391327 (ELEC)OUILDINW VLKMII •.
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY n
DST
391327
COUNTY OF RIVERSIDE FIELD
I aI
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
SQ. FT. @
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
GAR.
SQ. FT. @
_
POWER OUTLET
ROOF DRAINS
CAR P.
SQ. FT. @
Use of Permit
.'rf{
DRAINAGE PIPING
WALL
SQ. FT. @
Parcel No. Use/Gose No.
77(/-1-7d-:
/. „1—"9 •• CX
;A
DRINKING FOUNTAIN
Mech. Fee Dbl $
,
SQ. FT. @
Set Bocks j
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Construction Fee Dbl $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
�.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Le
LAUNDRY TRAY
AIR HANDLING UNIT CFM
LE MET
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
Registr. Fee $
SQ. FT. @ c
WATER HEATER
Witness Fee $
SQ. FT. RESID @1 /.c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
Tel/.''
GAS PIPING
PERMIT FEE
Total Fees
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE Pl. CK. FEE
I CONST. FEEE
. FEE SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1391327Tornmuinity
Job Address
`
Space
ti,
Owner r
Valuation Date Dist.Off.
$ .... --
- ..,
c0111.
F.C.C.
MH.Permit fee E
Micro Film Fee
Cop $
Use of Permit
.'rf{
Y r/ PC'a,
o�-4'`r`n"
Parcel No. Use/Gose No.
77(/-1-7d-:
/. „1—"9 •• CX
;A
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Set Bocks j
Lot Size
Construction Fee Dbl $
Legal Description
('0. " t'_-
YY��
�'`�(y /' '3 D !
Sv+ 1144 1..�
F
S S / R
Electrical Fee Dbl $ �/
SMI Fee $
Zone Restrictions
'001— / '//
Group
Type
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
-a— Z"•—
Inspector
nit
Sp. Insp. fee$
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Number
""j "'•y r•«.
/ rI f <//
Registr. Fee $
Mileage Fee $
Address City Zip
�yF+_,�,,Gr 4; „/rL••�,.
Witness Fee $
Reinsp. Fee
$
O er/Agent
Tel/.''
Zip
Total Fees
$
A dress
�a q-
..�
-) (yG.•
City
,�11
Zip
M.O. 0 N.C. Cash Chec
Received by Z/
Caniractat'
Tel. _ 4•- �� J
License,
frees reqX re /
Sewag""- Sys{ fri�
Address
City Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
:Sew@yDistrict FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
R I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
Sa. THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
CCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78)
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & 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
IDA
Fireplace
T.O. ❑
No
ADDITIONAL INFORMATION
Y
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
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 Z Z^�
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire,Z? Si i'
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME