384205 (SPIN)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
3842 0:5 COUNTY OF RIVERSIDE FIELD n
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
>
WALL
ESTIMATED CONSTRUCTION
SQ. -FT. @ $
UNITS
MH.Permit Fee
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
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
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 SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
., $
SQ. FT. @ c
WATER HEATER
City
SQ. FT. RESID @1 /.c
SEWAGE DISPOSAL
Receivedby
SQ. FT. GAR @ s/. c
HOUSE SEWER
__..
Tel.
519020
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
30000-aLti��
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FE9 ELECT. FEE
SMI FEE
FEE PLUMB. FEE
-
,&Wew
" PERMIT NO.
384205
Job Address
Community
la Wnta
Valuation
SpaceZip Owner
'e:j�bete -wbi-9414A. Off.
q
.
F.C.C.
MH.Permit Fee
Micro Film Fee
Cop $
Use of Permit
p
'ctiQn ties
/�
�.Y)
Parcel No. Use /C o.
- e acks hh, Lot Size
F _T__7
R
k. By
Mech. Fee Dbl $
PI. Ck. Fee $
Construction Fee Dbl $
Legal Description
y'` ^.�
N
3®t 9e .220 MLY La Q #21
Electrical Fee Dbl $y�ii
Zone Restrictions
R.m1
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
F'nal Dote
�//``v C)3 ?
(spector
1 '
Unit
Sp.. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimen al rmit Numbers
r
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
e)
Tel.
Zip ,
Total Fees
., $
Address `
i
City
Zip
M. 0. C3 N.C. Cash D Chec
Receivedby
r
Coyyntractor%�,C...w { j�_
4* Johhaon564-4321
__..
Tel.
519020
LicenseN
Trees required r'
Sewage System
Address �y 4,-0^
f.7Qi �'95i�
City yy,,,,,, ��tt/�� Zip
Quintat (Ati
t
T LL P
Sewer District
Form 284-208 (Rev.8/78)
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:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums 6 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. E]
43
Final O�
IDA
Fireplace T.O. E]
No
.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown) OA
4
14 Final tJ
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
P/L
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 U 7 n4v? �9-1/
STREET NAME