404285 (PLBG)BUILDING PERMIT w
PERMIT NO. .,DEPARTMENT OF BUILDING & SAFETY FIELD
1404285 COUNTY OF RIVERSIDE I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
Job Adc!""y 5
d6EO Pace
Zip
t"I
SO. FT. @ YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC. BAR SINK
Valuation
$ -
SO. FT. (a) POWER OUTLET ROOF DRAINS
Dist.
SO. FT. @ DRAINAGE PIPING
MH Permit Fee S
So. FT. DRINKING FOUNTAIN
Cop S
SQ. FT. URINAL
Use of Perin�.t
:��L k 4� C
VALUATION $ -7 WATER PIPING
N ty
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
T�'
MECHANICAL FEES
SWIM POOL, COMM
F 15 IS
I
WATER SOFTENER
Electrical Fee DbI $
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Group
WASHER (AUTO)(DISH)
SMI Fee S
APPLIANCE DRYER
DbI S
19,
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Fino;'Ki
';e�
( jinspecto,
Unit
LAUNDRY TRAY
Demol. Fee
AIR HANDLING UNIT CFM
IDLE METER
Const. Lender Bronch
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Address City Zip
WATER CLOSET
Reinsp. Fee
COMPRESSOR HP
POLE, TEMP/PERAA
Owner/Agent
LAVATORY
Zip
HEATING SYSTEM FORCED GRAVITY
A;�FERES SERV ENT
S
SHOWER
Address
BOILER B.T.U.
SO. FT. @
0 " N C.N 5�h 0_,!�Iheck
BATH TUB
146
- I
SO. FT. @ c
Tel
WATER HEATER
Sewage System
T LL
Sewer District
Form 284-208 (Rev. 1/80)
SO. FT. RESID @I 'Aa
Addr.,; city Zip
THIS PERMIT SHALL BECOME VOID IF WdRK 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 CONNECT16N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS 6F RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
0 WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
SEWAGE DISPOSAL
SO. FT. GAR @ V44
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
Av
DBL.
TOTAL FEE W
.:
ni,
1.��QB.HM.FEE
I ,
I m, CRO FEE mECH. FEE
PL. CK. FEE
CONST. FEE ft,<T�
F /3
FE
'0,5
--
SMI FEE
FEE
T
PLUtB. FE —E
PERMIT
4 0 4'20'8 51
Job Adc!""y 5
d6EO Pace
Zip
t"I
Co....ity
A -�,j
Valuation
$ -
Dote
Dist.
111, F,C.C.
MH Permit Fee S
Micro Film Fee
Cop S
Use of Perin�.t
:��L k 4� C
No. e/Co,. No.
P'93 t2j�"
C"y
Mech. Fee DbI S
Pl. Ck. Fee S
Lot Si.e
Construction Fee DbI $
_A
Legbi Description
0
F 15 IS
I
R
Electrical Fee DbI $
Zone Restridons
Group
Type
SMI Fee S
Plumbing Fee
DbI S
19,
Bond Amt.
S
P Ion Checker
Fino;'Ki
';e�
( jinspecto,
Unit
Sp. Imp. Fee S
Demol. Fee
Const. Lender Bronch
Supplimental Permit Numbers
Regist, Fee S
Mileage Fee S
Address City Zip
Witness Fee S
Reinsp. Fee
S
Owner/Agent
Tel.
Zip
Toto.\Fees
S
'PI
Address
!City
Zip
0 " N C.N 5�h 0_,!�Iheck
:R- Z_
.c.. �ed
146
- I
Contra,
� )" \ , " \ I it. j
Tel
Licemien
Sewage System
T LL
Sewer District
Form 284-208 (Rev. 1/80)
'yt Aj
P
A"15�A�CCORDANUCE
Addr.,; city Zip
THIS PERMIT SHALL BECOME VOID IF WdRK 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 CONNECT16N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS 6F RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
0 WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION
DATE
INSPECTOR
I
NO.
OPERATION T
INSPECTOR
I
BUILDING APPROVALS
MECHANICAL APPROVALS"
I
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts 0
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. Clearonc
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection De�ice
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P.L.
Ej
43
Final
10A
Fireplace T.O.
E]
OFYN ADDITIONAL INFORMATION
NO.
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick
Value
7A Walls (som)
128 Ceili g (Botts)
12C Ceiling (Blown)
14 Final
PLUMBIt4Q-AI?I!ROVALS---.---,-..-
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater.
22 Water Softener
23 Water Ser�ice
24
25
Gas Test
Final
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
/0—z z Me)
28 Ser�ice Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final