359876 (SFD)ounulnv rCKM11 T
PERMIT NO. 'DEPARTMENT OF BUILDING & SAFETY
359876 COUNTY OF RIVERSIDE FIELD DST
f/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.t9jo
2ND. FL.
SQ. FT. @ $
«3
UNITS
359876
s
SQ. FT. @
YARD SPKLR SYSTEM
FOR. *'f-'
GAR.
CAR P..
SQ. 'FT. «
MOBILEHOME SVC.,
BAR SINK
SQ. FT. @ rr POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
,WALL
SQ. FT. @
-� - - 4
$
i
DRINKING FOUNTAIN
_ SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION$
y,
r
URINAL
WATER PIPING
-,;, NOT NgL,lq„be used„"ps,property l",ygluotion
'
SWIM POOL; PVT r e`h : r 1.
FLOOR DRAIN
MECHANICAL FEES
Parcel No.
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Mech. Fee
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
• ";..r �'
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
PI. Ck. fee $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
A141 jr -4 IL'
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.
Zo actions .
SQ. FT. @ c
BATH TUB
SMI Fee $
Plumbing Fee
SQ. FT. @ c
WATER HEATER
Bond Aml.�
$
Plan No.
SQ. FT. RESID @1 14c
SEWAGE DISPOSAL
FinaEl .ttee Inspector
V
Unit
SQ. FT. GAR @ 3/. c
HOUSE SEWER
Demol. Fee
$
GAS PIPING
PERMIT FEE
Branch
PERMIT FEE
PERMIT FEE
DBL..- ..
,TOTAL FEES.,
MOB.HM.FEE
..,MICRO FEE
„ MECH.,FEE,
PL. CK. FEE
CONST. FEE �,, -ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
Job Address
i
Space Zip Owner
359876
'
'
C 9 m ty
_
a
, i F
-� - - 4
$
ion" Date
_
N. /
•F.C.C.
MH Permit Fee Is
Micro Film Fee
Cop E
Us rliit -
' T.�Vr
Parcel No.
se/Case
k. By
Mech. Fee
Dbl 5
P �/"�,
:..p•, ^� jt«.+
• ";..r �'
av
- I acksLot
Size
PI. Ck. fee $
Construction fee
Dbl E
A141 jr -4 IL'
s
egot Description
�,
- V -
F S 5
•'
R
Electrical Fee
Dbl $
� "
Zo actions .
Grou T e
SMI Fee $
Plumbing Fee
Dbl E
Bond Aml.�
$
Plan No.
Plan C cka
FinaEl .ttee Inspector
V
Unit
Sp. Insp.Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers
-
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Tocol Fees ' �. + ,►+- + �,�.. .-
.Address
- -ti
-
yt.•
,,
City. _
Zi P
M.O.
�,-
,j�+ ,•/ /y
',If
• N.C.
Cash
h ck
1 t.
.f„f �,� 1%„Y7'
Received by ♦
Conlrocto-
(
Tel.
LicenseX
gX
frees require
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-
w
Sewage System
1.41
Address •
-
Ciry
Zip
A.
.
Sewer District
Form 284-208 (Rev.8/78)
THIS PERMITSHALL BECOME VOI6'IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I
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.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
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
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commerciol Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
P'
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 ' Fixtures
31 Service
32 Final
STREET NAME -