384260 (SFD)BUILDING PERMIT `
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD MDS1
3 x 4260COUNTY OF RIVERSIDE �-I
CONSTRUCTION ESI TE
} f
NO. ELECTRICAL FEES
NO. PLUMBING FEES
SMI Fee
IST FL.p� d
2ND. FL.
FOR.
GAR. V
CAR P.
WALL
ESTIMATED CONSTRUCTION
t
SQ. FT. °°�
UNITS
Sp. Insp. Fee
$
YARD SPKLR SYSTEM
SQ. FT. @
$
SQ., FT. @ - MOBILEHOME SVC..: BAR SINK
$
/?"
SQ. FT. @v%t 7 POWER OUTLET ROOF DRAINS
$
DRAINAGE PIPING
SQ. FT. @
$
DRINKING FOUNTAIN
SQ. FT. @
$
l URINAL
SQ. FT. @
VALUATION $ .t~,_. no-.?/' 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
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 '',.°t ;
SHOWER
BOILER B.T.U.
SQ. FT. @ t 4. ti,'
BATH TUB
SQ. FT. @ t
: WATER HEATER '
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ 'r. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
t�TOTAL.EE rSJ
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK,-EEID
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
1. PERMIT NO.
384260
MH.Permit Fee $
Micro Film Fee Cop $
Mech. Fee Dbl $
PI. Ck. Fee $
Construction Fee
Dbl $
Electrical Fee
Dbl $
SMI Fee
$
Plumbing Fee
Dial $
Sp. Insp. Fee
$
Demol. Fee
$
Registr. Fee
$
Mileage Fee
$
Witness Fee
$
Reinsp. Fee
$
Total Fees
$
M.O.[:I 1,1C.171 Cash
Received by
Trees required
`Sewage System
T LL P
Sewer District
Form 284-208 (Rev.8/78) Os
Job Address SpaceOWner
ZJP
2--J'- A I
Com ity r Valuation Date Lb
ist. Off. F.C.C.
Use f.P r Parcel No. Use/Case No. Ck. By
(,r✓+-.-!' ✓ G�ir,,., Set Backs �+ Y lo
F t Size _
Legal Description � Si S3r.� R / o�i /� J
.d l
,�(3 / G', r ,a,�,.a�( i--+""•" ! Zone Restrictions Group Type
Bond Amt. Plan No. y Pla C ,cker Final
Date/ �J Inspector Unit
Const. Lender K (j Branch Suppliment I P rmit Numbers
Address•,/t�Zip
1 'l -� S I J /.'7 P./rs 1 >Cit.
r Owner/Agent �9 Tel
0
Address Ci
Contractor Tel. License#
Address City Zip
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.
-
THEREBY 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
L ACCORDANCE WITH SECTIQN 5541 OF, THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Zip
Zip
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & 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.
43
Final
10A
Fireplace T. 0.
FI
ADDITIONAL INFORMATION
s `
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 NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE[—D—IT]
3842601 COUNTY OF RIVERSIDE ,,
CONSTRUCTION ESTI TE
NO. ' ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.&�
2ND. FL.
POR. ' 'Q
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 $J—z D
WATER PIPING
NOTE: Not to be used os property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
PENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Final Dote
)I-&
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Sp. Insp. Fee E
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 t
E
SQ. FT. @ c
WATER HEATER -
Zip
M.O. N.C. Cash Check
Received by
Contractor
,
Tel.
License A'
Trees require
swage System
s
Address
Cit Y Zip
District J.Lvap n2
CSC G= 4 �
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK, verified by:
FOR I20.DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
C=REW AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE 1AWS 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.