SPIN (354184)DMILUimp rcKmn
I i PERMIT NO.
354184
DEPARTMENT OF BUILDING & SAFETY FIELD "
COUNTY OF RIVERSIDE gsr
CONSTRUCTION ESTIMATE
NO:- ELECTRICAL'FEES
NO. "' PLUMBING FEES
IST FL.
SQ. FT. @ $
UNITS
t
A��
ND. FL.
SQ. FT. @ ..�
. _ -
' YARD SPKLR'SYSTEM"
FOR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
/ GAR.
CAR P.
WALL
SQ. FT. @
POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN'
!
f SQ. FT. @
.1 ESTIMATED CONSTRUCTION VALUATION $
ZoneZResl�ictions -
�G !/
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES_ y
• .. swlM Pool, coMM. , ... .,, ,.r
,WATER SOFTENER
VENT SYSTEM FAN EVAP. ~COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE r DRYER
Demo!. Fee E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Registr. Fee $
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. @ .a
BATHTUB ,
Sewage System
SQ. FT. @ t
WATER HEATER
SO. FT. RESID @I t/. c
SEWAGE DISPOSAL
SO. FT. GAR @ zG c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE " ' PERMfT' . • t
'r. 'J
DBL.
TOjA�FE SO
MOB.HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE / C ,FEE PLUMB. FEE
PERMIT NO.
"
Job Add,?
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Com oily
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Valuation
E _
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st.
F.C.C.
MH.Permit Fee E
Micro Film Fee Cop $
Use of Permit -
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111 t _ /
Parcel No,
7 y "c�`'•�3 �ea�i Lf
Use/Case No. ICk.
ByJ
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description
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F S S R
Electrical Fee Dbl $
ZoneZResl�ictions -
�G !/
Group
Type
.
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.° '
Plan Checker
Final DaIdOOF
Inspector
Unit
Sp. Insp. Fee $
Demo!. Fee E
Const. Lender - " Branch
'Supp!lmental Permit Nombers ti
i�
� " � _ •
Registr. Fee $
Mileage Fee §
AddP
Cit Y Zip
J,^
Witness Fee $
Reinsp. Fee E T
Owner/Agent e' �� `�'
Tel. Zip
rS
Total Fees. § '�
Address // /�
a ..... ,1•I r6 /.� ,j f L. /l L ,L�.. r'J
City / t Zip
/
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M.O. N.C. Ca .. Ch
Received by -
Contractor
Tel.
License#
'
Trees required
Sewage System
Address
City Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78)
. THIS PERMIT SHALL BECOMD IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO T 29;2N� v D.
I HEREBY AGREE THAT ALL WORK IN NNECTION 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 AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR!
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ventilation System
2
Ftgs & Frms 7� 1 .
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel !
36 Inlets 8 Outlets
4
Grout Blocks r
37 Combustion Air
5 f
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. .O
43 Final
10A
Fireplace T. 0- Q
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 Final
PLUMBING APPROVALS_
15 Ground Plumb z-9—
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposcil
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)
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME