360497 (SPIN)BUILDING PERMIT
PER NO.
360497.
DEPARTMENT OF BUILDING 8 SAFETY,
COUNTY OF RIVERSIDE
FIELD MDS
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL . �
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
Community
SQ. FT. @'
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
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 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
Zone Restrictions
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. @ c
BATH TUB
Branch
SQ: FT: @ c —
WATER HEATER
Registr. Fee s
S0. FT. RESID @1'hc
SEWAGE DISPOSAL
Witness Fee $ 1
SQ. FT. GAR @ '/. c
HOUSE SEWER
Owner/Agent
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBI.
TOTAL FEES
t
MOB.HM.FEE
MICRO 7:LMECH.
FEE PL. CK. FEE ]—CONST.
FEE ELECT. FEE
SMI FEE
♦N FEE PLUMB. FEE
rc
PERMIT NO. -
3 6 0 4 9 7
Job Address
Space tp
Owner
J
Community
Valuation
Dote
Dist.
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit
.. /�✓f'r� �L,G��'%r J
Parcel No. Use/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee f
e Backs
Lot Size
Construction Fee Dbl $
Legal Description
r
�r�'4� J
F S 5 R
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee S-L`✓+L•
fPlvmbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
Inspector
Unit
Sp. Insp. Fee =
Demol. Fee
E
Const. Lender
Branch
Supplimental Permit Number
/
L
Registr. Fee s
Mileage Fee $
Address City Zip
Witness Fee $ 1
Reinsp. Fee
$
Owner/Agent
r
Tel.
Zip
Total Fees
S
Address
~
City "
Zip
M.O.0 N.C. Cash Che40
Received by
Contractor
Tel. ~
License#
Trees required
Sewage System
Address
City Zip
t T LL P
Sewer District
Form 284-208 (Rev.8/78,
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 I�QO�THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE N AN HE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
NO.
�
OPERAIION DATE
INSPECTOR
NO.
f ,•OPERATION' % ".:�
DATE
INSPECTOR
BUILDING APPROVALS
'
MECHANICAL APPROVALS.
I
Set Back
,33,
Ventilation System} r
f 2 •
Ftgs & Frms
34•
' Plenums 8 Ducts, 3 n`
" 2A
Slab Grade
35
Furnace Comport.
.`3
Steel
36
Inlets 8 Outlets
yn
4
Grout Blocks
37,
Combustion Air U
r_
• 5 � '
Bond Beams
38
Compressor J%r'
6
Roof Deck..
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents t
41
r`
Smoke Detection Device • -
9
Garage Fire Wall
42
Commercial Hood '` {� •+-
• 10
Fireplace PA.
43
Final
IDA
Fireplace T.O. E]OP'N
NO'.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
4 t
•vw,•
'r{+
• 11 Exterior Lath
` 12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
'7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 T-Final,lf�(�
PLUMBING APPROVALS
15 Ground Plumb
• 16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposol
20 Sewer
21 Water Heater
22Water Softener,
•23 Water Service
'24. Gas Test''
25
Final
ToAk Pit LLine
REAR OF PROPERTY LINE
P/l•
P/
ELECTRICAL APPROVALS -
�• 26 Power Pole -
27. -Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding ,
30 •Fixtures +
31 :'Service
321 Final' ' • •�
STREET: NAME
rx •'
STREET: NAME