403322 (SPIN)BUILDING PERMIT
PERMIT NO,
4033 2 2
PERMIT NO.
0 3 322
lob Address P
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'atid'tt
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
�
DST
11]
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES ;
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@ $
UNITS
MH Permit Fee $
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @.
DRAINAGE PIPING
SO. 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
LAUNDRY TRAY t
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. @ a
BATH TUB
City I w,/ r^•`„�j' •' .r r .Zip
SO. FT. @ a
WATER HEATER
/"1
S0. FT. RESID @ 1 t/aa
SEWAGE DISPOSAL
SO. FT. GAR @ s/4a
HOUSE SEWER
GAS PIPING
PERMIT FEE
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 r
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PERMIT NO,
4033 2 2
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Zi P
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Owner
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airy
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C.C.
MH Permit Fee $
Micro Film Fee Cop $
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,
Parcel No. e/CowK. Ck. By
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f >' L t Site r
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Mech. Fee Dbl $,olv
PI. Ck. Fee 8
Construction Fee Dbl $
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L ripi /(
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Electrical Fee
ZQ' stricti
Group) Z}
Dbl $
�S �i� _
SMI Fee $
Plumbing Fee Dbl $
Mt.J 7on
$
N
Plan Chd r
Final Dotf Ne jz
��
Ins for 7
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Supplimental a it Numbers ;
"'i
-•
Regior. Fee $
Mileage Fee $
Address City Zip–
Witness fee $
Reinsp. Fee $
Owner/Agent �. ,
Tel. Zip
,
r•l��r
Total Fees $
z.
A less c.. r �r �„`�... ,r vr_C"
City I w,/ r^•`„�j' •' .r r .Zip
M.O. N.C. Coshc'
f .,1 (•"`, l,"
/"1
Received by s"
Controcto
i
Licensee
Sewage System
Address
City Zip
p-
T LU F 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.
c ,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 284-208 (Rev. 1/80) C ANCE 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 Bock
33 Ventilation System
2
Ftgs & 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
I
10
Fireplace P. L.
43 Final
10A
Fireplace T.O.
°o
- • ------
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 (Botts)
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
.q
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
r.
'
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
i
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PERMIT NO.
03322.
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION•OF WORK' verified.by:
DEPARTMENT OF BUILDING &- SAFETT
COUNTY OF RIVERSIDE
FIELD, OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL • FEES
NO. PLUMBING FEES
'.` 1ST FL.
. 2ND. FL.
FOR. -
GAR. j
CAR P. •
• WALL'
' ESTIMATED CONSTRUCTION
50. FT. .@ $
UNITS
MH Permit Fee S -
SO. FT. @
YARD SPKLR SYSTEM•
MOBILEHOME SVC.
SO. FT. @
BAR SINK
50. FT. @ POWER OUTLET
ROOF DRAINS
S0. fT. @
DRAINAGE PIPING
SO. FT'. @
DRINKING FOUNTAIN
SO. FT. @
URINAL
VALUATION- $
WATER PIPING
s NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM r
WATER SOFTENER
VENT SYSTEM, FAN EVAP. COOL- HOOD
SIGN ..
- WASHER (AUTO)(DISH)
APPLIANCE '- ' DRYER
insp/eecccI
ex to
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
'
SO. FT. @ .a
WATER HEATER
Owner/Agent h
S0. FT. RESID @ 1!/4q.
SEWAGE DISPOSAL
Tel. _ r Zip
S0. FT. GAR @ V4a
HOUSE SEWER
•
"
_
GAS PIPING '
PERMIT FEE
Received by
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL..CK. FEE
CONST. FEE ELECT. FEE
SMI FEE �G/E PLUMB. FEE
i
•' L
Job Address
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION•OF WORK' verified.by:
Space Zip Owner
PERMIT NO.
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
Sewer District
r
403322
mmunity
$
-
natio a Dip. 1: F.C.C.
"all
MH Permit Fee S -
e o t•"
- Parcel No. Use/Case No. Ck. By .
=Micro Film Fee � Cop S
Legal Descripti
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#L
R S Bac s' Lot Size
- F S S -
Zone Restrictions Group yjfe
A '
Mech, Fee Del S
pbn,Wdee g
Construction Fee D61 g -
Electrical Fee Del S
SMI Fee S
57
_
Plumbing Fee Dial g
Bon Amt.
Plan No.
'Plan Checker •
./
FinalDote
O O
insp/eecccI
ex to
Unit
Sp, Insp. Fee S Q(S
g
O�
(/
Demol. Fee g
Const. lender
Branch
..
Supplimantel Permit Numbers
.3 �� 3
Regisir. Fee .g
Mily
Mileage Fee g
Address City
Zip
Witness Fee S
Rein'sp. Feb g
Owner/Agent h
Tel. _ r Zip
• Total Fees g
eys
"
Gly zip-
M.O. 0 N.C. p Cosh 0 Check
Received by
Contra
-
Licenset(
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_,,,,.,�
"''=z�-., '
_
Treen.requir -
.•
-
•".�
Sewage System
Address'
City Zip
-
i
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THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION•OF WORK' verified.by:
T, P
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
Sewer District
'
.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.
1 HER BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS .HAS -DONE 50 IN
DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS OF THE STATE OF CALIFORNIA.
Form 284208 (Rev. °1/80)
rCODE