369277 (SPIN)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD
�DST]
369277 COUNTY OF RIVERSIDE ZJ
CONSTRUCTION. ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @
UNITS
MH.Permit Fee S
2ND. FL. SQ. FT. @
Cop §
YARD SPKLR SYSTEM
FOR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Lot Size -v
DRAINAGE PIPING
WALL SQ. FT. @
F S S
DRINKING FOUNTAIN
SQ. FT. @
Zone Restrictions
URINAL
ESTIMATED CONSTRUCTION VALUATION $
SMI Fee §
WATER PIPING
NOTE: Not to be used as property tax voluotion
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Const. Lender Branch
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Regisir. Fee §
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
Tel.
SQ. FT. @ c
WATER HEATER
Trees required
SO. FT. RESID @I'/, c
SEWAGE DISPOSAL
Address r r
r ,
44
SO. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.TOTAL
FEES
MOB.HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
T"
PERMIT NO.
1369277
Job Address
- f
Community Valuation
§
Space Zip ••_ Owner
J
Date
_, --
Dist. i Off. '�C. C.
MH.Permit Fee S
Micro Film Fee
Cop §
Use of Permit
/�%J _ - �J _ s
/�C.J N„1SJ .'>'L/r! / /
Parcel No.
', _
se/Case No. `
F
Ck. By
jop
Mech. Fee Dbl $
PL Ck. Fee
t Bac
Lot Size -v
Construction Fee Dbl $
�°"rim°
�j ems/4 �r J
Ar '� .L w 3 _1C. P
F S S
R
Electrical Fee Dbl §//
Zone Restrictions
Group
Type
SMI Fee §
Plumbing Fee
Dbl $
Bond Amt.
§
Plan No.
Plan Checkert
Final Dote nspector
Unit
Sp. Insp. Fee §
Demol. Fee
§
Const. Lender Branch
Supplimental Permit N m
i
�V 3 CktCt��
Regisir. Fee §
Mileage Fee§
Address City Zip
Witness Fee §
Reinsp. Fee
§
Owner/Agent
Tel.
Zip
Total Fees
M.O.
§
N.C. Cash n Check .
Address
City
.. •. Zip-- .
Received by
o y
ContractA( 71 i
Tel.
License#
Trees required
Sewage System
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J.c
r .A
Address r r
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44
City
1—
Z, P
T LL P
Sewer District
_ Form 284-208 (Re,8/78)
LL ME
THIS PERMIT SHABECOVOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE T !&KE✓�N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH"'
THE LAWS OF RIVER C UNTY ND THE STATE OF CALIFORNIA.
1 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:
1�
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 t
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
IDA
Fireplace P. L.
Fireplace T.O.
43
No
Final
ADDITIONAL INFORMATION
1
_
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final 79 Uig
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