360498 (SPIN)i` BUILDING PERMIT
Ilj PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
3604COUNTY OF RIVERSIDE
FIELD MDST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
FST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL �
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
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
Legal Description
i �!
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
- *•
SQ. FT.' @ E
WATER HEATER
SQ. FT. RESID @lt/.c
SEWAGE DISPOSAL
Supplimental Permit Number
SQ. FT. GAR @ s/. c
HOUSE SEWER
Regisir. Fee =
Mileage Fee $
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
tG
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEEw.�17+
FEE PLUMB. FEE
'r
PERMIT NO. "
360498
' -
Job Address
- •
Space Zip
Owner
1
Community
-...
d • � r J?Il
luation
r$a
Dote4
Dist.
.-/
Off.
• F.C.C.
MH Permit Fee $
Micro Film Fee
Cop E
Use of Permit
i
r � /T
Parcel No.Use/Case
2
No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backsr1loup
lot Size
Construction Fee Dbl $
Legal Description
i �!
-
'!l.,,,y�
/I G,. 44el r -•Y"—
F S S
Electrical Fee Dbl S
Zone Restrictions
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
Z
Inspector
��//{rJ
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Number
"'
Regisir. Fee =
Mileage Fee $
Address City Zip��
Witness Fee $
Reinsp. Fee
$
Owner/Agent
/
i
Tel.
Zip
Total Fees
9
Addressr
City
Zip
M.O. N.C. Cash Check
Received by
Trees required"
Contractor
y
Tel. r
License#
Sewage System
Address
City
Zip
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 CA PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ��,>0/LTH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY A THE 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.
OPERATION DATE
INSPECTOR
NO. "L n ' ,:.,' OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
Vetltllotion System
2
Ftgs 8 Frms
F33
Plenums A Ducts
2A
Slab Grade
Furnace Comport.
3
Steel
36 Inlets 8 Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
39
Appl. Clear6nce
7
Framing
40 Fire Domp&
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L. E
43
Final
IDA
Fireplace T. 0. C
OP'N
NO.
-
ADDITIONAL INFORMATION
t
SEWAGE SYSTEM SIZE & LOCATION
11 •` Exterior Lath
t 12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal •
20 Sewer ..
21 "i Water Heater,
22 Water Softener;
23 Water Service
24',- i'• , Gas Test
. 25
Firial
• ,
Tank Pit L.Line
'
c
P/L
REAR OF PROPERTY LINE
_ > ELECTRICAL APPROVALS
r P)
,
26 Po-w8r Pole
27 Conduit
28 Service Entrance
29' Wiring
29A ' Grounding Wire
296 Bonding 1
30 fixtures }
31Serviee
32•r •Final
'T' STREET NAME