398099 (AR)BUILDING PERMIT
1PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD ON
98099 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING.FEES
1ST FL.
2ND. FL.
POR.
GAR.'
CAR P.
WALL
ESTIMATED CONSTRUCTION
S0. FT. @ $
UNITS
50. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
S0. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $
WATER PIPING I
NOTE: Not to be used as property tax �oluotion
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER r
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
VFURNACE UNIT WALL FLOOR SUSPENDED
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.
SO. FT. @ a
BATH TUB
SO. FT. @ a
WATER HEATER
50. FT. RESID @11A4
SEWAGE DISPOSAL
S0. FT. GAR @ t/44
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
;PERMIT FEE
TOTA FEESq
MOB. HM. FEE
MICROFEE
MECH. FEE Pl. CK. FEE
%CONST, FEEELECT.
FEE
SMI FEE
fEE PLUMB. FEE
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
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service_ Entrance
29
'Wijing
29A
Grounding Wire
298
Bonding'
30
Fixtures ,
31
Service
32
Final
SEWAGE SYSTEM SIZE & LOCATION
REAR OF PROPERTY LINE
STREET NAME
P/L
P/
STREET NAME
PERMIT NO.
3980 9 9
,�50
t
J
.
MH Permit Fee
$
Communi y .. ValuationDate
S
F.C.
Dist. LZtC
_ / r
Micro Film Fee Cop $
Mech. Fee Dbl $
Use of Permit •� , [_ /
Parcel No.
Use Cose No.
/
Ck.
PI. Ck. Fee
$
�
C) /^ / {/
Set Back,
lot Size
Construction Fee $ Legal Description
F S 0
Electrical Fee
SMI Fee
$
e Restric' ro
Group
Type
$
Plumbing fee Dbl
Sp. Inip. Fee
$
Bond Amt.
Plan No.
Plan Checker
Final DataInspector
Unit
$
$
Dental. Fee
$Const.
lender Branch
upplimentcsl Pwrit Numbers
Registr. Fee
$
Mileage Fee $ Address City Zip
,Witness Fee
$✓^f
/
. Reinsp. Fee
$ •
Owner/Agent
Tel. Zip
Total Fees -
$♦
Address
City I Zip ,
M.O. N.C.E]
Cash Check
'
Received by
'Trees
Contra t — F f �' •• �r
✓,
Tel.
Li<ensea
require
• -.`� y_.• �1' 4„r�`
�/ i "T ✓
/,J
Sewage System 11
Address
�/J 1� /j•%J//
�//ice
City Zip
`
J ��g�%, G..•�/ G:. /V c / �
/� (✓C 1f���
�'•- _ ewer District T LL - P �\ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
. i FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SJ
I HEREBY AGREE THAT All WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
HE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
FBi✓�ERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
,;Form 284_•208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
INSULATION
Thick Value
t
Walls (Botts)
NO.
OPERATION DATE
INSPECTOR
1 NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
1111►
MECHANICAL APPROVALS
1
Set Back
j 33
Ventilation System
' 2
Ftgs' & Frms
1 34
Plenums 8 Ducts
2A
Slab Grade
t !'
35
Furnace Comport.
3
Steel
, . 36
Inlets 8 Outlets
4
Grout Blocks 4
37
,Combustion Air
5
Bond Beoms�
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
11
'12"
12A.
13
.Fireplace T.O.
Exterior Lath
.;'tn!grnp('L7th
i Drywall'
Finish Grade ,
�]
OP'
ADDITIONAL INFORMATION
"
\.
INSULATION
Thick Value
7A
Walls (Botts)
128
Ceiling (Batts)
12C
Ceiling (Blown)
14
Final Z.
PLUMBING APPROVALS
BUILDING PERMIT
PERMIT NO.
398099
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WAIL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $ -
WATER PIPING
NOTE: Nottobe 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
R O
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
�6 1
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
t AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
SO. FT. @ a
WATER HEATER
S
SO. FT. RESID @11/4c
SEWAGE DISPOSAL
SO. FT. GAR @ lAc
HOUSE SEWER
„Demol. Fee
S
Const. lender Branch
GAS PIPING
PERMIT FEE
$
PERMIT FEE
PERMIT FEE
��
r�
TOTA FEES
, Az
MOB. HM. FEE
MICRO FEE
MECH. FEE Pl. CK. FEE
CONST EE ELECT. FEE
�
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
Job Address
Space Zip Owner
398099z
1
QMH
Co munity Voluation
Dote Dist. 011, F.C.C.
Permit Fee
S
Micro Film Fee Cop 5
Use of Peemr it
�
Parcel No.
Use/Case No.
Ck. B
1 195,
Mech. Fee Dbl
PI. Ck. Fee
S
5
—�'/����
/
A �� �%
r
Set Backs
Lot Size
Construction Fee S Legal Description
F
S � S
R O
Electrical Fee
SMI Fee
S
�6 1
e Restrictions
Group
Type
$
Plumbing Fee Dbl
S
Bond Amt.
Plan No.
Plan Checker
Finol DoteInsp
to
Sp. Insp. Fee
S
S
rnit
„Demol. Fee
S
Const. lender Branch
Supplimentol Permit Numbers -
Registr. Fee
$
� (.�"��•a""� j� '
Mileage Foe $ Address City Zip
I Witness Fee
g
`Reinsp. Fee
S
Owner/Agent
Tel. Zip
Totol Fees
S
Address
City Zip
M.O. 0 N.C.CD
Cash Check
Received by
Contr
j,
Tel.
licensgR
Trees require
�)
fC/ 'T.
✓V
Sewage System
-
Address
City Zip
/ems ,�
u
T LL 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
__�_�k��HE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
E O
ERTIFY THAT THE INDIVIDUAL WH -PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev. 1/80) A ICE WITH SECTION 5541 OF THE BUSINESS AND, PROFESSIONS CODE OF THE STATE OF CALIFORNIA.