399490 (PLBG)BUILDING PERMIT
9 PERMIT 1C* DEPARTMENT OF BUILDING & SAFETY FIELD DST
COUNTY OF RIVERSIDE
9490
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
Owner
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used os 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
Use of Permit
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
U,./Co,.
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.
SO. FT. @
BATH TUB
5b. FT. @
WATER HEATER
SO. FT. RESID @ I %a
SEWAGE DISPOSAL
Restrictions
SO. FT. GAR @ 3/4 c
HOUSE SEWER
SMI Fee $
Plumbing Fee
Dist S
GAS
'41PING
PERMIT FEE
PERMIT FEE
P T 5E/7,,
DBL.
TOTAL FEES
1 1114 641
08. HM. FEE
IM
MICRO'FEE
1
MECH. FEE PL. CK. FEE
t CONST. FEE ELECT. FEE
SMInEE
#'FEE PLUMB. FEE
14 60
PERMIT NO.
Job Address
//
pp,
Space
I Zip
Owner
1 3994901
/#,/,
j— ,
-7
-
A
Con1munity
/1 11 7' z
/— /) " 2"4 /'t" I I
S
Dote
Dist.
k
Off.
-Z
F.C.C.
MH Permit Fee S
Micro Film Fee
Cop S
Use of Permit
Parcel No.
KYIJ��
U,./Co,.
No.
Ck. By
Mech. Fee DbI $
Pl. Ck. Fee S
Set Back,'-
-T
Let Si.e
Construction Fee Dist $
Legal Description
F
S R
j—
j //
/ r j,
Electrical Fee DbI $
Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dist S
Bond Arnt.
PIc;n No.
Plan Checks,
Final Date
InspeZ2
1 Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lander
Branch
Supplimental Permit Numbs
Regior. Fee $
Mileage Fee $
Address City Zip
Witness Fee S
Raimp. Fee
$
0
Tel.
Zip
Total Fees
S 7
/ /j .1,
4dres,
';7
City
Zip
M.O. [] N.C. E],Cosh Ej Citsck
Receivsd,b;p
Cc�nf,.ctor
License#
Tress 4q"'r'4-
S.wqsf�' System
Address
City
Zip
T LL -/.'- P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
-1EHEREBY AG:EE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
TH LAWS OF IVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
!BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Far. 284-208 (Rev. 1/80) 444 ACCORDANCE WITH SECTI ON 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
.No. -
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPEC;OR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Bock
33
Ventilcrtior� System
2
Ftqs & Frms
34
Plenums & Ducts
2A.
Slob Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
CombustioA Afr
5
Bond Beams
38
Compressor
�6
Roof Deck
39
Appl. Cleo once
7
Framing
40
Fire Damper;
8
Vents
41
Smoke Defection De�ice
9
Garage Fire Wall
42
Commeccial Hood,
10
Fireplace P. L.
43
F i 0�1
10A
Fireplace T. 0.
OFIN ADDITIONAL 4NFORMATION
NO.,
SEWAGE SYSTEM SIZE & LOCATION
if Exterior Loth
12 Internal Loth
12A Drywall
33 Finish Grade
INSULATION Thick
Value
Wolls (�crtts)
128 'Ceiling (Botts)
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
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
Conduit
28 Service 'E�tronce
29 Wir,!ng
29A Grounding Wire
29B Bonding
30 Fixtures
31 Ser�ice
32 Final
STREET NAME