368758 (ELEC)0WILulnv rcRmus
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD
368758 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
` '- NO.
ELECTRICAL -'FEES
Space
NO. PLUMBING FEES
IST FL.
2ND. FL.
SQ. FT. $
UNITS
Date
,@
SQ. FT. @ o/V.S7"' pv Ui/
YARD SPKLR SYSTEM
FOR.
GAR.
CAR P.
SQ. FT. @
Micro Film Fee
MOBILEHOME SVC.
Use of Permit
r
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BAR SINK
SQ. FT. @ POWER'OUTLET
ROOF DRAINS
SQ. FT. t @
DRAINAGE PIPING
WALL SQ. FT. @ .
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
t
Set Backs
Lot Size
d 1J
U
Construction Fee Dbl E
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
R
SWIM POOL, PVT
Zone Restrictions
i G
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Plumbing Fee
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Plan No. -•�
�/ ✓ ^
SIGN
Final Date
WASHER (AUTO)(DISH)
APPLIANCE DRYER
$p. Insp. Fee E
Dental. Fee
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Branch
Supplimental Per mbers
I_
j ('�� rq
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Addre.- +"r? City Zip
`.'J!,
IDLE METER
Reinsp. Fee
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Zip ,
WATER CLOSET
COMPRESSOR HP
$
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
M.O. N.C. Cash ,,Chec
AMPERES SERV ENT
:�..
SHOWER
BOILER B.T.U.
Tel.
'
SQ. FT. @ C
BATH TUB
Sewage System
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @ 1 t/. c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
:
PERMIT FEE
DBL.
TOTAL FEES _y MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
3687-58
Job Address . /j%,
e vra.e
Space
Zip
y
Owner
�vss •�
Community
k
Valuation
E
Date
Dist.
Off.
I F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop E
Use of Permit
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+�r ,r f; e �i./. j 7-,
-
"�a , r✓
Parcel No.
/ / `"
;--se/No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
t
Set Backs
Lot Size
d 1J
U
Construction Fee Dbl E
Legal Description
f-fr' i'•'.,.f 'rte. -,C„ .4,� "'v'4G �i+r�% .i�.
F S S C�
R
Electrical Fee Db1 $
Zone Restrictions
i G
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No. -•�
�/ ✓ ^
Plan Checker
�d +!' /'.ys,�,j
Final Date
Inspector /�'r�,�
ZLMW
Unit
$p. Insp. Fee E
Dental. Fee
$
Const. Lender
Branch
Supplimental Per mbers
I_
j ('�� rq
Registr. Fee $ —d
Mileage Fee $
Addre.- +"r? City Zip
`.'J!,
Witness Fee $
Reinsp. Fee
$
Owner/Age
r,
Tel.
Zip ,
Total Fees
$
Address -
�"'/ rj ..• `' ..,� ! ,
City
,/` i%" A-1 f '. ej F Ae -;t
Zip
M.O. N.C. Cash ,,Chec
Received by
:�..
Contractor L '•
_
Tel.
'
License#
Trees required
Sewage 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 CA .PER TO BECOME VOID. t
I HEREBY AGREE THAT AL EC710N�7TTH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND T STATE OF CALIFORNIA.
a ,� Cj i 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.
Form 284-208 (Rev.8/78) - -
- ,.. -� r. «. - .-✓ -..- .. -. �. -, r. �, �'�b. �:Y-'- a.. i1 e.. .. ..r. _ .i _. ..r. ._. �+.. _ p...... ...-. 11. --.. siei.S+•M .- .�Y fY _ 'w?... M'. ,r.
verified by:
r
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
/3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
F'roming
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. C]
43
Final
IDA
Fireplace T.O. ❑
P'
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
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/
S
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures O F Z
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND
TY OF"RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
��
)01
3140
ADDRESS SPACE NO
564- 0 q
OWNER
BUILDING PLUMBING
REMARKS:
I
u,nac-z-!,
OWNER/CON ACTOR T1EL.NO.
INSPECTION
REUUESTED
FOR:
A.M.
P.m.
MON
TUES
WED
k!5a]fHUR
FRI
1281-61 { 1 75
COMMUNITY
E -
(D .
ELECTRICAL
MECHANICAL
OWNER/CON ACTOR T1EL.NO.
INSPECTION
REUUESTED
FOR:
A.M.
P.m.
MON
TUES
WED
k!5a]fHUR
FRI
1281-61 { 1 75