290711 (RER)y.
DEPARTMENT OF BUILDING & SAFETY
t BUILDING PERMIT` ��ulTv �e enieselne
PERMIT NO.
2907111
JOB ADDRESS SP NO
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-A e/ 4/ y_ e - / a 1
�ww- I yr n1 v um plwG '-Row '
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76
MDST
/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1 ST FL. SQ.
2ND FL. SQ.
FOR. SQ.
GAR.
CAR P.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @ $
UNITS
' M H PERMIT FEE
FT. @
YARD SPKLR SYSTEM
FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT., @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $ o
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
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
14—/!t /
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERM 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
SQ.FT. @ a
WATER HEATER
SET BACK
SQ.FT.RESID @ 1114a
SEWAGE DISPOSAL
TYPE
SQ.FT.GAR @ 3/44
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
rj7;4
FEEES^'�,f
f J �R."Y
MOB.HM.FEE
MICRO FEE
MECH.FEE PL.CK. FEE
CIONNS'T/FEE ELECT.FEE
-+IzL�3l�..Qn
SMI FEg
I
FEE PLUMB. FEE
�-
' J F M A M J J A S O N D
JOB ADDRESS SP NO
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OWNER
S
7 �
i,.
76
' 7J
COMMUNITY
. E /� f ✓!
VALUATION
$ 0 0 o .
DATE
;Z.
DST,
OFFIC�Er
"!, �i
78
' M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPPP. TO PERMIIT/
PE MIT
NO.
ef-
71
14—/!t /
�e? tF
MICROFILM FEE
�.
COPIES
$
BOOK PAGE PARCEL
;7,1+�4J'if
I LEGAL DESCRIPTION'7 j f �t /% T' f •� /y
-"SI'='d L%� �I. ,C�•Li��%S.' Y /y/ l I% 1/
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP.
TYPE
CK BY
rE
/�
I
S
S
R
'a%"
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE IN
PECTOR
I
�_� ?7
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LEND R INVOLVED
){
y�
7
i'ELECTRICAL FEE
DBL
ADDRESS CITY
STATE
4
J'
STRONG MOTION
$
�`�
OWNER/AGEN ,S SIGNATURE CONTRACTOR
.'INSTRUMENTATION FEE
��
SPECIALINSP
$
ADDRESS ADDRESS
DEMOLITON
FEE�
_�✓l 0 '7
'REGISTRATION
IIJS/'4
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
TOTAL FEES � $
TEL' NO. •�
RECEIVED BY TREES REQUIRED
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOMEVOID.
'SEWAGE SYSTEM
I HEREBY AGREE THATALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
- T LL P
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
- 0mrici,5AiiU, u,.5Lm ,Cr UPON mr EMYLGfEES. COMPLIANCE WITH Inc LAWS OF THE SINK OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 264-206 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.
01, OPCRArION OAT!
BUILDING APPROVALS
Set Back
Hos a Frms
2A Slab Grade
3 Steal
Grout Stocks
.5 Bono Seoms
6 Ro'of Deck
7 Framing
B* Vents
9 Garage Piro Wall
10 .1 Eleploce P.L.
MA Fireplace T.O.
11 Exterior Loth
12 Internal Loth
12A Drywall 4/—//,
13 Finish Grade
"R"
INSULATION Thick Value
7A Walls (Balls)
12B Coiling (861ts)
12C Ceiling �(Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
1b Watsir Piing —
17 Rough Numb
18 Vents
19 Sawoge Disposal
20 Se—ov
21 Water Heater
22 Water Softener
... 7
23 Water Service
24 Gas Test
25 I Final
ELECTRICAL APPROVALS
26 Power Pole
27.
28 Service Entrance
.29 Wiring
2VA Grounding Wire
29B Bonding
30 Fixtures------
31 Service
32 Rnel
INSPECTOR NO OPERATION I DAIC 4WECTO
MECHANICAL
33. Ventilation System
34 Plenums & Duch
35 Furnace Compurl.
36 Inlets & Outlets
37 Combustion Air
38 Compressor
39 Appl. Clearance
40 Fira Damper
41-1 Smoke Detention Device
P42 1 Commercial Hood
3 1 Final
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Lina
REAR, OF PROPERTY LINE
PI PiL
STREET NAmE-----.--
L.J