368658 (ELEC)PERMIT t40.
368658
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD D
'CONSTRUCTION
ESTIMATE
NO. ELECTRICAL -FEES
NO. PLUMBING: FEES
1ST Fl.
2ND. FL:
POR.
'GAR.
CAR P.
SQ. FT. @ $
UNITS
Valuation
:�/
SQ: FT.
YARD SPKLR SYSTEM.
SQ FT @ MOBILEHOME SVC.
BAR SINK
SQ, FT. 0 POWER OUTLET
ROOF DRAINS
SQ. FT, Q
DRAINAGE PIPING ,
WALL SQ. FT: @
SQ FT @
ESTIMATED CONSTRUCTION VALUATION: $
nisrL T
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used or. property tax valuation
SWIM:POOL, PVT
FLOOR, DRAIN
MECHANICAUFEES
swim POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL '. HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
/,(
I.:d�- j ...iC.✓.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
R
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
Branch
SQ. FT. RESID @1 t/4C
SEWAGE DISPOSAL
Regisir. Fee $
SQ. FT. GAR @ % C
HOUSE;SEWER
Witness Fee. $
Reinsp. Fee
$
GAS PIPING
PERMIT.FEE:
PERMIT FEE m
PERMIT FEE
DBL. -
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH, FEE PL. CK. FEE
CONST.,FEE ELECT: FEE
SMI FEE
'FEE PLUMB. FEE
PERMIT NO.
3686-58
Job Address
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SpaceZip
Owner,, ,. • '
Community - -
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Valuation
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-
Date
Dist. 1
OR.
F.C.C./
MH.Permit Fee =
Micro Film'.Fee
Copt
Use,of Permit
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Parcel No:
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Use/Case No. Ck. By
Mech. Fee Dbl { -
PI. Ck. fee ;
Set Backs
Lot Size
,
Construction Fee DbL $
Legal Description
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F 5 S
R
�Electricol Fee Dbl =
Zone Restrictions
- /
Group
/(�' j
Type��/'
,—A/
SMI Fee =
'Plumbing Fee
Dial S
Bond Amt:
$
Plon'No.
Plan Checker
Final Date
Inspector
Unit
Sp. Insp. Fee $
-Ddmol. Fee
$
Const. Lender
Branch
Supplimen I rmit Numbers
c
- - -
-
Regisir. Fee $
Mileoge;Fee s
Address - City- Zip
-
Witness Fee. $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip '
Totolfees-
i'
Address
City
Zip
-
WO. N.C. El Cash Chec
Received by
Contractor
t-
r.✓�"
- r''
Tel.
License#
+V
Air
Trees requlred
Sewage System
Address
-
Ci N
Zip
•
T LL P THIS PERMIT SHALL BECOME,'VOID IF WORK.IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
District A' FOR 120 DAYS ,SHAU.-ALSO CCAA PER i0 B OME•VOID.
! t t I,HEREBY'AGREE THAT AIE�RK TH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE' COUNTY AND E STATE OF CALIFORNIA.
.�o I 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.
arm 284-208,(Rev. e//7/ B -
NO.
OPERATION DATE
INSPECTOR
NO:
OPERATION
DATE INSPKTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back-
33
Ventilation System
2
Figs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Compart.
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.O. ❑
ONPON
ADDITIONALINFORMATIOM
SEWAGE SYSTEM SIZE & LOCATOON
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final-
--- ---___-PLUMBING APPROV-ALS--
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents t
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
00
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
OC
W
Z
O
APPLICATION FOR TREE PLANTING
1 (we), the undersigned, hereby certify and acknowledge that I'(we) have read the application and agree that if trees are req���red under River-
side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no fFa'al inspection
will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is a reed 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 roes have to be removed due to lot line errors. /
Owners Name ,A2,VXJWN 'aZ- Building !Ps °it No.
Mailing Address ' Ci,y ca".Ay ml-sta1,11e, C,4 Zip 92 L Z
Job Address 3 �� � Community
Legal Description. 1.0-� e
Assessor's Map, Book & Page '7 % Y Y� �cp t T, Type Structure W
Type of Soil Z.Is water availablei�E� Road Dept. Plot Plan No.
Type of existing trees in road right—of—way
Trees preferred by applicant (1)AJP.aClc�r.J �i4!✓ (2) gfZZAl-e.
Date% Owner's Signature
Planning Commission Case No..
ROAD DEPARTMENT APPROVAL
-.Approved species CPratnni,a ci]iniia (rarpb) Number of trees 1
°<t Spacing of trees Distance frm lot lines: Front gr in REGI Bide
�o Additional requirements Per plot plan on reverse. No .street trees will be planted
within 10 of driveways.
as
04.
Z W
= O
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LQ cz
Date Building and Safety notif
REQUEST FO
Reason
Signa
Request for hearing: YES [-I(attach additional page if necessary)
Owner's Signature
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
Concur ❑ Non -concur ❑ Explanation
Date Signature
Road Dept.
Concur ❑ Non -Concur ❑
Dote Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established Date hearing notice mailed to owner
Approved ❑ Disapproved '❑ Date Owner notified of decision
Date Building &.Safety notified Signature