360150 (BLCK)dY1LVIP/L7 rCKMII
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
3 6 015 0 COUNTY OF RIVERSIDE FIELD DST
CONSTRUCTION
ESTIMATE
Job Address- = n + - _ . Space
4111�
NO. ELECTRICAL FEES
NO. PLUMBING FEES
ISTFL.
2ND. FL.
POR.
GAR.
CAR P.
WALL ` `
SQ. FT. @ $
_
UNITS
,2
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. 'FT. Q a ^7 -2. , ���' %
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Mech. Fee Dbl E
PI. Ck. Fee $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
F, -
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Type
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Dbl $
Bond Amt.
$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Final Date
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Const. Lender Branch
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T,.U.
Witness Fee $
SQ. FT. @ c
BATH TUB
Owner/Agent
Tel.
SQ. FT: @ t K
WATER HEATER
Zip
SQ. FT. RESID @114 c
SEWAGE DISPOSAL
Address -
City
SQ. FT. GAR @ 3/. c
HOUSE SEWER
Zip
e
M.O. C3 N.C. Cash ° Check
Received by
Trees required"
_'_ .•_ '
GAS PIPING
PERMIT FEE
License#
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
,MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.- �"
360150
• '" -
Job Address- = n + - _ . Space
4111�
Zip
Owner
Al.
_
Community , -
„y f"
Valuation
E
Date
-�•'•, !"
Dist'
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Off.
%/
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop y
Use of Permit -
""'" 1G,"
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Parcel No. -
Use/Case
No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description .-
�`' .{'` �•'7
•�I'
F, -
5
S
R
Electrical Fea Dbl E
Zone Restrictions
Group
Type
SMI Fee Is
Plumbing Fee '
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
Inspect r
Unit
Sp. Insp. Fee S
Demol. Fee
E
Const. Lender Branch
Supplime t it Numbers
I
.'^S /
Registr. Fee y
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
s A
Address -
City
Zip
e
M.O. C3 N.C. Cash ° Check
Received by
Trees required"
_'_ .•_ '
Contractor tt ,e
.!''k " g,. ',�, ,.r .
l
Tel.
.. ,�,. ..
License#
Sewage System s
Address
City
Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CA E PERMIT TO BECOME VOID.
I HEREBY AGREE THAT A"AND
NELrflt"TTFI THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE CO STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION' HE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION DATE
"INSPECTOR
NO.' OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
2
Set Back
Ftgs 8 Frms
"
V47-29Q�
�G��
33 Venti'ation System
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
5- 14
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace
P. L. E]
43 Final
IDA
Fireplace
T. 0.
NFON ADDITIONAL INFORMATION
.ct—a2 �%�res /�✓p�,�
y.4O Al � /�!/(�� d_
/�'/� T//1/�.- ?r%
X,, &/ 7C �� 45 L0 C, cam — I
slvQ/, . • I
/VOT 1Ne-c-G
^ _
SEWAGE SYSTEM SIZE A LOCATION
11 Exterior Loth S^GZ`�� fahe
12 Internal Lath
+ 12A Drywall
13 Finish Grade
INSULATION Thick VaRIUe
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14. Final IQ,
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
lank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS.
P/
`r
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 F��U OFFICE
PERMIT NO. - DEPARTMENT' OF'BUILDING & SAFETY'. DST]
'360 .15'0 COUNTY OF RIVERSIDE
FAJ
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.-
'2ND. FL.'
.POR. +
GAR.
CAR P.
WALL•
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
•Community Z.^
SQ. FT. @
YARD SPKLR SYSTEM
SQ FT @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @- 7� - �'�- ' ' ' t '
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION
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 7
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Zone Restrictions
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..
SQ. FT. @ t
SQ. FT. @ C
BATH TUB
WATER HEATER
$
S0. FT. RESID @I'/.c
SEWAGE DISPOSAL,
Branch •
SQ. FT. GAR @ s/. c
HOUSE SEWER
Registr. Fee $
Mileage Fee $
GAS PIPING
PERMIT FEE
Reinsp. Fee
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE MECH. FEE
, PL. CK. FEECONST.
FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
36015 0
- '
.• x,
Job Address . + ` « « ` ° ' " " "�'" i `Space
- �-
Zip
s 5
Owner
`r 4.s
Al.
•Community Z.^
- .- „ • �• a.,w-� .;r,- ;.r••»
-
N I rT
valuation.* If
$ 3"
Dote
,�%
Dist.
�'
Off.
Z
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of -,Permit
Y'�AV. /��6
O 7 -
Parcel No:
•t
��^s�f, —42
Use/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
• - Set BacksS
Lot Size
ion Fee Dbl $
Construction
Description
/
it
`
y • tI
G� /�f' . ,N•{G 4- ��
F S
R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee E
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No. -
Plan Checker «
FinalDote
�//,
( L9 L/ �/
Inspect�or//�
/
Unit
Sp. Insp. Fee $
Dental. Fee
$
Const. Lander
Branch •
Supplimentol Permit Numbers
{ _
•1,�
Registr. Fee $
Mileage Fee $
Address City Zip
- -
Witness Fee $
Reinsp. Fee
$
Owner/AgentTel..-
.
'r.
Zip
•
Total Fees•
E
Address
City
'
-
Zip
P
- M.O. C3 N.0 171 Cash Check
Received by,
Trees required-
..
Contractor _
. �: 1 �� . .. . > ... AI i.w
a
-- Tei. -±
4`T1 a�
LicenseN
Sewage System
Address
.•
City a;,. Zip
LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Suer District FOR 120 DAYS SHALL ALSOZE PER IT TO COME VOID. '
TI. X I HEREBY AGREE TH4T A N ITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
r THE LAWS OF RIVERSIDE COUNTY AN HE STATE OF CALIFORNIA.
Y
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.
Form 284.208 (Rev.8/78j