359750 (SPIN)BUILDINGS FEKMII
PERMITNO.
359 O.
DEPARTMENT OF BUILDING & SAFETY FIELD FD/
srCOUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL'
2ND. FL.
POR.. ..
SQ. FT. @
UNITS
_-
SQ. FT.
YARD SPKLR SYSTEM
MOBILEHOME,SVC., ,�
SQ. PT. `Q
BAR SINK
GAR.
SQ. FT. Q
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. _@
• 'WALL SQ. FT. @
• SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
S
`
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
k ,NOTA NoLJp�e used property tax valuation,
r w.� SWIM- POOL, PVT 'Cs :=.�.
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN •
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Construction Fee Dbl $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
F 5
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
Demol. Fee
SQ. FT. @ c
WATER HEATER
Const. Lender.
SQ. FT. RESID @l'/.c'
SEWAGE DISPOSAL
SQ. FT. GAR @ zG C
HOUSE SEWER
Address - , City Zip ,
Witness Fee E�
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE. � � Y
DBL.
.., ,TOTAI, FEES .
MOB.HM.FEE.
MICRO FEE
MECH. FEE -• PL. CK. FEE
CONST. FEE -, '..ELECT. FEE
SMI FEE
A FEE PLUMB. FEE
PERMIT NO.
359750
- - `
Job Address. -
Spacet
p
-
Owner '
_-
Community
L7 %r.
Vbluotion
8
�
Do �' 'r
s
D st. f
Off.
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop E
Use of Permit <
/ �"- ��✓ .7
Porcel No.. -
I;Ose/Cosg o. "--
Ck. By
Mech. Fee ., Dbl E
PI. Ck. Fee E
B ik, 4•" ..'tea
Lot Size
"�
Construction Fee Dbl $
Legal Description -
`
a�`'•tr i �1..� '. ��L /�`�r't�G.sj�
-
f
F 5
S R
Electrical Fee Dbl 8
Zone Restrict', ns
'
Group
Type
SMI Fee E
Plumbing Fee
- Dbl E
• -
Bond Amt.
8
Plan No.
T.nhecker
Final D e`
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee
E
Const. Lender.
Branch
Supplimentol Permit Number
`ice 3
Registr. Fee _ E
Mileage Fee E
Address - , City Zip ,
Witness Fee E�
Reinsp. Fee
E
Owner/Agent - -
_
Tel.
Zip'
Total' Fee's 7,• ..+ S
. , - . , r'
.Ad res
� . '
-
Zip
" M.O. MC'Cash Check
Received by
Con, cYor'
}�
"''•
.Te 4. -
_
LicenseM
•� „r _
Trees required
Sewage System
- +-
Addref '5 r :� ` r - � f
a_
s A .c- •r r
Cit
.Y Zip
� .
•.' '-'< T r� 'u P a THI!rPERMITrSHALL BECOME VOID IF WOR*IS•NOT%COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT A E656CW M THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE CO TY AND 1E $TATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
A.
%verified by:
NO. OPERATION DATE
BUILDING APPROVALS
1 Set Back
2 Ftgs 8 Frms
2A Slab Grade A& _79
3 Steel 77
4 Grout Blocks
5 Bond Beams
6 Roof Deck
7 Framing
8 Vents
9 Garage Fire Wall
10 Fireplace P. L. ❑
10A Fireplace T.O.
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 Final
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 Gos•Test
25 Final
I
ELECTRICAL APPROVALS
26 Powerlole
27:" Conduit
28 . Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
-
'r4{
INSPECTOR
NO.
OPERATION
DATE I INSPECTOR
MECHANICAL APPROVALS
33
Ventilation System
U
34
Plenums 8 Ducts
35
Furnace Comport.
36
Inlets 8 Outlets
37
Combustion Air
38
Compressor
39
Appl. Clearance
40
Fi•e Damper
41
Smoke Detection Device
42
Commercial Hood
43
Final
OP•N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
! Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L
STREET NAME