369283 (SFD)BUILUINLT VLKMII
PERMIT No. DEPARTMENT OF BUILDING S SAFETY FIELD
COUNTY OF RIVERSIDE DSr
3'69283 •. • -
i�
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. If 44
2ND. FL.
POR.
GAR.
CAR P..'
, WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $ '
s UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ v d MOBILEHOME SVC.
BAR SINK
SQ. FT. @ x POWER OUTLET
ROOF DRAINS
..�
SQ. FT. @
DRAINAGE PIPING
1
SQ. FT. @
DRINKING FOUNTAIN t
SQ. FT. @
URINAL
VALUATION 1 $ dylY
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
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
f 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'/.0
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
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
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L
STREET
PERMIT NO.
Job Address
r
Space Zip
Owner
X369283-
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Community
_ Valuation
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Dist.
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Micro Film Fee
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Use of Permit
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Parcel No.
Use/Case No.
Ck. By t.
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Meth. Fee
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Lot Size
PI. Ck. Fee E
Construction Fee
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Dbl E °a
Legal Description -
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S
S R
Electrical Fee Dbl E'F
Zone Restrictions
Group
Type
1 r
SMI Fee
E
f)% fc
!�L.t7
Plumbing Fee
Dbl E
Bond Amt.
E
Pian No.
Plan hacker
Final to
��(
Inspector
Unit '
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender
Branch
Supplimental Permit Numbers
-
l��
Registr. Fee E
Mileage Fee E
Address City Zip
f iy
Witness Fee E
Reinsp. Fee
E
Owner/Agent t/
/
r.��
Tel.
~
- F�
Zip
Total Fees
E
Address
't'r
City
-r t}� r3
Zip
M.O.
N.C. Cash •Check
Received by
Contractor `"°
Tel.
License#
Trees required
4 4+
'
Sewage System
Address
City
Zip
,
J .e0,T443 U.
Sewer District
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK 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.
u 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. IV
NO. I OPERATION I DATE
BUILDING APPROVALS
1
Set Back
DATE INSPECTOR
2
'2A
3
Ftgs 8 Frms
Slab Grade
Steel
33
4
5
6
Grout Blocks
Bond Beams
Roof Deck
Plenums & Ducts
7
Framing
36
8
Vents
Combustion Air
9
10
• IDA
Garage Fire Wall
Fireplace P. L.
Fireplace T. 0.
❑
11
Exterior Lath
Fire Damper
12
Internal Lath
42
12A
Drywall
Final
13
Finish Grade
INSULATIONI Thick I Value
7A Walls (Botts)
12B Ceiling (Batts)
12C.. Ceiling (Blown)
14 Final
0
PLUMBING APPROVALS
INSPECTOR NO.
OPERATION
DATE INSPECTOR
MECHANICAL APPROVALS
33
Ventilation System
34
Plenums & Ducts
35
Furnace Comport.
36
Inlets & Outlets
37
Combustion Air
38
Compressor
39
.Appl. Clearance t
40
Fire Damper
41
Smoke Detection Device
42
Commercial Hood
43
Final
OP'N
NO.
ADDITIONAL INFORMATION
0
BUILDING PERMIT FIELD OFFICE
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
DST
3 6 9 2 8 3 COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
Job Address
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
SQ. FT. @ IS $
r!e0
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ gj/ta
MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING r
SQ. FT. @ '
DRINKING FOUNTAIN )
SQ FT @
URINAL
VALUATION $ t w
WATER PIPING
NOTE: Not to be used as property tax valuation
I`iN
'`
� '1"
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Parcel No.
et Boc
F S S
SWIM POOL, COMM
WATER SOFTENER i
VENT SYSTEM FAN EVAP. COOL HOOD
i
PI. Ck. Fee E z ?
Construction Fee Dbl E
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Type
GARBAGE DISPOSAL I
FURNACE UNIT WALL FLOOR SUSPENDED
Dbl E
Bond Amt.
E
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Plan eckedt
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Unit
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
E
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Registr. Fee E
Mileage Fee E
SQ. FT. @ c
WATER HEATER
Reinsp. Fee
E
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
Total Fees
M. 0. N.C.
PERMIT FEE
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.
369283
.X'140
Job Address
Space
Zip
-
Owner
Community
luation
r$o
Date
Dist.
%/�
Off.
F.C.C.
MH.Permit Fee E
Micro Film Fee
Copl$
Use of Permit
Legal Description
�y>
� �' I �
I`iN
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ire, i-047
zd�
_
Parcel No.
et Boc
F S S
Use/Case No. Ck.
Lot Size
R
B Y
Mech. Fee Dbl E
i
PI. Ck. Fee E z ?
Construction Fee Dbl E
Electrical Fee Dbl E
Zone Restrictions
_
Group
Type
SMI Fee Is
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan eckedt
Fin Date
Inspector
Unit
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender
Branch
Supplimental
Permit Numbers
Registr. Fee E
Mileage Fee E
Address Cit Zip
Witness Fee E
Reinsp. Fee
E
Owner/Agent
Tel.
Zip
Total Fees
M. 0. N.C.
E
Cosh Check,
Address
City
�a
Zip
Received by
Trees required
Contractor .
Tel.
'
LicenseX
Sewage System
/-�? cv,
l
Address
City
Zip
T LL P
i. Sewer District
.v.9"B)
1�1 Form 284-'208 (Rev .B/78) P .
t
THIS PERMIT SHALL BECOME VOID IF WORK 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 OF CALIFORNIA.