404358 (SPIN)BUILDING PERMIT _
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST
043 5 8 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
m ,S , t o,
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. 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
PI. Ck. Fee S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
,
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.
SO. FT. @ a
BATH TUB '
Sp. Insp. Fee $
SO. FT. @ a
WATER HEATER
Supplim ntol Permit Nummbbf/�s '
a i 7
"'' •••+"
S0. FT. RESID @ 1 t%a
S=WAGE DISPOSAL
Addi�ss City Zip
L s 1 I,: } �� -'
SO. FT. GAR @ V44
HOUSE SEWER
Owne?/Agent .. r.
Tel. Zip ,
F
GAS PIPING
PERMIT FEE
City Zip
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
HM. FEE
MICRO -FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
404358
Job Address Space
'�
Zip
-
Owner
'
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m ,S , t o,
1aJa
Dist_,
(Of�.
F.C.C.
s
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/
MH Permit Fee SS
'Micro Film Fee Cop $
e of ermit �• r 'f '
•,r•
fir,
K}' /af! %'+tom• t•� 1 `•.
Parcel No. r
!' ;y •'; :.t ..•
C:Jsel Cc se N .
Ck. By
Mech. Fee Dbl $
"• Set Backs
lot Size
PI. Ck. Fee S
p ,
,
Construction fee Dist S
Legal Description
� L.1 / w (` �,�s,r� 'F �
�
F $ S
R
Electrical Fee Dbl $
Zona Restrictions
Group
Type }�
rj
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final' to dQ
Insp or
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
-
Supplim ntol Permit Nummbbf/�s '
a i 7
"'' •••+"
Registr. Fee $
Mileage Fee$
Addi�ss City Zip
L s 1 I,: } �� -'
Witness Fee $44
Reinsp. Fee $
Owne?/Agent .. r.
Tel. Zip ,
F
Total Fees S
Address "r `' ' - r
City Zip
F•
.A A
M.O. , ❑9N.C. ❑ Cash ❑ Check• Q
Received by •+ J�
Conjroctoi V'
Yel. a"-, * l
r r
Licensap
Trees required
Sewage System r
Address
City Zip
T LL !,' P THIS PERMIT SHALL 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.
. 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN .ACCORDANCE WITH
t THE.,LAWS OF.RIYERSIOE COUNTY AND THE STATE OF CALIFORNIA.
a.
7 -Oe I HE EBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
r"
Form 284.208 (Rev. 1/80) DANCE -WITH SECTION 5541 OF THEJBUSINESS 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
Ftgs 8 Frms
�, -
34 Plenums 8 Ducts
2A
Slob Grade
35
Furnace Comport.
3
Steel
36 Inlets
8 Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
34
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.
P'
ADDITIONAL INFORMATION
'
'
v
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-APPR.OVALS
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
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME