360133 (SFD)BUILDING PERMIT
PERMIT NO. DEPARTMENT, OF BUILDING & SAFETY FIELD[ -DST]
36 0 1 3 3 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
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NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
SQ. FT. @ $
yT
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ A vr, POWER OUTLET
ROOF DRAINS
r
SQ. FT. @
DRAINAGE PIPING
WALL � ' ' � h' SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
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p y
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DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
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SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Use/Cos o. '""
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN + EVAP. COOL HOOD
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SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
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GARBAGE DISPOSAL
FURNACE UNIT WALL' FLOOR SUSPENDED
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Electrical Fee Dbl E
LAUNDRY TRAY
AIR HANDLING UNIT CFM
Type -111l^
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.
E
SQ. FT. @ c
BATH TUB
'
Branch
SQ.'FT. 9"- c
WATER HEATER
Registr. Fee §
Mileage Fee § f
SO. FT. RESID @1'/.c
SEWAGE DISPOSAL
Reinsp. Fee
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SO. FT. GAR @ 3/4 c
HOUSE SEWER
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GAS PIPING
PERMIT FEE r
Total Fees
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
,
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
3601337V
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Job Address
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Electrical Fee Dbl E
ZonrkeVlvions 14
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Type -111l^
SMI Fee Et
Plumbing Fee
Dbl E
Bond Amt.
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Plan No.
PI hacker
64 -s
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Inspector
Unit
Sp. Insp. Fee E
Demol. Fee
E
Coast. Lendei
Branch
SuppliWIit Numbers
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Registr. Fee §
Mileage Fee § f
Address City Zip
Witness Fee
Reinsp. Fee
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Owner/Agent
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Zip
Total Fees
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Address
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Zip
M.O. 0 N.C. Cash Check+
Received by
Contractor
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Tel.
ver
LicenseX
Trees reqduire
Sewage System
•
s /
Address
City
Zip
LL GE A ry
Sewer District
Form 284-208 (Rev"8/78) +
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 WORKjIN 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 55AI OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
In
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
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
IDA
Fireplace T.O.
NO.
ADDITIONAL INFORMATION
i
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
t "R"
INSULATION Thick Value
7A Walls (Batts)
12B Ceiling (Botts)
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 I-Aine
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
\
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME