403334 (SPIN)LiulLolrvCa PERMIT
PERMIT NO.
403334f,
PERMIT NO,
0 3334
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
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK "?
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
SO. FT. @ 'a
BATH TUB
SO. FT. @ a
WATER HEATER
r
ItCVVV�
SO. FT. RESID @ 11/44
SEWAGE DISPOSAL
Const. Lender Branch
SO. FT. GAR @ %c
HOUSE SEWER
Mileage Fee $
Address City Zip
Witness Fee
GAS PIPING
PERMIT FEE
Tel. Zi p
PERMIT FEE
PERMIT FEE
DBI.
TOTAL FEESMOB.
,�-..._
HM. FEE
MICRO'FEE
MECH. FEE Pl. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE ``
C JAF PLUMB. FEE '
r-,,,• to
PERMIT NO.
403334f,
Job Address
..-
rrte,nt'/
nity t1 " I
VolvEilion
Off.
F.C.C.MH
Permit Fee.Micro
Film Fee Cop $
Pei '""�Parcel
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r. /
No.
Use/C No.
Ck. By '
Mach. Fee Dbl S
PI. Ck. Fee $
'Set Backs `t-'
Lot Size
Construction Fee Dbl $
Legal Description F
F S S R
/� y" /� , i.�
Com' / / //J� f s
^ 'cations
Electrical Fee Dbl $
Zo. U
G up 7 -Type'
^
SMI Fee g
Plumbing Fee Dbl $
Bond Am -
.'Plan No.
n ecker"""-
inol Dote `/7 I actor U C'
g
/ 8
Sp. Insp. Fee $
ItCVVV�
Dental. Fee $
Const. Lender Branch
Supplimentol Permit Numbers
Y
/
-
Registr. Fee g-
Mileage Fee $
Address City Zip
Witness Fee
Reinsp. Fee $/
Owner ant A `.
g / �•r ,
,fes±
Tel. Zi p
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.�'{ (' l
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Total Fees $ / �f
Addtess '..J' ,,� i�� �•. ` �:✓\
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`Ciiy' J % , rt �T �} Zip it
T (y•,T ^ _ ..
M.O. N.C. ❑ Cash
Received
Conrrcct r ,� �� 4,�.`il,�
% +_,:� L' uv,
Licenseg
Trees re e z'�
i
Sew. System
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.
-
.,I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
c THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
'. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONSHAS.DONE SO IN
Form 284.208 (Rev. 1/80) NCE 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 & Frms
-
34 Plenums 8 Ducts
2A
Slob 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
Fir6ploce P. L.
Ej
43 Final
10A
Fireplace T.O.
P'
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 (Botts)
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
PERMIT NO. r , !,DEPARTMENT OF BUILDING &. SAFETY FIELD.. OFFICE " . �`` osr
-0333A'*. COUNTY OF. RIVERSIDE 4 ;ry
CONSTRUCTION `ESTIMATE
-
NO. ELECTRICAL FEES•
NO. ' PLUMBING FEES"
1ST FL,
2ND. FL. i -
FOR.
'GAR.
` .
WALL ~. t-- a
•
'ESTIMATED CONSTRUCTION
SO. FT..@ $ •
4033
UNITS =
SO. .FT. @ - .. •- � ., .. ,.
•
YARD SPKLR SYSTEM
SO. FT; @ t MOBILEHOME SVC.
BAR SINK _
SO. FT: @L POWER OUTLET
ROOF.DRAINS*- '
DRAINAGE PIPING i, i, • a
SO. FT.@ - t' �'*'' _ -
.DRINKING FOUNTAIN" •,;.
SO. FT: @ . r r._ ?
URINAL - y
VALUATION,'-` . . $ `- y
WATER PIPING
NOTE: ''Not to be used asproperty tox'voluotion
`
t .' SWIM POOL, PVT'
,FLOOR DRAIN
MECHANICAL'. FEES t
,Use/Case
SWIM' POOL; ,COMM
WATER SOFTENER i t
VENT SYSTEM s FAN EVAP:J000C_ 'HOOD q'
'
SIGN
WASHER.,(, LiTO)(DISH) •-
APPLIANCE. .DRYER -
Construction Fee. Dbl -$
Legal Description -
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED'
5
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
Zone Restrictions ' t '•
AMPERES SERV ENT
SHOWER
BOILER B.T.0:,
SMI Fee $'
50. FT. @ —a
BATH TUB .
-
Bond Amt..
-$
SO. FT. @ a s ' +'
WATER HEATER
'
SQ.. FT. RESID @'1t/<a w
SEWAGE DISPOSAL '
+ a,
"lJnit
lel
SO. FT. GAR @ s/4a
;HOUSE SEWER
'
•
. GAS PIPING -
PERMIT FEE
R
PERMITTEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM: FEE
"MICRO -FEE
MECH.' FEE
Pt. -CK.. FEE
- CONST. FEE ELECT. FEE
SMI FEE
/ E PLUMB. FEE
PERMIT. NO..
-
Job Address-
-
Space Zip Owner -
..
- -
•,
4033
4
,
:
lion :
L
Comm ity
.
vc ba : Date
D. t' Olt. ' F.C.C.
MH Permit Fee'.br
Micro Film Fee " -
Cop S
t •
Use of Permit
.
-
A G
�Y
Parcel No.
,Use/Case
No. -
Ck. By
Mech. .Fee Dbl, s
Fl.
• '
PI. Ck. Fee ,. S -
.
_ Set Backs
Loi Sae' .
'
Construction Fee. Dbl -$
Legal Description -
F
S
5
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U�J .,.//
,/' �/J�,
G+ ?/
_/.•
Electrical Fee Dist $
Zone Restrictions ' t '•
Group
� -`
Type
• - F
w
SMI Fee $'
Plumbing Fee
Dbl $•`•y
-
Bond Amt..
-$
I'Plon.
No.
•
;
[PLon Checker
Final
/^
Inspector
0
"lJnit
lel
Sp. Insp, Fee;; $
•
,
•-
-Demol. Fee +L^,
$
- -
Const. Lender
•,
Branch ••
" u
; Supplimentol- Permit Numbers ,
'�Jry �/,.'%� /`?l ,,
O^ �/' (��r''
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-
• j - ,y '11 `-
Registr. •Fee - S _
k'e.q., Fee S
Address : City.. Zip -
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, s w
.Witness Fee Ss
Reihsp. Fee
.r,^ .g,
,.+
Owne /AgentyY
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•'
Tel.••Zip
on
Total Fees
• . $
- -
Ac ress 6
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Ci s
.
- Zipk.
QJ
M.O. Q' N.C. []' '4shA ck-p
'
r
r
Received y
Contr orTe
.
'Licensell
Trees re a olu�l...
Se—System:.
u -••
Address
.. ..
�.•
City
zip ..
..
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' .T tL pl - THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATIONOFWORK, 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 DONEAN ACCORDANCE WITH. -
„'t `•- THE LAWS' OFF. RIVERSIDE' COUNTY AND THE STATE OF CALIFORNIA. :� ; . • ,` - '
. � J ti
•_`HER Y CERTIFY -•THAT THE INDIVIDUAL WHIO'PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN,
Form 284.208 (Revd/80)°" ' ' DANCE WITH SECTION 5541,OF THE BUSINESS, AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
a. ., - 4 -