387960 (SPIN)PERMIT NO.
138796
Job Address Space Zi
Owner.
CommbnityValuau
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n
$
Date
1 \IV
Dist.
f .Gli,(�
F.C.C.
E.
MH.Permit Fee $
Micro Film Fee Cop $
Use �of Permit
4
Parcel No.
/
Use/Case No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee $
Set Backs r.
Lot Size {
1 t�
'
Construction Fee Dbl $
Legal Description F
1 F t / ♦� r
�.T..Y�� ! � ��ti ►„}. C,\
$ ft
$
R 12
Electrical Fee Dbl $ l
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
JA
Final Date
a
Inspecto
r
Unit
Sp. Insp. Fee $
Dental. Fee $
Const. Lender Branch
_
Suppli e I Permit Numbers
, d� '7 ,
Registr. Fee $
Mileage Fee §
Address City. ,Zip-
Witness Fee $
Reinsp. Fee §
Owner/A i
Jk t.4.�%lk1 i
Tel. _ _ ip
i
_ ( J (E}
-Tpjal Fees $
Address I
City Zi
.O. 'N.C. Cash Check
Received'
Trees require
Contractor -
Tel.
License#
Sewage System
Address
'City Zip
r T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
,.
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
F
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
rForm 284-208 (Rev. 8/7 P s 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 8 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 1
Fireplace P. L. E
, 43
Final
10A
I1
12
12A
13
Fireplace T. 0.
Exterior Lath
Internal Lath
Drywall
Finish Grade
I No ADDITIONAL
INFORMATION
INSULATION
Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 I Final
PLUMBING APPROVALS
ouPERMnvOrccmn DEPARTMENT OF BUILDING & SAFETY
38796-1 0COUNTY OF RIVERSIDE FIELD 1 it
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
SQ. FT. @ $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
POR. SQ. FT. @
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
MOBILEHOME SVC.
POWER OUTLET
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
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
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. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1 /.c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/. c
HOUSE SEWER '
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
\j ITAL-EEEP
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
I'7F,EE PLUMB. FEE
15 Ground riumb
16 Water Piping
17 Rough Plumb _ _80
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
SEWAGE SYSTEM SIZE & LOCATION
25 Final
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
ELECTRICAL APPROVALS
Z -7/L!
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L
STREET NAME
j' BUIL"UINUT PCKMII ,
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
960COUNTY OF RIVERSIDE ` l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL.FEES
NO. PLUMBING FEES
r IST FL:
2NDjfl.
POR?
'.-'•
GAR.
s.4 CAR P.
WALL
• ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Owne
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. , MOBILEHOME SVC.
BAR SINK'
POWER OUTLET
SQ. FT. @,
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
_
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
SIGN ,
WASHER (AUTO)(DISH)
APPLIANCE DRYER
S
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
BATH TUB
Branch
SQ. FT. @ c
WATER HEATER
Mileage Fee $/
SQ. FT. RESID @1'ht
SEWAGE DISPOSAL
'Reinsp. Fee
SQ. FT. GAR @ 3K c
HOUSE SEWER
f t ',+
el.
Tel. 1�yr�^ �`x•/,, `/� �/�l/� ip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE'
'[DBL. TOTAQ1E
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE'
SMI FEE
;•��EE PLUMB. FEE
PERMIT NO.
r+
Job Address
Space
Zip
Owne
�C•ooT&nity
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Vatua'
$
Date ,,l��/ �,y,�J
l !lJ
Dist.
\ ,Dj1�
-1—
Fj. C. C.
�✓
'Iv1H.Pwnnit Fee E
Micro Film Fee
Cop $
U¢e of Permit
1
_
- �1
�/�/�/ -'• L�
Parcel No.(�- /,
/ aJ� - /,69 . -a o �t
Use/Case No.
Ck. By
�
Mech. Fee Dbl E
'PI. Ck. Fee $
Set Backs
Lot Size _
r
O l
• Construction Fee Dbl E
Legal Description r
�C L) �,
F
S
S
R�_•7
d•
}Electrical Fee Dbl $�'
Zone Restrictions
Group
Type
`SMI Fee $
'Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Pion Checker
Final Date G
Inspector
Unit
5p. Insp. Fee $
'Demol. Fee
$
Const. lender
Branch
Supplimentol Permit Numbers ti
3.(� �%
8 //
Registr. Fee $
Mileage Fee $/
Address City Zip
/3
Witness Fee $
'Reinsp. Fee
$T
a
AS
f t ',+
el.
Tel. 1�yr�^ �`x•/,, `/� �/�l/� ip
Tqtal Fees
$
Address
-
O
iy Zi
O.. N..C. El Cash 0 Check
Received
Trees require
Contractor
".
Tel.
LicenseN
Sewage System
I
Address
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.
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) P s
verified by: