353956 (GRD)PERMIT NO, DEPARTMENT OF BUILDING & SAFETY FIELD
3 5 3 9 5 6I COUNTY OF'RIVERSIDE • - . • ' n.
„�CQN5TRUCTION $,TI ATE f.
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NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT"'@
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UNITS + + +_
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2ND. FL. SQ.FT. @z1
elo
+
YARD SPKLR SYSTEM
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POR. -r SQ. FT. .y✓± �
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• 'MOBILEHOME SVC. ^` ' ' ' ' ' 'BAR SINK-”'
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POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
No.
y
Mech. Fee _Lb I_ E
CAR P. SQ. FT. @
Set Backslot
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^f.
DRAINAGE PIPING
WALL SQ. FT. @
Legal Description
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DRINKING FOUNTAIN
SQ. FT. @ �-
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Zone gtWM 7(
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URINAL
ESTIMATED CONSTRUCTION VALUATION $
SMI Fee E
Plumbing Fee
WATER PIPING
NOTE: Not to be used as property tax valuation
Bond Amt.
f
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Final Date
// �O —72 7
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Sp. Insp. Fee $
SIGN
WASHER (AUTO)(DISH)
APPLIANCE'' DRYER
Const. Lender
Branch
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED •j
Registr. Fee $
Mileage Fee $
LAUNDRY TRAY t
AIR HANDLING UNIT CFM
Reinsp. Fee$
IDLE METER
KITCHEN SINK ;
ABSORPTION SYSTEM B.T.U.
r✓f✓ur..�t. r
TEMP USE PERMIT SVC t
WATER CLOSET y
COMPRESSOR HP
Total Fees
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
• .`•. r r
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Received b
SQ. FT. @ C
BATH TUB
Contractor
;)
I
SQ. FT. @ c
WATER HEATER.t,_�., --
License#
i
Trees required
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Address
SQ. FT. GAR @ '/ c
HOUSE SEWER
Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
jAl. FE�S�
M08.14M. FEE
MICRO FEE
MECH. FEECrK.
J
CONST. fEE - - ELECT. FEE -
r - SMI FEE •
FEE PLUMB. FEE -
NO.
56
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(E''�3539,4V/
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Space
3PERMIT
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Ow •!{ Y .+ �/G ,F�+�J' .•
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Valuation
E
+
F.C.C.C
.
_
MH.Permit Fee E
Micro Film Fee
Cop $
Use of PermitlI V
f� / J ,/
,(,/fG�l,/ , /i//
/j �� /'K �l
PC I N�
//
Use/Cose
No.
y
Mech. Fee _Lb I_ E
PL Ck. Fee S
Set Backslot
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^f.
Si
Construction Fee Dbl $
Legal Description
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Fe- Ste^' S R
Electrical Fee Dbl E
Zone gtWM 7(
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Gyri `.
-
T
SMI Fee E
Plumbing Fee
Dbl $
Bond Amt.
f
/
P)vrQlb%
l �/-''
Plan Checker
Final Date
// �O —72 7
Inspector
Unit -
Sp. Insp. Fee $
Dental. Fee
S
Const. Lender
Branch
Y/��
Supplimental Permit Numb; �.
--
-
Registr. Fee $
Mileage Fee $
Address City Zip
/.• i r
Witness Fee b
Reinsp. Fee$
x
Owner/Agent M •� r r
/ (r
r✓f✓ur..�t. r
Tela , w, yr
-F �M1 . Zip
;04 ,
Total Fees
E
t }t-_
'Addreis- - •
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City, • •+... • •• f/ • •
• .. r �'f Zip
/ M.O. Cos4o Check
Received b
Contractor
;)
I
Tel.
License#
i
Trees required
Sewage System
Address
City
Zip
r T LL P
Sewer District
! Form 284-208 (Rev.B/78)
P -. .
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.
l I HEREBY AGREE THAT ALL WORKIN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNJA.
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.
•9
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
,1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums 6 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & 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. 0
43
Final
IDA
Fireplace T.O. 0
P'
ADDITIONAL INFORMATION
i
SEWAGE SYSTEM SIZE & LOCATION
ti
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 Plumb
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit N
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
'30 Fixtures
31 Service
32 Final
STREET NAME