PLBG (403327)77175 Calle Madrid
403327
OVILV119V rCKMII
PERMIT NO, DEPARTMENT OF .BUILDING & SAFETY FIELD DST
1403327 COUNTY OF RIVERSIDE
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CONSTRUCTION ESTIMATE
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NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
2ND. FL. SO. FT. @
FOR. SO. FT. @
GAR. SO. FT. @
CAR P. SO. FT. @'
WALL SO. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION" $
Owner
_t.;.. ►:
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
Community `
tr..., I . •J
NOTE: Not to be used os property tox valuation
SWIM POOL, PVT
FLOOR DRAIN
/'O[f.
5—
MECHANICAL FEES
MH Permit Fee S
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Use/Casa No.
SIGN
WASHER (AUTO)(DISH)
PI. Ck. Fee $
APPLIANCE DRYER
Lot Size
GARBAGE DISPOSAL
Construction Fee .i
FURNACE UNIT WALL FLOOR SUSPENDED
( ,,L
1
F ` S ` 5 R
Y i.>
LAUNDRY TRAY
Zone Restrictions 4 '
I .
AIR HANDLING UNIT CFM
Type TTypeJ
IDLE METER
KITCHEN SINK
Plan No. "'
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
-
COMPRESSOR HP
Demol. Fee S
POLE, TEMP/PERM
LAVATORY
Supplimentol Permit Numbers
"IC
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
Address City Zip
BOILER B.T.U.
Reinsp. Fee $
SO. FT. @ 4
BATH TUB
Tel.
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Zip ,
SO. FT. @ 4
WATER HEATER
Address
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City
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SO. FT. RESID @ 11/4c
SEWAGE DISPOSAL
Receivee6y"y {,I T c. _• !
Comra'ctor
SO. FT. GAR @ s/44
HOUSE SEWER
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✓
Sewage Systgtn „ Y -
Address ..
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES^
MOB. HM. FEE
MICRO*FEE
MECH. fEE
PL. CK. FEE
CONST.FE•B.• ELECT. FFE
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SMI FEE
FEE
PLUMB. FEe)
PERMIT NO.
" 403327'
Job Address , / ,fid/ / C'
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F.C.C.
MH Permit Fee S
Micro Film Fee Cop $
Use of'Per15fit
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Parcel No.
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Use/Casa No.
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Mech. Fee •
PI. Ck. Fee $
Set Bocks
Lot Size
Construction Fee .i
•,
Legal Description
JJ 4
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1
F ` S ` 5 R
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Electrical Fee C 61, $ S .
SMI Fee $x
Zone Restrictions 4 '
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Group
/eG 3
Type TTypeJ
Plumbing Fee
Bond Amt.
$
Plan No. "'
Plon Checker
Final Inspect -
Unit
-
Sp. Insp. Fee $
Demol. Fee S
Const. Lender Branch
Supplimentol Permit Numbers
"IC
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent , `,+, G e +[4CS or
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Tel.
Zip ,
Total Fees S (r^
M.O. ❑ N.C.E] Cash I] Check
Address
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City
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Zip
Receivee6y"y {,I T c. _• !
Comra'ctor
Tel. /y;
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Licensell
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Trees require li /s
✓
Sewage Systgtn „ Y -
Address ..
City Zip
'-•' T i LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sew_ristric FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT Wh_ BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
1 HEREBILCERTIFY THAT THE IN IVIDU.4L V 40 PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Res•. 1/80) IC 1RTANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
V
verified by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
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 Bebms
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.
Ej
43
Final
10A
Fireplace T. 0.
Q
°o
ADDITIONAL INFORMATION
'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Botts)
12C Ceiling (Blown)
14 Final
------------------- PWMBING.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 D oD Pit is L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L �!+ P/
7
r
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME MA A 0y—'� ,
PERMIT NO.
403327
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE Osr
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
s
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
. WALC`
ESTIMATED CONSTRUCTION
SO. FT. @ $
Space Zip Owner
UNITS
SO. FT. @
YARD SPKLR• SYSTEM
SQ. FT.- @ MOBILEHOME SVC.
BAR SINK
SO. FT. Ca POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. • @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $ • `•
WATER PIPING
NOTE: Not to beused as property tax valuation
}C17
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Micro Film Fee Cop S
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE ` DRYER
Meth. Fee
<
PI. Ck. Fee S(
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Construction Fee . 1e6
LAUNDRY TRAY
AIR HANDLING UNIT'" CFM
-
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
R T
ID 1F/i
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Type
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER ' B.T.U.
I' •
SO. FT. @ a
BATH TUB -
Plumbing Fee g
Bond Amt.
SO. FT. @ a
WATER HEATER
Final Dote y ( r Inspector
S0. FT. RESID @11144
SEWAGE DISPOSAL
Sp. Insp. Fee S
S
Const. Lender
Address
S0. FT. GAR @ 3/4a
HOUSE SEWER
-
Zip
7- r
Supplimentol Permit Numbers
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GAS PIPING
PERMIT FEE
Mileage Fee $
Witness Fee $ii
PERMIT FEE
PERMIT FEE
D8L.
TOTAL FEESMOB.
HM. FEE
.' MICRO FEE
MECt F E
PL. CK. FEE
CONST.. FEjf_ ELECT. FEE
MI
SFEE
FEE PLUMB..FE6)
• PERMIT -NO. /%`
'4033
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Job Address
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Community
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Space Zip Owner
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Dist. I.
F.C.C.
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IN
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MH Permit Fee S
Micro Film Fee Cop S
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Parcel No.
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Use/Case No.
'12,2
Ck. By '
Meth. Fee
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PI. Ck. Fee S(
Set Backs
Lot Size
Construction Fee . 1e6
Legal Description
-
F
S . S '
R T
ID 1F/i
Electrical Fee S
SMI Fee
Zone Restrictio(nys
G,roouuppp
Type
V 1
I' •
Plumbing Fee g
Bond Amt.
Pon No.
Plan Chec er
Final Dote y ( r Inspector
Unit
Sp. Insp. Fee S
S
Const. Lender
Address
Branch
City
-
Zip
7- r
Supplimentol Permit Numbers
• !
.Demol. Fee $
Reglstr. Fee $
Mileage Fee $
Witness Fee $ii
Reinsp. Fee $
Owner/Agent
: G ee
i
Tel.
Zip
Totdl FeesS
Address
L- '"
City '"
Zip
M.O. ❑ N.C. ❑ Cash ❑ Check &,
n
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Receive !
Controc or
Te'
'
Licensee
Trees require
SewogeS st
Address
Ciry
- Zip
`rT LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY ERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 28e-208 (Rev. 1/801 ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS' CODE OF THE STATE OF CALIFORNIA.
t
verified by: