391941 (SPIN)BUILDING PERMIT
PERMIT No. DEPARTMENT OF BUILDING & SAFETY
39194-0 � COUNTY OF RIVERSIDE
FIELDST
77
CONSTRU
CTI ON`ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST fl.
SQ. FT. @ $
- UNITS
Date
2ND. FL.
POR.
GAR.
SQ. FT. @
F.C.C.
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT, @ POWER OUTLET
ROOF DRAINS
CAR P.
WALL
SQ. FT. @
PI. Ck. Fee $i
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Zone Restrictions 1
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
Dental. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Regisir. Fee $
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.
SQ. FT. @ c
BATH TUB
City Zip
SQ. FT. @ c
WATER HEATER
Sewer District
SQ. FT. RESID @I t/. c
SEWAGE DISPOSAL
SQ. FT. GAR @ 1%c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FE
DBL.
TO AL F5eW
OT/
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
PLUMB. FEE
6.
PERMIT NO.
3 9 9 4 �.
Job Address , Space
n �� -,-
Zip
Own
Community
co
Valuation
$
Date
Dist.
Off.
F.C.C.
MH.Permit Fee $
.Micro Film Fee Cop $
Use of Permit -
rr '
, L .. \ L� ; Z
Parcel No.
"' > 0✓ „
Use/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $i
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
.
1 /� 1
"�"� L �_u �.
F $ S R
Electrical Fee Dbl E
Zone Restrictions 1
Grou
Type /J
SMI Fee E
Plumbing Fee Dbl $Bond
Amt.
E
Pion No.
Plan Checker
Final Date �
-3 — Zp c — v--(
Ins ctor
�
Unit
Sp. Insp. Fee $1
Dental. Fee $
Const. Lender Branch
Supplimental Permit Numbe
'
Regisir. Fee $
Mileage Fee $
Address ..1 'city Zip
�•L..
Witness Fee $�%
Reinsp. Fee $ n f
Ow gent
Tel. Zip
p10 !,
Total Fees $/' V
Address
Ci Zip,
A a IJ
N111 - .O. N.0 Cash he
Received
frees required
Contract r
Tel. -
LicenseN
Sewage System
T LL P
Address
City Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO -CAUSE PERMIT TO BECOME VOIDt'
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT Will RF nnNF IN nrmonnNrc WiTu
Sewer District
(
\� 9
J THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
/ I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ^ `
ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. W
Form 284-208 (Rev.8/78)' P -
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.
43
Final
10A
Fireplace T.O.
P'
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