369246 (ELEC)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD
369246 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES ,.
IST FL.
2ND. Fl.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Valuation
$
Date �7 'f Dist.
ce - ` �' � /
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
.
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property fax valuation
SWIM POOL, PVT
Zone Restri ns / IGroup
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Plumbing Fee Dbl $
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL . HOOD
SIGN
Final Date /�
7-S-719
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Sp. Insp. Fee $
Demol. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
7. v +u5— S C'%i'
0
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
O-ner/A gent
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Addre/s[s� aC�t (•' (/ -�•-
-�+ .J t•,- `-. J `- �� /'�,,,
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
Contractor
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Sewage System aa 1' Lt:r
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 @ 3/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
CJ ✓
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL: CK. FEE-_
CONST. FEE
ELECT,
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
'3692 4 6
Job AddressSpac
5 Z _ �>r. �-rxI e1gA1Z';f
111:)s3
Owner
/ALO; c�
Community
�%d ��✓ ! eel
Valuation
$
Date �7 'f Dist.
ce - ` �' � /
Off. F.C.C.
/ --/
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
/
Lw- �•- C � / S 6, v -
Parcell No. /
! w� '�U
Use/Case No.
1.
Ck. By
6-
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size d
G
Construction Fee Dbl $
Legal Description j
Z �„ /� ', �� w�
.r1 6
F S
S R
Electrical Fee Obl E �U
Zone Restri ns / IGroup
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date /�
7-S-719
Inspector
� n 4 A
6 rl C -o t`� ef'1�J )
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Supplimentol Permit Numbe
-
Registr. Fee $
'Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
O-ner/A gent
Tel. •� / Zip
Total Fees $
Addre/s[s� aC�t (•' (/ -�•-
-�+ .J t•,- `-. J `- �� /'�,,,
City '� Zip
[/ '�•% f./' /,/
M.O. NArl CosbQ Check -
Received by ��,�....
Contractor
Tel.
License# '
_
Trees required
Sewage System aa 1' Lt:r
Address
- City Zi p
'
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
,,,,ewer 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
J`.
• .� 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 tiles
For284 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Il m -208 (Rev.8/78) ,
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums &'Ducts ..f
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 Deckle
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. E
NO
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Volue
7A Walls (Batts)
- 1213 Ceiling (Batts)
—1.2C, 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
P/L
P/
9
26 Power Pole
27 Conduit
28 - Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service t
32 Final
STREET NAME