374971 (SPIN)PERMIT NO.
374971
DEPARTMENT OF BUILDING a SAFETY
COUNTY OF RIVERSIDE
FIELD DST
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
�. GAR.
' CARP. ..
WALL
ESTIMATED. CONSTRUCTION
SQ. FT. $
UNITS
SQ. FT.
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. Q
BAR.SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. Q
DRAINAGE PIPING
SQ. 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
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, Q C
BATH TUB
Zip
SQ. FT, @ t.
WATER HEATER
SQ: FT. RESID @1'/.t
SEWAGE DISPOSAL
Tel.
SQ. FT. GAR, V C
HOUSE SEWER
LL
P
Address
Il0"
GAS PIPING
PERMIT FEE
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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
ACCORDANCE.WITH SECTION 5541OFTHE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA:
PERMIT -FEE
PERMIT FEE
DBL.
TOTAL FEES MOB.HM.FEE
I MICRO. FEE
MECH. FEE Pl. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
374971
Job Address SpaceZip Owner
Community Valuation _ to
S
- F.C.C.
MH.Permtt Fee S
Micro Film Fee
Cop $
Use of. Permit
Ii see\9
Parcel No. M' Use/ No.la"t
- s Lot. Size
k. By
Mech. Fee Dbl $
PL Ck. Fee S
Construction Fee Dbl S
Legal Description F
_
�q �i� DIY
Electrical Fee Dbl $q
Zona Restrictions
Graup
Type
-SMI Fee $
Plumbing Fee
Dlil i
Bond Amt.
$
Plan No.
Plan Checker
FAM. /
Inspector
'Unit
*Sp. Insp. Fee S
Demo. Fee
$
Const. Lender Branch
Supplimental Permit Numbers
:
r /
Registr. Fee $
Fee
'Mileage$
Address City Zip's
"
Witness Fee $
Reinsp. Fee
S
Owner/Agent
Tel.
Zip
Total'Feei
A
h1b
Address
City
Zip
M.O. 0 N.C. Cash Check
Received by
Trees required
!
Contractor`,f��1�s�r
(�
C�*U04
Tel.
LlcenseN
Sewage System
" T
LL
P
Address
Il0"
city Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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
ACCORDANCE.WITH SECTION 5541OFTHE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA:
verified by:
-
rIr/
Sewer District
Form,284 108 (Rev,e/78) (p� 1,
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
- MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs i3 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
36
Furnace Comport.
Inlets 8 Outlets
3 Steel
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
10A
Fireplace T.O. �]
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
M Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground PIUmb
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
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire -
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME