SFD (368909)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD
3689 0 9 COUNTY OF RIVERSIDE T
CONSTRUCTION
ESTIMATE
Job Address Space Zip
0i` -� 7 'P- ,,:�
NO.
ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. ED -)SQ.
2ND. FL.
POR.
GAR.
CAR P.
� WALL
ESTIMATED CONSTRUCTION
FT. @Z0 $ 'S/ �60 r�
Off.
i
UNITS
MH.Permit Fee $
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
SQ. FT. @ le M 2 I�� "� POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
y
VALUATION
WATER PIPING
NOTE: Not to be used as property tax valuation
Group
Type
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Plan No.
�!
Plan Checker
I
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Sp. Insp. Fee $
Demol. Fee $
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Mileage Fee $
Address City Zip
r
Witness Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Tel.' Zip
Total Fees $ %�%�
LAUNDRY TRAY
AIR HANDLING UNIT CFM
x M. 0. 0 N.C. Cosh ,Ghe
Received by
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Trees required
Sewage System
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HIP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @ 1'/. c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
lO` Ja
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT: FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
368909
Job Address Space Zip
0i` -� 7 'P- ,,:�
Owner
,/,7. � , ".. -
Community
1 //
/^ � (.��F 7.I+ti'1I'R'i
Valuation
$ �
Date
�% � G
Dist.
!�
Off.
i
F.C.C.
'
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
�lL '
,�
Es�i/L.(i•: "r' '•�'/'si�fl'yif�-�^
Parcel No.
G," "'�,� ..�YQ
Use/Case No.
Ck. By
✓ 1.+
Mech. Fee Dbl' $
PI. Ck. Fee $ �j'
Set Backs
Lot Size
Construction Fee Dbl b
Legal Description
V r
/ '�� ��.
F 5
S R
Electrical Fee Dbl
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt,
$
Plan No.
�!
Plan Checker
I
Final Date
? " 2 7j°-;,5
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Suppliment I rmit Numbers
'
Registr. Fee $
Mileage Fee $
Address City Zip
r
Witness Fee $
Reinsp. Fee $
Owner/Agent
/
Tel.' Zip
Total Fees $ %�%�
Address
�� ��+� o' !°Jif 1. /L-`YyI/I'I
City_ Zip
42
x M. 0. 0 N.C. Cosh ,Ghe
Received by
Contractor -
Tel.
License#
Trees required
Sewage System
Address -�'
City Zip
f0( tr 0 T LL P4: X J6
Sewer District
Form 284-208 (Rev.8/78) -
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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 1
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. _IV
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
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.
P'
ADDITIONAL INFORMATION
f .
i
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)
a Ceiling (Blown)
14 1 Final
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
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME