SPIN (353767)I; (ttsWILFnnv rorcmn -
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PERMIT NO. DEPARTMENT OF -BUILDING & SAFETY FIELD DST
3 5 3 COUNTY OF RIVERSIDE
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.CONSTRUCTION
ESTIMATE
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NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST, FL.
SQ. FT. @y $
UNITS
Valuation
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Use of Permit ' •
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SQ. FT. @
,Mach. Fee Dbl $
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BAR SINK
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POWER OUTLET .
-ROOF DRAINS
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Electrical Fee Dbl $
CAR P. SQ. FT: @
Type
DRAINAGE PIPING,
WALL SQ. FT. @ '
Plumbing Fee
Dbl $
DRINKING FOUNTAIN
t
AJ SQ. FT. @
Plan No: "
Plan Checker
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Inspector
Unit
WATER PIPING
NOTE: Not to be used as property tax valuation
Demo!. Fee
SWIM POOL, •PVT ,.�. 4.r FLOOR DRAIN ,
j MECHACAL FEES ' %
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SWIM POOL, COMM
t WATER SOFTENER `
VENT SYSTEM FAN EVAP. COOL HOOD. •tX
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SIGN
%.VVASHER (QUTO)(DISH)
APPLIANCE { DRYER
Reinsp. Fee
$
GARBAGE DISPOSAL•
FURNA't E UNIT WALL FLOOR '' SUSPENDED yi.
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Tel
LAUNDRY TRAY 7
AIR HANDLING UNIT CFM 'f
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POLE,TEMP/PERM
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HEATING SYSTEM t FORCED f �' ` GRAVITY -
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AMPERES SERV.ENT
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BOILER B.T.U. p. `
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Address
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WATER HEATER
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SEWAGE DISPOSAL
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HOUSE SEWER "
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PERMIT FEE
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MOB.HM FEE
MICROFEEMECH.
FEE
PL. CK. FEE
CONST. FEE ELECT. FEE SMI FEE
'FEE PLUMB. FEE
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PERMIT NO.
X53767
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Valuation
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MM.Permit Fee $
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Use of Permit ' •
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Use/Case No. If. B
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,Mach. Fee Dbl $
'SPI. Ck. Fee §
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; Set Backs ,'
Lot Size'
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Construction Fee Dbl $
legal Description
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Electrical Fee Dbl $
Zgpg�RestrjRtions •Group
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Type
-
SMI Fee §
Plumbing Fee
Dbl $
-
Bond Amt.
§
Plan No: "
Plan Checker
Final Date
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Inspector
Unit
'
Sp. Insp. Fee $
Demo!. Fee
$
Const. Lender Branch
Supplimental Permit Number '
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Registr. Fee §
Mileage Fee
Address ` .City Zip
7 �s. . V:.a
Witness Fee E
Reinsp. Fee
$
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Owner/Agent' '`,"'",r •� ''•
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Tel
Zip
Total Fees
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Address
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City Qr�
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Zip
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M.O. N.C. Cash eck •.d•
Received by
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Contractor
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Tel.
LicenseN
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Trees required
Sewage System
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Address
City Zip
f T- LL P THIS PERMIT SHALL BECOI /OID WOJK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK . verified by:
SewerjDistrict "^' - --'FOR}2ODAYS SHALL ALS ®�U EIIOID:'`:"�'��"'''"'✓'"'�"s' 's�++`w"'"a= ^^r''u-++ �`t .�`'
pr I HEREBY AGREE THAT) WORK A CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH'
THE LAWS OF RIVERSOCCOUNTY AND THE STATE OF CALIFORNIA. ��
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OFTHE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) ' _ _ _ ..,.�..,xs.. •4... .. • •
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
36
Inlets 8 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
loA
Fireplace T. 0. 0
NON
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 (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING 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 Servile
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME