375115 (SFD)BUILDING PERMIT -
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY M/;�/
375115 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CARR
WALL
SQ. FT. @ $
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
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
se/Cas o.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Cop $
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. @ t
BATH TUB
SQ. FT. @ c
WATER HEATER
Plumbing Fee
SQ. FT. RESID @lt/.c
SEWAGE DISPOSAL
Bond Amt.
$
SQ. FT. GAR @ '/. C
HOUSE SEWER
Plan Checker
Final
Unit
GAS PIPING
PERMIT FEE
Demol. Fee
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
+
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
FCONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
•'/.54e
PERMIT NO.
Job Address '
Space
Zip Owner
375115
Co unityValuati
E-79
Date Di t. Off.
_
F.C.C.
!�
MH.Permit fee E
Osb df Ynit--11
Parcel No.
se/Cas o.
Ck. e'y
Micro Film Fee
Cop $
r r
{
Legal D cript on
-
�c t c/�yry i F
Zone Restri tions
i
A-Sdfl Backs Lot Size
S 5 R
Group� T
Type
Mach. Fee Dbl $
PI. Ck. Fee $
Construction Fee Dbl E
Electrical Fee Obl $
SMI Fee
$
/
Plumbing Fee
Dbl $
Bond Amt.
$
Pan No.
Plan Checker
Final
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimental
Permit Numbers
5607,--610
Registr. Fee Is /
Mileage Fee $
Address City Zip
� ,.f.�
Witness Fee E
Reinsp. Fee
E
Owner/Agent
/
�
,r'
J
"
Tel.
Zip
Total Fees
$
ddrest��/ •,
/Y �
✓
City
IF
'. '
Zip
M.O. N.C. C.sND Checkaz�%
Received by
Contras or
Tel.
LicenseN
Trees require
Sewage System
Address
City
Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78)
. . le
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 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.
verified by:
f
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
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.O.
N OP'N
ADDITIONAL INFORMATION
- --- ---- -- _ _ _ - -
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath t
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
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