387221 (ELEC)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
COUNTY OF RIVERSIDE FIELD
.387221
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
• IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
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
4Use/CoseINO.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
, _,,
LAUNDRY TRAY
AIR HANDLING UNIT CFM
LE 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 @It/.t
SEWAGE DISPOSAL
Plumbing Fee
SQ. FT. GAR @ IN C
HOUSE SEWER
v
Plan No.Plan
Checker
GAS PIPING
PERMIT FEE
Inspector
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEE)
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE E ECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
-
Job Address
Space Zip Owner
:387221
1
ommunity
Valuation
$
Date
_
Dist. - Off. F.C.C.
IF-
-P
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit �'% -
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Parcel No.
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4Use/CoseINO.
Ck. By
Mech. Fee Dbl $G
Pl. Ck. Fee $
Set Backs
Lot Size
Construction Fee Db $
Legal Description
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F S S
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Electrical FeeDbl $
Zone Restrictions
Group
Type
SMI Fee
$
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.Plan
Checker
Final Date
(? —` — 7
Inspector
Unit
Sp. Insp. Fee $
i
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Numbe
1 (,”,
0
Registr. Fee $
Mileage Fee $
Address City Zip
L f `�
Witness Fee $
Reinsp. Fee
$
%ner A nt
Tel.
Zip
Total Fees
$
A Breis
City ,1 ;'
Zip
M.O. N.C.
Cash
Check
%} (r V"/,
Receivd b�,..
Contractor
Tel.
License#
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Trees qu¢e2?
Sewci2e�stem y
Address
City
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'Sewer District
:Form 284-208 (Rev.8/7/8) P 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
.CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ,
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36 Inlets
& 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. E
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)
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
Tank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire /
29B Bonding
30 Fixtures
31 Service
4
IQ
32 Final
STREET
BUILDING PERMIT
PERMIT NO.
387221
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Job Address
Com unity
NO. PLUMBING FEES
IST FL.
2ND. fl.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
MH Permit Fee E
Micro.Film Fee
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
S
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Group
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Dbl E
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plan No.
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
Supplimentol Permit Numbers
/
Tel.
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
Address City Zip
'ner ent
ze
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
E
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Zip
3—f
SQ. FT. @ c
IRecei
WATER HEATER
SO. FT. RESID @11/,c
SEWAGE DISPOSAL
Tel.
SO. FT. GAR @ I/. c
License#
`
HOUSE SEWER
Isewag ystem
i
GAS PIPING
PERMIT FEE
PERMIT FEE
City
PERMIT FEE
DBL.
TOTAL FEE
->
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
// 8
SMI FEE—F—
FEE PLUMB. FEE
PERMIT NO.
` 38722.
r,
Job Address
Com unity
Valuation
E
Space Zip Owner
Date
/�
Dist. Off. F.C.C.
MH Permit Fee E
Micro.Film Fee
Cop E
Use of Permit
/ YYY
Parcel No.
4Use/Cose No.
Ck. By
Mech. Fee Dbl E�7'91
I. PI. Ck. Fee E
Set Backs
Lot Size
Construction Fee Dbl E
legal Description !may
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[rte
F S
S
R
Electrical Fee Dbl E 41Cy
Zone Restrictions
Group
Type
SMI fee E
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Date
/L /�
Inspector
Unit
Sp: Insp. Fee E
Demo 1. Fee
E
Const. Lender
Branch
Supplimentol Permit Numbers
/
Tel.
Zip
s
RQgistr. fee $
Mileage Fee E
Address City Zip
'ner ent
ze
Witness Fee $
Reinsp. Fee E
Total Fees
E
3
A dress
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Zip
3—f
M.O. coshn Check
IRecei
Contractor
Tel.
License#
`
Trees qu'
Isewag ystem
i
Address
City
zip
-T LL P 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.
A
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
Form 284-208 (Rev.8/78)
CCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE Of THE STATE OF CALIFORNIA.
P s
s�.