
City
Zip
M.O. ❑ N.C. Cash Check'
Received by
et"
Tel.
Ucenself
Trees required -.---
-
Sewage Sys m GJ�j -.
A r sda` -r / . /
-.y,
qty r
Zip
,
R�
T LL \ P
Sewer District
r
Form 284-208 (Rev. 1/80)
THIS PERMIT SHALL B COME VOID IF WORK IS NOT COMMEN D W HIN' 120 DAYS. CA SATIO 6 O 4 ORK
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:
CY
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8 Ducts
2A..
Slab Grade
35
Furnace Comport.
3
Steel
f
36
Inlets & Outlets
• �4 •
Grout Blocks
-
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40 ,Fire Damper t
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commerciol Hood
'10
Fireplace PA.
43
Final
10A
Fireplace T. O.
[]
NO ADDITIONAL INFORMATION
-
,
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath o
•12A Drywall
13 Finish Grade
INSULATION Thick
„R„
Value
7A Walls (Botts)
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 4 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/
'
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
, 9A Grounding Wire
-'29B Bonding
30 Fixtures - -
31 Service
32 Final
STREET NAME