403312 (SFD) Permit RenewalPERMIT NO.
Job Address
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MH Permit Fee
Micro Film Fee
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Parcel No.
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Mech. Fee DbI S
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Lot Size
Electrical Fee
DbI $
Sp. Insp. Fee
Dental. Fee
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Const. Lender Branch
Supplimen
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Regisir. Fee
Mileage Fee $
Address 'city Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
Adi�ress
Zip
Sewage System
Address
City
Zip
verified by;
BUILDING PERMIT f�',
PERMIT NO, DEPARTMENT OF BUILDING & SAFETY FIELD Dsr ;.
k I 0 3 312 COUNTY OF RIVERSIDE
rl'.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
SO. FT. @ YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC. BAR SINK
SO. FT. @ POWER OUTLET ROOF DRAINS
y
SO. FT. @ DRAINAGE PIPING
SO. FT. @ DRINKING FOUNTAIN
URINAL
SO. FT. @
S
VALUATION $ WATER PIPING
1
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.
SO. FT. @ a
BATH TUB
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 11/44
SEWAGE DISPOSAL
r
SO. FT. GAR @ 3/a¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEEMICROFEE
MECH. FEE PL. CK. 'FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
I v I vw
!v
I;>
15 Ground Plumb
16 Water Piping
REAR OF PROPERTY LINE
17 Rough Plumb
26 Power Pole
18 Vents
28 Service Entrance
19 Sewage Disposal
/Gp, —
CeVQ
20 Sewer
�l 1
21 Water Heater
`` --��
22 Water Softener
23 Water Service
u
24 Gas Test
25 Final
-� l SEWAGE SYSTEM & LOCAT
�/SIZE
T --L ii)n /7 D:. X /- �V I I:..,
STREET NAME
ELECTRICAL APPROVALS
REAR OF PROPERTY LINE
"�
lJ1
ra
26 Power Pole
27 Conduit '
28 Service Entrance
29 Wiring
29A Grounding Wire P/L
29B Bonding 5�1 -le
30 Fixtures
31 Service
32 Final S -
STREET NAME
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
-Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Booms
38
Compressor
6
Roof Deck
39
Appl: Clearance _ 1
7
Framing
1
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire
Wall_ -2
—�(]
42
Commercial Hood
10
Fireplace
P. L.
43
Final
IDA
11
12
12A
13
Fireplace
Exterior lath
Internal Lath
Drywall
Finish Grade
T. 0.
LR-
�ON
n-
4l�
ADDITIONAL INFORMATION
Ls,
%� �� C
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Batts)
12C Ceiling (Blown)
14 1 Final 5..
DIIIAADIAV'_ ADDDnWAIC
BUILDING PERMIT
PERMIT NO.
03312
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
\1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P. '
WALL
ESTIMATED CONSTRUCTION
SQ. FT.- .@ $
UNITS
Owner
SO. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SO. 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
Construction Fee Dbl S
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.
SO. FT. @ a
BATHTUB
_
SO. FT. @ 1
WATER HEATER
S0. FT. RESID @ 1 t/4a
SEWAGE DISPOSAL
�Bo Amt.
S0. FT. GAR @ 3/4a
HOUSE SEWER
ec er
hisol Data
-
GAS PIPING '
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEFy
SMI FEE
FEE PLUMB. FEE
rx
PERMIT NO.
403312-
Job Address
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Zip
Owner
Community
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$
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F.C.C.
MH Permit Fee $
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Parcel No.
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PI. Ck. Fee S L
Construction Fee Dbl S
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F S S
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Electrical Fee Dbl Sif
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SMI Fee S
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Plumbing Fee % $
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�Bo Amt.
No.
an
ec er
hisol Data
Inspector
Unit
Sp. Insp. Fee S
S
Dental. Fee S
Const. Lender Branch
Supplimento l ,Permit Numbers
'
Regior. Fee S
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent yi^�r
Tel.
Zip
A
Total Fees S
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M.O. ❑ N.C. ❑ Cash ❑ d1fiv
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Received by - l
Contr ctor
Tel,
LicenseR
-
Trees required
Sewage
Address
City
ZipLl
�System
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(fin
--1 '-f — LL P - " I THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewe 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 HEREBY ERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev. 1/80) ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.