391605 (SATT)_ BUILDING PERMIT _
PERMITNo.DEPARTMENT OF BUILDING 8 SAFETY r -DST
' > - COUNTY OF RIVERSIDE FIELD c
CONSTRUCTION
ES``IMATE'
NO: ELECTRICAL FEES
NO. PLUMBING FEES
'.IST FL.
SQ. FT. @
Owner
A(
UNITS .
391605
2ND. FL.'
SQ. FT. @
YARD SPKLR SYSTEM
POR.
-�' GAR.
CARP.".
i': r '
WALL:'. ;
-
ESTIMATED. CONSTRUCTION
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
URINAL
VALUATION, S
WATER PIPING
NOTE: Not to be used as property tax valuation
Use of Perm. __'`
•��- �'V '�•• W
` s 9 s
SWIM POOL, PVT
FLOOR DRAIN
• MECHANICAL FEES
We/Cole a No.
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Set Backs
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
/
F
f�.
GARBAGE DISPOSAL `
FURNACE UNIT WALL FLOOR SUSPENDED
Zone Restrict; ns
� .'
Group
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE,METER;
KITCHEN SINK
ABSORPTION SYSTEM, B.T.U.
•
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Plumbing Fee,
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Plan No.
AMPERES SERV ENT
SHOWER
BOILER B.T.U. x<•'
Inspector
SQ. FT. @ c
BATH TUB
Sp. Insp. Fee
$
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL ,
SQ: FT. GAR @ %C
HOUSE SEWER
Const. Lerider
Branch
GAS PIPING
PERMIT FEE
Registr. Fee $
Mileage Fee $
PERMIT FEE
PERMIT FEE
BL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECHy.L:/FEEE
PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
Job_ Address
Spoce
Zip
Owner
A(
391605
ga'
Community ~ ' ,
C'j i
Valuation
$
Date { 1
Dist.
Off.
�•
F.C.C.
_
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Perm. __'`
•��- �'V '�•• W
` s 9 s
SRA
Parcel No.
7 t��'0J
/ ,
We/Cole a No.
Ck. By.
yy
Mech. Fee $ . l :!
Pl. Ck. Fee $
Set Backs
Lot Size ,
i'
Construction Fee �V $
Description
/
F
f�.
jOIS S
14—Legal
Electrical Fee k bl $
Is
Zone Restrict; ns
� .'
Group
rpe
SMI fee
"i (
,.E.- L l
•
i
(J/
Plumbing Fee,
I $"r
Bond Amt.
Plan No.
Plan Checker
- .�
Final Date
Inspector
Unit
v
Sp. Insp. Fee
$
$
Dental: Fee
$
Const. Lerider
Branch
Supplimentol Permit Number '
�-
-
Registr. Fee $
Mileage Fee $
Add re Cit . Zi
Y It Zip
Witness Fee
$
-...•�: .mac �.. �1.. h. • `•.i-•,.�.�
Com°.--�5.-�
_
; �w�
Reinsp. Fee
$
`
'Own- gens
' �{(
Tel.
Zip. _
Total Fees
$
1
Address
City
Zip - r
M.O. N.C. Cosh 0 Chec'
Received by
Contractor
-
Tel. t 'Licensed
Trees required. } •.. �% ffN`
Sewggel�Sy♦r"stem
Address
-
Cityr '�`1' - • Zi
` . T LL lI P' THIS PERMIT SHALL BECOME VOID IF WORK ISNOT 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�OF RI RSIDE COUNTY ANDTHESTATE OF CALIFORNIA.
r 31=3, 7 M $O I IDUAL WHO PREPARED THE PLANS *4 SPECIFICATIONS HAS DONE SO IN
AC O DANCE JWWH _' SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ,
Form 284-208 (Rev.8/78) @s i , _ �;; :r
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
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
3B
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Domper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O.
FI
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 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 -/7
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
BUILDING PERMIT —
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE -
DST
COUNTY OF RIVERSIDE r
39160,5
CONSTRUCTION
ES [MATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
SQ. FT. @ $
BVI
UNITS
Valuation
$
1
I
SQ. FT. @
YARD SPKLR SYSTEM
POR..
SQ. FT. @
MH.Permit Fee $
MOBILEHOME SVC.
Cop $
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
Use/C a No.
1
ROOF DRAINS
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED, CONSTRUCTION VALUATION $
PI. Ck. Fee $
Set Backs
Lot Size
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
Construction Fee $ /
SWIM POOL, PVT
,,tt
° 1 `Y
FLOOR DRAIN
MECHANICAL FEES
R
SWIM POOL, COMM
Zone Restrict ns
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
$
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plan No.
Plan Checker
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
Sp. Insp. Fee $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Registr. Fee $
WATER CLOSET
COMPRESSOR HP
Witness Fee $
POLE,TEMP/PERM
$ -
LAVATORY
HEATING SYSTEM FORCED GRAVITY
-
AMPERES SERV ENT
Tel. f
7
SHOWER
BOILER B.T.U.
SQ. FT. @ t
Is
BATH TUB
Address ^
+I'
SQ. FT. @ c
City
���nj -^�
.C. p— LA
WATER HEATER
Zip
r
M. N.C. Cash Chec
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
Contractor
SQ. FT. GAR @ 1%c
Tel.
HOUSE SEWER
r i
Trees required
Sewage System
GAS PIPING
PERMIT FEE
PERMIT FEE
Cit Y � t Zip
PERMIT FEE
AU.Of
L FEES
MOB. HM. FEE
MICRO FEE
ECH
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE PLUMB. FEE.
PERMIT NNNO,
1391605
Job Address .
�.
Space
a
Zi
A
Owner
BVI
Community
Valuation
$
Date
3
Dist.
T / i
Off.
F. C. C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of PermitParyel
/;.'�')
W �,•�
No.
71
Use/C a No.
1
Ck. By
Mech. Fee
PI. Ck. Fee $
Set Backs
Lot Size
_ern
VV
60
Construction Fee $ /
Legal Description -
,.//) (��
,
�,. "' V
,,tt
° 1 `Y
�-
F S S�,�
J
R
Electrical Fee BhL $
SMI Fee $ .1 OF
Zone Restrict ns
Group
Type
Plumbing Fee
$
Bond Amt.
$117
Plan No.
Plan Checker
Final Date Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch
Suppli/mental Permit timbers
/1 /
Registr. Fee $
Mileage Fee $
Add es _ G City Zip
"•.
Witness Fee $
Reinsp. Fee
$ -
Ownex
-
Tel. f
7
Zip
Total Fees
Is
.1�
Address ^
+I'
City
���nj -^�
.C. p— LA
rwr'
Zip
r
M. N.C. Cash Chec
Received by
Contractor
Tel.
LicenseN
r i
Trees required
Sewage System
0-0
Address
Cit Y � t Zip
T U. P,
Sewer District
Form 284-208 (Rev.8/78) @s
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 LA F RIV SIDE C UNTY AND THE STATE OF CALIFORNIA.
I (DU
H AL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
AAC ORDANCE W H SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.