375903 (ELEC)BUILDING PERMIT
1PERMIT No. DEPARTMENT OF BUILDING & SAFETY DST
3759031 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
SQ. FT. @
UNITS
•
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
POWER OUTLET
Dist.
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Micro Film Fee
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
v
WATER SOFTENER
VDIT SYSTEM FAN EVAP. COOL HOOD
SIGN
PI. Ck. Fee E
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Lot Size y '
�,
Construction Fee E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
��. r j ,� ;
Z
'(,� LAUNDRY TRAY
AIR HANDLING UNIT CFM
ID METER
`�
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Dbl E
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
E
BATH TUB
Const. Lender
SQ. FT. @ c
Supplement I Permit Numbers
-"n— ?
,,, �` �7� / u
WATER HEATER
Mileage Fee E
S0. FT. RESID @1'/.c
Witness Fee E
SEWAGE DISPOSAL
E
SO. FT. GAR @ 3/. c
Owner/Agent
HOUSE SEWER
Tel.
Zip
4.4
Total Fees
GAS PIPING
PERMIT FEE
Address
PERMIT FEE:arm
City
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE L. CK. FEE
CONST. FEE
CT. FELE
SMI fEE
FEE 'PLUMB. FEE
PERMIT NO.
X75903..
Job Addres3i
lr .
Space
ZipOwner
•
COMM y
_�-
a.
Valuation
E
�rr
Date
Dist.
Off.
F.C.C.
MH.Permit FeeE
Micro Film Fee
E
Use of Permit
j r
/ b �r J f A ( ^ �/ �i
C/.. 6 r r
v
Use/Cas 14o.
:'"_
Ck. By.'
Meth. Fee E
rDb
PI. Ck. Fee E
et oc s
Lot Size y '
�,
Construction Fee E
Legal Description
/
F
r(� "]r� v
5 ✓
S �,,,
R
Electrical Fee Dbl E
Zone Restriction
Group
Type
SMI Fee E
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
r"'
Plan Checker
F' Date '��
I pe or
Unit
Sp. Insp. Fee E
DemoL Fee
E
Const. Lender
Branch
Supplement I Permit Numbers
-"n— ?
,,, �` �7� / u
Registr. Fee $
Mileage Fee E
Address City Zip
Witness Fee E
Reinsp. Fee
E
Owner/Agent
Tel.
Zip
4.4
Total Fees
E
Address
City
- Zip
M.O. [3 C_E3 C.,hEf Chec
Received by
Contro I r
Tel.
License#
Trees required
Sewage System
9 Y
AJdrEss r
City � .�
� Zip
Imo' T LL P I
~Sewer District
` 32g-cq-7�i
'Form 284-208 (Rev.8/78) @s
r _..a -
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.
r
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.
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
Slob 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. C]
43
Final
10A
Fireplace T.O.
OP'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 (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
IS 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
Tank Pit L.Line_
REAR OF PROPERTY LINE
f
A t'
ELECTRICAL APPROVALS
PSL
1
`S
P/
26 Power Pole
27Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT
PERMIT NO.
17�q[l�
DEPARTMENT OF BUILDING 8r. SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
SQ. FT. @ $
UNITS
Commun' y
s�
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P.
SQ. FT. @
Parcel Wo.
n'
DRAINAGE PIPING
WALL
SQ. FT. @
PI. Ck. Fee - $
Pl. Ck
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
-
URINAL
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
Bond Amt.
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
I �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. @ C
BATH TUB
Owner/Agent
SQ. FT. @ t
WATER HEATER
Zip
SQ. FT. RESID @1'/.t
SEWAGE DISPOSAL
$
SQ. FT. GAR @ 314 t
HOUSE SEWER
City
Zip
GAS PIPING
PERMIT FEE
PERMIT FEE a
PERMIT FEE
DBL.
T TAL FEES
V V.1
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECj. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO. -
13,75903
Job AddLeW
Space
Zip
Owner
Commun' y
s�
Valuatio
$
25dDajs
♦ ,,+_"' /,'
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $ -
Use of Permit Jr
�•"' ` r / j/� r ` �+ l Z
CF�i C 1l fN J V •
Parcel Wo.
n'
Use/Carse No.
-_ Y
[)
Ck.
Fee DbF $
PI. Ck. Fee - $
Pl. Ck
Set Backs
Lot Size
-
'
�( �/-"\
�(�
Construction Fee
Electrical Fee
Dbl $
Dbl $
legal Descri`ption
I
` V f (
V L , t.Y
�$/
F t±�O $ S R /
Zone Restriction I
1�
Group
Type
SMI Fee $
Plumbing Fee
Dial $
Bond Amt.
$
:nN.
Plan Checker
'qole
Inspector
Unit
Sp. Insp. Fee $
Dental. Fee
$
Const. Lender
Branch
Supplimental Permit numbers
f` f� """�
1/` Jl�(�/,�
,
.Fee $
RegMileage
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
-
Tel.
Zip
Total Fees
$
Address
City
Zip
M.O. N.C. C.shd Check
Received by
Con rogfor
Tel. _lic
20
nseN�.y
Q////
frees required
Sewage System
A dr ss
City
/4 10 ff
.
T LL P
;Sewer District
0-AForm 284-208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DANS. CESSATION OF WORK velified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH -i HIS 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 BUS114ESS AND PROFESSIONS CODE OF 7HE STATE OF CALIFORNIA.