374799 (SPIN)BUILDING PERMIT
PERMIT NO.
374799
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$
UNITS
Owner
1ST FL. SQ. FT. @
Community
Valuation
$
2ND. FL. SQ. FT. @
Date ut.
F
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
/� /�
DRAINAGE PIPING
WALL SQ. FT. @
Mech. Fee Dbl $
DRINKING FOUNTAIN
SQ. FT, @
=
URINAL
ESTIMATED CONSTRUCTION VALUATION $
F 5 S R
I
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN. • s.
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Dbl $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final Date �j
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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
Owner/Agent
SQ. FT. @ t
WATER HEATER
Zip
SQ. FT. RESID @1 V.<
SEWAGE DISPOSAL
S0. FT. GAR @ 'Y. c
HOUSE SEWER
Total Fees
GAS PIPING
PERMIT FEE
City
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
HM. FEE
MICRO FEE
MECH. FEE: PL. CK. FEE
I CONST. FEE ELECT, FEE
SMI FEE , �iCa FLUME. FEE.
rector
Tel.
Llcen9e0
Trees required
PERMIT NO.,
374799
Job Address
/Z
40
Space
Zip
Owner
Community
Valuation
$
Date ut.
F
'Off. -
F.C.C.
MH.Permit Fee $
.Micro Film Fee
Cop $
Use of'P rmit
/� /�
Parcel No. a/Case No. Ck.
..
Set Boc's Lot Size
By
Mech. Fee Dbl $
PI. Ck. Fee
=
/47� OL
F 5 S R
I
Construction Fee Dbl $
Legal Description
/� /}
d / 1
(+['
+
Electrical Fee Dbl $
Zone Restrictions
.,.
Group
Type
.SMI Fee f
Plumbing Fee
Dbl $
Bond Amt.
$
Plan. No. Plan Checker
Final Date �j
<
Inspect
Unit
Sp. Insp. 'Fee $
Dental. Fee
S
Comt. Lender
Branch
Supplimental Permit Numbers
R .Fee
ilea $
.Mileage Fee i
Address City Zip
'
'Witness Fee $
Reinsp. Fee
$
Owner/Agent
/I
Tel.
Zip
r .7)
Total Fees
Addre/
.r Y X
City
'Zip
M.O. n
N.C. n Cash n Check UP
Received by
rector
Tel.
Llcen9e0
Trees required
/
Sewage, System
Address
-
City Zi
•
�.
LT LL P
• Sewer District
Form 284.2D8 (Rev.B/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF,WORK
FOR 12D DAYS SHALL ALSO -CAUSE PERMIT TO BECOME VOID.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS' AGREE THAT
AND THE -STATE OF CALIFORNIA.
I HEREBYZERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541OF 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 ,�9 _
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
Geroge Fire Wall
42 Commercial Hood
10
Fireplace P. L. C]
43
Final
10A
Fireplace T. 0.
OP'N
NO.
ADDITIONAL INFORMATION
I
-
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Balls)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS -17
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
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME