360049 (ELEC)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY360049
COUNTY OF RIVERSIDE
FIELD MDST
'CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND—FL.
1POR: : Ssv a.,� ,.T
'
GAR:
CAR P.
WALL
r ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS '
Zip
t k .
SQ. FT. @-
YARD SPKLR SYSTEM
SQ.'FT •@.�, v> + MOBILEHOME,S,VC
BAR SINK
L POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
R
SQ. FT. @ • -
DRINKING FOUNTAIN
.�� ✓
SQ jT. �... ?
URINAL
r r _
VALUATION 4;
WATER PIPING
�;NOTE:,.No1;to be used;os,property,tqx:voluotipn ; ,
.: ,':. t.•'+ :. « SWIM POOL; PVT. y*°.=*: +�?+'
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DPYER
MH.Permit Fee E -
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Use of'Permit
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LAUNDRY TRAY
AIR HANDLING UNIT ' CFM
IDLE.METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC •
WATER CLOSET
COMPRESSOR ` t HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. '@ c' -.
BATH TUB
r
SQ. FT. @ c
WATER HEATER
•y-iL.M
SQ. FT. RESID 1'/.0
SEWAGE DISPOSAL.
R
SQ. FT. GAR @ , t
HOUSE SEWER
Group
Type T
GAS PIPING
PERMIT FEE
�.r��Ile
PERMIT FEE
PERMIT FEE
DBL.. -.
TOTAL FEES .+;
!' 6A .
MOB:HM,FEE
a - MICRO FEE
- MECH. FEE i fPl: CK. FEE, ..
r' +,
.CONST.„FEE,_ .,.'w ELECT.
T1s
FFM�T
FEE PLUMB. FEE
PERMIT.NO.
Job Address
Space
Zip
Owner
3600-49,...
-,
Community
_-'D-
- ..
luotion
r$1
Date
ist
��
Off.
F. .C.
MH.Permit Fee E -
Micro Film Fee
Cop $
Use of'Permit
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Parcel No.
^5
Use/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee
$ ,
Bac
Lot Size
•
Construction Fee Dbl $
Legal Description
•y-iL.M
F S
'
S
R
Electrical Fee Dbl 8/'�
Zone Restrictions
Group
Type T
Is w.
�.r��Ile
�� r
SMI Fee .
/�f%%
Plumbing 'Fee
Dbl $
Bond Amt.
Plon No.Plan
Checker
FinaDot e / Insp or
I
Unit
Sp. Insp. Fee
$
$
"
Deniol. Fee
$
Const.1ender
--
Branch
`
Supplimental Permit Numbers
.r
S
VV
Registr. Fee • $
Mileage Fee• $
Addres''s City Zip
Witness Fee
Reinsp: Fee
$
Owner/Agent,.Tel..
'�
Zip
Tot'�Fee`s `$" "`"
'Address
-r 71 ..
-� +�C +r. •5. _..�.,,
Cityw`T •'
- Zip
j,
,•� M.O. N.C' Cash Check
Received by.
� • � , -
Controctora•_
'- �'
Te I.—
TcenseM
Trees required
.
-
S
L
Sewage'System
Address
'
- ; y _
City ,!
Zip
,•c 1
LL •p�; _..P . _ ..t, .�.. r THIS PERM IT,SHALL BECaME:VOID'IF WORK`IS NOT COMMENCEDWITHIN 120 DAYS. CESSATION OF WORK
! Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
.+ I HEREBY AGREE THAT WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE•. AND HE 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.
Form 284-208 (Rev.8/78)
verified by: .
f
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back.
V6(itilotion System
2
Ftgt & Frms
Plenums & Ducts
?A
Slab Grade
3 5 .�
Furnace Comport.
Steel
36
Vets & Outlets
4
Grout Blocks
'37
Cor6bustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Apipf.,Clearonce
.7
Framing
40
Fire Damper
.,8
Vents
41
Smoke Defection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
Fireplace T. 0. C]
NO. OP'N.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
,13 Finish Grade
INSULATION
R"
Thick Value
,7A W10IIs (Botts)
12B Ceiling (Botts)
QC Ceiling (Blown)
)4,' Final, 1j
PLUMBING APPROVALS
15 -Ground Plumb
16 'Water Piping
17, Rough Plumb
18 Vents
"19 Sewage Disposal
11.26 ."Sewer
Water Heater
22 'Water Softener
23 Water Service
24 Gas Test
`,25
Final
Tank Pit L.Line
P/
REAR OF PROPERTY LINE
'ELECTRICAL APPROVALS
L P/
26. Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A • Grounding-Wirp
29B Bonding
30 • Fixtures
-,31, Service.:.
Final
4
STREET NAME—