375577 (GRD)BUILDING PERMIT
PERMIT NO.
375577
PERMIT NO.
3 7 5 5 7 7
Job Address Space Zip Owner
-J-
Community Valuation Date Dii . Off. C.
$ `'
v<T_
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
ISTFL.`� '1
2ND. Fl.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ z UNITS
' Set Backs
TIP
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
$Q. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
`
SQ. FT. @
URINAL
VALUATION , LT
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Reinsp. Fee j
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM .T.U.
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 @I V,c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
375577
Job Address Space Zip Owner
-J-
Community Valuation Date Dii . Off. C.
$ `'
v<T_
MH Permit Fee $
Micro Film Fee Cop $
Use o PerrhT ,-
'C L K'
arcel No. C-1I'Llse/Cose
No.
Ck.
Mech. Fee Dbl $
PI. Ck. Fee j
' Set Backs
Lot Size
Construction Fee Dbl $
L I es pho
.�
F S
., r•
S ! R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee E
Plumbing Fee Dbl S
Bond.Amt.
~'w
$
Plan No.
'r
PI C cker
Final DateInspector
nit
Sp. Insp. Fee E
Demol. Fee $
Const. Lender Branch
i
Supplim nI Permit Numbers
Registr. Fee j
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee j
Owner/Agent
Tel. Zip
Total Fees $
M.O. N.C. Cash Check
Address
City Zip
Received by
Contractor _y /�
Tel.
License#
Trees required
Sewage System
ess
itY Zip
T LL P
Sewer District
Form 284-208 (Re,8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
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
10A
Fireplace T. 0.
NO
ADDITIONAL INFORMATION
—._—___-— —— — — —_— _-
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Batts)
128 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 Water Softener
23 Water Service
24 Gas Test
zs
Final
Tank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
3-75577 COUNTY OF RIVERSIDE "
CONSTRUCTION ESTIMATE
Job Address
Com unity
s 41
Use of Per'mit w ,
f /yl , W �•' r,�t r'(,(. 1c �
Letol bescriptio �.• _ pL
`�"� r�ir"� V V
NO. ELECTRICAL FEES
NO. PLUMBING FEES
MH Permit Fee $
01-
UNITS
PI. Ck. Fee $
Construction Fee Dbl 5
I ST FL. SQ. FT. @
SMI Fee $I'll
Plumbing Fee Dbl $
Bond Amt. Plan No.
ELK
2ND. FL. SQ. FT. @
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Final Dote / Inspector
YARD SPKLR SYSTEM'
Sp. Insp. Fee $
Dental. Fee s
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
Registr. Fee $ '
Mileage Fee $
Address City Zip
WitnessrFee $
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
•
Zip
Total Fees $ If
M.O. N.C. Cash Check
Address
DRAINAGE PIPING
CAR P. SQ. FT. @
Received Xy—"
y'
Contractor _,*4
Tel.
License#
DRINKING FOUNTAIN
WALL SQ. FT. @
ress '
City
Zip
URINAL
SQ. FT. @
'ESTIMATED CONSTRUCTION VALUATION
WATER PIPING
NOTE: Not to be used as property tax valuation °
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ <
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEE%
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
L375577
Job Address
Com unity
s 41
Use of Per'mit w ,
f /yl , W �•' r,�t r'(,(. 1c �
Letol bescriptio �.• _ pL
`�"� r�ir"� V V
Space Zip Owner
Valuation Date
V
$
.Urrr
Parcel No.
Set Backs
F S cz 5 �„
Zone Restrictions
I
Dist. Off. F. C. C.
se/Case No. Ck. By
Lot Size
R /
Group Type
'e-,4Z
MH Permit Fee $
Micro Film Fee Cop $
Mech. Fee Dbl b
PI. Ck. Fee $
Construction Fee Dbl 5
Electrical Fee Dbl E
SMI Fee $I'll
Plumbing Fee Dbl $
Bond Amt. Plan No.
ELK
Plan ecker
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Final Dote / Inspector
Unit
Sp. Insp. Fee $
Dental. Fee s
Const. Lender Branch
Supplimentol Permit Numbers
Registr. Fee $ '
Mileage Fee $
Address City Zip
WitnessrFee $
Reinsp. Fee $
Owner/Agent
Tel.
Zip
Total Fees $ If
M.O. N.C. Cash Check
Address
City
Zip
Received Xy—"
y'
Contractor _,*4
Tel.
License#
Trees regmred
Sewage Systeme
ress '
City
Zip
T LL P
THIS,PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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 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
,4
orm 284-208 (Rev.8/78) @5
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
s