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417173 (SPIN)PERMIT No. DEPARTMENT OF BUILDING S SAFETY MIT 41717 3 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. S.4R P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ JNITS SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK 'OWER 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 iWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD :IGN WASHER (AUTO)(DISH) APPLIANCE DRYER .yzF. F ""' GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED S / LAUNDRY TRAY AIR HANDLING UNIT CFM OLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. EMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP -OLE,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 r Const. Lender SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ '/4 c HOUSE SEWER Address City Zip ` 112 Witness Fee $ Reinsp. Fee GAS PIPING PERMIT FEE Y ?ERMIT FEE PERMIT FE DBL. TOTAL FES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. TEE I CONST. FEE EIECT. FEE SMI FEE i.;.. E PLUMB. FEE o Job Address _ 5 aceZip 4; - , 31 Owner /"/g/— C'+ PERMIT NO. Community �� �, / Valuations j $ Date moi, Q f Dist. 7J- _Off. F.C.C. law MH.Permit Fee $ Micro Film Fee Cop $ Use off Permit { , r r f • '{' , } ;. t\3 /': \ O ,.� f _- Parcel No. .. ! �••� Use/Case No. Ck. By t.J� . Mach. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Siz _ f 0 Construction Fee Dbl E legal Description _ +•� )t? 4-1 FS ✓ �] �/ • Q . .A .yzF. F ""' .•.•7 f S S / R/ / Electrical Fee Dbl $ Zone (R/se frictions f`� Groupy !" `' Type _/ +.�• A) SMI Fee E Plumbing Fee Dbl $ Bond Amt. E Plan No. --'-•,,�„ Pion Checker I\` a lk..i ST nol Date s. i�I$aj Inspect MA Unit Sp. Insp. Fee $ Demol. Fee E r Const. Lender Branch Supplimental Permit Numbers / Registr. Fee $ Mileage Fee $ Address City Zip ` 112 Witness Fee $ Reinsp. Fee $ �aIzeOwn./,Agep>r Y �y Tel. Zip Total Fees is 4dress I`'� v f 61-Tf City [ /� 7Z. '! 'A {" "7 /� Zip V I LI M.O. C. Cash Check Received by Trees required Contractor Tel. License# Sewage System Address] City Zip T U. Y P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District FOR 120 DAYS SHALL ALSO CAUSE PEWAT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND TWE STATE OF CALIFORNIA. I H Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208(Rev.8/78) ©s RDANCE WITH SECTION 5541 OF TEE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ��jj; 1 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 3B Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. ❑ 43 Final �. 10A Fireplgce T. 0. C] mf FI ADDITIONAL INFORMATION �,� le CI- I-12A12 � ?q � � ���� �I ���•YYYI� � V ) SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 >^Inal 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 Gas Test Gas 25 Fin Tank Pit L.Line REAR OF PROPERTY LINE ' PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final ze a.--zt, STREET NAME BUILDING PERMIT PERMIT NO. 417173 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST COUNTY OF RIVERSIDE fF/. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST Fl. Q SQ. FT. @ `P UNITS Date C, ' ! s,J '�O 1 t2ND. FL. SQ. FT. @ F.C.C. YARD SPKLR SYSTEM tPOR. GAR. CAR P. SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS o SQ. FT. @ DRAINAGE PIPING WALL SQ. FT. @ Legal D-essccription 1 I 0 f ) �� Pj L -� S' SIC V L r ( .y Z DRINKING FOUNTAIN SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ Electrical Fee Dbl E URINAL 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 Sp. Insp. Fee $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Suplimen I Permit Numbers , 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 License# SQ. FT. @ c WATER HEATER Address �, ... SQ. FT. RESID @1'hc SEWAGE DISPOSAL t SQ. FT. GAR @ 3%c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT F DBL. TOTAL F MOB. HM. FEE MICRO FEE MECH. FEE PL. CK: FEE CONST. FEE ELECT. FEE SMI FEE E PLUMB. FEE PERMIT NO. 417173 Job Address ti Space ip .� Owne Com unity _ + (� (/jam/ Valuation f� Is Zn. �^ Date C, ' ! s,J '�O 1 Dist. ( i f. F.C.C. MH.Permit fee E Micro Film Fee S Use Permit E 1 A -i T'"! {� �,'�-�u~, r r t P.)!� V t.� Ju t� Parcel No. • t '' • �' Use/Case No. C1/kk. ByC `..�• J - Mach. Fee $ rDb PI. Ck. Fee $ Set Backs lot Si/�Construction `��� Fee $ Legal D-essccription 1 I 0 f ) �� Pj L -� S' SIC V L r ( .y Z F y� S GR 5 / R / Electrical Fee Dbl E Zonesfrictions ` Group 1R `'.13 Type V SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker G Final Dole Inspe r Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Suplimen I Permit Numbers , Regisir. Fee $ Mileage Fee $Address City Zip Witness Fee E Reinsp. Fee$ O Own ,Ag Tel. Zip Tocol Fees $ city •ff 42 O I `I Zip M.O. C. Cash Checkgj Received by Contractor Tel. License# Trees required Sewage System 'I�� Address �, ... City Zip LL{ -P Sewer District Form 284.208 (Rev.8/78) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I H-WBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN yRDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.