384973 (ELEC)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
13849731 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
`2ND. FL.
SQ. FT. @ $
UNITS
Owne
;f
SQ. FT. @
YARD SPKLR SYSTEM
POR. s,,.
- GAR.'"
CAR P.
WALL
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Use/Case No.
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
.4
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
BATH TUB
$
SQ. FT. @ c
WATER HEATER
Supplime o rmit Numbers
S0. FT. RESID @1t/.c
SEWAGE DISPOSAL
Registr. Fee $
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
.Witness Fee $
Reinsp. Fee
GAS PIPING
PERMIT FEE
PERMIT FEE �;
PERMIT FEE
DBL.
TOTAL FEES
V
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
% V
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
3 4 9 7 3'��//
P
Job Address ..
r
Space
Zipr
r
Owne
;f
I-
CommunityValuation
j�" '' (lJ
$
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
Date
[ C C
Dist.
Off.
I F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use o Permit
�-" �.
I�
Pia—rc7el`Noy
Use/Case No.
Ck. By
Mech. Fee Dbl $
Pl. Ck. Fee $ •
Set Backs
lot Size
Construction Fee Dbl $
Legal Description
0 (,! t3
7 �
Electrical Fee $ i
Zone Restrictions
A e
Group
Type
-
SMI Fee $
Plumbing Fee
$
rDb
Bond Amt.
$
Plan No.
Plan Checker
Final Date
/
/.z �w ' 7-/
Inspector
Unit
Sp. Insp. Fee $
Dental. Fee
$
Const. Lender Branch
Supplime o rmit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
.Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
M.O. C.
�N'.
$ "e
Cash Chec
Address
f_�
V - � �
TL - i L�
City
�� �� ��
!
Zip
�67• y
Received by
�% , _
rac
Conttr I
ff / i
Tel.
License#o
Trees required
Sewage System
tAddreis- ,% t _.r ✓ru.:
City Zip
T LL
P
THIS PERMIT 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.
3 J_ -�2 d . J 9
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.8/78) @s
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
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Comme•cial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0. 0
P'
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
128 Ceiling (Batts)
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
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
o�
29B Bonding
30 Fixtures
31 Service
32 Fin61 .-71 Qv
STREET NAME