359717 (BLCK)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
1-359717 1 COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL>< SQ. FT. @ $
UNITS
Owner
N
2ND. I'L. SQ. FT. @
Community
I
YARD SPKLR SYSTEM
FOR. SQ, FT.'@ ' ' ` '
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Micro Film Fee
DRAINAGE PIPING
WALL SQ. FT. @
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DRINKING FOUNTAIN
�Jr–G SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Mech. Fee Dbl E
WATER PIPING
NOT,E:,Nol tp,be used as property fox 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
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SMI Fee $
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
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Address City Zip
SO. FT. GAR @ s/. c
HOUSE SEWER
$
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL,
- TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE _ ELECT. FEE
SMI FEE
FEE PLUMB. FEE
License#
Zip
M.O. C3 N.C. Cash Check
Received by
Trees require
Sevge System t
I
Address
PERMIT NO,
359717
Job Address
-
Space
Zip
Owner
N
Community
I
Valuation
$
/J
�
Dote
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
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Parcel No.se/Case
/'
No.
Ck. By
}
Mech. Fee Dbl E
Pl. Ck. Fee f
Set B s
Lot Size
Construction Fee Dbl $' G
Legal Description -
=. 7'- —
-
F S 5
R
Electrical Fee Dbl S``
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl E
Bond Amt.
:
Plan No. .IIPlan
Checier
i
final Date
�i�-rz.3.7 9
Inspector
w
Unit
Sp. Insp. Feeti
S
Demol. Fee
E
Const. Lender - Branch
_
Supplimental Permit Numbers
0Q ,
�',// �/.y1,
/ / 3
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees " -
y
' (.- ,
d ess
Contractor
City-:
Tel.
License#
Zip
M.O. C3 N.C. Cash Check
Received by
Trees require
Sevge System t
Address
City
Zip
T U. P THIS PERMIT SHALL BECOME VOID` IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
j I HEREBY AGREE THAT AL � MH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE C E S ATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78)
ACCORDANCE WITH SECTION 5541 OF THE BUSNESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
NO. OPERATION DATE
INSPECTOR
;NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I Set Back
'33
Ventilation System '
2 Ftgs 8 Frms
34 .,
,Plenums & Ducts
2A Slab Grade
.35
rribce Compare.
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
IQO Fireplace T. 0. E]
FI
� '�
ADDITIONAL INFORMATION
"� — � — •— - __ ., � _ _ _ _ _ ._..
SEWAGE SYSTEM SIZE 8. LOCATION
11 Exterior Lath
12 Internal Lath
12ADrywall t
.13 Finish Grade
INSULATION Thick Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14, Final —,3--29hue,,
PLUMBING APPROVALS
,15 Ground Plumb
1r6 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 LLine '
REAR OF PROPERTY LINE
.
PSL P�
ELECTRICAL APPROVAL'S
26 Power Pole
27 "Conduit
28,'O •Service Ert{raoce
.29'•`~ Wirings
29AA", Grounding Wire -
29B Bonding
:30 ~ '• Fixtures "' '°04 w'
- 31' Service 5 `
32 Final
. i f
STREET. NAME_