403019 (RC)BU1LU1Nkv rPKMII
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
403019
COUNTY OF RIVERSIDE FIELD
/1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
-y
p
§/P
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @/^
DRINKING FOUNTAIN
SQ. FT. Cal ✓� {/ir�'< +rL�"
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. r
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plumbing Fee Dbl S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plan C ker
LAUNDRY TRAY
AIR HANDLING UNIT r ' CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM A FORCED GRAVITY
AMPERES SERV ENT r'
SHOWER
BOILER B.T.U.
SQ. FT. @ a
BATH TUB
. Address .� % ,/'d
t ! _i y } .F.+. S I,/�1�.: C'/ °�
SQ. FT. @, a
WATER HEATER ?
Received by
S0. FT. RESID @ 1 t/aa
SEWAGE DISPOSAL 2
license#
SO. FT. GAR @ 3/4a
HOUSE SEWER
aif•
City Zip
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GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL EE
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MOB. HM. FEE
E
MICRO' FEE
MECH. FEE PL. CK. F,�J: J,
Y✓X (,f
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
403019
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Job Address - �-� �-- � - -- - _ - - - -' - -Space Zip -
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Owner_ --
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Community
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Valuation
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Set Backs
lot Size
Construction Fee Dbl E
Legal Description /ll'
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F
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Electrical Fee Dbl $
Zone Restrict' s _
Group
Type ,
SMI Fee
Plumbing Fee Dbl S
Band Amt.- r
$
Plan Noo..} +�s
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•
Plan C ker
Final Dote
/ a •- ��
Inspector
Unit
Sp. Insp. Fee S
Demol. Fee S r.
Const. Lender Branch
SupplimeennJptr/��pQe/(ry/*t Numbers -
s
Registr. Fee $
Mileage Fee $
Address City Zip
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Witness Fee S
Reinsp. Fee g
'Owner/Agent r
Tel. Zip •.
Total Fees Is
. Address .� % ,/'d
t ! _i y } .F.+. S I,/�1�.: C'/ °�
City �l .�'"; Zip '
lV
M.O. N.C. Cpsh.: Check Q-�
Received by
Contractor
Tel. ,
license#
Trees reqs
Sewage System
Address
City Zip
j.
s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
T LL % P verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
Sewer District
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. c
+ '°= I HEREBY) CERTIFY -THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE:.OFLALIFORNIA.
Y rSr . .e t, 4r1 t s! i
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & 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 Beams
38
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
Fireplace T.O.
P'
ADDITIONAL INFORMATION
•'
_
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
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 Gas Test
25 Final
Tank
Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
PERMIT NO. .
40 30 19
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
-
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS -
Dote
o%
•
SQ. FT. @ -
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK'
SO. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @•
DRAINAGE PIPING
SQ. FT. @ •
DRINKING FOUNTAIN
SQ. FT. s'VJ
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
Plumbing Fee DbI $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final Dale
ia to
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. @ t a
BATH TUB
City Zip
r
- SQ. FT. @; a
WATER HEATER
Contractor
S0. FT. RESID @11 t'Aa
SEWAGE DISPOSAL
Sewage System
} SO. FT. GAR @ 3/4a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
/]TOTAL
�//%
MO . HM. FEE
�'
MICRO FEE
MECH. FEE PL. CK. T
✓
990 k
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
P ERMIT NO.
403019
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ace Job Address SpZip
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Owner
CommunityI.
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Parcel No.
Use/C s o.
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PI. Ck. Fee _ S /
Set Backs -
Lot Size
~
Construction Fee 'DbI S
Legal Description ,^Sy-
vT l C2 r - �f
F
S S
R
Electrical Fee Dbl S
Zone Restrict' s
C • �
Group
'
Type
SMI Fee S
Plumbing Fee DbI $
Bond Amt.
$
Plan No. Plan Checker
TOUASA-
Final Dale
ia to
Inspector.
Unit
Sp. Insp. Fee $
Demol. Fee S
Const. Lender Branch
Supplimental Permit Numbers
-
Regisir. Fee S
Mileage Fee $
Address City Zip
f\�•9
Wiiness Fee $
Reinsp. Fee $
y�s✓ner/Agent -
Tal. Zip
Total Fees $
Address
*7/1
City Zip
r
M.O. N.C. C sh Q Check
Received b
Trees Feq
Contractor
Tel.
LicenseR
Sewage System
Address
City Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN .120 DAYS. CESSATION OF WORK verified by:
Sewer Districty Q��rarr ' FOR 120 DAYS SHALL ALSO CAUSE PERMIT. TO BECOME VOID.
. EBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LA\A/ OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
G HEREO CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. I/80) kOORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.