SPIN (354185)BU1LD11V116P VLKMII -
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
3 5 418 5 COUNTY OF RIVERSIDE FIELD r fn
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO' PLUMBING FEES
- s
IST FL.
2ND. FL.
SQ. FT. @ $
UNITS
Community .r
Valuation
E
SQ. FT. @ YARD SPKLR SYSTEM
Date
FOR.
SQ. FT.w(r�
MOBILEHOME SVC.
BAR SINK
Micro Film Fee
GAR.
CAR P.
WALL
_ _
SQ, FT @
_
POWER OUTLET"`
ROOF1DRAINS
Parcel �Noo. �•�P 'y
7 77 ^V 3 •' .�
SQ. FTDRAINAGE PIPING
: @ _
CkBy
Ic'.. �,�
SQ. FT.' @ _ t _. �. .fa DRINKING.FOUNTAIN,,,;
..
SQ. FT. @ URINAL ,
Lot Size
ESTIMATED CONSTRUCTION VALUATION $
/
Construction Fee j Dbl E�•
WATER PIPING
{ • j.
' .�G/i/'L D p+
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Zone R�Ftrictions
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
SMI Fee I E
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Bond Amt,
j
APPLIANCE DRYER
GARBAGE DISPOSAL
Final Date
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
LAUNDRY TRAY
Sp. Insp. Fee t j
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Const. Lender
ABSORPTION SYSTEM B.T..U.
TEMP USE PERMIT SVC
WATER CLOSET
Regisir. Fee j
COMPRESSOR r HP
POLE•TEMP/PERM
LAVATORY
Reinsp. Fee
HEATING SYSTEM FORCED ''GRAVITY.. w
r AMPERES SERV'ENT` t
� SHOWER '
t 1;7/ f _
, tr
BOILER B.T.U.
SQ. FT. @ t i
BATH TUB
t
j
SQ. FT. @ t
B WATER HEATER
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/r.i t ,/!l:=-,�..
City
•• i> //,!: C.� i�
1 SQ. FT. RESID @ 1 t/. c M • +
I SEWAGE DISPOSAL +e
f
%
SQ. FT. GAR @ %
t HOUSE SEWER
�T
1 , •
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Tel. -
+
Ycity k
1
GAS PIPING
Trees regy5ired t
PERMIT FEE e
PERMIT FEE `
x PERMIT FEE
Address -
1�
JDBL-TOTAL
E
FEES
MOB. HM. FEE
y. MICRO FEE -jMECH.
FEE PL. CK. FEE
ill
CONST. FEE ELECT. FEE '. SMI FEE f" j'+ FEE PLUMB. FEE4
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PERMIT NO.
3 5 418:5]
-
Job Address," , -
- s
Space Zip
V Z
Owner
Community .r
Valuation
E
Date
Dist.
Off.
I F.C.C.
MH.Permil Fee j
Micro Film Fee
Cop j
Use of Permit
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t
"I-!./ %/ % .
Parcel �Noo. �•�P 'y
7 77 ^V 3 •' .�
Use/Cole No.
CkBy
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Mech. Fee Dbl E
Pl. Ck. Fee k j
Set Backs
Lot Size
'
/.
/
Construction Fee j Dbl E�•
Legal Description
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F S- ''
S R
Electrical Fee Dbl E
Zone R�Ftrictions
Group
Type
'
SMI Fee I E
Plumbing Fee Z '
Dbl E
Bond Amt,
j
Plan No.
Plan Checker
Final Date
Inspector
Unit
+
Sp. Insp. Fee t j
Demol. Fee I
E
Const. Lender
` Branch
),
Supplimentol Permit Numberjy�`�
' i v ;%�/� j,7-/!' _ .+� ss•
- �••� %'' V Cl G ^�
•� ��'�
•
Regisir. Fee j
Mileage Feej
Address " r' City , Zip - '
` '" i �
_-,
Witness Fee j
Reinsp. Fee
j
j1
Owner/Agent --.�. • +
f
t 1;7/ f _
, tr
Tel. `;
2 aS - � a
Zip
Total Fees ,i
j
; f'
Address
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City
•• i> //,!: C.� i�
Zip
vi.
f
woth NS.rl Cash Chea
Received!
;F;
Contractor
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1 , •
_
Tel. -
+
Ycity k
License#
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,�•
Trees regy5ired t
Sewage tystem
I
h�. T
LL
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P
Address -
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Zi p
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
FOR 120 DAYS SHALL ALSJp�4,US (P���MIIT TQy�,�C�OME�VOID.
WITHIN 120 DAYS. CESSATION OF WORK verified
by:
Sew i District
.'�•r.vn��.•r.rr•4 �vn i�ivLl.ivi�.vn inJ rcrtrvn•vi��oc vVlvc llY MI.I.VRU/11V\,C VVllfl
THE LAWS OF RIVERSIDE COUNTY A THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT- THE INDIVIDUAL WHO PREPARED THE PLANS AND SPEC)FICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
,Form 284-208 (Rev.8/78)
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NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms _ !L!�
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & 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
CommercioI Hood
10
Fireplace P. L. E
43
Final
IDA
Fireplace T. 0.
NO
t
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
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 Service
24 Gas Test
25
Final
Tank Pit L.Line
'
PSL
'
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
t
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME