354468 (SFD)MWILWOMW rttacmrI
J PERMIT NO.
[354468
PERMIT NO.
3 54468
jJ f DEPARTMENT OF BUILDING 8t. SAFETY
+ �'a, + • . . COUNTY OF RIVERSIDE
FIELD
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"DST
CONSTRUCTION
ESTIMATE
Date )
NO. ELECTRICAL FEES
Off.
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NO, PLUMBING FEES
�MH.Permit Fee E
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
. WALL
ESTIMATED CONSTRUCTION
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UNITS
Parcel No. '
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Use/Case. No. '
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SQ. FL..@ MOBILEHOME SVC. BAR SINK
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/ POWER OUTLET t ROOF DRAINS
SQ. FT._ @
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DRAI NAGE' PI PING
SQ. FT.•@, -
Legal Description •, ,.
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DRINKING FOUNTAIN
SQ. FT: @'
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SQ. FT. @ URINAL
Zone Restrictions
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VALUATION $ WATER PIPING
Type
:NOTE: Not to be used as property tax valuation
•.:SMI Fee E
Plumbing Fee
SWIM POOL, PVT
”'
FLOOR DRAIN
Plan No.
MECHANICAL FEES
Final Date
Inspector
SWIM POOL, COMM
WATER SOFTENER
6"Demol. Fee
VENT SYSTEM FAN EVAP. COOL ; HOOD
,
Const. Lenderr Branch
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SIGN
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(; WAS (AUTO)(DISH)
.Mileage Fee E
APPLIANCE / •' DRYER
,Witness Fee E
:RReinsp. Fee
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GARBAGE DISPOSAL
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FURNACE UNIT WALL fLOOIF� aY'SUSPENDED"
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Total Fees
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HEATING SYSTEM FORCED GRAVITY
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GAS PIPING
'PERMIT' FEE ,
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
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MICRO FEE
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MECH. FEE
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CONST. FEE ELECT. FEE SMI FEE
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J PERMIT NO.
[354468
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Use of Permit
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Parcel No. '
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Use/Case. No. '
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Pl. Ck. Fee- $ -
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Lot Size
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Construction Fee Dbl E
Legal Description •, ,.
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Electrical Fee Dbl E
Zone Restrictions
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Group
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Type
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•.:SMI Fee E
Plumbing Fee
Dbl E
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Band Amt.
E
Plan No.
Plan Checker
Final Date
Inspector
Unit
Sp, Insp. Fee E
6"Demol. Fee
E
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Const. Lenderr Branch
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Supplimental Permit Numbeyes/P
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Registr. Fee E
.Mileage Fee E
Address _. - .. ,City Zip - , ..
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,Witness Fee E
:RReinsp. Fee
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Total Fees
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•Received
by
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Tel. �'
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T LL P THIS (PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DA. . CESSATION OF WORK
Sewer District FOR 1 DAYS S ALL A PER TO BECOME VOID.
r
r • I HEEB A�GREE'TL OR N C� ONNECTION WITH THIS PERMIT WILL'BE DONE IN ACCORDANCE. WITH
r• des
\ THE LAWS, OF; RIVERSIDE COUN AND THE STATE OF CALIFORNIA.
! I HEREBYgCEtRTIFY THAT THE INDIVIDUAL WHO PREPARfQJH � $ ANp;S�EGIFICAjIQ,(yS �I�S DQN€,SO INS
ru«t ± wt+ ^ gCCORD 9NCH WTTH`S' C'T-16 z4l'OF`THE BUSINESS AND PROFESSIONS CODE OF THE'S_r, E OF LcALIFORNIA.
Form 284-208 (Rev.8/78) 1•.. _ - - 1 •! - t, - a -
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks r
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
`t
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.
Np
ADDITIONAL INFORMATION
a
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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 f
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