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( PERMIT NO.
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PERMIT NO.
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DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE « -
FIELD
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i C NSTRUCTION ESJLMAjE
_ NO. ELECTRICAL FEES .
NO. PLUMBING FEES
'
IST FL.
2ND. FL. _
POR.
'GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
/ $
SQ. FT. @
"—
UNITS
MJcro Film Fee Cop $
Use of Permi r <
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SQ. FT. @ YARD SPKLR SYSTEM
Use/Case No.. By
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MOBILEHOME SVC. BAR SINK
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SQ. FTSQ.
Pl.Ck. Fee $
,
.- POWER OUTLET ROOF DRAINS
FT.
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DRAINAGE PIPING
SQ. FT. @
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SQ. FT. @ DRINKING FOUNTAIN
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SQ. FT. @ URINAL
Electrical Fee Dbl $
VALUATION $ r WATER PIPING
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NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Bond Amt.Pjago:
§
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
In
Inspector
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Const. Lender Branch
APPLIANCE t DRYER
Registr, Fee $
GARBAGE DISPOSAL
Address City Zip
FURNACE UNIT } WALL FLOOR SUSPENDED
Reinsp. Fee $
LAUNDRY TRAY
Tel.
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AIR HANDLING UNIT,, CFM
IDLE METER
KITCHEN SINK
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pr ?5 , !' F J^T•
ABSORPTION SYSTEMAI B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
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COMPRESSOR � . ,.HP.
y , , POLE,TEMP/PERM• r• •
LAVATORY .,• q r• I
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HEATING SYSTEM t FORCED GRAVITY
- AMPERES SERV ENT
SHOWER
BOILER • B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. @ t
WATER HEATER
A
S0. FT. RESID @1'%.t - `
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 t
HOUSE SEWER
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GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
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MOB.HM.FEE
,MICRO FEE MECH. FEE ELK,,
CONST. +FEE S ' •ELECT. FEE
y «SMI•FEEV
FEE PLUMB.. -FEE '
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Valuation
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Parcel No.
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33PI.
Use/Case No.. By
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M6ch. Fee Dbl $ -
Pl.Ck. Fee $
Set Backs
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Construction Fee Dbl E
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Electrical Fee Dbl $
Zone Re tions
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Typ
SMI Fee $
Plumbing Fee Dbl E
Bond Amt.Pjago:
§
4/J/ i
/
Plan ecker `
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Final Date
-7
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In
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee E
Const. Lender Branch
Supplim n mil Numbers
'
Registr, Fee $
Mileage Fee $
Address City Zip
Witness Fee E
Reinsp. Fee $
Ownyr/Agent
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4.�%
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Tel.
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Total Fees § � .� •
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M.O. .C. Cash Che
Received byC
Contractor
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License#
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Trees required •. ..
Sewage System
Address
City Zip
/F!/Gti-r LL 9 -VII / 1
Sewer District
r I
Form 284-208 (Rev.8/78) - +�
THIS PERMIT SHALL BICOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION 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 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
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
M
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
IDA
Fireplace T.O.
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