374815 (BLCK)BUILDING PERMIT
PERMIT N
0'
1374815
PERMIT NO.
Job Address pace
1P 0
aa-!a�, -
DEPARTMENT OF, BUILDING & SAFETY
FIELD UI-1-1�-t
DST
Valuation
$
I ? G--�
F)
1-374 1
. Dist
I It
COUNTY OF RIVERSIDE
F.C..
1 I. --
MH.Permit Fee $
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING.FEES
$
UNITS
Mech. Fee DbI $
I ST FL. SQ. FT. @
Set Backs
Lot Size
I '—
2ND. -'FL. SQ! FT. @
Leg I Description F
-
11C1-
LO I'd TL :tll
T F-4 . -
YARD SPKLR SYSTEM
S R
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
Zone Restrictions
Q�j .1
Group 4�e
SMI Fee $
POWER OUTLET
ROOF. DRAINS
GAR. SQ. FT. @
Pion Checker
Final Date
Inspector /I
Unit
DRAINAGE PIPING
CAR P. SQ. FT. @
Const. Lender Branch
Supplimental Permit Numbers
1224
265
DRINKING FOUNTAIN
.'WALL SQ. FT. @
Reinsp. Fee
Own11A-?en j�
.
URINAL
- SQ. FT. @
City Zip
M. 0. N.C. E4= KDI.ck
ESTIMATED, CONSTRUCTION VALUATION $
Conl?octor
[)((:I(-
WATER PIPING
NOTE: Not to be used as property tcix valuotion
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 FLOO'R SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR it HIP
POLEJEMP/PERM
LAVATOR'�
HEATING SYSTEM FORCED GRAVITY
1AMPERES SERV ENT
SHOWER
BOILER B. T. U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
SO. FT. RESID. @ I V, c
SEWAGE DISPOSAL
SO. FT. GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DEL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
TONST FEE 7 —ELECT FEE
SMI FEE
IEE
00
I
PERMIT N
0'
1374815
1
Job Address pace
1P 0
aa-!a�, -
Zip
Owner
P11,110trP4 too
Community 9
Lh �, s j� da
Valuation
$
I ? G--�
F)
Dote I . .
7-(9--
I —F)
. Dist
I It
Off
I Y
F.C..
1 I. --
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
& Y'17 7 11 S'8
I G-A'P— r-*—tj L
Parcel No.
6 17 -10 1 - 011
-I Use/Cose No.
Ck. By
Mech. Fee DbI $
Pl. Ck. Fee $
Set Backs
Lot Size
I '—
tU
Construction Fee DbI I$ �1 4
Leg I Description F
-
11C1-
LO I'd TL :tll
T F-4 . -
S
I —
S R
—
Electrical Fee DbI 1$
Zone Restrictions
Q�j .1
Group 4�e
SMI Fee $
Plumbing Fee DbI $
Bond Amt.
$
Plan No.
Pion Checker
Final Date
Inspector /I
Unit
Sp. Insp. Fee $
Dernal. Fe� $
Const. Lender Branch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
Own11A-?en j�
Tel. Zip
-----------
Total Fees $ n 4 M
Address
City Zip
M. 0. N.C. E4= KDI.ck
_�.,h
Received by
Conl?octor
[)((:I(-
(A
Tel.
License#
Trees required
Sewage System
Address
isc)
City Zip
/,& n, -i %i- 1-, 4
T LL P
Sewer District.
Form 284-208 (Rev.8/78) 05
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 CALIFORN.IA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAR ED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
q
BUILDING7 PERMIT
PERMIT N�j I DEPARTMENT OF BUILDING & SAFETY DST
5 COUNTY OF RIVERSIDE FIELD [7
374
% I CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL.
2ND. FL.
POR.
SQ. FT. @ $
UNITS
Community
A - 'k—
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
GAR.
SQ. FT. @
Fe
ee
M F
Micro Film Fee
'a 'm a
POWER OUTLET
ROOF DRAINS
CAR P.
WALL
SQ. FT. @
Parcel No.
Use/Case No.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATE q VALUATION $
7�
r DbI 1$ Llij
Construction Fee
C on u c 'a n Fee Db'
WATER PIPING
NOTE: Not to be used as property tax valuation
F
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Zone Restrictions
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
S S I
MI Fee Is
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Bond Amt.
$
Plan No.
1
GARBAGE DISPOSAL
FURNACE UNIT WALL COR SUSPENDED
Final Dole/
;6or
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Sp. Insp. Fee $
S . I nsp Fee
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
Const. Lender Branch
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLEJEMIP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Witness Fee $
AMPERES SERV ENT
SHOWER
BOILER B. T. U.
Owner Agent ff
SQ. FT. @ 'c
BATH TUB
Zip
SQ. FT. @ c
WATER HEATER
$
^4 jj
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
City
SQ. FT. GAR @ %
HOUSE SEWER
Received by
-;-Tl—
Contractor
GAS PIPING
,PERMIT FEE
License#
PERMIT FEE
,PERMIT EE
DEL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
3 7 4 8 1.5
Job Address
4,
Space
Zip
Owner
Community
A - 'k—
valuation
$
. -'*' ( —,
I e
Data
I
Dist
I I '
1 114
F.C.
M H P e r F
MH.Permif Fee 1$
Fe
ee
M F
Micro Film Fee
'a 'm a
Co P
C-Pls
Use of Permit
y /-1 -7
-ck t - nf t- f jf-(L
Parcel No.
Use/Case No.
Ck. By
ec
M ch F e DbI
Mech. Fee DbI 1$
ee
P I C k F a
PI4 Ck. Fee Is
Set Backs
of bue
r DbI 1$ Llij
Construction Fee
C on u c 'a n Fee Db'
Legal Description
c:.
F
S
5 R
Electrical Fee DbI 1$
4
Zone Restrictions
Group
Ty e
S S I
MI Fee Is
Plumbing Fee
Dbi $
Bond Amt.
$
Plan No.
1
Plan Checker
1
Final Dole/
;6or
Unit
Sp. Insp. Fee $
S . I nsp Fee
Dental. Fee
$
Const. Lender Branch
Su ppli Permit Nu�bers
7,h
R c.
egistr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner Agent ff
Tel.
Zip
Total Fees
$
^4 jj
Address
City
Zip
M.O. 0 N.C. Q�:C�a.h� hec�
Received by
-;-Tl—
Contractor
Tel.
License#
Trees required
Sewage System
Address
City Zip
T LL P
Sewer District
C
Form 284-208 (Re�.8478)' as &-41
- . - 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.
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.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Bock
33
Ventilation System
2
Ftgs & Frms
2
34
Plenums & Ducts
2A
Slab Grade
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 Defection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. 0
43
Final
IDA
Fireplace T.O.
OFIN
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R"
Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
Ground Plumb
16 Wafer 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
P/L P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET