359723 (BLCK)PERMIT No. DEPARTMENT OF BUILDING & SAFETY FIELD
359723 COUNTY OF RIVERSIDE DST
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
-POR.
GAR.
CAR P.
WALL
ow o" is +
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Owner
`
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.,. .�
SQ. FT. '@ '
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE:.NoJ.to be used, as,properry tax valuation
SWIM POOL, PVT: A `
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT TEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIAik DRYER
Legal Description
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GARBAGE DISPOSAL
FURNACE N UNIT WALL FLOOR SUSPENDED
4 u
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
E
SQ. FT. @ c
WATER HEATER
w
SQ. FT. RESID @I1Ac
SEWAGE DISPOSAL
SQ. FT. GAP @ 314 c
HOUSE SEWER
'
Witness Fee E�.+�'
Reinsp. Fee
GAS PIPING
PERMIT FEE
Owrer/Agent
PERMIT FEE
PERMIT FEE
DBL.
.TOTAL FEES
rtr_.
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST•FEE • ELECT. FEE
yo
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
359.723
Job Address
Space
Zip
Owner
`
Comn; ni�y
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+r �''
r
oluotion
E
Date
'1
Dist.
Off.
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop E
Use of Permit
/ _
/` j,�+- %'/,r,_"' L ---'k j_
Parcel No.
rse/CoseNo'.
Ck. By
/, t
Mech. Fee Dbl E
PI. Ck. Fee $
et`B ks
Lot Size
Construction Fee Dbl E
Legal Description
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.::✓�.� 7fW f S.�i.0 .�fS •7i —''CYC
F R
S S
4 u
Zone Restrictions
--r-up
rou
Type
SMI Fee E
Plumbing Fee
Dbl E
Bonc Amt.
E
Plan No.
Plan Checker
Final Dote
Inspector 'j
Unit
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee E
Mileage Fee E
Address City Zip
Witness Fee E�.+�'
Reinsp. Fee
E
Owrer/Agent
�.
Tel.
Zip
Total Fees
E'
-
Address
_
�,
City �/� �� �
'F
Zip
M.O. C3 N.C. Cash Check
Received by
Cor Iradoi`�
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Tel. 0I+moi"'
LicenseN
Trees required
Sewage System
Add•ess
`
Cit F
Y } Zip
T• , LL
District
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.
I HEREBY AGREE THAT ALL C16pUFMiTH15 PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE CO D
TS
OF CALIFORNIA.
J I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
f!. CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF l=ALIFORNIA.
verified by:
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5 ----
-4
1111111110
NO.
—OPERATION DATE
INSPECTOR
NO. OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
.,N I
Set Back
33 Ventilation System
.,,2
Ftgs & Frms
34 Plenums & Ducts
-2A
Slob Grade
35 Furnace Comport.
3
Steel
36 Inlets & Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck ......f
39 Appl. Clearance
.7
Framing
40 -fire Damper
8
Vents
41 Smcjke-Defecfion Device I I
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
43 Final
IDA
Fireplace T.O.
OP'N ADDITIONAL INFORMATION
NO.
so
��� ` __ 1t•� ��
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal' Loth
12A Drywall
13 Finish Girade
INSULATION Thick
Value
7A Walls (Botts)
12B Ceiling (Botts)
e !inq,(Blown)
I+1F
I
PLUMBING APPROVAL9
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 -Vent's
19 Sewage Disposal
20 Sewer
21 1 Water Heater
-22 . Water Softener
23 Water Service
24 'Gas Test.
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
P)
ELECTRICAL APPROVALS
26 Power'Pole.
27' Conduit
28 Service , Entrance
291, Wiring
29AP4
Grounding Wire
29B Bonding
• .30, • Fixtures z
W Service
12 Final
STREET NAME