403143 (ELEC)DUILvuvv rCKM11 '
PE1"4"03'
DEPARTMENT OF BUILDING & SAFETY FIELD DST403COUNTY OF RIVERSIDE / /1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1 ST FL.SO.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. @ $
UNITS
Community
L.. i (.`/ (/ �� �`i•�
Valuation
S
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ r MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
•
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $
WATER PIPING 7
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
legal Description
L z v
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V G
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Electrical Fee Dbl S iv:/
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
SMI Fee S
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Bond Amt.
S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
r!/'-.t.� y�,%
L%1J
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
S
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Ragistr. Fee $
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
Reinsp. Fee
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
Tel. Zip
Total Fees
S
Address
�� �'
Zip
City/ \j
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M.O. Xr ix. C] Cash Q Check
Received by
Contractor
y
Tel.
LicensaR s
Trees required
Sewage System
T
LL p
Address
City Zip
3
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
n FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
l (L I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
E LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
Sewer District
1
I HEREBY CERTIFY THAT THEANDIVI6UA: WH( 7REPARED THE.'PLANS AND SPECIFICATIONS HAS DONE SO IN
y I ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. )
Form 284-208 (Rev. 1180)
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
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.
43
Final
10A
Fireplace T.O.
°oN
ADDITIONAL INFORMATION
'
_ _ _ - - - - _ ..
f
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING -APPROVALS- _ _ _ _ . „
15 Ground Plumb
16 I Water Piping
17 Rough Plumb
18 Vents
19 I Sewage Disposal
20 Sewer
21 I Water Heater.
22 Water Softener
23 Water Service
24 Gas Test
25 Final
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring (� p
29A Grounding Wire d 2
29B Bonding
30 Fixtures
31 Service
32 Final
1
STREET NAME
PERMIT NO.
4031.43
DEPARTMENT OF BUILDING & SAFETY. - FIELD OFFICE' DST •
-COUNTY OF RIVERSIDE
CONSTRUCTION• ESTIMATE,
NO. ELECTRICAL. FEES' ` ' •
NO. PLUMBING FEES
IST FL.
. 2ND. FL.
POR.
GAR. s
CARP
WALL
•
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Zip
z.���vZ
SQ: FT. @ YARD SPKLR SYSTEM .
SO. FT. @ MOBILEHOME'SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
' DRAINAGE PIPING
SQ. FT. @-•. ..
•
SO: FT. @
DRINKING FOUNTAIN
-
SQ.'FT. @ URINAL
VALUATION.WATER PIPING 'w
NOTE: -Not to be used os property tax valuation
SWIM POOL, PVT
F.C.C.
- '
FLOOR DRAIN -
MECHANICAL FEES ,
SWIM POOL, COMM
WATER+SOFTENER' '
VENT'SYSTEM FAN EVAP. COOL HOOD
SIGN -q
No.
'
WASHER (AUTO)(DISH) :
APPLIANCE DRYER
-
Set Books
,GARBAGE DISPOSAL -
FURNACE+ UNIT - WALL FLOOR'. SUSPENDED -
U/�%/ Sr /Z
vCI
LAUNDRY TRAY '
AIR HANDLING UNIT CFM
IDLE :METER
S'
KITCHEN,SINK _ '
ABSORPTION SYSTEM'" B.T.U.
• TEMP USE PERMIT SVC'
Group
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
Obl $ '.
LAVATORY �^
HEATING SYSTEM 'FORCED GRAVITY. -
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT.. @ a
Unit.
.
" BATH TUB
gSQ..
FT. @ c
.
WATER HEATER
Branch
.. ..
S0. FT. RESID @ 11/4a
Supplimental Permit Numbers
^J
SEWAGE DISPOSAL '
Registr. Fee' $ •
S0. FT. GAR • @ 1/aa
Address City Zip
HOUSE SEWER
Reinsp. Fee -
- S
-
Owner/Agent•
l "`� /•
GAS PIPING,
PERMIT FEE
Tel.
PERMIT FEE
1
PERMIT FEE �.
DBL.
ry_
LTOTALFEES
00
MOB. HM. FEE
- MICRO:
MECH. FEE Pi. CK. FEE
CONST. fEE
F.
ELECT. FEE
/
» SMI, FEE
- FEE, ! PLUMB. FEE
_ »
T - LL Is 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
E -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
Form 284408 (Rev. 1/80) T ACCORDANCE WITH, SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF. CALIFORNIA. • "
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PERMIT NO. ""
403143
Community
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Valuation
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Dist.
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F.C.C.
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MH Permit Fee $
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Aldi<ro'Film Fee
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Use of Permit -
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Por<el No.Use/Case
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No.
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Ck. By
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Set Books
-
to Size
,Construction Fee Dbl $ -
Legal Description
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F 'S
S'
R
,Electricol Fee Ohl S / Q
Zone Restrictions -
Group
Type `
SMI'Fee S
Plumbing Fee
Obl $ '.
Bond.
S
Plan NO... Pion Checker i,
.��5 `
Final DoteC/
! (_ �.
Inspe for
o�
Unit.
.
Sp. Insp. Fee S
Demol. Fee
S
r
Const. Lender `
Branch
.. ..
Supplimental Permit Numbers
^J
-
Registr. Fee' $ •
Mileoge. Fee' $
Address City Zip
Witness Fee
Reinsp. Fee -
- S
Owner/Agent•
l "`� /•
`'
H /S S V f %)
Tel.
^ Zip ,
1
Total Fees
S
Address'l
-� V I
V/�/
City - _'
A Zip
M.O. C. Q Cosh Check
Received by
-Contractor -
-
` • r' ,.
Tel.'
_
,Licensee
Trees required
Sewage System
Address ' "
City
- Zip
'
T - LL Is 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
E -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
Form 284408 (Rev. 1/80) T ACCORDANCE WITH, SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF. CALIFORNIA. • "