368644 (ELEC)NUILD11411%V rCKmll
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD M11;
'368644 4 COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
Job Address Space Zip Owner
54-0440 Avenl&'44-4 my,
Community - - Valuation7 t1ate -- is. Off.
E
TA OTIZM C; ;q
Use of Permit' 7- - Parcel No. Use/Cas
I 7
s `
e ocks Lot Size
Legal Description F S S R
Zone Restrictions Group Type
F 1,5r blk -✓Y AYE ; 9R 01.5 1
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
SQ. FT. @'
I UNITS t
Construction Fee Dbl $
Electrical Fee Dbl $`
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
Plan Checker
ROOF DRAINS
CAR P.
WALL
SQ. FT. @
Sp. Insp. Fee $
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @,
ESTIMATED CONSTRUCTION VALUATION $
Branch
SupplimeWPmumbers
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Address City Zip ,
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Zip
Zip
WASHER (AUTO)(DISH)
APPLIANCE DRYER
frees required
Sewage System
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
AAI Jr
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. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @111hc
SEWAGE DISPOSAL
SQ. FT. GAR @ %c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
b
PERMIT FEE
DBL.
/TOTAL
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE E
.FEE
SM
FEEFEE PLUMB. FEE
PERMIT NO.
36864.4
Job Address Space Zip Owner
54-0440 Avenl&'44-4 my,
Community - - Valuation7 t1ate -- is. Off.
E
TA OTIZM C; ;q
Use of Permit' 7- - Parcel No. Use/Cas
I 7
s `
e ocks Lot Size
Legal Description F S S R
Zone Restrictions Group Type
F 1,5r blk -✓Y AYE ; 9R 01.5 1
'
F.C.C.
By
MH.Permit Fee E
Micro Film Fee Cop $
ch.
Mech. Fee Dbl $P
PI. Fee E
Construction Fee Dbl $
Electrical Fee Dbl $`
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
F"."-"
inal Date
7
Inspector
Unit
Sp. Insp. Fee $
Dental. Fee
$
Const. Lender
Branch
SupplimeWPmumbers
Registr. Fee $
Mileage Fee $ ..
Address City Zip ,
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Address "�
Cont actor •
`
Tel.
City
a - r License#
..
Zip
Zip
Total Fees $ 71
M.O.,Q2 N.C. Cash Chi
Received b
frees required
Sewage System
`.
�l
fit'
Address
City• Zip
T LL P
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 J;ERMIT BECOME VOID.
I HEREBY AGREE THAT ALL V6 * /I&W4dl,4MS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE 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.
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs 8 Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel r
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. E]
43
Final
IDA
Fireplace T. 0.
OP•N
NO.
-.,_----__-_----------------.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12ADrywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts) r,
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
PSL
/
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding .
30 Fixtures
31 Service
32 Final
STREET NAME