360551 (SATT)DWILLPImp reKmn
PERMIT NO. DEPARTMENT GIik8UIL9ING & SAFETY
3-6055, COUNYY OF RIVERSIDE FIELD MDS
CONSTRUCTION
ESTIMATE
Job Address
Community
NO. ELECTRICAL FEES
NO.. _, PLUMBING FEES
IST FL.
2N6. FL.
POR.
GAR.
CAR P. R
SQ. FT. @ dam' $ �'
S
UNITS
--
Y .,.»
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ « MOBILEHOME SVC.
BAR SINK
SQ. FT, @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
WALL' • . r ��'...• rw ♦ .,
...
SQ. FT. @
_ . , w .�:«„ � �
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION r $
6IV
Lot Slze
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
Legal De ription
'/
•-/'!'i' /'/
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
S
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM •FAN' 'KEVAP. COOL ;HOOD
Group
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plumbing Fee
Dbl $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Plan No.C
1r -
Plan
LAUNDRY TRAY
AIR HANDLING UNIT , CFM
j
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
Const. Lender
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
Supplimei/tofNf
l�l
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Registr. fee a
SQ. FT. @ c
BATH TUB
ti w s....'..w,5... ♦ s ,w -,i- .- . r-.
Reinsp. Fee
- 'SQ. FT.'@• `t '
WATER HEATER
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
Total Fees
$
Address
r
GAS PIPING
PERMIT FEE '
PERMIT FEE
PERMIT FEE
DBL.
/
TOTAL FEES
—'M
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
360551
`' •
_
Job Address
Community
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;
s . • + r•;
-
Q..1on• •
$
Space Zip
1-4
Owner
Date w•
r
'Dist. Off.
F.C.C.
MH.Permit Fee S
Micro Film Fee
Copy
Use of Permit
-
i
_
Parcel No.
Use/Case No.
Ck. By
Mech. Fee• Dbl S
PI. Ck. Fee ;Ole�
eHBac s'
Lot Slze
Construction Fee Dbl $
Legal De ription
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IC
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^`mat'"Irf/7
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� .y'"
(♦/l".: ,,,-1j
F S
S
R
•
Electrical Fee Dbl $
Zone Restrictions
y�
Group
Type
SMI Fee y
Plumbing Fee
Dbl $
Bond Amt.
E
Plan No.C
1r -
Plan
er
Finnaal Date
j
Inspector
Unit
Sp. Insp. Fee E
Demol. Fee
$
Const. Lender
Branch
Supplimei/tofNf
l�l
it Numbers
Registr. fee a
Mileage Fee f
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
$
Address
r
-
t
'
City
Zip
M.O. C1 N.C. Cash M Check
Received by
Contractor
f / ' / •
! f 'C• •
f
/S,�,n,,•+.M
• .•
Tel.
,�
license#
Trees requ"ued74
Sewage System
'
Address
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City ••
t
Zip
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T LL P
Sewer District
i •r
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. ~CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 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 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.
verified by:
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 & 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. C]
43
Final
10A
Fireplace T.O.
P'
NO
ADDITIONAL INFORMATION
r -
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14'1 ` 6na6-
PLUMBING.A.PPROVALS..
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
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
�. - STREET NAME