398262 (RPL)BUILDING PERMIT —
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
8262
f.' COUNTY OF RIVERSIDE n
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Job Address
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@
UNITS
Space
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. 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
PI. Ck. Fee S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Lot Size
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.
SO. FT. @ a
BATH TUB
SO. FT. @ a
WATER HEATER
PrWCP,6cke,
50. FT. RESID @ 1 t/4a
SEWAGE DISPOSAL
S0. FT. GAR @ 34a
HOUSE SEWER
Unit
Sp. Insp. Fee f S y
DemoL Fee S
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.TOTAL
FEES AMOB.
MM. FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
V 1 i L',
PERMIT NO.
398262
Job Address
/
Space
Zip
Owner
Comm nit
.
V luoft
$
t,.,
is V.
F.C.C.
MM Permit Fee $
Micro Film Fee Cop $
Use of Pemt
i•-�
Parcel No.
so/
Co c.
Ck. By
Mech. Fee Dbl S
PI. Ck. Fee S
Set d, '� �"'
Lot Size
Construction Fee { Dbl S
Legal Descnption
"-'•-•� ""'
11
F S
S
R
Electrical Fee 'Dbl S
Zone Restrictions
Group
Type
SMI Fee S
Plumbing Fee 1 Dbl S
Bond Amt.
S
PrWCP,6cke,
Final Dote
Inspector
Unit
Sp. Insp. Fee f S y
DemoL Fee S
Const. Lender
Branch
SupplimentollllPPerrmmit Numbers
Registr. Fee $
Mileage Fee $
Address / p City Zip
Witness Fee $
Reinsp. Fee S
Ow "nt---A-
- "
;+'
Tel.
Zip
Total Fees S
M.O. ❑ N.t: Cash Check
.•
Address
117-1—{
`
City
/
Zip
1
Received b n r
Contractor
Tel.
,rjl/ K
'
L en`seeb` c'
Trees required
Sewage System
Address
City
Zip
4 ,
T LL 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.
c •I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
t T E 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
Form 284-208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
t
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System .
2
Ftgs d Frms
34
Plenums,& Ducts
2A
Slab Grade
..
, �.
35
r
Furnace Comport.. ..
3
Steel
f
36
Inlets 8 Outlets
4
Grout Blocksl
-
t
37
Combustion Air •. —
5
Bond Beams
,-
•, 38z
Compressor
6
Roof Deck
39
Appl. Cleorance
7
Framing
- T
40
Fire Damper i
8
Vents
41
Smoke Detection Device 1 '
9
Garage Fire Wall
t
42
Commercial Hood
10
Fireplace P. L.
n
43
Final _t "`•}
10A
Fireplace T. 0.
(;]
°o
ADDITIONAL INFORMATION
I
-
t �
1,
t
7
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal lath
12A Drywall
13 Finish Grade i
INSULATION Thick Value
7A Walls (Botts) l
128 Ceiling (Batts) f
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
^15
Ground Plumb
16 Water Piping
17 Rough Plumb
..18 Veols
19' • 1 ' Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Finalrr
<r
Tank Pit L. Line
r
REAR OF PROPERTY LINE I
ELECTRICAL APPROVALS
P/L
+
+
'
P/
t
26 Power Pole 1
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire CJ (� u�C
29B Bonding
30 Fixtures
31` Service
32 Final
STREET NAME ,
PERMIT NO.
98262
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
I CONSTRUCTION ESTIMATE I NO. I ELECTRICAL FEES I NO.I PLUMBING FEES " I
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@
$
UNITS
Micro Film Fee Cop S
Use of Permi
Aw 4.1--
j
1
SQ. FT. @ -
YARD SPKLR SYSTEM
SQ. FT. @ MOB(LEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING -
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Sp. Insp. Fee S -
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Registr. Fee S
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL
HOOD
SIGN
O —
all :z
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Total Fees $
Address
City Zip
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR
SUSPENDED
Tel. t V
L¢ense.
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.
SO. FT. @ a
BATH TUB
SO. FT. @ a
WATER HEATER
SO. FT. RESID @ 1 t/4a
SEWAGE DISPOSAL
S0. FT. GAR @ V4a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE MECH. FEE
PL. CK. FEE
FCONST. FEE
ELECT. F
JJ
SMI FEE -F
- FEE PLUMB. FEE
z,
PERMIT NO.
398262
Job Address Space Zip .Owner
✓
Comm nit4aloatian Dae , . - a,,.. F.C.C.
>. $ ..
MH Permit Fee $
Micro Film Fee Cop S
Use of Permi
Aw 4.1--
j
1
Parcel No. U` /CoA 05o. Ck. By
_
Set Lot Sixe
F S IS R
Mach. Fee Dbt S
PI. Ck. Fee $
/
Construction •Fee / Dyl, $
Electrical Feeb S
Legal Description
Zone Restrictions
Group
Type
SMI Fee
Plumbing'Fee Obi S
.Bond Amt.
S/
Plan No.
Plan Cffecker
Fi Date I
S ��
Inspector
Unit
Sp. Insp. Fee S -
Demol. Fee g
Const. Lender Branch
Supplimental Permit Numbers
'
Registr. Fee S
Mileage Fee $
Address City Zip
-
Witness Fee $
Reinsp. Fee $
O —
all :z
Tel. Zip "
Total Fees $
Address
City Zip
M.R. Q N.G_. Cosh Check
Received b
Trees required
Contractor
Tel. t V
L¢ense.
Sewage System
Address
City Zip
I
T I.I. Is THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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 _
T E LAWS OF RIVERSIDE. COUNTY AND THE STATE OF CALIFORNIA. -
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN
m,284-208 (Rev. I/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.