403903 (RPL)11SUILUIIV11.7 rtKrAlI
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
4 0 3 9 0 3 COUNTY OF RIVERSIDE FIELD osr
�/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
Zip
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
F
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.
SO. FT. @ a
BATH TUB
Demol. Fee $
SO. FT. @ a
WATER HEATER
_ Branch
S0. FT. RESID @ 1 t/ec
SEWAGE DISPOSAL
Mileage Fee $
SO. FT. GAR @ 3/4a
HOUSE SEWER
Reinsp. Fee $
o -L
jOwner/Agent
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE.,
DBL.
TOTAL FEES
z�',/
MOB. HM. FEE
MICRO -FEE
MECH. FEE Pl., CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE/E
PLUMB. FEE
P ERMIT NO.
403903
Job Address
c i --`�
/`i'ti F it P' /,+ ,� , • � v4-
Space �
Zip
Owner
Community
r
Valuation
Dote
Dist.
Off.
F.C.C. '
MH Permit Fee S
Micro Film Fee Cop s
Use of Permit - _
Parcel No.
77 7 2
Use/Cosa
No.
Ck. By
Mach. Fee Dbl $
Pl. Ck. Fee $
Set Backs
lot Size
Construction Fee Dbl $
Legal Description
or r �' ' kv �'�` 1
SC Y r�s�"�
F
$ S
R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee S
Plumbing Fee Dbl j
Bond Amt.
j
Plan No.
Plan Checker
Fi f,Dote
In ct�
it
Sp. Insp. Fee $
Demol. Fee $
Const. Lender
_ Branch
Supplimental Permit Numbers
!!!
Regist, Fee S
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
o -L
jOwner/Agent
Tel.
Zip
Total Fees $
\UAdd,es,
X
(rReceived`
Ciy
Zip
M.O. N.C. ❑ Cash ❑ Checke^-
�or
Tel.'
licenseR
Trees retire_
Sewage System
• t .
Address
City
Zip
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
�yy�7 THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
4C 1,.. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Farm 284.208 (Rev. 1/80) ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
tt
verified by:
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
B
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
E
43
Final
10A
Fireplace T.O.
OF
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 (Batts)
12C Ceiling (Blown)
14 Final
----- - - _._ PLUMBING-. _PR PALS--.- _. __ -_
,_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
Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
ry/�
X29 Wiring f Q3
V
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
PERMIT NO.
403903
PERMIT NO.
403903
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
Micro Film Fee Cop S
SO'. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ - POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING ^
SO. FT. @ '
DRINKING FOUNTAINEE:j f
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
I Unit
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Const. Lender Branch
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. @ a
BATH TUB
icenself
SQ. FT. @ a
WATER HEATER '
Address
S0. FT. RESID @ 11144
SEWAGE DISPOSAL
S0. FT. GAR @ 3/4 l;
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
492
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
F E PLUMB. FEE
rj�-/ D �
PERMIT NO.
403903
Job Address Space
Zip
Owner
ommunity
Valuation
S
Dote
Dist.
i Off.
F.C.C,
MH Permit Fee $4
Micro Film Fee Cop S
Use of ermit^ /-
l� /'3•
�,
Parcel No.
Use/Cosa No.
Ck. By
Mach. Fee Dbl S'(
Pl. Ck. Fee S
Set Backs
Lot Site
Construction Fee Dbl S
Legal Description
P` %' �/1 7 '�4
I '/L
f•
F
5 S
R
Electrical Fee Dbl S
Zone Restrictions
Group
Type
SMI Fee S
Plumbing Fee Dbl S
Bond Amt.
S
Plan Nov:
Plan Checker
Final Dote
/D o(•3 S v
Inspe or
I Unit
Sp. Insp. fee S
Demol. Fee S
Const. Lender Branch
Supplimentol Permit Numbers
t ''"'
9 / ® 7 7 &
7 \��[[[///
Regist, Fee S
Mileage Fee S
Address City . Zip
Witness Fee S
Reinsp. Fee S
Owner/Agont
Tel. Zip
Total Fees SI
Ply City Zip
Y
.r
M.O. C. Cash Check�/
Receive
Contractor
Tel.
icenself
Trees r ire
Sewage System
Address
City Zip'
T LL 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
N THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
K/��•�^/(� I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/SOI ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
1