290238 (GRD)4
HtADQUARTERSS
DEPARTMENT OF BUILDING & SAFETY
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�P ADDRCSL / I 16P NO
CAF.�I?J9A; "
COUNTY OFRIVERbIlUt
76
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77
COMMUNITY VALUATION
DATE
RUCTIQN.
ESTIMATE
NO. ELECTRICAL FEES
NO, PLUMBING FEES
T.
j.,�Ii ,< 'r S.•
`'►�'�=
7.
UNITS
..�. -
<<_
1 L a SQ. FT. '@
YARD SPKLR SYSTEM
sc.
is
MOBIIEHOME SVC.
BAR SINK
FT: 1_1
V.C.
SUPP O PERMIT PERMIT NO.
.b
A�
POWER OUTLET
ROOF DRAINS
c:J1R. SO. FT. �
1CAR P.. SC. FT. @
COPIES
$
DRAINAGE PIPING
bOOK PAGE PARCEL LEGAL DCUCRIPTION
DRINKING FOUNTAIN
LVAII SQ. FT. @
MECHANICAL FEE
DBL!
=
USE NO.
URINAL
LOT SIZE ORP
TYPE
CK BY
:. ESTIMATED -CONSTRUCTION VALUATION s ,Z
Oo
WATER PIPING
riAJE::NoT"to.be Died a:'property Fax voluolion
SAX/oa
SWIM POOL. PVT
FLOOR DRAIN
MECHANICAL -FEES
SWIM POOL, COMM
WATER SOFTENER
VENT'S1lSTEM O IAN. �] EYAP. COOL' ❑ HOOD
/ Iry 8 a R�6
SIGN
WASHER(AUTO)(DISH)
APPUAIvCE;, ❑DRYER
PLAN CHECK FEE
GARBAGE DISPOSAL
VRNACE: O UNIT O WALL.❑ FLOOR []SUSPENDED
!
PLAN NO.
LAUNDRY TRAY
Alit fiANDL1NG UNIT; CFM
INSP[CTOR
IDLE METER
KITCHEN SINK
A950RPTtON SYSTEM ' B.T.U.
J�
TEMP USE PERM SVC
WATER CLOSET
COMPRESSOR` -. . HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM Q FORCED O GRAVITY
$
AMPERES SERV ENT
SHOWER
BAILER' B.T.U.
NOLENDERINVOLVEO
-�
SQ.FT. @ c
BATH TUB
$
SQ.FT. @ c
WATER HEATER
6TATE
SQ.FT.RESID @ TY.c
SEWAGE DISPOSAL
SO.FT.GAR @ ii.<
1HOUSS SEWER
STitANG MOTION
$
GAI. PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
caL TOTAL FEESMOILMM.FCC
MICRO FEE
MCCH. FEE
PL. CK. PF.E
CONST. FCC
ELECT. FEE SMI PEE
FEE PLUMB. FCE
A�j/ADDR
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�P ADDRCSL / I 16P NO
CAF.�I?J9A; "
OWNER
G•n
76
15 2- 6-/f G /11,- R
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77
COMMUNITY VALUATION
DATE
M HPERMIT. FEE
is
USIEO"FPERIArr �
V.C.
SUPP O PERMIT PERMIT NO.
NUCROFILM FEE
COPIES
$
--
bOOK PAGE PARCEL LEGAL DCUCRIPTION
MECHANICAL FEE
DBL!
7
USE NO.
TONE sFr RACK
LOT SIZE ORP
TYPE
CK BY
! '
SAX/oa
-3
/ Iry 8 a R�6
PLAN CHECK FEE
a _
BONO AMY.
PLAN NO.
FINAL DATE
INSP[CTOR
J�
IFLAICNWIER
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NOLENDERINVOLVEO
-�
EIECTRTCAL FEE
DBL
$
ADORCSS CITY
6TATE
STitANG MOTION
$
OWNERIAGENTS 53ONAVURC CON7ffAcThR
IN57RUMEWAIION FEE
�y
5G
A�j/ADDR
R
/FEE
l C
PLUMBING FEE
DBL
S
cITI ZIP/CODE CIYY
zlPcoDE
I
Q
� ? L5�
TOTAL FEES .,�
$i
TEL NO
ARE�AfpECOT
ARCA CODE
LICENSE a
3�' ;�{ 5
,(J [
CASH O
HECKO 0.O
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`/
7`r�v
RECEIVED DY '
EES REQUIRED
"v -P 'T SHALL COMEHALL VOIDIF WORK ISNINOT DAYS. CESSIIIUN OF
-'R
DAYS T TO BFCON E VOID1-11120
TEUEBY AGREE -THAT All V.IOP.K !N CONNEC!ION WITH 11115 PC -RM -11 VOIL BE ho,,4r IN /,CCCRDANCE
WITH THE IA%vb OF RIVERSIDE COUNTY AND TI!E STATE OF CALIFORNIA. I ALSO AGREE 10 CARRY -
SEWAGE SYSTEM
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T/mo
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FORM iO4•:00 IREV 8.76+
C:4IIFOF:NIA COVERING CONTRACTORS 15 ALSO GUARANTEED.
II�.EF.Ei6Y CERIUV Ilihi 114!. L':Cil 'tDl,l:,l',V11Q pR!:Pf,REO1!{C F!;,tlS APlI)S1 F.C.1FI(:f,l:''?15147,51?UNE
50 I:I :,CCC.+4i)•:!:::E 1•:1714 :CC InIJ 55.; I OF I cof. Ci! 1:iL STATE
�Vi�`TS.--.. �.. ..._.�. ...-__ _ _
S ERATION DATE
BUILDING APPROVALS
-% •` . 4.: • tirOYi' $fafflS : '
r" S '" • Bond Booms
"'6 Roof Nck
•.Frorriog
11. 'Eklerior'lath
Internal Loth
;'•12A' .Drywall•.
'qY ':13' Finieh'Gr�dde�
-INSULATION Thier Value
'tzy`7A Wous (Bolts)
Ceiling(Balls)
=;+ .42C Ceiling (Blown)
r' 14 final
•1'.k .
PLUMBING APPROVALS
3 Gldund Plumb—
:`:, i;16 . .'Water Piping
17Rough Plumb
1+" i8 Vents,
Sewage Disposal
ter• 20 Sewer
"2t Water Hootcr
•
77—
22 Water Sofloner
' 23 Water Service
24 Cos Test
25 Final
ELEGTRICALAPPROVALS
26 Power Pole
?7 Conduit --
°Y.. ' • 28. ' Service Entrance
Wiring
29A Grounding Wire
iii �' .—....t-... ..-..
;:'mac, 296' Bonding
A.
r:
10 Tinfuros
x'c 31 5or�ico —�.—
l° 32 Final
INSPECTOR NO• OPERATION pAEE INSpCCrvq
MECHANICAL APPROVALS
33 Ventilation System
— 34 i Plenums S Duds ^�
35 Furnoce Comport.
36 Inlets 8 Outlets
37 Combustton Air
38 Compressor
39 Appl. Clearance
40 fire Damper
41 Smoke Dotention Device
~
42 Commercial Hood
43 final
OP'N ADDITIONAL INFORMATION��
NO.
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
I
Pil. P/L
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