369502 (SPIN)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
369502COUNTY OF RIVERSIDE
FIELD 0/1
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P. /
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
SQ. FT. @ '
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
SQ. FT. @ 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
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
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
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. @ t
WATER HEATER
SQ. FT. RESID @11/4t
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TTCkTAL FEES ,�j,
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE f ✓G1 FEE PLUMB. FEE
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
29A
29B
30
31
32
Ground Plumb
Water Piping
Rough Plumb
Vents
Sewage Disposal
Sewer
Water Heater
Water Softener
Water Service
Gas Test
Final SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
Power Pole
Conduit
Service Entrance
Wiring
Grounding Wire PSL PSL
Bonding
Fixtures
Service
Final
1
STREET NAME
PERMIT NO.
13695021s
Job Add ss
�
JL.f— fv�
Space
Z' kne,,
�
Commu icy (/�y i
j� �' i�
Valuation
$
i
Date
"
is
7/1-7
/
"'�"`•
F.C.C.
,
MH.Permit Fee E/
Micro Film Fee
Cop $
Use of Permit
i /i.✓ L-/T-�
Parcel No. /'/ j ,r
Use/Case No.
Ckk..". BBv \/'
Y6, 'S_
Meth. Fee Dbl E
PI. Ck. Fee $�
Set Backs
lot Size
Construction Fee Obl $
legal Description !j i•
V�-. •�.d.
[ ,.'�
,,__
F S S
R
Electrical Fee Dbl $
Zone Re ton/
Group
Type
SMI Fee.L6L-
Plumbing Fee
Dbl $
Bond Amt. -
$
Plan No.
'
Plan Checker
Final Date
irvpector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimentol Permit Number '
r,
Registr. Fee y
Mileage Fee $
Address City Zip -�
Witness Fee
Reinsp. Fee
§
�.=
•
Owner Ag nt 7.75�'
,
Tel. Zip
Total Fees
§
� 771,
Address .,+�
f��X`-�
City� � j\ �F � �f / Zip
M.O. N:G• Cas Check
Received by by
tom, ,q
Contractor
-
Tel.
License#
Trees required y
Sewage System
AddressCit
Y Zip
T LL •P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITH IN'120 DAYS. CESSATION OF WORK verified by:
:,Sewer District 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.
_ c+'
` 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.
Farm 284-208 (Rev.8/78OF
) -
4._, - ,�- 'W a ..... _.:y,. ,.:. •:,: _ .. __.e.;d ... ,4•.. -�. ._..v.._.. a.. {t ,... ..,.. .11, .. ,.►._. _, - 3«,.. e4... +3i.
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.
43
Final
10A
Fireplace T.O.
ONS
ADDITIONAL INFORMATION
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—"
_
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
7-3-7 l INSPECTION
ADDRESS
OWNER
BUILDING
,OBD A�Le
PLUMBING
REMARKSZ
OWNER/CONTRACTOR TEL.NO
SPACE N0.
I
I
COMMUN?l�
t
ELECTRICAL I MECHA ICAt
- EUUESTED
FOR:
-A.M.
P.M.
MON'
❑ TUf S
a WED
THUR
�.FRI
291-1 11J5