ELEC (398379)BUILDING PERMIT
PERMIT NO, DEPARTMENT OF BUILDING & SAFETY FIELD DST
3983 7 9 COUNTY OF RIVERSIDE I1 / I
CONSTRUCTION. ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. s
2ND: FL.
FOR.
'+ GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
Dist.
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
SO. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax voluotion
SWIM POOL, PVT
S R
FLOOR DRAIN '
MECHANICAL FEES
SWIM POOL, COMM
Type
WATER SOFTENER
VENT SYSTEM FAN EVAP-. COOL HOOD
SIGN '
Plan No.
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Inspector
&v,,
Unit
.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
, /G
�
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
�Witnoss Fee
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
M.O. NCosh Check
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Ucensell
SHOWER
BOILER B.T.U.
SO. FT. @ a
City Zip
BATH TUB 1
'
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 1 IA4
SEWAGE DISPOSAL
SD. FT. GAR @ 1144
HOUSE -SEWER
'
GAS PIPING
'PERMIT FEE
PERMIT FEE
PERMIT FEE
-DBL.
TOTAL FEESMOB.
HM. FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
I CONST. FEE
ELECT. FEE
0.
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
"
fi
Job Address Space
le
Zip Owner
Community
/
Valuotion 11Dote
S
Dist.
F.C.C.
;MH Permit Fee S_
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Micro Film Fee Cop S
Use of Permit'
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Parcel No.
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Use Case No.
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Ck. B
,Mach. Fee Dbl S
I-151
,PL.Ck. Fee $
Set Backs
Lot Size
•Colstruction Fee Dbl S
Legol DescriptionF
C,�., (/ .L /
S
S R
Eltricol Fee Obl S
Zone Restrictions
/
Group
Type
ItAl Fee $
'Plumbing Fee Dbl $
Bond Amt.
S
Plan No.
Plan Checker
Final Dote '
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Q
Inspector
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Unit
.
$p. Insp. Fee $
i�•Demol. Fee S
Const. Lender Branch
Supplimental Permit Numbers '
Registr. Fee $
'Mileage
Fee $
Address City Zip
�Witnoss Fee
Reinsp. Fee $
0. /A -Inti .� 1 tr{ �� '
Tel. / - ] Zip ,
V,
Total Fees S
Add res, - /
�%� /�_ "'
City _ % //`�I Zip
•/if �4-��
M.O. NCosh Check
Received by e/
Contractor
Tel.
Ucensell
Trees required
Sewage System a 'I
Address
City Zip
') T it P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
I�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 INACCORDANCE WITH
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. '
' 15> . '9-2 6 RTIFY-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.
verified by:
•i:
fi
' A
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
-
- `.,
33
Ventilation System ,
2
Ftgs B'Frms
34
Plenums 8 Ducts
2A
Slab Grade
t
35 i
Furnace Comport. )
3
Steel
r
t
36
Inlets 8 Outlets
`4
-Grout Blocks,
37
Combustion Air
5
Bond Beams
t
38
Compressor. -
6
Roof Deck
39
Appl. Clearance
7
Framing
t
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
r
42
Commercial Hood
10
Fireplace P. L.
)
43
Final
10A
Fireplace T.O.
(]
°o
,
ADDITIONAL. INFORMATION
-. -- -- - -
-
. .
SEWAGE SYSTEM SIZE & LOCATION f
11 Exterior Lath
12 Internal Lath !
12A Drywall
13 Finish Grade 4' i
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 Water Heater '
22 Wo er Softener
23 Wotet'Service
24 Gas Test
25 Final t
f
-
Tank 'Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
t
26- Power -Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire S _ - �` `: 5�9
29B Bonding 1
30- Fixtures
31 Service
32 Final
STREET'NAME
:.. .. ... . . ::
PERMIT NO. y
3 9 8 3,7 9, .
J V
_ w ` 1�,..`�'r DEPARTMENT OF BUILDING 8a' SAFETYr •
COUNTY OF RIVERSIDE
r J
�,
FIELD OFFICE•F
DST t
CONSTRUCTION ESTIMATE
NO. ELECTRICAL -FEES '_
`NO.
PLUMBINGIFEES
1ST FL
r«
2ND. FL.
" FOR. , •='
` GAR,
•
" • CARR
WALL "'. ."r
t
ESTIMATED CONSTRUCTION!
SQ: FT. @. $
UNITS,. r
r ri, ,�•
SQ FT. @ r YARD'SPKLR SYSTEM
8Q. FT. @•' - '- "MOBILEHOME SVC. sBAR SINK - - • i•-
_
SO. FT. @ POWER OUTLET - f - + -ROOF DRAINS -
_
•%
SQ. FT�' @ ' • DRAINAGE,PIPING
SO. FT_ @. =� .- Y* DRINKING," FOUNTAIN
SQ. FT. @ '. ,. + URINAL- I
VALUATION ., $r >, `• ,WATER" PIPING-' «s'+
NOTE: Not to be used, as property'tdx valuation s•
�� r SWIM POOL, PVT •.
'-FLOOR
DRAIN
MECHANICAL FEESswlM
POOL, ',COMM ' «,
WATER SOFTENER 2
VENT SYSTEM 'FAN ,•'EVAP.`'000L HOOD
" + ` • . SIGN '-'.r
- ,•
WASHER (AUTO)(DISH), .
APPLIANCE DRYER "�
' �•.�, • k -' �'
•
.GARBAGE DISPOSAL
FURNACE UNIT r. WALL" `. FLOOR _- SUSPENDED.' -
• •;
Parcel No. ' t
G/
LAUNDRY TRAY - 1
AIR HANDLING.UNIT ' CFM
.t•�
IDLE METER
•'1
Mecli,�Fee Dbl S
KITCHEN SINK•" "
ABSORPTION SYSTEM B.T.U'.'
• TEAR,USE'BERMILSVC
-
WATER CLOSET "
COMPRESSOR • ' HP ' _
- POLE, TEMP/PERM -
Electrical Fee Del $ 0
LAVATORY
HEATING SYSTEM" -FORCED ,GRAVITY 4 '
AMPERES SERV`ENT; ,
.. . ,
SHOWER
BOILER- - "• B.T.U.
SQ.,FT.• •@- c
BATHTUB. `
'
SQ.'FT. ' @ a'
Final Dote• o-
,� . _U `OQ
WATER, HEATER`
"
- • 50., FT.: RESID@ 1 y4a. •' y •..�
-SEWAGE DISPOSAL
,
f 50. -FT: GAR, @ 5/<a; ry . :
"•
HOUSE SEWER.
' .`
,• -
- .. _
Registr. Fee S
GAS PIPING _
PERMIT FEE. s
PERMIT -"FEE „
s
PERMIT,FEE
DBL..-
TOTAL FEES
MOB. HM. FEE
ti MICRO FEE ..
"MECH. FEE IPL. CK. FEE
CONST. FEE EL CT. FEE - •
' .•SMI FEET
'FEE - PLUMB. FEE
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Job Address. , -
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Spo e "
Zip 'Owner
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PERMIT NO.
398379
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Micro Film Fee
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Use of ermi :
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Parcel No. ' t
G/
. Use /Cosa
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No. .-. '"Ck.,
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By •.
Mecli,�Fee Dbl S
PI. Ck. Fee' S, -
- Set Backs
Lot. Sae
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v
-
Construction Fee Dbl. S
legal Description
_ '
�..+• v �� ,.
- - S S R• e
F77
Electrical Fee Del $ 0
Zone Restrictions
i
Group _ .
a - 1 .
Type
.. . ,
SMI fee $'
Plumbing Fee
Del $
Bond Amt.
$ •
Plan No. "s"
v
Plan C ecker
y . •
Final Dote• o-
,� . _U `OQ
Inipecto «,f y,
'''t
Unit
'Sp. Insp. Fee $
Demol. Fee-
, $ -
Comt. Lendei ' , - - 'Branih' - `Kti
- t•s. C`' .E :.
Supplimentol Per -mit Numbeif
, R
..
Registr. Fee S
s
L •!'�J7
w
= i+
Mileage Fee 'r $
-Address CityZip'
.Fee
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Reins#. Fee$
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Totol-Fees
$
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Address -
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x
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5 �.•
`Zip -
"+ "
M.0_0 N. _D?
Cash heck
Received .by
. Contractor
."
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Tel. • - ;
3, i•_. r+.
License,#,
,.
Trees require
^
Sewage System'
Address'-�
s - ,- >-
Cttyk ", Zip
T LL -P THIS PERMIT SHALL BECOME VOID IF WORK, IS'NOT COMMENCED "WITHIN 120,DAYSC CESSATION OF, WORK verified by:
Sewer District t
FOR 120 DAYS SHALL ALSO CAUSE• PER_ MIT TO BECOME VOID?.i-
_ - � _r - � -• - � t - '
x 1 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.
s I- REBY FY THAT THE INDIVIDUAL. WHO PRE PA THE PLANS AND SPECIFICXTIONS HAS -DONE
ANCE WITH SECTION 5541'OF THE.BUSINESS AND. -PROFESSION$ CODE•OF.THE STATE OF CALIFORNIA,.
Form 284-208 (Rev: v ,Y
• - • , fir, •. .0