RPL (368905)I/YILLPING VLKMIi
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
368905 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. AG'
2ND. FL.
SQ. FT. @ $ �: X f Via'
UNITS
Owner
SQ. FT. @
YARD SPKLR SYSTEM
POR.
SQ. FT. @
Valuation
s
f
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @ r C �*
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION.
�*
"y t, ' 1 G--�o�
_
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
'
WATER PIPING
NOTE: Not to be used as property fox valuation "
Y '
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
No.
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
- SB1 ack
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
S R
Electrical Fee Dbl s
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Type
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Dbl $
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
Plon hecke/�S'e
A&i.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Const. Lender
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
r
SQ. FT. @ c
BATH TUB
Address City Zip
I,
SQ. FT. @ c
WATER HEATER
Owner/Agent
S0. FT. RESID @I'Ac
SEWAGE DISPOSAL
Zip
SQ. FT. GAR @ s/. c
HOUSE SEWER
Address
�^
w •� to
GAS PIPING
PERMIT FEE
Received by
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FE�Ew^
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
13689051
Job Address^�Ly'
Space
Zip
Owner
Community
.441A!,
1,
F - - I
Valuation
s
f
✓
r
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit
Legal Description
' " fqr
Parcel No.Use/Case
No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Construction Fee Dbl S
- SB1 ack
Lot Size
-
F S
S R
Electrical Fee Dbl s
Zone Restrictions
Group
Type
SMI Fee $�
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
ar'r. S
Plon hecke/�S'e
A&i.
Final Dote
7' 2 3' 7%
Inspector
Unit
Sp. Insp. Fee S - •
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Numbe
f
Registr. Fee y
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
' M.O. 0
S
N.C. Cash Check
Address
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w •� to
City
Zip
Received by
Contractor
Tel. - �r'���
License#
Trees required
Sewage System
w
Address
City Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME: VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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
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.
9—
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
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 Detectign Device
9
Garage Fire Wall
42
Commercial Hood
10
Fircplace P. L. E]
43
Final
10A
Fireplace T. 0.
P'
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-
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
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME