354189 (SFD)PERMIT NO. DEPARTMENT OF BUILDING t& SAFETY FIELD osT
354189 COUNTY OF RIVERSIDE A*
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES NO. PLUMBING FEES
I ST F.L. t.)
2ND. FL.
Q
SQ. FT. @I1y $ .�(
/ .�-
UNITSL`
PERMIT NO.
• 1
v
YARD SPKLR SYSTEM
SQ. FT. @
Valuation
$ `rr b 7 'rye
PQR.!
SQ. FT. @
Off.
_
MOBILEHOME SVC.
Y BAR SINK
Micro Film Fee
GAR. /
CAR P.
" WALL
'
SQ. FT. @C
POWER OUTLET
ROOF DRAINS
Use/Case No.
DRAINAGE PIPING
SQ. FT. @
Mach. Fee Dbl $ "
DRINKING FOUNTAIN
SQ. FT. @
Set Backs
SQ. FT. @ URINAL
Construction Fee Dbl S i
+ ESTIMATED CONSTRUCTION VALUATION
�[1 � �
WATER PIPING
Zone Restrictions
�
NOTE: Not to be used as property tax valuation
Type
SWIM POOL, PVT
FLOOR DRAIN
Plumbing Fee
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Plan No.
VENT SYSTEM FAN EVAP. COOL I HOOD
1)
SIGN
, WASHERJAUT(• DISH)
V ,
APPLIANCE DRYER
3'
GARBAGE DISPOSAL
J L
FURNACE UNIT WALL FLOOR SUSPENDED
'
Regisir. Fee =
LAUNDRY TRAY
Address /� City , Zip
AIR HANDLING UNIT CFM
Reinsp. Fee
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Tel. - .. .. _
TEMP USE PERMIT SVC
WATER CLOSET
�+
COMPRESSOR HP
11�
POLE,TEMP/PERM
LAVATORY
City
HEATING SYSTEM FORCED GRAVITY
�jf v y
�}(.' ` AMPERES SERV ENT
D SHOWER
BOILER r B.T.U.
Tel.
SQ. FT.. @ C
BATH TUB
L a
$swage System
SQ. FT. @ C
WATER HEATER
r
City Zip
SQ. FT. RESID @I'h<
�j ! SEWAGE DISPOSAL
y;
SQ. FT. GAR @ %C
% HOUSE SEWER
GAS PIPING
PERMIT FEE
.�,? C
PERMIT FEE4e,
• PERMIT FEE
DBL. r
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
/ � <p
ELECT. FEES SMI FEE
y 71
FEE
PLUMB. FEE
. t- r.
T LL P
!Sewer District
1
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 AL USE RMIT BECOME VOID.
I HEREBY AGREE THA RK I CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY A THE STATE 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:
Job Address
7/
Space
Zip
jOwnerr /
PERMIT NO.
• 1
v
Community %
n'•- %� +-+' '!j/
Valuation
$ `rr b 7 'rye
Date
Dist.
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit ,�j {',., %
/1L-i�� G r/ '' G/'!'"Il</-/(I(„"
F✓
Parcel ,N/o.
7i �����'��Z� f
Use/Case No.
Ck. By
✓
Mach. Fee Dbl $ "
PI. Ck. Fee f
Set Backs
Lot Size
.,7
/� • �
Construction Fee Dbl S i
Legal Description
J �t� ��/ �/S t �7��• �Lj��y „]
` c' ,•
�[1 � �
�j
Electrical Fee Dbl $ ,,+•- 1,
Zone Restrictions
�
Group
/e,
Type
SMI Fee i
Plumbing Fee
Dbl Eo
Bond Amt.
$>/�
Plan No.
Plan Checker
Fina t Ins for
Unit
Sp. Insp. Fee a
Demol. Fee
$
Const. lender Branch
Supplimentol Permit Numbers
'
Regisir. Fee =
Mileage Fee =
Address /� City , Zip
Witness Fee $
Reinsp. Fee
E
Owner/Ag t f I � ' -
- -77
4r Ive,
Tel. - .. .. _
Zip
Total iees
P.1121016
11�
r- O
Address J ,
City
Zip
J'M.O. N.C. Cash Chec
Received by
j `
Contractor
Tel.
License#
Trees required
$swage System
/
Address
City Zip
. t- r.
T LL P
!Sewer District
1
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 AL USE RMIT BECOME VOID.
I HEREBY AGREE THA RK I CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY A THE STATE 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
Ftgs & Frms
34 Plenums & Ducts
2A
3
Slab Grade
Steel
35 Furnace Comport.
36 Inlets & Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
3_ L -7
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. E]
No ADDITIONAL INFORMATION
9
I
_
`
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grades
INSULATION Thick R
Value
7A Walls (Batts) Z e�
12B Ceiling (Bolts) /! �♦
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb 7_ 7 P
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
I
,r
t '
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring �� .��
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT
/ r PERMIT NO.
354189
D OFFICE
DEPARTMENT OF BUILDING 8. SAFETY FIEL
• • _• .. , , . , . • , ST.
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
p
Job Address Space47-YIR
77- 9s� �,9 =«-� 0.4„v,q
NO. ELECTRICAL FEES
NO.
PLUMBING FEES
IST FL.
2ND. FL.
POR. � �
SQ. FT. $
.UNITS
[}F..C.0
0
MH Permit Fee $
Micro Filrry !Fee
SQ. F7. @ YARD SPKLR SYSTEM
_ _
SQ. FT. @ � .... 7pZ .... MOBILEHOME SVC. BAR SINK
Parcel No.
-y
! 7fl
GAR. SQ. FT. @ y
CAR P. SQ. FT. @
WAIL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
�.�
(
POWER OUTLET
>7
—
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
O
j 071: Not to be used as property tax valuation
Construction Fee Dbl $
SWIM POOL, PVT
Legal Description
/ j ( �;iU V�I f•
F �U S S S 5,1.0"",���,,,0
FLOOR DRAIN
MECHANICAL FEES
Group
/r
SWIM POOL, COMM
SMIIFee' $
WATER SOFTENER
Dbl $
VE14T SYSTEM / FAN EVAP. COOL HOOD
Bond Amt. t
5
SIGN _
Pion Checker
1
�,Z.
WASHER (AUT(ADISH),
Unit
APPLIANCE ,'' DRYER
Demo( FeeS
GARBAGE DISPOSAL
Supplimental Permit Numbers • -
_ . . .. _ e
FURNACE UNIT WALL FLOOR SUSPENDED
Mileage Fee $
Address City
_
LAUNDRY TRAY
IR HANDLING UNIT ' CFM
$
IDLE METER
t
Owlrer/Agea4! • ,- ..
Tel.. - - .. - • lip -
KITCHEN SINK
ABSORPTION SYSTEM r B.T.U.
5
TEMP USE PERMIT SVC
Add e'ss�.� /�i..r� /
/ •� 3;�4•e / L'I'Z'• /�i7�.'�trd
City Zip
/'�� ��'l'`��1 .
WATER CLOSET
O
COMPRESSOR 3 T r HP
POLE,TEMP/PERM
Tel.
.2
LAVATORY
Q
HEATING SYSTEM FORCED GRAVITY
LL
g:? -!l AMPERES SERV ENT
�%
Cit Y Zip
SHOWER
% !
THIS PERMIT SHAH @COME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
t FOR 1201jPAYS SHALL AL IT� BECOME VOID.
rr I HER / Y AGREE THATXLORK CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
!THE LAyrStS OF RIVe9f DE, COUNTY A 0.THE STATE OF CALIFORNIA.,- • -
BOILER B.T.U.
%�
•`� j.
SQ. FT. @ c
BATH TUB
L1
SQ. FT." @ - c
,
WATER HEATER''
'
p, SQ. FT. RESID @1'/.c
��j
SEWAGE DISPOSAL
i��jcrp7 SQ. FT. GAR @ 1%t
%
HOUSE SEWER
!
GAS PIPING
PERMIT FEE ! , .
PERMIT FEE
PERMIT FEE ,
DBL.
!TOTAL FEES
MOB. HIM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
/CONST. FEE
�ElECT,.f
SMIE
.FEE
PLUMS.
1
PERMIT NO.
3 5 418 9
p
Job Address Space47-YIR
77- 9s� �,9 =«-� 0.4„v,q
Owner_ 1 �` r
.
Community
"E ���
Valuation /�
5 /, P• �
Date �j
/717 /
Dist.
��
Off.
X
[}F..C.0
0
MH Permit Fee $
Micro Filrry !Fee
Cop b
Use of Permit
�G �/1 cf'H�M'
Parcel No.
-y
! 7fl
Use/Case No. �C.
By
Mech. Fee Dbl $
>7
PI. Ck. Fee $
Set Backs
Lot Size
• ,
Construction Fee Dbl $
Legal Description
/ j ( �;iU V�I f•
F �U S S S 5,1.0"",���,,,0
Elecirica/Fee Dbl $
Zone Restrictions
/
Group
/r
Type
✓`s'�'�
SMIIFee' $
Plumbing Fee
Dbl $
— 7
Bond Amt. t
5
Plan No.
�J 11 '
Pion Checker
1
Final
—4
Inspector
/,1&-
Unit
Fee f
Sp�Ins//Q
Demo( FeeS
Const. Lepoer _ Branch
Supplimental Permit Numbers • -
_ . . .. _ e
4/ gisu. Fee $
Mileage Fee $
Address City
_
Witness Fee $
Reinsp. Fee
$
t
Owlrer/Agea4! • ,- ..
Tel.. - - .. - • lip -
Total Fees
5
*20& 05
Add e'ss�.� /�i..r� /
/ •� 3;�4•e / L'I'Z'• /�i7�.'�trd
City Zip
/'�� ��'l'`��1 .
M.O. N.C. Cas hec
Received by
Co�,troctor
v
�J
Tel.
Licensed
Trees required
Sewage System
le --l"
T
LL
/ J
", X/•
P
Address t
t ! �
�.`j
Cit Y Zip
% !
THIS PERMIT SHAH @COME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
t FOR 1201jPAYS SHALL AL IT� BECOME VOID.
rr I HER / Y AGREE THATXLORK CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
!THE LAyrStS OF RIVe9f DE, COUNTY A 0.THE STATE OF CALIFORNIA.,- • -
Sewer District'
%�
•`� j.
1 HIEREBY 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.
Farm 284-208 (Rev.8/78) t