391215 (SPIN)0W1Lu111v reamrs
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY MST,
39121-5 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @ $
UNITS
Zip
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2ND. FL.
POR.
GAR.
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SO, FT, @ POWER OUTLET
ROOF DRAINS
CAR P.
WALL
SQ. FT. @
F.C.C.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
_
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION' $
'Use o Permit •� -
t
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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
Construction Fee Dbl E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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, e ILy1
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
Final Date
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SQ. FT. @ c
WATER HEATER
Unit
SQ. FT. RESID @114c
SEWAGE DISPOSAL
$
SQ. FT. GAR @ '/. C
HOUSE SEWER
Branch
GAS PIPING
PERMIT FEE
Registr. Fee $
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FESS
171
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
H�E PLUMB. FEE
PERMIT NO,
3 912 .5
Job Address;
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Valuation
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Date
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Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop E
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Parcel No.
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Use/Case o.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee $
T Set Backs
Lot Size "'UG
Construction Fee Dbl E
LegoCDescription `
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Electrical Fee Dbl $
Zone Restrictions
Group-
Type
SMI Fee E
Plumbing Fee
Dbl $
'
and Ami�
$
Plan No.
4
Plan Checked /
V
Final Date
Z -1 --go
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplime al ermit Numbers
i
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee E s
Reinsp. Fee
$
1
Owner/Agent--
A
Tel. /
Zip
Total Fees
$
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Address—
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-
city
Zip
M.O. El NGCash Check
Received by
I
Contractor
Tel.
License#
Trees required
Sewage System
i
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,
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 EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78)
ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
P
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8'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 _ �.gO
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final _'
IDA
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
z_��.
Tank Pit L.Line
REAR OF PROPERTY LINE
P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire UP/l
29B Bonding
30 Fixtures
31 Service
32 F'Inal
STREET NAME
BUILDING PERMIT
PERMIT NO.
91215
PERMIT NO.
Job Address
A -I
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
DST
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL. »
POR.
r; GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Date �y \/\
t 3 — W
Z -13-01
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. @
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
GARBAGE DISPOSAL
FURNACE UNIT " WALL FLOOR SUSPENDED
Group
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
Demol. Fee
SQ. FT. @ C
WATER HEATER
Const. Lender
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
Supplimentol Permit Numbers
SQ. FT. GAR @ '/, c
HOUSE SEWER
Registr. fee S
Mileage Fee g
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FE
DBL.
TOTAUMN
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
EE PLUMB. FEE
PERMIT NO.
91215
Job Address
A -I
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a rpt
S re
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Zip
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Own
Co munity
4
,� ,- �,�
Valuation
S
Date �y \/\
t 3 — W
Z -13-01
Dist.
Off.
F.C.C.
4
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit •
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Parcel No.
Use/Case
No.
Ck. By
�Mech. Fee Dbl E
PI. Ck. Fee $
Set Backs
Lot Size
. Dbl b
Construction Fee `
Legal Description
,, n�
Z
t j� / 'Zone
F� ` S
)
,
'
Electrical Fee Dbl $
Restrictions
Group
Type
SMI Fee
Plumbing Fee
Dbl E
Bond Amt.
$
Plan No.
Plan Checker
Final Date C
•� --I-&D
I p ctor
Unit
Sp. Insp. Fee $
Demol. Fee
E
Const. Lender
Branch
Supplimentol Permit Numbers
Registr. fee S
Mileage Fee g
Address City Zip -
i1 K
Witness Fee $'71t.
Re"nsp. Fee
$
t
Owner/Agent
Tel.
Zip
Total Fees
$
Address
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C
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Ci?.&-,
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1. 1 1'a.s 1 .lam
Zi P
M.O. r Cash Check
Received by(.4/,—CjaContractor
-
Tel.
LicenseN
Trees required
Sewage System
Address
City
Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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 REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) Ass