374820 (BLCK)BUILDING PERMIT
PERMIT NO.
1374820
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE F
T
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES,
IST FL.
2ND. FL.
SQ. FT. @ $
UNITS
Date ( �+-"�
� _ `-7 — i J
SQ. FT. @
YARD SPKLR SYSTEM
POR.
GAR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
CAR P.
SQ. FT. @
PL Ck. Fee $ -
DRAINAGE PIPING
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
Construction Fee Obl $
DRINKING FOUNTAIN
URINAL
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
Final
I Z�( — /
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Sp. Insp. 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
Contractor
SQ. FT. @ c
WATER HEATER
Trees required -
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
City Zip
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES.0
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
FCONST. FEE ELECT. FEE
SMI FEE
/�''� FEE PLUMB. FEE
PERMIT NO.
374820-7-7
Job Address r Space
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Zip
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Owner
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Community t/� t� n
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Voluation
$ L"�
Date ( �+-"�
� _ `-7 — i J
Dist.
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Off.
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F.C.C.
MH.Permit Fee $
Micro Film Fee Cop $
Use of /PeryYmiit1t��
Parcel No. /)
t ��� v�,.�
Use/Case No.
,
Ck. By
Mech. Fee Dbl $
PL Ck. Fee $ -
Set Backs
Lot Size
Construction Fee Obl $
Legal Description
!� r
LX 7 Ll 1,;;; 1'CX J( -9 �C VLAl _ :42g
J " `-Y
F S S R
Electrical Fee Dbl $
Zone Restrictions
'�—:) '- � r
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final
I Z�( — /
Inspector --j
Unit
Sp. Insp. Fee $
Dental. Fee is
Const. Lender Branch
_
Supplimental Permit Numbers 67
Registr. Fee $
Mileage Fee $dresss��J/
i city /� Zip
',`/��'��{J�.. • c /
Witness Fee $
Reinsp. Fee $ -
Owner/Agent
Tel. �_ .� Zip
Ina
Total Fees $ w
AddressC
r _
'5
City /�' •— Zip
M.O. N.C. Cash Q Check
Received by 1( (`
Contractor
Tel.
LicenseN
Trees required -
Sewage System
Address
City Zip
�^ T LL P
. Sewer District
t
' Form 284-208 (Rev.818) P
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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.
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.
verified by:
BUILDING PERMIT
PERMITNo. DEPARTMENT OF BUILDING a SAFETY DSTi
374
8 2 0 COUNTY OF RIVERSIDE FIELD
I " i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES'
IST FL.
2ND. FL.
SQ. FT. @ $
UNITS
Valuation
✓
SQ. FT. @
YARD SPKLR SYSTEM
POR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL i
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN i
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plumbing Fee Dbl E
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
Total Fee;" E t Ij
SQ. FT. @ c
WATER HEATER
M.O. N.C.n C.shn CheckEk
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Tel.
SQ. FT. GAR @ 'r. c
HOUSE SEWER
Sewage System
i
i
T LL P
Address
City Zip
GAS PIPING
PERMIT FEE
Sewer District
e
l f/jef�,j
Form 284-408 (Rev.8/78) p
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
Q/
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
L FEE PLUMB. FEE
r'
PERMIT NO.
874820
Job Address Space
L,. '1 _k 1
ZipOwner
7 j
I')ltiL(i�
Community
Valuation
✓
Date
Dist.
Off.
-�^
F.C.C.
MH.Permit Fee E
Micro Film fee Cop E
Use of Permit
f i �i r .J r� �1-r jet r -'j !t
Parcel No.
e l G -�� t t ..i
Use/Case No.
Ck. By
U • — '
Mech. Fee Dbl E
PI. Ck. fee E
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description r l
1_ Q `r (/�/ -' , ,. I i �:r J �� /� 4
�Cr, �'
F 5 S R
Electrical Fee Dbl E
Zone Restrictions
t^t
Group
Type
- .
SMI Fee E
Plumbing Fee Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final e / r Unit
Sp. Insp. Fee E
Demo!, Fee E
Const. Lender Branch
Supplimental Permit Numbers
Registr. fee E
Mileage Fee EAddress
Zip
City/�I
/
Witness Fee E
Reinsp. Fee Ei Ur
�a
Owner/Agent /
Tel. - .� Zip
Total Fee;" E t Ij
Address_
t:
City Zip
M.O. N.C.n C.shn CheckEk
Received by -T'tq r -y %;,
Contractor
'
Tel.
License#
frees required
Sewage System
i
i
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 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.
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.
Sewer District
e
l f/jef�,j
Form 284-408 (Rev.8/78) p
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
GATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
V
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.
FI
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/
X
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
1•
J
STREET NAME