354548 (SATT)I5Y1LNIpV MCKM11
PERMIT NO.
3 5 4 5:4:]8
PERMIT NO.
DEPARTMENT OF BUILDING 8 SAFETY'..FIELD - c•
Job Address
7 / � 1144 4,.r ,5 yJ.c'eeF'
DST
Owner
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5 4 5
3 4 8
COUNTY OF',RIVERSIDEf
Valuation
E�.7�7�
-
r CONSTRUCTIONNO.
ESTaI�MATE_.,_:;,...
ELECTR FEESNO.A.
,.PLUMBING,
FEES
j
0l� �.'
UNITS
Cop $
IST FL.It SQ. FT. @
-F;r �"/ a
-irk /711 r5+¢'s,;;~
Parcel No. J • « . ••
Use/Cole No.
2ND. FL. ' SQ. FLS@ . _
_ .. _.
"
YARD SPKLR SYSTEM
- � .
Set Backs
,�
FOR. 1 SQ. FT. @�,
MOBILEHOME SVC
BAR SINK
r ` '+r••
F 5 5
L: '•' ;�«'!
POWER OUTLET
ROOF DRAINS
Zone Restrictions
- ..
GAR. :r + SQ. FT. @
Type
'y
,
SMI FeeEp
CAR P. SQ. FT. @
Dbl $
DRAINAGE PIPING '
Bond Amt.
$
WALL SQ. FT. @.'
DRINKING FOUNTAIN
SQ. FT. @ '
Inspector
URINAL
{
ESTIMATED CONSTRUCTION VALUATION $ .' G. Li
Demo!. Fee
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Supplimental Pe it Numbers-
•'
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Address - Cit y Zip /�
VrENT SYSTEM FAN EVAP'COOL~&'"�H•HOOD`4";* "y"10"�'"_'3'
*'.;,P$k'`^SIGN `""�°**Wt'
WASHER"(AUTO)(DISH)',
APPLIANCE +' * DRYER 4� i`� ' rti " . 'rte ..o f
i GARBAGE DISPOSAL -
-
FURNACE UNIT WALL- FLOOR SUSPENDED :
`y^ f'Z
LAUNDRY TRAY,
Total Fees
AIR HANDLING UNIT .; �.' CFM '` - j '
IDLE METER tit
KITCHEN SINK
'
ABSORPTION SYSTEM ==�' ,. ', B.T.U.
^;
TEMP USE PERMIT SVC
WATER CLOSET
M.O. N.C. n Cash C ck r�
COMPRESSOR •HPf
POLE,TEMP/PERM '
` LAVATORY
Comiractyr h
HEATING SYSTEM FORCED/;,: , -'GRAVITY v
AMPERES SERV ENT ` r
; SHOWER
BOILER B.T.0
SQ. FT. @ t
BATH TUB
+'• t.
i.0 _ - '1, < ...r-- •
• SQ. FT.'Q '�`. ..
+t
1 WATER HEATER.♦'.;,
City 'p Zip
'
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
`
SQ. FT. GAR @ s/. t
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
,,k„y
DBL.
TOTAL
MOB.HM.FEE
'MICRO FEE MECH. FEE
PL} CCK. FEE
CONST. FEE- ELECT. FEE
SMI FEE � -
� � FEE
PLUMB. FEE
'.�y
LFFEES
PERMIT NO.
3 5 4 5:4:]8
'
Job Address
7 / � 1144 4,.r ,5 yJ.c'eeF'
Space Zip
", ? 'Art
Owner
� Ir"% ,o —J#
_
Community v ,�
I•I„'r' `P�'
Valuation
E�.7�7�
-
Date •�
rDist.
Off..F.CC.
MH.Permit FeeE
Micro Film Fee
Cop $
Use of Permit s ^ r✓
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lkPI.
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-irk /711 r5+¢'s,;;~
Parcel No. J • « . ••
Use/Cole No.
Ck By'.
Mech. Fee Dbl E
Pl.Ck. Fee $ w �d
Set Backs
Lot Si .? -
`.,,w�1•�• '
Construction Fee Dbl E
Legal Description-
a�s•g / ,�+� ,i.� '
GeC 0� rrbw!l' r f•-��/i«t �'
r ` '+r••
F 5 5
L: '•' ;�«'!
R y
F
Electrical Fee Dbl $
Zone Restrictions
- ..
Group
Type
'y
,
SMI FeeEp
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.,
Plon cker
Final Date
Inspector
Unit
{
Sp. Insp. Fee $
Demo!. Fee
$
Const. Lender
Branch
Supplimental Pe it Numbers-
•'
Registr. Fee $
Mileage Fee $ ,
Address - Cit y Zip /�
Witness Fee $
Reinsp. Fee
$
Owner/Agent. °
•'
•,�
-
Tel. - ..•
ilip-
Total Fees
$ loor
Address : +�` l�
r 1
••(
City- +
• f - r
Zip -
M.O. N.C. n Cash C ck r�
Received by
1 ,
�,♦,
Comiractyr h
Tel. Z, �;
License#
Trees required
Sewage System
+'• t.
Address w
City 'p Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CEr ATSON•OF WORK verified by:
Sewer District r FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. l
wL l HEREBY AGREE-THA�T ALL.WORK IN CONNECTION WITH.THIS.pERMIT W4L,L.BE;DONE IN A�GORQANCE..1L11,17H a fi _ =� y •
E LAWS OF RIVERSIDE COUNTY AND THE STATE OF, CALIFORNIA. rq.„ . ' F///�•(//
• I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN 3
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) ...` ,. t ; ;K.. .. a its q_• .. d-. _.,t !`..
Y � -
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 6 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
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
IDA
Fireplace T. 0.
P'N
ADDITIONAL INFORMATION
'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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
PSL
REAR OF PROPERTY LINE -
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME