391284 (ELEC)0W1LU1NG VCKMII '
c PERMIT NO. DEPARTMENT OF BUILDING & SAFETY osT
391284
COUNTY OF RIVERSIDE FIELD " T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @ $
UNITS
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$
2ND. FL.
SQ. FT. @
OL(„
YARD SPKLR SYSTEM
FOR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR.
SQ_ FT. @
POWER OUTLET
ROOF DRAINS
CAR P. 54. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
lot Size ! '
Lieu
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
Bond Amt.
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final`
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. @ <
BATH TUB
M.O. nNc. Cash Check
SQ. FT. @ C
WATER HEATER
Tel. J
SQ. FT. RESID @11hC
SEWAGE DISPOSAL
Sewage System
SQ. FT. GAR @ 1%t
HOUSE SEWER
GAS PIPING
PERMIT FEE �.
PERMIT FEE
PERMIT FEE
DBL.
TjjOTALLFEEE
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT.iFEq
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1391284W
Jo Address „ O " Space
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Zi .�.,
Owner
Community ( t ,-
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$
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OL(„
F.C.C.
MH.Permit Fee $
Micro Film Fee Cop E
Use of Permit
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4'v+_.) i {;, c✓w1"�.-•'v Y i,d
TParrccell No. ^�
w
Use/Case No.
Ck. By
Mech. Fee Dbl E
Pl. Ck. Fee$
Set Backs
lot Size ! '
Lieu
Construction Fee Dbl $ .�
Legal Description
"' 1 _
F '�}�` S `
,
S
R
Electrical Fee Dbl E '
Zone.:• frictions
Group
Type
SMI fee $
Plumbing Fee Dbl $ -
Bond Amt.
$
Plan No.
Plan Checker
Final`
s or Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Supplimental Permit Numbers
�% / 2
/
Registr. Fee $
Mileage Fee $ '
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel. Zip
Total Fees $ L
Address (, 7'
4� �J�l.� 'r,
City ` tj� Zip
\ ^(A,x. ~
M.O. nNc. Cash Check
Received ,�
Contractor
'
Tel. J
License#
Trees ill,G •'
Sewage System
Address
City Zip
T LL 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.
n VG 0 ,, A .� p/ G I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
l ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. �/
VForm 284-208 (Rev.B/78) s ®�
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
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, E]
43
Final
10A
Fireplace T. 0.
NO.
ADDITIONAL INFORMATION
_ _ _ _ _ _ _ _ _
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
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 Fixtures
31 Service
32 Final
STREET NAME