403330 (SPIN)PERMIT NO,
03330
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
Sewer Dis ct
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @ I
I 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
J ,
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
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
Y•��
SO. FT. @ c
WATER HEATER
Const. Lender
SO. FT. RESID @ 1 t'Ad
SEWAGE DISPOSAL
S0. FT. GAR @ V4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICROFEE
MECH. FEE Pl. CK. FEE
T CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
403330
L2 P
lob Address
Space Zip Owner
-
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
Sewer Dis ct
Co
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luotion
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F.C.C.
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THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
To
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C ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
MH Permit Fee S
Micro Film Fee Cop $
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Pl. Ck. Fee S
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Plan No.
Plan Checker
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Sp. Insp. Fee S
Dental. Fee $
Const. Lender
Branch
Supplimental Permit Numbers
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Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee S
Reinsp. Fee $
Owner/Agent
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Tel.
Zip
Total Fees S G�;
Address
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Zip
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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.
Sewer Dis ct
HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
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THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HER BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
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C ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev. 1/80(
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
Slob 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
IDA
Fireplace; •, • T. 0.
°o
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior loth
12 Internal Lath
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 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
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DF BUILDING & SAFETY FIELD OFFICE ST
'Y OF RIVERSIDE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
UNITS
Owner
PERMIT NO.
403330
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
I F.C.C.
DRAINAGE PIPING "
'
DRINKING FOUNTAIN
Parcel No. %
� � LJ
URINAL
Ck. By
WATER PIPING
SWIM POOL, PVT
FLOOR DRAIN
SWIM POOL, COMM
WATER SOFTENER
SIGN
WASHER (AUTO)(DISH)
5 S
GARBAGE DISPOSAL
t
LAUNDRY TRAY
IDLE METER
KITCHEN SINK
TEMP USE PERMIT SVC
WATER CLOSET
POLE, TEMP/PERM
LAVATORY
AMPERES SERV ENT
SHOWER ,
SO. FT. @ d
BATH TUB
SO. FT. @ 4
WATER HEATER
S0. FT. RESID @114a
SEWAGE DISPOSAL
S0. FT. GAR @ 3/4e
HOUSE SEWER
Witness Fee g
Reinsp. Fee S
GAS PIPING
Tel. Zi P
PERMIT FEE
PERMIT FEE ;
PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEEIFAY
PLUMB. FEE
T 14 K -11y P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer Di ict 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
jn THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
Y CERTIEY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) ee—RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
Job Address Space Zip
-
Owner
PERMIT NO.
403330
Commum y
7-4
Valuation
S
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Off.
I F.C.C.
MH Permit Fee $
Micro Film Fee Cop $
Use of Pe
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Parcel No. %
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Use/e No.
Ck. By
Mech. Fee Dbl g
PI. Ck. Fee S
Set Backs
Lot Size '
Construction Fee Dbl S
Legal Descriptiiooy�+�� !{�� %-
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F
5 S
R
Electrical Fee Dbl $
Zone Restrictions -
'
G p Type
SMI Fee S
Plumbing. Fee Dist $
Bond Amt.
g
Plan No.
Plan Checker
Final
l�aa
Inspector
Sp. Insp. Fee $
Demol. Fee S
Const. Lender Branch.
Supplimentol Permit Numbers ,
3 (U V (/ Y
Registr. Fee $
Mileage Fee S
Address City Zip
_
Witness Fee g
Reinsp. Fee S
Owner/Agent /
Tel. Zi P
Total -Fees S G�
M.O. E] N.C. C3 Cash eck -z
Address
.. Zip
e a,ry
Receiv y
�.
Trees
Contrac - "N_v-
Ucense# -
5 ge System
Address
City - Zip
,
T 14 K -11y P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer Di ict 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
jn THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
Y CERTIEY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) ee—RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: