AR (398666)BUILDING PERMIT
�PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
98666 COUNTY OF RIVERSIDE ��
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST Fl.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
- y'
,
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.
an`No.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
lnspe<t
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
Trees regdire
SO. FT. @ c
WATER HEATER
City Zip
SO. FT. RESID @ 1 V c
SEWAGE DISPOSAL
S0. FT. GAR @ V44
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEEMICROFEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT, F//EE
SMI FEE
FEE PLUMB. FEE
V --� `fin..- ✓•
PERMIT NO.
398666
Job Address Space
Zip Owner ,
C uno �.
0a
of a ' .
$
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,
Di
'OI. F.C.C.
MH Permit Fee $.4
Micro Film Fee Cop $
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Mech. Fee Dbl $
PI. Ck. Fee $
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lot Size /
Construction Fee Dbl S /
Legal'Descriptwn -z
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F
5 S
R
r'
Electrical Fee Dbl $
one ke frictions'
Gro
Type
SMI Fee S -
Plumbing Fee Dbl $
Bond Amt
S
an`No.
Plori
F' I
lnspe<t
Unit '
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
SuPPIimeFjta!1,Rprmit Numbers
04
Registr. Fee $
Mileage Fee $
Address City
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees S
M.O. I] N.C. E]� Cash Ch
Received by
Address •-
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Cd acro '• ,
Citi+ - Zip
(- r
Tel --'r Licensen
Trees regdire
Sewage System
�����
Address
City Zip
s
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF. CALIFORNIA.
ME
For484.208 (Rev. 1/B0) CERTIFY THAT THE INDIVIDUAL WHO PREPARED -THE PLANS AND SPECIFICATIONS HAS DONE SO IN
m 'ICE WITH SECTION 5541.6F THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF -CALIFORNIA.
verilied by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
t
BUILDING APPROVALS
MECHANICAL APPROVALS ry
1
get Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8 Ducts r
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
tr
37
Combustion Air -
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Cleoronce
. • 7. • ;
"Framing _
40
Fire Dompey.
8'
Vents
41
Smoke Detection Device,
9
.,Goroge Fire Wall
42
Commercial Hood
10
Fireplace P. L.
�
43
Final
10A
Fireplace T. 0.
�]
°o ADDITIONAL INFORMATION
v
...
'
.SEWAGE -SYSTEM SIZE. & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 finish Grade
INSULATION Thick
R
Value
7A Walls (Botts)
12B Ceihhg (Botts)
12C Ceiling (Blown)
-14 Final 15 •z 9 - 00
PLUMBING APPROVALS 1
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents s
,19 Sewage Disposal
20 Sewer
21 Water Heater r,
22 Water Softener
23 Water Service
24 Gas Test
zs Final
Tank`-
,
Pit " -' L. Line
•
P/L
REAR OF PROPERTY LINE
_ ELECTRICAL APPROVALS
P/
-
1 '
26 Power Pole
27 (�ondult
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding I
30 - Fixtures
. 31 Service
32 Final
STREET NAME
PERMIT. NO. - DEPARTMENT OF BUILDING '& SAFETY
n
398666 : COUNTY OF RIVERSIDE FIELD OFFICE,
Ds
CONSTRUCTIONESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING' FEES
1ST Fl..
2ND. FL.
FOR.
GAR.
. CAR P.
WALL
'
• ,.ESTIMATED CONSTRUCTION
SQ. FT. .@ $
UNITS
SO. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK'
SO. FT. @ POWER OUTLET
ROOF,DRAINS
SQ. FT. @
'DRAINAGE. PIPING
SQ. FT:
DRINKING FOUNTAIN
SQ. 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 ''i HP
POLE, TEMP/PERM
LAVATORY
HEATING.SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER '
BOILER + B.T.U.
SQ. FT. @ a
BATH TUB
SO. FT. @ a
WATER HEATER `
S0. FT. RESM @ 11/4a
SEWAGE' DISPOSAL' C '
Const. Lender
SO. FT. GAR @ 3/44
HOUSE SEWER .�
Supplimental Permit Numbers
_-•`l�/�/ .
!! '
GAS PIPING {
PERMIT FEE s
PERMIT FEE
PERMIT FEE
DBL.
TOTALFEES•
MOB. HM. FEE
MICRO FEE
IMECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
_3:98 6 6 6
Job Address
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space- Zip Owner - -
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MH Permit, Fee _ S. `
Micro Film Fee, Cop g _
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Porcel No. se Case Ao. r ��'Ck. By
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Mach. Fee _ Dist g
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cks lot Size
PI. Ck. Fee _
Construction Fee Dbl $
Electrical FeeDist $
legs Description
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F S IS R r
one estrictions Gro Type .
SMI Fee S
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'
Plumbing Fee. D61 $
Bond Am-.
fon No.
Pla a ker
-
F' of a f
--U
inspector
Unit
Sp. Insp, Fee $
$ _
V
Demol. Fee- $
Const. Lender
Branch
Supplimental Permit Numbers
_-•`l�/�/ .
!! '
Regior. Fee $
Mileage Fee $
Add; esCity
° •'
Witness Fee $ '
Riinsp., Fees g -
O.nneeArr/Agent
c
,
Tel. - - Lip
..
Total Fees $
Address
-
City f Zip
M.O. N.C. Cash
1
Received by
Co tor,
r -
'Tel. r ..licenseM '
Trees•regm
-
'
Sewage system , pjpjpjp 4',,,,ggqq�""uuuu"`��-�`----�����....
Address
-
City,. - Zip
6 T LL ' •p THIS PERMIT SHALL BECOME'VOID IF; WORKIS NOT COMMENCED WITHIN 120- DAYS. CESSATION OF -WORK .verified by: 4
Sewer District , FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. N
I .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. • . _ ', • 4 ' ' -
4
ER CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE.PLANS AND SPECIFICATIONS HAS DONE SO IN
I1 Form 484.208 (Rev. 1/80) DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.