375838 (SPIN)PERMIT NO,
375838
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST Fl.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. Q
UNITS
-
Job ressz
� .,� �..
SQ. FT. Q
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ FT @
URINAL
VALUATION $
WATER PIPING
NOTE:.Not to be used os 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
1'3:�
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLEJEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ ' t
BATH TUB
it
SQ. FT. @ c
WATER HEATER
Address City Zip
SO. FT. RESID Q1 r/. c.
SEWAGE. DISPOSAL
f /Q
Sp. FT. GAR Q %c
HOUSE SEWER
Zip
Total Fees
GAS PIPING
PERMIT FEE
City, /' _ .- 1 °
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PERMIT FEE
PERMIT FE
DBL.
TOTAL FE25
�0
MOB. HM. FEE
MICRO FEE
MECH. FEE: PL. CK. FEE:
CONST. FEE ELECT. FEE
SMI FEE
PLUMB. FEE'
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PERMIT NO.
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Parcel No. Uae/Case No.
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Mech. Fee Dbl f
PI. Ck. Fee f
Set Backs
lot Size 1
Construction Fee Dbl f
Legal Description
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Electrical Fee Dbl S
Zone Restrictions Group
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SMI Fee f
Plumbing Fee
Dbl f
Bond Amt.
'f
Plan No.
Plan Checker
Final Date
Inspect r
Unit
`
Sp. Insp. Fee f.
Demol. Fee
f'
Const. Lender Branch
Supplimental PfjdOumbers
it
Registr. Fee } V
Mileage Fee f
Address City Zip
Witness Fee f
Reinsp. Fee
f /Q
Owner/Agent
Tel. -
Zip
Total Fees
Address
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City, /' _ .- 1 °
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Zip '
M.O. N:C. Cash Check
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Contra or ..� `� /"
Tel. �... rte!
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License# C._-
(.Received
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I•Sewage System
t
LL P
Address r / /
City �r _ • .-.�•• Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120'DAYS. CESSATION OF WORK verified.by:
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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN f ,
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. �/
Sewer, District
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Form 484 20B,(Rev: ) p s
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs 8 Frms
34 Plenums 8 Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets
B Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
3B Compressor
6
Roof Deck 10-
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
10A
Fireplace T. 0.
FI
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
I I Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
1-4 Final q—j 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
Tank Pit LLine
PSL
REAR OF PROPERTY LINE
ELECTRGCAL APPROVALS
P)
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 service
32 Ginal
STREET NAME
BUILDING PERM
37-5838
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
'COUNTY OF RIVERSIDE
FIELD OFFICE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEE_ S
'NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
cAR.P:
WALL
ESTIMATED CONSTRUCTION
SQ, FT,, @ $
UNITS
�•
SQ. FT. @
YARD SPKLR'SYSTEM
MOBILEHOME SVC.
50. FT: @
BAR SINK
SQ. FT. rap POWER OUTLET
ROOF DRAINS
SQ. Fr. @
DRAINAGE PIPING
SQ. FT. Q
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 FANEVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Eledricol'Fee Dbl $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Ty
�
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
Branch
SQ. FT. Q c
WATER HEATER
SQ. FT.'RESID @it/4c
SEWAGE DISPOSAL
Address City Zip
SQ. FT. GAR ® 3% c
HOUSE SEWER
j /O -
Owner/Agent
GAS PIPING
PERMIT FEE -
Zip
PERMIT FEE
PERMIT FE
DBL,
TOTALIE
MOB'MM.FEE
MICRO FEE
MECH: FEE PL. CK.'FEE
CONST, FEE ELECT. FEE
SMI FEE
PLUMB. FEE
1PERMIT NO.
375838
Job AjWress
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Use Per6 s
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Parcel No. /Case No.
77�-� 2-�a
Ck.. By
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Mach. Fee Dbl i
PI., Ck. Fee j
Set :Backs
Lot Size
Construction I" D61 j
Legal Descriplton
7— ��
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F S
S R
Eledricol'Fee Dbl $
Zone Restrictions/ 1:i_3
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Ty
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SMI Fee j
.Plumbing Fee
Dbl j
Bond Amt.
$
Pion Noi
Plan Checker
Final Dat//eye
q- l 'V — ��
Inspector
1.
Unit
Sp. Insp. Fee j
Demol. Fee
S
Const. Lender
Branch
Supplimentol Permit Numbers
3 Piz•
Registr. Fee
Mileage Fee j
Address City Zip
'Witness Fee j
Reinsp: Fee
j /O -
Owner/Agent
Tel:
Zip
Total Fees
Address
City
Zip
M.O. N.G.Cash Check
Received
lie
Cont o or
_�
Tel _ f
Licensed
Trees requ ed
Sewage System
Address.-
/0
City ter— Zip
T LL. P
Sewer District
r'
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THIS PERMIT SHALL BECOME VOIDTIF`WORK IS NOT COMMENCED WITHIN 120rDAYS. CESSATION OF WORK verified by:
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. -
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HASAONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.