384267 (SPIN)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
384267 COUNTY OF RIVERSIDE FIELD I DUST]
I ,,
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Date
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
Plan Checker
GARBAGE DISPOSAL
FURNACE ' UNIT WALL FLOOR SUSPENDED
Unit
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 r
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
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SQ. FT. @ c
WATER HEATER
Trees required•,
SQ. FT. RESID @1'/, c
SEWAGE DISPOSAL
Zip
ftc.
S0. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
11 PERMITFEE~
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
fe-EE PLUMB. FEE
PERMIT NO.
X84267
Job Address SpaceZip
Owner I
COMM�"' 9'
X-111
Valuation
$./ °%
Date
Dist.
Off.
F.C.C.
MH.Permit Fee $�,.��
Micro Film Fee Cop $
Use of Permit 1 ,��r� �, - �
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Parcel No.
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se/Cas o.
Ck. By
Mach. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description
La T C, '•� �"- — � � �
F S S R
Electrical Fee Dbl $
Zone Restrictions
w „
Group -
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
E
Plan No.
1 1
Plan Checker
FincllpDate�c/ry•�
I Spector
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Supplimental Permit Numbers /�
4(/f//•�G It
"!Z
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $ pit _J
Owner/Agent M1
Tel. Zip
Total Fees $
M.O. N.C. Cash Ch.042
Address
Ali.
City Zip
Received by Z
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Tel.
v L
License#
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Trees required•,
Sewage System
Address ..- y W -
Zip
ftc.
T LL P /
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DA S. • ESSATION OF WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 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.
1
r I HEREBY CERTIFY THAT THE INDIVIDUAL WHOpREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
a Form 284-208 (0ev.6/78) P s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
-
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
i INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS >
1
Set Back
33
Ventilation System e,
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
IDA
Fireplace T.O.
NO.
- -
ADDITIONAL INFORMATION
------ - - --- - - - -
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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 ---- - l _� - -
o�
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.
13842671
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE COUNTY OF RIVERSIDE
[DIT
CONSTRUCTION ESTIMATE
NO. , ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
5Q. FT. @ $
UNITS
Valuation
$
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
5Q. 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
Plan No.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
nspector Unit
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. @ t
BATH TUB
Received by 42 dr
SQ. FT. @ c
WATER HEATER
License#
(-
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Address
i
SQ. FT. GAR @ 1%c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
lit) 0
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
EE PLUMB. FEE
PERMIT NO.
384267'
Job Address Space
Zip
Owner ,•,,)
C uM ity ft
'�''.,•. ( ,.,,C,J
Valuation
$
Date
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit ,
/ - "—�
I~� �,,,,,
Parcel ,a.
/�� ` oe;
se/Cose No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
Construction fee Dbl $
Legal Description Q / ,//_
/ �, }- / t• �}Q�-� ��•'V" Ot!/1.r•. �/
�+-�' /
F 5 s R
.
Electrical Fee Dbl $
Zone Restrictions -Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
nspector Unit
Sp. Insp. Fee $
Dental. Fee $
Const. Lender Branch
Supplimentol Permit Numbers
Registr. Fee $
Mileage Fee $'
Address y Zip
Cit i
Witness Fee $
Reinsp. Fee $ na
Owner/Agent
Tel. Zip
Total Fees $
Address
IA,n
City Zip
M.O. N.C. Casho Check42
Received by 42 dr
Co r ,-�
Tel.•
License#
(-
Trees required
Sewage System
Address
i
Cit Y Zip
r
Sewer District
Form 284-208 (Rev 8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED C
WITHIN 120 DA?S. 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.