374798 (SPIN)PERMIT No, DEPARTMENT OF BUILDING & SAFETY Ds
37 4 7 9 8 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. Q $
UNITS
Date %
7— /
2ND. FL SQ. FT, (d
YARD SPKLR SYSTEM
POR: SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ_ FT. @
POWER'OUTLET
ROOF DRAINS
CAR P. SQ. FT. Q
PI. Ck. Fee _ E
DRAINAGE PIPING
WALL SQ. FT. Q
Construction Fee Dbl S
DRINKING, FOUNTAIN
SQ FT @
R
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Group
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
Const: Lender Branch
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR' SUSPENDED
MileageFee =
Mileage $
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. ® t
BATH TUB
Address �
SQ. FT. @ t
WATER HEATER
S0, FT. RESID @1 1AC
SEWAGE DISPOSAL
SQ. FT. GAR,@ %t
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE i
DBL.
T TAL FEES _
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK..FEE
CONST. FEE ELECT: FEE
SMI -FEE
E PLUMB. FEE
PERMIT NO,
Job Address Space
5-3-,310 x ti� C� �-�
Owner
; &X-)1374798
Comm nit�ty+/� r
/ r (A.; �4,%Ts
Valuation
Date %
7— /
Dist.
/
F.C.C.
MH.Permit Fee f
Micro Film. Fee Cop $
Use of Permit
////� I ' • 1'4�-/
1 �/ 5 10'Cn 410 A) (1—I
Parcel No.
Use/Case'No.
Ck. By
�r
Mech. Fee Dbl $
PI. Ck. Fee _ E
Set Backs
Lot Size
Construction Fee Dbl S
Legal Description
AL
0 I / .
F S S.
R
Electrical Fee Dbl $
Zone Ras lions,
Group
Type
SMI Fee $te'
Plumbing Fee Dbl $
Bond Amt: -
$
Plan No.Plon
Checker
Final Date
_
Inso
Unit
Sp. Insp. Fee $
Demol. Fee E
Const: Lender Branch
Supplimental Permit Numbers
/
Regi Fee
MileageFee =
Mileage $
AddTeis City Zip
Witness Fee i
Reinsp. Fee = ®
Owner/Agent
Tel. Zip
Total Fees f
Address r i
.City Zip
- M-0.0 N.C. CoshEI Chec
Received by s
Cont t r
/ / /LJ �/ S ♦ -�
Tel.
/
Licensse##
�w�
Trees required
Sewage System
Address �
C,
T U. P
Sewer District
1. 1 &4- 6
Form 284208 (Rev.8/78) es
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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.
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.
verified by:
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.
43
Final
10A
Fireplace T.O.
P'
ADDITIONAL INFORMATION
—
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final (�J
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
Gas
25
�
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL 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