369163 (ELEC)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD 7;/1
369163 COUNTY OF RIVERSIDE I
v:
CONSTRUCTION
ESTIMATE
NO.. ELECTRICAL FEES
6�l�
NO. PLUMBING FE,FS
IST FL. SQ. FT. @ $
UNITS
Micro Film Fee
Cop $
2ND. FL. $Q. FT.
JV
YARD SPKLR SYSTEM , _ • '
POR: Sq, FT; @
MOBILEHOME SVC.
Mock Fee Dbl $
BAR SINK
GAR. SQ, FT: @
POWER:,OUTLET
Lot Size .a
ROOF DRAINS
CAR P. $q,. FT. @DRAINAGE
IF
'Zone
S, S
PIPING'
WALL SQ FT @
Restritti`s-
DRINKING FOUNTAIN
SQ, FT @ _
,PlUmbing Fee
Dbl $
URINAL
ESTIMATED CONSTRUCTION VALUATION S
Plan Checker
Fina Data (�
WATER PIPING
NOTE: Not to be used as property tax valuation
SWINI'POOL; PVT
Demo!.. Fee
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Branch
WATER SOFTENER
VENT.SYSTEM FAN EVAP. COOL HOOD
SIGN
Address. - _ City. Zip
WASHER (AUTO)(DISH)
APPLIANCE DRYER
$
Owner/Age
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Tel. Zip
LAUNDRY TRAY
AIR HANDLING.UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE'PERNUT'SVC
Received by
Trees require
WATER CLOSET
COMPRESSOR HP
POLE;TEMUPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ t
City Zip
BATH TUB
SQ. FT. Q t
WATER HEATER
SQ. FT. RESID @11/.c
SEWAGE DISPOSAL,
SQ. FT.. GAR Q d4T
HOUSE"SEWER
GASPIPING
PERMIT FEE
PERMIT FEE
nq0
PERMITTEE
DBL..
TOTAL FEES
'MOB.HM:FEE
MICRO FEE'-
MECH. FEE . CK., FEE
CONST. FEE ElAe.
FEE
SMI'FEE
FEE PLUMB., FEE
I
PERMIT NO.
36 916.3
Job Address//
Community
6�l�
/r
-
Valuation
Space Zip Owner
Lis r
Date JDisf. Off. I F.C.C.
--
,MH.Permit Fee $
Micro Film Fee
Cop $
Use of Per _ q
�
JV
Parcel No.
n -
'se/Case No.
Ck. By
Mock Fee Dbl $
PI. Ck. Fee $
SerBocks
Lot Size .a
Comnuction Fee Obb $
.legal Description
/ _
•/fi_ 7729-
IF
'Zone
S, S
rGm.p
'Electrical Fee D61
Restritti`s-
Type:
SMI Fee E
,PlUmbing Fee
Dbl $
Bond Amt.
$
Plan 'No. -
Plan Checker
Fina Data (�
In ctor
Unit
Sp. [nip._ Fee $
Demo!.. Fee
$
Const: Lender
Branch
Supplimentdl.Per.mit Number
•/G' /
Registr. Fee f.
Mileage Fee $
Address. - _ City. Zip
Witness.Fee 9
Reinsp. Fee
$
Owner/Age
-
AA
Tel. Zip
Total Fees
=
dre
-
City •Zip
' M.O. N.C.. Cash'Check
Received by
Trees require
Coritractor
• .
Tel.-
License# - P
Sewage System
Addreas -
- -
City Zip
r.. T U. P THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK'
"Spwar District FOR ,120, DAYS,SHALL.ALSO CAUSE PERMIT TO'BECOMEVOID:
I HEREBY AGREE THAT,ALL WORK IN CONNECTION -WITH THIS PERMIT WILL BE: DONE IN ACCORDANCE WITH,
THE LAWS OF RIVERSIDe�COUNTY ANDS 'STATE OF CALIFORNIA.
I HEREBY CERTIFY'THAT iTHE INDIVIDUAL WHO PREPARED THE PLANS AND, SPECIFICATIONS HAS DONE ,SO. IN
uiir9 ACCORDANCE WITH'SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE•OF THE STATE OF CALIFORNIA.
Form'211e 208
verified rby:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
AAECHANICAL APPROVALS '
1
Set Bock
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.O. E]
O�
ADDITIONAL INFORAAATOOK
SEWAGE SYSTEM SIZE A LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade_
INSULATION Thick R
Value
7A Walls (Botts)
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
122 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank. Pit I-Aine
PSL
REAR OF PROPERTY LIN9
ELECTRICAL APPROVALS
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.
- 369-163
PERMIT No.DEP_
36916 . 3
Job,Address �
l - V
ARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
Zip
rl[lU vrm-r.
DST
CONSTRUCTION
ESTIMATE
NO, ELECTRICAL`FEES
Wit.F:C. C:
NO. PLUMBING FEES.
IST*FC.
2ND; FL.
POR
GAR.
CAR P.
WALL:
ESTIMATED CONSTRUCTION'VALUATION'
SQ: FT. @
UNITS
-
S'v C.
Parcel No.
SQ; FT. (�
YARD SPKLR SYSTEM •
SQ FT @ MOBILEHOME-SVC.
BAR.SINK
SQ. FT. @ POWER OUTLET
'ROOF DRAINS
SQ. FT,
;DRAINAGE PIPING
SQ: F.T. ,@
DRINKING FOUNTAIN'
SQ: 'FT. @
URINAL
$
,
WATER PIPING
NOTE: Not -to be used as property tax valuation
SWIM POOL„ PVT
Bond Amt.
;,
FLOOR, DRAIN
MECHANICAL FEES
SWIM POOL,, COMM
Inspector
WATER SOFTENER
'VENTSYSTEM FAN'. EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH) :
APPLIANCE DRYER
Supptimental Permli,.N`uumj�bers +
.rt
,R�iglsfr. Fee
GARBAGE DISPOSAL,
FURNACE UNIT WALL FLOOR, SUSPENDED
<4 1& 2 -LAUNDRY
Reirisp. Fee
TRAY
AIR' HANDLING UNIT CFM
IDLE'. METER
Tel. ��•�} - Zip -
KITCHEN SINK
ABSORPTION SYSTEM B.T.O.
TEMP USE PERMIT SVC
- -
WATER CLOSET
'COMPRESSOR HP
POLE,TEMP%PERM
Receiz&by
Trees require
:LAVATORY
HEATING SYSTEM FORCED: GRAVITY
AMPERES SERV ENT
.Tel.
SHOWER
BOILER, B.T.U:
SO. FT.- @ C
Address,
BATH TUB
Ci h Zip:
SQ. FT. 09 C
WATER HEATER
SQ'. FT, Ram @ 1 m.";
SEWAGE DISPOSAL
S% FT: GAR•@ 34:C
HOUSE SEWER.
GAS PIPING
PERMIT FEE
PERMIT FEE
p!D
PERMIT FEE
DBL TOTAL FEES
MOB.HM.FEE
,MICRO FEE
MECH. FEE CK. FEE '
CONST: FEE
, FEE'
SMI FEE,
FEE- PLUMB. FEE
PERMIT NO.
- 369-163
Job,Address �
l - V
Space
Zip
Comm ' - Ih
'
Valuation
s/9—
Dat
Wit.F:C. C:
MW,Permit,Fee S
- Micro FilrnsFee.
Cop j
Use of Per t
(90
-
S'v C.
Parcel No.
se/Case No.
Ch.- By -
Mcch. .Fee Dbl Selec,
P.I. Ck. Fee $
Set Backs
Lot Size -
Construction Fee D61 $
Legdl,Descrlpfion
���( C/.�� /��,�'�/t
`
��
F S •S R
� -Electrical Fee DFii $
SMI Fee
Zone Rasir' ions
v
Group
TyOrrpe
Rlumbing Fee
Dist i'
Bond Amt.
;,
P.kn;No.
Plan Checker
Final:Date
Inspector
Unit
Sp:'Insp. Fee = �
DemoL Fee=
Cons). Lender
Branch.
Supptimental Permli,.N`uumj�bers +
.rt
,R�iglsfr. Fee
�Nlllaoge Fee :
Address Cly Zip
A'
Witness°Fee
Reirisp. Fee
$ ..
Owner/Age
Tel. ��•�} - Zip -
Total,Fees
i'
- -
/
`IAAlf
City - _ -- • Zip. -
.N'C. . Cash', Check
Receiz&by
Trees require
,Controctor ,.
.Tel.
Licensell
Sewage System -
-
Address,
Ci h Zip:
T LL p
vgp District
in 284-308(Reel_
THIS PERMIT SHALL BECOME. VOID, IF --WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 1'20,DAYS SHALL ALSO CAUSE,PERMIT TO BECOME VOID.
J HEREBY,AGREE THAT ALL'WORK.IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS'OF RIVERSID&COUNTx AND: THE -STATE OF CALIFORNIA.
I HEREBY CERTIFY,THAT THE INDIVIDUAL WHO PREPARED THE PLANS ANDZIDECIFICATIONS' HAS DONE SO'IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS ;AND PROFESSIONS CODE OF'THE STATE -.OF CALIFORNIA.