427297 (BLCK)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DSill 4 2 7 2 9 7 COUNTY OF RIVERSIDE FIELD I/
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.SQ.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
Zip
SQ. FT. @
YARD SPKLR SYSTEM
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
PI. Ck. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
T
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. @ t
BATH TUB
SQ. FT. @ C
WATER HEATER
Plan No.
SQ. FT. RESID @I V. t
SEWAGE DISPOSAL
Final D / ✓ nspector
SQ. FT. GAR @ 3/. C.
HOUSE SEWER
Sp. Insp. Fee $
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES�j
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
%�' Fi PLUMB. FEE
' PERMIT NO.
427297
Job Address
�.
Space
Zip
Owner
r
Community
Valuation
$
Dote
) Dist.
f i
.�04..
I
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Perm
/
/
1
Parcel No.
Use/Case
No.
Cr.'By
Mech. Fee Dbl $
PI. Ck. Fee $
et Backs
lot Size
T
Construction Fee Dbl $
Legal Description
j
!
A.n� n
' ✓ I / O
F
t
G ,^ Ir%
J Cir.
S
S
R'
Electrical Fee Dbl $
Zone,stn`' ons
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$ -
Plan No.
Pion Checker
Final D / ✓ nspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender.
Branch
Supplimental Permit Numbers '
w
_/_"1j G
Regisir. Fee $
Mileage Fee g
Address - City Zip-
Witness Fee
Reinsp. Fee
$
1
Owner/Agee
Tel.
Zip
y
•
Total Fees
�-+•�-
$ 'O
ddress
r
��
..�
City
Zip
' M. 0. N.Q.` CiVjn Check
Received by
Cont cto`
�'
G
Tel.
49
License#
C
Trees required
Sewage System
p'
Vr n
Address
r
Cit _
ip
T LL • ~P
Sewer District
Form 284-208 (Rev.8/78) Os
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENGED 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.
t
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back /
33
Ventilation System
2
figs & Frms / /
34
Plenums & 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.
43
Final
10A
Fireplace T. 0. ❑
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
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
REAR OF PROPERTY LINE
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME