397763 Change of OwnershipBUILDING PERMIT
PERMIT NO.
1X97763
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD DST,
1 - Space
CONSTRUCTI N ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. Fl.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Off.
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Insp or Unit
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM
FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE
DRYER
Licensell
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.
SO. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
S0. FT. RESID @11144
SEWAGE DISPOSAL
50. FT. GAR @ 3/44
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT F(EE�N
DBL.
a
TO AjL�FEES
MOB. HM. FEE
MICRO'FEE MECH.
FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
`"FEE PLUMB. FEEell / o �
I/ 'e+
1 - Space
Zip
Ownee}'r`��'�
Voluotion
Date
Dist.
Off.
F.C.C.
Parcel No."] yy Use/Cose No.
.. `�_//. 0�,a, t
CkBy
Set Socks
lot Size
e
F
S S
R
Zane Re�icttpns
,,44\\�, j
1
Gro R
�
Type
or
Final t
Insp or Unit
SuppliWPermbers,/� -�•�/Zipy / V
•✓'`�
.V Cif z„i x.0.1
Tel. �,Zip
jj
L /�j / c„
City Zip
Tel.
Licensell
City Zip
K IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
TO BECOME VOID.
NECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
STATE OF CALIFORNIA.
tHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
3USINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
13 Finish Grade
f INSULATION Thick Value
r
NO
OPERATION
DATE
INSPECTOR NO. t
OPERATION DATE INSPECTOR
Sewage Disposal
BUILDING APPROVALS
Sewer
Water Heater,
MECHANICAL APPROVALS
1
Set Back
' 33
Ventilation System
2
Figs & Frms
" 34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams t
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
r 41 Smoke Detection Device
95'
Garage Fire Wall
42
Commercial Hood
_W10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
ONPON f.
ADDITIONAL INFORMATION
►,
11
Exterior Loth
12
Internal Lath
_
12A
Drywall
--
13 Finish Grade
f INSULATION Thick Value
r
7A Walls (Botts)
Water Piping
Rough Plumb
12B Ceiling (Bans)
s
12C Ceiling (Blowr)
Sewage Disposal
14 Final
Sewer
Water Heater,
PLUMBING APPROVALS
ELECTRICAL APPROVALS,
s
SEWAGE SYSTEM SIZE & LOCATION
Tarik Pit •L. Line
REAR OF PROPERTY LINE
P/L PSL
STREET NAME
15
Ground Plumb
16
17
Water Piping
Rough Plumb
18
Vents
19
Sewage Disposal
20
21
Sewer
Water Heater,
22
Water Softener
23
Water Service
24
Gas Test
25
Final
PLUMBING APPROVALS
ELECTRICAL APPROVALS,
s
SEWAGE SYSTEM SIZE & LOCATION
Tarik Pit •L. Line
REAR OF PROPERTY LINE
P/L PSL
STREET NAME
r 26
Power Pole
27
28
Conduit
Service Entrance
29
Wiring
29A
Grounding Wife
298
30
Bonding
Fixtures
31
Se,vke
i 32
Final
PLUMBING APPROVALS
ELECTRICAL APPROVALS,
s
SEWAGE SYSTEM SIZE & LOCATION
Tarik Pit •L. Line
REAR OF PROPERTY LINE
P/L PSL
STREET NAME
BUILDING PERMIT
PERMIT NO.
397763
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE I // I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL. 'SQ.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Zip
FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SOFT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
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
Ins ctor
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. @ a
BATH TUB
n
P -Ai !' !L,, 11
SQ. FT. @ a
WATER HEATER
Zip
SO. FT. RESID @ 1144
SEWAGE DISPOSAL
Contractor
SO. FT. GAR @ 1/44
HOUSE SEWER
Tel.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT F If'j
DBL.
TOTAL FEESM08.
HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
EE PLUMB. FEE
PERMIT NO.
397763
Job Address
Space
Zip
Owner
sDist.
Communityoluation
F1,
Dote
—
/S , A)d
/ /
Off.
i �r
F.C. .
MH Permit Fee $
Micro Film Fee Cop $
Use of Pe � (
Legol Description
�
l
� �
� ` t,::;,Electrical
/ sG/
�
� ` i Parcel No.Use/Gose
.•
Set Backs
F S S R
Zone Rns Group
No. Ck. By
1 12,y
ILot Size
Mach. Fee Dbl $
Pl. Ck. Fee $
Construction Fee Dbl $
Fee Dhl $
SMI Fee $
Plumbing Fee Dbl S
Bond mt.
$
PI n No.
n Checker
F'ino/l Dote
/ J! 6
Ins ctor
Ej/
Sp. Insp. Fee $
DemoL Fee $
Const. lender
'
Bronch
Supplimentol Permit Numbers
/ /s /)0
G U/J (j�/j
Tel.
Zip
Rbgisir. Fee $
Fee $
Address City Zip
j Aye
caner/Ag 1<
LL,,M''''ileoge
'witness Fee g
Reinsp. fee g
Totol Fees $
Address
W
�"�+^'�
n
P -Ai !' !L,, 11
49s
City r
Zip
M.O. .C. Cas ❑ Check
Received by
Trees required
Contractor
Tel.
Licensell
Sewage System
Address
City
Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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 H BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. I/BO) ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
60
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