353861 (SPIN)ov�rvrw rc�cmn
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DEPARTMENT OF BUILDING B:SAFETY
PERMIT NO.
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Ad F Space Zip . Owner
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COUNTY OF RIVERSIDE
FIELD
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CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$
/U
IST FL.�� SQ. FT. @ $
�-' UNITS
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2ND. . SQ. FT. @
YARD SPKLR SYSTEM
Parcel No. -
2 �. , , r. j
mss" �.,'� �Ai
/F
o POR. y SQ. FT. @
MOBILEHOME SVC.
BAR SINK
Plw : Ck. Fee $
t/ • %_� « . , ..
GAR.
POWER OUTLET:, . •i,•e...•. " ROOF DRAINS`
1 h
SQ. FT._ @
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S" S R
' lectricol Fee Dbl $ '
CART P.. SQ. FLS@,
Group
DRAINAGE PIPING
F r _
-
WALE' SQ. FT. @
_ _
_
DRINKING FOUNTAIN
4
�1 SQ. FT: @
Plan No.
URINAL
Final Date�
ESTIMATED CONSTRUCTION VALUATION $
Unit
WATER PIPING
Sp. Insp. Fee $
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Const. Lender Branch `y
•' MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
�41,If$V$iEM FAN EVAP. COOL HOOD
- ., SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
,•
GARBAGE DISPOSAL
Witness Fee $
FURNACE UNIT WALL FLOOR' _ SUSPENDED
$J-010-
LAUNDRY TRAY
r ;
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Total Fees '
ABSORPTION SYSTEM B.T.U.
MP USE PERMIT SVC
WATER CLOSET
City�y
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COMPRESSOR-HP.,�.
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LAVATORY:w:.y.HEATING;SYSTEM
Cash
FORCED . GRAVITY
PERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB f
Contractor
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WATER HEATER
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-{ SQ. FT. RESID@•1'hc + -,
SEWAGE' DISPOSAL.%,
Address
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SQ. FT. GAR @ sG c
HOUSE SEWER
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$
GAS PIPING
PERMIT FEEPERMIT
FEE
PERMIT FEE
T LL P
PBL.
TOTAL FEES
MOB_MM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE `•
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
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PERMIT NO.
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Ad F Space Zip . Owner
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X53861
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Communis - Valuation Date Dist Off.
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F.C.C.
MH,Permit Fee
$
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$���7� •
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Micro Film Fee
Cop $
Use of Permit '-
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7 � �.r .►
Parcel No. -
2 �. , , r. j
mss" �.,'� �Ai
Use/Cose No.
-
Ck. By •_
f ,, .
�1
Mech. Fee Dbl $
Plw : Ck. Fee $
Set Backs
Lot Size
1 h
Construction Fee Dbl $
Lego[ Description ;. F-
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S" S R
' lectricol Fee Dbl $ '
Zone Restrictions
Group
Type
rSMI Fee $
Plumbing Fee
Dbl $
4
Bond Amt: ,-
$
Plan No.
Plan Checker r
Final Date�
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch `y
Supplimentol Permit Number
t. .. 4,r�,•2.. �. .,,.;,
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Registr. Fee $
Address ....'.. , .. . City- r
Mileage Fee
$
Zip
,•
Witness Fee $
Reinsp. Fee
$J-010-
0
Tel.
Zip
-Owner/Agent
Total Fees '
$
r10w
Addtess,� t'. ,� �..... _.. ,.. • a
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City�y
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ZIP •-fiw-Y
M.O. N.C.
Cash
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Received by
Contractor
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Tees required 4+....
Sewage System
Address
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City. Zip
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THIS PERMIT SHALL BEC WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION -OF WORK verified by:
FOR 120 DAYS SHALL TO BECOME VOID.$
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Sewer District
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HEREBY AGREE TH TAL CONNECTION WITH THIS.PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDECOUTHE STATE OF CALIFORNIA.
t,
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Y
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8178)
-
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34 Plenums 6 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.
43
Final
IDA
Fireplace T.O.
P'N
ADDITIONAL INFORMATION
`
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath —14 _ 7
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
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