374956 (BLCK)PERMNO. DEPARTMENT OF BUILDING A SAFETY Ds
3 74"9 5 6 COUNTY OF RIVERSIDE FIELD 1 1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
Commynity_ !lt
I i/'/, Y %� T�(
2ND. FL. SQ. FT. @
Dgfe/
/-� r^�• //L
YARD SPKLR SYSTEM
FOR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR, SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
CIIVB�
j� . -
DRAINAGE PIPING
WALL SQ. FT. @
Set Backs
DRINKING FOUNTAIN
4 - rSQ. FT. @
Legal Description
L � r o� r' t/ (f�� !
- i V 4ILI
URINAL
@ $
ESTIMATED CONSTRUCTION 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
Demol. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Registr. Fee S
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
Sewage System
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @IY.c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOT FEES, FEES,
f
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CO/NNJS�.,T. FEE � ELECT. FEE
r.J
SMI FEE
FEE PLUMB. FEE
��
� ✓
PERMIT NO.
374956
verified by:
Job Address �/f /••• ,Space
.`� l � � - I���En��+cr.�'� i�.
Zip
yzz�
,owner _ f
Commynity_ !lt
I i/'/, Y %� T�(
ValuaAw, +
$1./ `
Dgfe/
/-� r^�• //L
(Gist}f
! f
Qjf��
F.C.C.
_
MH Permit Fee s
Micro Film Fee Cop $
Use of Per/mit J\] / //' {,
(�' (,O / �T" C t�•I *- l
Parcel No. ��J //���'/y' ` / '
/ / ✓ ' L./ ! 1{ ��/i�
Use/Case No.
CIIVB�
j� . -
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
I /y C)
jv
Construction Fee Dbl f
Legal Description
L � r o� r' t/ (f�� !
- i V 4ILI
F S S R
Electrical Fee Dbl $
Zone Restr ns
Grou
Type
SMI Fee E
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date uool
II
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Supplimeniol Permit Numbers
� J � yoll f
l)•••t/ � I
Registr. Fee S
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees $ r'
Address '
M.O. N,C. Cash Check
--1
Received b
Contractor
Tel. _
License#
Trees required
Sewage System
Address
City Zip
T LL P
Sewer District
jyd !1!b("e
Fbrm 284-208 (Rev.8/78)) 07s
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 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
39
Appl. Clearance
7
Framing r
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
43 Final
IDA
Fireplace T. 0.
P'
--
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
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
I
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT
PERMIT NO.
1374956
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE 1 I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
2ND. FL. SQ. FT. @
D�
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
.
DRAINAGE PIPING
WALL SQ. FT. @
Mach. Fee Dbl $
DRINKING FOUNTAIN
wool] Aw'lctF SQ. FT. @
Lot Siz
URINAL
ESTIMATED CONSTRUCTION VALUATION $
"' •
WATER PIPING
NOTE: Not to be used 05 property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAR COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE , UNIT WALL FLOOR SUSPENDED
Unit
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
;\Fee
1',500
SQ. FT. @ c
WATER HEATER
Address !`(�
O /\ �7
SQ. FT. RESID @11/4c
SEWAGE DISPOSAL
M.O. N.C. Cash Check
SQ. FT. GAR @ 31, c
HOUSE SEWER
Tel.
'
GAS PIPING
PERMIT FEE
iewoge Sysiem
PERMIT FEE
PERMIT FEE
DBL.
TOT FEES,
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FE�q•0 ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
137 6
Job Ad pace
Zi J..' 0
WE!/
Co.AJ
m nityy/./� / � �
"' ` V -'•]�
Volualf �
E! .�li_r
D�
9tst
OOff—
f.C. C.
MH.Permit Fee E
Micro Film Fee
Cop $
Use �off Permit
✓�
Parcel No.
Use/Case No.,
C
Mach. Fee Dbl $
PI. Ck. Fee $ ,,
Set Backs
Lot Siz
e
Construction Fee Dbl $
legal Description
/'�/
(J�
- -:!�}{/�' V / `
"' •
F - S S R0
Electrical FeeDbl E
Zone Restri ns
�`
Group
Type
SMI Fee $ t
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No. _
Plan Checker
Finp I Pate l
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
Const. Lender Branch
Supplimental Permit Numbers
D
Registr. Fee $�
Mileage Fee g
Address City
Zip
Witness Fee $
Reinsp.
$
Owner/Agen/t ,/'�i
Tel. ...,. Zip
;\Fee
1',500
Total Fees
E
Address !`(�
O /\ �7
City/ j �( ?Zi
hvI "/ C%� t i/ !- °i' 5
M.O. N.C. Cash Check
Received bftLA�rContractor
Tel.
'
License#
Trees required
iewoge Sysiem
Address
City - Zip
T LL P
Sewer District 0
t J
Fbrm 284-208 (Rev)
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.