376206 (SATT)BUILDING PERMIT
�RERMlr No. DEPARTMENT OF BUILDING & SAFETY DST
376 2 0 6 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION
ESTIMATE
Job Address Space
-'ap
NO.
- ELECTRICAL FEESNO.
PLUMBING FEES
I ST FL. I
SQ. FT. @ r $ a
+off
Off.
I ,
UNITS
MH.Permit Fee $
2ND. FL. 1
SQ. FT. @
t
Use/Case No.
CU—
YARD SPKLR SYSTEM
POR.
GAR.
CAR P.
SQ. FT. @
yfl mar
Construction Fee Dbl $
MOBILEHOME SVC.
BAR SINK
SQ. FT, @ Q �. POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING A.
w
WALL
SQ. FT. @
Bond Amt.
E
Plan No.Pto
J 3.
cker
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
j�
/ GY.� ��
Const. Lender Branch
Supplimmental Permit Numbers
WATER PIPING
NOTE: Not to be used as property tax valuation
AddressCity ZiPl,
` •1;'
Witness Fee $—IV
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
,Total Fees $ 11,.-
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Received by (� Or
Contractor
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Sewage System
Address
Cit +
Y t Zip
1
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 @IV.c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
Jt�TOTAL FEE
I MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK.. F�F�/�
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FE
PERMIT NO.
3 7 6 2 0 6
Job Address Space
-'ap
Zip
--s-✓.�
Owner
Community/
t��/''f�
4,4 G�f, rA
Valuation
E
Date y �y
f "4a� /�
Dist..
is
/j
Off.
I ,
F.CC.
MH.Permit Fee $
Micro Film Fee Cop $
UseO Perm,,�itI.
%IIS <' / 4 C 4.
i...�
Parcel No. sL j�✓
-274 #11- 3woS+r "'
Use/Case No.
CU—
Mech. Fee Dbl $
PI. Ck. Fee
Set Backs
Lot Size
�-ry, �y
V "r` 4.)
Construction Fee Dbl $
Legal Description
�f
011�[,,i//�
c.v L✓ X
F y`-��y 5 S R -2
�ro-0 .ir
Electrical Fee Dbl E
Zone Restrictions
•yM •
Group
1/0--
Type
- A
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
E
Plan No.Pto
J 3.
cker
Final Date
(2-- 1 -?'?1
Inspector
Unit
Sp. Insp. Fee $
Demo!. Fee $
Const. Lender Branch
Supplimmental Permit Numbers
Regisir. Fee $
Mileage Fee $
AddressCity ZiPl,
` •1;'
Witness Fee $—IV
Reinsp. Fee $
O nRr Agent r V
Tel. ry Zip
,Total Fees $ 11,.-
Address ^p•
ii "o J &7" &' V' �!` 4
C'ttyy. ,,[(j
y s✓` 1 C '' �i �,•, �. ^•^
M.O. N.C. Cash Check
Received by (� Or
Contractor
Tel. "
License#
Trees required
Sewage System
Address
Cit +
Y t Zip
1
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 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
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
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 Pl.umb
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
ELECTRICAL APPROVALS
PSL
P/
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
PERMIT NO.
376206
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE MDSTST
COUNTY OF RIVERSIDE
CONSIAZUCTION
ESTIMA, E
Job Address• space
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. &0
2ND. FL.
POR.
SQ. FT. @
4A0 a"'"
UNITS
�O"ff.
/
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ [�*' MOBILEHOME SVC.
BAR SINK
GAR.
SQ. FT. @
q:M°v�
POWER OUTLET
ROOF DRAINS
CARP.
WALL
SQ. FT. @
Construction Fee Dbl $
'
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
Electrical Fee Dbl $
SQ. FT. @@
a
Type
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Bond Amt.
$
Pion No.
v j-
WATER PIPING
NOTE: Not to be used as property tax valuation
Inspector
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Const. Lender Brc nch
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Address Ci. Zip
;
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Zip
Tel. t Kr
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Ciittyy r �• Zip
(1 �T L' /�% �{ �f�''/w�.J 2- -?—
M.O. N.C. Cash Check
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Tel.
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Address
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 @I'/.0
SEWAGE DISPOSAL
SQ. FT. GAR @ '14 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
/PL. CK. _FEF.
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1.376206
Job Address• space
Zip
Owner
Community t
. �lf,.�7'/�'
Valuation
$
Dote
�j
7'• �r�" ?
Dist.
is
/ 1
�O"ff.
/
F.C.C.
MH.Permit Fee $
Micro Film Fee Cop $
UsP Permit
4- ... l%„.e
Parcel No.
�7y �Z" 3"0104,
Use/Case No.
Ck. By A
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
lot Size
���t:,J
Construction Fee Dbl $
Legal Description
('''(�"' G tel
a� '"'. {i- `-* 2,,
F
Z_0� S
�
at✓
Electrical Fee Dbl $
Zone Kestriciions
_
Group
Type
SMI Fee Is
Plumbing Fee Dbl $
Bond Amt.
$
Pion No.
v j-
Pb -Checker
Final Date
Inspector
Unit
Sp. Insp. Fee $
DemoL Fee $
Const. Lender Brc nch
Supplimental Permit Numbers
_ L
-
Regisir. Fee $
Mileage Fee $
Address Ci. Zip
;
Witness Fee $
Reinsp: Fee $
O nor Agent
�ga,
Zip
Tel. t Kr
Total Fees $ -4, -
Address ,�•� y..
%t V GO %2..! � (
Ciittyy r �• Zip
(1 �T L' /�% �{ �f�''/w�.J 2- -?—
M.O. N.C. Cash Check
Received by
Contractor
-
Tel.
License#
frees required
Sewage System
Address
City Zip
T LL P
Sewer District
T
Form 284-208 (Rev.8/780
.4
THIS FERMFT SHALL BECOME VOID F 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 Ar -D 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.