411955 (SFD)PERMIT NO.
11955
DEPARTMENT 6F BUAING & SAFETY
COUNTY OF RNERSIDE
---I
FIELD r DST
% rl I
CONSTRUCTION I;ST�)W�A TE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
'— $
UNITS
Own.,
ST FL. SO. FT. @00'�e"f'
luotion
�VO4
2ND. FL. SO. FT. @
Dist.
YARD SPKLR SYSTEM
FOR. SO. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @-
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. @
Use/Cose
I
DRAINAGE PIPING
WALL SO. FT.
Pl. Ck. Fee S '-W; 7),
DRINKING FOUNTAIN
SO. FT.
URINAL
ESTIMATEI I VALUATION $
F S IS
R,,,,_
WATER PIPING
Electrical Fee Dbl S
--Zo-;n?-R4—estrictions
14OTE: 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
Unit
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
SO. FT. @ a
BATH TUB
SO. FT. @ a
WATER HEATER
SO. FT. RESID @ I IA 4
SEWAGE DISPOSAL
SO. FT. GAR @ 3/4 c
HOUSE SEWER
Received by
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO Fi7
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1 4119551
Job Address
10
1,..,e
Zip
Own.,
Community
luotion
�VO4
Date
Dist.
2�MH
ZfZ
C.
Permit Fee S
PAicro Film Fee
Cop S
Use of Permit
'I'-
100
Parcel No.
-- - -/'
'�' ;�' --( ' /
Use/Cose
I
No. I Ck. ly
ao(j
Mech. Fee Dbl S
Pl. Ck. Fee S '-W; 7),
Set Back,
to I Si.*
Construction Fee DbI $
Legal Description
/-11 ell,
F S IS
R,,,,_
Electrical Fee Dbl S
--Zo-;n?-R4—estrictions
T pe
SMI Fee S
Plumbing Fee
DbI S
Bond Amt.
S
P Ion No.
Plan Checker
Z��'
pector
==ol
Unit
Sp. Insp. Fee S
Demol. Fee
S
Const. Lender
Supplimental Permit Numbers
Regisir. Fee S
Mileage Fee S
Address City Zip
Witness Fee $
Reinsp. Fee
S
Owner/Agent
Tel.
Zip
Total �eel
Address
City
Zip
M.O. E) N.C.
Received by
C.nt . to—,
Tel.
U,en,eN
1,-.) �re.ired
Sewage System
Address
City
Zip
T LL P
Sewer District
Form 284-208 (Rev. 1/80)
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
TH 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
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
I
Set Bock
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beoms
38
Compressor
6
Roof Deck
39
Appl. Clearonc
7
Froming
40
Fire Damper
8
Vents
41
Smoke Detection De�ice
9
Garage Fire/Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
OP'N
NO.
A DDITIONAL INFORMATION
---- - ------
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick
Value
7A Walls (Botts) %
12B Ceiling (Botts)
12C Ceiling (Blown)
14 —1 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 Ser�ic;
24 Gas Test
25
Final
Tank Pit I L.
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 SeMce Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAMt