388080 (SFD)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
3 O Q O O 0 — COUNTY OF RIVERSIDE
FIELD Dsr
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @
UNITS
Commu it
2ND. FL. SQ. FT. @
YARD SPKLR SYSTEM—�
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Use of Permit �Y`
F O _ y I '
�..-�,.... '� y Ch
DRAINAGE PIPING
WALL SQ. FT. @
Use/Case No.
DRINKING FOUNTAIN
SO. FT. @
PI. Ck. Fee $W
URINAL
ESTIMATED CONSTRUCTION VALUATION Q �
Lot Size 1
WATER PIPING
NOTE: Not to be used as property tax valuation
SW'M POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE - DRYER
SMI Fee $
GARBAGE DISPOSAL f
FURNACE UNIT WALL FLOOR SUSPENDED
Bond Amt.
$
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.
SO. FT. @ t
BATH TUB
Reinsp. Fee
SO. FT. @ c
WATER HEATER
i'
SQ. FT. RESID @I'/.0
SEWAGE DISPOSAL
SQ. FT. GAR @ %c
HOUSE SEWER
Address .....
..,+
4 \
�r/-y�� i
I .�...i
City �L Zip
`
camAW-1
,..
GAS PIPING
PERMIT FEE
t ,
PERMIT FEE
PERMIT FES r
DBL.
TQTAL
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FE`E PLUMB. FEE
Cit Y
Zip
'
F�
PERMIT NO.
1388080
Job Ad s -1 A Space
Zrjp �=
Owner
Commu it
Valuation
�'L ;�%'� $
Dat
r !`
{D/ist.
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop $
Use of Permit �Y`
F O _ y I '
�..-�,.... '� y Ch
Parcel No.
�/j
/'�
Use/Case No.
Ck. By
(P
Mech. Fee Dbl E
PI. Ck. Fee $W
Set Backs
Lot Size 1
Construction Fee Dbl $
Legal Description!
^�`( �+ r G
F
+w
'�
`'�,..' S
!
S
R
J
Electrical Fee Dbl $ys
Zone Restrictio s
K
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan
No.
Plan Checker
Final Date p
Inspector y�:0 �`��
Sp. Insp. Fee $ fl
Demol. Fee
$
Const. Lender
Branch
Su*pplimental Permit Numbers
s
Registr. Fee $
Mileage Fee $
Address City Zip
I ,..-•-`
Witness Fee E
Reinsp. Fee
$
Oa ner/ geniti;;,.,�.
i'
Tel.
L,.y��+'y/'� /
/ Zip
Total Fees
E
Address .....
..,+
4 \
�r/-y�� i
I .�...i
City �L Zip
`
camAW-1
,..
y
M.O. N Cas hec
Received by
t ,
Contractor
Tel.
'
License#
Trees required
Sewage System
Address
-
Cit Y
Zip
'
T LL P
Sewer District
4
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 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 G V
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 Back
33
Ventilation System
2
Ftgs 6 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
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.
OPN
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Botts)
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
P/L 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
1'"I"II NV. Vir MR�11\Ln� Vf oV�LY�nV Q JMfG� 1 f ILLW VI 11\.L DST
388080 COUNTY OF RIVERSIDE +�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNI -S
c A
2ND. FL. SQ. FT. @
Valuation
YARD SPKLR SYSTEM
POR. SQ. FT. @
MO31LEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Cop $
DRAINAGE PIPING
WALL SQ. FT. @
Parcel No.
77-?
DRINKING FOUNTAIN
SQ. FT. @
Ck. By
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Set Backs
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIA POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
SMI Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMF 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. @ c
BATH TUB
Permit Numbers
SQ. FT. @ c
WATER HEATER
Mileage Fee $
:0. FT. RESID @1'/.c
SEWAGE DISPOSAL
Reinsp. Fee
SO. FT. GAR @ 1%c
HOUSE SEWER
O ner/;genty t"�-'.
-- J^
Tel.
GAS PIPING
PERMIT FEE
PERMT FEE
PERMIT F _
DBL.T
TALL F FS•s
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
F E PLUMB. FEE
Contractor
Tel.
Licenseit
Trees required
}}
1PERMIT NO.
388080
Job Add s
Space
'-s ��� ►� t-bg-
Owner
da
c A
Comm
Valuation
Dat
,g
(—�MH.Permit
Dist.
!��7
Off.
F.C.C.
Fee $
Micro Film Fee
Cop $
Use of Permit �[ /
Aj
W ... �;j , ..
Parcel No.
77-?
.�-0,0/
Use/Case No.
Ck. By
Mech. Fee Dbl $
PL Ck. Fee $
Set Backs
Lot Size
� _? 47.
Construction Fee Dbl $
Legal Description
t
�� P
VVV
�.-•,
Electrical Fee Dbl $
Zone Restri4tj.0s
IL//
Grovp�Z
PJFJ�/
Type
kT
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan
No.
Plan Checker
Final Date
I sppctor
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimentol
Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
I Is
O ner/;genty t"�-'.
-- J^
Tel.
h
Zip
Total Fees
M.O. N
Is
Cas hec
Addr7P _
1/'/
.
Lpr"Xwe
- Zip
/ �J �-o , {
Received by
Contractor
Tel.
Licenseit
Trees required
Sewage System
Address
City
Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IB NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO 3ECOME 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.
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.
verified by: