403727 (GRD)OVILUMv rocmtt
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
403727 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Date
Ila ' �(/ '- 11;i
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $ +
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER j
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plan No. Pla;,E�rrker
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
t,
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. @ a
BATH TUB
1
SO. FT. @ a
WATER HEATER
LicenseR T
S0. FT. RESID @11/4a
SEWAGE DISPOSAL
Address'
S0. FT. GAR @ a/a
HOUSE SEWER
G P ING
PERMIT FEE
PERMIT FEE
Ry
t
DBI.
TOTAL F):E9 J:
/ 7 CS// U
MOB. HM. FEE
,,,•eMICROF .'
� •''
/�17
MECH. FEE PL. CK. FEE
'
CONST. FEE ELECT. FEE
SMI FEE
�F PLUMB. FEE
/
PERMIT NO.
403727%
_
lob Address _ Space Zip
��-.G.. e%
Owner
�., �'•
r.
Community
.Z/0 , ✓ X
Valuation
$ -
Date
Ila ' �(/ '- 11;i
Dist.
/✓
OII.
1 F.C.C.
MH Permit Fee $
Micro Film Fee Cop $ ['S
T~
Use of Permit
(/',�
Parcel No. /
!%:��'
Use/Case No.
Ck.. �By
N
Mech. Fee Dbl $
PI. Ck. Fee g/
Set Backs
Lot Size '
Construction Fee Dist $
Legal Description
/ �.• > �,,�(7 � /fir -/y
!! ") '-� v`•' J •�
F S S
R -
Electrical Fee Dbl $
Zona Restrictions
Group
Type •`
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
Plan No. Pla;,E�rrker
Final Do
Inspector
t,
Sp. Insp. Fee $
Demol. Fee S
Const. Lender Branch
Supplimental Permit Numbers
�.. 1 1� - 0o
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. _ Zip r;
Total Fees Is 121&
Address _ ,.�
l� (rf / ..� �/_'//_
City Zip
�•'
M.O. . ❑ ash ❑ Check [•
Recei e5,`by
Contractor
Tel.
LicenseR T
Trees 95d
Sew�g//eaoystem 41
Address'
City Zip
t
'4
T LL 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 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.
HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) ACCORD.NCE 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 & 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.O.
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)
128 Ceiling (Botts)
12C Ceiling (Blown)
14 Final
_-PIU-MBINGAPPROVALS_ -------•-----
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
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 1 Final
STREET NAME
PERMIT NO.
403727
[PERMIT NO.
403727
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE.
FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
F.C.C.
IST FL.
.2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
Parcel No.
Use/Case No.
SQ. FT. @ YARD SPKLR SYSTEM
PI. Ck. Fee $
_
SO. FT. @ MOBILEHOME SVC. BAR SINK
Lot Size
SQ. FT. @ POWER OUTLET ROOF DRAINS
Legal Description � V
ZT, S �` �j o2 �l `?'1% �.v •. 7�
PIPING
50. FT. @ DRAINAGE'
5 S
SO. FT. @ DRINKING FOUNTAIN
R
SQ. FT. @ URINAL
Zone Restriction(s�
VALUATION $ WATER PIPING
Type
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
No.,
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Unit
VENT SYSTEM FAN. EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Supplimental Permit Numbers
APPLIANCE DRYER
Mileage Fee 5
GARBAGE DISPOSAL
Witness Fee., $
FURNACE UNIT WALL FLOOR SUSPENDED
Owner/Agent
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN. SINK
M.O. . �. sh I] Check 5e
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
Licepsett
"
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
City s Zip
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U. `
SO. FT. @ a
BATH TUB
SQ. FT. @ a
WATER HEATER
S0. FT. RESID @ 1 t/4a
SEWAGE DISPOSAL
50. FT. GAR @ 3/4a
HOUSE SEWER
G PI ING
PERMIT FEE
PERMIT FEE
DBL.
TOTAL Fje��
MOB. HM. FEEAICRO
MECH. FEE Pl. CK. fEE
CONST. FEE ELECT. FEE
S FEE
FF.E PLUMB. FEE
PERMIT NO.
403727
Job Address Space Zip
7 s � ,G-1 ,VC/ ip 25-
Owner
Spy
Community /��
L,o Oa 1 c/ 7-X
Valuation
g
Date �%
1,/,o �'�Q�U
Dist.
//
Off.
2
F.C.C.
MH Permit Fee $
Micro Film Fee Cop $
Mech. Fee Dbl S
Use of Permit" y.Jy
/�,/[I' t./�/y Ci/�
Parcel No.
Use/Case No.
Ck.. �By
PI. Ck. Fee $
Set Bock,
Lot Size
Constr�%`ction Fee Dbl $
Legal Description � V
ZT, S �` �j o2 �l `?'1% �.v •. 7�
F
5 S
R
Elea rico) Fee Dbl s
Zone Restriction(s�
Group
Type
5TAI Fee
,Plumbing
Fee Ohl $
Bond Amt.PIon
g
No.,
Plan Checker
Fingal Date
/O /s—
Inspector
Unit
Sp., I. Fee $
Demol. Fee $
Const. Lender Branch
Supplimental Permit Numbers
Registr. Fee g
Mileage Fee 5
Address City Zip
Witness Fee., $
Reinsp. Fee g
Owner/Agent
Tel. Zip
2?61
Total Fees $
Address y�
0&0-
City �y Zip
M.O. . �. sh I] Check 5e
ReceiTAY
Contractor , `
.?�'✓\�'
Tel. , -
Licepsett
"
Treos � d
Sew a ys
Address
City s Zip
'
T LL p,Y 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.
HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN -
Form 284.208 (Rey."1/80) CCCJ ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STAT£, 0F CALIFORNIA.