403705 (BLCK)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DIST j
40 3 70 5 1
COUNTY OF RIVERSIDE Ij I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P. 1
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
5'0
$
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. @
VALUATION $ .�
URINAL ( 2
WATER PIPING.I-�`,
NOTE: Not to be sised as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN s;
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
c
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH) e
APPLIANCE DRYER
SMI Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plan No.
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. @ a
BATH TUB
Total Fees $
SO. FT. @ c
WATER HEATER
M.O. F� N.C. Cash E) Check
SO. FT. RESID @I V<c
SEWAGE DISPOSAL
Tel.
SO. FT. GAR @ 3/4a
HOUSE SEWER
•
Address
City Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOT 'L F �
MOB. HM. FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
I CO SY'F ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
4037055!"
Job Address - _ _ - Space
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Zip
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a
Owner - - -.
D
CommunityValuation
O
5'0
$
Dote
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/V t / V
Dist.
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee Cop $
Use of Permit - (�Parcel
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.v�A \'�i„'_i���
No.
` f �:�• 5; 00
Use/Case No.
N. By
Mech. Fee Dbl $
PI. Ck. Fee $v%
r Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
�,,, /J '�.�„� 11
F
S S R
Electrical Fee Dbl $
Zone Restrict' ns
Group
Type
SMI Fee $
Plumbing Fee Dist $
Bond Amt.
g
Plan No.
Plan Checker
Fin Dot
Ins ctor
Unit
Sp. Insp. Fee E
Demol. Fee $
Const. Lender Branch
SupplWINumbers
s r s
/ ��j ,
Regisir. Fee S
Mileage Fee g
Address J -City Zip,70
_-1'x•4`/ �+./ r•' /.r
Witness Fee $ #
Reinsp. Feeg
O 'dgen .✓'^"' ,"'„`-^'"`•.��, ..
Tel. Zip
o
Total Fees $
Address
/ f
City y Zip
:7
M.O. F� N.C. Cash E) Check
Received b `�
Contractor
Tel.
Licensen
Trees require r
Sewage System
Address
City Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: '
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.•
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH t�.THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
/< THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIrORNIA. r
r
I HE Eq BY.i;6RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
'Form 284208 (Rev. 1/80) ® CE WITH SECTION'5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
�r
NO.
OPERATION
DATE
INSPECTOR
NO. OPERATION
DATE
INSPEtIOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
1
Set Back
_n i�s-�33
CJ�//vim
04
Ventilation System
2
Figs & Frms
34 Plenums 8 Ducts
2A
Slob Grade
35 Furnace Comport. '
3
Steel
Q
36 Inlets 8 Outlets
4
Grout Blocks
v
37 Combustion Air
5
Bond Beams
ygQ
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.
°o ADDITIONAL INFORMATION
Gv / ak
Q/1o![i'1
/ rj ,� /d/•�''d�jlY`p-!"
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
pp,�.,
��- g 3 ,go
PLUMBING MKOVALS _
_ - - - - _-
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
ELECTRICAL APPROVALS
P/L
6
J
YA -
t'
~
AP/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
"CUILUINb YtKMI l I t
PERMIT NO. ' ' DEPARTMENT' OF BUILDING & SAFETY
COUNTY OF RIVERSIDE FIELD OFFICE
40-370-5-
/ [
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
•2ND. FL.
POR.
GAR.c
CAR P.
s W LL'
-
ESTIMATED CONSTRUCTION
SQ. FT, @. c $
UNITS -
Community
s
SO. FT. @
YARD SPKLR SYSTEM
SO: FT. @ MOBILEHOME SVC.
BAR SINK
f POWER OUTLET
SQ. FT.- @'
ROOF DRAINS
SQ. FT. @j
"
DRAINAGE PIPING
J13
SQ. FT. @ •
DRINKING FOUNTAIN
- `
URINAL
VALUATION ,-$ J •
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 . '
-
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/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER '
BOILER B.T.U. y
SQ. FT. @ .a
BATH TUB
•
SQ. FT.
WATER HEATER
'
- SO. FT. RESID @I /<a
SEWAGE DISPOSAL
Zip
SO. FT.'GAR @ 3/aa
-HOUSE SEWER
•
ge
.
GAS PIPING
PERMIT FEE. °.
• `.
PERMIT FEE
PERMIT FEE
DBL.
TOT L F)RD
FI)
VI"�
MOB.:HM. FEE
,
MICRO -FEE
MECH. FEE PL. CK. FEE
CO SIt'v ELECT. FEE
Y/��
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
(/��
- ;O 3 7 0 51'..
4
-Job Address - �
- �- ,._
A" - �-- Space
j p Owner -
7Date
Community
s
Cy
Valuation
�
$
Dist. Otf.
F.C.C.
•
MH Permit Fee S
Micro Film Fee
Cop $-.
Use of Perms
��.
arcel No. - C
Use/Case No,
Ck. By -
Mech. Fee Dbl S
Pl. Ck. Fee $
Set Bucks _
Lot Size
,
Construction Feew Dbl S
legal Description > -
•
�,;,,, /J \ z�-•
.�
i1/_l1\
f J'�..,��
1
F
S S
R
Electrical' Fee Dbl $
Zone Restrictions
Group
Type
s
SMI Fee $
Plum_ bing Fee'
Del $ -
Bond Amt.
$ -
Plan
No.
Plan Checker
Final Doi; - -
O
InspectTr - -
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Bronch
+
t
Supplimentol Permit Numbers '
-
• �v
Regior.-Fee, g
Mileage Fee S
Address City -
Zip
Witness -Fee g
Reinsp. Fee,
g
ge
.
Tel. - Zip
Total Fees
S
Address
`
City • Zip
r
M O., Q N.C. Cash Q Check
ReceivedContractor
Trees require
`
•,4 •s. +,�
Tel. -
License#
Sewage System
Address
City Zip
T LL P. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK .venb.d by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE,PERMIT TO BECOME VOID.
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.
j_ • I. HEREBY C TIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS.HAS DONE• SO IN
t w CE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
(Form 284208 (Rev. "1/80)