391715 (MISC)BUILUInG VtKMII
PERMIT NO./ DEPARTMENT OF BUILDING & SAFETY Dsr
G 171 ''1 I fCOUNTY OF RIVERSIDE FIELD 511 1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
$
UNITS
Micro Film Fee
IST FL. SQ. FT. @'
Mech. Fee
Dbl. $'
YARD SPKLR SYSTEM
2ND. FL. SQ. FT. @
Construction Fee
Dbl $
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
'
SMI Fee
$
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
Sp. Insp. Fee
$
DRAINAGE PIPING
CAR P. SQ. FT. @
Regisir. Fee
$
DRINKING FOUNTAIN
WALL SQ. FT. @
Witness Fee
a $
URINAL
SQ. FT. @
•
@
ESTIMATED. CONSTRUCTION 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
GARBAGE DISPOSAL
FURNACE- UNIT • WALL FLOOR SUSPENDED
„
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
SQ. FT. RESID @ 1't/, c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
.SMI
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE EMCT. FEE
FEE
FEE PLUMB. FEE
I
PERMIT NO.
391715
MH.Permit Fee
$
Micro Film Fee
Cop $
Mech. Fee
Dbl. $'
PI. Ck. Fee
$
Construction Fee
Dbl $
Electrical Fee
Dbl $
'
SMI Fee
$
Plumbing Fee
Dbl $
Sp. Insp. Fee
$
. Demol. Fee
$
Regisir. Fee
$
Mileoge Fee
$
Witness Fee
a $
Reinsp. Fee
• 4 $
•
f
'Total Fees
$
M.O. El
Received by
N.C. Cagh
[�+
Trees required
Sewage System
n
T
LL
YP
i Sewer District
8a I/
Form 284-208 (Rev.8/78)
5
Job Address Space Zip Owner
-;e Gj JZ
r>7 j >
Community Valuation Date Dist. ff. F.C.C.
Use of Permit Parcel No. Use/Case No. Ck. By
...} - Set Becks Lot Size
rE All P C4.42.egal Description 1 F S 5 R
• Zone RestrictionsGroup Type
Zo
- ?• /
Bond Amt. Plan No. Plan Checker Final DateC�P s r Unit
$ —�
Const. Lender Branch Supplimental Permit Numbers
Address City Zip
C
ner/Agent / •�� /' Tel. Zip
Address City Zip
♦� ^1as usi/2
Contractor Tel. icense#
Address City Zip ,
THIS PERM\IfSHALL BECOME VOID IF WORKJS 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.
/�,/��. REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
eld_eRCCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
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
t 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. C]
43
Final
10A
Fireplace T.O.
OP'N
NO:
-----——--_—_�--__
ADDITIONAL INFORMATION
_ _ _ _ _ _ _ _ r
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
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
P/L P/I
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
1PERMIT NO.
391715
PERMIT NO./
3.91715
/`
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
1
DST
r it
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
INO.1 PLUMBING FEES
IST FL. SO, FT, @ $
2ND. FL. SQ. FT. @
POR. SQ. FT. @
GAR. SQ: FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
r POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS .
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
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
Parcel No.
- rt
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
No.
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
r
SQ. FT. RESID @1'hc
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/4 c
HOUSE SEWER
Final Date
_
ei
Inspector
GAS PIPING
PERMIT FEE
-7
PERMIT FEE
PERMIT FEE
DBL.
)TOTAL FE
fes+
MOB. HM. FEE
MICRO FEE
MECH. FEE Pl. CK. FEE
CONST. FEE RrCT. FEE
f
SMI FEE
FEE PLUMB. FEE
1PERMIT NO.
391715
'Job Address
-ir—,
Space
Zip
Owner
Community
/ _
'�•^
<;
Valuationrr
$ r��
6
Dote r
3_ 1'2 ^ C/'o
Dist.
F.C.C.
MH.Permit Fee $
Micro Film Fee Cop $
Use of Permit
-
t
Parcel No.
- rt
t,
Use/Case
No.
ICk. 8
Mech. Fee Dbl $
Pl. Ck. Fee $
Set Backs
lot Size
Construction Fee Dbl $
Lego[ Description
Z_
L 2,3
Electrical Fee Dbl $
Zone Restrictions ..
Group
Type
! -,A/ /
, `/
SMI Fee $.
Plumbing Fee Dbl $
Bond Amt. .
$
Plan No.
Pion Checker
Final Date
_
ei
Inspector
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender
Branch
Supplimental
Permit Numbers
"ill 5
l/
Registr. Fee $
Mileage Fee - $
Address City Zip
Witness Fee $
Reinsp; Fee $
ner/Agent �✓'�
y
cloh
Tel.
67:3
-(
Zip
Total Fees PoU
Address
�.✓
_ t
-
City
r
-
`
Zip
'
M.O. N. C: ch Check.
Received byxsapzuContractor
.•
-
..
r .. ..
License# ..
_
frees required
iewage System
Address
City
Zip
"
I U. 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. r"
I REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE -OF THE STATE OF CALIFORNIA.
Form 284.208 (Rev.8/78) @s