369537 (ELEC)BUILDING PERMIT
PERMIT NO, DEPARTMENT OF BUILDING & SAFETY FIELD
F1;11
1369537-1
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
SQ. FT. @
UNITS
Micro Film Fee
Cop §
SQ. FT. Q
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
WAIL
SQ. FT. @
Lot Size
DRINKING FOUNTAIN
i
SQ. FT. @@
URINAL
ESTIMATED CONSTRUCTION VALUATION $
S
S
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Group
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Plumbing Fee
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Plan No.
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Final Oate Q nspector
—%
��Q"%E�
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDEDi
*
!aq
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Branch
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
Witness Fee §
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Owner/Agent
SHOWER
BOILER B.T.U.
SQ. FT. @ . c
Zip
BATH TUB
Total Fees
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @114c
SEWAGE DISPOSAL
Zip
SQ. FT. GAR @ 31, c
Received by
HOUSE SEWER
Contract
GAS PIPING
PERMIT FEE
j PERMIT FEE
rpt
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. F . CK. FEE
CONST. FEE ElTrf.
FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
36953722-
Job Address
.
Community
/, i A
Spoce Zip Owner
'-
Voluat n Date
$ _
.
Dist. !Off.
F.C.C.
MH.Permit Fee §
Micro Film Fee
Cop §
Use of P rmit
�
Parcel No.
/�
a/Case No.
Ck. By
Mech. Fee Dbl §
PI. Ck. Fee §
Set Backs
Lot Size
Construction Fee Dbl §
_
legal Description
//
/`�
F
S
S
R
Electrical Fee Dbl § -✓�
Zone Restrictions
Group
Type
SMI Fee §
Plumbing Fee
Dbl §
Bond Amt. y
§
Plan No.
Ian Checker
Final Oate Q nspector
—%
��Q"%E�
Unit
Sp. Insp. Fee §
Demol. Fee
§
Const. Lender
Branch
Supplimentol Permit Numbers
/�•= yr
4/rl N^Je
/
�Registr. Fee §
Mileage Fee §
Address City Zip---
Witness Fee §
Reinsp. Fee
§
Owner/Agent
Tel.
Zip
Total Fees
§l✓i
Address
"%i -
City
Zip
M.O. N.C. 0 Cosh ' Check-
Received by
�r
Contract
Tel.
License#
Trees required
Sewage System
Address
City
Zip
T LL P THIS PERM4 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 THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
" 'THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. '
3L-, / ' 6 I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
r /j�1 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
-.Form 284-208
verified by: � _,
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & 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
.y
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.
oo
ADDITIONAL INFORMATION
_
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick „Ra
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Fingi ,
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole _7
27 Conduit
28 Service Entrance
29 Wiring 9
29A Grounding Wire _'Gy
29B Bonding
30 Fixtures 7
31 Service
32 Final
STREET
BUILDING PERMIT —
�PERMIT NO DEPARTMENT OF BUILDING a SAFETY FIELD OFFICE DIST 3 6 9 5 3 7 COUNTY OF RIVERSIDE I! 1 I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Job Address
NO. PLUMBING FEES
IST FL.
2ND. FL.
SQ. FT. @ $
UNRS
Zip
a
Owner
SQ. FT. @
YARD SPKLR SYSTEM
POR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
MH.Permit Fee $
ROOF DRAINS
CAR P.
WALL
SQ. FT. @
.�w •
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION. $
i
Construction Fee Dbl $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWI -A POOL, PVT
/�
j
FLOOR DRAIN
MECHANICAL FEES
SWI�A POOL, COMM
Zone Restrictions
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGH
SMI Fee Is
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Bond Amt.
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED(JCi
Plan Checker
mal Date
' 1
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Sp. Insp. Fee $
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET _
COMPRESSOR HP
POLE TEMP/PERM
-
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMF_RES SERV ENT
Witness Fee $
SHOWER
BOILER B.T.U.
SQ:'FT. @ c
BATH TUB
SQ. FT.. @ c
Zip
Zip.
WATER HEATER
M. 0. N.C. CoshF1 Check(•
5Q. FT. RESID @1'/.c
-
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
_.
HOUSE SEWER
License#
._
Sewage System
GAS PIPING
PERMIT FEE
PERAOT FEE
City Zip
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE OL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
369537
Job Address
..
Space
Zip
a
Owner
,
c7;'
�jt,. , ' -
-
Valuotion
$
Date
- 7
Dist.
-QtF,—
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit
, V
.�w •
Parcel No. Use/Cose No. i
_
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $/`r
Set Backs
Lot Size s
i
Construction Fee Dbl $
Legal Description
/� � �
,(
j
�
/�
j
F S S
R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee Is
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
mal Date
' 1
sp ctor
Unit
Sp. Insp. Fee $
Dental. Fee
$
Const. Lender
Branch.
Supplimental Permit Numbers
3
-
Registr. Fee $
Mileage Fee $
Address F City Zip
Witness Fee $
Reinsp. Fee
- $
Owner/Agent
Address `.
Tel. h
iV
City
Zip
Zip.
Total Fees $
M. 0. N.C. CoshF1 Check(•
Received by
Trees required
-
Contractor
_.
Tel.
License#
._
Sewage System
Address
City Zip
T LL P
.Sewer District.
t
Form 284-208 (Rev.8will, ..
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TP BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE SLATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WI40 PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
r ACCORQANCE,WITH'SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
..-.,..,.------. - .-.'. ....._:..., _ � ._ ... .''s . ., ,,, S,. _ .-[ ;t � iu. s. 'ail►,
verified by:
t
r.