369479 (RPL)BUILDING PERMIT
PERMIT NO.
369479
PERMIT NO.
13694791
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
,
--
Voluation
$
FIELD
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Cop $
NO. PLUMBING FEES
Llfse ol Per it
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
+4)4 1
111 ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
I.S.o.
Ck. y
`
YARD SPKLR SYSTEM
SQ. FT. @
et acks lot Size
f S S R
Zone Restrictio s ou Type
MOBILEHOME SVC. BAR SINK
SQ. FT. @
Construction Fee Obl $ /
SQ, FT, @ POWER OUTLET ROOF DRAINS
Electrical Fee Dbl $
DRAINAGE PIPING
SQ. FT. @
Plumbing Fee
Sp. Insp. Fee
DRINKING FOUNTAIN
SQ. FT. @
SQ. FT. @ 9� URINAL
VALUATION WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Inspector
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
54
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Mileage Fee $
APPLIANCE DRYER
Witness Fee $
Reinsp. Fee
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
Zip
AIR HANDLING UNIT CFM
IDLE METER
$
N.C. Cash Chec
KITCHEN SINK
j r
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Received by
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
License#
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Sewage System
SHOWER
l I , th 46
,
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
.
SQ. FT. @ C
WATER HEATER
S0. FT. RESID @1'/.t
SEWAGE DISPOSAL CPN
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
_
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE
. FEE
SMI FEE
S6
FEE B. FEE
�o
PERMIT NO.
369479
Job Address
Com nity
,
--
Voluation
$
Space Zip Owner
Date tst. - I.
r
F. C.
MH.Permit Fee$
Micro Film Fee
Cop $
Llfse ol Per it
•�
Eta
Q
arcel Ro.
I.S.o.
Ck. y
Mech. Fee Dbl $
Pl. Ck. Fee$ a4
et acks lot Size
f S S R
Zone Restrictio s ou Type
Construction Fee Obl $ /
Le Description
•,r / r
Electrical Fee Dbl $
SMI Fee $
Plumbing Fee
Sp. Insp. Fee
Dbl$
$
111,6
Bond Amt.
Plan No.
Plan Checker
-
Final Date
—13 -
Inspector
Unit
Demol. Fee
E
C nstr, Len�eri
Bra ch e �p
�'� �t
Supi1K'I Permit Numbers
Numbers
Registr. Fee $\\�
Mileage Fee $
Actress. lam L. la am City 1 2"$M
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees r
M.O.
$
N.C. Cash Chec
Address
j r
City
Zip
Received by
Co tractor
Tel.
License#
Trees requ
Sewage System
AF
l I , th 46
,
Address f
City Zip
a " ,
.
T LL "p
Sewer District
0011�Form 284-208 (Re 8) G.
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 THF 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
t—
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
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
10A
Fireplace
T. 0. E]
ONS 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? -13-79
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
S
9
?�
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
PFin-1 �� 3 —
STREET NAME
BUILDING PERMIT
PERMIT NO.
PERMIT NO.
3694791
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
DST
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT, @ $
2ND. FL. SQ. FT. @
POR. SQ. FT. @
GAR. SQ. FT. @
CAR P. SQ. FT. @
LL SQ. FT. @
10_1_1 SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $1WWATER
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
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
Valuation
GARBAGE DISPOSAL
F.C.C.
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
se/Case No.
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
��
BOILER B.T.U.
SQ. FT. @ C
BATH TUB
_
SQ. FT. @ c
WATER HEATER
ZZ-
Construction Fee Dbl E Legal Description
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
Zone Restric' s Graup Type
SMI Fee
$
GAS PIPING
40
PERMIT FEE
y(
PERMIT FEE
PERMIT FEE
Plumbing Fee
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE :[�P�L.CK. FEE CONST. FEE ITR7.FEE
SMI FEE
FEE PL B. FEE
PERMIT NO.
Job Address
Space Zip Owner
369479
Com unity
Valuation
Dote Dist. Off.
F.C.C.
MH.Permit Fee
$
$
Micro Film Fee
Cop $
Use of Per it
Parcel No.
se/Case No.
Ck. By
Mech, Fee
PI. Ck. Fee
Dbl $
$
��
�(� / / 1
Q�
/
_
et Backs lot Size
F S S R
ZZ-
Construction Fee Dbl E Legal Description
Electrical Fee
Dbl $
Zone Restric' s Graup Type
SMI Fee
$
41,
40
y(
Plumbing Fee
Dbl E
Bond Amt.
Plan No.
Plan Checker
Fin Date
Inspector
Unit
Sp. Insp. Fee
$
$�/��
G
Demol. Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers
Registr. Fee
$
Mileage Fee $ Address City Zip
Witness Fee
$
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$ tv
Address
&941.4
r
City
Zip
M.O. M
N.C. Cash Check0o,
Received by
gZa
Con ractor
,
Tel.
licenseN
frees reuire
q
Sewage System
Address f
City - Zip
T LL '' V P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewe,District t - 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
Form 284-208 (Rev. 8)
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.