354370 (ELEC)PERMIT NO.Job
3543 7 0
PERMIT NO.
354370
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
DST
f,
F) %
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL:
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ Is
UNITS
Use of Permit - -
�+ coast* service
r
SQ. FT, @, -
YARD SPKLR SYSTEM .
SQ. FT _,@ MOBILEHOME SVC.
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 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
Supplimental Permit Numbers
'
f • `
S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR' --- SUSPENDED
A 4 C>41 ,'
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM w, B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP t
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
City • `' Zi p
P
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @lt/.c
SEWAGEDISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE a,
PERMIT FEE
DBL.
T T l FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB.,FEE
PERMIT NO.Job
3543 7 0
Address Space Zip
53-M A". imvza ��
Owner
Rjjrq corn.
Community
"'^'
Valuation
E
Date
k-1649
Dist. Off.
III InA-
I F.C.C.
MH.Permit Fee E
Micro Film Fee Cop E
Use of Permit - -
�+ coast* service
r
Parcel No.
4-i61�4
Use/Case No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee E
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description F
y�`
10t 21 Mk r35 W 04
S S R
Electrical Fee Dbl E
Zone Restrictions !
&.1
Group
Type
SMI Fee E
Plumbing Fee Dbl E
Bend Amt.
E
Plan No.
Plan Checker
Final Date
�z z-79
Inspector
Unit
Sp. Insp. Fee E
Dental. Fee E
Const. Lender Branch
Supplimental Permit Numbers
'
f • `
S
Registr. Fee E
Mileage Fee E
AddY
Address Cir Zip
P
t1
Witness Fee E
Reinsp. Fee E
OwnedAgrn�Y/.-,Jp/,/�.� `r •--) i� �f. ,L ��
to
Tel.r Zip
•p.,y,
`;
Total Fees E
aA.#�cicd�r-ee,'i. ,... ..... . •
�1��" V 1 Y` . ... � •.., r s
City - -.- - ., . .. .
y. l . � t'`• � y a kf r /. �'�.-� �i •fir 6.•:.
r, r
M.O.Q. N.C. Cash Ch
Received by
Contractor
Tel. ' t tv `t t�
t,
License#
TreetI required
Sejpge System 't
/""
Address ad.,
City • `' Zi p
P
T LL P
Sewer District
Form 284-208 (Rev.B/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF WORK
FOR 120,DAYS SHALL ALSO CAOE PE MIT TO BECOME VOID. y i
I HE !BY AGREE THAT AL[ 7VO�CEL�f10IQ WITH THIS PERMIT WILL BE DONE %N ACCORDANCE WITH
TF1E LS OF RIVERSIDE COUNTY A D THE STATE OF CALIFORNIA. f
I HEkOY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
-ACCORDANCE WITH SECTION-5541-95eL&RAMNESS AP4D PROFESSIONS CODE'OF THE STATE OF CALIFORNtA'-
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
VentiGion System
2
Ftgs & Frms
34
Plenums '8 Ducts
2A T, Slab Grade
35
Furnace Comport.
- ' 3
Steel
36
Inlets & Outlets f•
4.
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
Appl. Clearance
7
Framing
40
Fire Damper
u
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood t
'10
Fireplace P. L. E]
43
Final
10A
Fireplace T.O.
No
ADDITIONAL INFORMATION ...
;
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
112A Drywall
�. 13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
_12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
- 16 Water Piping
-17 —Rough Plumb '
i 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
P/L P/L
STREET NAME
e
ELECTRICAL APPROVALS
26 Power Pole —.Z -Z
' 27 Conduit
T 28 Service Entrance
„29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final 7-7—__,7/ Qv
t