376451 (SPIN)BUILDING PERMIT
PERMIT NO.
376451
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD 7"]
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT,
UNITS
-Dist. F.C.C.
2ND. FL. $Q. FT.
Micro Film Fee
YARD SPKLR SYSTEM
FOR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Mech..Fae Dbl E
DRAINAGE PIPING ,
WALL SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
Legal Description
� �q LR
!7` � / ��xv ` V/ 411
URINAL
ESTIMATED. CONSTRUCTION VALUATION S
Electrical Fee Dbl E
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
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Dental. 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 @I V. c
SEWAGE DISPOSAL
SQ., FT. GAR @ 9, c
HOUSE SEWER
-`' s
Zip
r .
M.O. N.C. C.&hlj' Check rj•r
Received by
on racto
fa
-
'
Tel.
License/
Trees required
Sewage System
r�
Address
City
Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District 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.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev.8/78) pJs ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:,
01MEN
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34 Plenums 6 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 10 ^/0 ^
39
Appl. Clearance
7
Froming
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, 0.
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 Woler Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Woter 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.
376451
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE T
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST Fl.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED. CONSTRUCTION
SQ. FT. Q $
UNITS,
SQ. FT. Q
YARD SPKLR SYSTEM
SQ FT @ MOBILEHOME SVC.
BAR SINK
SQ. FT. Q POWER OUTLET
ROOF DRAINS
SQ. FT. i§i.
DRAINAGE PIPING
SQ. 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
` `/L,/✓� S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Electrical Fee Dbl i
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. @ S
BATH TUB
Sp.. Irm
.p. Fee
SQ. FT. Q c
WATER HEATER
SQ. FT. RESID @1!4c
SEWAGE DISPOSAL
Supplintental Permit Numbers
-3.Mileage:
Tel.
SQ. FT. GAR @ 1% C
HOUSE SEWER
.Fee =
e Fee 3
Mileage
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FE
DBI:
TOTAL FEES
G%
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK.. Fff
CONST. FEE ELECT: FEE
SMI. FEE
PLUMB. FEE
r
PERMIT NO.
376451
Job Address
3-
SpaceZip
.
Owner,
Commun'
L
uatian
Date
Dist.
Off..
T
FrC; C.
MH.Permil Fee Is
Micro Film Fee
Capis
Usp:of Permit
Parcel No.
^-
vw Cose No.
Ck. By
Mech. Fee Dbl S
BI: Ck. Fee >
Sei Bac s
of Size
Construction Fee Dbl _ =
Legal Description
/Ii,,,.�%`��}
` `/L,/✓� S
F S S
R
Electrical Fee Dbl i
Zone, Restrictions
Group
Type '
SMI Fee
Plumbing Fee
Dbl $
Bond Amt.
E
Plan No.
Plan Checker
Final Dote
10-112 7
Inspector
Unit
Sp.. Irm
.p. Fee
Demo!. Fee
$
Const. Lender
Branch
Supplintental Permit Numbers
-3.Mileage:
Tel.
Zip
.Fee =
e Fee 3
Mileage
Address City
Witness Fee $
Reinsp. Fee S Q
Total Fees
O
..ddrea
City
s
Zip
I - Z
M.O: N.C. Cosh Check
Received by
dntrdctor
Tal.
License#
Trees required
Sewage System
Address
City
Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
$ower District ' R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTIONWITH 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 PIANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5511 'OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
284 208 (Rev.8/78) @'s
verified by: