387467 (BLCK)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
387467 _ COUNTY OF RIVERSIDE FIELD
//
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
6
--
UNITS
Zip
IST FL. SQ. FT. @
Owner
,_-
2ND. FL. SQ. FT. @
v
`
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Cop $
DRAINAGE PIPING
Parcel No.
Use/Case No.
DRINKING FOUNTAIN
WALL SQ. FT. @
PI. Ck. Fee $"'
et Backs
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
F S
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 No.
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
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERVIENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
$
SQ. FT. @ c
WATER HEATER
Tel.
SQ. FT. RESID @I'/ c
SEWAGE DISPOSAL
S0. FT. GAR @ 3/4 c
HOUSE SEWER
Address ..
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GAS PIPING
PERMIT FEE
Trees required
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
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6 Q�
PERMIT NO.
1,387467
Job Address
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6
--
Space
Zip
Owner
,_-
Community
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Valuation
Is
-
Date
�•-
Dist.
1l
_
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
U e of* ermit
} ./![ C' 6—zj E
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Parcel No.
Use/Case No.
Ck. By
Meth. Fee Dbl $
PI. Ck. Fee $"'
et Backs
Lot Size
Construction Fee Dbl $
legal Description
/0 j C,rJ ��✓
F S
S
R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
an Checker
Final te�
Inrct-or�y
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Suppliment I
rmit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
Address ..
tract •• I.,
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Zip
M.O. N.C. Cash Check '
Received by
Trees required
Sewage System*
. dlei
City
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.
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.
r
P I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
�• CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208(Rev.8/78) ' '
. verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS '
1
Set Back
/� 0
33
Ventilation System
2
Ftgs & Frms
1 -31 - so
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
10A
Fireplace
T. 0.
OP'N
NO.
ADDITIONAL INFORMATION
_
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_ _ — _ — _ _ _
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
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
PSL P)
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME