384375 (SPIN)PERMIT NO. —
1.384375 1
PERMIT NO.
Job Address 'r!
- �: �� — / -7, r t�)- � a-
DEPARTMENT OF BUILDING & SAFETY
zip
ST
1 .3843751
COUNTY OF RIVERSIDE
FIELD
Off.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL. SQ. FT. @ $
UNITS
Use of Per% —11
�77VY
2ND. FL. SQ. FT. @
lUse/Coseffof 7-Ck.
YARD SPKLR SYSTEM
Mech. Fee DbI $
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
Construction Fee DbI $
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
Electrical Fee DbI $
------
Zone Restrictions
DRAINAGE PIPING
CAR P. SO. FT. @
SMI Fee 1$
Plumbing Fee
WALL SQ. FT. @
DRINKING FOUNTAIN
No.
Plan Checker
URINAL
SQ. FT. @
Unit
ESTIMATED CONSTRUCTION VALUATION $
Demol. 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
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Zip
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. -. U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HIP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B. T. U.
SQ. FT. @ C
BATH TUB
Sewage System
SQ. FT. @ c
WATER HEATER
Address
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ. FT. GAR @ 314 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE, ,
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
PLUMS. FEE
0 6).'�
I
PERMIT NO. —
1.384375 1
Job Address 'r!
- �: �� — / -7, r t�)- � a-
Space
zip
Owner
I
Communi'y uotion
Off.
I F.C.C.
MH.Permit Fee Is I
Micro Film Fee
Cop $
Use of Per% —11
�77VY
Parcel No.
7 —, e
lUse/Coseffof 7-Ck.
By
Mech. Fee DbI $
Pl. Ck. Fee $
Sel
Construction Fee DbI $
Legal des�4ticni
ai
—Yn
F I S
LR
Electrical Fee DbI $
------
Zone Restrictions
-
Group
Type
SMI Fee 1$
Plumbing Fee
DbI 1$
Bond Aml.
No.
Plan Checker
Final bate
It
Inspector
Unit
Sp. Insp. Fee
Demol. Fee
$
Const. Lender Branch
Supplimentot F
Regist, Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
" Owner/Agent
Tel.
Zip
Total Fees
$
Address
City
Zip
M.O.C] N.C.[] C.shC] Check5r
Recei�ecl by --,
I
Contractor
Tel.
License#
Trees requir/d '�� w-_
Sewage System
Address
City
Zip
T U. 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 HE'REBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
"THE IS 11 RIVERSIDE COUNTY AND THE STATE 01 11111FORNIA,
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
,arm 2,-201 (Re�.8/78) (E)s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
�erifiecl by:
NO.
OPERATION F DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2 .
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Giode
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 Defection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. E]
43
Final
IDA
Fireplace T.O:
OFIN
NO.
ADDITIONAL INFORMATION
- - - - - - - - - - - - - - -
4
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick
Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Fi al
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 Z 7'/
Tank Pit L.Line
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final 71
I V
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNT -X OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
o -3 '!3 7,(13 7.r
ADDRESS I SPACE NO
I
OWNER
BUILDING 1 PLUMBING I ELECTRICAL
REMARKS
OWNER/CONTRACTOR TEL.NO
NIT
CHANICAL
INSPECTION
REUUESTED
FOR:
A.M.
El P.M.
a�
aTUES
E] WED'
THUR
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE
DATE
T.ME
���
PERMIT NUMBER
3
INSPECTION
REUUESTED
FOR:
ADDRESS I SPACE LA0.
/
75 Q
I
1
A.M.
OWNER
COMMU
F] P.M.
BUILDING
PLUMBING
ELECTRICAL
M LAICAL
IKON
(7
TUES
WED
REMARKS:
/►
• LLW V� U THUR
CFRI
OWNCONTRACTOR TEL.NO'
281 b1 ti/75
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE I DATE 1 'IME I PERMIT NUMBER II
ADDRESS
OWNER
BUILDING
REMARKS:
SPACE NO
I
I
COMMUNITY
PLUMBING I ELECTRICAL / yMECNANICAL
OWNER/CONTRACTOR TEL.NO.
INSPECTION
REUUESTED
FOR:
P.M.
❑
M•ON
TUES
Z�WED
❑' TMUR
�1rRI
284-" 11,75