360358 (SPIN)BUILDING PERMIT o•
PERMIT NO. DEPARTMENTIR
.'OF BUILDING SAFETY
6 0;3 5 8 COUNTY OF RIVERSIDE- C
v ' r.
FIELD
mIts�
CONSTRUCTION, ESTIMATE
'�"'�" '".
NO.
-ELECTRICAL,FEES
NO. PLUMBING FEES
IST, FL,SQ.
Y
' s •
2ND: FL.
" POR.
GAR.
CARP
4
ESTIMATED CONSTRUCTION
FT. @ $
36.03,58
°
UNITS
SQ. FT. i'.; r
`Q � •
YARD SPKLR SYSTEM
MOBILEHOME SVC f Y , ;.
SQ. FT. @
BAR SINK
SO. FT. T POWER OUTLET ''F,
ROOF DRAINS
SQ. FT. @ -
DRAINAGE PIPING
i,
SO.'FT. @' v . ,rrl.< ;•�� . ki:aty
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to.be used as property tax valuation
Micro Film Fee
Cop $
SWIM POOL, PVT. ':
FLOOR DRAIN
MECHANICAL FEES,
Parcel No.
*
SWIM.POOL, COMM "`
WATER SOFTENER
VENT SYSTEM' r'rt. fFAN' " EVAP COOL ` HOOD
-SIGN'
Lot Size
WASHER (AUTO)(DISH)
APPLIANCE. DRYER
E
: �' t
GARBAGE DISPOSAL
FURNACE, UNIT , WALL"'. FLOOR SUSPENDED
r
Le of Description - F
f .
r '� y r I' '� • -+•-'+ -
+
LAUNDRY TRAY
AIR HANDLING UNIT CFM
@'
Zone Restrictions
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
F
Dbl $
TEMP.USE PERMIT SVC ' S
WATER CLOSET
COMPRESSOR HP
Plan No.
'Z 7 ,%
t
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM, FORCED GRAVITY
3p. Insp. Fee $ `�
Demol. Fee.
AMPERES SERV ENT
SHOWER
BOILER ! B.T.U.
''
Supplimento^Permit Numbers
I" '. SQ.. FT.. @ C•
BATH TUB
_:+�".&Alt
iK 140,0;,4, 'S-4,&..'aiz
Witness Fee $
�sr''4'a.SQ:-;:-:S@rsw, � �..�sY.
WATER HEATER
" 4
.r
Owner/Agent - ..
SQ. FT. RESID @1'hc
SEWAGE DISPOSAL
Total Fees
$
_ SQ. FT. GAR @ sG c
HOUSE SEWER
Address - _
•
,.. .jlt i L„• t` 3�
r t~ 1 t
City ,tee
,•
k r.{-f, _
Zip.
:.
�t M.O. - N.C. Cash -Check
GAS PIPING
PERMIT FEE
Contractor ;.
+• .�. s.�._M:r
�
PERMIT FEE'
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH.. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEEC7L:%:E
PLUMB. FEE
•PERMIT NO.
'�"'�" '".
w `k'
"Jo6Address . ,` M.» >-�•� +• � : e.,. i« r -Q- 'cy.,r•. .Xt 'Space
Zip
Owner
36.03,58
5 L4 _20 5' A ov i t I
Community -
y .r• ;..,o
% 1 y+ 1.a �i.y ;"�'V,
yaluotion
$
Date
Dist.
Off.
F.C.C.
-
-
- . ..
MH.Permil Fee $
Micro Film Fee
Cop $
Use of, Permit J
h • i.:.t {//�.e C-1 1 jj�•�
(-.
Parcel No.
Use/Case No.
Ck. By
Meeh. Fee Dbl E .r ' >: a
;et Backs
Lot Size
PI. Lk. Fee
: �' t
-
••. } j 1
r
Construction Fee Dbl $
Le of Description - F
f .
r '� y r I' '� • -+•-'+ -
'. S
f': "'�
I
S
,•�
R
l'"'
Electrical Fee '" Dbl E
Zone Restrictions
Group
Type
tjSMI
Fee $
Plumbing Fee
Dbl $
~
Bond Amt.
$
Plan No.
'Z 7 ,%
Plan Checker
h.y' i .{ «
Final.Dote Q'
�/ V
In"pector
Unit
3p. Insp. Fee $ `�
Demol. Fee.
$
Const. lender .,. ',Branch
_
Supplimento^Permit Numbers
Registr. 'Fee. • _ $,.
Mileage Fee E -
Address' .. - :"`.City - Zip +
"
Witness Fee $
Reinsp. FeeE
,�
.r
Owner/Agent - ..
`YeL~. L /
Zip
Total Fees
$
('�
Address - _
•
,.. .jlt i L„• t` 3�
r t~ 1 t
City ,tee
,•
k r.{-f, _
Zip.
:.
�t M.O. - N.C. Cash -Check
Received by t_.
Contractor ;.
+• .�. s.�._M:r
�
T.TO
License#
Tree's -required �N'•... \};.lr +r a•:.,.r*s^.
Sewage System
(
Address - ,
City`,Zip
•
y.
T s LL P THIS PERMIT SHALL BECOMEVOID` IF WORK IS NOT COMMENCED WITYIIN 120 DAYS. CESSATION OF WORK verified by:
Sewer Distr ct j f FOR 120 DAYS SHALL ALSO E PER TO =;VUO JID i
t '
` '" n,'•"' `�'''' I HEREBY AGRE6THAT' I EHIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE O N AND T ESTATE OF CALIFORNIA.-,,:
rx !
t � I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS.tiND SPECIFICATIONS HAS DONE SO IN
• " • ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
-Form 284-208 (Rev 8/78) r .
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts , f0 ,79
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
7
Roof Deck
Framing
�!O _ �(�
V
39
40
Appl. Clearance
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garogd Fire Wall
42
Commercial Hood
10
Fireplace
P. L.
43
Final
10A
Fireplace
T.O. ❑
P'
ADDITIONAL INFORMATION
\
_
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Botts)
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
�•
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS.
t
PSL
P/
26 Power Pole r
27 Conduit
28 Service Entrance
29 Wiring,
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME