384326 (SPIN)OUILIVInG YCKMII y'
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
384326COUNTY OF RIVERSIDE
FIELD DST
MII
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
' WALL
ESTIMATED. CONSTRUCTION
SQ. FT. @
UNITS
Valuation
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
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
Zone .R,esit'rictins�
GARBAGE DISPOSAL
FURNACE UNIT WALL ' FLOOR SUSPENDED
Type
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
BATHTUB
Registr. Fee $
SQ. FT. @ c
WATER HEATER
de
Witness ;Fee $
SQ. FT. RESID @1'hc
SEWAGE DISPOSAL
ner/Agent d
SQ. FT. GAR @ sG c
HOUSE SEWER
Total Fees.
$ ' / V
GAS PIPING
PERMIT FEE
ZAP
PERMIT FEE
PERMIT FEEj y
DBL..
TOTAL FF£S
I MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
t' . ' r✓FEE PLUMB. FEE
PERMIT NO.
:3�4 26-3-7/0
Job Address
R
SPoce
dip Owner • • • - '
),T- -
Com City _ + _
Valuation
•
Dater
✓
. Dist.
Off.
_
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit - " ." �Parcel
/i:�•�"'tAi?"'A�"..d/'e.�'? ...�C.,,�../
- iO-. �.'
No.
I����•�� r y
Use/Case
No.
Ck. By
Mech. Fee Dbl $
Pl. Ck. Fee $
- Set Backs
Lot Size
Construction Fee Dbl E '
'Legal Description �-
es
•.�
F S S
)
R
Electrical Fee Dbl $
Zone .R,esit'rictins�
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt
$
'Plan No.
Pion Checker
Final Date
0�7
nspector
Unit
Sp. Insp. Fee E
Demol. Fee
$ 5
Const. Lender Branch
Supplim n Permit Numbers
'
Registr. Fee $
$
�Mitness.
Address ,,,qqq Cit Zi
p
(�k Y P
de
Witness ;Fee $
Reinsp:-Fee
$
ner/Agent d
Tel.�.
Zip
Total Fees.
$ ' / V
Address /
( �Lj
Ciry _- � /�
ZAP
r M.O. N.C. Cosh Check
Received b
i
Contractor
Tel.
License#
+ j
Trees reqfired
Sewage SY m
-
Address
ry
Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED. WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL. ALSO CAUSE PERMIT TO BECOME VOID:
I HEREBY AGREE THAT ALL WORKIN CONNECTION WITH THIS PERMIT WILL BE^DONE IN ACCORDANCE�WITH
\J 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 OFdHE STATE OF CALIFORNIA.
}`F66'284408(Rev.8/78) (E)s .... .. M• .. .
..� � r. ... ._.,
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
I DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
!J -
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. Ej
43
Final
IDA
fireplace T.O.
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb O —
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 P/
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