385091 (SPIN)0u1Lu1Nv reumn •.
PERMIT No. DEPARTMENT OF BUILDING & SAFETY MDS
1.38509
COUNTY OF RIVERSIDE FIELD
CONSTRUCTION
ESTIMATE
NO.. ELECTRICAL FEES
NO. PLUMBING FEES
' IST FL.
SQ. FT. @
UNITS
Dist.
2ND. FL.
SQ. FT. @
MH.Permit Fee $.
YARD SPKLR SYSTEM
POR.
SQ. FT: @
MOBILEHOME SVC.
BAR SINK
,. GAR.
SQ. FT, @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED. CONSTRUCTION VALUATION $
Legal Description f `
6 ry.
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v 6 y'!'`: iii. 7t �.r V F:.�` ! j��
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DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
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
FinalDote % Inspector
GARBAGE DISPOSAL
FURNACE • . UNIT WALL FLOOR SUSPENDED-
Demol. 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.
SQ. FT. @ c
BATH TUB
SQ. FT. @. c.
WATER HEATER
Sewage System r
SQ. FT. RESID @ 1'/. C
SEWAGE DISPOSAL
"
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE r
DBL.
TOTAL FESS
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE rELECT.. FEE
SMI FEE
h ..•+^' PLUMB. FEE
PERMIT NO.'
Job Address ,. y _ Space.
_ �. s4 �f� . 4:
�,ii p Owner,38°091
77, 9 w
��
ommu ity' ]Qcd-wation
•,�„s
Date
yr
Dist.
Off.
F.C.C.
MH.Permit Fee $.
Micro Film fee Cop $
themit
e o r
f �� ,"'�
�A. _
PlNo. ;
arce•
U/C
sease No. °
CkB
. y
Mech: Fee Dbl $ZZ
PI. Ck. Fee $
- Set Bac s
Lot Size
Construction Fee Dbl $
Legal Description f `
6 ry.
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v 6 y'!'`: iii. 7t �.r V F:.�` ! j��
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F S
S R
Electrical Fee Dbl $
Zone RestriUions
Group
Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
FinalDote % Inspector
Unit
Sp. Insp: Fee $
Demol. Fee $
Const. Lender Branch
Supplimental Permit Number "
J
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owne�r/Agenl `yam'
Tel. Zip
Total Fees $Addre
i_ r•- .F T-'"` -
City Zip
M.O. N.C. Cash ChecR+"
Received by
Controctor ' r ATel.
a,
'
Lice se#
Trees required
Sewage System r
Address `
City' Zip
"
T U. P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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.
w '
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 2E4-268 (Rev.8/78
ACCORDANCE WITH SECTION 5541•.OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
r• p ,, tr - - • , '- s
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
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. C]
43
Final
10A
Fireplace T.O.
NO.
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 Watea 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