385012 (MISC)OUILUINU rLKM11
1PERMIT NO. DEPARTMENT OF BUILDING & SAFETY oST
38501.21 COUNTY OF RIVERSIDE ♦ FIELD
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
PERMIT NO.
385 0 .L. 2
Community j
�."}"`�('�'"'f (`
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. Q
DRINKING FOUNTAIN
SQ. FT. @
URINAL
@ VALUATION `P
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
PI. Ck. Fee $
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Construction Fee Dbl $
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
F.. _ �1 S `'` S 5
J
WASHER (AUTO)(DISH)
APPLIANCE DRYER
�f i
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
j' �rSY.!x �(, „
Plumbing Fee ON $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Plan Checker - -'�
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
Demol. Fee $
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Supplimental Permit Numbe
�• ,y.�. (�
[17 v
SHOWER
BOILER B.T.U.
SQ. FT. @ t
Mileage
e
Mileage Fee $
BATH TUB
Witness Fee $
SQ. FT. @ c
Owne Agent 'i
WATER HEATER
S0. FT. RESID @1'/,c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
Address t r �r ^
C. `^•� �'_ Jl \'''� L -V
HOUSE SEWER
City r,
(..l .� 4 V t.�,.:
(� / ` .ry
Zip
M. 0. Ej N.C. ElCash"Check
GAS PIPING
PERMIT FEE
PERMIT FEE
Tel.
PERMIT FEE r
DBL.
TOJAL„E ES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE
/EjLLEECT FV
SMI FEE
FEE PLUMB. FEE
T LL P
Sewer District
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
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Job Address�jc
t� Space
3'Zip
Owner
PERMIT NO.
385 0 .L. 2
Community j
�."}"`�('�'"'f (`
Valuation
$
V
Date.
I `
`�
Dist.
"Off.
F.C.�C...,,
`
—
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
(//3 �a�+lJ�
�r
-
Parcel No.
.
41 �..1 ' ( •�� r C:��, `S
Use/Case No.
......�
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
lot Size
,(v jl f
/
Construction Fee Dbl $
Legal Description
n
Zlr
�h
F.. _ �1 S `'` S 5
J
R ,,�
Electrical Fee Dbl $Jam-
Zone Restriction s
t i
Group
Type M
SMI Fee $
Plumbing Fee ON $
Bond Amt.
$
Plan No.
Plan Checker - -'�
Final Date
/�' (J O
/
In pector
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender
Branch
Supplimental Permit Numbe
�• ,y.�. (�
[17 v
Fee $
Mileage
e
Mileage Fee $
Addressl -' /, City
Witness Fee $
Reinsp. Fee $
Owne Agent 'i
Tel.�—�
Zip
Total Fees •' $
Address t r �r ^
C. `^•� �'_ Jl \'''� L -V
City r,
(..l .� 4 V t.�,.:
(� / ` .ry
Zip
M. 0. Ej N.C. ElCash"Check
Received by X- t Kr fC%�w�/..%
Contractor •
Tel.
License#
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 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
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 & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Domper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. ❑
43
Final
10A
Fireplace T. 0. 0
FI
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B 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
P/L
�pp
QPM
]tl
ELECTRICAL APPROVALS
26 Power Pole Fro
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire /�,—*v
29B Bonding
30 Fixtures
'31 Service
32 Final -7 —?d
STREET NAME
PE
385012RMIT NO.
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE($T
COUNTY OF RIVERSIDE 1
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
`• 2ND. FL.
FOR.
GAR.
SQ. FT. @ $
UNITS
valuation
Dyte
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT.
BAR SINK
.@
SQ. FT. @ POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
Q
ESTIMATED CONSTRUCTION $
VALUATION
'
Ck.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Lot Size
C / '• J
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
S
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Group
Lam.._
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plumbing Fee Dbl $
Bond Amt.
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
r b67"'F�'
Spector
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Const. Lender E-onch
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Address /} o=iiy Zi
�(./ J
WATER CLOSET '
COMPRESSOR HP
POLE,TEMP/PERM
Tel. Zip
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
City Zip
1 L•» N�'L,,.1.a� •y '!�'� !,,,4,.
SHOWER
BOILER B.T.U.
SQ. FT. @ c
Tel.
BATH TUB
Trees required -
SQ. FT. @ c
Address
WATER HEATER
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @.'/,c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TO�ES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
. CONST. FEE
ELECT V
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
3 8 5 012
Job Address 1 Space
�Jr.S►,
ip
�C
Owner
�T�-�-,.
Community •(/�J
`" a ''�-'"`• �•/
valuation
Dyte
Dist.
-Off.
F. )CSC..,
MH.Permit Fee E I
Micro Film Fee Cop $
Use of Permit
/r v�
Parcel No.
>
Use/Case No.
Ck.
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
C / '• J
Construction Fee Dbl $
gal i•'
.,} t C� l"�
V^ (�•�
�
F __ .iy 5 rr"
S
R 6T 5
Electrical Fee Dbl Is-/jZone
Restrictions
rL __
t
Group
Lam.._
Type
.�.�•
SMI Fee E
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.'
Ion Checker
Final Date
i
1—) — Q
Spector
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender E-onch
Supplimental Permit Numbers
Fee $
Mileoge Fee $
Mileage
e
Address /} o=iiy Zi
�(./ J
Witness Fee $
Reinsp. Fee $
Own, Agent �
Tel. Zip
Total Fees $
Address ^�
`
jV..rr (,� �. .�> i�J •.AJ y'
City Zip
1 L•» N�'L,,.1.a� •y '!�'� !,,,4,.
M.O. ;• N.C. Cash Check
Received by i to\ r
Contractor
Tel.
LicenseN
Trees required -
Sewage System
Address
City Zip
T LL P
Sewer District
i
Form 284.208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME VOFD 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 INDI ADUAL 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.