369159 (ELEC)��r_i��r�rrwti �exwn
PERMIT NO,
3691.59
DEPARTMENT OF BUILDING A SAFETY
COUNTY OF RIVERSIDE
FIELD
Bill
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO, PLUMBING FEES
IST fl. SQ. FT. @
UNITS
2ND. FL. $Q'. FT. @
Community - Valuation - Dale - isl. F.C.C.
$
YARD' SPKLR SYSTEM
,
POR: •SQ. FT. Q
MOBILEHOME SVC.
BAR SINK
Use of Per it
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
Film Fee s
CARP. 50. FT. Q
DRAINAGE ,PIPING
WALL SQ. FT. Q
PI:. Ck. Fee $
DRINKING^FOUNTAIN
Lot Size
Construction Fee Dbt
- S
URINAL
SQ: FT. ®
Electricol,Fee Dbl s
Restrictions.
ESTIMATED CONSTRUCTION VALUATION
Type
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..000L HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Unit
GARBAGE DISPOSAL
FURNACE • UNIT WALL FLOOR SUSPENDED
r
LAUNDRY TRAY
AIR HANDLING UNIT CFM
M R
�! KITCHEN SINK
ABSORPTION SYSTEM B:T.U.•
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR 'HP
POUE,TEMP/PERM
LAVATORY
HEATING,SYSTEM FORCED GRAVITY'
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT, @ C
BATH TUB
Total fees $;Addr
SQ: FT. @ C
WATER'HEATER
-41
SQ. FT. RESID @1'/.,C
SEWAGE DISPOSAL
"
SQ. FT. GAR i'. C
HOUSE SEWER
Tel. -
License#`
GAS'POING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL -
TOTAL' FEES
MOB.HM.FEE
MICRO FEE
MECH; 'FEE FIF CK:; FEE
CONST. FEE
SMI FEES -
FEE PLUMB_ .'FEE'
PERMIT NO.
Job Addresspace Zip Owner
:3.6°91.5 9
-c .
Community - Valuation - Dale - isl. F.C.C.
$
MH. Permit. FeeS
Micro Cop
Use of Per it
Parcel,No.
se/Cole No.
Ck. By "
Film Fee s
Mech.. Fee Dbl
PI:. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbt
- S
Legal Description • -
'Zone
F 5 S R'
'
Electricol,Fee Dbl s
Restrictions.
Group.
Type
SMI Fee $
Piumbing Fee Dbl S
Bond Aml..
Plan No.
Plan Checker
Fi ofl �Doled-7 [�
Inspector
Unit
Sp. Insp. Fee $
$l^J'
Demol. Fee. $
Const. Lender - Branch
Supplimentol Permit Number -
Registr. Fee - s
Mileoge•Fee $
Address City Zip
Wilneis Fee $
Reinsp. Fee, $
Owner. en
Tel.
Total fees $;Addr
ss
City .- Zip
t
-41
- M.O. N.C.[]Cosh Checks
"
.Received by /%
Controcfor
Tel. -
License#`
Trees requiredr- -
.. .
Sewage SystemAddress
-
City Zip
'
j T LL P THIS;
_PERMIT SHALL BECOME, VOID IF WORK ISNOT COMMENCED�WITHIN.120,DAYS. CESSATION OF WORK
r Sewer District - - _ FOR .120 DAYS,SHALL ALSO.CAUSE•PERMIT TO BECOME' VOID. ,
= I HEREBY AGREE THAT ALL,WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE:WITH
THE LAWS '.OF"RIVERSIDE •COUNTY'AND THE;STATE OF+CALIFORNIA.. ,
I.HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE; WITH SECTION 5541 OPTHE•BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA:
rForm,284206 (Re
verified -by:
NO:
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set. Bock
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Compari.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8'
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O.
No
ADDIPTIONAL INFORMATOOM
,
SEWAGE SYSTEM SIZE & LOCATOOM
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Bans)
128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTROCAL APPROVALS
P/L P/
t
26 Power Pole 6 — 81 a
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMff
PERMT NO
DEPARTMENT OF, BUIL61NG & SAFETY ' FIELD OFFICE
COUNTY OF RIVERSIDE
/71
CONSTRU CTION'ESTI"tE
NO. ELECTMCAL FEES
NO. PLUMBING FEES
Plumbing F ee DbI 1$
2ND�. FL SQ. FT. @
Plan No;
YARD SPKLR SYSTEM
POR.. SQ. FT. @
MOBILEH6ME SVC.
BAR -SINK
GAR. SQ. FT. 0
POWER OUTLET
ROOF'DRAINS
Mileage Fee
DRAINAG
WALL SQ. �T. @
DRINKING FOUNTAIN
WATER PI ING
Not to be used asproperly, tax voluotion
[SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, Comm
WATER SOFTENER
VENT SYSTEM. FAN EVAP. COOL, , HOOD,
SIGN.
WASHERI(AUTO)(DISH)
APPLIANCE DRYER.
No.
GARBAGE DISPOSAL
FURNACE UNIT' WALL FLOOR' SUSPENDED
-ase N6.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
'KITCHEN SINK
ABSORPTION SYSTEM B.T.U;
TEMO USE PERMIT SVC'
W I ATER CLOSET
COMPRESSOR HP
POU�JEMP/PERM
LAVAT0.RY
F!JEAT!NP SYSTEM FOkCEQ- GRAVITY
AMPERES, SERV ENT
SHOWER
BOILER
SQ� FT. Q. C
BATH TUB
SO" FT. kESID,@ I Vjc
SEWAGE DISPOSAL
GAS PIPING
PERMIT FEE
j PERMIT FEE
PERMIT FEE
DBL.
TOTAL
MOV HM;FEE.
MICW FEE
MECH �i_E PfCK. FEE
CONSt FEE IWM
FEE SMI FEE
FEE' PLUMB. FEE
Set Backs
1
Zc"on,
Plumbing F ee DbI 1$
A.
Plan No;
Plan Checker
1.
F I'Dote
c --
Unit
Demol. �eie
Const; Lender Branch,
Supiplimental Permit Numben,'
.-3
Mileage Fee
Addrem city lip
HIUse,of
Permr it
No.
use,f
-ase N6.
1c,
pxel
, I— — - , , I
.0 -
Set Backs
1
Zc"on,
Plumbing F ee DbI 1$
Mnd Arni
. —
Plan No;
Plan Checker
1.
F I'Dote
c --
Unit
Demol. �eie
Const; Lender Branch,
Supiplimental Permit Numben,'
.-3
Mileage Fee
Addrem city lip
Owne ri Tel. Zip
44,k Alov
he.k� '33� I . . z
Contractor Tel. -7 Licensef
Address Oty Zip
P THIS PERM . I I T SHACL BECOM� NiOfD 10 WORKAS NOT CO NCED WITHIN I20'D.AYS. CESSATION OF WORK '�erified:by�
FOR 120'DAYS SHALL. ALSO CAUSE PERMIT TO, BECOME VOID:
I'HEREBY AGREE THAT ALL WORK IN CONNECTION WITHTHIS PERMIT WILL'BE'DONE-IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE: COUNTY AN D THE STATE, OF CAiIF , ORNIA.
I HEREBY CERTIFY THAT SHE INDIVIDUAL WHO PREPARED THELPLANSAND SPECIFICATION&HASDONE SO IN
ACCORDANCE WITHstcTiON.854i m THE BUSINESS AND PROFESSION$ CODE OF THE.STATE OF CALIFORNIA.