360481 (SFD)BUILDING PERMIT
PERMIT No.
DEPARTMENT ST -OF BUILDING A SAFETY FIELD D
3 6 0,481 1 COUNTY OF RIVERSIDE I ✓/ I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Job Address
UNITS
Space
IST FL. SQ.FT. @
Owner
2ND: FL. SQ..FT. @
YARD SPKLR SYSTEM '
G'MOBILEHOME
'
SVC.
BAR SINK
FOR. SQ. FT. QZ1
GAR. SQ. FT. @
46
_ ,) fi ` POWER OUTLET
ROOF DRAINS
'CAR P. - SQ. FT. @
DRAINAGE PIPING
WALL ' SQ. FT. @
DRINKING FOUNTAIN
URINAL
SQ. FT. @
$
ESTIMATED CONSTRUCTION VALUATION $
1 ezv '
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 " NAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL, FLOOR SUSPENDED
e/Case No.
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
legal Description ;LIQ/ `e F
�1:;�10
SQ. FT: •@ '• t •"n
WATER HEATER
SMI Fee
S0. FT: RESID @1'/.0
SEWAGE DISPOSAL
S0. FT. GAR @ '/. c
HOUSE SEWER
^-
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FE
Demol. Fee
$
Const. Lender
Branc
Supplilmeal Permit Numbers
• PERMIT NO. -
''
Job Address
-• - "- • ':'S t k
Space
Zip
Owner
36-0481
Z422 4 -/,i52
Community
Valuotion
Date
Dist.
F.0 C.
MH.Permit Fee
$
444 4f
'
a
Micro Film Fee
Cop $
Use of Permit
` I - -
11o7k
1Pj9
Parcel No.
e/Case No.
Ck. By
..
Mech. Fee
Dbl $.
f
i
~
PI. Ck. Fee $
—Soft B cks
5 •�
ne Restrictions
Lot Size
S R
°Group'" Type
.
Construction Fee Dbl $
legal Description ;LIQ/ `e F
�1:;�10
Electrical Fee - Dbl $}/-'
SMI Fee
$
/ ?'"'_.•`
^-
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
1. {)
PIbn.Checker
Final D e
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branc
Supplilmeal Permit Numbers
Regisir. Fee $
Mileage Fee $
Address City Zip .
Witness Fee $
Reinsp. Fee
$
Owne//r/Agent
j
fr
Tel.
Zip
Total Fees
$'
Address
r
City
Zip
M.O. N.C.
Cosh
Check
Received by ,
-
Contractor
-
Tel.
License#
Trees required..
-
..
.. ...i .,..
.'
♦
.r
Sewage System --
Address
Ciry•,,r
- Zi
//'
T LL P
Sewer District
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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.
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 8 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 Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L,
43
Final
10A
Fireplace T.O. Ej
oo
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Botts)
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME