418369 (SATT)PERMIT NO.
416369
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE . FIELD
MST
CONSTRUCTION ESTIMATE `
; ,,
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL -, Ar.,
SQ. FT. ;?=,-$ 3
9 /'r
UNITS
.
2ND. FL.
SQ. FT. @
MH.Permit Fee $�.7..•-
Micro Film Fee Cop $
YARD SPKLR SYSTEM
POR. ?
SQ. FT. @ i
Zr
MOBILEHOME SVC.
BAR SINK
GAR.
SQ. FT. @
Z i
POWER OUTLET
ROOF DRAINS
CAR P.
SQ. FT. @
Group
Type
DRAINAGE PIPING
WALL
SQ. FT. @
I,givry C�cker
�`
A1S0�a
Final D e
/y7 , �/
DRINKING FOUNTAIN
SQ. FT. @
URINAL
@ y
ESTIMATED CONSTRUCTION VALUATION Ls ?r /
$
Const. Lender Branch
�
WATER PIPING
NOTE: Not to be used as property tax valuation
Mileage Fee $
Mileag
SWIM POOL, PVT
FLOOR DRAIN
MECHANICALFEES
Owner
A
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Address L i I ~- r
SIGN
WASHER (AUTO)(DISH)
APPLIANCE + DRYER
contractor
Tel.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Sewage System
Address -
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. @ t
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTALFSE �
`.�i�/'��,.
IZ6-?2
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK..FE
Tri
63
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
'
Job Address -� 7 —7 Space
Zip
Ow —r"' -
Community <
t <
-tion
Date
Dist.
Off.
F.C.C.
MH.Permit Fee $�.7..•-
Micro Film Fee Cop $
Use of Permit A� Q
•� ` t !,
.k�i�, ; ;�� (,lJ'
Parcel No. Use/Case No.
l.1/'`r1� "' ..� " _.J /�,i
Mech. Fee Dbl E
PI. Ck. Fee$
Set Backs
Lot Size
Construction Fee Dbl $
legal Descrip' off.) {{
S
f1e j� l+� % //:
a.�- Cj �t,j,./+
F S
S R
Electrical Fee Dbl E
Zop/e Restriction
Group
Type
SMI Fee 8
Plumbing Fee Dbl $
Bond Amt. n�a /'
$
I,givry C�cker
�`
A1S0�a
Final D e
/y7 , �/
Inspector
Unit
Sp. Insp. Fee $
Demo]. Fee E
Const. Lender Branch
�
Supplim�/n//eJn/,t(o/I�PJ+e/r(p't Numbers
l%Js`" ' — 1
RegsirFee $
Mileage Fee $
Mileag
Address City Zip
�
r rl
i 1
Witness Fee $
Reinsp. Fee $
Owner
A
Tel.
/ Zip1VN`6)
Total Fees - $ f
Address L i I ~- r
City .r! Zip
t '-C
• M.O. N.C. �•.Cgsh Check
Received by
contractor
Tel.
License#
Trees required �✓% .�,
Sewage System
Address -
City Zip '
T - LL P
Sewer District
Form 284-208 (Rev.8/78)POs
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 6(
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
1
Set Back
33 Ventilation System
2
Ftgs & Frms
34 Plenums 8 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 Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L. C]
43 Final
10A
Fireplace T. 0. C]
NO
,
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
I1 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
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
PSL
P)
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
AERMIT NO.
16669
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE FUS -7-1'
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIAWE
NO. ELECTRICAL FEES
NO. PLUMBING FEES-
;J.ST FL. A0 I&
2ND. FL.SQ.
POR.
GAR.
CAR P.,
..,WALL
ESTIMATED CONSTRUCTION
SQ. FT. , $
.r
UNITS
'
�✓�
FT. @
YARD SPKLR SYSTEM
SQ. FT. @ Ir�"''� MOBILEHOME SVC.
BAR SINK
SQ. FT. @ w,.. �, �y 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
Ck. By
r
SWIM POOL, PVT
FLOOR DRAIN"
MECHANICAL FEES
Lot. Size
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
�,,, )� /f L!'/�
! .. t..7 :�(^" �
�•i� 11..77
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Electrical Fee Dbl $
ZpJ Restrictions .
eG —4p �✓'
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SMI Fee Is
Plumbing Fee
LAUNDRY TRAY
AIR HANDLING UNIT CFM
n Y6 Plan ecker
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
t
TEMP USE PERMIT SVC
WATER CLOSET x
COMPRESSOR HP
$
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Supplimentol Permit Numbers
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Mileage Fee $
SQ. FT. @ c
BATH TUB
Reinsp. Fee
$
SQ. FT. @ c
WATER HEATER
Tel.
- Zip
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
$ A,
A res
SQ. FT. GAR @ '/. c
HOUSE SEWER
Citr/r
t +
Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.TOTAL
FSE 7
%-
MOB.HM.FEE
MICRO FEE.
MECH. FEE
PL. CK. F�FE7
63 '�'"
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
41,'1836
Job Address
% % 7 X
Space -••
Zip
9,9Community
Ow r
'
�✓�
otion
$v
Dote
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro -Film Fee
Cop $
Use -of Permit
^
rtJ l,�
`.�t�,,.1.
Parcel No.
Us /Case No.
Ck. By
r
Mech' Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot. Size
Construction fee Dbl $
Legal Description
L
�,,, )� /f L!'/�
! .. t..7 :�(^" �
�•i� 11..77
F S
S
R
Electrical Fee Dbl $
ZpJ Restrictions .
eG —4p �✓'
Group
Type
SMI Fee Is
Plumbing Fee
Dbl $
Bond Amt.
$
n Y6 Plan ecker
Final Dote
Inspector
t
Unit.
Sp. Insp. Fee $
Dental. Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers
.
'
Regisir. Fee $
Mileage Fee $
Addre4 City Zip
s
Witness Fee $
Reinsp. Fee
$
Owhe,r Ag I C V
Tel.
- Zip
Total Fees
$ A,
A res
f 4
Citr/r
t +
Zip
M.O.0 N.C. sh Check
Received by.
Contractor
i
Tel..
License#'
Trees required
Sewage System
_ n -
Address
{
City
Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78) @s
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: