SPIN (354446)0LP1LY3\V rCKMII
PEIT NO. DEPARTMENT OF BUILDING &SAFETY FIELD ~ ' `
COUNTY OF RIVERSIDE ( �sr
X354446RM., r._....�..... .�.� ..+.�r._. �. _a jf, KMh•.. . tK 1`�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
gr
2Nb,. FL.
il`•
POR.
SQ. FT. @
UNITS
Valuation D to
E
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
GqR. '
SQ. FT. @
POWER OUTLET
ROOF DRAINS
' i 'c
l CrA�t P.
SQ. FT. @
Set Bocks
DRAINAGE PIPING
r
�IWALL
SQ. FT. @ l
S
DRINKING FOUNTAIN
/Jy ( r SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION, $
Electrical Fee Dbl E
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
r. ! MECHANICAL' FEES
swim POOL, COMM.
r WATER SOFTENER ,
VENT SYSTEM FAN EVAP. C%OL HOOD i
SIGN
t WASHER (AUTO)(DISH)
APPLI NCE L DRYER
,
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED j
Mileage Fee E .. ;,r
LAUNDRY TRAY
AIRiHANDLING UNIT CFM
IDLE METER • ,,
s KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED ,' GRAVITY
/R
AMPERES SERV ENT
SHOWER
BOIL r- B.T.U.
SQ. FT. ,@... c.:
BATH TUR.
'
f
SQ. FT. @ c
} WATER HEATER
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: `{r
«•-•FORH2ODAYSSHALL AlSd1s J BECMEiVOID.` +''" *"�*v ti+•"` `"-Y ��-� :' ,
I HEREBY AGREE THAT ALLLL�W(ORK CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE -WITH
THE LAWS OF RIVERSIDE COUNTY 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 AtND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
• r .
SQ. FT. RESID @lthc
SEWAGE DISPOSAL,
SQ. FT. GAR @ % c
HOUSE SEWER
GAS PIPING
PERMIT FEE + `
PERMIT FEE
PERMIT FEE
DBL.
rf
/TOTALJEES
MOB.HM.FEE
MICRO FEE
MECH. FEEPL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE r" � FEE PLUMB. FEE
/t 4v `
—
PERMIT NO.
111354446
Job Address . ,4 Spoce
"S3/
Zip
Owner '
Comm 2v) y _
_'- �L •�/`! ,�
Valuation D to
E
Dist.
F.C.C.
A/1H.Permit Fee E
'Micro Film Fee Cop j
Use o/f Permit
let- +/�: /rl- /'J� J.!/�'1% .% �r+�%�.1 71'/
Parcel
,rNo.
- 2. k.'2 6
Use/Case No..
Ck. By
'Mach. Fee Dbl E
'PI.. Ck. Fee E
Set Bocks
Lot Size
Construction Fee Dbl E
Legal Description F
j - / /�, �G �'%!i �Li G{4
-
S
S
R
Electrical Fee Dbl E
Z e!e frictions
Group
Type
-
SMI Fee E
Plumbing Fee Dbl E
Bond Amt.
E
Plan No.
Plan Checker
t
Final Dat ��7jQ p r Unit + i
�l -
Sp. Insp. Fee E
Demdl. Fee E
Const. Lender Branch
- Supplirnentol Permii�Nurnbers ��r sr. '- '
• /'+Ty a... --cart ,w.�--.�!R..'4.�
Regisir. Fee E
Mileage Fee E .. ;,r
Ad caress •..r i s u ,^ City Zip ,...
Witness Fee E
Reinsp. Fee E �- 6
Owner/AgetnYt//F'
,/'- Imo, C%. G% %
Tel. ` �+• c Zip
✓Cr%t.7 �' c.J :,r v
Total Fees E
Address /
a.. .: r r w
- City / 1 Zip
;. .ear .r -r•+ r r •„w •�'rr-. ria . r .`.+y • a,a
1 M.O. N.C. C sh C cR '• ••'
Received by
Contractor.
Tel.
License#
Trees required
Sewage System
I/ T LL Pr
Address ,
City Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: `{r
«•-•FORH2ODAYSSHALL AlSd1s J BECMEiVOID.` +''" *"�*v ti+•"` `"-Y ��-� :' ,
I HEREBY AGREE THAT ALLLL�W(ORK CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE -WITH
THE LAWS OF RIVERSIDE COUNTY 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 AtND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
• r .
Sewer District
`
Form 284-208 (Rev.8/78) r
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 6 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. C
43
Final
loA
Fireplace T.O.
No
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 (Batts)
12C Ceiling (Blown)
14 Fl.al , r
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 SArvice
24 Gas Test
25
Final
Tank Pit l.line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS '
P/
26 Power Pole .
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT
PERMIT NO. c • 9 k L DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE . ` T
3 5 4 4 4 ^ . COUNTY OF RIVERSIDE.
rt i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
@@
SQ. FT. @ W
UNITS
Valuation
E
' "
S. FT. @
` YARD SPKLR SYSTEM
POR.
SQ. FY. @
MOBILEHOME SVC.
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P.
WALL
SQ. FT. @
Lot Size
,
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATIO $
ne.1Resyictions
/
URINAL
WATER PIPING
NOTE: Not to be used as property tax/oluotion
SWIM POOL, PVT
FLOOR DRAIN
MECHANI AL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP, C OL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Demol. fe E
GARBAGE DISPOSAL
FURNACE UNIT WALL r• OOR SUSPENDED
Registr. Fee 1 E
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. @- C r
BATH TUB-
+.
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @11/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT F
DBL.
�+ TOTALVI ES
MOB. HM FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE FEE PLUMB..FEE
PERMIT NO.
354q 46
Job Address Space
-' /4y' ' �� -�'4'�
Zip
7>3
Owner
, � ��,�1
Comm C,' 17 �
,,r[[ ��/�
Valuation
E
to
/ 0/7/ r
rst.
/�
F.C.C.
E
MH Permit feel trDb
1
Micro Film Feel. $
Use of Permit
C i"l/i�F'`%l % ( �� )
Parcel No.
1;1 �' x '��t�!PI.
Use/Case No.
Ck. By
Mech. Fee E
Ck. Fae E
Set Backs
Lot Size
,
Construction ee E
Legal Descriptiottn
F S S R
Electrical Fee r Dbl $
ne.1Resyictions
/
Group
Type
SMI Fee �� i E
Plumbing Fee Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Date �./yy�
�' r [
Inspector
Unit ,
Sp. Insp. Fee E
Demol. fe E
Const. Lender Branch
Suppl imental Permit Numbers
_ •� yy _ '
Tel. Zip
Registr. Fee 1 E
Mileage Fee! E
Address r n - Cil y Zip
Owner/Agen
Witness Fee E
Reinsp. Fee E 7Z5Y
Total FeesE
Address
Cit Zip
Y�C�+y�!
M.O. N.C. C sh. C
4ceived by
Contractor
Tel.
Licensed
r
Trees required
liewage System
Address
Cil y Zip
T LL P THIS PERMIT SHALL BECOME VOID WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by,
Sewer Distr(ct FOR 120'DAYS SHALL'A BEC Mt VOID. '• ' • ' ' - '
I HEREBY AGREE THAT ALL WORK CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY ND THE STATE OF CALIFORNIA.
I HQREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208;(Rev.8/78_ ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.