375836 (SPIN)BUILDING PERMIT
PERMIT No. DEPARTMENT OF BUILDING & SAFETY D T
375836 COUNTY OF RIVERSIDE FIELD //
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @
UNITS
ic �d �, �'
2ND. EL. SQ, FT.
1
//lf %
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ, FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT, @
DRAINAGE PIPING
WALL SQ. FT. @
Parcel T No. /� %�
f -1�-k — `c) V
DRINKING.FOUNTAIN
SQ. FT. @
No.
URINAL
ESTIMATED CONSTRUCTION. VALUATION $
P_ I. Ck. Fee $'
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
Zone Restrictions
R
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SMI 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
SQ. FT. RESID @1'ht
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/rc
HOUSE SEWER
Address City Zip
Witness Fes $
Reinsp. Fee
GAS PIPING
PERMIT FEE
Owner/Agent
PERMIT FEE
PERMIT F r
DBL.
TOTAL FEQS
MOB. HM. FEE
MICRO FEE
'MECH. FEE PL. CK: FEE
CONST. FEE ELECT. FEE
SMI FEE'
PLUMB. FEE
0
. ,
Zip
I
Received by
7'IrE
.
PERMIT NO.
3 7 5 8 3 6
-
Job Address
�'6 ; -
Space Zip
� zs
Owner
e�
ic �d �, �'
Com.{nuniry „y
1
//lf %
Valuation
,S
Date
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permi -
2 (`•• + /+ ry G �f
Parcel T No. /� %�
f -1�-k — `c) V
Use/Case
No.
Ck. By
Mach.. Fee Dbl $
P_ I. Ck. Fee $'
Set Backs
Lot Size
Construction Fee Dbl =
Legal Descrn/ L'i
p T
/�
L f �r
=
.'S"
-
jf `
F
5 S
R
Electrical Fee Dbl $
Zone Restrictions
R
Group ?
Typ�,�.�
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan
No...,_
r=
.Plat�{tecker
Final Date
qq `'�
/"V --)I
Inspec r
Unit
Sp. Insp. Fee $ -
Demol.; Fee
$
Const. Lender
Branch
Suppli n ermit Numbers
I
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fes $
Reinsp. Fee
$
d
Owner/Agent
_
Tel.
Zip
Total Fees
_'Address
. ,
Zip
M.O. N.C. Cash Check
Received by
Con!Pcto
r
Tel.
LiceneeY
Trees required
Sewage System
.Address
City - 1
Zip
. T' LL P
Sewer District
m'284-208 ( B) s
r.r 6
THIS PERMIT SHALL BECOME-VOID+-<ORk IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR120 DAYSSHALL 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 $O IN
ACCORDANCE WITH SECTION 554T'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
Ser Back
33
Ventilation System
2
Figs 8 Frms
34
Plenums 8 Ducts
2A
Slob Grade
35
Furnace Compart.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
::9i 4,06.4q39
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. 0
GP'N
NO.
_ -
ADDITIONAL INFORMATION
- - - - - - - - - - - - -- - - -
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Botts)
12B Ceiling (Baits)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb - - - - -- - -
16 Woter 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
P/L P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
PERMIT NO,
375336
PERMIT NO.
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
DST
Co unity 1
a+/B/ / %�
3 �7 C p L+
COUNTY OF RIVERSIDE
Dist. Offff..�++ F.C.G.
Micro Film Fee
1 JCOONSrTJRUCTION
Use of Perms* ;Parcel
� / � �
No. /
1 el/4 — 40
Use/Case. No.
Ck. By
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
SQ, FT, @ $
UNITS
f S S R
2ND. FL. SQ. FT. @
Electrical Fee Dbl f
YARD SPKLR SYSTEM
POR: 50. FT. @
MOBILEHOME SVC.
.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
' CAR: P. SQ. FT.
Plan No. .... .i
DRAINAGE PIPING
WALL SQ. FT.
DRINKING FOUNTAIN
$Qc FT,
Sp..Insp. Fee f
URINAL
ESTIMATEDCONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be rased 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
Owner/Agent ,-
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Zip
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
Trees required
SQ. FT. @ c
WATER HEATER'
S0. FT. RESID @1 VA
SEWAGE DISPOSAL
Zip
SQ. FT. GAR @ %c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FVI
DBL.
FEES
MOB.HM:FEE
MICRO FEE
MECH. FEE PL. CIC. FEE
CONST. FEE ELECT. FEE
SMI FEE E, PLUMB. FEF
//TOTAL
V i`�/ —/
Q60
PERMIT NO,
375336
Job Address;'
?` S 4,rzs-
Space�zip_
Co unity 1
a+/B/ / %�
Valuation
f
Date
t 9
Dist. Offff..�++ F.C.G.
MH;Permit Fee $
Micro Film Fee
Cop f
Use of Perms* ;Parcel
� / � �
No. /
1 el/4 — 40
Use/Case. No.
Ck. By
Meeh. Fee Dbl_ f
'PI. Ck Fee f !
Set, Backs
Lot`Sise
Construction Fee Dbl f
Leg I Destrl n
���' � ��� ���
f S S R
Electrical Fee Dbl f
Zone Restricllons�
��(/J
Grou P
Y
T ��
SMI Fee f
Plumbing Fee
Dbl f
Bond Amt.
f
Plan No. .... .i
-Pion Checker
Final Dole 219Inspect
Unit
Sp..Insp. Fee f
Demol. Fee
$
Const, Lender Branch.
Supplimemal'P.ermit Numbers
Registr. Fee $
Mileage Fee Is
Address. City. Zip
Witness Feb is
Relmp. Faef
Owner/Agent ,-
'Tel:
Zip
Total Fees
f
Address J
/
Zip
k
M.O. 171 N.C-..rl Cash. rl Check
Received byCanif
-cto- r
LlcenseM
-
Trees required
Sewage System
_
Address
Cit Y
R
Zip
T LL P
:Sewer District
Form 284=208 (Rev.O!8) s
THIS PERMIT SHALL BECOME VOIDif tlV'O'RK 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 OFCCAUFORNIA.