360442 (SPIN)PERMIT No. DEPARTMENT OF BUILDING A SAFETY FIELD ��
3
360442 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @ $
UNITS
lk
2ND. Fl.
SQ. FT. @
YARD SPKLR SYSTEM
POR.
GAR.
CAR P.
WALL
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
•
SQ. FT. @
DRINKING FOUNTAIN
SQ FT @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Set Backs
WATER PIPING
NOTE: Not to be used o$ 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
SMI Fee f
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Band Amt.
f
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. @ t
BATH TUB
Address / City Zip
r
+
SQ. FT:' @ ' t '
WATER HEATER
S
SQ. FT. RESID @I'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
is
N.C. n coshn Check
Addr s
GAS PIPING
PERMIT FEE
Received by
Trees require'
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.HM.FEE
A,
Tel.
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE �L. F PLUMB. FEE
100
- PERMIT NO.
[3604 42
-
Job Address
-
-
m .
Space
Zip Owner
r
Community
(V
Valuation
$
y ,
Date 'fj %
_
Dist. ff.
zzMH
_
F.C.C.
Permit Fee f
Micro Film Fee
Cop $
Use of Permit
J G �! �>
Parcel No
775r/ /� 13
Use/Case No.
Ck. By
/.
Mech. Fee Dbl $
Pl. Ck. Fee S
Set Backs
Lot Size
Construction Fee Dbl S
Legal Description
�D /
F
`
r`
S
S R
Electrical Fee Dbl $
Zone Restr' tions
Group
Type
SMI Fee f
Plumbing Fee
Dbl $
Band Amt.
f
Plan No.
Plan Checker
Final Date_
Inspector n
Unit
Sp. Insp. Fee $
DemoL Fee
f
Const. Lender
- Branch
Supplimental Permit Number
(((fff >)/ / ,^
`
Reyistr. Fee f
Mileage Fee $
Address / City Zip
r
+
Witness Fee f
Reinsp. Fee
S
wner/Agent
/
Tel. Zip
Total Fees
M.O. n
is
N.C. n coshn Check
Addr s
City / r Zip
Received by
Trees require'
Contractor
Tel.
Lice nsa8
Sewage System
Address
City 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 CAUU PERMIT—TO BECOME VOID.
I HEREBY AGREE THAT AL CA6N�i'TR THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
—_)THE LAWS OF RIVERSIDE C AND T STATE OF CALIFORNIA.
r
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HASI)ONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78i
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 & 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.
43
Final
IDA
Fireplace T. 0.
NO.
ADDITIONAL INFORMATION
l
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final i
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
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL P/
'
26 Powec Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures t
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE
DATETIA
c /S
C/q PERMIT NUMBER
SPECTION
ornuccTcn
ADDRESS
'512 - e-zs"4�xe
OWNER
' BUILDING PLUMBING
l�
REMARKS:
SPACE NO. FOR:
I
COMMUNITY
4! q
ELECTRICAL I MECHANICAL
❑ A.M.
P.M.
RtDN
TUES
WED
aTHUR
FFRI
OWNER/CONTRACTOR TEL.NO.
28l• -6A ►1i75