360446 (ELEC)BUILDING PERMIT '
PERMIT NO. DEPARTMENT OF BUILDING 8r. SAFETY FIELD DIST
3 P6I) 4 4 6 COUNTY OF RIVERSIDE I �` I
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @
UNITS
2ND. FL.
FOR.
SQ. FT. @
Valuation
E
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
GAR.
CAR P.
SQ. FT. @
POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
WALL • ..
SQ. FT. @
F,e/Cose No.
DRINKING FOUNTAIN
SQ FT @
ESTIMATED CONSTRUCTION VALUATION
Pl. Ck. Fee $
_
URINAL
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
Type
GARBAGE DISPOSAL
FLY,,NACE UNIT WALL FLOOR SUSPENDED
Dbl E
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. @ c
BATH TUB
Witness Fee $
s. SQ. FT, @< c
WATER HEATER
Owner/Agent
SQ. FT. RESID @1'/.<
SEWAGE DISPOSAL
Zip
c
SQ. FT. GAR @ 3% c
HOUSE SEWER
Is
Address
_
GAS PIPING
PERMIT FEE
M.O. N.C. Cash EI Check
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE EL
. EE- SMI FEE
FEE PLUMB. FEE
PERMIT N(5. - '
360446
Job Address
, - '• '
- e- ,
.Space
Zip
Owner
Community
Aw.�.y"
Valuation
E
Date
Dist�
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of•PermiI
"-e;�. G-•Gr•/�.% wi i%e
Parcel No.
F,e/Cose No.
Ck. By
Mech. Fee Dbl $
Pl. Ck. Fee $
- Set hacks ..� ..r
-F
Lot Size
Construction Fee Dbl $
Legal Description
�
/b.,.^y i
�.:� , ,ryr
F 5
R
Electrical Fee Dbl $
Zone Res rictions
Group
Type
SMI Fee E
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final DatM-ns or
Unit
Sp. Insp. Fee $
Demol.Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers
i
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
" % l F
Tel.
Zip
c
Total Fees
Is
Address
_
City
Zip
M.O. N.C. Cash EI Check
Received by
Contractor -
-
- -
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 ALS CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE TH 6GT191V WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
HE LAWS OF RIVERSI CO NTY ND THE STATE OF CALIFORNIA. I
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5.541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78)
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 -
Ventilation System
2
Ftgs & Frms
34
Plenums 6 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 Wal 1- .
42
Commercial, Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O.
ONON
ADDITIONAL INFORMATION
'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade e,
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 f f
22 Water Softener
23 Water Service
24 Gas Test ;
25
Final I
'Tank Pit L.Line
,
PSL
REAR OF PROPERTY- LINE
i ELECTRICAL APPROVALS
P/
r
26 Power Pole
27 Conduit
28• Service Entrance
29 Wiring
29A Grounding Wire! '
29B Bonding y '
30 Fixtures
31 Service ,
32 FI nal ' a
STREET NAME
BUILDING PERMIT
PERMIT NO.DEPARTMENT OF BUILDING A SAFETY FIELD OFFICE
DST
1360446-1 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Date
d
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
4,SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Bond Amt.
$
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. @ C
BATH TUB
City Zip
_
` . C.
SQ. FT: 9„ti
WATER HEATER
Contractor
SQ. FT. RESID @ 11/. c
SEWAGE DISPOSAL
Sewage System
S0. FT. GAR @ %C
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELM. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
360446
JOG Address ` '-Szpai'e
-
Zip
2
Owner
Community .. . , „.
Voluattoo „ _
3
Date
d
Dist.
/�,
Off�.^'�
—z—
F.C.C.
MH Permit Fee $
Micro
Micro Film Fee Cop $
Use of Permit
' /'�
Parcel No..
Use/Case No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee $
Set Bocks
lot Size
Construction Fee Dbl E
Legal Description
'la, �+� I./�' � -71 .p�T,
F S
S
R
Electrical Fee _ Dbl E
Zone Restrictions
A?
Group
Type
SMI Fee E
Plumbing Fee Dbl b
Bond Amt.
$
Plan No.
Plan Checker _
I ctor
Unit
Sp. Insp. Fee $
Demol. Fee E
Const. Lender Branch
”
Supplimentol Permit Numbers
�7
Register. Fee - $
Mileage Fee $
Address City Zip
07T
Witness Fee
Reinsp. Fee E
Owner/Agent 001)
A
Tel. Zip
Total Fees $
Address
--a ^t
City Zip
_
M.O. 0 N.C. 0 Cash Che
Received by
Trees required
Contractor
'Tel.
License#
Sewage System
Address
City * Zip
f
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
,Sewer District FOR 120 DAYS SHALL AL CAUS5 PERMIT TO BECOME VOID.
+ A I HEREBY AGREE TH l:t7fflVll71>3Ft WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITO
LX THE LAWS OF RIVERSIDE COUNTY/AND 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.
�Form 284'2081Rev.8/78= .. ._ --