388037 (ELEC)rIFPERMIT NO.
388-037
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
CONSTRUCTIQ4 ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.. SQ. FT. @ $
UNITS
Zip Owner
2ND. FL. SQ. FT. @
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ, FT, @
POWER OUTLET
ROOF DRAINS
CAR P. SQ, FT. @
Da1e
DRAINAGE PIPING
WAIL SQ FT @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION 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)(PISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL 'FLOOR SUSPENDED
PI. Ck. 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.
SO. FT. @ c
BATH TUB
SQ. FT. @ - c
WATER HEATER,
Plan No.
SQ. FT. RESID @1 he
SEWAGE DISPOSAL
Inspector it
SQ. FT. GAR @ V. c
HOUSE SEWER
Const. Lender Branch
Supplemental Permit Numl ee -
� � ��
Registr. Fee 3
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FE
MOB. HM. FEE.
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. ,FEE - CT. EE
SM FEE
FEE PLUMB, FEE
M.O. N.C. El cash Che
Received by li
Cvntrac r -
Tel.
License#
I 1
Sewage System �
Address
PERMIT NO.
Job Address Space
Zip Owner
o C o
~
�.�
3
Community
Gdk
Valuation
$
Da1e
Dist.
Off, JIF.C.C.
MH.Permit FeeS
Micro Film Fee. Cop Z
Use of Permit
ParcelNo.No.
Use/Case No,
Ck. By
•
Mach. Fee Dbl $
PI. Ck. Fee
Set Backs
Lot Size
F S s S
R A
Construction Fee Dbl S
Legal De cription
�.� l r
Yectrical Fee Dbl f
Zone RestrictionsGroup
Type
SMI Fee 9
�... Vc- v `;.:
Plumbing Fee Dbl E
Bond Amt.
$
Plan No.
Plan Checker
Final Date
19-6 ` D
Inspector it
- Sp. Insp. Fee $
Demol. Fee =
Const. Lender Branch
Supplemental Permit Numl ee -
� � ��
Registr. Fee 3
i Mileage Fee s•
Address City Zip
r
Witness Fee $
lwc�, n
/ /
Reinsp. Fee j
O nes/Agent
Tel. Zip
Total Fees: $
Addro -
ao
City Zip
M.O. N.C. El cash Che
Received by li
Cvntrac r -
Tel.
License#
i Trees required
Sewage System �
Address
City Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITH IN'l20 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
T U. P
-Sewer District
_
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
CCORDANCE WITH.SECTION 5541 Of. THE BUSINESS AND PROFESSIONS CODE OF THE' STATE ,OF CALIFORNIA.
• Form 284-208 (Rev.9/7B)
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, C]
43
Final
IDA
Fireplace T.O.
FI
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
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
PSL
REAR OF PROPERTY LINE
K
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final So
i 71 STREET NAME
BUILDING PERMIT
i Ir PERMIT No. Job Address Space Zip Owne
8 8 o iV Valuation Dore
Dist. F.C.C.
Com unity r }K ,
iNH;Permitfee E "
y
Mrc`tg,Film Fee—Cop
PERMITNo:
Use of Permit
-
DEPARTMENT OF BUILDING A SAFETY
FIELD C)htlC t
iN: ,fee $
Set socks
Lot -site
-_
Con taction Fee Dbl Z
COUNT Y•"OF'RIVI;RSIDE
R {•
�
.
Electrieal'Fee 'D61 ;:
O
Group
Type
11(
="
CONSTRUCTI ESTIMATE
NO. ELECTRICAL FEES
NO.' PLUMBING FEES
UNITS
Dbl ;
IST FL SQ. FT. @
Plan No.
Plan Checker
Final Dat
Irr tor
YARD�SPKLR SYSTEM
POR. SQ. FT.
MOBILEHOME SVC.
BAR SINK
' GAR. SQ. Ff. @
POWER OUTLET
ROOF DRAINS
='CAR P. SQ. FT.
DRAINAGE PIPING
WALL ®
S
DRINKING FOUNTAIN
SQ. FT::Q
-
URINAL
ESTIMATED CONSTRUCTION VALUATION S
WATER PIPING
NOTE:. Not to be used as properly fox valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
wgmNCE DRYER
GARBAGE DISPOSAL
URNACE. UNIT WALL FLOOR SUSPENDED
r
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T•U_
TEMP USE PERM)T.SVC
WATER CLOSET
GC(MPRESS&aTiM"' HIP
POLEJEMP/PERM
LAVATORY
NE ITING�SYSTEM FORCED GRAVITY
AMPERES SERV ENT
'SHOWER
9011ER ; B.T.U.
SQ..FT., 0 C
BATH TUB
SQ: FT. @ t:
WATER HEATER
Address
FT. RES)D @) V, c"' „
SEWAGE DISPOSAL
- '
SQ. FT'. GAR' Q i'. c
HOUSE.SEWER
GAS PIPING
PEWIT FEE
PERMIT FEE
PERMIT FEE
DBL,
TOTAL FEEMOB.HM.FEE
MICRO FEE
MECCH. tf PL._!CK.,FEE
'CONST. FEE
FEE SMI FEE
FEE PLUMB. FEE
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 '01 CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
_o
CCORDANCE WITH SECTION 5541 OF TiiE. BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284408 (Rev:W$) P
i Ir PERMIT No. Job Address Space Zip Owne
8 8 o iV Valuation Dore
Dist. F.C.C.
Com unity r }K ,
iNH;Permitfee E "
y
Mrc`tg,Film Fee—Cop
- Cop j
Use of Permit
-
Parcel Ne• _ Use/Cose No. Ck,. By
-7
Math, Fee. D.bl, E
iN: ,fee $
Set socks
Lot -site
-_
Con taction Fee Dbl Z
Legoi Description
Zone
R {•
�
.
Electrieal'Fee 'D61 ;:
Restrictions -
Group
Type
iIumbing Fee
Dbl ;
Bond �'mt. _
Plan No.
Plan Checker
Final Dat
Irr tor
Unit
Sp _Insp. Fee
f
f
Oemoi: Fes
S
Const. Lender Branch
--
1upplimenigl Permit Numbers
-
1 /,Z
Reglstr. Fee
MtleWe Fee i
Address - � -CSity Zip
•' - -
WMess Fee
i.
_ t > -
_-
Reinsp.,'Fee
$M
- -
nar/Age ' '�
741. Zip
-
Toto) Fees,+`"
. :�. -
Address
` Cay Zip
Aka -
N.C. Ifh 0 Ch
rZ
Rd"ceiVeB:by
Cantrac of
Tel-- -
License#
Tree_y required
Sewage System
10
Address
City Zip
`C T
LL P
THIS PERMIT SHALL BECOME VOID 1F WORK IS NOT COMMENCED. WITHIN 120 DAYS; CESSATION OF WORK verified by:
FOR 1'20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
Sewer Diatricl
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
'
THE 'LAWS OF RIVERSIDE COUNTY AND THE STATE '01 CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
_o
CCORDANCE WITH SECTION 5541 OF TiiE. BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284408 (Rev:W$) P
— —
o:
W
3 -
O'
if .
R, APPLICATION FOR TR.EE'PLANTING
I (we), the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if trees are regyired_ under .River-
side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final inspection:
will be given until said requirements have been met or exception has-been granted by the County. Now, therefore, it is agreed that the prop-
erty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of
Riverside shall assume no responsibility should trees have to be removed/due to lot line errors. o �/
Owner's Name 0 clef • Qr �we� -f Bull ihg Permit No. O
Mailing Address. 70 City yard 1� 40t±Stat Zifi—gUFsL
Job Address 9 Communit
Legal Descriptio
Assessor's Map,, _Baack�& Page --7 ::k— % %-'L- — 0 0 '� Type Structure
Type of SoiLAif2 .waver available - le.MFRoad Dept. Plot Plan No.
Typeof existing trees in road right,-!,6fy
Tress preferred by applicant (1) ANL
��'r1 (2) (3) G
Date Owner's Signature
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
Approved species Ceratonia.siliqua (Carob) Number of trees_
d Spacing of trees Distance from lot lines: Front 2' in R/W_Side
G a Additional requirements Per plot plan on reverse. No street trees will hP p]antiad
- within 15' of driveways.
Date Building and Safety notified 3/80 Signature
REQUEST FOR EXCEPTION
Reason
OF
= W
LL
eT
a6 t.:
v
Z.•
=4
4 W
J
IL
esss,
Request for hearing: YES ❑
Owne'r's Signature
(attach additional page if necessary)
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
Concur
Date
Road Dept.
Concur ❑
Date
Non -concur M Explanation
Signature
Non -Concur ❑
Signature
Date hearing established .
Approved O Disapproved ❑'
Date Building & Safety notified
REQUEST FOR HEARING AND. COMMITTEE DECISION
Date hearing notice mailed to owner -
Date Owner notified of decision
Signature