360376 (RPL)DEPARTMENT OF BUILDING AND SAFETY o COUNTY OF RIVERSIDE
OFFICE I D�_ ME /qERMIT NUMBER
�/ I INSPECTION
ADDRESS
SPACE NO.
OWNER
------------------
BUILDING PLUMBING
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REMARKS:
OWN ER/CON TRACTOR TEL.NO.
COMMUNITY
/6, Q
ELECTRICAL MECHANICAIL
REULIESTED
FOR:
FIA.M.
P.M.
IWON
TUES
WED
THUR
FRI
284-" 11/7S
DEPARTMENT OF BUILDING AND SAFETY o COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
?- / */ I / 0 1 1 INSPECTION
ADDRESS yi SPACE NO.
OWNER
BUILDING
REMARKS:
COMMUNITY
;eal Q
PLUMBING ELECTRICAL I MECHANICAt
v
REQUESTED
FOR:
A.M.
P.M.
TUiS
WED
THUR
F� FRI
OWN E R/CON TRACTOR TEEND.
29444 ti/75
DEPARTMENT OF BUILDING AND SAFETY 9 COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
INSPECTION
ADDRESS
OWNER
BUILDING
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SPACE NO
COMMUNITY
PLUMBING ELECTRICAL MECHANICAL
REMARKS:
CIA)
OWN E R/CON TRACTOR TEL.NO.
REUIJESTED
FOR:
A.M.
P.M.
E3 MON.
ES
WED
THUR
FRI
284-" 11/7S
DEPARTMENT OF BUILDING AND SAFETY e COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
INSPECTION
REUUESTED
ADDRESS SPACE NO. FOR:
OWNER
BUILDING PLUMBING
REMARKS:
9
COMMUNITY
ELECTRICAL
OWN E R/CON TRACTOR TEL.NO
CAIL
P.M,
El NON
TUES
WED
THUR
FlIFRI
DEPARTMENT OF BUILDING AND SAFETY e COUNTY OF RIVERSIDE
OFFICE
DATE
TIME
PERMIT NUMBER
INSPECTION
DCr,l 1CCTPr)
ADDRESS
.210
OWNER
BOILD!NG
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sh o
I PLUMBING
IROOL- 1
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REMARKS:
OWNER/ CONTRACTOR TEL.NO
SPACE NO
COMMUNITY
L A a I r�-r(A,
ELECTRICAL I MECHANICAt
FOR:
A.M.
P.M.
WED
THUR
-0
FIFIRI
28446
DEPARTMENT OF BUILDING AND SAFETY 9 COUNTY OF RIVERSIDE
OFF DATE TIME PERMIT NUMBER
INSPECTION
REUUESTED
ADDRESS SPACE NO. FOR:
IJ-< - q�, <-
I v
OWNER COMMUNITY
Z,
BUILDING PLUMBING ELECTRICAL
REMARKS:
pal>V — polf,-%,r,-��
OWN ER/CON TRACTOR TEL.NO
L A.M.
P.M.
MECHANICAIL
MON
Jvw
TUIES
F WEI)
THUR
Fl* FRI
284-46 ti/75
PERMIT NO.
360376
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
DST/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Job Address�S
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
Zip Owner
2ND. fl. SQ. FT. @
360376
YARD 4PKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. @
Comttl nity
...
POWER OUTLET
0�4 1
ROOF DRAINS
GAR. SQ. FT. @
Off.
F.C.C.
CAR P. SQ. FT. @
$
DRAINAGE PIPING
WALL SQ. FT. @
•
DRINKING FOUNTAIN
SQ FT @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
d
/t»'Backs
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Use/Case No.
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Legal Description F
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Construction Fee
Dbl $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
e
Type
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
$
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B. T: U.
SQ. FT. @ c
BATH TUB
�«
SQ. FT. @ .C,
WATER HEATER
Plan Checker
SO. FT. RESID @I$/. c
SEWAGE DISPOSAL
SO. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
j PERMIT FEE
DBL.
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE E
. FEE
SMI FEE
FEE PL B. E
—(/ `�
Demol. Fee
$
Const. Lender
'Branch
Supplimental
Permit Numbers
Regisir. Fee $
PERMIT NO.
Job Address�S
v
/ 1 J t'"
�V V
Space
Zip Owner
360376
.
Comttl nity
...
- Valuatio/n
0�4 1
Dote
1
Dist.
Off.
F.C.C.
MH Permit Fee
$
•
Mucro Film Fee
Cop $
Use of Pe mit
/t»'Backs
Parcel No.
*
... Ci0
Use/Case No.
Ck. By
Meth. Fee Dbl $
PI. Ck. Fee $
Lot Size
Legal Description F
S S R
Construction Fee
Dbl $
,
Electrical Fee Dbl $
Zone Restrictions
Group
p
e
Type
SMI Fee
$
Plumbing Fee
Dbl $
Bond Amt.
Plan No.
Plan Checker
Final D.�///t
Inspec
Unit
Sp. Insp. Fee
$
$
—(/ `�
Demol. Fee
$
Const. Lender
'Branch
Supplimental
Permit Numbers
Regisir. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
S
Owner/Agent
Tel.
Zip
Total Fees
$
Address
City
Zip
M.O.0 tJ.C.
Ccrthn Check
Received by
Contracts
Tel.
License#
Trees required
-
3
Sewage System
Address
�
City-
Zi
A J
7
i
' T LL P
Sewer District
IForm 284-208 (Re,8/78, -
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSQROUSE.PfRMIT TO BECOME VOID.
I HEREBY AGREE THA tJAL'WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY A D 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.