375390 (BLCK)BUILDING PERMIT —
PERNo. DEPARTMENT OF BUILDING A SAFETY DST
3 71' 3 9 0 COUNTY OF RIVERSIDE FIELD
�T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
.t
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Parcel No. - - Use a No.
- Sei Bac Lot Size `
F 5 S R
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @"
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
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
M.O. Cash Check
Received by '�
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
SQ. FT. @ c
WATER HEATER
SO. FT. RESID @1 /.c
SEWAGE DISPOSAL
SO. FT. GAR @ 3/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
iV
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FRELECT. FEE
l® per►
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
7 5 3 9 0
Job Address Space Zip Owner
! -s25 CAUA Rondo
Communiitt'y`` voluotio I vote 1811T441 &MY F.C.C.
Qkisisrar $ '
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
] ,/�
' %...-mss Ir 1. fr ✓' 1, " C.,. .
GL+
Parcel No. - - Use a No.
- Sei Bac Lot Size `
F 5 S R
Mech. Fee - Dbl $
PI. Ck. Fee $
Construction Fee Dbl $
Legal Description
p4 Kjb Tract
Y LS7 ClubSMI
Electrical Fee Dbl $
Fee
Zone Rest tions '
Group .
-Type
Plumbing Fee Dbl $
Bond Amt.
E
Plan No.
Plan Checker
Final at spe r Unit
/
Sp. Insp. Fee E
Demol.'Fee� $
Const. Lender Branch
Supplimental Permit Numbers
,
Registr. Fee $
Mileage Fee $
Address s.. City - Zip
.1
r
Witness Fee $
Reinsp. Fee $
Owner/Agent t • t'�. /'� . t (4_T •
rjCaA %1Aa t iasis
el. ,. '•^�.- Zip
City Zip
%
Tal. - -seX
Total Fees $
Address - -
�y
3 rte`
Contractor
'
M.O. Cash Check
Received by '�
frees required
Sewage System
Address
Zip
PC,
T U. P
Sewer District ev.8/78) P `� f�
J r ,
Form 284-208 (R
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:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
�y,,,
Ftgs & Frms — �7/q_ i�/IGY.C/
—aSV
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel `,
36
Inlets 8 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
IDA
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
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME