368851 (GRD)BUILDING PERMIT =
PERMIT NO. DEPARTMENT OF BUILDING t& SAFETY FIELD
368851 COUNTY OF RIVERSIDE �r
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Al u $
UNITS
Zip
J
IST FL. SQ. IT. @
2ND. FL. SQ. FT. @
G
YARD SPKLR SYSTEM
FOR. SQ. FT. @ 70
q MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
.i
CAR P. SQ. FT. @
Micro Film Fee
DRAINAGE PIPING
WALL SQ. FT. @
Use of Permit
Legal Description
/
DRINKING FOUNTAIN
Parcel No.
Use/Case W..
URINAL
SQ. FT. @
PI. Ck. Fee E _
Construction Fee Dbl E s.
t Back4'
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
Plan No.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final Dpte�
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. @ c
BATH TUB
Witness Fee E
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/4c
SEWAGE DISPOSAL
Tel.
SQ. FT. GAR @ s/4 c
HOUSE SEWER
Total Fees
M.O. 0
E
N.C. Cash
GAS PIPING
PERMIT FEE
4y
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
License#
Trees required
Sewage System
I
Address
PERMIT NO.
368851
Job Address
�� - -� -;
Space
Zip
J
Owner
"i:
Community
q
4r
Valuation
E
It.ta
�j-
Dist.
* Off.
F.C.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
Legal Description
/
1
Parcel No.
Use/Case W..
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee E _
Construction Fee Dbl E s.
t Back4'
lot Size
F S 5 R
Electrical Fee Dbl E Ir
Zone Restrictions
Group
Type
SMt Fee E
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Dpte�
Inspector
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender
Branch
sup I* I I P mit Numbers
/
Registr. Fee E
Mileage Fee E
Address Cit Y Zi P
Witness Fee E
Reinsp. Fee
E
Owner/Agent
^,
Tel.
Zip
Total Fees
M.O. 0
E
N.C. Cash
Check,
Address
,.,
4y
City
Zip
Received by
Contractor "
Tel.
License#
Trees required
Sewage System
Address
City
Zip
' 4f a -V LL CrPA 17.
Sewer District
Form 284-208 (Rev.8/78)
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 I
BUILD:NG.APPROVALS
1 Set Back
2 Ftgs 8 Frms
2A Slab Grade
3 Steel
4 Grout Blocks
5 Bond Beams
6 Roof Deck
7 Framing
8 Vents
9 Garage Fire Wall
10 Fireplace P. L.
10A Fireplace T.O.
11 Exterior Lath
12 Internal Lath
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
25 Final
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L
I I
STREET NAME
NSPECTOR
NO. OPERATION
DATE INSPECTOR
MECHANICAL APPROVALS
33 Ventilation System
34 Plenums 8 Ducts
35 Furnace Comport.
36 Inlets 8 Outlets
37 _ Combustion Air
38 Compressor
I
39 Appl. Clearance
40 Fire Damper
41 Smoke Detection Device
42 Commercial Hood
43 Final
OP'N ADDITIONAL INFORMATION
NO.
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L
I I
STREET NAME