375001 (GRD)BUILDING. PERMIT
PERMIT NO_
3750011
DEPARTMENT OF BUILDING & SAFETY FIELD
COUNTY OF RIVERSIDE
DST
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
IST FL.
SQ. FT. @
UNITS
2ND. FL. SQ. FT. @
FOR. SQ. FT. @
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
�"
'J
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
,
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. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/4c
SEWAGE DISPOSAL
SQ. FT. GAR @ IN t
HOUSE SEWER
GAS PIPING
(PERMIT FEE
PERMIT FEE
PERMIT FEE
DEL
TOTAL FEES
C-51- NO
MOB. HM FEE
MICRO FEE
MECH FEE
Pl.CK. FEE ONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB FEE
PERMIT NO.
L375001
Job Address Space
1:
C""'
Commu ity P Valuation
y
Date
Disl
Off.
F C C
MH Permit Fee
y
Micro Film Fee
Copy
'
Parcel No,
U"'Co— Nn'
Ck By
Mech. Fee
Dbl $-
PI. Ck Fee
y
Lot Size
l
Cansvucflon Fee
Dbl y
Lego escriptln ���� I
//
+
Electrical Fee
Dbl y
Zone Restrict
Ty'WL—__
SMI Fee
y'-
Plumbing Fee
Dbl E
Bond Amt.
y
Plan No,
)
Plan cker
F1 r1at Data. 7 Inspector
S ZZI
Unit
5p. Insp. Fee
is
Demol- Fee
$
Consl. Lender Branch
Supplimenta P P Numbers
/
Registr. Fee
y
Mileage Fee
y
Address Cily Zip
Witness Fee
:5
Reinsp. Fee
y
Owner/Agent
.�— -
Tel. / Zip
tIf 1a V
L!�
Total Fees y
Address
C ty ZIP
M.O N,C Cosh Check
Received by
Conlr or
Tel.
License#
Trees required
Sewage System
Address
City Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78) 05
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION 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
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. (/�f/
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 6 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. E]
43
Final
10A
Fireplace T. 0.
OP'N
NO.
- - -
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 (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15- Ground plurrb - - - - - - - - - - - - - - - - -
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
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance -t
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT
PERMIT NO.
375001
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST'
COUNTY OF RIVERSIDE
CONST UCTION ESTIMATE
NO.
ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
' FOR.
GAR.
CAR P.
J
WALL
CONSTRUCTION
SQ. FT. @ `" $
LD V
UNITS
Com Sty
/�,�"� {)
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
/
SQ. FT. @ ( POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION L— Z
L-26.ESTIMATED
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Lot Size
1 R"')
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Electrical Fee Dbl s
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Typs(«!/�A{ 1�1�
V—di— -
SMI Fee s
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Bond Amt. Plan No.
$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Inspector
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
Address City Zip
A
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Owner6gnt
SQ. FT. @CffELE1
BATH TUB
Zip
SQ. FT. @ tWATER
HEATER
ddress
[,r�[�}(��'"
—7 11,
SQ. FT. RESID @ 11/. cSEWAGE
DISPOSAL
Received -bye--, I,"i
f
SQ. FT. GAR @ '/. cHOUSE
SEWER
Tel.
_
License#
GAS PIPING i
PERMIT FEE
t
PERMIT FEE
PERMIT FEE
DBL.
TOTAL _. .FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
rOCONST. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1375001
Job Address
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Space
Zip
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Owner _
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Com Sty
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Valuation
T-7 ! $
Date
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Dist.
Off.
F.C.C.
MH.Permit Fee
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Micro Film Fee
Cop E
Use of Permit , /1
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Parcel No.
7 — 0
Use/Cose No.
Mech. Fee Dbl $�7
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PI. Ck. Fee $ n, r G
Set Backs
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Lot Size
1 R"')
Construction Fee Dbl s
Legal Description JB�
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3-jF
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Electrical Fee Dbl s
Zone Restrictio jj
l.r — /
Gro !p/�
4
Typs(«!/�A{ 1�1�
V—di— -
SMI Fee s
Plumbing Fee
Dbl $
Bond Amt. Plan No.
$
Plan Checker
1
Fi I Dote
al I
Inspector
Unit
Sp. Insp, Fee $
Demcl. Fee
$
-29a
Const. Lender
Branch -
Supplimental Permit Numbers
Regist, Fee
Mileage Fee $
Address City Zip
A
Witness Fee $
Reinsp. Fee
$
Owner6gnt
Tel. I,!(/� (/ '^�)
Zip
Total Fees /
•M,O.' N4
$ .,._.
Cash . C ck
ddress
[,r�[�}(��'"
—7 11,
City / j`//
( ( , / !LJ 44,
Zip
Received -bye--, I,"i
f
Contractor -
Tel.
_
License#
Trees required
Sewage System
t
Address
City
Zip
T U. P
Sewer District
Form 284-208 (Rev.8/78) P s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION 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
ACCORDANCE WITH SECTION 5541- OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.