SFD (259944)ING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
AM COUNTY OF RIVERSIDE A&
CONSTRUCTION ESTIMATE
I ST FL V6 0 SQ.FT.
2ND FL. SQ. FT. @
POR. SQ. FT. @
GAR. y ! SQ. FT. @'y5-5
CAR P.SQ.FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION 1$/3
NOTE: Not to be used CIS property tox valuation
MECHANICAL FEES
VFNT SYSTFM n FAN n FVAP. COOL .6 HOOD
NO. ELECTRICAL FEES
7 "^ UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL. COMM
CJ SIGN
NO. PLUMBING FEES
BOILER � B.T.U.
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
/ WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO) roi5Ti1
1
APPLIANCEL f z"z 3 - O GARBAGE DISPOSAL '
FURNACE 0 UNIT 0 WALL 0 FLOOR CYSUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC -Z- WATER CLOSET j !(D
COMPRESSOR HP �f POLE, TEMP/PERM LAVATORYi�
HEATING SYSTEM FORCED OGRAVITY 9-1) AMPERES SERV ENT SHOWER
SOFT @ ¢ % BATH TUB
SQ FT @ ¢ WATER HEATER (j
SQ FT RESID @ I ¢ 0 SEWAGE DISPOSAL ezi
SQ FT GARAGE @ 'h¢ / HOUSESEWER _
PERMIT FEE� j %!J TEMP ELEC SVC GAS PIPING
MOBILE HOME PERMIT FEE $
PERMIT FEE PERMIT FEE ai G'v
R T
2 41
TOTAL FEES
ep
MOB..HM. FEE MICRO
FEE
MECH. FEE
DBL.
PL. CK. FEE
CONST. FEE
DBL.
ELECT„FEE
DBL.
SMt FIFE
FEE PLUMB. F.'EF
DBL.
J
- T_ F j M . N -iv;• _r,.�. .A, _ 0.. •tJ..p_
Tata DOREs a, `'. -^- I-srido
/1/474 I{���'R'1�
oW —9- -- .
7s%:
USE OF PERMIT -
F.C.
DATE •�
P M
59 9 4
4-
75
M H PERMIT FEE
$
COMMU,,N T
DST
UNITS I
ROOMS
VALUATION
SUPP. TO PERMIT OFFICE
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION ` f / a ;T l
MECHANICAL FEE
DBL
$ )
�!
n
79
SET BACK
LOT SIZE ZONE
e-/
USE NO.
GRP
TYPE
CK BY
a
F'p.O S 7 ��
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER -
FINAL DATE INSP
/
TOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER VOLVED
ELECTRICAL FEE
DBL
$ /
ADDRESS
ST/ATE
SMI FEE
$
•
THIS PERMIT SHALL'BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA•
TION OF WORK 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 AC-
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
LAWS.OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
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{ODE
OF STATE OF CALIFORNIA.
FEE
$
PLUMBING FEE
DBL
$
TOTAL FEES
OWNE - 5 NA_ RE X_
CONTRACTOR
CASH 0 CHECK'] M.O. 0 N.C. 0
ADDRESS
iv -?oADDRESS
i -U Ae-, �
p f
RECEIVED BY
TREES REQUIRED
r
SEWAGE SYSTEM
T��f {)
LL
/ 1 A
xI
CITY ZIP DE
/ l !!pptt
�i�i.M.hD J%aALS1G d7
CITY ZIP CODE
INFORMATION
'FORM 284.208 1Rv. 9.73) @s
TEL. NO. `` - r
TEL. NO. LICENSE
I NSPECTION .,RECORD
OPERATION
T
DATE
'INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Setbacks
s
Underground Ducts,
Forms & F
-SrDucts
Slab Grade
Return Air.
Steel
Combustion Air
Roof Deck
Exhaust Fans
OX to Wrap
--F.A.U.
Framing
Compressor
Insulation
Vents
.Fireplace P.L.
Grills
Fireplace T.O.
=
Fans & Controls.
Party Wall Insulation.
Condensate Lines
Party Wall Firewall
Exterior Lath
f��i�/-�(
Drywall - Int. Lath
Final
Final --
177
7� 6 Z -
-SPAS
BLOCKWAI PPROVALS
.,POOLS
Steel .
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
•
Equipment Location
Underground Electric.
Underground P[bg. Test
Final
Gas Piping
PLUMBING
APPROVALS
Gas Test
Waste Lines,
9 *-- -143-L
ST
Electric Final
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure-.
Shower Pans
L
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
l/e�� 7
��
Appliances
Final
COMMENTS:
Final4
I- t-ov
Utility Notice (Gas)
'OOM
ELECTRICAL
APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service'
Sub. Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perin)