387466 (BLCK)PERMIT Na DEPARTMENT OF BUILDING & SAFETY P/1
387466 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. Fl.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
Dote
�y�`�
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @ C
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
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plan Checker
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
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
Tel.
SQ. FT. @ c
WATER HEATER
Sewage System r ` , Lip. '
v
�9
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
/ TpLVS
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
COI,*SFFEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
387466
Job ,Ad t- s Space ip
yy��)``►► ✓(. �ro¢x... Z
Own
Co munipIy�a
/ VY���/�
Val ua ion
Dote
�y�`�
Dist.
F. C.
MH.Permit Fee E
Micro Film Fea CopIs
Use of Permit
/ ty'�►
Parcel No.
Use/Case No.
C
V
Mech. Fee Dbl E
PI. Ck. Fee E
Set Backs
Lot Siza
Construction Fee Dbl E
Le oI Description-
-� /
..S�r.�/ee
� � � �� -"
F S S R
Electrical Fee Dbl E
Zone Re�str!u�c, tions J)
/� T /
Group
Type
SMI Fee E
Plumbing Fee Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Finol `' P�
(/y VXU
/�
Irypector
O�
Unit
Sp. Insp. Fee =
DemoL Fee E
Const. Lender Branch _
i ! �'.Mileoge
Address Cityf ` '' Zip`
Supplimen4ftrombers
Registr. Fee E
Fee E
Witness Fee E
Reinsp. Fee E
Owner/Agenr` all •y
Tel. Zip
Total Fees E
.✓
N.C. Cash Check
Received by
Contractor
Tel.
Licensefl
Trees required
Sewage System r ` , Lip. '
v
�9
Address
City Zi P
T LL P
Sewer District
Form 284-208 (Rev.8/78) 0s
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 �_ 3 8'
O
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 t
IDA
Fireplace T. 0. E]
No
ADDITIONAL INFORMATION
_ - — — � -• - _ '- _. _ _ _ � _ _ _
SEWAGE SYSTEM SIZE & LOCATION a
11 Exterior Loth
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
zs
Final
_
Tank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
1
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.
13874661
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE F/;/;]
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
Voluotion
E al'—
2ND. Fl. SQ. FT. @
Dist.
/1
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
Use of Permit
F Q�ty„�,.i yr ^^" I t .'
�.'jy
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
Mech. Fee Dbl s
PI. Ck. Fee s
CAR P. SQ. FT. @
Lot Size
DRAINAGE PIPING
WALL SQ. FT. @
F 5
DRINKING FOUNTAIN
SQ. FT. @
Zone Rest 'coons
....
URINAL
ESTIMATED CONSTRUCTION VALUATION $
SMI Fee $
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 EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Regisir. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Witness Fee $
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 @1'/.c
SEWAGE DISPOSAL
S0. FT. GAR @ 1% c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTALUS
MOS.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
COL�S�r FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1387466 1
Job Address Space ip
Owner
CLo'f�mQu.,nit s y
�"�/ �/r /:�%
Voluotion
E al'—
Dae
I/'—
Dist.
/1
ff-
1-Z
F.C.C.
MH.Permit Fee $
Micro Film Fee Cops
Use of Permit
F Q�ty„�,.i yr ^^" I t .'
�.'jy
Parcel No.
/ ;'�` —.Wj"► ,L—o Tis" /
Use/Case No.
Ck. B
Mech. Fee Dbl s
PI. Ck. Fee s
Set Backs
Lot Size
Construction Fee Dbl $
Le ` l Description p
a
F 5
S R
Electrical Fee Dbl $
Zone Rest 'coons
....
Group
Type
SMI Fee $
'Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final DateInspec
r
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
�C'~
Supplimentol Permit Numbers
W
Regisir. Fee $
Mileage Fee $
Address /' City Zip'
-
Witness Fee $
Reinsp. Fee $
�~
Owner/ Age
Zip
Total Fees $
12
City�/[�
M.O. N.C. Cash Check
Received by
Contractor
Tel.
License#
frees required t+"'
Sewage System n ��"' f
Address
City Zip .
T LL P
Sewer District
Form 284-208 (Rev.B/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.