399513 (RPL)BUILDING PERMIT
PERMIT NO.
1399 1
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD [/7DS�T
CONSIRUCION ESTIMATE
NO ELECTRICAL FEES
NO. PLUMBING FEEaz
ST FL.
�,21s!D. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATEI
50. FT, @ $
UNITS
Camrnumity
Valuation
SO. FT. @ YARD SPKLR SYSTEM
Dote
SO. FT. @ MOBILEHOME SVC. BAR SINK
Oil.
SQ. FT, POWER OUTLET ROOF DRAINS
MH Permit Fee
SO. FT. @ DRAINAGE PIPING
Cap S
SO. FT. DRINKING FOUNTAIN
URINAL
Parcel No.
,Sze/Cose No.
VALUATION s e/,& WATER PIPING
Mach. Fee DbI S
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Lot Size
FLOOR DRAIN
C—,I,vctio. Fee DbI S
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
'SIGN
Electrical Fee DbI S 74
WASHER (AUTO)(DISH)
G -,p
APPLIANCE DRYER
SMI I"
r
GARBAGE DISPOSAL
DbI s �Ikoncl
FURNACE UNIT WALL FLOOR SUSPENDED
Plan No.
I
Plan Checker
I
LAUNDRY TRAY
Final Date
- I —,?I)
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Sp. Insp. Fee s
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Const. Lander
WATER CLOSET
�OMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Mileage Fee
'HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Reinsp. Fee
SHOWER
Owner/Agent
BOILER B.T.U.
SO. FT. @ 4
Tel.
BATH TUB
Zip
SO, FT, @ a
7 WATER HEATER
;2
SO. FT. RESID @ I V4a
SEWAGE DISPOSAL
M.O. []N.C. E] Cash Check [;K
Recei�ecl
SO. FT. GAR @ �44t
Contractor r,— f P/
HOUSE SEWER
Tel.
Ucensq#
GAS PIPING
Trees re ui
PERMIT FEE
PERM FEE
Address
PERMIT FEE
City Zip-
DBL.
1
TOTAL FEW
1 —
MOB. HM. FEE
I
MICRO FEE MECH. FEE
PL. CK. FEE
I CONST, FEE
1
ELECT FEEE,,",
/,0 1.
SMI FEE
-
FEE
I I
MB. FEE-.
; 4/ ey —
PERMIT NO.
1-3995131
Job AcIdren
space
Zip
Ow...
Camrnumity
Valuation
Dote
DM.
Oil.
F.C.C.
MH Permit Fee
Micro Film Fee
Cap S
Use of Permit
Parcel No.
,Sze/Cose No.
Ck. By
Mach. Fee DbI S
Pl. Ck� Fee $
Set Back$
;
Lot Size
C—,I,vctio. Fee DbI S
Legal Description
e,,A—
1 10/
11
IR
Electrical Fee DbI S 74
Zone Restrictions
G -,p
yp,.
SMI I"
r
plumbing Fee
DbI s �Ikoncl
Arnt,
S
Plan No.
I
Plan Checker
I
Final Date
- I —,?I)
Sp. Insp. Fee s
Dismal. Fee
S
Const. Lander
Branch
SuppliZ Permit Numbe
Registr. Fee
Mileage Fee
Address City zip
Witness Fee $
Reinsp. Fee
S
Owner/Agent
Tel.
Zip
Total Fees
'Aidness
!City
Zip
M.O. []N.C. E] Cash Check [;K
Recei�ecl
Contractor r,— f P/
N4—le" r?
h//.
Tel.
Ucensq#
Trees re ui
Address
City Zip-
_�7 — BEC T CESSATION CIF W RK
T I.I. P THIS PERMIT SHALL BECOME VOfD IF WORK IS NO COMMENCED WITHIN 120 DAYS, 0
Sewer District. FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO OME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTIOI� WITH THIS PERMIT-WILLAE DONE -IN ACCORDANCE WITH
THE LAWS OF RIVSRSIDE COUNTY A14D THE STATE OF CALIFORNIA.
I HEREBY ERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Re�. 1/80) lr.�CE WITH, SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
,e,ified by:
ij�
'9 9 511.3. -. I
DEPARTMENT DF -BUILDING' & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION.EpTIMATt
NO ElEtTkICAL FEES .
Job Address
NO.. PLUMBING FEES
I ST F.L.,
2NDjL
POR�
G - 'AR,
CAk P,
,WALL
EST14ATED'C( NS,RU,CTIO
%
SQ, FT.
UNITS
/j ;.g
Comilhunityr
ZA X0
0 J /V
@ YARD SPOR iYSTEM
SO. FT_ 9- MOBJLEHOME SVC. 13AR SINK
Dist.
SQ. FT., POWER OUTLET ROOF DRAINS
FXZ
SQ. FT. DRAWAGE hPING
Micro Film Fee
SO: FT. �9 DRINKfWG FOUNTAIN
Llseof Flermit
_'.
URINAL
Poical No, Use/Coto No�
Al Iti WATER �01PING
Me�o. Fe6 Dbl s
NOTE: Not to 69� us�d as"p'roperty icsx�voluati , on
Swim FOOL. PVT
Lot Size
FLOOR DRAW
t egal Description
MECHANICAL OEES
SWIM POOL, !comm
� le� 7-
_L:i
SOFTENER
Electrical Fee Dbi
I
VEW,�YSTEM FAN EVAF.,COOL HOOD
SIGN
Type
�WASHER, (AUTO)(DISH)
Plumbing Fee
APPLIk,10E' DRYER
Alortd.Amt.
Plan No.
GARBAGE DISPOSAL
Date
'FURNACE UNIT, WALL FLOOR SUgPENDED
Unit
4 LAUNDRY TRAY
Dental. Fj"
AIR 4.ANDURGUN.Ii CFM
IDLE ME�TER
Branch
KITCHEN'LSINK.
ABSORPTION SYSTEM &T.U.
TEMP USE PERMIT SVC
Address Cif zip
y
WATER, CLOSET
Reirsp. Fee.
tompktSsollt HP
POLE, TEMP/P.ERM
LAVATORY
Zip
".:11E�7114,G 'SYSTEM FORCED GRAVITY
AMPERES 8ERV E14T
S
SHOWER
BOILER B.T.U.
SQ. -FT. @
Mro. ��h "0 Ch..k
.,BATH. �TUB
rX�. 4
SQ. FT. (9
WATER. HEATER
I wo /.Y P. _1X
wag ern:
So. FT_RES1D,, @ I V4c
SEWAGE DISPOS:
40
SO. FT.' GAO' Ad
HOUSE SEWER -
PAS PIPINd
;L T
PERMIT FEE
FERMI 'FEE
-_FEE
PERW
00.
MOS. HM. FEE
MICRO FEf. MECH, FEE
PL. CK. FEE
CONST. FEE E
F
SAM
FEE
PLUMB. FEE
IL
7
PERMITNO
3 - 9 9; E -j 13
Job Address
-'s
_Poc.
zip
Ow
�nal
Z/f
Comilhunityr
ZA X0
0 J /V
valuation
Dist.
FXZ
MH %?.it Fee,
Micro Film Fee
Cop S
Llseof Flermit
Poical No, Use/Coto No�
oil
Me�o. Fe6 Dbl s
PI.Ck. Fee
Set Bock*
Lot Size
Construction Fee Gbl $
t egal Description
F
I
� le� 7-
Electrical Fee Dbi
I
Zon-4K Restrictions
U—P
Type
.
tSMI Fee, $
Plumbing Fee
bbi, $ 0
Alortd.Amt.
Plan No.
Pic Checlier 'Finiol,
n
Date
1.6 ' poctor
Unit
a :$
SP. �246 P. Fee
Dental. Fj"
5
Cono. lender
Branch
3,upplimental Permit Numbers
0egistr. Fee
Address Cif zip
y
.*it"" . s
Reirsp. Fee.
1
TiL
Zip
Total Feet
S
#dd.re . Is"
City
-zip
Mro. ��h "0 Ch..k
Recai�ed vil,
0
rX�. 4
)4.roes
I wo /.Y P. _1X
wag ern:
ury Zip
A4A 4
40
P
'form 28A4a (6v. 3 801
THIS -PERMIT SHALL BECOME VPfD-IF WORK. IS NOT COMMENCED'WITHIN 120 DAYS., CESSATION� OF.WCFRK.,
FOR 120. DAYS SHALL -ALSO CAUSE PERMIT TO" BECOME'VOIQ,
I HEREBY AGREE THAT ALL WORK W C9NNggIqN WITH,, TH!S-PERMIT WILL $E DONE IN ACCORDANCE: WITH
THE LAWS -OF WERSIDE c6u�ii k4b- THE-*$TATE OF tAUEOR 4 ' ' ' - .
NjA.
i HEREBVCERTIFY THAY T+iE. INDIVIDU�L- WHO'PREPARED' T'HE-,PLANS -AND SPECIFICATIOINS HXS., DONE 50 IN
Oe�CE WITH SECTION 5j41 OF THE BUSINESS AND PROFESSIONS CODE, OF THE STATE OF, CALIFOPNI;o,.
verRIPO by:
NU
0I'ERAT10i,l
DATE
INSPECTOR
NO. OPERATION
DATE
INSPECTOR
— BUILOING'APPROVdlLS
MECHANICAL APPROVALS
�7
_
- 5�1 !finer.
X33 Vantilaiion System - -
~ 2
Flys .S Frms
34 Rlernum5 R Ducts
2A
$lob Grodc
35 ' Fumace Comport.
3
„feel
36 1 Inlets 8 Outlet,
.t
(=rout elo.-Ls
.i l,Co.buviton .Air
$
Hond Scams
38 Corn eesso,
,
6
Racl Ut"J,
,39 'Appl. Cleoronce
7
Fi mm<i
Ila File Dompar -
8
`.'r1119
41' .Smoke Defection D.eyice \'
'9 }
0,-ug2-'Fir,: Woll
42 CpmrDerciol. Hood
1C
fleeplocu P.L )
43Final '
10A I
Fueplara 17. � 7
;vr
OP'N." ,
Nq. I -ADDITIONAL INFORMATION
-•-
r
-
.
- SEWAGE SYSTEM SIZE 8s 'LOCATION
11
—
EKterio, loth
-
12
I Inlcrnol loch..
13
Fini It Cirndi
lNSt,lIArION
Tt'
R
vvlrt,
CR�Ir,, —
—
12E
I G:IGny jBalh,
(
--
12
f�llin9 jWC�Mn)
r.
Final
—1
Ih
L%Ro!gL
1$
PLUMBiNG APPROVALS
IIlL Wm4r Pipinq —�
Flu -b
veals
r
- 1V
Spwnye Dispel
20
ser"mr
2 _I
'Nratar Heate,
7..2 f
'SNr ft,, $, hen—
X23
Wti1.Pr se,. ice.
24--
Q
�e
r
'Tank' Pit I. line
L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
` 1
P,
-
,
Power %le---
23
� G+ttdh
28
$.-,,cn Erarq,,ce
2v
%Ntrpjq ---------
8 ���U�
2PA
(=roundmq Wire
298
Flooding
33
Fkrlire,
21
3?
Svrvir,e l
} Final
•• 1 +'' D
S 8