BLCK (360060)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY _. FIELD DST
3 6>O.O 6 O t : COUNTY OF RIVERSIDE .F/
�'�
CONSTRUCTION ESTIMATE
NO. I ELECTRICAL'.FEES
NO. PLUMBING FEES
IST FL. '"
SQ. FT. @
"UNITS
360060
.2ND.. FL. �
" "POR* ' •t.• ti, „v ;5Q.'`FT:'(t?".w
SQ. FT. @ � - � r
YARD SPKLR SYSTEM
aw Y , MOBILEHOME,$VC*,h
BAR SINK
GAR.
CAR P. I
WALL
SO. FT. @
POWER OUTLET
ROOF DRAINS
�. q
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
t
SQ. FT. @
I URINAL
''ESTIMATED'CONSTRUCTION VALUATION �' '
` t ' ' ' +�
WATER PIPING'
,,�NOTE:•,No),,to�.be useq,es property. t",,wpluation ��,,, 4 . t. 4_.
_4 SWIM"POOLp-PVT. ►"",*m, td*IIs
FLOOR DRAIN'
MECHANICAL FEES
SWIM POOL, COMM �• ;
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
-
L%% `2s "' 344415
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
l + ���'+ L
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 0
AMPERES SERV ENT '±
SHOWER
BOILER B.T.U.
SQ.* FT. @ t
BATH TUB
Address City: Zip -
SQ. FT. @ c
WATER HEATER
' W'FT. RESID Q1'/4c`
SEWAGE DISPOSAL
Total Fees •. t4. .; .....�; +c'� . E} . '� ar.,... „ .r'
SQ. FT. GAR @ ,'/. c
HOUSE SEWER
M.O. N.C. Cash Check
GAS PIPING
PERMIT FEE
Contractor -
l i
PERMIT FEE
PERMIT FEE
DBI.
LQTk,FEE`S„
,MOB.HM.FEE
MICRO FEE t MECH. FEE L,v
's' PL. CK. FEE, �.
, ,CONS' FEE ,' ELECT. FEE
_ SMI FEE
FEE PLUMB. FEE
PERMIT NO.
Job Address SpaceZip Owner
..
360060
'
._
Community 4 Valuation Date Dist. F.C.C.
G
F %r4 E *- -
.1"A.r
MH.Permit Fee E _
Micro Film Fee Cop $
Use ofpeimit - '} t
Parcel No.,
Use/Gose No.
Ck. By
Mech. Fee Dbl $
�/' /^� �? ,r�
%. i V /0 la�C,.•� f� �? !jv r/ I�
- ... •r r
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $ td
egol Description - ' - -
�
F - ' - S S
Y .
R
' ,
Zone Restrictions
Group
Type
Electrical Fee Dbl $
-
L%% `2s "' 344415
•
-
SMI Fee S
l + ���'+ L
Plumbing Fee Dbl $
Bond Amt.
E ...
Plan No. -
..
Plan Checker
i
Final Date'.
Inspector
Unit
Sp. Insp. `Fee $ r. „ _
DemoL Fee $ '
Const. Lender Branch
'
Supplimental Permit Numbers
4 •,, !J /
Registr. Fee ` E •
Mileage Fee $ "�
Address City: Zip -
Witness Fee $�-
Reinsp. Fee
T. Zip .•
+7
Total Fees •. t4. .; .....�; +c'� . E} . '� ar.,... „ .r'
dre kst
V
Zip
4
"
M.O. N.C. Cash Check
Received by/ ji•-' f��
Contractor -
l i
Tel.
p
License#
�
Trees require
Sewage System .! t"
s
Address A.
City, ( Zip
j
1
t
.�1+ t tT'vw�Ra LL �.+: P. ... + br y THIS PERMIT -SHALL BECOME VOID IF WORK' ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAUS ERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL L 6FO 4114 THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUAD TH STATE OF CALIFORNIA.
L 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) Ir
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs 8 Frms
11-11-79Q Q�
/
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
_Z ,7
38
Compressor
J
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. 0.
N�
ADDITIONAL INFORMATION
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 1 Final �7
PLUMBING APPRROO�OV_ALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Watei Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL
1,
J
P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
i
STREET NAME
BUILDING PERMIT • ..
.t
�-
„[.36.0;
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ITE ELECTRICAL FEES
1st FI. Sq. Ft. @
2nd FI. Sq. Ft. @
Por. Sq. Ft. @ `
Gar: Sq. Ft. @
Car P. Sq. Ft. @
Wall'', Sq. Ft. @
Sq. Ft. @
ESTIMATED VALUATION Is
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP COOL ❑ HOOD -
APPLIANCE
t
FURNACE 11 UNI"T❑ WALLD FLOOR SUSPENDED
J
Z AIR HANDLING UNIT
O
J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
Q
U COMPRESSOR O HP
W APPLIANCE VENT
2
2 ABSORPTION SYSTEM D B.T.U.
I O
INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY "
I. BOILER O B.T.U.
RESIDENTAL FEE SQ. FT. E
PERMIT FEE '
S!
PERMIT IM6 REN. DBL. TOTAL FEES
U --
J F M A M
J F
NO.
'POLES
SIGNS
1 TRM"t9WM149r4
OR T. CLK.
MOTOR H. P.
MOTOR H.P.
MOTOR H. P.
MOTOR H.P.
MOTOR H. P.
FIXTURES
OUTLETS
SUB -PANEL
RANGE AND/OR OVEN
WATER HEATER
'SPACE HEATER
CONSTRUCTION POLE
SERVICE ENTRANCE
RESID. 1Q SQ. FT.
GARAGE is SQ. FT.
PERMIT FEE
PLN. CK, FEE CONST. 'FEE
I A S
FIELD OFFICE
PLUMBING :FEES
NO.
ORAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
?. SEWAGE DISPOSAL
HOUSE SEWER
i.GAS PIPING
/ PERMIT FEE
LEC. FEE PLUMB. FEE
V
-5 .Ar
O N D
SET BACK
LOT SIZE
USE #
JOB ADDRESS OWNER -
i
F
s
R
via_ �"f �J
' -
ZONE
TSE''OF BCrILOiWr0 F
15AIV
' PLAN.. CHECK FEE
- _
y!
'q;w.r � � �, D
.c7• S 01�,
i5
�"••✓"
.. MECHANICAL FEE,
CHECKED BY
COMMUNI 'V" _
STRICT
F.C.
_
I S
VA LUAT1C '-
OFFI C-
' CONSTRUCTION F.EE
GR P
TYPE
LEGAL DESCRIPTION
1PERMIT
NUMBE
1 606 9 8
SPEC. INS P.
{ '
SUPP. TO PERMIT
ELECTRICAL FEE
-
PLAN CHECKER
BOND $
BOND
CASH
PLAN FILE 9
FINAL DATE
INSPECTOR
PLUMBING FEE
I
--(�
Paces I e
TOTAL FEES-
$ --
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED • ?
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID. '
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK' M.O. N. C.
RECEIVED BY
SEWAGE.SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-_
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T
LL
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- I
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON-
TRACTORS IS ALSO GUARANTEED.
r. INFORMATION
J
x �
OWNER
_
CONTRACTOR ••
ADDRES
R^E" -
'
_'
,
L. NO. f
TEL.'NO.
a/ 1
LICENSE NO. I
284-208 11/87