376284 (TT)PERMIT No. DEPARTMENT OF BUILDING & SAFETY
3 7 6 2 8 4 COUNTY OF RIVERSIDE FIELD FDS1]
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
SQ. FT. @
UNITS
Date
—2'6
2ND. FL.
FOR.
GAR.
SQ. FT. @
F.C.C.
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
CAR P.
WALL EEI
SQ. FT. @
Pl.Ck. Fee $
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @ @
ESTIMATED VALUATION
CONSTRUCTION $
URINAL
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
Dental. Fee S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Registr. Fee $
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 _t B.T.U.
SQ. FT. @ c
BATH TUB
Sewage System
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FE + -
DBL.
TO}T"ALL FEESV
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
r CONST. FEE ELECT. FEE
SMI FEE
(,' / FEE PLUMB. FEE
A'�
PERMIT NO.
376284
Job Address Space
7P-�.s J � - � nm., /0 9
Zip
ys-3
O ner '
� -V .1 Ac Yd- ..
Community
4,,* +w!" i.v /
Valuation
$
Date
—2'6
Dist.
1
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
/j/f ;-&00)"-I v4 �' C..(J�Y.t �. GI�r�L.�
7-4,o-, L, N %?
Parcel No.
7�+2--
Use/Cose No. le's-
Meth. Fee Dbl $
Pl.Ck. Fee $
Set Backs
I Lot Size
IConstruttion Fee Dbl $
Legal Description
�G r �•4K - iL T
^"' e.01& .
F S S R
Electrical Fee Dbl $
Zone Restrictions
Aer
Group
P
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker -
Final /, c r Unit
"
Sp. Insp. Fee $
Dental. Fee S
Const. Lender Branch
Supplimental Permit Number
j v /
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
,Total Fees $ -
Address / yy
City Zip
M.O. Q N.C. C.sNb Check n
Received by "
o tractor
t JM �/(��
Tel. /'�
, 16^ 06 i"T'
Licensed /—
Trees required
Sewage System
Address `
�3- �C / �As� v G
City Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78) POs
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. 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.
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
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.
43
Final
10A
Fireplace T. 0.
P'
- -
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
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
BUILDING PERMIT —
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE FDST3 7 6 2 8 4 COUNTY OF RIVERSIDE I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
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
Zone Restrictions
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
SQ. FT. @ c
BATH TUB
Regisir. Fee E
SQ. FT. @ c
WATER HEATER
Witness Fee E
SQ. FT. RESID @I'/ c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
Total Fees
All'
Y
E �
GAS PIPING
PERMIT FEE
Zip
PERMIT FEE
PERMIT FE
DBL.
TOTALFEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
It C' 011 FEE PLUMB. FEE
PERMIT NO.
3 7 6 2 8 4
Job AddressSpace
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�
Zip
xs 3
O nert `
T14e '$
Comm/munitity //''J�
4 o R..�'l.i l'/� IT'�
Valuation
E
Dale
-z-6-7 9
Dist.
Off.
F.C.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use ofPermit
�/j•
��7 +Cf---���� M —'• z1 i"xeu�Ti
/ 4� j�-/G,• `%Z
Parcel No.
7b jam„ �o ,y
Use/Case No, I
Ck. By
��
Mech. Fee Dbl E
PI. Ck. Fee E
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description
� .-K �dr,i—'7
e"'• U
f S
5 R
Electrical Fee Dbl E
Zone Restrictions
Group
Type
SMI FeeE
Plumbing Fee
Dbl E
Bond Amt.
E
Pion No.
Plan Checker
Ins ctor
Unit
Sp. Insp. Fee E
Demo]. Fee
is
Const. Lender Branch
Supplimentol Permit Numbers
j�
4f• 7-• a 3
Regisir. Fee E
Mileage Fee E
Address City Zip
1
Witness Fee E
Reinsp. Fee
E
Tel.
Zip
Total Fees
All'
Y
E �
Addr ss �
City
'
Zip
M.O. N.C. Cas Check
Received by
AtAtractor �i��••^^
T��/
Tel. License# /
r/6...•O/_ �� ���
Trees required
iewage System
Address
X
7 3—��/ �� .
Cil Y Zip
T LL P
Sewer District
form 284-208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. 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.