375042 (ELEC)1PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
375042 COUNTY OF RIVERSIDE FIELD /
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
SQ. FT. @ $
UNITS
Commurjity; iA
(f-. V"
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
GAR.
CAR P.,
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
POWER OUTLET
Cop $
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Construction Fee Dbl $
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
S G.�
„yj
WATER SOFTENER '
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Zone Res(rj ions
WASHER (AUTO)(DISH)
APPLIANCE DRYER
SMI Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
^' (L; C''Y
'
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Fiinnnal Dee p Inspector' /
-7 7 ill/
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Demo!. Fee
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Mileage Fee$
SHOWER
BOILER B.T.U.
SQ. FT. @ c
$
BATH TUB
Ov)er/A t
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/.c
$
SEWAGE DISPOSAL
�-`
Address1 �^ k
' __..i
SQ. FT. GAR @ % c
City . -- r
HOUSE SEWER
M.O. .C. Cash ` Check
Received by'-��
_
GAS PIPING
PERMIT FEE
Tel.
PERMIT FEE
�✓'
PERMIT FEE
DBL.
TATA FEES4Z
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
C (EF111
E
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
13750421
Job Address., --
—.� Space
.Zip,
Owner
Commurjity; iA
(f-. V"
Ealuation
DatB'1— ' ��^j r/'
DJst�
'
F fL_
'•'r-"L���
F.C.C.
MH.Permit Fee $
Micro Film fee
Cop $
Use of Permit
4 �:. �.� VC
Parcel No.
Use/Case
No.
Ck.
' �=-
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
•--�C , / •�
So
Construction Fee Dbl $
Legal Description
,`�• {/�;,
L "T - f3 { (` 2 ` �i `°`
F
J01((j{[(
S :.•�
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S G.�
„yj
R
Electrical Fee Dbl $
Zone Res(rj ions
Group
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan N^"��^�p
`�..N .,..,'+»
Plan Checker
[J
Fiinnnal Dee p Inspector' /
-7 7 ill/
Unit
Sp. Insp. Fee $
Demo!. Fee
$
Const. Lender Branch
Supplimental Permit Numbe
.�
Registr. Fee $
Mileage Fee$
Address City Zip
_
Witness Fee $
Reinsp. Fee
$
Ov)er/A t
`
Tel. Zip
jig L/ �- .� � t
Tota! Fees
$
�-`
Address1 �^ k
' __..i
City . -- r
Zip^,
M.O. .C. Cash ` Check
Received by'-��
_
Contractor
'
Tel.
License#
frees required
Sewage System
�.
-
Address c
.
City
Zip
T U. P
Sewer District
i
Font 284-208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME 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.
THEREBY 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
Figs 6 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 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. E]
43
Final
10A
Fireplace T.O. Cj
No
- - -
ADDITIONAL INFORMATION
- - - - - - - -� - - - - - - - - - - -
1
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
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
zs
Final
Tank Pit L.Line
PSL/
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26 Power Pole � -
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final a ..
STREET NAME