387584 (ELEC)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
387584-111 COUNTY OF RIVERSIDE FIELD D;T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @
UNITS
Community AA
0,4 0 1 !s''1
2ND. FL. SQ. FT. @
Dote
Dote t.f�
/ -744'0
7 4 0
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Mech. Fee Dbl $
DRAINAGE PIPING
WALL SQ. FT. @
Lot Size
DRINKING FOUNTAIN
SQ. FT. @
j" R
S ✓
F J A ` 4+
S J'
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Gro
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
Const. Lender Branch
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
C C- %j v C.
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
Address
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @l /.c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
Try. Fav'
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE LE .Ff�
SMI FEE
FEE PLUMB. FEE
1PERMIT NO.
387584
Job Address +�" Space
/.2 3���N �a �, r�
Zi
�.���
Owner
��� NN����-�
Community AA
0,4 0 1 !s''1
Valuation
is k/ b (a 4u
Dote
Dote t.f�
/ -744'0
7 4 0
Di
7/
Off. F.C.C.
MH Permit Fee $
Micro Film Fee Cop $
Use of Permit
�+1�-`i
/ 1
Parcel No.
723 a �.+/�
O rr •
Usee��� 4Gc:/Cose No. ..�
//J
P,
Ck. By�
_
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
°
Construction Fee Dbl $
Legal Description
9- 3L
4"� .y
S c ... j..% T{ y
j" R
S ✓
F J A ` 4+
S J'
Electrical Fee Dbl s
Zone Restrictions
l / i �')
Gro
Type �(J i
`r +►�Y(
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
s
Plan No.
Plan Checker
Final Dote
"' —0c�) J,tntor
Q��
Unit
Sp. Insp. Fee s
Demol. Fee $
Const. Lender Branch
Supplimental Permit Numbers
r
Registr. Fee sJC"
Mileage Fee $
Address Zip
v
Witness Fee
Reinsp. Fee $
caner(//Agent ! /+
L \ i�hT „�^� Js"�, �, �(�r+J � Ai 4 tJQt •�"
Tel.
Total Fees r $ ,
A asts,� j(�/¢(� /� /
�• { O + s ^� �• L J.+ (�
City-�••✓•�Zip
M.O Cash Check
Received by �.
Co'ntractor
Tel'.
License#
Trees required
Sewage System
Address
City Zip
I. T LL P I
Sewer District
Form 284-208 (Rev.8/78) @s
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.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
/
3
Steel
36
Inlets 8 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
10A
Fireplace T. 0.
FI
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 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 L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
�� Pj
26 Power Pole f Q
27 Conduit
28 Service Entrance
29 Wiring
.� v
29A Grounding Wire C/D Adz,'
�/(
G Q
29B Bonding
30 Fixtures
31 Service
32 Final r
STREET NAME
PERMIT NO.
38758
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES t
$
UNITS
Community �..�}�
Jr j t!i
IST FL. SQ. FT. @
Date
-7-
Dim.
2ND. FL. SQ. FT. @
F.C.C.
YARD SPKLR SYSTEM
Micro Film Fee $
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
Ck. By
Mech. Fee $
r
PI. Ck. Fee y
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
Electrical Fee Dbl S
Zonea estrictiionns
CAR P. SQ. FT. @
Type
DRAINAGE PIPING
WALL SQ. FT. @
Bond Amt.
$
DRINKING FOUNTAIN
Plan Checker
FinalDatte
I_ l- U �Q O
URINAL
SQ. FT. @
Sp. Insp. Fee $
Demol. Fee $
ESTIMATED CONSTRUCTION VALUATION $
Supplimental Permit Numbers �}
� / 4. C)
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
' M.O Cash Check
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
t"�t1rj, /C,.
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
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ t
BATH TUB
SQ. FT. @ C
WATER HEATER
SQ. FT. RESID @IV,c
SEWAGE DISPOSAL
SQ. FT. GAR @ 1% c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE LIZ,PERMIT
FEE
DBL.T�
FO r
(!-"
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE LEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
387584
Job Address Space
3 lS�fi+J Naw,ee
Zi
2
Owner
�J �/N, & 6H
Community �..�}�
Jr j t!i
Valuation / 11
E kf l? v 1
Date
-7-
Dim.
Off.
F.C.C.
MH.Permit Fee E
Micro Film Fee $
Use of Permit
, \'''�"
Parcel No. y�
1--f �(-���- '� 7
Use/Case No.
AP7 -
Ck. By
Mech. Fee $
r
PI. Ck. Fee y
Set Backs Lot Size
F S � S/0 RConstruction
/�,/
Fee $
Legal Description
`D/ „ / 6 jL F' `.;4--
C,
Electrical Fee Dbl S
Zonea estrictiionns
Grou pq(�
Type
SMI Fee E
Plumbing Fee Dbl E
Bond Amt.
$
Plan No.
Plan Checker
FinalDatte
I_ l- U �Q O
Spector S
\ffllr- 9�
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Supplimental Permit Numbers �}
� / 4. C)
Registr. Fee $
Mileage Fee Is
_
Address ` Cit Zip
-••� r C`\y' ! I trM� F
Witness Fee b
Reinsp. Fee $
w r/Agent /'
V -j
Tel. ` . Zip
Total Fees $
A" As �
y 0 0 l� L nt ,
City') Zip
L -J -H l J 1 '
' M.O Cash Check
Received by
Contractor
Tel.
LicenseN
Trees required
Sewage System
Address
City Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78) as
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.