403442 (SPIN)BUILDING PERMIT
PERMIT NO.
4034
PERMIT No.
03 4"'4"2'
4 2
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DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
DST -.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
s —Off.
F.C.C.
SO. FT. @ YARD SPKLR SYSTEM
Micro Film Fee Cop $
SO. FT. @ MOBILEHOME SVC. BAR SINK
/� �!� FF
SO. FT. @ POWER OUTLET ROOF DRAINS
Parcel No. '
SO. FT. @ DRAINAGE PIPING
sd'-wo.
SO. FT. @ DRINKING FOUNTAIN
Mach. Fee Dal $
SO. FT. @ URINAL
y Set Bocks .i
VALUATION $ WATER PIPING
Lot Size
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
�• 1 / / yT f
L" i�C. • �ff''�c/"7
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Type
APPLIANCE DRYER
Plumbing Fee Dbl $
GARBAGE DISPOSAL
Plan No.
FURNACE UNIT WALL FLOOR SUSPENDED
Plan
LAUNDRY TRAY
Final Doti'-- ✓
AIR HANDLING UNIT CFM
IDLE METER
s KITCHEN SINK
Sp. Insp. Fee $
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Mileage Fee $
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
Total Fees $
M.O. ❑ N.C. Cash Q C ec ❑r
BOILER B.T.U.
SO. FT. @ a
BATH TUB
City
lip
SO. FT. @ a
WATER HEATER
i
•.
S0. FT. RESID @ 1%4
SEWAGE DISPOSAL
e' -
Trees required%''rr`
1
S0. FT. GAR @ a/4a
HOUSE SEWER
City
Zip
GAS PIPING ka<'
PERMIT FEE
PERMIT FEE
PERMIT FEE 'r
DBL.
TOTAL FEESMOB.
HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
t�~r FEE
PLUMB. FEE
PERMIT NO.
4034
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Zip
Owner
it! 1
Community
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,
C, -
r
`'"rDtit. •
d:.
s —Off.
F.C.C.
MH Permit Fee $
Micro Film Fee Cop $
Use'"of Permit
if %_ 1l,y yw f,
/� �!� FF
Parcel No. '
'Use/C
sd'-wo.
Ck. By
Mach. Fee Dal $
PI. Ck. Fee $
y Set Bocks .i
Lot Size
Construction Fee Dbl $
Legal Description
!A A� �/9' fs�� `I
Ij F V ti. •fl:,
1•�
��• f
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L" i�C. • �ff''�c/"7
F S S
R
Electrical Fee Dbl $
Zona Restrictions ..
Group "__
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
Plan No.
Plan
Checker
Final Doti'-- ✓
Inspect r
•••
Unit .
Sp. Insp. Fee $
Dental. Fee $
Const. Lender
Branch
Supplimental Permit Numbers
Tal.
'
Zip
Registr. Fee $
Mileage Fee $
Address City Zi
'
Owner/AgenZ
'+,
Witness Fee $
Reinsp. Fee $ ati
s.
Total Fees $
M.O. ❑ N.C. Cash Q C ec ❑r
Address
City
lip
Received by .�. , , - �4 f °
Contractor ',• r
%
•.
Tel. "' - ! 1
'_1
LicenseR
Trees required%''rr`
1
Sewage System l ! :ft's'"
1 t tt
Address
City
Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK'IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
•1 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. .
P HEREBY CERTIFY THAT THE INDIVIDUAL WHO. PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN.
Form 284-208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 Of THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & 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
C. 7,
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
JOA
Fireplace
T.O.
No 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,
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