368826 (TT)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD
13688261 COUNTY OF RIVERSIDE //
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
MOBILEHOME SVC.
SQ. FT. @
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
Plumbing Fee
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plan No.
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
Owner/ A
SQ. FT. @ c
WATER HEATER
Total Fees
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
City Zip
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SQ. FT. GAR @ 3/. c
HOUSE SEWER
114
Contractor
Tel.
GAS PIPING
PERMIT FEE
Trees required
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
/5-°1
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEEL
,r�GE PLUMB. FEE
1 ✓✓'�
PERMIT NO.Job
3 688 2 6ME
Address Space
-co-20 v 7-7-;1-�•�rs.s'
Zi
�,��s
Owner
M70 K/
Community r, pry—
v /V /
Valuation
$
Dat�e7+.+-
Dist.
Off.
F.C.C.
MH Permit Fee i
Micro Film Fee
Copl$
Use of Permit
/ «ate
Parcel No. Use/Case No.
/ 3 /O„ j� `
Ck. By
�� S
Mech. Fee Dbl $
Pl. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl f
Legal Description
1-0T 3�'--
F S S R
Electrical Fee Dbl $.,
Zone Restrictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Fin Dat
/D nspe r
C
Unit
Sp. Insp. Fee $
DemoL Fee
$
Const. Lender Branch
Supplimental
Permit Numbers
Regisir. Fee $
Mileage Fee $
Address Cit Zip
Witness Fee $
REinsp. Fee
$
Owner/ A
Tel. Zip
zF- - -z z—
Total Fees
$ 11F14yd.Address
-' �}
7-4
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City Zip
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M.O. N.C. Cosh heck
Received byr,_
114
Contractor
Tel.
License#
Trees required
Sewage System
Address
City
Zip
T LL P
Sewer District j
Form 284-208 (Rev.8/78;
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSETERMWO BE
I HEREBY AGREE THAT ALI PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND 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.
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NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34 Plenums & Ducts
2A
- Slab Grade - - —
—
35 Furnace Compart— - -
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. 0. E]
N�
ADDITIONAL INFORMATION
i
r
SEWAGE SYSTEM SIZE & LOCATION '
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
712C_ Ceiling (Blown)
14 Final
PLUMBING APPRCWALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 ' Sewage Disposal
20 Sewer
21' Water Healer
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
29A Grounding Wire
29B Bonding
30, Fixtures
31 Service z
32 .Final
a STREET NAME