399592 (ELEC)BUILDING PERMIT
PERMIT NO.
99592
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
/I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
-
Community
SO. FT. @ YARD SPKLR SYSTEM
iZ
SO. FT. @ MOBILEHOME SVC. BAR SINK
/
SO. FT. @ POWER OUTLET ROOF DRAINS
Dist.
SO. FT. @ DRAINAGE PIPING
MH Permit Fee $
SO. FT. @ DRINKING FOUNTAIN
Use o Per it L.VParcel
�
SO. FT. @ URINAL
VALUATION $ WATER PIPING
Y By
J
NOTE: Not to be used os property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Lot Size
MECHANICAL FEES.
SWIM POOL, COMM
WATER SOFTENER
- - -
�4- •?
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Electrical Fee bl E ,/)
APPLIANCE DRYER
Group
GARBAGE DISPOSAL
SMI Fee s ,✓
FURNACE UNIT WALL FLOOR SUSPENDED
Amt. %
S
LAUNDRY TRAY
Pion C
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Sp. Insp. Fee s
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Mileage Fee s
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
0wrip%/Agent
BOILER B.T.U.
SO. FT. @' 4
BATH TUB
Zip
SO. FT. @ a
WATER HEATER
1 ,i'
S0. FT. RESID @ 1 to 4
SEWAGE DISPOSAL
M.O. N.C. ❑ Cash Che ❑
Received by,,?Contractor
SO. FT. GAR @ 3/44
HOUSE SEWER
'' %••—
Ter
Licen,ett c
GAS PIPING
Sewage `S'ystem
—IM01 1 t,
PERMIT FEE
PERMIT FEE
PERMIT FEE
City Zip
DBL.
-,
TOTAL FEESMOB.
06-,,
HM. FEE
MICRO*FEE
MECH. FEE - PL. CK. FEEF�T.
FEE; I, E@'f¢FEE
Ste'
SMI FEE
FEE
&UM$.:fEE
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•
PERMIT NO.
399592
Job Address
Space
Zip
net
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1` :�
-
Community
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rr/a do
d°�
'Ddtel r
Dist.
11. F. .C.
MH Permit Fee $
Micro Film Fee Cop s
Use o Per it L.VParcel
�
t' l
No. s: se /Ca
t
Y By
J
Mech. Fee Dbl 5
Pl. Ck. Fee s
"S, Backs-, N (!
Lot Size
'
Construction Fee Dial s
legal Description Y
/!J rl �%f' J'�
.�^^ — /
- - -
�4- •?
F 5 S
R
9
Electrical Fee bl E ,/)
Zone Restrictions
Group
Type
SMI Fee s ,✓
Plumbing Fee JDbi sBond
r•
Amt. %
S
Of.. N41.
Pion C
ecker
Fin' to spa or
Unit
Sp. Insp. Fee s
Demol. Fee $
Const. Lender
Branch
Supplimentol Permit Numbers IF
(r+' —7 %!
7
Registr. Fee $
Mileage Fee s
Address City Zip
Witness Fee
Reinsp. Fee s ,,,
0wrip%/Agent
Tel.
Zip
Total Fees E
'
Address
1 ,i'
City
f i 7`.�i" • %
Zip
J �-. �. ' ;�3
M.O. N.C. ❑ Cash Che ❑
Received by,,?Contractor
'' %••—
Ter
Licen,ett c
Trees
Sewage `S'ystem
—IM01 1 t,
Address
City Zip
,
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
•1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
2 —,S THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
�r
ER Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) AC DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO
OPERATION
i3A-TE�
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
.1
Set. Back
33
Ventilation System
2
Figs B Frms
34
Plenums 8 Ducts
2A
Slob Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets -
4
Grout Blocks
..
37
Combustion Air
5
Bond Beams
38
Compressor a
6
Rool Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device -
9
Gorage'Fire Wall
42
Commercial Hood i
10
Fireplace P.L.
43
Final
10A
Fireplace T.O.
[j
NOADDITIONAL INFORMATION
..�
•t. '
"
SEWAGE SYSTEM SIZE &. LOCATION
11 Exterior loth
12 Internal Loth.
1414 Drywall r
13 Finish Grade
INSULATION Thick „R'I 'IiA "'
Value '
7A Walls (Botts)
128, Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Ven)s
19 ' Sewage Disposal
20Sewer
21 Water Heater
22 Water Softener /
Nater Service
24 Gas Test
25
Final
Tank Pit L. Line .
-
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
'
26 Power Pole
27 Conduit
28`;, Service;:.En .once
29 Wiring
294 Grounding Wire _ r "
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
PERMIT NO.�
99592
COUNTY OF RIVERSIDE FIELD OFFICE Dsr
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
.` By
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Nat 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
Supplimentol Permit Numbers
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Address City zip
LAUNDRY TRAY 4
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
4LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
'SHOWER
BOILER B.T.U.
SO. FT. @ a
BATH TUB
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 1 14a
SEWAGE DISPOSAL
S0. FT. GAR @ 3/4a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.TOTAL FEES
06
f
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE/ T. E
---
SMt FEE
FEE
12
PERMIT NO.
399592
lob Address Space Zip Owner
CommaRny . t4 -1, - Dist. OfF. F. .
So
.n'
MH Permit Fee
Micro Film Fee Cop S
Use of Per it /.l, /
A t e / f �'+"
-.+•r �-
10A
Parcel No. TUse/Co No. -
zZte
.` By
Mach. Fee Dbl S
PI. Ck. Fee S
Set Bo< '
Lot Size
Construction Fee Dbl $
Legal ascription
%7 / %�
. 14
2
F
S
1
S
R
Electrical Fee
S�
Zone Restrictions
Group
Type
SMI Fee S
Pluinbing Fee 5
fbI
Sp. Insp. Fee S
Bond Amt. s'
S
Plan No.
Plan Checker
Final Dote ,!��/Oi
2 -1? -
Inspector
Unit
Demol. Fee S
Const. Lender Branch
Supplimentol Permit Numbers
Registr. Fee S
Mileage. Fee $
Address City zip
Witness Fee
Reinsp. Fee S
wnq /Agent /� t./ / c
Tel. Zip
Total Fees S
M.O. [D N.C. E) Cash Che
Address
City _ Zip
Received by
Contractor-- t"'^'
Te. ,
Licensels
Trees regm IlAe4�.
Sewage stem -
Address
City Zip
T U. 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.
ER CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) C All WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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