BLCK (398667)BUILDING PERMIT
1PERMIT NO.
398667
CONSTRUCTION ESTIMATE
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 $
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM FAN EVAP. COOL HOOD
APPLIANCE DRYER
FURNACE UNIT WALL FLOOR SUSPENDED
AIR HANDLING UNIT CFM
ABSORPTION SYSTEM B.T.U.
COMPRESSOR HP
HEATING SYSTEM FORCED GRAVITY
BOILER B.T.U.
I PERMIT FEE
EES08. HM. FEE I MICRO' FEE
.400-
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
IDLE METER
TEMP USE PERMIT SVC
POLE, TEMP/PERM
AMPERES SERV ENT
SO. FT. @ 4
SO. FT. @ 4
S0. FT. RESID @ 11/44
S0. FT. GAR @ 3/44
PERMIT FEE
FEE PL. CK. FEEST. e�FEE ELECT. FEE
�
FIELD
PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO)(DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
SMI FEE I FEE
PLUMB. FEE
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Job Address Space
Zip nar
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Valuation -
Date
Dist.
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F.C.C.
MH Permit Fee
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Plumbing Fee Dbl S
Bond Amt.
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Plan No.
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Final Data
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Intp
Unit
Sp. Insp. Fee S
Demol. Fee $
Const. Lender Branch
Supplimentat Permit Numbers
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Regist, Fee S
Mileage Fee S
Address City Zip
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Witness Fee S
Reinsp. Fee $
Owner/Agent f
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Total Fees S („•'
Address v_
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Sewage System
Address
City Zip
T AL y 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
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
Sv`+YtEREBY CERTIFY THAT- THE INDIVIDUAL WHO'PREPARED THE PLANS AND'SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Ree, 1/80( ACCORDANCE'WITH'SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. rN �
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
t
MECHANICAL APPROVALS
1
Set Back
��-.9j
33
Ventilation System
2
Ftgs & Frms
c ,0��
34
Plenums 6 Ducts J
2A
Slab Grade
35
Furnace Compart.
3
Steel
�0� 9 7� /J
36
Inlets 8 Outlets
4
Grout Blocks
`
37
Combustion Air ,
5
Bond Beams
._Z _ dC
38
Compressor
6
Roof Deck
t
39
Appl. Clearance '
7',..
..Frnining
40
Fire Damper
8
Vehls
-
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
U.
43
Final
10A
Fireplace T.O.
[]
NOADDITIONAL INFORMATION
11
12
Exterior Lath
Internal Lath
12A
DrywallQ
'�
13
- Finish Gracie
INSULATION
Thick R
Q `/"J3 /
—
Value -
J
7A
Walls (Batts)
12B
Ceiling (Bans)
12C
Ceiling (Blown)
14
Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
t
18 Vents
19 Sewage Disposal '
20 Sewer
21 kM1Woter Heater ( alt }
22 i. Water Softener t 1
23 S• Water Service i
24 .Gas Test
25 'Final S.FWIA.GE,SYSTEM'`SIF 8s LOCATION
:Tank Pit L. Line '
REAR OF PROPERTY LINE
ELECTRICAL -APPROVALS
26 Power Pole -
27 Conduit
-•28 Service Entrance
29 Wiring
29A Grounding Wire t
298
Bonding
30
Fixtures
31
Service t
32
Final
t
P/L
P/L
STREET NAME
`BUILUINU 'PtKMI l
I'
p PERMIT NO.
3986,67
PERMIT NO. _
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DEPARTMENT OF. BUILDING & SAFETYFIELD.'OFFICEDIT
COUNTY OF RIVERSIDE
t•
Zip Owner
CONSTRUCTION ESTIMATE
NO. ' ELECTRICAL FEES
NO. PLUMBING FEES
'1ST FL.
2ND. FL.
POR.
GAR.
CAR P.,.SQ.
WALL
•
ESTIMATED CONSTRUCTION
SO.,FT., @ $ -
UNITS -
- Dist.
SO. -FT. @
YARD SPKLR•SYSTEM
SO.'FT. @ 'MOBILEHOME SVC.
BAR SINK
POWER'.OUTLET ♦ -,
SQ. FT. @
ROOF DRAINS
FT. @
DRAINAGE' PIPING
SO. FT. @ -
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING'
NOTE: Not to be used as property tax voluation-
SWIM POOL, -PVT
FLOOR DRAIN
MECHANICAL FEES
SWIiA,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.
SQ: FT:':@_ d
BATH TUB
•
`'SQ. FT, @ a
WATER .HEATER • '} '
Owner/Agent - -
SO. FT. RESID @ 1 Aa
SEWAGE DISPOSAL
-
SO. FT. GAR @ 3/<a
HOUSE,SEWER
-Address -
CoNract r
City
Tel.
GAS PIPING -
PERMIT FEE '
• M.O Q N.C. ❑ Cosh• I], Check . -'
Received by '' a•
Trees reg ..
PERMIT FEE ',
PERMIT FEE '
Address
r` ♦ • .e A'
TOTAL FEES
111101
/
MOB. HM': FEE
MICRO FEE
MECH. FEE PL. CK. FEE
.
CONST.: FEE ELECT. FEE
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SMI FEE
FEE PLUMB•, FEE
I'
p PERMIT NO.
3986,67
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Job Address s
-
34
Space
Zip Owner
-Community 'Valuation
$
uQ
Date . -
- Dist.
Oil. F.C.C.
•MH Permit, Fee ! - $
.M cro Film Fee Cop $
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Parcel No.
Use/Case' No.
Mech. Fee Dbl g .
PI. Ck: Fee $ '!
. Set Backs
Lot Size
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Construction Fee S•
�Db1Ll
Legal Description
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Zone Restrictions
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Plumbing Fee Dbl. $
Bond Ami.
3
Plan No.
rnNc ecker
Final to
1,Insre ��J ,JAS'
Unit
I Sp Insp. Fee $
DemoL Fee" 3
"•
Const' 'Lender' -• ,. Branch ,,
Supplimentol
Permit Numbers •
,
'
�83
Reg isir., Fee
6Mileage Fee 3
Address City .p
1• r a
Witness Fee g
Reinsp. Fee v. $
Owner/Agent - -
Tel.
- Zip
Total Fees •. S
-Address -
CoNract r
City
Tel.
a
-�
Zip '
License# -
• M.O Q N.C. ❑ Cosh• I], Check . -'
Received by '' a•
Trees reg ..
Se—ge Systemf '�/(/�/{
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/ Ali/V-
Address
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City
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Zip
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T lL' • " P ' THIS PERMIT SHALL BECOME VOID JF WORK IS NOT COMMENCED WITHIN 120 .DAYS, CESSATION OF WORK - verified by:
Sewer District r FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK W CONNECTION 'W_ITH THIS FERMI T,WILL .BE DONE IN ACCORDANCE WITH- +
` - THE LAWS_ OF RIVERSIDE COUNTY AND..THE+STATE OF CALIFORNIA. - --•
� t ,
, BY. CERTIFY THAT THE INDIVIDUAL WHO.PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 28e-208 (Rev. 1/801 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS .CODE -OF THE STATE OF CALIFORNIA.
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