354379 (ELEC)RMIT NO,
45 4 3 7 9
PERMIT NO
3 54' 3J 9
1
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
1 1
DST
F)
CONSTR CTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL.
2ND. FL.
ROR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
I F.C.C.
SQ. FT. @
YARD SPKLR SYSTEM
SQ. Fl..@ re MOBILEHOME'SVC.
BAR 31INK
POWER OUTLET
SQ. FT. @
f
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION,
WATER PIPING
NOTE: Not to bi- used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM le- FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Bond Amf.
$
GARBAGE DISPOSAL
FURNACE, UNIT WALL FLOOR SUSPENDED
r—P—V5-417.
LAUNDRYTRAY,
V-%" F- 1-*.- ,
AIR HANDLING Ui4IT CFd'
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLEJEMP/PERM
41 LAVATOIRY�
HEATING SYSTEM,' FORCED GRAVITY
1AMPERES SERV ENT
s SHOWER
BOILER B. T. U.
SQ. FT. @ C
BATH TUB
*V-* Ow*
SQ. FT. @ c
WATER HEATER
-4
SQ. FT. RESID @ T,/
SEWAGE DISPOSAL
-- — --------
SQ. FT. GAIR@ % c
HOUSE SEWER
r4ty- CA 92234
1,M.O.EL*C.[-j Cash E] Ch
GAS PIPING
PERMIT FEE
Contractor
PERMIT FEE
PERMIT EE
DBL.
T71. FEL��
I MOB. HM. FEE
MECH. FEE
t�ICRO FEE PL, CK, FEE
I CONST FEE E EEE—
1, F!
FEE PLUMB_FEE
RMIT NO,
45 4 3 7 9
Job Address
Space
O,vner
Community
LA q=m
Valuation
1$
Date
1"16.70
Di W.
st
11 L4
I F.C.C.
MH 1 9 if Fee 1$ ---7
i
Micid Film Fee
C -PIs
Use of Permit
I
Cawtnouoa soraco
Parcel No. - -
77;L,�10
---TCk. By
Use/Case No.
1
M '/h. Fee ::fuctx4aa
e Dial 1$
Pr Ck. Fee
Set Backs
Lot Size
s DbI
Can truction Fee $
Legal Description'
lot 15111, bik-232S wV LAQ422
F
I
S
I
R
Ago-
ElecJicol Fee Dbi S
Zone Restrictions
Group
Type
SMI,Fee $
Plumbing Fee
DbI $
Bond Amf.
$
Pion No.
1 .
Pion Checker
I 1Y.V—�1,P1
I Date
Inspector
unit
I
Sp. Insp. Fee $
Demol. Fee
I$
Const. Lender Branch
Supplimental Permit Numbers
--**-e
Registr. Fee
Mileage Fee 1$
Ad ',ss
drf city ip
t/
Witness Fee 11i
Reinsp. Fee
$
*V-* Ow*
Tel.
Zip
Total tees
Addrem
City_ ft
CathadmI
r4ty- CA 92234
1,M.O.EL*C.[-j Cash E] Ch
Trees required
Contractor
Tel.
5e -r System
Address
City
Zip
/ T LL P
Se.er District
Form.284-208 (Rev.828)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 1 20 DAYS SHALL ALS RptZt.E�2ME VOID.
1EHEREBY AGREE THAT4,igL\fVT0RKONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
Ty N
D�
TH LAWS OF RIVERSIDE COUNTY ND HE 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.
NO. OPERATION DATE
BUILDING APPROVALS
I
2
I Set Back
j Figs & Frms
2A
3
Slab Grade
Steel
4
Grout Blocks
5
Bond Beams
•
7
Roof Deck
Framing
8
9
Vents
Garage Fire Wall
10
Fireplace P, L-
10A
Fireplace T.O.
11
Exterior Lath
12
Internal Lath
12A
Drywall
3
Finish Grade
ATI
INSULON
Thick
R
Value
7A
Walls (Batts)
12B
Ceiling (Batts)
12C
Ceiling (Blown)
14
Final
I 1
INSPECTOR NO OPERATION DATE � IF;'=f eCi'CF )
MECHANICAL APPROVALS
33 Ventilation System ?
34 Plenums & Ducts
35
36
Furnace Compart
Inlets 8 Outlets
i
y
37
Combustion Air
I r
38
Compressor
I
V
'
39
40
Appl Clearance
Fire Damper
41
42
Smoke Detection Device
Commercial Hood
43 Final
I �
°o ADDITIONAL INFORMATION
PLUMBING APPROVALS - _ - f
15
Ground Plumb
I j
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
ELECTRICAL ,APPROVALS
26
27
Power Pole
Conduit
28
Service Entrance
29 Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
V
i
1
1
I
I
SEWAGE SYSTEM SIZE & LOCATION
T]nk Pit LLine. I
REAR OF PROPERTY LINE i
I
h
i I
I, V
P/L PJA. '
STREET NAME