367036 (SFD)BUILDING PERMIT Y '•t
.' PERMIT NO. t DEPARTMENT'OF BUILDING &- SAFETY, •".:,,r,5:!, !%'4- ,t FIELD ' - -os •,
3670361.
COUNTY OF RIVERSIi f sw
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PERMIT NO.
'
CONSTRUCTION ESTIMATE'
NO. ' ELECTRICAL.FEES` ;' I`JO .,, PLUMBING FEES
K u 1 -
Zip
IST FL.
`
SQ. FT. @ /f �e-.
UNITS G
o
2ND. FL.
r
POR.
GAR.
CAR P.
WALL
* ESTIMATED CONSTRUCTION
SQ. FT. @
MH.Permit Fee $!�;,
YARD"SPKLR SYSTEM
Use of Permit ///,-.y j F t
! t /,,,,)- j/'%/�•/ l f
-
MOBILEHOME !' ' tBAR SINK
SQ. FT. @ .r
r
POWER OUTLET. T Sa.. u F Y .., _ z
ROOF DRAINS., 'b >
SQ. FT: _ -.. 3
f,.':
,@ r
SQ. FT. @ = k+� +7. ` AINAGE'PIPING
Construction Fee Dbl $
# {' DRINKING FOU' NTA INS.
SQ. FT' @
Electrical Fee Dbl $ '
/.
SQ. FT. @ $i> ,ti tt URINAL.:,
Group
V'+
VALUATION. "} .�j.•;. „ WATER PIPING
SMI Fee._ $
NOTE: Not to be used as -property tax valuation
':p`• SWIM POOL, PVT °y §' • '' y,
FLOOR DRAIN �
f r •; ,'
Final Dole
aw(/7 1l,C" 'M,y f.r a.+°,
`•' *
" MECHANICAL FEES
SWIM POOL, COMM .;
WATER SOFTENER
Demol. Fee $
VENT SYSTEM
'FAN _ ' EVAP. COOL HOOD
a SIGN .q,;`iAc'`i'w` � ,n ? _4�-tx % --y,- WASHER:(AU70)(DISM)•
MileageFee g
M-,
APPLIANCE
DRYER
r •+. 4 t C�
} GARBAGE:DISPOSALr�y-.•
Tel.+ r r - ) 7 Zip
k r
r r 1vk i .r 4
FURNACE
UNIT WALL" FLOOR .. SUSPENDED
' j•.
LAUNDRY TRAY
'
AIR HANDLING UNIT CFM
IDLE METER•
J_ 'KITCHEN SINK ;,
s "
ABSORPTION SYSTEM B.T.U. .•
TEMP USE PERMIT SVC'
WATERkCLOSET
Cty i• �'x3�`. 'ffti <r. �ZiP.
COMPRESSOR HP- ! i . •'�
POLE,TEMP/PERM"
DAYS.:,'CESSP.TION.OF'WORK s 'verified by: s&* -.'.t
HEATING SYSTEM FORCED GRAVITY
AMPERES SERVIENT K w _ „ :4 " '.T+ ' '�s { ,SHON ER �
BOILER
B.T.U.. I
SQ..FT.' @ :c' ! S :
BATH TUB
SQ. FS'.'
WATER'•HEATER'
SQ: FT. RESID ( 1J ,
'' ' SEWAGE DISPOSA_ L,.
SO FT GAR @ 'C- FZ !
HOOSE:SEWER. ,
'
j +k' j ' 2r ` ;� .tis
GAS�PIPING ''s .
:.•
PERMIT; FEE
_
' PERMIT FEE
PERMIT FEE
DBL:
TAEES�
LTOL
MOB.HM:FEE
• •
.. MICRO FEE.
• �•
MECH.FEE PL.CK FEE.,
'
CONST FEET ELECT..FEE
R. S' Y�� Y } 7+
SMI FEEFEE
y.°•'TSr .,.�
PLUMB.'FEE..GP<'tC!'s'T
t 't h �
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PERMIT NO.
'
- - - _ _
J t t. ,iE �A �r LAM1F/4
Job Ad ess� Space >~
VE A 14.
K u 1 -
Zip
` .moi Y' S.O.'�.r 9Lkf .ht a'+1 �P. S� r •nS I! 1.,V
caner A"
-416
Commu/r/�ly �� ,{• ' •
)i /�,,/f J
Valuation t ��' r •,
$I #
r, r
Do't`e... „r f
._l'•.�•~-� !�
D' t r
c
Off
F. C.C.
+
MH.Permit Fee $!�;,
Micro Film Fee Cop s,
Use of Permit ///,-.y j F t
! t /,,,,)- j/'%/�•/ l f
-
Parcel No - '
`'�hYl �` 4'C.r��'•t✓'
Use/Case Nq r
st�•�1•L°z .i�:
Ck. B 4 "
+. +,g.�.w.
Mech. Fee Dbl' $
PI. Ck. Fee $ '•
Set Backs Lot
A
F .l S •�"', S `"1.. R r
Construction Fee Dbl $
Legal Description %
�-.. F L
tib,.. -V/''` /'-1'. - d� _
Electrical Fee Dbl $ '
Zone Restrict' s-
�-• -•-
Group
V'+
Type
SMI Fee._ $
Plumbin Fee Dbl $
g
Bond Amt.
$/wI
Plan No
r,✓ -��'r
,,.✓
Plo 'e
1 T6
�'
Final Dole
aw(/7 1l,C" 'M,y f.r a.+°,
`•' *
ns ecror -' y w
P k�1,4' '�. }r{� ,1 +i•J.
+
Unit " rte'
; �; t
-
+Sp Insp. Fee $ -
Demol. Fee $
Const. Lender - Branch ',t isl,a Dj
SupWepaermitNumcersFee$�
••t `tee ,T ]]y$y$ r
w _ �.:, .. ri' '+1
MileageFee g
M-,
Address, +" City ZiP 14,
,
�. t +1�"
/•�.. -�'}
,Witness Fee $ -
Reinsp. Fee $- -
Owner/Agent - . 4
14
w
Tel.+ r r - ) 7 Zip
k r
r r 1vk i .r 4
Total Fees $
Address �'� t - t.. r""'/ a'i
%"�(..'4 / �.:1 +/ �.x-i^;s c,+,
< Ctty' 1•�lc - ..
A "I
.�i 7. 1,\ / �G �.e ° L'4r L'•• / sa
M.O. N.G. Cosh Check
Received by. - . •-
Contractor- +-�G�i•F
Tel �r ,,.-y �-� f'� r j�
x Y. ry % "I I '1'•' `:.,-
LicenseM
Trees required'
SewageSystem _
T U. P .10k, ff,
Address ,. - y�r`tA„L
Cty i• �'x3�`. 'ffti <r. �ZiP.
THIS PERMIT SHALL BECOMEVOID IF WORK IS NOT COMMENCED.WITHIN:1.20
DAYS.:,'CESSP.TION.OF'WORK s 'verified by: s&* -.'.t
Sewer.District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME -VOID.. -
I HEREBY AGREE. THAT ALL WORK IN CONNECTION WITH THISPERMIT WILI`BE-DONE'ItJ ACCORD"ANCEVITH
.THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 1y,y
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS'AND SPECIFICATIDNS HAS DONE SO IN +
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE RATE OF CALIFORNIA v t
Form 284-208 (Re,8/78)
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NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
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
L.
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME