391145 (GRD)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY TV
391145 COUNTY OF RIVERSIDE FIELD I
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ 1* $
✓^ UNITS
Zip
2ND. FL. SQ. FT. @
Community
YARD SPKLR SYSTEM
POR. SQ. FT. @ -^•'
�" MOBILEHOME SVC.
BAR SINK
�✓
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
F.C.C.
MH Permit Fee $
CAR P. SQ. FT. @
Co $
DRAINAGE PIPING
WALL SQ. FT. @
_
DRINKING FOUNTAIN
Parcel No.
• `
ii
URINAL
SQ. FT. @
Mech. Fee Dbl E
PI. Ck. Fee $ woo,?
ESTIMATED CONSTRUCTION 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
s
GARBAGE DISPOSAL L.
FURNACE UNIT WALL FLOOR SUSPENDED
Plumbing Fee
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. @ c
BATH TUB
SuglieI Permit Numbers
SQ. FT. @ c
WATER HEATER
Mileage Fee E
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
Reinsp. Fee
S0. FT. GAR @ '/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TO L FEyi$/
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. F%/
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
Received by
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Contractor
Tel.
PERMIT NO.
39�.1 45
Job Address
� o
CA
"J
Space
Zip
Owner
Community
Valuation
E
Date
Dist.
Off.
t
F.C.C.
MH Permit Fee $
Micro Film Fee
Co $
Use of Per it
_
...+"
Parcel No.
• `
ii
Use/Case No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee $ woo,?
Set Backs
lot Size
Construction Fee Dbl E
Legal Description
r
/ Q
' {Jer
i
F S
S R
Electrical Fee Dbl E
Zone Rest Ions /
Group
Type
SMI Fee E
Plumbing Fee
Dbl E
Bond Amt.
$
Plan No.
to c er
Final Date ��rr77
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. lender
Branch
SuglieI Permit Numbers
Registr. Fee $
Mileage Fee E
Address City Zip
1
•� ��✓
Witness Fee E
Reinsp. Fee
E
Owner/Agent
r 1
Tel. � ` j � j Zip
Total Fees
E ti
Address
r
City
� f
Zip
F
/
M.O. N.C. Cosho Chec
Received by
�- f^Q r
Contractor
Tel.
License#
Trees required
Sewage System
Address
City
Zip
T LL P
-Sewer District
Form 284-208 (Rev.B/78) @s
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.
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 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
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs 8 Frms
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets
8 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.
43
Final
IDA
Fireplace T.O.
FI
ADDITIONAL INFORMATION
ham^
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath ,
12 Internal Loth
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
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT
PERMIT NO.
391145
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.SQ. FT. @ k (/ $
✓ UNITS
Owner
2ND. FL. SQ. FT. @
YARD SPKLR SYSTEM
POR. SQ. FT. @
✓ MOBILEHOME SVC.
BAR SINK
GAR. SQ: FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
MH Permit Fee $
DRAINAGE PIPING
WAIL SQ. FT. @
Use of Per t + ...+r
DRINKING FOUNTAIN
SQ. FT. @
Ck. By
URINAL
ESTIMATED CONSTRUCTION VALUATION $ Z
690
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
Dbl $
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
601LER B.T.U.
SQ. FT. @ c
BATH TUB
Mileage Fee s
SQ. FT. @ c !
WATER HEATER
.Reinsp. Fee
SQ. FT. RESID @11/.c
SEWAGE DISPOSAL
Tel. -2 J// Z 7e/(3
LLL///Lfii �„`,/�
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
Total Fees
$ -
GAS PIPING
PERMIT FEE
M.O. N.C. [^ Cosh Ch.
PERMIT FEE
PERMIT FEE
DBL.
OT L F
MOB. HM. FEE
MICRO FEE
MECH. FEE P . C/JC F ICON
ST. FEE ELECT. FEE
$MI FEE
FEE PIUMB. FEE
Address
city
Zip
PERMIT NO.
1391145 1
Job Add res
49 KO Allf- (1ARQ1 2-4-
Space
Zip
Owner
'ok
Community ..
J �l •i ' % �/'
Valuation
s
Date
i �/ _ v`•
Dist.
�/
01,1111,..
..,i+•
F.C.C.
MH Permit Fee $
Micro Film FeeCops
Use of Per t + ...+r
Parcel No.
Use/Case No.
Ck. By
Mech. Fee Dbl b
PI. Ck. Fee
Set Backs
Lot Size
Construction Fee Dbl f'^
Legal Description
r
F � S �-
S r
R
Electrical Fee Dbl $(
Zone Restitf5tIons
Group
Type
SMI Fee E
Plumbing Fee
Dbl $
Bond Amt.
E
Plan z /^�
JUS
PIar1,EJie)cker
(/��rL(�t `�
Final Date �^ \
S /" e)
Inspector
Unit
Sp. Insp. Fee $
Demo!, Fee
S
Const. Lender Branch
Supplimental Permit Numbers
_
s
Registr. Fee s
Mileage Fee s
Address City,r. Zip
Witness Fee $
.Reinsp. Fee
$
Owner/Agent r ( �'� (}�
/
Tel. -2 J// Z 7e/(3
LLL///Lfii �„`,/�
Zip
Total Fees
$ -
Address
{%l
j � - '=-
City , . zip
•'1 f / ". ? r
M.O. N.C. [^ Cosh Ch.
Received byContractor
Tel.
License#
Trees required
Sewage System
Address
city
Zip
T U. 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.
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 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.
Form 284-208 (Rev.8/78) @s