404054 (OFC)BUILDING PERMIT
PEIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
0 4 15
5 4 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. Al
2ND. Fl.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@/97 $ 1
�J.
UNITS
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $ / y '�_
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
Micro Film Fee Cop S
Useof Permit
�^
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Parcel No. r `'"
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Mech. Fee Dbl $
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.UJ,
Electrical Fee Dbl $
SO. FT. @ a
BATH TUB
Type
SMI Fee $
SO. FT. @ a
WATER HEATER
Plon No. lour ec
[g- %"s _
50. FT. RESID @ 1114a
SEWAGE DISPOSAL
Inspector
SO. FT. GAR @ -/4a
HOUSE SEWER
-
Const. Lender
Br&ff6
GAS PIPING
PERMIT FEE
J
Registr. Fee $
PERMIT FEE
PERMIT FEE
DBL.
/TOTAL FEESMOB.
HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
404054
Job Address
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Space
Zip
r. �.
Owner
Com unit
Noluo7ioA
Date>
Dist.
OII.
F.C.C.
MH Permit Fee S
Micro Film Fee Cop S
Useof Permit
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Parcel No. r `'"
Use/Case
No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
'Set Backs
Lot Size
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Construction Fee Dbl $ d'
Legal Desq ipslon'
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Electrical Fee Dbl $
Z ne Restrictions
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Group
Type
SMI Fee $
Plumbing Fee Dbl S
Bond Aint:- '"
$
Plon No. lour ec
[g- %"s _
e
Qtf We u:r
.-., - 3 —
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender
Br&ff6
Supplimentol Permit Numbers
J
Registr. Fee $
Mileage Fee $
Address City Zip
'
Witness Fee $
Reinsp. Fee$
Owner/Argent '
" 'i
Tel.
Zip •,
Total Fees $ �
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..+
-
M.O. E]N.C. C] Cash Check
Received by/j
Contractor
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f
Licensee
TreeE ve 1,
le
t--
age•• t m�.,
Address
City
Zip
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Sewer District
t•
Form 284-208 (Rev. 1/80)
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.
•1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH t'
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 Bock
33
Ventilation System
2
Ftgs & 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
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.
°o
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 t; .
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
ELECTRICAL APPROVALS
PSI.
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
i I I
i i I STREET NAME
BUILDING PERMIT
PERMIT NO.
04054
DEPARTMENT OF BUILCING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I. TFL 4/
2ND. FL. _
POR.
9AR.4.
i. '•CAR P.
WALL';
ESTIMATED CONSTRUCTION
SO. FT. ,@ $
' . UNIT:
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ + MOBLEHOME SVC.
BAR SINK
SO. FT. @ POW=R OUTLET .
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @ '
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION ' $
WATER PIPING s
NOTE: Not to be used as property tax valuation
SWIh POOL, PVT
FLOOR DRAIN
MECHANICAL FEES'
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
'WASHER (AUTO)(DISH)
APPLIANCE DRYER
Legal Des ion ! s
'f. Zone
V a ' -
GARBAGE DISPOSAL
FURNgCfi UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE .METER
KITCHEN SINK
ABSORPTION SYSTEM s B.T.U.
TEMI USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP - -
POLE, TEMP/PERM
LAVATORY
HEATING,SYSTEM FORCED GRAVITY
AMP=RES SERV ENT
SHOWER
BOILER B.T.U. '-
SQ. FT. @ a
BATH TUB
-
SQ. FT. @ 'a -
WATER HEATER
'
Si). FT. RESID '@1+t/<a
SEWAGE DISPOSAL
Permit Numbers
'
50. FT. GAR @ 3/<c
HOUSE SEWER
.
MileageFeeS
Address City _ Zip
- 1
GAS PIPING
PERMIT FEE
$
PERA4T FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEEMI
CRO FEE MECH. FEE
Pl. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
•
-' PERMIT NO.
-•404054
lob Address
�.
Space
Zip
Owner
-
Communis
Valuation
Date
Dist.
Off.
F.C.C.
MH Permit Fee
Micro Film Fee
Cop S '
U of Permit
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fii-��
Parcel No.
(�..
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Use/Case No.
Ck. By
Mich. Fee Dbl S
PI. Ck. Fie 5
ks
Set Bact
LoSize
-
'
///,00
Construction Fee - Dbl S
Legal Des ion ! s
'f. Zone
V a ' -
F
S . C S
R��
Electrical Fee Dbl SZ
ane Restrictions
Group-
Type.
SMI Fee s " S -
Plumbing Fee
Dbl S
Bond ml
S
Plan No.
I ' e<ker
a Dote
/2
Inspector
Unit
Sp. Insp. Fee ` S
Demol. Fee t
S
Const. lender
Branch
Supplimentol
Permit Numbers
'
•,
+..
Registr. Fee $•
MileageFeeS
Address City _ Zip
- 1
Witness Fee S
Reinsp..Fee
$
Owner/ ent.
r( rd /
•.fes
Tel.
"7
Zip
Total'Fees S
• M.O., E] N.C. E] Cash Check
Adress {t�„yr
!
�% ! �,�.'16e
City
g
Zip'..
Received
Contractor -
•
_
Tel.
LicenseR
Treeire
Address
-
City
,.
Zip
T LL 6%" P - THIS PERMIT SHALL BECOME VOID IF WORKS NOT COMMENCED WITHIN'120 DAYS. CESSATION OF,WORK verified by:.
Sower District - - FOR 120 DAYS SHALL ALSO CAUSE PERMIT TC BECOME VOID. • ' -
.1 HEREBY AGREE THAT ALL WORK IN CONNECTION WLTH,THIS PERMIJ WILL BE DONE IN ACCORDANCE WITH `
} T LAWS OF RIVERSIDE COUNTY AND THE S --ATE OF CALIFORNIA.
R CERTIFY THAT THE INDIVIDUAL WHO, PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN t -
z.' �
Form 284-208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND. PROFESSIONS CODE OF THE STATE OF CALIFORNIA. '