SPIN (403317)OYILYIm.v rCKM11
PERMIT NO, DEPARTMENT OF BUILDING $r. SAFETY FIELD DST
4 0 3 3 1 7 COUNTY OF RIVERSIDE
, _
CONSTRUCTION ESTIMATE
-----------------
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Parcel No.
;7 i e'
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN "
SO. FT. @
URINAL
VALUATION $ t
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
'SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Const. Lender Branch '
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Mileage 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. @ 4
BATH TUB
Address
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 1 /4a
SEWAGE DISPOSAL 1
50. FT. GAR @ t/4c
HOUSE SEWER t
' -
GAS PIPING
PERMIT FEE
PERMIT FEE.
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO'FEE MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
sFEE PLUMB. FEE-
EE
----.__ ________
PERMIT NO.
403317
Job Address ------. _.__----- - —Space -Zip J3
1,�I' L.' I `G
-
Community Volucirlon Dote Dist. Off. F.C.C. 4
$ Of �! T
ll' -114 !�
MH Permit Fee $
Micro Film Fee Cop $
Use of - armit
, j'J 1-1J _
Parcel No.
;7 i e'
Use/Case No.
Ck. By '
Mach. Fee Del s
PI. Ck. Fee §
Bks
St oc
Lot Sire
is � ,� ?
Construction Fee Dbl $
Leg Description
`/ z
F 27 �
S —
S
•�-+• R ••y V
%
Electrical Fee Dbl $
Zone R strictions
•/
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
§
Plan No. TPrors
Checker
Fi al Dote n� s e<for Unit -
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch '
Supplimental Permit Numbers
�vq/� ``/�j► '$)
/ �jI
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee §
Reinsp. Fee §
Owner/Agent �. ! r.�' : t(• r r (' l„
Tel.. Zip
Totol Fees $ ,�
Address
City Zip
/ V 2
M.O. ❑ N.C. ❑ Cosh ❑ Check Q
Received by :fi .s Y, l''
Contractor -
Tal. /
Licenseg
Trees required
Sewage System
Address
City Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District 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 HEREB RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev. 1/80) NCE 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
34
Plenums 8 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
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
El
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
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
P/L
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. DEPARTMENT OF 'BUILDING & ,SAFETY FIELD OFFICE DST
4 0 3 317 COUNTY OF RIVERSIDE
.�
CONSTRUCTION 'ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
+ . GAR.
CAR P. -
WALL
• I'
ESTIMATED CONSTRUCTION
SQ. FT. @. -
•' UNITS
Mach. Fee Diet 5
SQ. FT. '@ s
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT, @ s POWER OUTLET
ROOF DRAINS
SO. FT- @ ,.
DRAINAGE PIPING, '
50. FT. '@ ` 4 - 7 -
DRINKING, FOUNTAIN
SO. FT. •@
URINAL
VALUATION • $' -
WATER'PIPING- '
NOTE:' Not to be used as propertytax valuation
.., SWIM POOL; PVT ..
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL,, COMM,'
WATER SOFTENER '
VENT SYSTEM FAN • . EVAP. COOL' - HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE _ 'DRYER
Mileage Fee $
GARBAGE DISPOSAL i
FURNACE UNIT WALL FLOOR SUSPENDED
'
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
r AMPERES. SERV ENT ;
SHOWER '
BOILER B.T,U..
SQ.FT.`• „@ a
BATHTUB
- •
SQ. FT. • @'d
WATER HEATER -
- '
sSO. FT:'RESID @ I /aa•
SEWAGE DISPOSAL '
$es4oge System
SO. FT. GAR @ 3A i:
HOUSE SEWER
-
GAS PIPING
PERMIT FEE •,
_ PERMIT. FEE' - - _
PERMIT FEE.
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
• CONST. FEE ELECT'. FEE
SMI FEE
�' FEE .PLUMB. FEE
PERMIT NO.
403.317
'
Job Address'
<
Co-
mmunityY
Use of ermit
Legal Descrip ion
�
-
•
SSG C //Y/ -
Space Zip Owner
2� 4 �/L
s
Vo nation Dote - - Dist. I.' F.C.C.
Sf
Parcel No. • ' ` Usa Case No. Ck. By
/
�, S91 Bocks', Lot.Sice
F S ,'� S'`• R '✓
zo a go
ZoneRestrictions.•`. Group '` Type'
a r
MH PermitFee S .
I
Micro Film Feb ` Cop S -
Mach. Fee Diet 5
PI. Ck. Fee g.:
,Construction Fee ti Dbl S
Electrical Fee. Del $
SMI Fee S
Plumbing Fee Diel $
Bond Amt.
$
Plan No..
an Checker
Final D
Inspector
Unit
Sp. Insp. Fee S
bemol. F.e,;." "` _S
-Const. Lender
Brooch
t
Supplimental Permit.Numbers
3 45000P7,?
-
,
Mileage Fee $
Address - 'City - Zip
. •.
Witness'Fee S
Reinsp. -Fee - $
Owner/Agent
.n6`
'
Tel. • ^
Zip „
Notal Fees - S
M.O. 0 Nx.,o Cash O Check["'
Address
-41
-'
J
-
City.,
0
Zip.
v. -
(Received by
-
Contractor
- •
„�,• „
Tel.
-
UcenseN '
,Trees required s.
$es4oge System
Address'
_ ...
City - '.- ,.
zip.
• .
T LL P ' IHIS PERMIT SMALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION.OF WORK verllied by:
Sewer District FOR 120 DAYS SHALL, ALSO CAUSE PERMIT TO BECOME VOID. t
s > I HEREBY AGREE THAT ALL' WORK. IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE. LAWS OF RJVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREB ' RTIFY THAT THE INDIVIDUAL WHO PREPARED THE'PLANS AND SPECIFICATIONS HAS DONE 50 IN .
"Form Z84-208'(Rev.'I/801 ^• .ANCE WIT( SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE .STATE OF CALIFORNIA. -