368646 (ELEC)BUILDING PERMIT
1368PERMIT NO. DEPARTMENT OF BUILDING & SAFETY F;�/]646
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR. , -
GAR.
CAR P.
WALL
SQ. FT. @ $
UNITS
Community
SQ. -FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
Mech. Fee Dbl E
PI. Ck. Fee E
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Description
FLOOR DRAIN
MECHANICAL`FEES
SWIM POOL, COMM
Electrical Fee Dbl E
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
SMI Fee E
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Bond Amt.
E -
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
L.
.,...
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Demo]. Fee
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Branch
WATER CLOSET +
COMPRESSOR HP
POLE, TEMP/PERM
Add
Address
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
E
SHOWER
BOILER B.T.U.
SQ. FT. @ t
Tel. Zip
BATH TUB
Total Fees
SQ. FT. @ c
�
WATER HEATER
SQ. FT. RESID @1'/.c
M. 0. .C. Cash Chec
SEWAGE DISPOSAL
S0. FT. GAR @ '/, c
Contractor
HOUSE SEWER
Tel.
License#
Trees required
Sewage System
GAS PIPING
PERMIT FEE
Address
PERMIT FEE
City Zip
PERMIT FEE
DBL.
)/T FEE
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE
EL�,r. F E'E6
SMI FEE •
FEE PLUMB. FEE
PERMIT NO.
368646
Job Address
T Space
.Zip
.;
Owner
T*Ctoiac
Community
Valuation
E
Date
�j� _
Dist. Off.
<%
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop E
Use of Permit -
lur� su
jo
a' _'-""i
Parcel No.
-03,
Use/Cosa No. Ck. By
Mech. Fee Dbl E
PI. Ck. Fee E
Set Backs
Lot Size
Legal
Construction Fee Dbl E
Description
F
S S R
Electrical Fee Dbl E
Zone Restrictions
Group
Type
SMI Fee E
Plumbing Fee
Dbl E
Bond Amt.
E -
Plan No.
Plan Checker
Final Dote
�(Y 7
Inspector
Unit
Sp. Insp. Fee E
Demo]. Fee
E
Const. Lender
Branch
Suppliment I it Numbers '
9
Registr. Fee E
Mileage Fee E
Add
Address
Cit Zi
Y P
Witness fee E
Reinsp. Fee
E
,
Owner/Agent y
Tel. Zip
Total Fees
E
�
Address �j Q� y]rj��
S20 ft
City y py�n �y`p��, 1 pyl Zip
V]V r �_"' ` _ „"_ o
M. 0. .C. Cash Chec
Received by /-
Contractor
Tel.
License#
Trees required
Sewage System
Address
City Zip
T LL P
i, Sewer District
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO USE PERMIT TO BECOME VOID.
I HEREBY AGREE THAC OF TH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY A THE STATE 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.
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE' FINSPECTF
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
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. C:]
P'
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
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
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 7 1
STREET NAME