384316 (SPIN)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
FIELD 0/1
3 � A � 1 � COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
SQ. FT. @ $
UNITS
Valuation
$
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
Use/Case No.
URINAL
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
Type
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Dbl $
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
Mileage Fee $
SQ. FT. @ c
WATER HEATER
Reinsp. Fee
SO. FT. RESID @I /.c
SEWAGE DISPOSAL
Owner/Agent
SO. FT. GAR @ 'r. c
HOUSE SEWER
Total Fees
$ r ~%
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
FCONST. FEE ELECT. FEE
SMI fEEC;e
0a FEE PLUMB. FEE
PERMIT NO.
6J),
Job Address
r50 -/Go �/kal-CII/b
Space Zip
c S
n
'3343
Com u//n''ity �
�l,/� 6(,)A) /,�'
Valuation
$
D to `� �/g•! -•/�
D"G • ... 7
Di t/.)
�/
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit g[ )
f /�% �-{� �:..•. Ci 'V
•",S
Parcel No. i
7 (�. j (•7 G . v�, - f
Use/Case No.
Ck. By
w.... •.
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
��--yy '�/
tO �' ""•0` ""T �� �"L"i (�.+ "�
F S S R
Electrical Fee Dbl $
Zone1 ,,estrictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Ile
Final Date
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch
Suppliment I mit Numbers
/
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel. Zip
Total Fees
$ r ~%
Address �` %
1 /�
•fes �? G-
City Zi P
- f N � -f 1 t ) r{\�
M.O. N.C. Cash Check-
Received by �1 r' ��
0 GAL�
Contractor
lT,`
Tel.
License#
Trees required "'^"'--t•/�f�,..,,�-.
Sewage System
Address �%
City Zip
w T LL P
Sewer District \
eee
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:o
NO.
OPERATION
DATE
INSPECTOR
NO.
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.
43 Final
10A
Fireplace T. 0.
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
ELECTRICAL APPROVALS
PSL
P)
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME