360154 (SFD) Plan CheckBUILDING PERMIT
PERMIT NO.
360154
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
VL I
FIELD ;T
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. ZA14.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. (@ $
% UNITS
SQ. FT. ®
YARD SPKLR SYSTEM
Sq, FT. MOBILEHOME SVC.
BAR SINK
SQ. FT. ® je?� 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
Micro Film Fee
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
..
SQ. FT. @ c
WATER HEATER
Dbl $
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
> v✓
SQ. FT. GAR @ '/. c
HOUSE SEWER
SMI Fee
$
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
sa
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
so
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMR NO.
Job Address
- •_ -
Space Zip Owner
'
360154
-_
/
'
Community
i
Valuation
$
Dote
Dist. 10V —F.C.C.
MH Permit Fee
$
Micro Film Fee
Cop S
e f r "� )
/w /Ll
/71�/
` /I 4' /�
Parcel No. U e/
se No. Ck. By
Mech. Fee
Dbl $
{�
et Backs
' S .,r S R
Lot Size
Ty
PI. Ck. Fee $(
Construction Fee Dbl $
legal Description F
Electrical Fee
Dbl $
> v✓
Zone Restrictions Group
'
SMI Fee
$
A?l - -9, e, -7�
Plumbing Fee
Dbl $
Bond Amt.
PlanI'V
n ecke
Final Dote �j-
Inspector
Unit
Sp. Insp. Fee
$
$
Demol. Fee
$
Const. Lender
Branch
Supplimentol P Numbers
�je��
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
24z <,
Address
City
Zip
M.O.n N.C.171
C.,hn Chec
contractor
Tel.
License#
Received by
Trees require
,r,.
�% t✓ _,,,,
Sewage System
Address r r
City
Zip
P
Sewer Distrii t
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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.
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.
verified by:
NO.
OPERATION, . DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 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
10A
Fireplace T. 0.
OP'N
NO.
_
ADDITIONAL INFORMATION
I
l
i
SEWAGE SYSTEM SIZE & LOCATION +
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls Patti)
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/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT FIELD OFFICE
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
DST
360154 COUNTY OF RIVERSIDE M;/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. 1416
2ND. FL.
POR.
GAR.
CAR P.
WALL - -
ESTIMATED CONSTRUCTION
SQ. FT.
SQ. FT. @
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
SQ. FT. @ ee-1 POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
'
SQ. FT. @
DRINKING FOUNTAIN
SQ FT @
URINAL
VALUATION Is
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
Electrical Fee Dbl f
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
SQ. FT. @ c v
WATER HEATER
S0. FT. RESID @1'/.c
SEWAGE DISPOSAL
Mileage Fee f
SQ. FT. GAR @ s/. C
HOUSE SEWER
Reinsp. Fee
f
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
S SQ
MOB, HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
S -O
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
360154
Job Address�/ COy//
- OAD O
Spate
Zip Ow r
Community
Valuation -
f
Dote
I
Dist.
0
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop f
se o Par it
/
`-,.�� e
K/ � ,+
Parcel No.
Use/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee f
Set Backs
F 5-1,3
S �
tot Size
R
J4R Al
Construction Fee Dbl f
Legal Description j�
/Zone
47 i+� wD
Electrical Fee Dbl f
Restric'�s
opT
SMI Fee fV
Plumbing Fee
Dbl f
Bond Amt.
f
Plan No.
a Checl r i
Final Date
=I
Inspector
Unit
Sp. Insp. Fee f
Demol. Fee
f
Const. Lender Branch
Supplimental Permit Numbers
Registr. Fee f
Mileage Fee f
Address City Zip
Witness Fee f
Reinsp. Fee
f
Owner/Agent
•/
Tel.
Zip
Total Fees
f
Address 1 f't `r
.�.
!
City
i
Zip
M.O. N Cash Chec
Received by
Trees required
Contractor - / �� //�}�/►'
Tel. /
License#
Sewage System
Address
City /
Zi p
T
Sewer District
Form 284-208 (Rev.8/78) -
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verifled by:
FOR 120 GAYS SHALL ALSO R IT TO OME VOID.
I HEREBY AGREE THAT A O NECTIOI�WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AN HE 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.