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391142 (SFD)PE MIT NO. DEPARTMENT OF BUILDING & SAFETYD T 3911421 COUNTY OF RIVERSIDE FIELD Ilk I C NSTRUCTION ESTI E NO. ELECTRICAL FEES NO. PLUMBING FEES ^" $ UNITS Zip IST FL. 5Q. FT. @ ' Community 2ND. FL. n SQ. FT. @ Valuation YARD SPKLR SYSTEM POR. SQ. FT. @ _ a MOBILEHOME SVC. BAR SINK I F.C.C. POWER OUTLET ROOF DRAINS GAR. 5Q. FT. @ Us of Permit ` '1 % �O a i �.^ `* CAR P. SQ. FT. @ Par el No. / )�� '�v,.•y DRAINAGE PIPING WALL SQ. FT. @ Mech. Fee Dbl 5 I DRINKING FOUNTAIN SQ. FT. @ Lot Size URINAL ESTIMATED CONSTRUCTION VALUATION .— 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 Plan /`,j "' GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED final Date 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. @ c BATH TUB SQ. FT. @ c WATER HEATER SQ. FT. RESID @11/4c SEWAGE DISPOSAL Total Fees SQ. FT. GAR @ '/. c HOUSE SEWER Address GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TgT,#L FELiW MOB.HM.FEE MICRO FEE MECH. FEE PL. AqW11 CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 139114.21 Job Address % ZA Space Zip •Owner Community Valuation Dote _ Dist. Off. I F.C.C. MH Permit Fee E Micro Film Fee Cop S Us of Permit ` '1 % �O a i �.^ `* Par el No. / )�� '�v,.•y Use/Case No. Ck. By I I ., Mech. Fee Dbl 5 I PI. Ck. Fee E Set Backs Lot Size Construction Fee Dbl E Legal Description ,�' i r� - - F S ,� S y R Electrical Fee Dbl $ Zone Restrictions Group Type - SMIFee $ Plumbing Fee Dbl S Bond Amt. E Plan /`,j "' RL ecker final Date Inspector Unit Sp. Insp. Fee = Demol. Fee $ Const. Lender Br nch Suppli a Permit Numbers ' Registr. Fee - y Mileage Fee $ "Address City Zip - /r Witness Fee - $ Reinsp. Fee $ Owner/Agent f�- Or i Tel. Zip Total Fees f Address City r , Zip - i M-0.0 N.C. Cash Check, — Received by Contractor Tel. + License# frees required Sewage System Address City Zip T LL P LForm r District 284-208 (Rev.8/78) @s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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. `QUA 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 Slob Grade 35 Furnace Comport. 3 Steel 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 -FBond 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. 43Final IDA Fireplace T.O. E] OP'N I 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 (Botts) 12C Ceiling (Blown) 14 Finol PLUMBING. APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents W 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 BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST 391142 COUNTY OF RIVERSIDE CQ STRUCTION ESTI04AJJE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL.SQ. FOR. t GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS Commu f r FT. @ YARD SPKLR SYSTEM _ SQ. FT. @'' D MOBILEHOME SVC. BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ .252 URINAL VALUATION $ 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 Electrical Fee Dbl 5 GARBAGE DISPOSAL 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 fLAVATORY Inspector HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB Const. Lender Branch �' SQ. FT. @ c WATER HEATER Registr. Fee $ SQ. FT. RESID @1'/.c SEWAGE DISPOSAL (Witness Fee s SQ. FT. GAR @ 3/, c HOUSE SEWER Owner/Agent % GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. t �F __J �!/ MOB. HM. FEE MICRO FEE MECH. FEE PL. ,F€N' CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3 9114 2 Job Address ;K-�� J. �) .-N� Space ZjP r✓�; ,.., Owner 1 Commu f r Ealuation Date _ ` ! Dist. / F.C.C. MH Permit Fee $ Micro Film Fee Cop $ Us of Permit �' �t ��, tips Parcel No. Use/Case No. Ck. By �- Mech. Fee Dbl $ / PI. Ck. Fee$ 7'L 7V`+ Set Backs Lot Size .f ' Construction Fee Dbl E Legal Description •` f/ • / / Y'. ��^'" F /�{'�� S S V R Electrical Fee Dbl 5 Zone RestrictionsGroup Type SMI Fee b Plumbing Fee Dbl $ Bond Amt. $ Plan t4q_ / Plan C cker G Final Date 5 — Inspector Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch �' Supplimentol Permit Numbers Registr. Fee $ Mileage Fee $ Address City ,..�,•.�Zip • �/ ! / { ,��`/ !.- - / % /fes / (Witness Fee s Rei -p. Fee $ Owner/Agent % Tel. Zip Total Fees $ Address _. - f City / Zip , M.O. . N.C. Cash Ch Received by Contractor Tel. License# frees re Quired Sewage System Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH 40 TH 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 AC Form 284-208 (Rev.8/78) as CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.