354419 (SPIN)J
PERMIT NO.
354419
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO.
PLUMBING FEES
{
j IST FL.
SQ. FT. @ $
UNITS
-9ff.
F.C.C.
Permit Fee $
SQ. FT. @
Use of Permit -'''"" -
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Parcel No.
Use/Cose No.
YARD SPKLR SYSTEM
� 2ND. FL.
#POR
SQ Fj@
MOBILEHOME SVC.
Construction Fee Dbl E
Legal Description -
j •' .( �'rd
�tG. �7� .� l�dL ,�-w'7 y°+� �vda'F{� '
BAR SINK
Electrical Fee Dbl $
POWER OUTLET
GrJ°�u
Typ%'4��r���•
ROOF -DRAINS .
J'GAR, SQ. FT� @
Bond Amt.Pl
$
_
�
Pion Checker
Final Date
OC -a' 7
t 1
Unit -
`Sp. Insp. Fee $
Demol. Fee is
DRAINAGE PIPING
CAR P. �� SQ. FT. @
Regisir. Fee s
Mileage Fee $
Address ; q City Zip.
1
Witness Fee $
tWALL SQ. FT. @
Owner/Agents
Tel. Zip
DRINKING FOUNTAIN
' SQ. FT. @
Cit y �.y i�T+; moi+ t' t.r ., P yi''..••"
...-..'A�,rs:.�47'Yifly�j`"
'4 M.O. N.C. Cash het
Received by - *
URINAL
ESTIMATED CONSTRUCTION VALUATION $
License# -
Trees required
sewage System
C
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
t 5r MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
TIENT SYSTEM, ` FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCEDRYER
GARBAGE DISPOSAL
FURNACE ,UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR 14�4NDLING UNIT Um— e.— ,,.,,, , ,
. I IDLE METER!* .` •-, - r k-
^+ F
OTCHEN SINk"
ABSORPTION SYSTEM c ' B.T.U.:'
TEMP USE PERMIT SVC
a
WATER CLOSET
COMPRESSOR HP +
POLE,TEMP%PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
1
T
SHOWER
BOILER ) B.T.U. t.
SQ. FT. @ c
t
BATH TUB
SQ. FT. @ c
WATER HEATER
t - +
SQ. FT. RESID @I'7.c
'
i
SEWAGE DISPOSAL °
SQ. FT. GAR @ s/.c
y
'
HOUSE SEWER '
y
GAS PIPING
PERMIT FEE t
PERMIT FEE
PERMIT € r
TOjTAI FEES
MOB.HM.FEE
MICRO FEE MECH. FEE .
•PL. CK. FEE
CONST. FEE , ELECT. FEE
SMI FEE
FEE PLUMB. FEES
r
Ir
PERMIT NO.
-
Job Address Space Zip
Com'�unity
f+ t`'st t roll d
Valuation
$
at
�i3 ery�,rj
1
gist.
//
-9ff.
F.C.C.
Permit Fee $
tMicro Film Fee Cop j
Use of Permit -'''"" -
/j„
�IIItM dbry�,,,
Parcel No.
Use/Cose No.
Ck. B
, Y
/Meth. Fee Dbl $
PI. Ck. Fee $
Set Pcks
`Lut.Size
1.--4, ,
Construction Fee Dbl E
Legal Description -
j •' .( �'rd
�tG. �7� .� l�dL ,�-w'7 y°+� �vda'F{� '
'� i- S R
Electrical Fee Dbl $
Zon Restrictions
GrJ°�u
Typ%'4��r���•
r SMI Fee $
Plumbing Fee Dbl $
Bond Amt.Pl
$
_
�
Pion Checker
Final Date
OC -a' 7
Insp for
Unit -
`Sp. Insp. Fee $
Demol. Fee is
Const. Lender, Branch -
�"• •
Supplrmit Numbers
j `
a • ��I �� ••. ,
Regisir. Fee s
Mileage Fee $
Address ; q City Zip.
1
Witness Fee $
Reinsp. Fee $
Owner/Agents
Tel. Zip
T tot Feess .�•� �+
Addrress t �r,d.. T+a, .•
{/ ee •a^�: , s
rrl .�..i.l..<•fr.' y a.as*.7 Ga.b ..•... r.rr'. r._. ►-
Cit y �.y i�T+; moi+ t' t.r ., P yi''..••"
...-..'A�,rs:.�47'Yifly�j`"
'4 M.O. N.C. Cash het
Received by - *
Contractor !
Tel.
License# -
Trees required
sewage System
C
Address
City Zip
�(F T LL PMTHIS PERMIT SHALL BECOE VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
t I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
l ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78)
�'*.• r, �.�^�►yr 0t�.r.ri-+V w�..; �:a. ✓..�'M.:►� �.r.fi 7•�tia-.!'.•tJn}.!L `. �:J`='+. - �At.THg1aY:7'•.. r,'�c`a'}1
guy.�.,��..�w....��.-�.a^.:..�; r� �.�-.�....-.,......... .�.�� �..�. ..�.e-..�... ....�......_.. .,.-.r-...�..... �_ _.� .�r..._._.�...�,_�.u. ,..-
verified by:
is
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
• I
Set Back
33
Ventilation System
.7
Figs 8 Frms
34
Plenums 8 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
t
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. a
43
Final
10A -
Fireplace T.O. ❑
No
- --
ADDITIONAL INFORMATION
^
- - - --- - -�-- -�-- -- - -
_ -
C
-
r
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth -
12 Internal Lath
12A Drywall '
13 Finish Grade
INSULATION Thick
R ,
Value r
7A Walls (Botts)
12B Ceiling (Batts)
yQC Ceiling (Blown)
,.e14 . Final 1 {
PLUMBING APPROVALS_ - -rJ__
15 Ground Plumb o7c�77
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
.
P/
26 Power Pole
27 Conduit
28 . Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME