403341 (SFD)• -
PERMIT NO.
4033 41
PERMIT NO.
4033.4`1
Space .Zip Owner . •
��—
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD,OFFICE
-
DST
CONSTRUCTION ESTIMATE
sr. Oft. F.
NO. ELECTRICAL FEES
NO. PLUMBING FEES.
.1ST FL.
2ND. FL.,
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
50. FT. @ $
Micro Film, Fee Cop S -
UNITS
i
SO. FT. @
YARD SPKLR SYSTEM
SO. FT..@ - - MOBILEHO SVC.
BAR SINK
t1�E,r
SO. FT. @ POWER OU'IFET,
ROOF DRAINS
SO. FT.' @ -
DRAINAGE PIPING
SO. FT. @'
DRINKING FOUNTAIN -
SO. FT. @ -
URINAL
VALUATION $
WATER PIPING "
NOTE: Not to be used as property tax voluation
SMI Fee ' S
SWIM POOL, PVT '•
FLOOR DRAIN -
MECHANICAL FEES
SWIM. POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Inspector
SIGN.
WASHER (AUTO)(DISH)
APPLIANCE DRYER
s.
/Sp.
GARBAGE DISPOSAL
,FURNACE UNIT WALL ".FLOOR - SUSPENDED
lnsp. Fee S
LAUNDRY TRAY
AIR HANDLING UNIT • CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Const. Lender Branch -
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
- -
POLE, TEMP/PERM
- LAVATORY '
HEATING SYSTEM FORCED GRAVITY
Witness Fee S r
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Reinsp. Fee Ss
SO. FT. @ e
BATH TUB
^ • • -
SO. FT. @ a
WATER HEATER. -
Total fees _ S
SO. FT. RESID. @1/a
SEWAGE DISPOSAL
�
M.O. I] N.C. E] Cash Check
S0. FT. GAR @ ?/aa
HOUSE SEWER -
'
Received by"`_ -vl r..
Contractor -
-
GAS PIPING -
PERMIT+`FEE
'•
PERMIT FEE
PERMIT FEE
•DBL.
,TOTAL FEES'
jMOB.HM.FEEM,
CRO F E.E
MECH. FEE
Pl. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
• -
PERMIT NO.
4033 41
� Job Address ,. ' ��..--.
Space .Zip Owner . •
��—
- -
� /
CommunityValuation
e
sr. Oft. F.
MH Permit Fee S
Wnta$
7
Micro Film, Fee Cop S -
•
Use of Permi;//���
Parcel No. Use/Ca
k. By
Mech' Fee Dbl S
' •� {y p
�'a dweiii� C[ att�
'SeT
7
BS
PI. Ck. Fee S
Bock,
5 S R
tot Size
-
Construction Fee Dbl S Legal Description 'F
Electrical Fee Obl 5
- -
ZonZstrictions 1A '1 c'7
7 i
Cir-fis
1
SMI Fee ' S
0t •
Plumbing Fee Dbl S
Bond Amt. Plon No. an Checker
a Date
Inspector
-
UnitIr
v
s.
/Sp.
lnsp. Fee S
g 4
Demol. Fee S
Const. Lender Branch -
Supplimental Permit Numbers
Registr. Fee - S-
- -
/7"
Mileage Fee S Address - City Zip
Witness Fee S r
Reinsp. Fee Ss
..Owner/Agent - /
Tel.
Zip
An
Total fees _ S
A ress -
\CitY
- Zip
M.O. I] N.C. E] Cash Check
6 4
Received by"`_ -vl r..
Contractor -
T •
-
Licensett
Trees required
'•
Sewa�p.59'{t ,- ,�
Address
T.-Y
Zip
"
f, .
T Ll P
IQ U %.'
- THIS PERMIT SHALL BECOME VOID IF -WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION'OF WORK -verified by:
'
Sewe FOR 120 DAY'S $HALL ,ALSO CAUSE PERMIT TO BECOME VOID. "
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
• ��J'f • THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF 'CALIFORNIA. i^
• • ^'• ., /� I HEREBY CERTIFY THAT ?HE 41NDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN '
Form 284-208 (Rev;; 1/80)- (� CO NCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. -
CUILUImp rtKmll
PERMIT NO.
1403341
DEPARTMENT OF BUILDING & SAFETY FIELD" -DST
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
•
.ESTIMATED CONSTRUCTION
SQ. FT. @ $
-ist. Off. F.0t. e
UNITS
SO. FT. @ c
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
$O. FT. @
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL 3
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
/ L2.(♦
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
.-
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
- Set Backs
S F S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Construction Fee Dbl $ Legal Description may,.
Electrical Fee Dal S
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
SMI Fee S
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM . 'FORCED GRAVITY
`•
r
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Inspect r
SQ. FT. @ a
BATH TUB
Unit
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 1 t/aa
SEWAGE DISPOSAL
'
50. FT. GAR @ s/4a
HOUSE SEWER
$
—y
•.
GAS PIPING
PERMIT FEE
Demol. Fee $
PERMIT FEE
PERMIT FEE
D8L./
TOTAL FEES
MOB. HM. FEE
MICRO'FEE
MECH. FEE
T?i
PL. CK. FEE
I CONST. FEE ELECT. FEE
r
SMI FEE
FEE PLUMB. FEE
_
PERMIT NO.
- 4 0 3 34 1
.��_.-._•-_...-,-.--..--�.._,.....�
lobAddress
0-9W Cale,
Community
Piadma
Valuation�
Spec i -
e p Owner
to
-
-ist. Off. F.0t. e
:
MH Permit Fee S
I& -Quint
uin6
$
Micro Film Fee Cop S
Use of Permit
Parcel No.
Use/Case o. k. 8y
Y
Mech. Fee Obl $
/ L2.(♦
++���
9COA dwe1 9 4 fns & ,itto
rq
.-
PI. Ck. Fee $
- Set Backs
S F S
R
Lot Site
'
�
Construction Fee Dbl $ Legal Description may,.
Electrical Fee Dal S
N,�
Zo strictions
Gr7
SMI Fee S
Oy IS
Plumbing Fee Dbl $
`•
r
Bond Amt. Plan No.
Iflon Checker
ino to
Inspect r
Unit
Sp. Insp. Fee $
$
—y
Demol. Fee $
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee $/�
1 �y 4.L
I /
Mileage Fee $ Address City Zip
Witness Fee $
-/
�•
Reinsp. Fee S
Owner/Agent14�G.�/'
�^c
Tel.
Zip
!
1
Total Fees $
Address f
-
sCity
Zip
M.O. I] N.C.E) Cosh
Check
s "'e
f - e4&4,;
Received by ; ;•.,
Contractor "
T6'
Licensoll
Trees required
Sewage. SyifBT+tti
fi "•'r`=y.r�'t.
Address
...
City
Zip
4
;{f:
\ ` T LL p THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF. WORK
SewaA'DistAtT" 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 e%471VI(`ijk,.),VHO;PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev. 1/80) CO CE WITH SECTION 5541 OF THE'BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
3 y- q•8I
vedi ..d by:'
NO. `
OPERATION
DATE
INSPECTOR
P O.
OPERATION
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 & Outlets
4
Grout Blocks
37 Combustion Air 14 ,9
5
Bond Beams
38 Compressor 4 mg
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
Aq—g 1
42 Commercial Hood '
10
Fireplace
P. L.
43 Final _gig l
10A
Fireplace
T. 0. E-]
°o
-----------
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 „Q_g
21 Water Heater _M
22 Water Softener
23 Water Service 4 g
24 Gas Test
25
Final
_g �$
Tank Pit x4in L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
6`
ri
P/
U
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
s
29A Grounding Wire
29B Bonding _ g
30 Fixtures
31 Service
32 Final a . _
STREET NAME ?'�A LLE- / ALOMA
.. — ,, . ,
.:.��s
�:
,,
����
�_ :.
.,
..
..
WCPS
• • ..- •La
P'1Ft01l�s
Allen Asada, Riversirle nffirp
Demolition Permits 1 a
If '
1 Have applicants sign all demolition requisi-tes Form 284-160, and attach
!. to the hard copy of the permit.
I
I.
f. -
I
I
I
I
,:;EN. FORM 4, 3/65
t