387233 (SPIN)DWILY111V r'CKMII
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY M11/sT
387233 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
FST. FL...' . �
SQ. FT. @
UNITS
.
2ND. FL':. -:
SQ. FT. @
Valuation
YARD SPKLR SYSTEM
POR.
GAR.
CAR P.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
WALL
SQ. FT. @
/ r_". "lV (�
DRINKING FOUNTAIN
Use/Case
SQ. FT. @
Ck. By
URINAL
ESTIMATED. CONSTRUCTION VALUATION $
Set Backs
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
Group
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plumbing Fee
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
Const. Lender
SQ. FT. @ c
WATER HEATER
Supplime
SQ. FT. RESID @I t/. c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
Address City Zip
Witness Fee $,
Reinsp. Fee
GAS PIPING
PERMIT FEE
Owner/Agent
..
PERMIT FEE
PERMIT FEE to
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
,SMI FEE
FEE PLUMB. FEE
PERMIT NO.
387233
Job Address
� 2. - S?5 _ LJC ;. , �'
Space
Zip
Owner
5
e
.
Community
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Valuation
Date
Dist.
Off.
F.C.C.
MH.Permit Fee$
Micro Film Fee
Cop $
Use of Permit
�% �' �" .�7
/ r_". "lV (�
Parcel No.
.e 7 '�'_.���
Use/Case
No.
Ck. By
Meth. Fee Dbl $
Pl. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
r
LlL'
/ �'
F S
S
R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
lZ
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplime
al P rmit Numbers
. Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $,
Reinsp. Fee
$
) t, 'C.�
Owner/Agent
..
Tel.
�..
Zip
Total Fees
Is
ejAddress
' t
( �"' U
/
. 1a C, f I '
City
rTel.
�$ /� a
''S I +w l l�,i
`
Zip
ec
M.O. N.C. Cash Chec
Received /
Contractor
,.�
/It�LP
License#
Trees requireA'Tl,.j('"�rl^p•(�f
:Sewage System
.r
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Address
r
,
Zip
T U. P
..Sewer District _ 4
•Form 284-208 (Rev.9/78)'
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 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.
verified by:.
M
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 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. 0
P'
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 (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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixturds
31 Service
32 Final
STREET NAME