375766 (SPIN)BUILDING PERMIT J
PERMIT NO.
13757661
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
F/;/;-]
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
$Q. FT. @ $
UNITS
Dist.
$Q. FT. @
YARD SPKLR SYSTEM
$Q. FT. ® MOBILEHOME SVC.
BAR SINK
$Q. FT. @ POWER OUTLET
ROOF DRAINS
$Q. FT. @
DRAINAGE PIPING
$Q. 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
Fi I Dote
—L(—
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Sp. Insp. 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
nii
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 & 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. E]
43
Final
IDA
Fireplace T. 0. ❑
No
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 (Botts)
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
PERMIT NO.
375766
DEPARTMENT OF BUILDING t& SAFETY FIELD OFFICE DIST
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
Valuation
SQ. FT. @
YARD SPKLR•SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @'
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax'voluation
SWIM POOL, PVT
FLOOR DRAIN
-MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plan Checker
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
LAUTJDRY 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
Received by
SQ. FT. @ c
WATER HEATER
License#
SQ. FT. RESID @lt/.c
SEWAGE DISPOSAL
Add s
(5-y
SQ. FT. GAR @ 1%c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT F
DBL.
TOTAL FEES.,
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE EE PLUMB. FEE
PERMIT NO.
3 7 5.7 6 6
Job Address Q s Space
-- `� d9 c r` i�� ter'
Zip
z.c-�
Owner
�a C-4 � rL- .
Community It
Valuation
Date
Dist.
Off.
I F.C.C.
MH.Permit Fee $
Micro Film Fee Cop $
Use 9j Permit
r•�J mac- Cry` -ice ,� ,��
Parcel No. Use/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description ` `
�7- �� ��P
vL
F S S R
Electrical Fee Dbl E
Zone Restrictions
Grou
T e
YP
SMI Fee E
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Fi Date ^�
Inspectoo
U
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Supplimental Permit Numbers ,
Fee $
Mileage Fee $
e
Mileage
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/A gert
n
Tel. Zip
Total Fees $ 40
`Address
City Zip
M.O. Q N.C. n ash Check;I
Received by
Corri� dor. �++
K - / { 7
Tel. •.`�
9 3" / Q 7
License#
Trees required
Sewage System
Add s
(5-y
Ci , Zip
�
(
T LL P
Sewer District
J
Form 284-208 (Rev./78) pOs
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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.