403316 (SPIN)GILDING PERMIT
PERMIT No. DEPARTMENT OF BUILDING 8L SAFETY FIELD '
3 316 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
° ,, t,�,/�
$
SO. FT. @ w
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SO. FT. @
BAR SINK 3
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. IT, @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION is
WATER PIPING
NOTE: Not to be used. as property tax valuation
SWIM POOL, PVT
FLOG? DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WAShER (AUTO)(DISH)
APPLIANCE DRYER
Sp. Insp. Fee E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Suppli ental Permit Numb rs '
pis
:/E 5
�sy �-•y
Z14 ' •••�/s r/ _
L %
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCFEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
. POLE, TEMP/PERM
LAVA-ORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ a
BATH TUB
City ^' t✓�,'„ . Zip
SO. FT. @ a
WATER HEATER
/' e - `:,�.•�w.,r.,,,,, Wt
S0. FT. RESID @ 1 t/4a
SEWAGE DISPOSAL
Cantractoi4r y ,
§..'�.r�"/
S0. FT. GAR @ 3/4a
HOUSE SEWER
Trees req 4,-;j
Sewage System
GAS °IPING
PERMIT FEE
PERMIT FEE
PERA4T FEE
DBL.
TOTAL FEES
MOB. HM. FEEMICROFEE
MECH. FEE PL. CK:.i FEE
CONST. FEE ELECT. FEE
SMI FEE FEE PLUMB. FEE •.
-•--_..-....--�._._`__��
PERMIT NO.
403316
" _�'--,.
lob Address '�.,--..'_-._r—___ _____. . - Spoce
-- - ., -
Zip
Owner
��
_
C rd Y
f
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$
? i:,Dis%
Off.
F.C.C. '
j
.
MH Permit Fee $
Micro Film Fee Cop $
Use o e ir' 4.i�,
J t •�
Parcel No.
~~B°0's�=�'
Ck. By
L
Mech. Fee Dbl $
PI. Ck. Fee $
,(.': lot Size '
F S S rj
Z riction Gi T'
a:
Construction Fee Dbl $
U lv
14.
Electrical Fee Dbl $
SMI Fee $
Plumbing Fee Dbl $
Swkffit. Ion N
Pion Chetw
Final D Q
lnspe
Sp. Insp. Fee E
•-z$
Demol. Fee $ V
Const. Lender Branch
Suppli ental Permit Numb rs '
pis
:/E 5
�sy �-•y
Z14 ' •••�/s r/ _
L %
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee g -
f ,
Reinsp. Fee $
Owner/Agent 11 . /
Tel. Zi
LA -
,.
Total Fees $
A ess s-�,•�`Lr�(,R
.L.i.,..�.,,;,iso (-tA.y�,.,p}
City ^' t✓�,'„ . Zip
M.O. C]N.C. ❑ Cosh c
/' e - `:,�.•�w.,r.,,,,, Wt
�� ri
Received b /'
Y �
Cantractoi4r y ,
§..'�.r�"/
Tblr'" €1,0 +.%.' y- .�,;a:,,;P..,�
1
licensee
Trees req 4,-;j
Sewage System
Address
City Zip
T LL _r P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATIO-1 OF WORK
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 ACCORCANCE WITH
c THE LAWS OF RIVERSIDE COUNTY AND THE STATIF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAi, WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
'Form 284-208 (Rev. 1/80)I-Z;e G�O ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA
verified by:
W
NO.
OPERATION
DATE
INSPECTOR
17.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
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.
E)
43
Final
10A
Fireplace T;O.
❑
°o
ADDITIONAL INFORMATION
SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer _JJ
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Final
/SEWAGE
Tank (/ 0 Pit X 7 D L. Line
P/L
REAR OF PROPERTY LINE n/ L
^1
r
/ P/
S
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit -�
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME