413874 (ELEC)PERMIT NO._ DEPARTMENT OF BUILDING & SAFETY
13874 COUNTY OF RIVERSIDE FIELD Dsr
•
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
•Vdluotion I
$
S0. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
50. FT. @
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax voluation
SWIM POOL, PVT
FLOOR DRAIN _
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH) /
APPLIANCE DRYER
Plumbing Fee Dbl S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plan Checker
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
Address
j
50. FT. @ a
WATER HEATER
y 7
Received b !
SO. FT. RESID @ 1 t/aa
SEWAGE DISPOSAL
license#
SO. FT. GAR @ 3/4a
HOUSE SEWER
A es �'
ZiP
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
I " / lU
MM. FEE
i
MICRO FEE
I
MECH. FEE PL. CK. FEE
I CONST. FEE EL E
G�
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SMI FEE
FEE PLUMB. FEE
I I
-
P ERMIT NO.
413874'--j
- -
lob Address - - I Spoce
Zip
Owner - - -- _
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Co unity �' ✓•'' i✓
•Vdluotion I
$
Me./ �
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O
� F.C.C.
MH Permit Fee S
Micro Film Fee Cop S
Use drp.fniit J +
Parcel No.
Use/Case o.
Ck. By
1--4
Mech. Fee Dbl $
Pl. Ck. Fee $
Set Bock,
lot Size 4—
—Construction
Construction Fee Dbl S
Legal Description z9v
LL /�f' /'S ( !'' �� sJ uC
p� 3
F
S S
R
Electrical Fee Dbl E
Zone Restrictions
Group
Type
SMI Fee S
Plumbing Fee Dbl S
Bond Amt.
$
Plan No.
Plan Checker
FiI t
A]
Insp for
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender _ Branch
Supplimental Permit Number
/ , PMileage
1
Registr. Fee $
Fee S
Address City Zip
Witness Fee g
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees $ z
Address
j
City Zip
M.O. N.C.[] Cash ec
y 7
Received b !
Contractor it •fir `,�
/ n
'
Tel.
license#
Trees re
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A es �'
ZiP
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITH 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1
r t, 1 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.
4(
r/�'' �1;�__EE�B.�CCERTIFY THAT THE INDIVIDUAL WHO PREPARED THE* PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) AA"� COiT6ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
3 �! •tea �� � �_____.� .� � _� �.� — �_— �_,.____ — � �.�.� -- -- — -- -- -
verified by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & Ducts
2A
Slob Grade
35
Furnace Comport.
3
Steel
36
Inlets & 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.
❑
°o
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 Wa,ler Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
,
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT
1PERMIT NO.
413874
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. $
UNITS
oluation
$
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
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
Bond Amt.
S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Fi al ate
1 -2k -S-1
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. @ a
BATH TUB
City Zip
SQ. FT. @ a
WATER HEATER
T.I.
S0. FT. RESID @ 1 t/<a
SEWAGE DISPOSAL
S ge em
S0. FT. GAR @ 34a
HOUSE SEWER
G
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESS%
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELE FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
413874
Job Address Space
- M
Zip
Owner
Co unif
/'�)
oluation
$
Dote /^
4Dli.
Of
F.C.C.
MH Permit Fee $
Micro Film Fee Cop S
User ermit (''�
/Uy..,rs'.L+ . \ i/ G.
is v i!
Parcel No.
/2l
Use/Case o.
Ck. By
Mech. Fee DbS
PI. Ck. Fee S
Set Backs
Lot Size
Construction Fee Dbl S
Legal Description �`^^►
L ' / �V J Cafes c /I�/
F
S
S R
Electrical Fee Dbl $
SMI Fee S
Zone Restrictions
Ap
Group
Type
Plumbing Fee Dbl S
Bond Amt.
S
Plan No.
Pion Checker
Fi al ate
1 -2k -S-1
Inspector
Unit
Sp. tnsp. Fee S
Demol. Fee S
Const. Lender Bronch
Supplimentol Permit Numbers
4/1 o"
r. Fee $
e
Mil
Mileage Fee $
a
Address City Zip
Witness Fee S
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees 5
M.O. I] N.C. Cash I] Check
Address
xv . , /V.,
City Zip
Received byContra<
r \
/� �
T.I.
Licens¢R
<
Tres re
S ge em
Address
12
CZip
G
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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.
'ERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) A CO DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.