388041 (ELEC)6YILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY M;/j
38804-11 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
Sewer Llistrict
NO. PLUMBING FEES
UNITS
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
IST FL. SQ. FT. @
1Ff-
F,
(� O.5
2ND. FL. SQ. FT. @
HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
YARD SPKLR SYSTEM
FOR. SQ. FT. @
MOBILEHOME SVC.
a, F.C.C.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CARR SQ. FT. @
Micro Film Fee
DRAINAGE PIPING
WALL SQ. FT. @
L
Parcel No.
�
DRINKING FOUNTAIN
SQ. FT. @
Ck. By
Mech. Fee Obl b
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Lot Size
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
F S
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Dbl $
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Zone Restrictions
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SMI Fee
Ql.'i
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Bond Amt.
$
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
Fina Date %Q r
—'/Q
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
$
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Mileage Fee $
SQ. FT. @ c
Witness fee $
WATER HEATER
$
SQ. FT. RESID @1'/.c
Tel.
SEWAGE DISPOSAL
SQ. FT. GAR @ 3%c
HOUSE SEWER
Total Fees
GAS PIPING
PERMIT FEE
'
PERMIT FEE_gepo
Zip
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE Ilk. CK. FEE
CONST. FEE ReC.
FEE
SMI FEE
FEE PLUMB. FEE
//00
LicenseN
Trees require
Sewage SystemY'
gyp^• •
Address
City Zip
PERMIT NO.
Job Address
Sewer Llistrict
Space Zip Owner
38804
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
r
1Ff-
F,
(� O.5
HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Com unity ,.a
Va..tion
Date ' Dist.
a, F.C.C.
_
MH.Permit Fee
b
Micro Film Fee
Cop $
Use of Permif
Y
L
Parcel No.
�
se/Cosd No.
Ck. By
Mech. Fee Obl b
PI. Ck. Fee $
S Bucks
Lot Size
Construction Fee Dbl $
Leg Description
�j
�E/
// �+/�
3 �
F S
S
R
Type
Electrical Fee
Dbl $
/
r.��')•�.��'•� on
Zone Restrictions
Group
SMI Fee
$
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Fina Date %Q r
—'/Q
Unit
Sp. Insp. Fee $
Dental. Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers
'" / (Ji✓"_'- /�i'J
Registr. Fee $
Mileage Fee $
Address City Zip
Witness fee $
Reinsp. Fee
$
Owner/Agee-nt/. �
Tel.
Zip
Total Fees
$
Ad ess r �ti
'
City - /)
Zip
off
M.O.
.C. Ccitiho Che
Received by
on rector
Tee'.'
LicenseN
Trees require
Sewage SystemY'
gyp^• •
Address
City Zip
T LL P
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer Llistrict
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.
(� O.5
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.B/78) P s
_
verified by:
IL w
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 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
IDA
Fireplace T. 0. C]
No
I 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
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