360177 (ELEC)' 9UIL�ING PERMIT
PERMIT No. DEPARTMENT OF BUILDING & SAFETY - FIELD DST
3601 7
6017 7 COUNTY ,OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
INO.1 PLUMBING FEES
1ST FL.'
f 2ND. FL.
POR.
SQ. FT. @ $
UNITS
$Q. FT: @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME, SVC.
BAR SINK
GAR.
CAR P.
WALL ` ' ' `
SQ. FT. @
POWER OUTLET
ROOF DRAINS
SQ. FT. @ "
DRAINAGE PIPING
$Q. FT. Qµ a.r ` • `%"' ``
DRINKING FOUNTAIN
SQ. FT. @
rv'..,Wr=br GJ
URINAL
.ESTIMATED CONSTRUCTION VALUATION $
Use Case No.—
WATER PIPING
NOTE: Not to be used as property tax'voluation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES..
SWIM POOL, COMM
WATER SOFTENER '
VENYSYSTEM ' 'FAN EVAP. COOL . HOOD
- 'SIGN -
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WAW FLOOR - SUSPENDED
Electrical Fee Dbl E
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
y t..a-..•. >...-.� e ♦. r t r. a f.a , �.
. i:; ... SQ! FT. @ << . s
WATER HEATER
Supplimental Permit Numbers
,
SQ. FT. RESID @1'/.'c
SEWAGE DISPOSAL
Mileage Fee $
SQ. FT. GAR @ '/, c
HOUSE SEWER
Reinsp. Fee
$
GAS PIPING
PERMIT FEE
1 ` w
PERMIT FEE
PERMIT FEE
DBL.
. TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE 'PL. CK. FEE-
CONST. FEE ELEC-. EP"'
SMI FEE
FEE PLUMB. FEE
PERMIT NO. -
360177
-
11o6 Address
- ` ' + a + +.^ - - " SpSce
Zip
,
Owner
Community
fs
♦ v
'
Voluation
E
Date
Dist.
Off.
' F.C.C.
MH.Permit Fee s
Micro Film Fee
Cop j
Use o Permit
4::�
Parcel No..
w
Use Case No.—
Ck. By
Mech. Fee Dbl $
Pl. Ck. Fee s
"'' Ba 'i
_T__7
Lot Size
Construction Fee Dbl $
Legal Description
�. •, /�
�r44
47—
F
S
R
Electrical Fee Dbl E
Zane Restrictions
Group
Type
SMI Fee • $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date�
�/ s for
�—
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
_
Branch
Supplimental Permit Numbers
,
Regisir. Fee s
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
if:
1 ` w
-Tel.
^`�
Zip
+.
Total Fees
$
Address !'w'Y
J ♦
- /• ♦-fa4l":w
- City '�
"i Zip
M.O. N.C. Cash 0 Chec Ej
Received by
44
Contractor
TeL rl "
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
Sewer District ' FOR 120"DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
" I HEREBY AGREE) I ECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSfDE COU# AND THE 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.
Form 284-208 (Rev.8/78)
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
ventilation System
.2
Ftgs & Frms
34
P enums & Ducts
2A
Slab Grade
35
Fjrnoce Comport.
3
Steel
36
Inlets & 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. 0.
FI
ADDITIONAL INFORMATION
f
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A 'Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (batts)
121 Ceiling (Batts)
12C Ceiling (Blown)
- ,
14 . , Final,
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
25
Final
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
4 f STREET NAME
PERMIT NO. DEPARTMENT:OF BUILDING & SAFETY-
'
360177 L t COUNTY;OF RIVERSIDE
FIELD OFFICE I
7DST
r '' _' • CONSTRUCTION ESTIMATENO:
+ ±
Job Address t 47'.• ` 'Space
ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.-
f2ND..FL. _ �
POR.
.;'. _
:GAR..
CAR P. - "
WALL,
X' ESTIMATED CONSTRUCTION
SQ. FT. @ $
-
UNITS
•Community 1�• �'.;.^�`*•+•. �v « +'« •• s y�r.t..
r
SQ. FT'@ • }
YARD SPKLR SYSTEM
SQ. FT. MC)BILEHOME SVC. C ; "c', f
@ .
BAR SINK
POWER OUTLET j _.i; ;Y t
SQ. FT. @
ROOF DRAINS
4 e "
T"1 J
SQ. FT. @ �
DRAINAGE PIPING
r ne
SQ. FT. @
DRINKING FOUNTAIN
Parcel No.
URINAL
VALUATION $ ,;.., r,.'t
WATER PIPING
t ',:NOTE: Not to be used as property tax valuation
•-••4�.�L/�� ' , 5c,it.
SWIM POOL, PVT = :'
FLOOR DRAIN
MECHANICAL FEES,
}
SWIM POOL, COMM Y
Set Bac s
WATER SOFTENER
VENT SYSTEM ." FAN EVAP�7000L' ' 4 }i00D
- ` '
' ' S
'
SIGN ii
i
WASHER (AUTO)(DISH)
APPLIANCE . DRYER
Group
t.
:• T
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
""t•
n
F
LAUNDRY TRAY
AIR HANDLING UNIT . ;' :CFM
" :
Unit
• .
IDLE METER �ti
Sp. Insp. Fee $ -
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
'C
TEMP USE PERMIT SVC' '•2
WATER CLOSET
COMPRESSOR + • r, HP
Supplimental Permit Numbers -
:y
e., 45f• ,
�t1
POLE,TEMP/PERM w
. Mileage Fee $
LAVATORY
HEATING SYSTEM. FORCED -GRAVITY,
7 's
�` •
AMPERES SERV ENT • ,.
Reinsp. Fee $
SHOWER
BOILEk,� B.T:U. •.
` +
`�'
SQ. FT. @ _ c. _;.`
BATH TUB
Address - ,
City "( Zip
M.O.C3 N.C. n Cash Chec
SQ. FT. @ C
WATER HEATER
Contractor - ,-
Tit ,l.•?aT
LicenseX ,
'SQ. FT. RESID @I t/. C :
, 5' b! .f
SEWAGE DISPOSAL
Trees required
SQ. FT. GAR @ 'G c
HOUSE SEWER
• +
Cily`Zip
i
GAS PIPING
PERMIT FEE
•MICRO
PERMIT FEE
1PERMIT
FEE
DBL.
TOTAL FEES
MOB. HM.FE_E
FEE
MECH. FEE
PL. CK. FEE
-4
- CONST. FEE,. ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.'
+ ±
Job Address t 47'.• ` 'Space
Zip
Owner
360.177
-
7
•Community 1�• �'.;.^�`*•+•. �v « +'« •• s y�r.t..
r
Voluation va•vr r^ .•w
$ -
Dote
�• f
Dist.
��
Off.
F.C.C.
-+-•4,+ -•+— .•,-y«,.-,.�.+.«
-« +
".Permit Fee $
Micro Film Fee Cop $
Use of Permit '. -
Parcel No.
Use/Cose No.
1,001el-
Ck. By '
Mech. Fee
•-••4�.�L/�� ' , 5c,it.
Pl. Ck. Fee.-- $ •
_ t
Set Bac s
Lot Size
-
Construction Fee Dbl $ -
Legal Description s - _� - F
-
'
44
454v$ X/�L,
' ' S
'
S
R
Fee
Zone Restrictions --
Group
TypeElectrical
SMI Fee
Plumbing Fee Dbl $
Bond Amt..
Plan No.
Plan Checker
L
Fi
�•�.(f� �7
Inspector
Unit
Sp. Insp. Fee $ -
$
•Demol: Fee $ `
Const. Lender •Branch '
Supplimental Permit Numbers -
:y
e., 45f• ,
�t1
�Registr. Fee $
. Mileage Fee $
Addreis City Zip -•
.Witness Fee $
w
+�• 's-
Reinsp. Fee $
Owner/Agent `� ;� -M� :
" Tel. - ;�: Zip
Total Fees i IS jj
Address - ,
City "( Zip
M.O.C3 N.C. n Cash Chec
Received by
Contractor - ,-
Tit ,l.•?aT
LicenseX ,
'4:'ORts. M. 5 rK,.%r U,4r*
, 5' b! .f
.1`.r3•'
Trees required
Sewage System' - .:
Address -
Cily`Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District } FOR 120 DAYS SHALL A CAUSE PERMIT TO BECOME VOID.'_
t: I HEREBY AGRE IP�ON WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIV SID COU AND THE STATE OF CALIFORNIA:,` r
r• . r
., I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIF:ATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF -HE STATE OF CALIFORNIA.
Form 284-208.(Re,8/78) -
J' L