375043 (ELEC)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD MST,
375043 COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
, a
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
SQ. FT. @ $
UNITS
Community
! (`',� E :/
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
MH.Permit Fee E
ROOF DRAINS
CAR P.
WALL
SQ. FT. @
Use of Permit
(r� I y /l/
C— `,L c f r'
C
, f
DRAINAGE PIPING
SQ. FT.
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
Pl. Ck. Fee E
Set Backs
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
F S .� S R
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plan Checker
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
f I //�
Sp. Insp. Fee E
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER r `y
Const. Lender
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Supplimental Permit Numbe s
_ J'^^/
1 - -
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
Address Ci Zi
City P
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Zip
Zip
SQ. FT. @ C
M.O. N.C. Cash Check
WATER HEATER
SQ. FT. RESID @IV,C
Contractor
SEWAGE DISPOSAL
SQ. FT. GAR @ 1%c
Tel.
HOUSE SEWER
Sewage System
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
CC
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE 'ELECT. FEE
(,
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1375043
Job Address
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Space
Pa
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Ci2741'
Ow ner
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Community
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Valuation
E
Date,+ j
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Dist.
1
'Off.
....L
F.C.C.
MH.Permit Fee E
Micro Film Fee
COP E
Use of Permit
(r� I y /l/
C— `,L c f r'
C
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Parcel No.
1 '{. .". i
�J
Use/Cose'No.
Ck. By
s
Mech. Fee Dbl E
Pl. Ck. Fee E
Set Backs
Lot Size
`
Construction Fee Dbl E
Legal Description
/ + I/ LO tit
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F S .� S R
Electrical Fee DblE V r
Zone Restrictions
Group 'Type
SMI Fee E
Plumbing Fee
Dbl E
Bond Amt.
E�
Plan No./
i_� �'
Plan Checker
Final e`
— 79
Inspector
o
Unit
Sp. Insp. Fee E
Dental. Fee
E
Const. Lender
Branch
Supplimental Permit Numbe s
_ J'^^/
1 - -
Registr. Fee E
Mileage Fee E
Address Ci Zi
City P
Witness Fee E
Reinsp. Fee
E
Ow,�rter/Agent'
!7
Address
! /
l t t_ l t
L
r ` f
Tel.
)
City f
/ �7 tax
Zip
Zip
Total Fees E
M.O. N.C. Cash Check
Received by
Trees require
Contractor
-
%
Tel.
LicenseM
�^ r
Sewage System
Address
City Zip
..�
T LL P
Sewer District
Form 284-208 (Rev.8/78) 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 r
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. `�V`
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Figs 8 Frms
34 Plenums 8 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
10A
Fireplace T. 0. E]
oo
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/ai
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final t 4
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