369160 (ELEC)SUILDIN. _
PERMMNO.
369160
DEPARTMENT OF BUILDING & SAFETY
COUNTY M RIVERSIDE
FIELD
.Iii- I/f I
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR;,
SQ. FT.
(UNITS'
SD. FT. @
YARD SPKLR SYSTEM
MOBILEHOME'SVC;
SQ: FT.
BAR SINK
GAR.
SQ, FT. @ .
POWER'OUTLET
ROOF DRAINS
CAR P.
SQ. FT. @
DRAINAGE PIPING
WALL
SQ. FT. Q
DRINKING FOUNTAIN
SQ..T. @
ESTIMATED CONSTRUCTION VALUATION $
1
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN -
MECFANICAL.FEES
I J'swimpqcx-, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD -
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE. UNIT WALL FLOOR SUSPENDED
�)&) j VN
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 8:7U.
HSQ. FT. @ C
BATH TUB
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @11Ac
SEWAGE DISPOSAL
SQ. FT. GAR @ i. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
��EES D
MOB. HM: FEE
MICRO.FEE
MECH:, FEE . PL. CK. FEE
CONST. FEE
E : F
.SMI FEE
FEE PLUMB.,FEE
- ' - - - -- — — —•-.rte_
PERMIT NO.
369160
MH;Permit Fee S
Mipo Film Fee Cap $
Mech. Fee Dbl $
PI. Ck..Fee t
Electrical Fee
SMI Fee
Plumbing Fe
Sp. Insp. Fee
,Demol. Fee
' Regiso. Fee
'Mileage,Fee,
' WitnessFee
Reinsp. Fee
TotatFees
M.O.(
' Tieei required Jr
Sewoge'System
T LL P'
`er District .
L 72;,
Form'284208 (Rev,",
Job dress - - -//' `- -� - Space _ �Ow- gw'0`'-
It
ov 41
Comm nity f - Valuation Dot Di F.C.C.,
Use:of Permit - Porcel'No.Ud_e/Case No. Ck. B
/P...•er-.-" — ��v �, Set Backs I Lot Size
Legal,; Description - F S S. R - -
j_/�f�^ -y/�(/�/)� Zone Restrict' s .=� Group Type
Bond•Amt: Plan No.. / Plon Chleck_er Final DateInspector Unit
: Csf as l`1
Const: Lender Branch ISupplime t Numbers
Address. ' ' City - .Zip
AQ
Owner/Ag �Tel. Zip
Address City Zip
Contractor' •. - Tel. ,License#
Address 'City Zip
.THIS PERMIT BECOME VOID IF WORK IS fied NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK veriby:
FOR 120.DAYSSHALL ALSO,CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE -THAT ALL.ViORK IN CONNECTION WITH THIS PERMIT WILL BE I
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 $O IN
I ACCORDANCE:WITH'SECTION 5541 OFTHE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
]__..G'...i4 :4i��.:M Iib.__.: •✓1"....--�. _ :�.. .:�•t 4.._:..: �..__�__ •� _ __ -,2t.. f. _6 Y.. tom, _ ,-Q.
NO.,
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
SUOL®ING APPROVALS
MECHANICAL APPROVALS
1
Set Backis
1
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
3B 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
PLUMBONG APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
D Water Service
24 Gas lest
25
Final
Tank Pit L.Line
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P)
l
26 Power Pole
27 Conduit
28 Service Entrance
_ 29 Wiring,
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDIING PERMIT
PERMIT NO. DEPARTMENT'OF BUILDING & SAFETY FIELD OFFICE . r
36,9160
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIAA_ATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL., SQ. FT. G
UNITS
Valuation
$
Dot
,2ND:.FL: SQ -FT. @
F:C:C.
YARDSPKLR SYSTEM
POR SQ; FT
MOBILEHOME SVC.
Rarcel'No." '*�' Us'No. 'Ck.
BAR SINK
GAR. SQ. FT, ®
POWER OUTLET
_ Ser Backs
ROOF DRAINS
CAR'P• SQ: FT.
Legol:Do scription,
-�/y /��/� ,��''{jrl�/%
R -
DRAINAGE PIPING
.WALL SQ: FT: ;G
Group
Type
DRINKING -FOUNTAIN
SQ. FT. G
Bond_ Amt
1
P.Icn;No. -
URINAL
ESTIMATED CONSTRUCTION' VALUATION $
Sp Insp., I" P.
WATER PIPING
NOTE: Not, to be used os property tax voluotion
SWIM POOL, PVT =s
Registr.. Fee 1'
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Reinsp. Free 1
WATER. SOFTENER
VENT SYSTEM' FAN EVAP. COOL HOOD
SIGN
Totol3Fees -
WASHER (AUTO)(DISH),
APPLIANCE DRYER
OJL
Received by
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR, SUSPENDED
b&jj v
Treei•requiredj4,1
LAUNDRY'TRAY
AIR HANDLING UNIT CFM
IDLE METER
-
JXITCHEN SINK
ABSORPiIONSYSTEM. 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. Q c
BATH TUB
SQ; FT: ®' t
WATER',HEATER
SQ. FT. RESID (&I1Ac
:SEWAGE DISPOSAL
SQ:- FT. GAR @ �K t
HOUSE SEWER
GAS; PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE_
DBL.,
TO�
/ / •
MOB:FIMSEE'
MICRO FEE'
MECH-FEE P ; a. FEE
CONST: FEE
E �F'�
` SMI -FEE
- -FEE. PLUMB. FES
-
PERMIT NO.
369160
-
Job Address- Space
?-/ 9
Owna
Cam pity J I f/'�Q
- • / f7
Valuation
$
Dot
D{i}�, j
/ . /J
F:C:C.
W lsermli,Fee - 1
Micro FIIm,Fee Cop 1
Use of Pencil. -
' /01,5 �f f
/J'' �/' 4� 1
Rarcel'No." '*�' Us'No. 'Ck.
B -
i
Mcchjee :Dbl 1
PI,. Ck. Fee j
_ Ser Backs
Loi Size
Construction Fee Dbl_ 1
Legol:Do scription,
-�/y /��/� ,��''{jrl�/%
R -
Electrical Fee - Dbl 1
Zone ResfricrIpps
Group
Type
Plumbing Fee DbL ='
Bond_ Amt
1
P.Icn;No. -
PIonCliacker
F.inol'.Dala 2�Uml
((fSupplimental
Sp Insp., I" P.
Uemol::F.ee 1' '
Const. Lender Bronch. ,
-
Permit' Numbers ,
36
"
Registr.. Fee 1'
Mileage Fete 1
Address - - -
Crly - Lp
VJNneu"Feer 1
Reinsp. Free 1
Owner/Ag
Tel. Zip
.
Totol3Fees -
Address.] -
6�> '
City �I,`,"�(� - Zip
�/ s/�-• !� / /T� .
M:O. N.C. -- Cash Ctie2
Received by
Contractor'
"Tel.
-
Licensei
Treei•requiredj4,1
Sasvage Systeme
Address -
"City ZIP
-
T d P
Form.20-208 (Rev:&78) s
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 THISPERMIT 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 PIANS AND SPECIFICATIONS HASSO IN
ACCORDANCE WITH SECTION 5541 OFTHE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA..
A.. lL el
verified by