375735 (RPL)BUILDING PERMIT
PERMIT NO.
375735
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD DST I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @
UNITS
'
2ND. FL. SQ. FT. @
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
_
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
DRAINAGE PIPING
WALL SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
Dist. Off.
C. C.
URINAL
ESTIMATED CONSTRUCTION VALUATION S
Cop $
Use'ol FFermit'IF I IF I u�
v
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Ck. By
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
f� '" `� CfG
x^r,�, -2 .�.
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Legal Description
Electrical Fee
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Zone Restrictions
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
$
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HIP
POLE, TEMP/PERM
Bond Amt. Plan No.
$
Const. Lender
Address
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U. 9
SQ. FT. @ c
Mileage Fee $
BATH TUB
Reinsp. Fee
SQ. FT. @ c
Owner/Agent
WATER HEATER
Tel.
SQ. FT. RESID @I V. c
Zip
SEWAGE DISPOSAL
SQ. FT. GAR @ 1%c
HOUSE SEWER
GAS PIPING
PERMIT FEE _
_ t Y PERMIT FEE
-
PERMIT FEE
DELI.
TOTAL FEESa
MOB.HM.FEE
MICTZO FEE -
-" MECH., FEE PL. CK. FEE '
CONST. FEE
ELECT. FEE
SMI FEE
FEE PLUMB. FEE
Trees requ
Sewage System
9
Address ,
City
Zip
PERMIT NO.
Job Address
Space Zip Ow
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-
_
375735
-�
, �_
�mmunity
z4 Valuation Dore
Dist. Off.
C. C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use'ol FFermit'IF I IF I u�
v
Parcel No.
u5e/Los6 No.
Ck. By
Mech. Fee
Dbl $
f� '" `� CfG
x^r,�, -2 .�.
f
et Bac s
F .— S S
Lot Size
R
—
Pi. Ck. Fee $
D
Construction Fee $
Legal Description
Electrical Fee
D $
!�
T '" �� `�
Zone Restrictions
Group Type
SMI Fee
$
c & Ll'� // -it
Plumbing Fee /r
Dbl $
Bond Amt. Plan No.
$
Const. Lender
Address
Plan Checker
Branch
City Zip
Final Date Inspector
Supplimental Permit Numbers
/
Unit
Sp. Insp. Fee $
Demol. Fee $
Regisfr. Fee is
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
dress r ,
n t Z
-
City
Zip
M.O. N.C. Cash Check
Received b
Contractor
-'--,,4, F/ ii
t'
Tel.
7 / i� 7
License#
/
Trees requ
Sewage System
9
Address ,
City
Zip
T LL P
Sewer District �(
Form 284-208 (Rev., ) Pjs`��.�./
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.
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 55,A1 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
Q
34 Plenums 8 Ducts
2A
3
Slab Grade
Steel
_�
�(/ D�
/
35
36
Furnace Comport.
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38 I
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
�(
n ca�su �a-1 �n Off- t - i - 7 9
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULAT)ON Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb �Y f
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
r P�
i
-
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
I
STREET NAME
BUILDING PERMIT
-PERMIT NO.
3 75735
PERMIT NO.
1375735
DEPARTMENT OF BUILDING S SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. fl.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
MH Permit Fee $
5Q. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
5Q. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
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
Plan Checker
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
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
Zip
SQ. FT. @ c
WATER HEATER
§
SO. FT. RESID @1'/.c
SEWAGE DISPOSAL
Zip
? G/
S0. FT. GAR @ 1% c
HOUSE SEWER
Contractor '/
A M
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DB
V
TOTAL FEES
2-7
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. EEE ELECT. FEE
EMI FEE
FEE PLUMB. FEE
/�
-PERMIT NO.
3 75735
Job Address -
o
Space
Zipy
/A�AhG �0�
�ommunity
Valuation �
Date Dist.
Off,
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit /
I �' 14/d Q �"'�4✓� E
r•'
Parcel No.
Use/Case No.
Ck. By
Mach. Fee Dbl b
Pl. Ck. Fee §
Set Backs
Lot Size
Construction Fee � E
Legal Description
jj �rs
:iwR/�
F �� S S R e
Electrical Fee E
SMI Fee §
Zone Restrictions
Group
Type
Plumbing Fee%
Sp. Insp. FeeS
E
Bond Amt.
E
Plan No.
Plan Checker
Final Date
Inspector
Unit
Dental. Fee
$
Const. Lender Branch
Supplimentol Permit Numbers
Regisir. Fee §
Mileage Fee §
Address City Zip
Witness Fee $
Reinsp. Fee
§
Owner/Agent
Tel.
Zip
Total Fees
§
Address
23
City ,y�� /^�
Zip
? G/
M.O. N.C. Cash Check
Received b4!2
Contractor '/
A M
Tel.
-j
License#
Trees requi
Sewage System
Address
Po
City a Zip
Illi / q�'?c�
T LL P
Sewer District
C�
284.208 (Rev.8/78) 05
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.
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 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.