403340, 347538 (SFD)BUILDING PERMIT
PERMIT No. DEPARTMENT OF BUILDING & SAFETY FIELD DST
0 3P'
3 4 0 COUNTY OF RIVERSIDE
t
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST Fl.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@ $
UNITS
Zip
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SO. FT. @
YARD SPKLR SYSTEM }
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used os 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
Le'gtylAe cr ptiorl�•` �`•}• `4,J J
`.,J
/ 1 s' -:•J
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Electrical Fee Dbl $ �'JJ I�
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/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ 4
BATH TUB
Sp. Insp. Fee $ ,_
SQ. FT. @ a
WATER HEATER
S0. FT. RESID @ 1 x/44
SEWAGE DISPOSAL
Supplimental Permit Numbers
C•' ") r
S0. FT. GAR @ t/ae
HOUSE SEWER
Mileage Fee $
Address City Zip
Witness Fee S
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE ..
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
I CONST. FELE ` ELECT. FEE
SMI FEE
FEE PLUMB. FEE
I ZI)
PERMIT NO.
403340
Job Address -
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Space
Zip
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Owner--""��-
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$
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FA—
F.C.C.
MH Permit Fee $,J+s
Micro Film Fee
Cop $
Use•dl. Permit 1-1J_. \ �,4t� L�
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Parcel No.
a/Cos o.
Ck, y
T
Mech. Fee Dbl $ •C/
PI. Ck. Fee $L"'J _
�•+ Set eock$,�
Lot Size
Construction Fee Dbl $�4
Le'gtylAe cr ptiorl�•` �`•}• `4,J J
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/ 1 s' -:•J
F r 5 S
R
-
Electrical Fee Dbl $ �'JJ I�
ZogriRestri<tions {,•f ,� ._x,:
GrosiPs {TYPQJ
SMI Fee S { `J
Plumbing Fee
Dbl $
BonBs Arnt.'
$
Plon„No.y\ \.'r
1Ptar11`C)ec`Is'ers„_�
e �"
0-0
Ins <tor
Sp. Insp. Fee $ ,_
Dental. Fee
S
Const. Lender Branch
Supplimental Permit Numbers
C•' ") r
'
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee S
Reinsp. Fee
$
Owner/Agent i t
t t) } 1
Tel t
Zip
Total Fees
$ _
'Add res+,j�.A�-i :{ � r:-L',...E. t;J' a,.
Cit} 1 •;1 •) t �;/t�t �.� I•' ek••••
Zip
M.O. ❑ N.C. ❑ Cash
Received by_—,
,
Con"iractor� �„i s•..+;,•,.
TeI,V {, >:� ' '?. -
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LkenseR
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Trees required l�.V
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Sewage System
Address
City Zip
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/{ 1 LLr 1 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
s, ,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.
00, I HEREBY CERTIFY THAT THE 5NDIVIDU!5WHO PREPARED .THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) DA WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
veri(ied by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2
Ftgs & Frms
34
r.
Plenums & Ducts
2A
Slob Grade
r
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 n, /
�—
7
Framing
40
—
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
,iZf'1 �/
`
42
Commercial Hood
10
Fireplace P.L.
43
Final
IDA
Fireplace T.O.
Ej
°o
ADDITIONAL INFORMATION
•�(((///� �' .�%?r,/r���✓"'�/
-
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVAL
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater 0,
22 Water Softener �✓ l( (�
23 Water Service K
24 Gas Test /
25
Final
`tn
Tank /QOO pit ft [lQ L. Line
P/
REAR OF PROPERTY LINE
4
A��
1
/o00Q 7�
L P
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
7 VVV
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final���
PERMIT NO. DEPARTMENT OF BUILDING `& SAFETY
COUNTY OF RIVERSIDE FIELD OFFICE.,. DST
03340_ n
CONSTRUCTION ESTIMATENO.
ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL...
21,1D. FL.
FOR. tSO.
GAR.
CARP: -
WALL' "SO.
"
ESTIMATED CONSTRUCTION
SO. FT..@ $
UNITS t.
..
SO. FT. @ -
YARD SPKLR SYSTEM
FT. @ - -' MOBILEHOME SVC:
BAR SINK
'SO: FT. - @' - POWER OUTLET
ROOF DRAINS
SO, FT. @ u
DRAINAGE PIPING
FT.. @, s
- DRINKING FOUNTAIN. -
SO: FT. @ ...
URINAL
VALUATION $ ..
.,WATER PIPING, T
NOTE:, Not to be used as property tax valuation
Construction Fedj Obl S
SWIM POOL, PVT
-FLOOR DRAIN
MECHANICAL FEES
F 5 5 n R
Zone Res rictions ;• - Group P
SWIM POOL,. COMM
WATER SOFTENER
IVENT SYSTEM FAN EVAP. COOL ,' HOOD
Plumbing Fee Dbl g`
SIGN
WASHER'(AUTO)(DISH)
APPLIANCE DRYER
Final Date Inspector
GARBAGE DISPOSAL
FURNACE UNIT �• WALL -* FLOOR - SUSPENDED
Const. Lender -
-
' Branch
' LAUNDRY TRAY
AIR HANDLING UNIT CFM
.
IDLE METER
KITCHEN SINK
ABSORPTION. SYSTEM B.T.U.
Witness Fee S
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR tHP
POLE', TEMP/PERM •
LAVATORY t
HEATING SYSTEM FORCED 'GRAVITY
AMPERES SERV ENT
; SHOWER '
BOILER B.T.U: -
SO. FT. @ a -
' BATH TUB '
' -
SO. FT. @ a
WATER HEATER
Zip
S0. FT. RESID @l'Ac
SEWAGE DISPOSAL
s
S0. FT. GAR @ Y4a
HOUSE SEWER ,
- °
GAS PIPING
PERMIT. FEE
Cont, c,or
PERMIT FEE
PERMIT FEE.
DBL.
.
TOTAL FEES
L�
MOB. HM: FEE
! MICRO' FEE
MECH. FE
PL. CK. FEE
I CONST, FEE ELECT. FEE _
SMI FEE
FEE PLUMCB. FEE
PERMIT NO. '
403340
Job Address
-
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Space Zip Owner.
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Co
7",
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ff.
F.C.C.
MH Permit Fee S •
Micro Film Fee Cop S
Use of P r NI
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tA a
Parcel No. a
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se/Case o.
Ck. By
Mech. Fee Dbl S-
PI Ck,.Fee 'S ,
t Set <ks Lot Size
Construction Fedj Obl S
Leg es io „
- -
I—
F 5 5 n R
Zone Res rictions ;• - Group P
-
Electrical Fee Dbl S ' J
SMI Fee S •I
Plumbing Fee Dbl g`
B.AlA�m . -TPI.nN'o.
S
FnIIUecker'
Final Date Inspector
Sp. Insp. Fee S
•Demol. Fee,. g +
Const. Lender -
-
' Branch
-
Supplimentol Permit Numbers
- • ,.
ti
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.
Registr. Fee ,g •
Mileage Fee i r g t
Address s Gry : Zip
. v
Witness Fee S
Reinsp; Fee. g s
Owner/Agent �•
1
17
Tell•-� y -
Zip ,
Total Fees ,y S
A dress -
C`i
Zip
M.O. ' Q N.C. Q Cosh ec
Received b!! -
'
Cont, c,or
Te . - ks:✓ .,
4
Licensett
Trees required
-
-
Sewage System.y _ f Address'
'r
City - Zips'
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r
jr -- - 1, .-LL P I— r-11 anALL DCS WMt vviu tr wvKK a NVt I.VMMtNLtV WII'n IN IN VATJ. C•tZbA11VN Vr'WVKK - verified by:
Sewer District - FOR- 120 DAYS,SHALL ALSO CAUSE PERMIT TO BECOME VOID."
-
.1 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. ` •.. - ,
r ' i
' HEREBY CEjtTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN F
Form ,A,1-208 (Re, 1/80) WITH SECTION 5541 OF^THE BUSINESS AND PROFESSIONS CODE OF THE STATE .OF CALIFORNIA.
I
BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO.
347538
PERMITNO.
34`1538
�I
COUNTY OF RIVERSIDE.
Owner
•
DST
��
CONSTRUCTION ESTIMATE
Valuation
$ a�j�..�p�gi��
NO. ELECTRICAL FEES
NO. PLUMBING FEES
7Off.
,L
1ST FL..
2ND FL.
POR. M2
GAR. SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. Q yb $ J
UNITS
Micro Film Fee
Cop $
SQ. FT. @ YARD SPKLR SYSTEM
Use of Permit
' / �`
1".G / (�
SQ. FT. ® o $ MOBILEHOME SVC. BAR SINK
Parcel No. -
/CO
4 � ^z --7z— ,�a.
FT. Q ewe K' POWER OUTLET ROOF DRAINS
Mech. Fee Dbl $
SQ. FT. @ DRAINAGE PIPING
Set Backs
DRINKING FOUNTAIN
SQ. FT. .(a3
Construction Fee - Dbl $
SQ. FT. @ URINAL
VALUATION $ K' WATER PIPING
29 O
NOTE: Not to be used as property tax valuation
R Q
SWIM POOL, PVT
FLOOR DRAIN
Grp
/e3
Type
MECHANICAL FEES
t
SWIM POOL, COMM
WATER SOFTENER
Plumbing Fee
Dbl 8
VENT SYSTEMZ FAN ❑ EVAP. COOL HOOD
Bond Amt.
$
SIGN
WASHER IAUTC�tDISHI
Final Final Date�CXp T �
`` rr�
Inspector
A6 PY
APPLIANCE DRYER
Sp. Ins p.Fee $
Demol.. Fee -
GARBAGE DISPOSAL _
Const. Lender - Branch ., '[certify that in the performance of th work for which this permit is issued Ishan
not employ any person in any manner so as to become subject to the workmen's cam•
pensation laws of California."
Address City Zip Owner Signature
- Builder Signature
FURNACE , ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Mileage Fee $
Witness Fee $
LAUNDRY TRAY
$
AIR HANDLING UNIT
Tel.
' � ALJ r � ✓`
IDLE METER
KITCHEN SINK
rota) Fees
$
ABSORPTION SYSTEM O B.T.U..
-Address
TEMP USE PERMIT SVC
WATER CLOSET
Zip
M.O. ❑ N.C. ❑ Cash C]
COMPRESSOR HP
rD
POLE, TEMP/PERM
LAVATORY
Tel.
License"#
HEATING SYSTEMFORCED ❑GRAVITYAMPERES
Sewage System
SERV ENT
SHOWER
Address
Ciry Zip
BOILER B.T.U.
SQ. FT. Ga ¢
BATH TUB
SQ. Ff. Ga ¢
WATER HEATER
SQ. FT. RESID p 1'A¢
SEWAGE DISPOSAL
SQ. FT. GAR G/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
IMOB.HM.FEEI
MICRO FEE.
. MECH: FEE
PL. CK. FEE •
CONST. FEE
ELECT. FEE SMI FEE
FEE
- PLUMB. FEE
37"
PERMIT NO.
347538
Supp. Permit
Jdb Address
- �-U ,.,T�
Space Zip
z
Owner
Community
4 /tt/%�
Valuation
$ a�j�..�p�gi��
Date
��/ >�"'
Dist.
//
7Off.
,L
F.C.
o+
MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit
' / �`
1".G / (�
Parcel No. -
/CO
4 � ^z --7z— ,�a.
Use No. Ck. by
4
�!
Mech. Fee Dbl $
Pl. Ck. Fee $
Set Backs
Lot Si'
�8
Construction Fee - Dbl $
Leg61 Description
��f� J
F� d
29 O
5 v
R Q
Elearicol Fee Dbl $
Zone
1 /
Grp
/e3
Type
Unit
SMI Fee $
Plumbing Fee
Dbl 8
Bond Amt.
$
Plan No.
330
Pion Checker
/h` (��C�
Final Final Date�CXp T �
`` rr�
Inspector
A6 PY
Sp. Ins p.Fee $
Demol.. Fee -
$
Const. Lender - Branch ., '[certify that in the performance of th work for which this permit is issued Ishan
not employ any person in any manner so as to become subject to the workmen's cam•
pensation laws of California."
Address City Zip Owner Signature
- Builder Signature
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp- Fee
$
Owner/Agent .. A
Tel.
' � ALJ r � ✓`
Zip
rota) Fees
$
a/�
-Address
1 '!
City -
Zip
M.O. ❑ N.C. ❑ Cash C]
Received by
Contractor -
Tel.
License"#
f"reesrequired
Sewage System
Address
Ciry Zip
Workers' Comp.
yes no
t LL P
fewer District' .
Form 284208 (Rev. 4.77) @s
IH15-PtRMII SHALL BELOME VOID IF WORK 15 NOT COMMENCED WITHIN. 120 DAYS. CESSATION -OF. verified by:
WORK FOR 120 DAYS SHALL ALS US
EIT BECOME VOID.
/�R r',
1 HEREBY AGREE THAT -ALL TI WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVWSIDECC 'Y STATE OF CALIFORNIA. r
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.