384218 (SPIN)384N218
PERMIT ,
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD V/ I
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SQ. FT. @
UNITS
2ND. FL. SQ. FT. @
Valuatio
1/7
_`�"
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Parcel No.
DRAINAGE PIPING
WALL SQ. FT. @
BMach.
DRINKING FOUNTAIN
SQ FT @
Set Backs
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Construction Fee Dbl $
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
Plan No.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
deal
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
Owner/Agent /
SQ. FT. @ C
WATER HEATER
4<
SQ. FT. RESID @ithC
SEWAGE DISPOSAL
Address
SQ. FT. GAR @ i:C
HOUSE: SEWER
Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
FEET
MOB. HM. FEE
MICRO FEE
MEICH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE ,
SMI FEE PLUMB.. FEE
City Zlp
PERMIT NO.
3842.8mss"
Job r
Space
Own
,� �,�
Com nit �/
G'� 4
Valuatio
1/7
_`�"
Dar /Disc
/
F.C.C.
MH. Permit Fee s
Micro Film Fee
Cop $
Vujerl,,
/�1...{i'j/y
Parcel No.
Use/Case
No. C
BMach.
Fee Dbl S
Pl. Ck. Fee =
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
a
F S S R
Electrical Fee Dial $
Zone R " tions
Group
Type
SMI Fee s
Plumbing Fee
Db1 $
Bond Amt.
$
Plan No.
Plan Checker
1
Final Data /Inspector
10--1-3—/
deal
Unit
Sp. Insp. Fee $
Demo]. Fee
$
Const. Lender Branch
Supplimental Permit Number
f�.•f . �`-
-
-
l
-
Registr. Fee $
Mileage Fee s
Address City Zip.
Witness Fee $
Reinsp. Fee
s
Owner/Agent /
Tel. -
Zip
4<
Total Fees
L
Address
City `�
Zip
Received
Contractor
'
Tel.
License#
Trees required
Sewage System
Address
City Zlp
I Sewer District
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:
1 ` 4N I HEREBY AGREE.THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
J THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 5O IN R^�
2B4 X08 (Ray.Fl/78) p s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE-OFTHE STATE OF CALIFORNIA. lv�qv/
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Ftgs & Frms
34 Plenums & Ducts
2A
Slab Grode.
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
1oA
Fireplace T.O.
OP'N
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 (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 LLine
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 j
PERMIT NO. DEPARTMENT OF BUILDING dr; SAFETY FIELD OFFICE DST
384218 COUNTY OF RIVERSIDE V/ I
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO.' PLUMBING FEES
1ST FL.
2ND. FL.
SQ. FT. @ $
UNITS
F.C.C.
SQ. FT. @
YARD SPKLR SYSTEM
FOR.
SQ. FT
MOBILEHOME SVC.
BAR SINK -
GAR.
SQ, FT.
POWER OUTLET
ROOF DRAINS
CARP.
SQ. FT. @
Electrical Fee Dbl f
DRAINAGEPIPING
WALL
SQ. FT. @
Fee S
DRINKING FOUNTAIN
SQ @
URINAL
ESTIMATED CONSTRUCTION "VALUATION $
Final Date
3
WATER PIPING
NOTE: Not to be used as property fox. 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
7e1. Zip.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Add,.
/�/
C,i! 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,JEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c.
BATH TUB
SQ. FT. @ e
WATER HEATER
SQ. 'FT. RESID @ 1 /, c
SEWAGE DISPOSAL
SQ', FT. GAR @ i; c
HOUSE SEWER
GAS PIPING
PERMIT FEEPERMIT
FEE
PERMIT FEE
DBL. FEES
MOS, HM. FEE
- MICRO FEE
MECH. FEE PL. LIL. FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB.. FEE
PERMITNO.
1384218
JobA s / Space
v�61L
Own
Com!2
Valuati
bat/ Di
F.C.C.
MH.Permit Fee f
'Micro Film Fee Cop >;
Use o er "f
/ /�
/ f(/ L lee,
Parcel No.
Ute/Cosa No.
Mech. Fee. DbI .f
Pl. Ck. Fee f
- Set socks
.Loi Size
Construction Fee Dbl f
Legal Desc iplio�0;70�5/ '�/y 'F
T%�
�I ��++
5 S R
Electrical Fee Dbl f
Zone R r ;ns
Group.
TypeSMI
Fee S
Plumbing 'Fee Dbl IS
Bond Amt.
f
Plan No.
Plan Checker
Final Date
3
rin ecror Unit -
:Sp. Insp, Fee f
Demol. Fee S
Const, lender Branch
Supplimental Permit Numbers
///
Registr. Fee f
Mileage Fee
Addiea City Zip
Witness fee f
Reinsp. Fee f
Owner/Agent f
7e1. Zip.
Total Fees f
Add,.
/�/
C,i! e
City �.. Zip
M.O..C. h Ch.>;f
Received b
Contractor
Tel. _
LicenseM
Tees required
Sewage System
Address
City Zip
T
Sewer District
Form
LL P 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.
1 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.
IEREBY CERTIFY THAT THE INDIV,IDOAL 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.
I s ,