417697 (BLCK)PERMIT NO.
7
PERMIT NO.
Job Address
DEPARTMENT OF BUILDING & SAFETY
S Pace
Pa
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Owner
4176971
Community ..
t,.,tL'`i J'.%�f �J
COUNTY OF RIVERSIDE
FIELD
�DSIT
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
Use of Permit
�y
!
2ND. FL. SQ. FT. @
Parcel No.
/�
f y
%
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT, @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
gol Description,
t•. '/
DRAINAGE PIPING
WALL SQ. FT. @
R
DRINKING FOUNTAIN
SQ. FT. @
Type
URINAL s4
_
ESTIMATED CONSTRUCTION VALUATION $
Dbl $
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
Branch
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Registr. 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
Received by
SQ. FT. @ c
WATER HEATER
SQ. FT. RESID @1'/4c
SEWAGE DISPOSAL
frees required \ '
S0. FT. GAR @ '/4 c
HOUSE SEWER
Address
City Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEEL) ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
7
Job Address
S Pace
Pa
Zi
:' � n +
Owner
ti
Community ..
t,.,tL'`i J'.%�f �J
Valuation
E
Date
Dist.
Off.
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop $p{'
Use of Permit
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'✓ E�� l� }' �
Parcel No.
/�
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%
Use/Case No.
Ck. By
Mech. Fee Dbl $
Pt. Ck. Fee $
Set Backs
Lot Size
Construction Fee bl rT t•
-
gol Description,
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,,,�.. ,,,�
f �^^� /.� �..,...-.
`- % G"x' ' I'
F S 5
R
Electrical Fee D I $
Zone Restrictions Group
A2
Type
SMI Fee E
Plumbing Fee,-
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
FinalDote
�/ ✓v �U
spect r
Unit
Sp. Insp. fee $
Demo[. Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers
, W-1
Registr. Fee $
Mileage Fee $
AddressCity Zip~,
Wiiness Fee $
'Reinsp. Fee
$
Owner/Agent P
Tel.
' 4
Zip
Total Fees
$ .,
Address •'� �^
.s' /,rr,>,!('
.{ I M" ..�-
rIK"'! fi IS�:� f�r 5:1`
City ff,
Zip
M.O. N.C. Cash ChecM
Received by
...,P. f4�.R
,Contractor
Tel.
LicenseM
frees required \ '
Sewage System
Al
Address
City Zip
T U. V P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORverified by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
j
RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78) @sACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF.THE STATE OF CALIFORNIA. `
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NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks :501
37
Combustion Air
5
Bond Beams 3 C�_ 8 (
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.
P'
ADDITIONAL INFORMATION
,
t
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final �'JD
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
t
P/
s
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