353678 (BLCK)BUILDING PERMIT Z i
PERMIT NO. j DEPARTMENT OF BUILDING & SAFETY FI LD
3 5 3 6 7 & " ` , " COUNTY OF'RIVERSIDE , . . x ; r,. . r.. , t rT]
E
PERMIT NO.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO.. PLUMBING FEES
O -4?
353678
- UNITS
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YARD SPKLR SYSTEM. ;.s .•.
Use of Permit .
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2ND. Fl.
SQ. FT. @
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Mech. Fee $
PI. Ck. Fee $
rDb
• -Set Backs
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- rt.•+I•�µ * :� ., =MOBILEHOME SVC..s.r*s-.. ww..-rr,., .. ...�,.,r-
•� AAR. SINK-e�H,.�...;^., r.:+
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POR.
SQ. FTS@y,.
-*c-t.r
Zon estrietio'
Group
'• GAR.
SQ. FT.s@
POWER OUTLET
ROOF DRAINS
CAR P: '
SQ. FT... @
Plumbing Fee Dbl $
DRAINAGE PIPING
Plan No.
..^'
Plon Checker f
Final Date --
/'_. J•--�.
y/
Inspector sl re�
..
DRINKING FOUNTAIN.
Sp. Insp. Fee E +
Demol. Fee $ 7-
SQ. FT,-@
Su PP lini3
c ♦ . .* • r . • wr+tw ry��-%. `' /t i,.+raa!z'! 4+.''�'.
- •(' _
Registr. Fee
Mileage Fee §
Address City - - - Zip
,y
Witness Fee $
Reinsp. Fee $ .;
URINAL
1 Tel. ` Zip
•i v ., , ..«s b` . .w.r..0;•.f.
SQ. FT.
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' M.O. /' Casb Check
ESTIMATED
CONSTRUCTION VALUATION $
� '
WATER PIPING
Trees required
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
f SIGN
WASHER (AUTO)(DISH)
APPLIANCEDRYER
�; - mow.,,•...
'
.�'u.:+a ��..xs wrna. .t�a<
G(..,.-.ARBAGE DISPOSAL
..-W -.t
f',•
FURNACE
_
UNIT WALL FLOOR -'�SUSPENDED'
TRAY
AIR HANDLING UNIT CFM * ..
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM ? B.T.U. r
TEMP USE PERMIT SVC
,WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
'LAVATORY
HEATING SYSTEM FORCED GRAVITY
4� AMPERES SERV,ENT ' '- '
'SHOWER
BOILER
B.T.U. } s
SQ. FT. @ c
'BATH TUB
SQ. FT: @ c
`WATER HEATER
.SQ.'FT. RESID @11/4c'
SEWAGE DISPOSAL
1
{ SQ. FT. GAR @ % c
HOUSE SEWER
a
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
I&*
MOB: HM.FEE'
.-. MICRO FEE .�•t �+w MECH.;FEE... � ,,PL. CK. FEE
STS , �,. ELECT. FEE. -a „�•;,. SMI�FEE yas
r
.r.1 ,- � FEE � PLUMB..jr
i
r
PERMIT NO.
A ress Space.
+ i
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353678
C ryyity
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F.C.C.
MH.Permit Fee $
Micro Film Fee $
Use of Permit .
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,r
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✓ ..J
Use/Case No.
y '
Mech. Fee $
PI. Ck. Fee $
rDb
• -Set Backs
Lot Size
Construction Fee E
Legal Descriptio � F
r�
S 4
S
R
Electrical Fee - E
Zon estrietio'
Group
Type -'
...
SMI Fee $
'
Plumbing Fee Dbl $
Bond Amt.
�E
Plan No.
..^'
Plon Checker f
Final Date --
/'_. J•--�.
y/
Inspector sl re�
..
_Univ
'4„ .
Sp. Insp. Fee E +
Demol. Fee $ 7-
i¢
Const. Lender -
Branch
_. 'f
s ... ...a -y C *,.
Su PP lini3
c ♦ . .* • r . • wr+tw ry��-%. `' /t i,.+raa!z'! 4+.''�'.
- •(' _
Registr. Fee
Mileage Fee §
Address City - - - Zip
,y
Witness Fee $
Reinsp. Fee $ .;
O ._ ge -' }� �!�,i y
a+wst�yt•'
1 Tel. ` Zip
•i v ., , ..«s b` . .w.r..0;•.f.
eTotolFees $ v ..s+
\`...W
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/a"� ''",'": s`G..J �••v'./ +
.Cit Y.�.. �J".`•Y���}- '"�'�7'"N�`�':':.'•1: Zi •:�
y .��;F-,��i.ri. llE�.1 i"7ti' y . P�". -
' M.O. /' Casb Check
t11r
R ceived by
Contractor, '
`1
Tel. -
t
Licensetl
Trees required
Sewage System
Address -
City '' Zi p
T LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
>Sewer'District ,FOR 120 DAYS SHALL P IT TO BECOME VOID.
I I HEREBY AGREE -THAT ALL WO IN IT
WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUN A�ATE OF CALIFORNIA. '
f - . d HEREBYiCERTIFY THAT THE INDIVIDUAL WHO PREPARED'THE'PLA'NSIAND'SPECIFICATIONS4IAS DONESOdPY
Ir �rACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. S
Form 284-208 (Rev.8/78) ,
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back x_79
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 -7
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. ❑
43
Final
IDA
Fireplace T. 0.
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 r ,7 —51—
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 r
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
t
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
1 7771 STREET NAME
BUILdING PERMIT
PE MIT NO. DEPARTMENT- OF BUILDING &'- SAFETY Fifl,p OFFICE
'3678, �; f....�. : ,,;.. �. r.. COUNTY-OF•RIVERSIDE.
CONSTRUCTION. ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES ,
IST FL., .
2ND. FL.
OR. {
PIj
GAR.
CAR P
1tV
ESTIMATED CONSTRUCTION
SQ. FT: @, $
UNITS
Vo a1,0 ,y I
$ /V w
�:«ti. a •.. ...'b`M...., aw ., i ;M . ^_ - r. •
SQ. W@
YARD-SPKLR SYSTEM
lif
rw@ *; .v -x i .•rr ++ + . MOBILEHOME SVC....,. ... r •... .
A
SQ. FT.
BHR SINK. -t •. �.__ . a . rc
SQ. FT,. @ POWER OUTLET
ROOF_DRAINS
SQ. FT. ,@•,
DRAINAGE PIPING
SQ FT @
+
DRINKING FOUNTAIN '
SQ. FT. @
URINAL
VALUATION '' $
WATER PIPING
NOTE: Nott, be used as property tax valuation,
SWIM POOL, PVT
r FLOOR DRAIN
! MECHANICAL FEES,
SWIM POOL, COMM
WATER SOFTENER
.T $' TEM �,/ FAN EVAP. COOL' HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIPNCE f DRYER
s •,
GARBAGE DISPOSAL
FURNACE E UNIT WALL FLOOR; t' %SUSPENDED ,+� }
_
LAUNDRY•TRAY
AIR4IIAND)ING UNIT CFM S
IDLE METER
KITCHEN SINK.
ABSORP#ON SYSTEM; (,,B'.T.U. i
T TEMP USE PERMIT SVC
WATER CLOSET
CO,MP4 ESSOR HP y,
POLE,TEMP/PERM
LAVATORY
HEAJ(NG SYSTEM FORCED GRAVITYJ'.'"
AMPERES SERV ENT
SHOWER
B. 1 ER B.T.U.
SQ. FT. @ t
BATH TUB
r
M.O. Cos Check
SQ. FT. @ <
W ATER HEATER
s•
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Address Address
SQ. FT. GAR @ M. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL. j
L
i „
MOB.HM.FEE
•
r MICRO FEE -,+. MECH. •FEE
•
-, PL. •CK.••FEE
I -
5 . a ....-ELECTr FEE.
r
,> SMI'FEE
_,FEE PLUMB. FEE '
PERMIT NO. /
3 5 3 6 7'6
r t .1
- _
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a[[ GGJJ CCJJCJ '00 ` Y/ 'C / /
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.'
C #ly
_
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$ /V w
16-
D' F.C.C. -•
MH1Permit Fee $
Mi ro Film Fee top $
Use of Permit
'
Use/Case No.B;
•,
g4
MTh. Fee p /' Dbl $
PV.Ck. Fee $ w;S
`�
Set Backs
Lot Size
. .
uction Fe i Dbl $ •
Legal Descriptio "=o ��y•
F
S :S
R
�Ielcal Fee Dbl 5
Zon estrictio
Group
Type
ee $
9lumbing fee tt Dbl $
Bond Amt. -
Plan No,
Plan Checker
Final Date
Inspector
Unit
�$p. Insp. Fee $
Demol. Fee '' $ -
Const. Lender_ �, Bronch
'+. ... . a .•. _ 4 ..
Supplintob Pprr
r r ... . n ,. . r !•: Al
- ,
-
;Registr. F e $
Mileage ,gee � $
Address City Zip
_
WitnessAee $
Reinsp,Fee $-
� e,.;
Tel. t Zip
Tptol Fees ir • $ 1,
AVPr e•*Gf •
Ciry 1 -•Li / • ,M j • ,/4,«r•�.,��y- Zip
r
M.O. Cos Check
eceived by
i
Trees required t
Contractor
Tel.
License#
Sewage System,
Address Address
City Zip
,
T/ LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
'Sewer Dist�icir FOR 120 DAYS SHAL�NC
BECOME VOID.
A jJ, I HEREBY AGREE THAT LL CTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
i� (r' • a THE LAWS OF RIVERSIDE COLIATE OF CALIFORNIA.
' f ^+ •1- HEREBY' CERTIFY THAT THEIWIVIDUAL••WHO PREPARED-fHE PLANS -AND SPECIFICAMONS'HA'S DONE'SO•IN ' "
v ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
,Form 281-2081(Rev.8/78, s