375573 (SATT)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
375573 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED, CONSTRUCTION
SQ. FT. (c
SQ. FT. @
F.C.C.
f
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ: FT. @
BAR SINK
SQ. FT. @ 04;" POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
@
VALUATION $P (�
WATER PIPING
NOTE: Not to be used as property tax valuation
�Cp
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Electrical Fee Dbl $
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE, UNIT WALL FLOOR SUSPENDED
Pla ec�k Q --_
Final Date /
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER,.CLOSET
COMPRESSOR HP
Sup hi . ntaI Permit Numbers '
POLE,TEMP/PERM
LAVATORY
.
HEATING SYSTEM FORCED GRAVITY
Address City Zip
AMPERES SERV ENT
i_
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATHTUB
Tel.
SQ. FT. @ c
WATER HEATER
`
$
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Address
SQ. FT. GAR @ '/. c
HOUSE SEWER
M.O. 0 N.C. Cash Check
Received by
GAS PIPING
PERMIT FEE
(
Tel.
% - _'.,.• G(
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
0v,
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO,
375573
Job Address
Community
�.. 1f.2._,
Valuation
$
SpaceZip Owner
j- N 1-2
Date ` ''� Dist. Off.
��,,,...• ;, 3. d
F.C.C.
f
MH.Permit Fee $
Micro Film Fee
Cop $
UseV Permit
417c-
/e''Pl. > /I c
arce Na. i' Use/Case No.
Ck. By
Mech. Fee Dbl $
Pl.Ck. Fee $ �
Set�Bac s
Lot Size
Construction Fee Dbl $ -
Legal Description F
% �,y 7+4 .��(,,,��/'
/
�Cp
S 1
i
R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Pion No.
Pla ec�k Q --_
Final Date /
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Sup hi . ntaI Permit Numbers '
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
'C
n
Address
City
Zip .
M.O. 0 N.C. Cash Check
Received by
Contractor —
24 L 6'
(
Tel.
% - _'.,.• G(
License#
1
Trees required
Sewage System
Address
-- I
City Zip
/1 J ' /
T LL P
Sewer District ,
Form 284-208 (Rev.8/78)0 5
1. .. ._
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAY5. 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 ^ /
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ey/
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 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. C]
43
Final
10A
Fireplace T.O.
FI
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
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
STREET NAME
PERMIT NO.
'3715573
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE: n
DST
-COUNTY OF RIVERSIDE
CONSTRUCTION
-ESTIMATE
NO. - ELECTRICAL FEES
NO. PLUMBING FEES
IST FL., SQ. FT.
� .r UNITS
3-75.573
'YARD
r .2ND. I'L. SQ. FT. @
'
SPKLR SYSTEM
FOR. SQ: FT. @
MOBILEHOME'SVC.
BAR SINK .
,AGAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
� 'C ,
"AR P. SQ. FT. @
r-••
DRAINAGE PIPING
WALL SQ. FT. @
Micro Film Fee
DRINKING FOUNTAIN
_
SQ. FT. @
URINAL
ESTIMATED. CONSTRUCTION VALUATION
Use/Case f1lo.
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 J I
Set Backs
GARBAGE DISPOSAL
FURNACE + UNIT WALL FLOOR SUSPENDED
Construction Fee Dbl $
LAUNDRY TRAY
AIR HANDLING UNIT CFM .
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM t• B.T.U.
TEMP USE PERMIT SVC •`I
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
Final Date
SQ. FT. @ c
WATER HEATER
Unit
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
^
SQ. IT. GAR @ '/. c
HOUSE SEWER
Supplimentat Permit
••
Numbers
..
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
FEE PLUMB. ,FEE
t+ r
Total Fees,`�.>.,,....
$..
Address _
"
Ciry
r
Zip
M.O. N.C. Cash ' Chec
Received by&
Contractor «
„_ G. �r-,
Tel..
(�• /
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,
L
PERMIT NO.
Job Address f
- Space $ip
Owner
3-75.573
-
Community
Valuation
t!
$
Data
�-
Dist. Off. RC.C..
slvkH. Permit Fee
$
1
r-••
.%-�
Micro Film Fee
Cop $
U�sjeJ o Permif
N Se F 4' •�bGC �e.
Force No.
Use/Case f1lo.
Ck. By
Mech. Fee
� Obl $
1
�,�% . �,d
�_
PI. Ck. Fee$ '^j
Set Backs
Lot Size
v
Construction Fee Dbl $
Legal Description
/
/�r�y "� +. �� /
'^^'•aw✓ / if-,.
FS
.
,.� S
R `
io
Electrical Fee Dbi $
Zone Restrictions
Group Type
—. �r '�' E'
SMI Fee. _. $
Plumbing Fee
DbI $
Bond Amt.
$
•Plan No. t
Plan cker
Final Date
Vinector
Unit
Sp. Insp. Fee . $
Demol. Fee
' $�t't•'
Const. Lender Branch-
Supplimentat Permit
••
Numbers
..
-
�• «
Registr. Fee $ _
Mileage Fee • • $
Address City Zip
Witness'Fee, $
Reinsp. Fee"
$
Owner/Agent
ent
9'^
Tela
-+ -
- Zip
t+ r
Total Fees,`�.>.,,....
$..
Address _
"
Ciry
r
Zip
M.O. N.C. Cash ' Chec
Received by&
Contractor «
„_ G. �r-,
Tel..
(�• /
.�•- �(3
,
Licenseq
.
Trees required
Sewage System ,
•.1
Addresss ',
'City
Zip
} T LL P
Sewer District,_
-
tE,prrr'j:18A-208 (Rev.8/7
THIS PERMIT SHALL BECOME VOID IF .WORK I$ NOT COMMENCED WITHIN 120 DAYS. • CESSATION OF WORK
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
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:'