360072 (ELEC)BUILDING PERMIT
j PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD
COUNTY OF'RVERSIDE
osr
,3�-00 72 1 CI
- -1 .. -1 " . ,
. ., %.: W
CONSTRUCTION
ESTIMATE
i
NO.
ELECTRICAL FEES
NO. PLUMBING FEES
IST FIL .' . •i k i ..
SQ. FT.'@
36.00'72'
UNITS. 4 1
SO.- FT. @
YARD SPKLR SYSTEM
2ND. FL.
Cmrmnity
MOIBILEHOME SVC.,...
BAR SINK
Date
7-71.
GAR r SQ. FT.'@
04.
F.C.C.
POWER OUTLET
ROOF DRAINS
t.fY
'CAR P. SO. FT. @
Micro Film Fee
i.DRAINAGE
PIPING
WALL S Q. FT. @
Parcel No.' Use/Case No.
It -A
DRINKING FOUNTAIN
$O. FT. @
Set Rocks
Lot Size
URINAL
". f ". , , $
,jj,. -- CONSTRUCTION
E§ TIMATED CONSTRUCTION VALUATION
7�7
I
WATER PIPING
-.*NQT",t4ql3fo be used.os'property taxyqI601qA-
SVVIM,POOL,
FLOOR DRAIN
MECHANICAL FEES
IS
IR
SWIM POOL, COMM.,
WATER SOFTENER
VENT SYSTEn .,'FAN EVAP. COOL 'HOOD
Type
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
$
GARBAGE DISPOSAL
FURNACE , UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
DbI $
Bond Amt.
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Final Do.qF J)tej�Zr Unit
n
p(p
I
TEMP USE PERMIT SVC S
WATER CLOSET
COMPRESSOR HP
$
POLEJEMP/PERM 1
LAVATORY
HEATING SYSTEM-, *FORCED GRAVITY
1AMPERES SERV ENT
SHOWER
BOILER B. T.,U. i.
Const, Lender
Branch
SQ. FT. '@ C
BATH TUB
Reg issr. Fee 1$
Mileage Fee $
FT- @
WATER HEATER
Reinsp. Fee
SO FT. RESID -@I,/,
SEWAGE DISPOSAL
Tel.
Zip
SQ. FT. GAR @ 31, c
HOUSE SEWER
z�;l
GAS PIPING
PERMIT FEE
Total Feei`-','v
PERMIT FEE.
PERMIT FEE
o
tl!411-
PV!!1.1-IM�.FEE
MICRO FEE �AECH FEE
PL. CK. FEE
FEE ELEC .
SMI FEE
-: FEE •PLU
kl
Received by
A.
Contractor
Tel,
Lv
I,
Trees required
r
PERMIT NO.
Job Address cl
Space
Zip
Owner
36.00'72'
Cmrmnity
"!V- 177�'
Valuation'
Date
Dii.l.
04.
F.C.C.
7,
MH.Permll Fee $
Micro Film Fee
Cop $
6s. of Permit
e
Parcel No.' Use/Case No.
By
Mech. Fee DbI $
Set Rocks
Lot Size
Pl. Ck. Fee,
•1
Construction Fee DbI
Legal Descript on
IS
IR
Electrical Fee DbI $
Zone R;s,' 'tion,
Group
Type
SMI Fed
$
Plumbing Fee
DbI $
Bond Amt.
Plan No.
Plo' Checker
n
Final Do.qF J)tej�Zr Unit
n
p(p
I
Sp. Insp. iee
$
Demol. Fee
$
Const, Lender
Branch
Supplimentol Permit Numbers
7/
Reg issr. Fee 1$
Mileage Fee $
Address City Zip'
Witness Fee $
Reinsp. Fee
Owner/Agent
Tel.
Zip
z�;l
Total Feei`-','v
4
Address
.1
City, t
Zip
M.O. 0N.C.
[I Cash Check(a•
:?
Received by
14--
Contractor
Tel,
License#
Trees required
r
e0 System
Sewage
Address
Cit
C Zip
y
I
ILL
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
.�Sevver District FOR 120 DAYS SHALL ALSO CAUSI� T 0 CO VOID.
5.R�Al�,TBECOME
I HEREBY AGREE THAT ALL '4����IS'PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE TATE 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.
,Form 284-208 (Rev.8/78)
,
s.
verified by:
NO.
OPERATION DTE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
r 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
Frgming
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. C]
Fv
„
ADDITIONAL INFORMATION
!
_
r
'
r
-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. Fiha1.
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough'Plumb
18 Vents
19 Sewage Disposal
20 Sewer j
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