418243 (SPIN)PERMIT NO. DEPARTMENT OF BUILDING 8r. SAFETY j -DST 'j
4 COUNTY OF RIVERSIDE FIELD I I
1i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @
UNITS
Valuation Date
$
2ND. FL.
SQ. FT. @
F. C.
YARD SPKLR SYSTEM
POR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
ROOF DRAINS
CARP.
WALL
SQ. FT. @
Legal D scription t
y.�
_ � ` 1 f �
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
Zone Restrictions,
rlj
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN r
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Dental. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Registr. Fee $
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
Sewage System
SQ. FT. @ C
WATER HEATER
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ. FT. GAR @
HOUSE SEWER
GAS PIPF!3
PERMIT FEE
PERMIT FEE
FERMI r
DBL
TOTAL FEES;
V
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE rEEE PLUMB. FEE
PERMIT NO.
- LL
4182
Job Address Space
Zip
Owner
Community f
Fes, (^ >.(, 1 1 \ \ r
Valuation Date
$
Dist.
++-"`�
F. C.
MH.Permit Fee E
Micro Film Fee Cop $
Use of Permit }}}
• �, .,w,,..i \ 'c -j t y\� C
Parcel No. t j
-.
Use/Case No.
Ck. By
Mech. Fee - Dbl E�
PI. Ck. Fee $
Set Backs
Lot Size
C S `l /
j F�
Construction Fee Dbl E
Legal D scription t
y.�
_ � ` 1 f �
F S- `�
J s '
S
R •«J' „
��
Electrical Fee Dbl $
Zone Restrictions,
rlj
Group
Type
SMI Fee E(�
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
1
Fin I to
�( ) 3 `
Inspector
�
Unit
Sp. Insp. Fee E J
Dental. Fee $
Const. Lender Branch
Supplim fol ermit Numbers
�" \.i •t,� �l�'t 1, f
Registr. Fee $
Mileage Fee $
Address City Zip
% /,F'L-g Ci•
{
Witness Fee E
Reinsp. Fee $
.l `
Owner/Agent j •{�
--� • 1� i;}� 1 C i
Tel., , r r� Zip
;� t blu
l�
Total Fees $
Address
•� 91 i (!
Ciy Zip
�.�L„ �.-'� 1�1 '
M. 0. N.C. Cash Check
Received by r'%
Contractor
Tel.
License#
Trees required -
Sewage System
Address
City Zip
T LL P —
Sewer District i W.
�- (P `
Form 284-M8 (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
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
H 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
I
Set Back
33
Ventilation System
2
Figs 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. 0
43
Final
IDA
Fireplace T. 0.
NON
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 (Botts)
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 r
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
S%
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME