360144 (SPIN)OUILunnV rCKM11
PERMIT NO.
360.144
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,DEPARTMENT OF BUILDING -& SAFETY,
COUNTY`OF RIVERSIDE.' ;'':,y'�;'
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FIELD
DST
I
.'CONSTRUCTION
ESTIMATE
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NO.
ELECTRICAr FEES
NO. PLUMBING FEES
IST FL. , " '
2ND. FL.
SQ.- FT.," @
J
UNITS '•'' ; ''
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Valuation
SQ: FT. @
YARD SPKLR SYSTEM
•,; POR. ^ r I
SQ FT. •@' i
MOBILEHOME SVC. ' i:q ,."
BAR SINK
6AR r
SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P.'+ f
$Q. FT.
Parcel No!
Use/Case No.
Ck. By
DRAINAGE PIPING
�WALL''...Zyyr. r P.�y
G'ya
SQ. FT. @
h .•
raft' . >I n•{r�s ur.i� yb fit'•'1! li,;
DRINKING FOUNTAIN
t
SQ. fT. @
ConstructiogFee Dbl $ '
r
r:
URINAL
ESTIMATED. CONSTRUCTION VALUATION' $
Group
Type.
'
WATER PIPING
NOTE: Noi to be used as property tax valuation
Y
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SWIM POOL, PVT
FLOOR DRAIN
' MECHANICAL FEES;
I Plan No. _ -Plan
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SWIM POOL, COMM ^w='
WATER SOFTENER
VENT SYSTEM'��'`'•` FFAINI-EVAP."000L `;'' ~ ` HOOD
., . ?
• .� + ' .f .y, � SIGN
WASHER (AUTO)(DISH)
APPLIANCE', DRYER
GARBAGE DISPOSAL
FURNACE FUNIT WALL FLOOR SUSPENDED
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Sup tmentol Permit Numbers,,,///
A
LAUNDRY TRAY
AIR -HANDLING UNIT ! ; i CFM
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Mileage Fee _ $ '
IDLE METER` :r,'
KITCHEN SINK
ABSORPTION SYSTEM _ . > B.T.U.-
;•
,�
a+ "
TEMP USE PERMIT SVC ' +�
WATER CLOSET
COMPRESSORHP
s p' ':
•, :* POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM} ' FORCED GRAVITY,,:'
;;_"
'Addre;s " - • _ •;,
AMPERES SERV ENT ';
SHOWER
BOILER r,. a B.T,U: tz'
{^.'*
` "s
; SQ. FT. @ _ C 2;'w -
BATH TUB
?►tS.'tir.%4'4 fao:
'!Ct(r;aN,{, .�a%.%rtsf I•W-ad
.•! i!',I+SQ 'FT:R'eA.t` "rF'A
WATER HEATER
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r
r SQ. FT: RESID @1 /.c
SEWAGE DISPOSAL
l
s.
SQ. 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
ely y, FEE PLUMB. FEE
`-••-r .•-PERMIT N6:' �,."'':.
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Zip y
Owner` - - -
360144
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Community
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Valuation
Date
Dist.
Off.
F.C.C.
MH.Permit Fee s
> ZIA
Micro Film Fee }Cops
Use of Permit% >♦•
Parcel No!
Use/Case No.
Ck. By
Mech. Fee r Dbl s
Fee
Backs
PI. Ck' s
t
Lot Size
ConstructiogFee Dbl $ '
Legal Description •"w. .. -
/ ti ,
I".d>i : / i•Ce ��''•r�l/rc•J�',
F f S S R
'
Electricol Fee Dbl $ •
Zone Restrictions
��
Group
Type.
'
SMI Fee $
r
y
"
Plumbing Fee - Dbl $ -
Bond Amt.
I Plan No. _ -Plan
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Fina ``D2il-6:
9 .
Inspector
Unit
Sp. Insp. Fee $
Demob. Fee ' $
Const..Lender '� "• Branch ..
Sup tmentol Permit Numbers,,,///
Registr. Fee Y $
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'
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Mileage Fee _ $ '
Addr ss i' fJ`9/% f ` City `Zip
ff f r•,
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Witness Fee s.
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a+ "
Reirisp.Fees
Owner/Agent _ - ;"
Tel, yZip
Total Fees ` 4 s
'Addre;s " - • _ •;,
City .Si Zip
M.O.• N.C. n Cash Check
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A, L
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Received by -� i
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License#
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Sewage System
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Address •-
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• T U. >~ P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:'
Sewer District e • r FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
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I HEREBY AGREE THAT.ALL WOCAgp6e6IJ(�}IGERM)T WILL BE DONE IN ACCORDANCE WITH s
THE LAWS OF RIVERSIDE COU#TT�k1��D�`THE; STA OF CALIFORNIA: `r''
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I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
a - ` ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFOffNIA.
Form 284-208 (Rev.8/78) •! 4
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
46 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
43 Final
IDA
Fireplace T. 0.
No ADDITIONAL INFORMATION
�� �CJ •
7 ( ► — 1�
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 Water Softener
23' Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance 1
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
------------
32 Final
STREET NAME