354220 (SPIN)PERMIT'NO.
1354220
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
914491
D T
7 -
CONSTRUCTION ESTIMATE
NO, ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @ $
UNITS
Dist.
//
2ND. FL.
SQ. FT. @
MH,Permtt Fee E
YARD SPKLR SYSTEM
POR.
Gr R.
SQ. Fj.,;j
'MOBILEHOME'SVC. '"' "
BAR SINK'
SQ. FT. @ POWER OUTLET
ROOF DRAINS
t(,:AR P.
WALL
SQ. FT. @
Legal Description Ja �I l !
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%
V'"' ✓ moi.G M �•�' fY •!✓_J(
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Plumbing Fee Dbl $
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
Mileage Fee � $
GARBAGE DISPOSAL
FURNACE l/ UNIT WALL FLOOR SUSPENDED
_
_ ►y. - .,
LAUNDRY TRAY, .„ +
AIR HAND) INu UNIT CFM
1 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
JAMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ t
BATH TUB
SQ. FT. @ t
WATER HEATER
SQ. FT. RESID'@I1Ae
SEWAGE DISPOSAL '
SQ. FT. GAR @ %c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TgTAL FEES
MOB. HM. FEE
MICRO FEE ,
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE 14 JEE PLUMB.«FEE
PERMIT NO.
1 54220,7
_• 3 — # j//l..J.>{„ I � �' lace 7,Lp � Owner - _ .1
Job Address W11
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Com ,u[�n%jiry /,/,^J�>
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Valuation
$ 1
/q, %�7h
Dote 9`77
-2_ 4 ` / /
Dist.
//
F.C.C.
MH,Permtt Fee E
M�,o Film Fee Cop $
Use of Permit
1 (7-17-2.
r��
Parcel No. /; -' Use/Cose No. ICk
/
1_63_"'2"QI.
B��
Mech. Fee Dbl $
Ck. Fee$
Set Backs
Lot Size
'Construction Fee Dbl $
Legal Description Ja �I l !
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%
V'"' ✓ moi.G M �•�' fY •!✓_J(
F S
Electrical Fee �Dbl $
Zone Re,trictions
/s1`/f
Group
Type
SMI Fee E
Plumbing Fee Dbl $
Bond Amt.
Plan No.
Plan Checker
Final Date ll
Inspector
Unit '
',,Sp. Insp. Fee $
-Demol. Fee i $
Const. lender Branch
Ei:ughmenfal Prmit NumbQrs
. r r
,Registr. Fee E
Mileage Fee � $
Address City Zip
Witness Fee $
Reinsp. Fee E ..q.,.
Owner/Agent
Tel. 1 Zip
Total Fees $
,Address •,.,,+.-... ti-.. n v,.. w n. ..,
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city .•• p..".«..
4�9'"ti" . r,Rw - v a . x• a .. -•./. •^✓.�.. t: P.r•r1
r
F'r! M.O. .C. Cash 0 Chec
ReceivedbyY �•
.Contractors% j' r' , l
'
t ,�, (/l/ fl" f ✓'� ) '^-^": +�
Tea 7
Licen e
1
Trees required
Swage System
Address•
City __ -t7 Zip
T LL P + THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District p FOR 120 DAYS SHALL ALSO CAPE I O BE E VOID.
I HEREBY AGREE.' ALL I CO ECTION WITH THIS PERMIT WILL.BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE -COUNTY AND T E STATE OF CALIFORNIA.
{'^
/rS I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
r I ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROff§SjQNS.,COPE OF THE STATE OF.CALIFORNIAi
Form 284-208 (Rev.8/78) i • - - 6
t• -
verified by:
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 & 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
IDA
Fireplace T. 0.
N�
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
Is Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Une
"
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