376053 (SOTB)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY Dsr
376053 COUNTY OF RIVERSIDE FIELD F
i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @
UNITS
Mist. Off. I F.C.C.
. . Ck. By
.
Lot Size
Type
2ND. FL.
POR.
SQ. FT. @
Mech. Fee Dbl $
YARD SPKLR SYSTEM
$Q. FT. @ MOBILEHOME SVC.
BAR SINK
GAR.
SQ. FT, @
POWER OUTLET
ROOF DRAINS -
CAR P.
WALL
SO. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
Inspecto
SQ FT @
Unit
URINAL
@
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER r
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Reinsp. Fee
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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/ =. _
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ t
BATH TUB
City `
SO. FT. @ c
WATER HEATER
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 t
HOUSE SEWER
GAS PIPING
PERMIT FEE
F
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
• � Tom. �
HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
�
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
:37603
Job Address
Com y
YA
Use of Permit
~ /r 1 '
Legal Description
at 2.52 flllltaft+t
Space Zip Owner
Valuation a e
$
Parcel No. Use/No.
;/I T Set 9 a ' 'cks
F S S R
Zone Restrictions Group
fulth go;
Mist. Off. I F.C.C.
. . Ck. By
.
Lot Size
Type
MH.Permit Fee Is
Micro Film Fee Cop $
Mech. Fee Dbl $
PL Ck. Fee $
Construction Fee Dbl $
Electrical Fee Dbl $ /J -)
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Dole
— i.� W
Inspecto
Unit
Sp. Insp. Fee $
Dental. Fee
$
Const. Lender
Branch
Supplimental a it Numbers
i
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Dau Ak
Address
Contractor
Y
,.,y'/�. i/ -
Tel.
:964r
City
Te . -
Zip
Zip
Li
Total Fees $ r / .:
M.O. 0 N.C. n Cash n Chef
Received by <��.
Trees required VJ
Sewage System
Address
City `
Zip
,
r
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR .1.20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
nI HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
\1r THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
Q-oCLL� 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 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 & 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.
No
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final _7(0—T) YCW
NAME