354374 (ELEC)BUILDING PERMIT—
PERMITNO.DEPARTMENT OF BUILDING & SAFETY • " w FIELD" ` j DST
3543 7 4 COUNTY OF RIVERSIDE • YV/ I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
FL. SQ. FT.•:r@• t- � Fs ! � ..
.,.,.
• . t .. .......-„y
... r- ' . r•- YARR.SPKLRSYSTEM; ..,
/y/f7"2ND•.
' t/ POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
rlj GAR. SQ. FT. @
' SCAR P. SQ. FT. @
DRAINAGE PIPING
WALL SQ. FT. @ t
DRINKING FOUNTAIN_
URINAL
f SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tox,voluation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL -,FEES- -
t` -a" I..
••• SWIM POOL, COMM'— M WATER,SOFTENER•7e • • ;• a •'
VENT SYSTEM FAN EVAP: COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYERr"
--------------
t 1 GARBAGE DISPOSAL 0
FURNACE UNIT WALL FLOOR SUSPENDED s
}
P i V ,,
LAUNDRY TRAY
AIR HANDLING UNIT l • CFM
: •
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEMi B.T.U. -
,
TEMP USE PERMIT SVC
, WATER CLOSET
COMPRESSOR ' HP: •
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
;0
AMPERES SERV ENT
r SHOWER
BOILER B.T.U.
SQ. FT. @ t
BATHTUB
SQ. FT. @ t
WATER HEATER
S0. FT. RESID @1'/.c
SEWAGE DISPOSAL
+
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT' FEE ' ` '`
PERMIT FEE « A .
„_ .ti. ; , ,PERMIT. FEED. _ �..•_.
•FEE
DBL.
//L FEEAq&:,MOB.
HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
EJECT FEE SMI FEE
PLUMB. FEE
PERMIT NO.
3,54374
MH•PeLl Fee E
` W4Film Fee Cop E
MA. Fee Dbl b
P�Ck. Fee $
#
Construction Fee Dbl S
r
'Electrical Fee Dbl E
SMI Fee $
Plumbing Fee Dbl E
Sp. Insp. Fee s
' r �
Demol. Fee E
Registr. Fee y
Mileage Fee $
Witness Fee E
Reinsp. Fee E
'Total Fees s
M.O. Qj N.C. . Co
Received
1
Ties required
SQwoge System
J ' T LL
SewervOistrict
I{
r
•FQrm 284-208 (Rev.8/78)
,( Job Address Space Zip Owner
6W Ave, D�+ R
Community - Valuation -r-16-79, Dist. Off. F.C.C.
Use of Permit Parcel No. Use/ ose No. Ck. By
Lx*=a Gwastrucii= ft"41ft 4•► -s,
Set Backs Lot Size
Legal Description - F S S R _
Lot IIIs, bu-2V UQ 425 Zone Restrictions Group Type
Bond Ami, Plan No. 4 Plan Checker Final Dote Ins actor Unit '
: 3 -/4-7
Const. Lender -• • ._. • .•. Branch- , - Supplimentol Permit Nu-mbers�%Q
Address 4•' C}}}ity ZipAllQy
• • t. « r. . r s , . o�+}_� •.r.a • .. , ..-.►. ..34691, .. ✓:.. v T ....�w..Y , «.r ,r.�a�� ,
R / aT
/Ag,W `vt' 1, U� V ti' Tel. Zip
A r ss + y City Zip
�,�., x't�3�1 i>µtis- � . . r .» , a , " t►�.'l#�a►• G� '�':.-:�. 2.i ti �`"': �y
�•„• C` tractor Tel. License#
A !ross City Zip
T
P ✓ THIS PL`RMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WIT 1N 120 DAYS. CESSATION OF WORK verified by:
I
FOR 120 YS SHALL ALSO S ITT ECOME VOID.
+•..+ « • rr i � r` r � e/t�'`y�b �.. ���.:•t>.:7. €+•s r �,�- . x : ., "1.' �:t",�i. L"`,.'•'•.••
t I
I HER i` AGREE THAT L RK I ONNECTION WITH THIS PERMI&ILL BE DONE IN ACCORDANCE WITH
THE LA
OF RIVERSIDE COUNTY A THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN r
ACCORDANCE 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 Bock
33
Ventilation System
2
Ftgs & Frms
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets 6 Outlets
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
IDA
Fireplace T. 0.
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE &,LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
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 a
24' Gas Test.
25
Final .'
,
Tank 's Pi, LAine '
e - -
F
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 1 Final 3 q _750 ia
STREET NAME-
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
:� I o) /0,56
U5 INSPECTION
ADDRESS SPACE NO.
5k, Vo
OWNER COMMUNITY
BUILDING I PLUMBING I ELECTRICAL
REMARKS
OWNER/CONTRACTOR TEL.NO.
MECHANICAL
REQUESTED
FOR:
WED
} THUR
1
FRI
284-1 11/75