AR (413130)OUILUIIVb rCKMII
PERMIT NO, DEPARTMENT OF BUILDING & SAFETY
1
3130 COUNTY OF RIVERSIDE
FIELD MIS
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. Fl.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@ $
UNITS
- Owner
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. 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
U,O/C.sl lJo.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Pl. Ck. Fee §
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. @ 4
BATH TUB
Type
SO. FT. @ 4
WATER HEATER
Plumbing Fee Dbl §
S0. FT. RESID @ 11/4 4
SEWAGE DISPOSAL
Ian No.
S0. FT. GAR @ 3/4c
HOUSE SEWER
Final
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GAS PIPING
PERMIT FEE
IT
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICROFEE
MECH. FEE PL. CK. FEE
4rFJC/
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
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PERMIT NO.
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Spam Zip
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- Owner
A131 0
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MH Permit Fee
Micro Film Fee Cop §
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Parcel No.
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Ck. By
Mech. Fee Del §
Pl. Ck. Fee §
et
Lot Size
Construction Fee Del §
Ile of c'pti spj( i.:�"S t"� t ,. h ,L s_4 {, L C3
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Electrical Fee Dbl §
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Zone Restrictions
Group
I
Type
SMI Fee §
Plumbing Fee Dbl §
Bon Amt.
Ian No.
hec er
Final
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Sp. Imp. Fee §
IT
§
Demol. Fee §
Const. Lender
Branch
Supplimentol Permit Numbers
-
Regior. Fee §
Mileage Fee §
Address City Zip
Witness Fee §
Reinsp. Fee §
Owner/Agent '��
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Tel.
Zip
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4k'
Total Fees §
A ss /
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y
City
'
Zip
M.O. N.C. 0 Cash ❑44,
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Received by
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Trees required s /
Sewage System -
Address
City
Zip
T LL pI 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.AL4 WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
s THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
' Form 284.208 (Rev. 1/80) 1!D 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
Slab Grade
35
Furnace Comport.
3
Steel
't'
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
I n
39
Appl. Clearance
7
Framing
QOvv
u
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.
°o ADDITIONAL INFORMATION
-
,
_ I
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R '"
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
_ PLUMBING APPROVALS _ ,
15 Ground Plumb
16 Water Piping
t ^�,l�Q•..,
17 Rough Plumb
18 Vents
6
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/
.r.
26 Power Pole
27 Conduit
28 Service Entrance,
29 Wiring
29A I Grounding Wire ,..! U _
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME