360492 (GRD)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
1360492 COUNTY OF RIVERSIDE
FIELD j --D"
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. @ , $
1 /
UNITS
Owner
VV F. � ,,, . 1+ItIrs
2ND. FL. SQ. FT. @
+! - •
Valuation
$
YARD SPKLR SYSTEM
FOR. , SQ. FT. @ -t t~
11-11 I 9
MOBILEHOME SVC.
BAR SINK
GAR. t'+ ` SQ. FT. @ '� �:
(r
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
tA 1\4
—
DRAINAGE PIPING
WALL SQ. FT. @
Use/Case No.
Ck. By
DRINKING FOUNTAIN
SQ. FT. @
-
URINAL
ESTIMATED CONSTRUCTION VALUATION $ ;4i
L"( -SI f
I_ (
WATER PIPING
NOTE: Not to be used as property tax valuation
F •}t SS
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Zone Restrictions
1)%
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Plumbing Fee
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plan Chet
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
LAUNDRY TRAY
AIR HANDLING UNIT CFM
$
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Regisir. Fee $
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Reinsp. Fee
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
/
i
SQ. FT. @ c
BATH TUB
- - -
Zip
SQ. FT. @ c
WATER HEATER
$ - t.
Address
SQ. FT. RESID @11/4c
SEWAGE DISPOSAL
I
City
SQ. FT. GAR @ 'r. c
HOUSE SEWER
M. 0. N.C. Cash Check
Received by
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
City
r - c1 n �
__1 l✓�
PERMIT NO,
360492
Job Address-
.�;-4 - _
f'i
� N , -t�.
Sp6ce
; 4•I-._,{/�
Zip
�_) ,�
Owner
VV F. � ,,, . 1+ItIrs
Community
. \
+! - •
Valuation
$
Date
�., f
11-11 I 9
Dist.
1
Off.
-1:
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit
'1'
tA 1\4
—
Parcel No.
CIA—
•-PI.
Use/Case No.
Ck. By
Mech. Fee Dbl $
Pl. Ck. Feei
I Set Backs
Lot Size
it V t O %
1� F J V
Construction Fee Dbl $
legal Description 1
1 ` \l
I_ (
(�1 - r- j
b -J
"..
F •}t SS
R f, ,r
Electrical Fee Dbl $
Zone Restrictions
1)%
Group
1 .." 3
Type
�
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
f!'J +-
Plan Chet
Final D to
Inspector
Unit
Sp. Insp. Fee i
Dental. Fee
$
Const. Lender
Branch
Supplimenfal Permit Numbers
J
Regisir. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
/
i
r/
Tel.
Zip
Total Fees
$ - t.
Address
f
I
City
Zip
M. 0. N.C. Cash Check
Received by
Contractor
±a ( •
�e
•
Tel.
r 3
License#
Trees required
Sewage System
Address
City
Zip
fIJv
T LL P
Sewer District
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAY. CESSATI6N 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 r,
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. WI
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34 Plenums & 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. Clearonce
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 Td. ❑
No
ADDITIONAL INFORMATION
T
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
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