374751 (SOTB))BUILDING PERMIT /
PERMIT NO. DEPARTMENT OF BUILDING t& SAFETY
37 COUNTY OF RIVERSIDE
FIELD rl,]
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
Zip
NO. PLUMBING FEES
IST FL
2ND. FL.
POR.
GAR.
CARR
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
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SO. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Set Backs
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
F IS " +: ((') o
WATER SOFTENER '4r,
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Group
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plumbing Fee Dbl $
Bond Amt.
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final Date
3-S—
Inspector
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
a
Const. Lender Branch
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Address City Zip
i
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
O.y
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
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SO. FT. @ c
Received by �,t.,, r
WATER HEATER
Tel.
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S0. FT. RESID @11 V. c
Trees required 1 .0
SEWAGE DISPOSAL
Address'
SO. FT. GAR @ s/. c
HOUSE SEWER
/ I
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 VOID.
GAS PIPING
PERMIT FEE
'
PERMIT FEE
`
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
Job Address �\ Space
Zip
Owner
5�
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,374 1
Community r,t v
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Valu to ion
E
Date
Dist .�
Off.
F.C.C.
MH.Permit Fee E
Micro Film Fee Cop $
Use of Pe,mRi V
r.,J tY(t-L.t
` 'yt
Parcel No.
Use/Case No.
Ck. By
st Y
Mech. Fee Dbl E
Pl. Ck. Fee $
Set Backs
Lot Size
2
Construction Fee Dbl E
Legri n ti
Legal Description
/
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F IS " +: ((') o
R
Electrical Fee Dbl $ % l%
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
'y
Pion Checker
Final Date
3-S—
Inspector
Unit `
Sp. Insp. Fee $
Dental. Fee E
a
Const. Lender Branch
Supplimentol Per Mirs
r� /•�
1
.Fee $
Mile
Mileage Fee $
Address City Zip
i
Witness Fee E
Reinsp. Fee $
Own /Age ^t 1
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Tel. Zip
"
Total Fees $ c�j
A�dres�s� µ r J v
(y' F)
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City - 3 zip
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Cash N.C. Cosh Chet
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• Al / tit r
Received by �,t.,, r
Contractor
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Tel.
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Licensed
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Trees required 1 .0
Sewage System
Address'
Cit Y �-�.i Zip
r
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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 VOID.
T LL P
Sewer District
'
I HEREBY AGREE THAT ALL WORK IN CONNEIgION W11178 THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
`
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
?j X--7 -:4' ] !
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN I /
Form 284-208 (Rev.8/78) cis
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. YY
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 6 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. 0
FI
ADDITIONAL INFORMATION
- - - - - - - - -
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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
P/L
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
STREET NAME