368720 (SATT)BUILDING PERMIT ',?,( 11
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
368720 . COUNTY OF RIVERSIDE = J1
¢.
CONSTRUCTION
ESTIMATE
Job Address Space
NO. ELECTRICAL FEES
NO. PLUMBING. FEES
IST FL. Y-13
' 21\0. FL.
POR.0
SQ. FT. @ I' "gyp $ ' �% s'-�+
UNITS
Dist.
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ d ��- MOBILEHOME SVC.
BAR SINK
GAR.
CARP. ,
aro eor.�
@ .-
SQ. FT. 6`
' ....
eG"CJ �
POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
WALL
SQ. FT. @
Legal Description F
j'�{ fr ` �r
S
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION' $
7//
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SMI Fee $
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
PI eck �L t
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Sp. Insp. Fee $
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Registr. Fee $
.Mileage Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Reinsp. Fee
Owner/Age r% _-4
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Fees $ jM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Received by
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Frees required
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
,
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ C
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @ 1'/. c
SEWAGE DISPOSAL .
SQ. FT. GAR @ %c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
.e..
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
368720
Job Address Space
Zip
Owner
Community
�n�Io
Valuation
$
Date
,fir/
Dist.
Off.
F.C.C.
MH:Permit Fee $
Micro Film Fee Cop $
Use of Permit a ,1,,
�a,.y�t , f 1ir'�'I� tJ. �',:
Parcel No.
+" / -401;
;� y�5
Use/Case No.
Ck. By
Mech. Fee Dbl $
Pl. Ck. Fee $
Set Backs
lot Sizze
Construction Fee Dbl $
Legal Description F
j'�{ fr ` �r
S
S:,,
Ga
Electrical Fee Dbl $
Zone Restrictions
/
Group
Type
`•y!T'/n.
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$F'V
Plan N oj.' qv-
PI eck �L t
mal Dote
Z. 3'
Inspector
Unit -
Sp. Insp. Fee $
Dental. Fee $
Const. Lender Branch
Supplimental Permit Number
'
Registr. Fee $
.Mileage Fee $
Address - City Zip
Witness Fee $
Reinsp. Fee
Owner/Age r% _-4
Tel. Zip
zzTotal
Fees $ jM
Address ,City
..7'e+ .Ak-zL'1e�-47-47
Zip
•!"'rBJr 1: i�t`7 .
M.O. N.C. Cosh 0 `eck
Received by
Contractor _ -
Tel.
License#
Frees required
Sewage System
Address
City Zip
,
T LL P
Sewer District
t
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS, 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:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System '
2
Figs & 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
IDA
Fireplace T. 0.
NO
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
1l 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
PSL
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