354417 (SFD)t BUILDING PERMIT rfl s..' s , µDSr:
:PERMIT NO. `"ll --'DEPARTMENT OF'BUILDING & SAFETY` •s- *" «.,«.L,,�,�*. - •" `-
'3544171
COUNTY OF RIVERSIDE + FIELD
CONSTRUCTION'+ESTIMATE'T-r'-
*•° ^` "` NO:,,, ' . ELECTRICAL`FEES • ' ' °`
NO:' -"-PL'U'MMNG FEES
PERMIT NO.
1 /5 4 4.17
Vp $
e►
UNITS
Community - .'
x I� f$ t l..�r'•r •
Valuation
$ I
Date
Date
I ��[. %R!r
r
• IST FL.
SQ. FT. @/I
F.C.C.
•1 • ,
•1
MH�Permit Fee $
•,b'
M//itro Film Fee $
k 2ND. FL.
-, , .+n..°-
SQ. FT @
..:
k.x.-0., .•, .•.,s«�
,«tiiSeW ,.YARDSPKLRSYSTEM,,.
C�
SQ. FT. 0 -
®Z?4 «+.�
MOBILEHOME SVC.
Legal Description ' F
•_ f
- y'7 .w.
vy
'1
BAR SINK
Electricol Fee, Dbl $ °
Zone Restrictions
`/ S
POR. Y+•
FT:@`
SMI Fee 3 $
POWER OUTLET
e
ROOF DRAINS.
Plan "cke
(JS/"�
Final Date _
/S ��
GAR.51�4SQ.
SQ. FT. @_
Sp. Inip. Fee $
$
DRAINAGE PIPING
CAR P.
SQ. FT: @ -
f
Dembl1 . Fee $
Const. Lender... - r. ,•, -Branch;,.-. I
•
DRINKING FOUNTAIN;
WALL
SQ. FT. @
_
Mileage Fee $
Address r City Zip
° � �
.. '."+�i JR;tr'1M"'tl%'k :J+: .ti!�.X:7ti c!i '� " .., K
URINALE�E] '
•
Reinsp. Fee $
Owner/Age / '" f l ° 4r yy •.- `i CI•xn«,.
«Y'..-
Tel. Zip
VALUATION, $ 9P
t G2
i
L' WATER PIPING ,
Address
es _ • '° •
Y
ESTIMATED CONSTkUCTION
NOTE: Not to beused as property tax valuation
q .
SWIM POOL, PVT'
/as r"'fi'� ,r••i/?''^•t'
FLOOR DRAIN
_
Contractor - -
f ? +� MECHANICAL FEES
LicenseX -r
, SWIM POOL, Cr0!y1M„ �,�.: a..►#i
a WsgTER.SOFTENER `
Sr
VE w 8Y$TEM- `FAN EVAP._•000L - , HOOD '.=F
+
SIGN
- •
I WASHER (AUTO)(DISH).
.Sewage System _
APPLIANCE y y DRYER a '''`
}
City Zi P
i
t
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR- •` SUSPENDED
LAUNDRY TRAY '
AIR HANDLING,UNIT� *. a CFM J� ,
IDLE METER
4
T KITCHEN SINK
ABSORPTION SYSTEM t ; i ;,B.T.U. h '
TEMP USE PERMIT SVC
'; j
WATER CLOSET
COMPRESSOR jf' Ih• f, HP
POLE,TEMP/PERM
* t
LAVATORY
HEATING SYSTEMS ( FORCED j; ' GRAVITY
AMPERES SERV ENT
t
SHOWER
EOILER f' B.T.U. y. _
n
SQ. FT...@ C
BATH TUB
SQ. FT. @ c'
T
t' WATER HEATER
SQ. FT. RESID @1'/.cT
SEWAGE DISPOSAL
SQ. FT. GAR @ % c
HOUSE SEWER
e
► GAS PIPING.
PERMIT FO 1 a 1.9: .• t +•t • tr.. ;v. -
PERMIT FEE + r`. � . • .r;',-,*t.«p..e+ ,,• PERMIT•FEE •
DBL;,. -
TOTAL FEES
MOB. HM. FEE
MICRO FEE'
MECH., FEE -
PL. CK: FEE.
CONST. FEE
ELECT. FEE
SMI FEE
FEE PLUMB. FEE -
` A �
✓
�
7
.
7;,
,�
3�
��':
,
f
T LL P THIS PERMIT SHALV BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF WORK - verified by:
SewertDistrict i' FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 't ..
' ,
i+• ,r ... r .y. `ww sr•aY- b t�wrLs...i•,iC•V'i`5f•r
I HEREBY AGRE04At ALL'NORK'IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
I .-. THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
It I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN '
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
'`Form 284-208 (Rev.8/78)
Job Address ' - Space Zip
. -z
Owner
PERMIT NO.
1 /5 4 4.17
S- cY O CW; i �s �'
Community - .'
x I� f$ t l..�r'•r •
Valuation
$ I
Date
Date
I ��[. %R!r
r
Dista __j
�' f.- 1
Off.
F.C.C.
•1 • ,
•1
MH�Permit Fee $
•,b'
M//itro Film Fee $
Use of Permit
I� i��"�fGJ.
Parcel No.
I
Use/Case No:
Ck. By,
•�
rDb
i Fee $ 43� "�j
Set Backs
Lot Size _ .�,•• --
. a„�'•« - -
t '
Construction Fee $
Legal Description ' F
•_ f
- y'7 .w.
vy
'1
'!`q S .�•5 , t••.�.w%ts
GLV'
Electricol Fee, Dbl $ °
Zone Restrictions
`/ S
Group
!�' •"' -
Type - -
-
SMI Fee 3 $
,Plumbing Fee Dbl $ °. -
Bond Amt. • •
Plan No. `,«
-�
Plan "cke
(JS/"�
Final Date _
/S ��
Inspector -
.•
Unit �.
Sp. Inip. Fee $
$
-
f
Dembl1 . Fee $
Const. Lender... - r. ,•, -Branch;,.-. I
•
Supplimental Permit .Number ,�+F �`„ i,+.v , s 7. ♦.q -:
' +
Regisir. Fee $
- _ '
'j••
- .. y - •r ,.. ..r« . rxa—l-!•-tk-.�..as..-•+•
Mileage Fee $
Address r City Zip
° � �
.. '."+�i JR;tr'1M"'tl%'k :J+: .ti!�.X:7ti c!i '� " .., K
Witness Fee $ 4v x «
•
Reinsp. Fee $
Owner/Age / '" f l ° 4r yy •.- `i CI•xn«,.
«Y'..-
Tel. Zip
i
Td1oof Fees • $
Address
es _ • '° •
Y
City ` Zip
•!,' M. 0.(' N.C. nCash rl Chec
drY'.
/as r"'fi'� ,r••i/?''^•t'
eceived by,041141
_
Contractor - -
Tel.
LicenseX -r
17 -'
Trees required
.Sewage System _
Address
City Zi P
f
T LL P THIS PERMIT SHALV BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF WORK - verified by:
SewertDistrict i' FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 't ..
' ,
i+• ,r ... r .y. `ww sr•aY- b t�wrLs...i•,iC•V'i`5f•r
I HEREBY AGRE04At ALL'NORK'IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
I .-. THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
It 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.
'`Form 284-208 (Rev.8/78)
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
38
Compressor
6
Roof Deck
39
Appl. Cleo once
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.O. E]
NO
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
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME