414060 (SPIN)RM
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD FDITi
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. .@ $
UNITS
lip � - - _
2ND. FL. SQ. FT. @
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
MH Permit Fee Er
DRAINAGE PIPING
WALL SO. FT. @
e of P
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DRINKING FOUNTAIN
SQ. FT. @
Ck. By
URINAL
ESTIMATED CONSTRUCTION VALUATION $
Set dR
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.
SO. FT. @ a
BATH TUB
Reinsp. Fee
SQ. FT. @ a
WATER HEATER
/
S0. FT. RESID @ 1 t/.a
SEWAGE DISPOSAL
SO. FT. GAR @ t/44
HOUSE SEWER
Address
r
GAS PIPING
PERMIT FEE
Received by
PERMIT FEE
MIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SM
FEE PLUMB. FEE
O�
F'!rl JU .
PERMIT NO.
4140 6 0
verified by:
Job Address - - -
- - -
- Space
lip � - - _
Owner
Comma
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Dave
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I F.C.C.
MH Permit Fee Er
Micro Film Fee
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Parcel No.
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Use/C se o.
Ck. By
Mech. Fee Dbl S
PI. Ck. Fee S
Set dR
Lot Size
Construction Fee Dbl S
Legal Description /
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F S S R
Electrical Fee Dbl E
Zone Restrictions
Group
Type
SMI Fee S
Plumbing Fee
Dbl E
Bond Amt.
S
Plan No.
Plan Checker
FiKoCDare
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Inspector QOA��
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Unit
Sp. Insp. Fee E
Demol. Fee
S
Const. Lender
Branch
Supplimentol Permit Number
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Registr. Fee §
Mileage Fee §
Address City Zip
Witness Fee §
Reinsp. Fee
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Zip
Total Fees
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Address
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Zip
M.O.0 N.C. Cash Check
Received by
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Controctor
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Trees req ui�
Sewo ysteAY
Address
City Zip
I Sewer District
Form 284.208 (Rev. 1/80)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
•1 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
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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 & 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
10A
Fireplace T.O.
°a
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior loth '
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Wolfs (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
REAR OF PROPERTY LINE
P/L P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
7`fir BUILDING PERMIT —
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
14060 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. PT. .@ $
UNITS
Date
SO. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SO. FT. @ 4
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tbx 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 Dbl S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
PIon Checker
1
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. @ a
BATH TUB
Address
+�
SQ. FT. @ a
WATER HEATER
Received by
SO. FT. RESID @ 1 t/ea
SEWAGE DISPOSAL
Licensers
SO. FT. GAR @ t/4a
HOUSE SEWER
Address
City Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
AIT FEE
DBL.
TOTAL FEES
!Jl:�
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI
FEE PLUMB. FEE
021
PERMIT NO.
4 140 6 0
Job Address T Space Zip
—/ z
Owner
Comy mum
T/
Valuation
S
Date
Dis r
I Off.
F.C.C.
MH Permit Fee S�
Micro Film Fee Cop S
se of Pe t
Parcel No.
Use/Case No.
Ck. By
Me<h. Fee Dist S
Pl. Ck. Fee S
Set c s
Lot Size
Construction Fee Dbl S
Legal Description
jJ JI{ 1
f•• L (... a.190r0 J tr k 1 �^` G
f
S S
R
Electrical Fee Dbl S
Zone Restrictions
Group
Type
SMI Fee S
Plumbing Fee Dbl S
Bond Amt.Plan
S
No.
PIon Checker
1
Final Dote
Z;'
Inspect
Unit
Sp. Insp. Fee S
Demol. Fee s
Const. Lender Branch
Suppli�mlental Permit Numbers
Regist, Fee S
Mileage Fee $
Address City Zip
Witness Fee S
Reinsp. Fee S
/Ag 1
f
Tel. Zip
Total Fees S
Address
+�
City Zip
+%
M.O. ❑ N.C. (:),Cash ❑ Check..
Received by
Contractor
Tel.
Licensers
Trees requ'
Se— Y 5 stem
Y 1/
Address
City Zip
T LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sever 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
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
HER ERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
f ,i
verified by: