290846 (SPIN)DEPARTMENT OF BUILDING & SAFETY i
LOis:.
;S:BUI'Ndf ERMJT .
COUNTY OF RIVERSIDE r 'I
-;CQI;J
TA TE NO. ELECTRICAL FEES (�T-
T.
SO. FT. .P
SO.FT. @
SCL FT.
SO. FT. @
SO. W. @
;,t j:' _•:=. £STUyIATE7.%C64ISTRU.C1IO" VALUATION S'
eN0?E:;N4f;10 :Fie used'DE'property lax volvolivn
• MECHANICAL FEES
ViT.SYSTEM [J FAN '❑ -EVAP. COOL ❑ NOOO
(►PPLIARcE. ❑ DRYER
FURNACE. ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDEC
ATR; ItANOUNG UNIT CFM'
ABSORPTIONOSTEM B.T.U.
CQA4i tlSOR' . '. HP
i ' FLEATIN..t3 SI SiE/it : ❑ FGRCfD . ❑ GRAVM
�'•::: $•O1tER'.:
MILT -U.
:t
PERMIT -FEE-. '
[77�
MOBILEHOME SVC.
POWER OUTLET
POOL, PVT
POOL, CO
OLE METER
TEMP USE PERM SVC
)OLE, TEMP/PERM
4MPERES SERV ENT
SOFT. @I c
SOFT: @ c
SO.FT.RESID 9 1 Via
SO.FT.GAR @ Ma
'ERMIT FEE
HEADpUJirw
itj 4r S.•
.UMBING FEE5!
! SINK
NM rCe A,u[
URINAL
WATER PIPING
FLOOR DRAIN
E DISPOSAL
TRAY
SINK
TUB
:R HEATER
SGC OISPOS
iE SEWER
PIPING
IT FEE
1. F' M A M J J A S O
N p
JOB ADDRCS9 sP No
1
OWNER
n_
ffl77
COMMUNnT
VALU N
s
DATE
oFrx:E
7 78
M FI PERMITTEES
U664OF f4VMrF
P.C.
OUPP. TO PERMIT
IERMI
NO'
'
Ac
MOCRORLM FEE
COPIES
S
000K PAC PARCEL
L)IC A& DESCRIPTION
MECHANICAL FEE
DBL
s
USE No
20NC
rE7 BACK LOT
ERC GRPT/PE
CK BY
I
e
c
n
Pt/W .CHECK FEE
S
BOND ANT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
COT•1ISTRUCTiON FEE
DBL
S
NAME Of CONST. LENDER BRANCH
QFME NOLENDERINVOLVED
ELECTRICAL FEE
ORL
Is
Ar.DRESS Cm
STATc
STRONG MOTION
b
OWNCRrreQwrS uaNA 6� CONTRACTOR
INSTRUMENTATION FEE
I `/✓\
'SPECIAL.INSPS
AD ADDRESS
ON
FEE
REGISTRATI
PLUMBING FEE
DBL
S
C Tr Lipp Cooc Clrr
'"' ZIPCODE
TOTAL FEES
TEL AnEA
CODE TEL
No
ARCA COOL
LICENSE 4
CAS CHECK❑M.O.❑N.C.❑j
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G'n
i
RECEIVED BYiR S REOUI
1H15 PERMIT SIIAII BECOME VOID IF WORN 15 NOT COIN: EIJCED \YI1WiN 170 DAYS. CE:ItinIIUN OF
WUI:K FOR 120 DAYS SHAH ALSO CAUSE PERMIT 10 BECOIAE VOID.
SEWAGE SYSTEM Wi
I WEREBY AGREE THAI All WORK IN CONNECTION WITH MIS PERA5I7 WILL BE DONE IN ACCOROANCC
T 11 P
WITH IHE LAWS OFRIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. 1 A:SO AGREE TO CARRY
E[lA4PFNCA Of1N IN[I 1QANf-G HOC'SN MV Cw101 (1Vr CG PClr.ltlrrA wv'c wrTu f4L l cwc AC THC crAiC CTC
POR4 204 -ZOO IREV 6.7041
CAIIFOkNIA COVEFINO C.O1LTIZAC;ORS IS ALSO GUARANTEED.
l I fERFSY CER7JT A1,.1 711 1NVIVIDLIAl WiHOPREPAPFD ft1E PIANS AND SI'ECIFICA MONS IFAS DONE
,Ll I4 AC ORDANCi WITH CFC 10-4 SS:I OF TI1F j,uf,!NT'SS AI.7I;' PROF FSS1ONS COp!' (.`1 fHF 51.. IE
... ....... .. ...
_ 's•.l�„2.::•�L?%;a)y_v FIELI3'.i.; t�:';,4r':.:"•,� +<
. DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE II ''"�` i'• • :, .__rErLIKIrNo. �. ... , �;I.�i:_'',t: :�D�r•N
:`'>CONSTRUCTION.ESTIMATE NO. .ELECTRICAL FEES NO. :PLUMBING FEES;
F�''. •: SO:.FT.'.:�+'- • S': UMTS
��;:. •. YARD SPKLR SYSTEM':SO,.:<r.
Fr. MOBILEHOME SVC. BAR SINK
T:'• rG 4R ' SO. FT. @ POWER OUTLET ROOF DRAINS
4':..
DRAINAGE PIPING •• P. '•:..• SO. FT. @ ,�'•:'.;;.
WAIL' SO. FT. @ DRINKING FOUNTAIN
URINAL
r:: •::::: sca F r.: C�
":::ES7IAMTED CONSTRUCTION VALUATION $ WATER PIPING
:'NOTE ,Not'to. be:. used asproperty tall voluoiion SWIM POOL, PVT FLOOR DRAIN
?; MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
VENT.SYSnm n FAN . ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
;A "'' FURNACE' ❑ UNIT [I WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
i i�:r AIR HANDLING UNIT CFM IDLE MEIER KITCHEN SINK
ABSORPTION-SYSTEMB.T.U. TEMP USE PERM SVC WATER CLOSET
P COMPRESSORHP POLE. TEMP/PERM LAVATORY 777.
HEATING'SYSTEM ❑. FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
SO_.FT. @ c BATH TUB
SO.FT. @ c IWATER riEATER
SO.FT.REStD @ IV.c SEWAGE'D15POSAL
.i SO.FT.GAR @ 'Ac HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE _�� PERMIT FEE
-DA. Tip7At FEEe MOBINM.FEY MrCAO FEC MCGt FEE FL. CK. FEE CONST FEC f.EGT. FEE SMI FE£ O FEE PLUMD. F[C
r. .1. •-JOM ADOR[55 6P NO OWNER L"
J' `F M' A M J A 5 O N D I
s l
�• : ..: COMMUNITY VAI UQ DATE OFFICE
mg%!'.�.• ..•T
EE USE M FC. SU .TO PP[fP` IT PERM
H'•PERMI F
.s S
1'
PA F.GAI LSCA p.
fMKROFItM FEE COPIES S RCE L +•
` CHANK;AI FEE DBI S USE NO 1111E 6E1 RACK LOl d12E uRP TYPE CK DY
I e s a
LAN CHECK FEE. S SONO AMT. PLAN O.IPLANCNECOCEF4 FINAL OATS + IN6P TOR
^ONSTRUCTION FEE DBI. 5 NAME OFCONST. LCNOER OPA NCN OFFICE NDLENOCRINVOLYED
ELECTRICAL FEE DBL S ADDRESS CITY _ STATE
i.
• �•TRONG MOTION OWNCRA�S rIGNAT , CONTRACTOR '
,ffISTITUMENTATION FEE
.'.... PECIAL INSP. S AD DITA-S., ,� ADORLSS
DEMOLITION FEE 00
F' REGISTRATION -^�
PIUMBING'FEE DBL21P C or. clic' :IP CODE
r- I y
TOTAL FEES S EL ARCA COOT TEL NO --]ARCACODE LKCNSC •
^!� CASmmemEcxom.O.❑N.C.❑
71:`
ECELVE BY TRE 5 REQUI 'D •R1.51T $t1AlL BECOME VO;D IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ;.
;!:vv WORK FOR 19 OAYS.SHALL ALSO CAUSE PERMIT TO BECOME VOID.
(HEREBY AGREE TIAI-At', WORK IN CONNECTION'.V!TIJ THIS PERMIT WILL BE DONE IN ACCORDANCE t
SEWAGE SYSTEM T ll P WITH THE LAWS OF RIVERSIDE COUNTY AND DHE STATE OF CALIFORNIA. I ALSO AGREE TO CARRY
7 COAtPENSATION INSURANCE UPON .IaY EMPLOYEES, COMPLIANCE W1111 DHE LAWS OF THE SI AT
:i ,5j CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
IhIr.REBYCERTIFY TNATTHL'INDlVnUALV:HOPREPAREDTFIEPIAA:SANDSPECIFIC.ATIONSHAGDO
FORM 2134-.2011 IRCV. 6.76
5C? IN ACCO.iR*,Ni.0 VN';TH SECTION 5541 OF RP
BUSINESS AND PiIVTESSICNS CGDE Oh lift S1ATE
CIF i.Ai!FOF.:VIA.
opf TION OATE
BUILDING APPROVALS
rms
-A 510 .CNade
;'16*1 Deck -
-wol
- Fireplace .- P.L - 0
!6k'.Rrep1qce T.O. 0
S l� Exterior lath
1.2A.. ;Drywpli %
13Grade
.
Y NSULAT10k Thick If
26 Power Pole.
27 Conduit
.28. Service Entrance
29. Wiring
29A Grounding Wire
298 Bonding
30 fixtures
31 Service
.32
Final
1f1rSpMToR No OPERA710H
MECHANICALAPOR6vg
33 Venfilotion System ...........
34 Plenums 8 WC11
35 1 Furnace Comport'.
*35 Inlets & Outlets
77—
37
Combustion Air
IZ(;:'. ,:Ceiling' (Blown)
. . . . . . . .
38
PLUMBING UMBING APOROVAL§
.
. r
Ground P6'nb.
39
40
41
42
43
of"M
Appl. Oeorcinco
Fire Damper
Smoke Detention Device
Commercial Hood
Final
.7-2-
ADDITIONAL INFORMATION
.:Wotai Piping
77
Rough Plumb
N nil
-Diiposal
N
Motor Heater
''.
',"
'23
-W61ef Setvita
:24'
Gas Test
25.
final
ELECTRICAL APPROVALS
26 Power Pole.
27 Conduit
.28. Service Entrance
29. Wiring
29A Grounding Wire
298 Bonding
30 fixtures
31 Service
.32
Final
1f1rSpMToR No OPERA710H
MECHANICALAPOR6vg
33 Venfilotion System ...........
34 Plenums 8 WC11
35 1 Furnace Comport'.
*35 Inlets & Outlets
77—
37
Combustion Air
. . . . . . . .
38
Compressor
.
. r
39
40
41
42
43
of"M
Appl. Oeorcinco
Fire Damper
Smoke Detention Device
Commercial Hood
Final
.7-2-
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit I.Aine
REAR OF PROPERTY UNE
PIL p
STREET 14AAkE—..---
no