427537 (SATT)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
4 2 7 5 3 7 COUNTY OF RIVERSIDE FIELD 1 1
' I
CONSTRUCTION ESTIMATE
N ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR. 26
GAR. 459
CAR P.
WALL
ci! Cv
ESTIMATED
ESTIMATED CONSTRUCTION
SQ. FT. @
SQ. FT. @
UNITS
'
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
POWER OUTLET
SQ. FT. @ 7.10 3534 30
BAR SINK
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
Useo TPer it
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR' SUSPENDED
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
Plumbing Fee
SQ. FT. @ c
WATER HEATER
Bond Amt.'
$
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ % c
HOUSE SEWER
Unit
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
202
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT.. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
Job Address
Space Zip Owner
r
t
42753.7
�.531
Community
V A
Valuation Date
$
Dist. ` Off. I F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Useo TPer it
Parcel No.
Use/Case o. Ck. By
Mech. Fee
Dbl $
�''
Plan ChQC�Ib
" Aft, QMAM
legal Description ' t
/� g'
Lot 16��, �U1 act. 1,449(PI
". •.
:.
Set Backs
F S S -
_ Zone Restrictions
-
- -
- Lot Size
R
0.
Group Type
Pl. Ck. Fee $ ��(�, �'
Construction Fee Dbl $
Electrical Fee Dbl $p
SMI Fee
$
w ' f*
Plumbing Fee
Dbl $
Bond Amt.'
$
Plan No.
Plan eck
Final Date �j
r 30 jj
nspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. lender Branch
SupplimenJ P rmit Num"ners
,.• _�
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee
$
4 f�
Reinsp. Fee
P
$
r
Ovipe g}ent +J f _
1) V NI.i ,_.. ..
—
Tel.
S644315
Zi P
Total Fees"
Is
�7
2 09
Aess'-AA nn• - '�_--_
d r
..+..UJ'. 24seommr,
�
City �
L Outritai, C
Zip ,
92251
M.O. N.C. Cash Check
Received by _
.. -
Contractor -
Tel. -
Licenseli.
Trees required
Sewage System
Address
City
Zip
T LL P
Sewer District '
Form 284.208 (Rev.8/78).
THIS PERMIT SHALL BECOME. VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE 1 J ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATDNS HAS DONE SO IN
ACCORDANCE WITH SECTION,5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE RATE OF CALIFORNIA.
verified by:.
Y—
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 6 Frms
34
Plenums & Ducts
2A
Slab 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.O.
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
t 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
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final.
STREET NAME
PERMIT NO DEPARTMENT OF BUILDING & SAFETY osT
7
COUNTY OF RIVERSIDE FIELD OFFICE
4
1r
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL.
2ND. FLS
POR: -
GAR. 4=59
.CARR
WALL
2206
ESTIMATED CONSTRUCTION
SQ: FT.' @q 4 �,0
i 3
UNITS
46
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
'
POWER OUTLET.
SQ. FT. @
ROOF DRAINS
SQ. FT.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @ 4362 40
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
Use o Per it
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Parcel No.
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 T. U.
SQ. FT. @ c
BATH TUB -
SQ. FT. @ c
WATER HEATER
'
SQ. FT. RESID @l 1Ae
SEWAGE DISPOSAL, -.
F
®.
SQ. FT. GAR @ %c
HOUSE SEWER
s'
Electricol Fee Dbl $it
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
209:30
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
..PERMIT NO.
Job Address
space
Zip
Owner
427`53
Community
Voluotion
t
$
Date
Dist.
Off.
F.C.C.
_
'MH.Permit Fee $
Micro Film Fee
Cop $
Use o Per it
-
Parcel No.
Use/Case No.
IRD
Ck By
-
Mech. Fee
D61 $
/�.tT - !411-19-
P1� y �E::t�
t '
" ri
. w. ,
PL.Ck. Fee � $ 2 ci
Set Backs
lot Size
Construction Fee Dbl $
Legal Description`
qq
'Lbt.�iai..7ygnnO* Tract.
- -
t4496»1,,
F
®.
5
0
S
•�
R
Electricol Fee Dbl $it
Zone Restrictions
k�.,;.
Group
Type
-.
SMI'fee
. $
EIM
Plumbing' Fee
Dbl $
Bond Amt.
$
Plan No. `
r
Plan Checker
Final Date
Inspector
Unit
Sp. Insp. Fee' $
Demol. Fee
$
'Const. Lender
Branch
supplimental
ti
Permit Numbers
r
'
/
Reg istr. .Fee' $
Mileage Fee $
Ci
City zip
Add ` P
Witness Fee $ -�
Reinsp. Fee
$
-
Ov) a h /
1
A- ress � ' j - V1Gerp�
rt ± �,Eikenhover-
{
'
Tel.
06443115
City
La -Qui
ntA -, CA
Zip
Zip
1 92253'
Total Fees .c $ 209 Q
M.O. 0 N.C. Cash 0 Check
Received by
Contractoo•.
TeL
r�
License#,
Trees required
Sewage System
Address Y _
-
City
Zip
`
T LL P THIS PERMIT SHALL BECOME 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
r t THE LAWS CIF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. ,
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCARDANCE.WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.B/78)
0s t I
verified by: .