375474 (SPIN)PERMIT NDEPARTMENT OF BUILDING & SAFETY Dsr
37540-74 COUNTY OF RIVERSIDE FIELD 1/ t l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
Com unn'It'
• /
2ND. FL. SQ. FT. @
Ofy f�
YARD SPKLR SYSTEM
MH.Permit Fee S/yc.^
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. @
Parcel No.
i
Use/Case No.
Ckf.B
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
Lot Size
Construction Fee Dbl $
Legal Desc-iption F
/ �� �% v `�✓ V / /4 �j -
lv7�j• XrXf'i��JJ tY'"
S S R
DRAINAGE PIPING
CAR P. SQ. FT. @
Group
Type
WALL SQ. FT. @
Plumbing Fee Dbl $
DRINKING FOUNTAIN
Plan No.
Plan Checker
URINAL
SQ. FT. @
Unit
Sp. Insp. Fee $
ESTIMATED CONSTRUCTION VALUATION $
Const. Lender Branch
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
City Zip
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Contra fo9r L/� ` t✓"L -"
/ // - Qui ,/
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. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
S0. FT. RESID @I /.c
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEE $.
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
PLUMB. FEE
F
r
PERMIT NO.
1375474
Job AddressSpace
-' "" �.. , � �ry�
Zip
Owner
Com unn'It'
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Valuation Date +� Dist.
$ Zi► /�
Ofy f�
F.C.C.
MH.Permit Fee S/yc.^
Micro Film Fee Cop j
Use of Perna
A..
/ ...►
Parcel No.
i
Use/Case No.
Ckf.B
Mech. Fee Dbl E
PI. Ck. Fee §
Set Backs
Lot Size
Construction Fee Dbl $
Legal Desc-iption F
/ �� �% v `�✓ V / /4 �j -
lv7�j• XrXf'i��JJ tY'"
S S R
Electrical Fee Dbl $
Zone Rest' t' ns—
�.
Group
Type
SMI Fee s
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
V �/Z.� —;,Q
spector
Unit
Sp. Insp. Fee $
Dental. Fee $
Const. Lender Branch
Number %
supplimental Permit Numb
Registr. Fee E
Mileage Fee y
Address City Zip
Witness Fee $
Reinsp. Fee I s
Owner/Agent
Tel. Zip
Total Fees s 1,00
Address
�f
City Zip
M.O. N.C. Cash CheckjA
Received by
Trees required
Contra fo9r L/� ` t✓"L -"
/ // - Qui ,/
Tel. /License#
.f /'� !1>
Sewage System
Address �
-/
city", Zip
" /",—
T
LL P
Sewer District
Form 284-208 4(Rev.Bf178)
THIS PERMIT SHALL B5COME VOtEf 1F WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
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 CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN r 1 ISI
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. G yl
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back 7-3-79
33
Ventilation System
2
Figs 8 Frms
34
Plenums 8 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
IDA
Fireplace T. 0. ❑
NO.
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_7.9
o
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
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIMSIDE
0FFI� DATE I TIME / PERMIT NUMBER / / /
V INSPECTION
ADDRESS I SPACE N0. FFORUESTED"
I
A.M.
OWNER UOMMUNITY
P.M
BUILDING PLUMBING ELECTRICAL ECHANICAt a
INOiN.
1,4TUESa
awe
REMARKS:
�THUR ,
rFRi
OWNER/CONTRACTOR TEL.NO.
28M6� tl/75