359992 (ELEC)OUILUIMU VLKM11
PERMIT NO,
359992
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE,
a' a:
FIELD T
F;4'�]
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL -FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @
UNITS
2ND. FL.
'POR.' " '
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT: @ ' " ' " MOBILEHOME. SVC." _
BAR SINK
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL ' SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
POWER OUTLET
t J
;
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE:.,Not tp be used as,prpperty tqx valuation
SWIM POOL, PVT -k.6:< +
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Ck. By
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
a
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
SQ. FT. @ C
WATER HEATER
SQ. FT. RESID @1'hc
SEWAGE DISPOSAL
Inspector
S0. FT. GAR @ M. t
HOUSE SEWER
Sp. Insp. Fee - $
Demol. Fee
E
GAS PIPING
PERMIT FEE
PERMIT FEE,
e4o PERMIT FEE
DBL.
TOTAL FEES.,
MOB.HM.FEE
MICRO FEE
MECH. FEEP . CK. FEE
I CONST. FEE .. ,, EL
FEE SMI FEE
FEE PLUMB. FEE
PERMIT NO..'
3.69992
'
Job Address
'—
Space
Zip
Owner
Community ��' •
y! ,� ) 1
luation
E
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Dist.Off.
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F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop E
Use of Permit
- /!' r.
Parcel No.
91— 7
3:91-
Use/Case
No.
Ck. By
Mech. Fee Dbl E
Pl. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description
_ .�.1
�-/ �`•�
F
,1
a -
-
S S
R
Electrical Fee Dbl S G•
Zone Restrictions
. -
Group
Type
SMI Fee $
Plumbing Fee
Dbl E
Bond Amt.
Plan No.
Plan Checker
Final Dale
Inspector
Unit
Sp. Insp. Fee - $
Demol. Fee
E
Const. lender
Branch
Sbpplimentol Permit Number
i
Registr. Fee $
Mileage Fee - $
Address City Zip
Witness Fee $
Reinsp. Fee
E.
Owner /Agent
J'
Tel.
Zip
Total'Fees 1$-
C;
ddress �-"i�
�'
�r .. ...
Cib -..,
�/
s '
Zip
M. 0. N.C. Cash' Check
Received by �
Contractor
"Tel:'.'
LicenseN
It iTrees required
Sewage System
Address
city
Zip
T ' ,. �;', LL d 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 /PEWIFJ ECO VOID.
y I HEREBY AGREE THAT ALL WORI�'flrt CO�NNEC ON WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
! THEYAWS OF RIVERSIDE COUNTY AND THE STPITE OF CALIFORNIA.
J.X- 1 I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
NO. OPERATION DATE
BUILDING APPROVALS
1 " Set Back
2 Figs 8 Frms
2A Slab Grade
3 Steel
4 Grout Blocks
5 Bond Beams
6 Roof Deck
7 Framing
8 Vents
9 Garage Fire Wall
10 Fireplace M P.L. C]
10A Fireplace T.O.
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
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
ELECTRICAL APPROVALS
0
A
SEWAGE SYSTEM SIZE & LOCATION
t Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L
STREET NAME
INSPECTOR NO.
OPERATION
DATE INSPECTOR
MECHANICAL APPROVALS
33
`Ventilation Sys'em
34
Plenums & Ducts
35
Furnace Comport.
36
Inlets 8 Outlets
37
Combustion Air
38
Compressor
39
Appl. Clearance
40
Fire Damper
41
Smoke Detection Device
42
Commercial Hood
43
Final
OP•N
NO.
ADDITIONAL INFORMATION
0
A
SEWAGE SYSTEM SIZE & LOCATION
t Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L
STREET NAME