353673 (SFD)o�+uurnp rescmn
1 PERMIpNO.•DEPARTMENT OV8UILDING 8 SAFETY" FIELD ' y sT•
6 7 3 COUNT* OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.� PLUMBING FEES
;
IST IfL!
erti/C �Gf�
SQ. FT. @
UNITS
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2ND.`y! FL.
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SQ. FT. @
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... y.,
YARD SPKLR SYSTEM
r
' ``'
R. r
SQ. FT.`rCa3
1", 1w •.,» . 4 , t <r y
.MOBILEHOME SVC . y.,- •.. s•*wY irr ,N- : y, y BAR,SINK-, 4`7F:,v
f' ^
//Pd
Y °GAR. 1 >"
SQ. FT. @
D
/ �L
POWER OUTLET
ROOF DRAINS
:c DRAINAGE PIPING
�MH.Permit Fee E -
Micro Film Fee
SQ. FT. @
Use of Permit
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r/t,
- Cl
.�^ ��-'
ceo -
Zia. . yr,I/9
l , ,' �„+r{J'K
" LiLL�
SQ. FT. @
_
DRINKING FOUNTAIN.
' ` t '
SQ. FT. @
<
URINAL,
f ESTIMATEDrCONSTRUCTION VALUATION $
'
lot Size
WATER PIPING
!
Construction Fee Dbl E
NOTE: Nol to be used as property tax valuation
C.1' _
�'•�•
SWIM POOL,PVi
FLOOR DRAIN
Electrical Fee Dbl, E
k `
MECHANICAL -FEES'
Type
SWIM POOL, COMM y
WATER SOFTENER
SMI Fee
•VENT SYSTEM FAN EVAP. COOL HOOD
I
ISIGN
WASHER (AUTO)(DISH)
APPLIANCEDRYERw.a.':•.«%,i;Mt.
ti
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•,•tS jI a<su"&svzm� R�
GAR�AGE,DISPOSAI
Dblf E�
FURNACE, UNIT
WALL FLOOR' SUSPENDED'
Plan No
F'$a•
_
LAUNDRY TRAY t -
AIR HANDLING UNIT
r. j + CFM
Demol. Fee
IDLE METER i
KITCHEN SINK
i
ABSORPTION SYSTEM
% B. T. _'
'
TEMP USE PERMIT SVC
WATER CLOSET
Address • '�.• City •r Zip
COMPRESSOR
HP',; :.
E
POLE,TEMP/PERM 't'-
LAVATORY_
:a
HEATING SYSTEM
FORCED i' ,GRAVITY
sr.`
AMPERES SERV ENT i l Y
SHOWER
B¢ILEf2 'I
B.T.U. t 7` 4
a,
SQ. FT. @ t
BATH TUB
�,t ik• H „,,.
-S
SQ. FT.@ C_
WATER HEATER,
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E;,v •,',r'
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Total Fees Eso
SQ. FT. RESID @I V. c
SEWAGE DISPOSAL
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zip"
p
a
S0. FT. GAR @ '6 c
HOUSE SEWER
Check
a
-
GAS PIPING
PERMIT FEEy
PERMIT• FEE
PERMIT FE
DBL,(jjj//:
-TOT
IM
MOB.HM.FEE
'A -MICRO -FEE .!
•.e<MECH tFEE� PL"CK.
FEE •
CONST -FEE *, ELECT. -FEE -
��-� SMI FEE ^ �`
'J/' 'C rQE PLUMB.
FEE' '
i
PERMIT NO.
r
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loce
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33673
Comni -
a�
�.,
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f' ^
Valuation42
E
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F.C.C.
�MH.Permit Fee E -
Micro Film Fee
Cop $
Use of Permit
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r/t,
- Cl
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Zia. . yr,I/9
l , ,' �„+r{J'K
Use/Case No.
. ,
V
Mech. Fee Dbl E - F-
15et
PIE Ck. Fee
E
t
Backs
lot Size
!
Construction Fee Dbl E
Legal Description
j % /
C.1' _
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6 �" '�
4'�+
f 5 S. - R
r
Electrical Fee Dbl, E
Zone Restyictions ".
GrouP,
Type
SMI Fee
ti
Q• ,
,Plumbing Fee
Dblf E�
_
Bond Amt.
8
Plan No
F'$a•
_
Plan Checker
t. i
Final at Insr' r ' Unit
_...
-,
Sp. Insp. Fee E -
Demol. Fee
/I!
t 8
Const. Lender ♦=`j Js
.. a r. r' - rt• .. .• .
_ Branch • , - 1,
♦ r �: .`tA.
Suppltmeniol. Perm.i+t yyNumbers
w.iys .v.�, w�.. K,.�. 7.. `tN',J"'.... �. n,n s.�
3 "'1.♦
Regisir. Fee A E '�
Mileage FeeE
Address • '�.• City •r Zip
Witness Fee
E
ent
:a
Reinsp. Fee
;� E
Owner/Ag •.
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Tel. s`
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na,tr<.., •'.r xr w(.e.'t-
Zip '
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Total Fees Eso
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/1 s�
t i�r. -
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R' -..^.-'^1'.t.+ -w •' ,v
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zip"
p
a
M.O .•ash
Check
-
Received by �rir
Contractor
TeL
Licensed
b
Trees required/. 4
Sewage Sy tem ri
' r
Address
♦
-
City Z P
i
T LL P THIS PERMIT SHALL BECOME OID 1F WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer Distnc't FOR 120 DAYS SHALL ALSOS IT
VOID.
r, 4
y I HEREBY AGREE THAT ALL WORK IN NNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE W17H
THE LAWS OF RIVERSIDE'COUNTY AND HE STATE OF CALIFORNIA.
°HEREBY CERTIFY -THAT ?HEINDIVIDUAL' WHO PREPARO'TNE PIMI AF'SPE6FICATIONS"H&D6I1E`*S&IIV
UCCORDANCE WITH SECTION .5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ! "
'Form 284.208 (Rev.8/78)
� i r•
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
10A
Fireplace T. 0.
ONON
_
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)
W Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
1,8 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