404349 (RR). I , PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD T
0434 COUNTY OF RIVERSIDE z
MST
CONSTRUCTION ESTIMATE
NO. - ELECTRICAL FEES
NO. PLUMBING FEES
I ST 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
SO. FT. @
DRAINAGE PIPING
SO. FT. @—
DRINKING FOUNTAIN
SO. FT<Z 6 A_ -,<-I f c, 7-
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used os property t6x voluction
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
S
IR
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Group
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. @ c
BATH TUB
Supplimental Permit Numbers
Z—z zs��
3
SO. FT. @ 4
WATER HEATER
Mileage Fee S
SO. FF. RESID @11/4c
SEWAGE DISPOSAL
Reinsp. Fee
SO. FT. GAR @ 3/44
HOUSE SEWER
T.I.
Zip
GAS PIPING
PERMIT FEE
Acidress
�P-%
PERM! FEE
PERMIT FEE
DBL.
TOTAL FEES
I /,/- 4:�?
OB. HM. FEE
Im
MICRO FEE MECH. FEE
PL. CK. FEE
/CONST.,FEE ELECT. FEE
0 __
SmI FEE
FEE PLUMB. FEE
PERMIT NO.
4043,
Job Address
z2l
Spo-c$zip
Community
X, 7- A�
V oluation
S //,V
6o
Date
1 /0
Dist
Off.
F.C.C.
MH Permit Fee S
Micro Film Fee
Cop S
ly
6; 41 /- Z' , / 0 ;--
Parcel No.
17
66
U,e/C.s. No.
1
Ck. By
" —
Mech. Fee DbI S
Pl. Ck. Fee S
Set Socks
Lot Site
Construction Fee DbI S C�x
Legal Description
A'� -r
2
F
S
IR
Electrical Fee ObI $
Zone Restrictions
r� - I
Group
T Pe
SMI Fee S
Plumbing Fee
DbI S
Bond Amt.
$
Plan No.
Plan Checker
Final Date
Inspector
Unit
Sp. Insp. Fee S
Dental. Fee
$
Const. Lender Branch
Supplimental Permit Numbers
Z—z zs��
3
Regist, Fee
Mileage Fee S
Address City Zip
Witness Fee S
Reinsp. Fee
O.ner/Agent
T.I.
Zip
Total Fees
S
Acidress
�P-%
!zily
1144��a //I/
Zip
M.O. 0 E] Cash E] Check
Received by
Contractor
To 1.
Licensett
Trees re
Sewagfe�system
Address
City Zip
-C,
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 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 A�D THCSTATE OF CALIFORNIA.
H ElYC RTIFY THAT THE NDIVIDUArWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO -IN
Form 284-208 Rev. 1/80) CE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
W*
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Figs & Frms
34
Plenums & 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 De�ice
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P.L.
43
Final
10A
Fireplace T.O.
OFYN
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
Il Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick
"R"
Value
7A Wolls (Botts)
12B Ceiling (Botts)
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
Water Softener
23 Watec Serwce
24 Gas Test
25
Final
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Ser�ice Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Se"ice
32 Final 5- r2 -
i i i . STREET NAME