403323 (SPIN)LIUMILIlrvtJ YtKMII
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELDST
4 0 3 3 2 3 COUNTY OF RIVERSIDE D
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
Owner
}
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
s
DRAINAGE PIPING '
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
URINAL i
VALUATION Is
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
Group
`- �,'-,%r.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plumbing Fee
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 3
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER BA.U. •
SO. FT. @ a
BATH TUB f
Address City Zip
J
Owner/Agan // ( r :•f
SO. FT. @ a
WATER HEATER
Total Fees5
S0. FT. RESID @11/,c
SEWAGE DISPOSAL
s� .. ... .. `�
( ) ( ~� �.
S0. FT. GAR @ t/4a
HOUSE SEWER
Received by
Trees require
Controcto"y
GAS PIPING
PERMIT FEE
Uc—oll
PERMIT FEE
PERMIT FEE
DBL.
TOTAL
�FEESMOB.
HM. FEE
MICROFEE
MECH. FEE _ PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE , /FEE PLUMB. FEE
PERMIT NO.
1-4033231-``
______.<—_—
Spore
Zip --
Owner
}
Community
Val tion
$
Date
� / ` `36
Dist/
OII.
F.C.C. 1 o
MH Permit Fee $
Micro Film Fee
Cop S
Use of Permif
Parcel No.
'-?_�
Use/Case No.
Ck. By s..
Mech. Fee Dbl $r
PI. Ck. Fee
-get Backs Lot Sze �
i
f 5 S �) R� �% �//�t.�• ,f- .�►�}1
\
Construction Fee Dbl S
Legal Descript' n
e
/ 1-7-
Lr'/ K�V .V./�
Electrical Fee Dbl $
Zone Restrictions
Group
`- �,'-,%r.
Type"
SMI Fee E
Plumbing Fee
Dbl S
Bond Amt.
S
Pion No.
Plan Checker -
Final Date
�'�
/IyP ectar
`� Jv
Unit
Z.
Sp. Insp. Fee E G✓
Denial. Fee
$
Const. Lender
Branch
Supplimentol Permit Numbers i
``
`3 1V / t•
Tel. Zip
Registr. Fee $
Mileage Fee $
Address City Zip
J
Owner/Agan // ( r :•f
Witness Fee S
Reinsp. Feeg
Total Fees5
.�:
Ailr)ress .� .,
s� .. ... .. `�
( ) ( ~� �.
Clty ` Zip
�• 1(' �' : .-,�,
M.O. N.C. El Cash ❑ Check
Received by
Trees require
Controcto"y
"
Ter't -
Uc—oll
Sewage System
Address
_
City Zip
Y
r 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 LAW OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
i� EBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED'THE PLANS,AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
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
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
LOA
Fireplace T. 0.
°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 Ceilin6 (Blown)
14 Final .0 ✓
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�l✓
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
A
P/
i
w
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final .2 t7
STREET NAME
'
PERMIT.NO.
PERMIT NO..
403323
Job Address •` - - Space
DEPARTMENT OF BUILDING .& .SAFETY
COUNTY OF. RIVERSIDE
FIELD OFFICE + �'
;ST.
CONSTRUCTION' ESTIMATE
NO.-- ELECTRICAL FEES
NO. PLUMBING- FEES-
1ST FL.
2ND. FL.
FOR.
GAR.'
CAR P. •
s WALL
'� •
• ESTIMATED'CONSTRUCTION
SO. FT. @ $
UNITS
Vol tion.
Dote
SO. FT. @ YARD SPKLR SYSTEM '
OH:
SO. FT. @ MOBILEHOME SVC. BAR SINK
POWER OUTLET 'ROOF DRAINS
SO. FT. @
�.
�
SO. FT. @ / DRAINAGE PIPING
00,
19—/
SO. FT. @ t _ • ' DRINKING FOUNTAIN - - -
URINAL'
SO. FT. @
MH Permit fee S
VALUATION • $ ,' WATER. PIPING
Use -of Perm ' ` /, - -
11A?_/
/ I f..
NOTE.'t�Not to 61eusedos property tax valuation •
- "SWIM POOL, PVT
FLOOR DRAIN
Mech. Fee DbI
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Construction Fee DbI S
VENT SYSTEM, FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE ^ ` DRYER
Electrical Fee' DbI S '
GARBAGE DISPOSAL,
Groupp
FURNACE UNIT WALL FLOOR SUSPENDED
SMI Fee $
LAUNDRY TRAY
Bond Amt
AIR HANDLING UNIT - CFM
IDLE METER
' KITCHEN SINK
ABSORPTION SYSTEM - B.T.U.
TEMP USE.PERMITSVC..: -
WATER CLOSET '
cri ,
�i��•. ..• S
COMPRESSOR 'HP
POLE, TEMP/PERM
LAVATORY
'
HEATING SYSTEM FORCED GRAVITY
- AMPERES .SERV ENT
SHOWER >' -
Const. Lender Branch
^
BOILER B.T.0
SO. FT: @ a
BATH TUB
.Address' t0'ty .Zip
Witness Fee _g
SO. FT: @ c
WATER HEATER
Tel.. - - ilip y
r
S0. FT. RESID @ 1114
SEWAGE DISPOSAL
Total feesS
S0. FT.,GAR @ ?/<a , .
HOUSE SEWER
f/ \
i
GAS PIPING
Contracto - , �""� -
PERMIT FEE -
UcenseR�
PERMIT FEE
..PERMIT ,FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO'FEE
MECH. FEE PL. CK; FEE
CONST. FEE ELECT. FEE
SMI FEE ;E •" FLUMB. FEE
'
PERMIT.NO.
Job Address •` - - Space
1,�
Owner
403323
Community -'
Vol tion.
Dote
Dist
OH:
F.C.C.
�.
�
S
00,
19—/
'
MH Permit fee S
Micro Film Fee Cop S
Use -of Perm ' ` /, - -
11A?_/
/ I f..
Parcel No., -
.:
Use/Case No.
Ck. By
Mech. Fee DbI
PL Ck. Fee S
et Backs
010
,Lot Size t
_
Construction Fee DbI S
Legal Descript n / Q
e l
F
5 S
R
Electrical Fee' DbI S '
one fiestrections -
Groupp
Type
SMI Fee $
Plumbing Fee' Del S
Bond Amt
Pion No. - Plan Checker
Fiinal Data
a -•- • Unit
Insp/e�(c
..
- '--/.�•�(J
�(•
cri ,
�i��•. ..• S
Sp. Insp. Fee
S
S
CJ v/e
Demol. Fee"i $
Const. Lender Branch
^
Supplimentol Permit Numbers •. - s
Regislr. Fee $
Mileage Fee $
.Address' t0'ty .Zip
Witness Fee _g
Reins Fee
P •- S
'Owner/Agent '" � p `
Tel.. - - ilip y
Total feesS
Ada'ss .� •"
UTy,� /t Zip y-
f/ \
M.O..❑ N.C. ❑ Cash,❑ Check
Received by
Contracto - , �""� -
Te . -
UcenseR�
Trees require
..
"
Sewage System " -
Address - `
City Zip
Yr
T� p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK " wedded 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•.
EaY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.'1/80) t �' ACCORDANCE WITH SECTION '5541 OF THE BUSINESS AND, PROFESSIONS CODE -OF THE STATE OF CALIFORNIA::