387323 (GRD)PERMIT NO. DEPARTMENT OF BUILDING t& SAFETY FIELD FIT
3 8 7 COUNTY OF RIVERSIDE I
I CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES '
IST Fl. ,Ili SQ. FT. @
UNITS
Owner
2ND. Fl. SQ. FT. @
YARD SPKLR SYSTEM
POR. SQ. FT. @ u
'�^ MOBILEHOME SVC.
BAR SINK
GAR. Ell SQ. FT. @ %1
tri POWER OUTLET
ROOF DRAINS
CAR P. SQ, FT. @
DRAINAGE PIPING
WALL SQ. FT. @
Cop $
DRINKING FOUNTAIN
SQ. FT. @
?� ,t
/� tN
URINAL
ESTIMATED CONSTRUCTION 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
R
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Zone Restrictions -
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
Demol. Fee
SQ. FT. @ c
WATER HEATER
Const. Lender
SQ. FT. RESID @lthc
SEWAGE DISPOSAL
SQ. FT. GAR @ sG c
HOUSE SEWER
Registr. Fee $
Mileage Fee$
Address City Zip
GAS PIPING
PERMIT FEE
$
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE CCK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
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Address" "'�•
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City
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M.O. N.C. C.shn Check
PERMIT NO.
387823
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,Job Address i-"
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Space
Zip
Owner
Community
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Valuation
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Dist.
7
Off.
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MH.Permit Fee $ _
Micro Film Fee
Cop $
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Parcel No. - `"
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use/
No. .r
Ck. By
Mech. Fee Dbl $;(r�t3.,
PI. Ck. Fee $ .0
Set Backs
Lot Size
- .girl
fA �,
'
Construction Fee Dbl $
Legal Description.`
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R
Electrical FeeDbl $
Zone Restrictions -
Gro1p
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Jr
PI Xec
Final Date
• �O
Inspector
Uriit
Sp. Insp. Fee ' " - $
Demol. Fee
$
Const. Lender
Branch
Supplim�rmit Numbers
Registr. Fee $
Mileage Fee$
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
.tit' �T
Address" "'�•
1
City
Zip
M.O. N.C. C.shn Check
Received by
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ATrees
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Con + o:or"' " y ; '.
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Tel.0/
License#
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required
Sewage System
Add�ddrr}eslss
City^ `
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Sewer District
4,
Form 284.208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION# OF WORK
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.
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.
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Firms
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
3B
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.
owN
NO.
ADDITIONAL INFORMATION
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
REAR OF PROPERTY LINE
PSL P)
ELECTRICAL APPROVALS
26 Power Pole
27 Cond6it
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
PERMIT NO.
387323
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE Fill
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO: PLUMBING FEES
IST FL. L SQ. FT. @ $
UNITS
Space
2ND. FL. SQ. FT. @
OwvWr L
S
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @ L SO
0 L' POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Off.
DRAINAGE PIPING
WALL SQ. FT. @
Micro Film Fee
DRINKING FOUNTAIN
SQ. FT. @
Us o /rifitt
�"
Q
URINAL
ESTIMATED CONSTRUCTION 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
,'r
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
RConstruction
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
Demol. Fee
SQ. FT. @ c
WATER HEATER
f
SQ. FT. RESID @I'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ s/. c
HOUSE SEWER
Regisir. Fee $
Mileage Fee $
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB, FEE
Total Fees
J�'n
Address
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City
PERMIT NO,
387323
Job Address ✓^
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Space
Zip
-
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S
Community
I,IJ--
Valuation
S
Date
-{ If
Dist.
I I
Off.
F.C.C.
-'
MH Permit Fee $O�1,26
Micro Film Fee
$
Us o /rifitt
�"
Q
V
Parcel No. `�
V 0PI.
Use/Cas o. ICk.
By
Mech. Fee S
tDb
Ck. Fee y
Set BacksLegol
U(,j
Fee $
Description
Sc
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/"
t `�+..
F S / S �'
RConstruction
Electrical Fee Dbl $
Zone Re rictions
Group
Type
SMI Fee S
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
��
Plan
qecker .
Final Date
( 7-P
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers
Regisir. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$%
Address
l
//-��
/.P.• l
Jl
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City
Zip
M.O. N.C.[],Cash El Check
Received by
Con 'r
Tel.
LicenseX
Trees required
Sewage System
s
Address
J
t
Lrl Zig
T LL P
f Sewer District
I
Form 284-208 (Rev.8/78) s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATKSS OF WORK verified by:
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.
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.