403347 (BLCK)CUILUINC7 YtKMII
PERMIT NO.
PERMIT NO.
1403347
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
DST
,
;i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
ERE RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
H��
SO. FT. @ YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC. BAR SINK
Community
POWER OUTLET ROOF DRAINS
SO. FT. @
:5
SO. FT. @ DRAINAGE PIPING
Diit.
SO. FT. @ DRINKING FOUNTAIN
F.C.C.
SO. FT. @ URINAL
MH Permit Fee
VALUATION $• WATER PIPING s
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN tr
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
•�
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Parcel No. ,,�•
'%-7 (/!O . J
APPLIANCE DRYER
Ck. By ,t
L/
GARBAGE DISPOSAL
P1. Ck. Fee S
FURNACE UNIT WALL FLOOR SUSPENDED
Lot Size
LAUNDRY TRAY
r'
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
R
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
4'
BOILER B.T.U.
SO. FT. @ a
BATH TUB
�,/!i~•�
t7�
•...
SO. FT. @ a
WATER HEATER
z
SMI Fee
SO. FT. RESID @ 11/44
SEWAGE DISPOSAL
SO. FT. GAR @ s/44
HOUSE SEWER
Plumbing Fee
Dbl $
Bond Amt.
$
GAS PIPING
Plan Checker
PERMIT FEE
Final Da,e/
PERMIT FEE
PERMIT FEE
Sp. Insp. Fee $
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. EE ELECT. FEE
r
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
T _
lob Address
/... 2
r
Space Zip •-� '�
Owner
403347
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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.
ERE RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
H��
A URDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. +'
Community
Valuation
:5
Dote
Diit.
Off.
F.C.C.
MH Permit Fee
$
Micro Film Fee
Cop $
Use o Perm. �•+ /,- /
if/ J f � � ''f' K/ �f✓ C�jf
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Parcel No. ,,�•
'%-7 (/!O . J
Use/Casa Na.
Ck. By ,t
L/
Mech. Fee .' Dbl S
P1. Ck. Fee S
Set Backs
Lot Size
L✓y
r'
Legal Description
F
S S
R
Construction Fee
Dbl S
i
�` 9�ryiY 9'
••�
Electrical Fee Del $
Zone Restrictions
Group
Type
�,/!i~•�
t7�
•...
SMI Fee
S
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Da,e/
InsRecto�
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch
Supplimentol Permit Numbers
•�� ��~
'
Registr. Fee $
Mileage Fee $
Address City Zip
r
Witness Fee $
Reinsp. Fee
$
Owner/Agent �J�pery '�'.✓ %(� t,s
Tel.
Zip
Total Fees
$
Address ✓ '
City
Zip -•
T
a
M.O. N.C. ❑ Cash Check
Received by
r a4
Contractor
Tel.
licensen
TrK, re •�,,/fy.,_,�y
ge System
.�y1
Address
City Zip
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THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
r
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. '
Se er D strict.
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.
ERE RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
H��
A URDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. +'
Form 284.408 (Rev. I/SO)
:5
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
raj
40
Fire Damper ,
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood ,
10
Fireplace P.L.
43
Final
10A
Fireplace T. 0.
No
_ ADDITIONAL INFORMATION
r ,
.
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
r INSULATION Thick R
Value
7A Wolls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final 7.7
--- _ _ _ _ _ _ _ . _ .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
ELECTRICAL APPROVALS
P/L
r
(�*
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
1'PERMIT NO.`• •'•!
4.0334.7
DEPARTMENT OF BUILDING & SAFETY' FIELD OFFICE D T
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
•
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Dote
SQ. FT. @
YARD SPKLR SYSTEM -
SQ. FT. @MOBILEHOME SVC.
BAR SINK
SQ. FT. @ • POWER OUTLET
ROOF DRAINS ,
SO. FT. @
'DRAINAGE PIPING '
SQ. FT. @ } -
DRINKING FOUNTAIN x.
SO. 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
Const. Lender - Branch
..
•
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Mileage Fee S
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER..
KITCHEN SINK E
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
Address
SO. FT. @ , a
'WATER HEATER +,
—
!'. SO': FT: RESID @ 1 t/4a
SEWAGE DISPOSAL
S0. FT. GAR @ 3/4a
HOUSE SEWER
'
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL'..
TOTAL FE S
Or.�
MOB. HM. FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
CONST. EE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
- - -
PERMIT NO.
40334.7
•
Job Address - Space Zip
-22d �
Owner
Ls���
Community
Va nation
$
Dote
Did.
Off.
F.C.C.
MH Permit Fee' S' -
Micro Film -Fee s Cop S
se �. Fermi / •
/ AS 7
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Parcel No.
1/N' •4/.
Use/Cosa No.
Ck. By
Mech. Fee • Dbl S .
PI Ck Fee ' S
1Dbl.
- 't Set Backs Lot Sire
F 5 5 R
Zona Restrictions - Group Type
Const uction Fee S
Electncol Fee Obl $
Legal Description, - -
-�y 4/J�1 �,�• /,/, 'l// 1�
Ji. 0/' / �"' �� J - f'r.JV+rJJ'.� —./
-'
SMI Fee,' - •' S •
PI tubing Fee Dbl 5
Bond Amt.
S�O
Plan Nb.Plan
Checker
Final Dote -
Ins/p�e'fc"Jtor
nt
rr-
S I sP Fee - S
P.
Demol. Fee S
Const. Lender - Branch
..
•
Supplimentol Permit Numbers
/ -
�/l' j
Registr. Fee. $
Mileage Fee S
'Address City Zip
• -
Witness Fee $ -
Reinsp. Fee S
.Owner/Agent c•"` /r.0 / f (a ,.
Tel. v Zip
Total Fees $
Address' -- •
!City Zip
M.O. N.C. ❑ Cash Q Check
Received by
Contractor
feT.i
Lifensel✓
ge System -
Address
City.. • Zip
T LL <9 P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT ,COMMENCED WITHIN 120 'DAYS CESSATION OF' WORK verified by:
FOR 120 DAYS SOALL ALSO CAUSE PERMIT TO BECOME VOID. -
Sewer District s
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. ; ;• -.
HERE RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev. 1/801 • A ANCE WITH•SECTION 5541'OF TLiE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.,
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