391978 (AR)OWILUIMW rCKMIN _
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
3 919 7 8 COUNTY OF RIVERSIDE f/
CONSTRUCTION
ESTIMATE
NO.
ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @ $
Dist.
//
UNITS OZ
FCC
Ialftft
MH. Permit Fee $
2ND. FL.
POR.
SQ. FT. @
Parcel No. +
7 7 7 / 2,/ �`r
Use/Case No.
YARD SPKLR SYSTEM
Mech. Fee Dbl $
SQ. FT. @ MOBILEHOME SVC. BAR SINK
Set Backs
GAR.
CAR P.
WALL
SQ. FT. @
Legal Description
/-" J �:..�� y,�
POWER OUTLET
ROOF DRAINS
Zone Res tions /
SQ. FT. @ DRAINAGE PIPING
Type
SQ. FT. @ DRINKING FOUNTAIN
>i
SQ. - FT. @
ESTIMATED CONSTRUCTION VALUATION $
Plan No.
Plan Checker
URINAL
WATER PIPING
•
NOTE: Norto be used as property tax valuation
Sp. Imp. Fee $
SWIM POOL, PVT
FLOOR DRAIN
Supplimentol Permit Numbers
MECHANICAL FEES
Mileage Fee $
SWIM POOL, COMM
WATER SOFTENER
Reinsp. FeeTel
VENT SYSTEM FAN EVAP. COOL HOOD
Z.
SIGN
WASHER (AUTO)(DISH)
• �^ •�
h1 _V�wyy4 •�`r b/ �.•i. �: v V •
APPLIANCE DRYER
M.O.Lj N.C. ,.Co;h Check
Received'by -
GARBAGE DISPOSAL
Tel.
FURNACE UNIT WALL FLOOR SUSPENDED
Trees required•
Sewage System
LAUNDRY TRAY
City Zip
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 @ 11/4 c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/3 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TO AL FEESrJ' -
MOB.HM.FEE
MICRO FEE
MECH. FEE 7PL. CI(��CONST.
FEE ELECT.PQ Q
SMI FEE
FEE
PLU/NBdV
PERMIT NO. p
391978
Job,A- ddress 1 Space �
j .�-s` � y�1iX
Zip Owner _
Ahab, -1s
Com unity �/ .1 •�- �
�(/Tf /4$�0-
Valuation
Date `� �)
""" ��•/
Dist.
//
9/f�.,�
�""`•
FCC
Ialftft
MH. Permit Fee $
Micro Film Fee Cop $
U eJAoof Permit .�/
lJ �/• ` � �.�'7,�. a'✓ /%` .Y
% ,�^-%" f �' W /` e' 'Z'
Parcel No. +
7 7 7 / 2,/ �`r
Use/Case No.
C
—.>,
Mech. Fee Dbl $
PI. Ck. Fee Is Je. o
Set Backs
Lot Size
,Construction Fee Dbl E
Legal Description
/-" J �:..�� y,�
F S S R
Electricol Fee Dbl E
Zone Res tions /
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Dote
Inspector
Unit
Sp. Imp. Fee $
Demo!. Fee • $
Const. Lender Branch
Supplimentol Permit Numbers
Registr. Fee $
Mileage Fee $
Address City
A A.y
Witness Fee $
Reinsp. FeeTel
......w.,..�Ae
Z.
Total Fees $re,°s
• �^ •�
h1 _V�wyy4 •�`r b/ �.•i. �: v V •
C�tY ' i• •y Zio 4
!A_�^ ' `/ V t !f.�, l �Y' • ` • , . r �. f ...-
M.O.Lj N.C. ,.Co;h Check
Received'by -
Contractor - -
_
Tel.
Licensei •��
'"
Trees required•
Sewage System
Address
City Zip
}
T tl 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.
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.B/78)
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
Fireplace P. L.
43
Final
IDA
Fireplace T.O. E]
OP'N I
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
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 l.+ _ 3 d —go
16 Water Piping (4,30_�
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater _'30_
22 Water Softener
23 Water Service
24 Gas Test
25
Final p
Tank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P)
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding 30��
30 Fixtures
31 Service
32 Final
STREET NAME
PERMIT NO.
1.3,91978
DEPARTMENT CF BUILDING & SAFETY FIELD OFFICE-DST-�
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO.
ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
SQ. FT. @ `P
,
UNITS
Qt_ �
-
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
GAR.
SQ. FT. @
UseofPermit ' _ y.J
.�`'
-% Al i1fi %`(,`�:�
POWER OUTLET
Use/Case No.
ROOF DRAINS
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @ @
ESTIMATED CONSTRUCTION VALUATION $
PI. Ck. Fee $ r,/
Lot Size
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING _
NOTE: Not to be used as property tax valuation
Dbl $
Dbl $
SWIM POOL, PVT
�
FLOOR DRAIN
MECHANICAL'FEES
Zone Rei tions �
SWIM POOL, COMM
Type
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Dbl $
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
'Ian Checker
Final Date p—
/(-J 0 i0 Q
Inspector
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Demol. Fee
$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Supplimental Permit Numbers
IDLE METER
Registr. Fee $
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Witness Fee $
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
wnA`�e� i�7f y+
POLE, TEMP/PERM
Zi
LAVATORY
HEATING SYSTEM FORCED GRAVITY
$
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Zip_
SQ. FT. @ -c
Received by
BATH TUB
SQ. FT. @ c
Tel.
_
WATER HEATER -
Trees required
Sewage System
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Address
City Zip
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL 1FU,SO. •
J ,7'"'L4......�+/
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK Lo
CONST. FEE
ELECT.�F 6J
SMI FEE
FEE PLU/�Oe
/—rte"
" PERMIT NO.-- -
13,9197 8
Job Add ess - - - Space
�� Svc'- �-� L ,
Zip net
z. vJ- /;/,,9 0,--/
Commmmunity
�1 �% �/L� 7-�
Valuation
$
,
Date
a `� �`'6
Dist.
/�
Qt_ �
-
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
UseofPermit ' _ y.J
.�`'
-% Al i1fi %`(,`�:�
Parcel No.
77 y / tZ '7-
Use/Case No.
Ck;.By
Mech. Fee Dbl $
PI. Ck. Fee $ r,/
Set Backs
Lot Size
-
Construction Fee
Electrical Fee
Dbl $
Dbl $
�
Legal Description
w
GQ f � v �(��� e vL(�J �
i
F $ S R
Zone Rei tions �
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
{„r
Bond Amt.
$
Plan No.
'Ian Checker
Final Date p—
/(-J 0 i0 Q
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender . 2'anch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
-
wnA`�e� i�7f y+
Te. /
CCCSi����" •••✓✓✓�"'
Zi
Total Fees
$
Address
c � M L�.�.
City `
1.i �� Tl�
Zip_
M.O. N.C. E h Check
Received by
'Contractor -
Tel.
_
License#
Trees required
Sewage System
Address
City Zip
`
T LL P
Sewer District
L
Form 284-208 (P Y.8/78)
THIS PERMIT SHALL BECOME VOD 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 IND VIDUAL 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.