RPL (368763)BUILDING PERMIT _
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
368763-1 COUNTY OF RIVERSIDEF,/, / I
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL.FEES
NO. PLUMBING FEES e
IST FL.
2ND: FL.
SQ. FT. @ $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
POR.
SQ. F7. @
MOBILEHOME SVC.
F.C.C.
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
Parcel No.
ROOF DRAINS
CAR P. •
SQ. FT. @
Mech. Fee
Dbl $
DRAINAGE PIPING
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Lot Size
R
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Electrical Fee
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Zone estrictions -
WASHER (AUTO)(DISH)
APPLIANCE DRYER
SMI Fee`/�. e
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
.....
-•,
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Plumbing Fee,,Y
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Plgn Checker
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
Unit
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
$
SHOWER
BOILER B.T.U.
SQ. FT. @ t
BATH TUB
,SQ. FT. @ C
WATER HEATER
' $
SQ. FT. RESID @1'/.c
Branch
'
SEWAGE DISPOSAL
SQ. FT. GAR @ 1% c
Registr. Fee s
HOUSE SEWER
Address City Zip
Witness Fee $
Reinsp. Fee
GAS PIPING
PERMIT FEE
PERMIT FEE
Tel.
PERMIT FEE
Zip
TOTAL FEES
�wt.r7
MOB. HM. FEE
, MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE
ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1368763
Job Address
Space Zip Owner
t
Community
Valuation
Dote
Dist.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of er it //'� .
Parcel No.
a/Case No.
Ck.-By
Mech. Fee
Dbl $
f s�i�-%
�.-
PI. Ck. Fee $
SetBacks
F S S
Lot Size
R
Construction Fee is
Legal Description
Electrical Fee
DjI s
Zone estrictions -
Group
Type
SMI Fee`/�. e
$
.....
-•,
Plumbing Fee,,Y
§and
Amt.
Plan No.
Plgn Checker
Final Date c/�•�/
Inspector
Unit
Sp. Insp. Fee
$
$
Demol. Fee
' $
Const. Lender
Branch
'
Supplimental Permit Numbers
1 /
�/" GIiG,,.
3/A2
Registr. Fee s
Mileage Fee §
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
§
Address
City
Zip
M.O. Q N.0
n Cash 0 Check 57t'
;vC
Received by
Con radar
Tel.
License#
frees required -
Sewage System
4S
Address",— .Cit
Y -
/
Zip
_
T LL PTHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE RMIT BECO E VOID.
I HEREBY AGREE THAT ALL I�PERMIT WILL BE DONE IN ACCORDANCE WITFI
THE LAWS OF RIVERSIDE COUNTY AND TH TATE OF CALIFORNIA.
I
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) @si .c -
verified by:
NO.
OPERATION DATE
ItXClpk
NO.
OPERATION
DATE
INSPECTOR
a. .
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
ktgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
IJ
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. 0.
NO ADDITIONAL INFORMATION
ea�
Q a� + 7F VdAo
,�h e,,2o;Wsjcla, V
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final �. 1
PLUM_ INS_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 �+ S_
25
Final Q r
—I �Z"�
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL
\
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n
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A 'Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
r
STREET NAME