413533 (BLCK)BUILDING PERMIT
PERMIT No. DEPARTMENT OF BUILDING & SAFETY
413 5 33'
COUNTY OF RIVERSIDE FIELD °A/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NC. PLUMBING,FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL r. `'!
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
y
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
NKj
SQ. FT. @ � �� r'
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used os 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
Lot Size
GARBAGE DISPOSAL s
FURNACE UNIT WALL FLOOR SUSPENDED
Y ff
'�('. l.�l-•�
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ a
BATH TUB
Plan Checker
SO. FT. @ a
WATER HEATER
Inspector
SO. FT. RESID @ 1 144
SEWAGE DISPOSAL
Sp. Insp. Fee $
S0. FT. GAR @ t/4a
HOUSE SEWER
'
Const. Lender
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES/MOB.
G
HM. FEE
MICRO FEE MECH. FEE
Pl. CK. FEE
CONST. FEE_ELECT. FEE
M I
FE
SMI E
FEE PLUMB. FEE
PERMIT NO.
413 5 3 3
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Mach. Fee Dbl S
Pl. Ck. Fee S
Set Backs'
Lot Size
Construction Foa Dbl E / /:
_legal Description
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Electrical Fee Dbl S
Zone Restrictions
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Group
Type
SMI Fee S
Plumbing Fee
Dbl S
Bond Amt.
S
Plan No.
Plan Checker
Finol Date
' %3
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
S
Const. Lender
t
Branch
Supplimentol Permit Numbers
S
Regist, Fee S
Mileage Fee S
Address ()t City Zip
` _ 41
Witness Fee §
Reinsp. Fee
§
Owner/Agent f � 'r / - /
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Tel.
Zip
Total Fees
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LAddcess
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City
Zip
M.O. ❑ N.C.ED Cosh Check
Received by
�•w, ;r, r,, +"1•„4t
Contractor
Tal.
Licensna s
Trees required
Sewage System
Address
City Zip
I T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12C DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I F 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.
---'THEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPI CIFICATIONS HAS DONE SO IN
,Form 284208 (Rev. 1/801 WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
veril.ied by:
. NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR,
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
_
33
Ventilation System
r
2
2A
Ftgs 8 Frms
Slab Grade
Q'��
U
��
34
35
Plenums 8 Ducts
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.
-
43
Final -
10A
Fireplace T. 0.
Ej
°o
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
,
a
x
11 Exterior Lath
12 Internal Loth ,
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Botts)
128 Ceiling (Botts)
12C Ceiling (Blown)
14 Final (� l
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
P/L
.Y
1
i
P%
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT
PERMIT NO.
1413533
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICEDST,
COUNTY OF RIVERSIDE /
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1 ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL '-
ESTIMATED CONSTRUCTION
SQ. FT. @ $
Owner
,
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. FT. @ l L) . y7
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $ ...
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Set Bocks
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
egal Description /
v Y (_i r ce)
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
R
Electrical Fee Dbl S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Type
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Dbl $
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Unit
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
S
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Supplimental Permit Numbers
SQ. FT. @ a
BATH TUB
Mileage Fee S
Address City Zip
/"
SO. FT. @ a
WATER HEATER
S
SO. FT. RESID @ 1 t'Aa
SEWAGE DISPOSAL
Tel. _
"1, .1 o� <Z — 7:2 R, 7
Zip
SO. FT. GAR @ s/4a
HOUSE SEWER
S
1 Cj
Ad ss,
0 X o� 3
GAS PIPING
PERMIT FEE
M.O. L N.C. Cos Check
Received by
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESO
M08. HM. FEE
MICRO FEE
MECH. FEE
Pl. CK. FEE
CONST. FE Gs ELECT. FEE
SMI FEE
FEE PL�'MB. FEE
PERMIT NO.
4135331
Job Address
/'
-
Space
Zip
Owner
,
Community /
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Valuation
$ /
Date
/ � _ G s/
Dist
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop S
Use of Permit
' �
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r_+" I\` L/ �- '/
/ �
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Parcel No.
�� 4e
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Use/Case No.
Ck. By
Mech. Fee Dbl 5
Pi. Ck. Fee S
Set Bocks
Lot Size
Construction Fee Dial S
egal Description /
v Y (_i r ce)
'-�
F
S S
R
Electrical Fee Dbl S
Zone Restrictions
Group
Type
SMI Fee S
Plumbing Fee
Dbl $
Bond Amt.
5
Pion No.
Pion Checker
Final Dote
_ -gica,
3
Inspect
Unit
Sp. Insp. Fee S
Demol. Fee
S
Const. Lender
L
Branch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee S
Address City Zip
/"
Witness Fee g
Reinsp. Fee
S
Owner/Agent ;% r!/r �.
,,(mak'
6� 04 ZQ
Tel. _
"1, .1 o� <Z — 7:2 R, 7
Zip
—r
Total Fees
S
1 Cj
Ad ss,
0 X o� 3
City
Lj/.Iy� Po
/ /
Zip
M.O. L N.C. Cos Check
Received by
:,NL� ,+—�7�y
Contractor
Tel.
Licenseg
Trees required
Sewage System
Address
City Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District 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.
HEREBY CE TIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SaECIFICATIONS HAS DONE 50 IN
Form 284.208 (Rev. 1/80) WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS COCE OF THE STATE OF CALIFORNIA.