369053 (SPIN)BUILDING PERMIT
PERMIT NO.DEPARTMENT OF BUILDING & SAFETY FIELD [-D—ST
369053COUNTY OF RIVERSIDE
I!
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
SQ. FT. @
UNITS
3690
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
POWER OUTLET
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
�" {
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
• Legal Description
L• L r % �-�` / V�r
e ///
SQ. FT. @ c
WATER HEATER
Sr,,,
SQ. FT. RESID @1'/,c
SEWAGE DISPOSAL
Electrical Fee Dbl $ _
SQ. FT. GAR @ s/. c
HOUSE SEWER
SMI Fee
$
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE S
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
Job Address
-
Space
Zip-
Owner-
3690
53
Community/ •} v
ivluar...- / •� `Date
S.._�/ I
+� t
Dist, y
!Off.
F.C.C.
MH. Permit
Fee
b
,/ ,�•?r !/ f
/
�" {
.r ,/ •
Micro Film Fee
$
Use off Permit f♦�
PC e• m. J� `Q
r
t fiarcel
I X"
No. " '
- �� ��
Use/Case
o.
Ck. By
00
Mech. Fee S
tDb
Pl. Ck. Fee $
Set Backs" '" -
Lot Size
1 X. /
Construction Fee Dbl E -Fg
• Legal Description
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41• Ac
F ,,...
Sr,,,
S •,•„
a',y
R
Electrical Fee Dbl $ _
Zone Restrictions r••�
Group Type
SMI Fee
$
-� /
-- -
r A
Plumbing Fee
Dbl $ "
`'Bond Amt.
E
Plan No.
Plan
Checker
Final Dot
Inspector
Unit
Sp. Insp. Fee E ~
Dental. Fee
$
Const. Lender Branch
-
Supplim ermit Numbers
Regisir. Fee y -
Mileage Fee $
Address City Zip
Witness Fee
E
Reinsp. Fee
y
Owneet/Agent 1 f I
'�
t
Tel.
Zip
Total Fees
S
�,4dt�Te S •"•"�� 1
City
Zip
M.O.
N.C. Cosh Check
Received by
Contracto
- i'1 i / L. t J jam.
-
{•
Tel.
~> ( �.f -- /
r J
LicenseX
•�•._..[ ..r S
Trees required
Sewage System
• �' •� �•
Address �7
Cit r "rZip
T %tE, It} P/. �{ / t THIS PERMIT SHALL B CE OME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY•AGREE T ION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH. - -
' THE LAWS OF RIVERUN AND 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.
Form 284-208 (Rev.8/78)
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System ,
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
In ets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
7
Roof Deck
Framing
4 F/—V—
_
39
40
Appl. Clearance
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.
FI
ADDITIONAL INFORMATION
1
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APP O AL
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
STREET NAME