403331 (SPIN)PERMIT NO.
03331
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE%
FIELD DST .,
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
$
SQ. 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. @
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
Plan No.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
-.
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. @ a
BATH TUB
Received by�
SQ. FT. @ a
WATER HEATER
LicenseR
SO. FT. RESID @ 1 t/4a
SEWAGE DISPOSAL
Address
SO. FT. GAR @ 3/4a
HOUSE SEWER
GAS PIPING o
PERMIT FEE
PERMIT FEE
PERMIT FEE 10,
DBL.
T�OTAFEE N
MOB. HM. FEE
MICROFEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
�� PLUMB. FEE
PERMIT NO.
4033 31
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Job Address Spo<e
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Zip
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Owner r -
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CommunityValuotion
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$
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Dist.
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MH Permit Fee $
Micro Film Fee Cop $
Use of Permit/�, f/
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Parcell NNoo..F�/ �!
7
Use/Case No.
Ck. By
Mech. Fee Dbl $
Pi. Ck. Fee $s
Set Bock$
Lot Size
Construction Fee Dbl $
Legal Description , �' w Jam„ �.
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Electrical Fee Dbl $/r
Zona Re trictions
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Type
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SMI Fee $C✓
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Pion Checker
Finai Date z"Inspector
. 4,A
—o?'? —,
Unit
-.
Sp. Insp. Fee $ CIC
Demol. Fee $
Const. Lender Branch
Supplimentol Permit Numbers
ryy
�� 1
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent
Tel Zip '
Total Fees$ (
Address
City Zip
M.O. N.C. Cash Check
Received by�
Contractor
Tal. r �I
LicenseR
Trees requir
Sewage System 7 ;
Address
City Zip
'
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
/ C THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBYLERTIFY THAT THE INDIVIDUAL WHO 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:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
figs & Frms
34
Plenums & 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.
°o
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
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
Finol
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
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.
03331
DEPARTMENT OF BUIL
COUNTY OF R
CONSTRUCTION ESTIMATE NO.
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $ UNI
SO. FT. @
SO. FT. @ - MO
SQ. FT. @ PO\
SQ. FT. @
SO. FT. @
SO. FT. @
VALUATION is
NOTE: Not to be used as property tax valuation SW
MECHANICAL FEES SW
VENT SYSTEM FAN EVAP. COOL HOOD SIG
APPLIANCE DRYER
FURNACE UNIT WALL FLOOR SUSPENDED
AIR HANDLING UNIT CFM IDL
ABSORPTION SYSTEM B.T.U. TEP
COMPRESSOR HP PO
: HEATING SYSTEM FORCED GRAVITY AM
BOILER B.T.U.
Use/Cosa
No.
Ck. By
Mech. Fee Dbl S
PERMIT FEE PER.
DBL.TOTAL
FEES
%.
MOB. HM. FEE
MICRO FEE MECH. FEE PL. CK. FEE
4033 PERMIT NO,
31
Job Address
_
i
Space
Zip
42
Owner
"h'7
Community
aluotion
S
Date
9 /G `^ 7J
Dist
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee Cop S
Use of P rmit�J+�} /
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Parcel No.
77 #-//%G /
Use/Cosa
No.
Ck. By
Mech. Fee Dbl S
PI. Ck. Fee $
Set Bucks
Lot Size
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WJ v
Construction Fee Dbl $
Legal Description�Q
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G /
F O $ $ R
Electrical Fee Dbl S
Zone Restrictions
/O —
Group
`
J
Type
SMI Fee S
Plumbing Fee Dbl $
Bond Amt.
S
Plan No.
Plan Checker
Finol
Inspector
Unit
Sp. Insp. Fee $ 0C
Demol. Fee S
Const. Lender
Branch
Supplimentol Permit Numbers
35 w[
Regist, Fee S '
Mileage Fee $
Address City Zip'
Witness Fee S
Reinsp. Fee S
Owner/Agent
/_ f / ,r
Tel,
9 `
Zip
M.O. L , N.C. 0 Cash Ej Check
Received by
Trees requu
Contractor
Tel.
License#
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 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 AND THE STATE OF CALIFORNIA.
I HEREBY ERTIFY THAT THE INDIVIDUAL
Form 284208 (Rev. 1/80) CE WITH SECTION 5541 OF THE
WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.