354298 (RPL)DWILLOMW t'C19m1I
PERMIT NO.
354298
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE y
FIELD
• h
CONSTRUCTION ESTIMATE
N ELECTRICAL FE
NO. PLUMBING FEES
IST FL-`
SQ. FT. @ $
UNITS
C y�n}upity/�� ' I �� Lys _ 01
2ND. FL.
SQ. FT. @
-
YARD SPKLR SYSTEM
FOR.
d GAR.
r CAR P.
WALL
SQ. FT.. C�
MOBILEHOME SVC.
BAR SINK ,.
..
SQ. FT. @ POWER OUTLET '
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
� SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
Use/Case No. ICA.
URINAL
WATER PIPING J�
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 R
GARBAGE DISPOSAL
FURNACE ' UNIT WALL FLOOR,,,-„ SUSPENDED.,.,
r. r,
xrr ,•LAUNDR�(.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
SQ. FT. @ c
WATER HEATER
S0. FT. RESID @114 c
SEWAGE DISPOSAL
Mileage Fee $
S0. FT. GAR @ s/. c
HOUSE SEWER
Reinsp. Fee
$
f.TY� GAS PIPING
PERMIT FEE ' •
PERMIT FEE
PERMIT FEE
DBL.
Tqf LyEE&V
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE
SMI FEE
FEE B(.
J PERMIT NO.
354298s�c/���
ddreS / Space
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Owne�
C y�n}upity/�� ' I �� Lys _ 01
Valuation
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Di
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop $
Use of Permit
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1
J��?•
OPcrf?J.
`/1
•Ar6Bocks
Use/Case No. ICA.
Mech. Fee Dbl $/(�%
'
'Pl. Ck. Fee $
Lot Size
Construction Fee Dbl E , f�
Legal Description
1 i
F S
S R
Electrical Fee Dbl $
Zone WO
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
...+
Bond Amt.
E
Plan No.
Plan Checker
Final Date
Inspector
. Unit
Sp. Insp. Fee $
Dental. Feet•
E
Const. Lender Branch
Supplimentol Permit Numbb� '
'
• '" « • • .r. s , .. ,� �_ • r .. « .
Regisir. Fee $
Mileage Fee $
Address City , Zips
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
TOIOI Flies
$
`"
•Addy ss I +.� % +. a;i , �i
, i / +..;, 1�/ f/,,,r•f� •
4`
•
Citys Zi
r'
tt( ,. M.O. N Cas Check
Received b
""�'
Conti or
Tel `r�y�[
3.�. �-i•�. , ✓
�.e�
Lut`•-'
Trees required
Sewoge System
t
.� -
17re/•�f .�i ��,
Cit
y / h,7 ,Jy2,1 S
t�r T LL P THIS PERMIT SHALL BECOME D "ONNECTION
NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
•,Sewel,District FCR 120 DAYS SHALL ALSO N f/ iVOID. I
° r HEREBY AGREE THAT ALL WORK IWITH THIS PERMIT Wlll BE DONE IN ACCORDANCE WITH
YK 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
v I 'ACCORDANCE WITH SECTION 5541 OF THE BUSINESS 4ND QROEEr$$JQN$ CODE RF THE S AJE OF,�CAI IFORNIA
Form 28¢208 (Rev.8/78). .. ,. � .•� ... �, _ _ _. .. _ �r .
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
3B
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. C]
oo ADDITIONAL INFORMATION
, Y
'
SEWAGE SYSTEM -SIZE & LOCATION `
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
1213 Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping.
17 Rough Plumb. 6�
18 Vents ' It
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
` V
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BtALDING PERMIT —
�',, PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE V D
17
11542981
COUNTY OF RIVERSIDE , . - . _ -, .. . - I 1 I
CONSTRUCTION ESTIMATE
N ELECTRICAL FE
NO. PLUMBING FEES .'
IST FL.
2ND. FL.
POR.
GAR.r ~
CAR P.
WALL,1
Sr
ESTINYATED CONSTRUCTION
SQ. FT. @
UNITS
SQ. FL @
YARD SPKLR SYSTEM
MOBILEHOME SVC`«
SQ. FT;,®
BAR'SINK"
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @'
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
j WATER PIPING fr+
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SY�TEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLI INCE DRYER
Construction Fee Dbl $ y j
GARBAGE DISPOSAL
FURN'XCE UNIT WALL .ttggR_, SUSPENDED
F ✓ S
LAUNDRY TRAY 5 .�
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
HEA})NG SYSTEM FORCED ' GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
- Unit `
SQ. FT. @ c
WATER HEATER
Demol�FeQp
SQ. FT. RESID @1'Ac
SEWAGE DISPOSAL _
!
SQ. FT. GAR @ 3/4c
HOUSE SEWER
I
Regii �Fpe' $
M GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DAL.
T{/f Et ep,
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE
CT. SMI FEE
FEE M
'-. 1• PERMIT NO.
� 5 4 2 9 S
ddr-0 U/��� q
,7 ff
4175
n ,Spacet!�
Own
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// �`
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C n�E7t�yy�
/Y /
Valuation
$
'
Df"_
Di
F.C.C. .
,
MH Per,4 Fee $
Micro Fil4n Fee
Cop E
Use of Permit - /
r
/�
arm N . �a
/�� /V!
Use/Case No.
jv"
�
Mech. ,Fee Dbl $
Pl. Ck. flee $
ocks e10717
Lot Size
Construction Fee Dbl $ y j
Legal Dewriptitii n
r^� XQ�� `�
F ✓ S
S R
Electric.I Fee, Dbl E
Zone ilio
Group
Type
SMI Fee $
'Plumbi g Fee
Dial $
Bond Amt.
$
Plan No.
Pion Checker
Final 'Date
]
Inspector
w�
- Unit `
Sp. Insp. p. -Fee $
Demol�FeQp
$
Const. Lender ' Branch
-
Supplimentol Permit Numbers
« .... ... � ,•l ': ... .. F
-
'
.. h
Regii �Fpe' $
Mileage i.e $
Address City Zip
Witness Fee $
Reinsp. F
Fee
$I
Owner/A enI
g
Tel.
Zi
- P
T 'tal Fees$
.r j
Add ss s i'iaP1 { •� }.
�'r'-'
City'. . • . �.. r... . . .r
ilp..-' �.
Ls+.
M.O. C Check
Received b0EA
Con or `� V�
Telr*�s
Trees required
Sewoge System
it
T LL p THIS PERMIT SHALL BECOME ID IF ORK NOT COMMENCED WITHIN 120 DAYS. tCESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO VOID.
i
�� ^{ 1 HEREBY AGREE THAT ALL WORK I ONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH _
f 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
Form 284.2T'(Rev.8/78) _ - ACCORDANCE WITH SECTIQN 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE SIATE.OF,CAUFORNIA,
verified by: