376287 (SFD)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD M,*ST
137628fl CO,% NTY �F RIVERSIDE
CONSTRUCTION
ESTIMATE
Job Address
Community
NO. ELECTRICAL FEES
NO. PLUMBING FEES PIE
IST FL. ! r2
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED. CONSTRUCTION
SQ. FT. @ $
J '
UNITS
Cop $
v
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ J POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $ f3�
WATER PIPING
NOTE: Not to be used as property tax valuation
Electrical Fee Dbl $
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SMI Fee $
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Plan No.
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
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.
Mileage Fee $
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
$
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Tocol Fees
M.O. 0 NX.n
SQ. FT. @ t
BATH TUB
-
SQ. FT. @ c
WATER HEATER
`"'
�ecerrved by�
�
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Tel. f
SQ. FT. GAR @ '/. c
HOUSE SEWER
Trees req r�4%•�' `� �.•^rr�""....r.
Sewage System
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES ^MOB.
HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
... 4-4
CONST. FEE ELECT. FEE
SA FEE
FEE PLUMB. FEE
PERMIT NO.
1.3ly
Job Address
Community
42 IAL
aluation
$
Space Zip Owner
Dote
_
Dist. Off. I F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use /of Permi /" L
J iii RAI
s►+
I /' `�",� _
Parcel No.
Use/Case
No.
Ck. By
Mech, Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
, 1 4v
Construction Fee Dbl $
Legal Description
� (�
"°
-
t.. "F+
F S S R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
PI C ecker
Final Date
'�
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimenta Pe it Numbers
/
Regisir. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Ow! e/r
Agent
err/�j
Tel.
Zip
Tocol Fees
M.O. 0 NX.n
Is Ar,,
Cash n Check
Address • c 4
"
-
City
Zip
`"'
�ecerrved by�
�
Contractor
i
Tel. f
LicenseA
Trees req r�4%•�' `� �.•^rr�""....r.
Sewage System
ddress
v'
City Zi
-, P
T LL P
Sewer District
1
Form 284-208. (Rev.8/78) @s _
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMI.T,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.
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. C]
43
Final
10A
Fireplace T.O.
OP N
NO.
ADDITIONAL INFORMATION
r
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 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