360288 (SPIN)PERMIT NO.
3602.8.8
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD DST
M��
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL" FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CARP.
WALL°'• "• "� `'
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
Community
"•
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ.'FTY-@ y • ' " ' r
DRINKING FOUNTAIN
SQ. FT. Q
URINAL
VALUATION $ y
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
S
GARBAGE DISPOSAL
FURNACE UNIT WALL" FLOOR SUSPENDED '.
;
LAUNDRY TRAY
AIR HANDLING UNIT j CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC. v
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM, FORCED GRAVITY'.
AMPERES SERV ENT.
SHOWER
BOILER B. T: U.,
SQ. FT. @ ,c'-
BATH TUB
+....>.,.. ra+M r h•r -mss. . , ,>, .. , y ,.
.r.r. , , , ,-. �.. r� -SQ: FT. '@..^"c w✓
WATER HEATER
' r
SQ. FT. RESID @1t/4c
SEWAGE DISPOSAL
SQ. FT. GAR @ 1%c
HOUSE SEWER
Address City Zip
Witness Fee §
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE r
DBL.
TOTAL FEES
. ""•
MOB. HM. FEE
-
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE
FEE PLUMB. FEE
O'
NO.
360288
Job`Address
.. -z
. ^ '' " + . •+ • ^ s e +. v .w :+,r i f Space
r 4 4r A7 Aj 7 A
Zip
C1
Owner
Community
"•
t
Valuation
§ ^
w tip. +,+fs*
Data
•� T % C
Dist.
Off. F.C.G.
MH.Permit Fee§
Micro Film FeeCop §
Use o Permit
i
-
f
--/1 09A
L
Parcel No.,Use/Case
/..
f.
No.
Ck. By
Ar
—77
Mech.-Fee Dbl § ^
PI. Ck. Fee §
Set Ba s .
Lot Size
Construction Fee Dbl §
Legal Description
ev. /
"% C (
S
-
-
2
F S 5 R
Electrical Fee Dbl §
Zone Restrictions
-
GroupT
yP e
SMI Fee $
Plumbing
Plumbing Fee Dbl §
Bond Amt. ,-
E
Plan No.
Plan Checker
-
-4
Final Dote91
&
—/ P)
Inspector
Unit
Sp. Insp. Fee §
Demol. Fee §
Cohst. Lender
- Branch
-
Supplimentol Permit Numbers/t�Q
//Y•���/
Registr. Fee $
Mileage Fee §
Address City Zip
Witness Fee §
Reinsp. Fee §
22
/ %�
"
Tel.
Zip
Total Fees § L
M.O. .C.,Cl Cash C ec
Address
City
Zip
_
Received by 7 7--Z-.-
Contractor
�. , r
'
+.. a .e. a. r f K- . - . n< .•,. ,
..
,Tel..
License#
Trees•requlred,. r ti .b k•,.... .n ^:t-h....+.r.. ....
Sewage System
Address
+,
'City .,,r
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. t
I HEREBY'AGREE THAWraTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
C _"r THE LAWS OF RIVERSIDE �O?N7�t 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.
Form 284-208 (Rev.8/78) -
verified by:
a
i
NO.
OPERATION - DATE"'
INSPECTOR
NO.
OPERATION
DATE NSPECTOR
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
R6of 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. O
43
Final
10A
Fireplace T. 0. 0
-
OP'N
NO.
ADDITIONAL- INFORMATION
. .
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
r.
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
i
REAR OF PROPERTY 'LINE
-
P/L - _ P/
'
ELECTRICAL APPROVALS
26 power; Pole
27 Conduit
28 Service Entrance'
29 Wiring
29A drounding Wire
29B Bonding '
30 Fixtures
31 Service
32 Final
STREET NAME