BLCK (354450)BUILDING VLKM11
PERMIT NO.
354450
DEPARTMENT OF BUILDING & SAFETY FIELD F)i
• — COUNTY COUNTY OF RIVERSIDE -
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
` POR.
,,GAR.
r CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. •@ - -
Valuation
Is �3 ` %rr�
UNITS
' . -
YARD SPKLR SYSTEM
SQ. FT. @
SQ. FT ® • " A , MOBILEHOME SVC....'.. - - BAR•SINK , ++"•
SQ. FT. @ POWER OUTLET ROOF DRAINS
DRAINAGE PIPING
SQ. FT. @
SQ. FT. r DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ • WATER PIPING
/ NOTE: Not to be used as property tax valuation
PL.Ck. Fee §
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Legal Description/1 // F
/
Y f1 C- /5.•••,.
/
SWIM POOL, COMM
WATER SOFTENER
.VENT SYSTEM FAN EVAP. COOL HOOD
Zone $ee��triUiopps
f
SIGN
WASHER (AUTO)(DISH)
APPLIANCE -DRYER rr
" r r
v * "r" ,� • !{
A GARtAGE`DISPOSAL'•
FURNACE UNIT WALL FLOOR SUSPENDED
Final Date y
'3-V 1 17
Inspector
LAUNDRY TRAY
AIR HANDLING UNIT CFM i
Demol. Fee §
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Mileage Fee §
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Owner/AAtg nt, -
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
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AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Contractor
SQ. FT. @ c
BATH TUB
Trees required
Sewage System
SQ. FT. (R c
WATER HEATER ,
SQ. FT. RESID @111/4c
SEWAGE DISPOSAL
i
SQ. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE -
DBL.
TOTAL FEES
MOB.HM_ .FEE
• MICRO FEE •
- MECH. FEE
.PL. CK. FEE
I CQNST. FEE. - ELECT. FEE
. , SMI FEE .
... FEE PLUMB. FEE '
n PERMIT NO.
354450
^
Job Address Space
,�?- 120 4AI ,4d,d��o
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Co unity
7/7, �'/'h�` "i-,]
Valuation
Is �3 ` %rr�
Date '
12-,Zk-,�771
Use/Case
D' t./
//1MiFio
F.C.C.
MH.Permit Fee §
film Fee Cop §
Use of Permit .
// /\� •KCS/•n•+` l�l/ _
Parcel No. f�
/ .55 "tee
No.
Ck By 1�
A
Mech. Fee Dbl $
PL.Ck. Fee §
.'Set Backs
Lot Size
Construction Fee Dbl $ �
Legal Description/1 // F
/
Y f1 C- /5.•••,.
/
Electrical Fee Dbl $
Zone $ee��triUiopps
f
Group
Type ,
SMI Fee $`
Plumbing Fee Dbl §
Bond Amt.
§ -
Plan No..
Plan Checker
Final Date y
'3-V 1 17
Inspector
Unit
Sp. Insp. Fee §
Demol. Fee §
Const. Lender Branch
• _ •
Supplimentol Permit NumbeK
... .... + . , [�. .J. , t . . ,.. •.
Registr. Fee §
Mileage Fee §
Address City Zip
-
Witness Fee $
Reinsp. Fee §
Owner/AAtg nt, -
Tel. Zip
,Tocol Fees § 31-11.'Address
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/7` ��. �lj �!7 -
f! M.O.'.C. CgA Check
'e ived by�
Contractor
Tel.
License#
Trees required
Sewage System
Address
.City Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAIT&NE!�TIONWITH
ID.
I HEREBY AGREE THAT ALL RK THIS PERMIT WILL BE DONE IN ACCORDANCE WITHTHE LAWS OF RIVERSIDE COUNTY AATE OF CALIFORNIA.
+ �` ..... ; • N .,,..;. _ ,., � - . . w ..... . -, • . r. -. ^'t •.w....A ....s,^f• .. ♦ Ih+i W,.v.sr f .n r. . a.•. j•
�� 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)
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
2
Set Back
Ftgs 8 Frms
_ Z�_ 7j�
33
34
Ventilation System
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
4
Steel
Grout Blocks
_Q
�_ 1%
<Lti K vim\
36
37
Inlets 8 Outlets
Combustion Air
5
Bond Beams
3-1-71
38
39
Compressor
Appl. Clearance
6 Roof Deck
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L. C]
43
Final
IDA
Fireplace
T. 0.
P'
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 (Botts)
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 :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