369108 (SPIN)BUILDING PERMIT
PERMIT NO. _ DEPARTMENT OF BUILDING & SAFETY .
369108 8 COUNTY OF RIVERSIDE
FIELD/
T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. _
2ND. FL-
SQ. FT. @
UNITS
Valuation
$�
SQ. FT. @
YARD SPKLR SYSTEM
POR.
GAR.
CAR P.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $ :
. Set Backs
DRINKING FOUNTAIN
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 i`
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Bond Amt.
$
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.
SQ. FT. @ <
BATH TUB
/^eap
CZi
iry
SQ. FT. @ C
WATER HEATER
Contractor
SQ. FT. RESID @1'/.0
SEWAGE DISPOSAL
Trees required
SQ. FT. GAR @ 'G C
HOUSE SEWER
[City, Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE _
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE C, FEE - ,'PLUMB: FEE
PERMIT NO.
369-108
t
Job Address Space
- 5' r n.� l
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Comm nity
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Valuation
$�
D
/J + / 4:��
Dist.
O F.C.C.
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit -
-
_.,�1�J5 '•�:.��� �%•
Parcel No.
A
Use/Case No...
Ck: By
Mech. Fee Dbl $
Pl. Ck. Fee $
. Set Backs
Lot Size
Construction•Fee Dbl $
Legal Description" -
�,g .�. / / rte'
L�6 6f L!:'(' J�I 77"" y
✓
F
S 5 R
Electrical Fee Dbl $
Zone Res clans
Group
Type '
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
-+t��///���
Plan Checker
Final Date /�
7"?
Inspector
�%%u•C/ a
Unit
rip. Insp. Fee $
`Demol. Fee $
Const. Lender Branch
-
Suppliryyry�ermit Numbers
7/`//'`v!
I 5.
i Registr. Fee $
r
Mileage Fee $
Address '. Ciry Zips/-�)
Fi.
Witness fee $
tReinsp. Fee _ $
Owner/ ent {{\j s
, i/�
Zips
Tel. c,�
✓
Total Fees $ 16
Address / ,...�
•� �..s(./! R 5,z—.5
/^eap
CZi
iry
M.O. -N.C. Cash Check
Received by,� r -
Contractor
7e1. `.
License#
-
Trees required
Sewage System
Address
[City, Zip
T U. P THIS PERMIT SHALL BECOME VOID IF .WORK IS NOT, COMMENCED WITHIN 120 DAYS. CESSATION OF WORK,
Sewer District FOR 120 DAYS SHALL, ALSOPE T TO COME VOID.
I HEREBY AGREE THAT A NTHIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND 3lAE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78)
ACCORDANCE WITH SECTION 5541'OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
• , • � -
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verified by:
NO.
OPERATION DATE
INSPECTOR
NO. OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Sat 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. C]
43 Final
10A
Fireplace T. 0.
No ADDITIONAL INFORMATION
r
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Botts)
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
PSL P)
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