399367 (BLCK)BUILDING PERMIT
PERMIT NO.
1399367
DEPARTMENT OF BUILDING & SAFETY FIELD M
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
Owner
r�
SO. FT. @
YARD SPKLR SYSTEM
SO. 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
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
gal Description
Legal
I,�
(,4.•.I- ( I • i ) r���'
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
R
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.
SO. FT. @ a
BATH TUB
Sp. Insp. Fee f
SQ. FT. @ a
WATER HEATER
SO. FT. RESID @ 1 /4a
SEWAGE DISPOSAL
Supplimentol Permit Numbers
50. FT. GAR @ 3/44
HOUSE SEWER
Mileage Fee
Address City Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
• /
TOTAL FEESMOB.
HM. FEE
MICRO FEE
MECH. FEE Pt. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1-39936715�-6�r
Job Address
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-
Space
Zip
9zz
Owner
r�
Community
z— 7 I '-s
Valuation
Date
Dat.
Of I.
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop f
Use of Permito_ fF
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Parcel No.
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t� 7 r +r L� (� 0"d
Use/Cos. No.
Ck. By
L �
Mach. Fee Dbl f
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee �M $ H L
gal Description
Legal
I,�
(,4.•.I- ( I • i ) r���'
-� ✓.
F S S
R
Electrical Fee •Dbl f
Zone Restrictions
- l
Group
Type
SMI Fee S
Plumbing Fee
Dbl f
Bond Amt.
f
Plan No.
Plan Checker
Final DateInspect
L. ' �'
3
1/C//_
Unit
Sp. Insp. Fee f
Dental. Fee
S
Const. Lender
Branch
Supplimentol Permit Numbers
Regior. Fee S
Mileage Fee
Address City Zip
Witness Fee S
Reinsp. Fee
S
Owner/Agent
tip
Tel.
Zip
Total Fees
$ t/
U
',Address
--1 4 6(,)
!Ci ty s
Zip
M.O. C) N.C. El Cash Ckh.ck I]
Received by
) %-'
Contractor
Tel.
Licensee
Trees required
Sewage System
Address
City Zip
t tl 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
IL— Z-87 yr E LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/801 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
-t
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION •
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
2
2A
Set Back
Ftgs 8 Frms
Slob Grade
p7 i� _g0
W ilii
33
34
Ventilation System
Plenums 8 Ducts
35 Furnace, Comport. ', r
3
Steel
��V�
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air ..
5
6
Bond Beams
Roof Deck
V 0+•
� /1T J� Q 0 < \./
38
Compressor
.
39 Appl. Clearance -
t
7
Framing
40
Fire Damper
8-
Vents
41
Smoke Detection Device
+
9
Garage Fire Wall
42
Commercial Hood
-
10
Fireplace P.L.
t
43
Final r
'
JOA
Fireplace T.O.
. �'
OP'N ADDITIONAL INFORMATION ,
NO.
s
r `
)
r
'
t.
i
'
v'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath!
12 Internal Loth
12A Drywall y
13 Finish Grade
INSULATION Thick
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb t
16 Water Piping.
17 Rough Plumb
19 Sewage Disposal
20 Sewer
21 Water Heater.
22 Water Softener
23 Water Service
24 Gas Test
25
Final
r
Tank Pit L. Line
,
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
3
)
'
! P/
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
1PERMIT NO. DEPARTMENT O
399367 1 COUNT)
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used os property tox 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
GARBAGE DISPOSAL
FURNACE UNIT WALL' FLOOR SUSPENDED
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
Registr. Fee S
SQ. FT. @ a
WATER HEATER
Witness Fee $
S0. FT. RESID @ 1 /4a
SEWAGE DISPOSAL
Owner/Agent
S0. FT. GAR @ 3/4a
HOUSE SEWER
Tel.
—
Zip
Total Fees $
Address
Cityl
Zip
M.O. E] N.C. ❑ Cash &Check O
Received by
Contractor
Tel.
LicenseR
Trees required
Sewage System
Address
City
Zip
T LL 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.
CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: