387823 (SPIN)BUILDING PLKMII
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
387823 COUNTY OF RIVERSIDE FIELD I I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
SQ. FT. @
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ FT @
URINAL
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
Bond Amt.
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final Date
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
A rens - / -^•^•�•-,.,
SQ. FT. @ c
WATER HEATER
i
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/. c
HOUSE SEWER
Controcter ."
Tel.
LicenseN
GAS PIPING
PERMIT FEE
Address
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.HM.FEE
0J
'MICRO.FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
.P�E PLUMB. FEE
i
NO.
Job Address Space Zip Owner
QPERMMIT
4'
Community % Valuation Date DistY Off. F.C.C.
•C'1/ ^+ $ _
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
�' l N`s • �� ����
1
Parcel No.
C � w
Use/Case No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl$
Legal Descriptio
"A :8
F S S R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee E
!Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
Inspector
Unit
'Sp. Insp. Fee $
Demo!. Fee $
Const. Lender Branch
_ _
Supplimentol Permit Numbers .
Fee $
Mileage
Mileage Fee g
e
/�
Address•City Zip
Zy
Witness Fee $
Reinsp. Fee g
kner/Agent%
t .•
�.�
Tel. Zip
Total Fees $ ...:
A rens - / -^•^•�•-,.,
City Zip
i
t
M.O. N.C. Cas Check
Received by
Controcter ."
Tel.
LicenseN
Treesre ed
Sewage em
Address
City Zip
T LL P THIS PERMIT SHALE BECOME VOID IF"WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION 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 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
Form 280-208 (Rev.8/78) P 5 ACCORDANCE WITH SECTION 5541 OF THE -BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
W
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
l -Z
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
/ 2 /
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L. C]
43
Final
IDA
Fireplace
T.O.
oo
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 fL
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb _ 2
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
�_ 2
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring l 2 5?—RV
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME