359767 (SPIN)BUILDING PERMIT '
PERMIT NO. DEPARTMENT OF BUILDING 8, SAFETY FIELD r DST
35 9 767
COUNTY OF RIVERSIDE
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. F7. @
UNITS
,
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ - PAOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT.
URINAL
VALUATION $
WATER PIPING
NATE; Not lobe used as property taxyaluation
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'� 7
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
S
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
Unit
SQ. FT. @ C
WATER HEATER
Demol. Fee
SQ. FT. RESID @I'/, c
SEWAGE DISPOSAL
Const. Lender
SQ. FT. GAR @ IN C
HOUSE SEWER
+
GAS PIPING.
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL., ...
TOTAL FEES
MOB. HM. FEE
.-,MICRO FEE
MECH. FEE- PL. CK, FEE
CONST..FEE ELECT. FEE
SMI FEE
�! FEE PLUMB. FEE
PERMIT NO.
359767
Job Address
Space
Zip Owner
Community
w
p
Valuation
$
Date '�
.,
,
Dist.
//
`,�
F.C.C.
MH.Permit Fee $i
Micro Film Fee
$
Use of Permit
if�e.- �/✓ r' ��` I f I'1! % �4/
Parcel No.
_ ,. _
Use/Case No.
Ck. By
l
Mech. Fee b
PI. Ck. Fee $
6 i Backs`
Lot Size
Construction Fee E
[Db
Legal Description
�
I'� 7
F
{
S
S
R
Electrical Fee $
Zone Restrictions
Group
Type
SMI Fee E
Plumbing Fee
$
Bond Amt.
E
Plan No.
Plan Checker
Final Date -7
F-///7 7
Inspector
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 p {{
Tel.-
Zip
Total Fees
-
Address
- - -
A / �a
- City
�'
Zip
M. 0. N.C. Cash Check
Received by
Contractor
�'r
�-
Tel. `
License#
Trees required !
Sewage System
Address
City
Zip
. T.. LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE ERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL If nl HIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COU A D TH STATE OF CALIFORNIA.
/ I HEREBY CERTIFY THAT THE INDIVIDUA 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.13M)
verified by:
F
NO. I OPERATION I DATE
BUILDING APPROVALS
1
Set Back
Ceiling (Batts)
2 '
Ftgs 8 Frms
14
2A
Slab Grade
PLUMBING A
Ground Plumb
Water Piping
3
Steel
18
19
4
Grout Blocks
Sewer
5
Bond Beams
22
6
Roof Deck
Water Service
Gas Test
7
Framing
Fire Damper
8
Vents
42
9
Garage Fire Wall
Final t
10
Fireplace P. L.
'I OA
Fireplace T. 0.
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
15
16
PLUMBING A
Ground Plumb
Water Piping
17
Rough Plumb
18
19
Vents
Sewage Disposal
20
Sewer
21 •
Water Heater
22
Water $oftener
23
24
Water Service
Gas Test
25
Final
26
, Power Pole
27 '
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
29B
Bonding
35
Furnace Comport.
ALS
ELECTRICAL APPROVALS
4•
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L
t I
31 Service
32 Final
a
.f'
A
INSPECTOR NO.
OPERATION
DATE
INSPECTOR
MECHANICAL APPROVALS
33
Ventilation System q
34
Plenums & Ducts
35
Furnace Comport.
36
Inlets 8 Outlets
37
Combustion Air
38
Compressor
39
Appl. Clearance
40
Fire Damper
41
Smoke Detection Device
42
Commercial Hood
43
Final t
OP+N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L
t I
31 Service
32 Final
a
.f'