403333 (SPIN)BUILDING PERMIT
PERMIT NO.
403333
DEPARTMENT:,'O,F-BUILDING'•`&' SAFETY
COUNTY OF RIVERSIDE
FIELD F771,
//
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST Fl.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
Zig
YARD SPKLR SYSTEM
SO. FT. @
SO. FT. @ MOBILEHOME SVC. BAR SINK
SO. FT. @ POWER OUTLET ROOF DRAINS
SO. FT. @ 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
Ck. By A,
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Set Backs Lot Size
F S
5 R� \/ s.'
Zone Restrictions Group Th
P Type
�.�.C�.�( ��►
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 v'
BOILER B.T.U.
SO. FT. @ a
BATH TUB f
g
SO. FT. @ c
WATER HEATER r
f� A, ..i 1`h �• �;t
S0. FT. RESID '@11/4c
SEWAGE DISPOSAL
r
SO. FT. GAR @ s/ c
HOUSE SEWER
GX:
Address
GAS PIPING
PERMIT FEE
M.O. N.C. Cosh Check
PERMIT FEE
PERMIT FEE
D8L
TOTAL FEES-
MO8. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST, FEE ELECT. FEE
SMI FEE C,7�/ q -PLUMB. FEE
730, C�
PERMIT NO.
403333
lobAddress
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5 ace
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Owner
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Community
2('C, '
Valuation
$
Dote
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C.✓U"se/Case
Dist.
Off.
F.C.C.
t'+
MH Permit Feeb
Micro Film Fee
Cop $
se of Permit
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Parcel No. No.
7. —` • C/✓
Ck. By A,
Mech. Fee D61 $
PI. Ck. FeeS
Set Backs Lot Size
F S
5 R� \/ s.'
Zone Restrictions Group Th
P Type
�.�.C�.�( ��►
Construction Fee Dbl $
Legal Description
/ G �� /%
,r �
Electrical Fee Dbl $
SMI Fee 5
Plumbing Fee
Dbl S
Bond Amt.
S
Const. Lender
Address
Plan No. Plan Checker Finef Date ��sped Unit
/z
_ Branch Supplimental Permit Numbers l
City Zip l
s
a -
Sp. Insp. Fee S L.+
Dental. Fee 5
Registr. Fee S
Mileage Fee S
Witness Fee $
Reinsp. Fee
g
Owner/Agent
f� A, ..i 1`h �• �;t
Tel.
Zip
Total Fees
$
GX:
Address
City -•'� `"� _
ZIP 7
M.O. N.C. Cosh Check
Received by
Trees require
�"" :
Contractor
�• •'� ' '
Te . i^)
�•'
LicenseR
Sewage System
[� t
Address
City Zip'
-
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
_ '
I HEREBY AGREE THAT ALL WORKAN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
/G "X11 IHEREBY CE RTIFY .THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
01 eAForm 284-208 (Rev. 1/80) RD WITH"SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
WMA
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
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
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
10A
Fireplace T. 0.
No
__ _:_.._
T
ADDITIONAL INFORMATION
__r ..---------
-----__ _15 ,
-
,
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Wolfs (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
_PLUMBING -APPROVALS- __s_
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
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
P. _ ._
t 3PERMIT NO.'
4 0
Job Address ,.. ..� -. ..
'DEPARTMENT OF BUILDING .& SAFETY '
COl1NTY OF RIVERSIDE'
s� `
'FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
NO: I PLUMBING FEES
' 1ST FL.–'
' 2ND. FL.
--' POR.'. ' --SO.
f'GAR. – . ,SQ..
GAR P. *
• WALL
��•ESTIMATED CONSTRUCTION,.
SQ. FT. @; $' `
UNITS
r,
SQ. FT. '@
YARD SPKLR SYSTEM
FT. .@� r 3 MOBILEHOME SVC:'••
BAR'SINK
FT. POWER OUTLET
ROOF DRAINS
SO.: FT.
DRAINAGE PIPING
SO..FT." @-
DRINKING FOUNTAIN,.'
SQ. FT...@ ° r
URINAL
VALUATION $'� ' -
_ WATER PIPING •i' '
'DRAIN:.
' NOTE Not to be used as property tax valuation'.
.. SWIM POOL, PVT'-
FLOOR
MECHANICAL FEES,,
SWIM POOL, COMM '
WATER SOFTENER
VENT SYSTEM` FAN EVAP"{OOL - HOOD
SIGN .
WASHER (AUTO)(DISH),
APPLIANCE .,DRYER
GARBAGE DISPOSAL
FURNACE WALL FLOOR. -.SUSPENDED - - {•
LAUNDRY TRAY -
UNIT
AIR HANDLING UNIT' •CFM
:' IDLE METER -- ..
'KITCHEN SINK. -
ABSORPTION SYSTEM B.T.U'
TEMP USE PERMIT.SVC
WATER CLOSET
COMPRESSOR '. HP I
POLE, TEMP/PERM '
LAVATORY a
' HEATING SYSTEM FORCED GRAVITY
t; AMPERES SERV `ENT
SHOWER f
BOILER B.T.U. i
SQ. FT. @ a
BATH TUB
` ". .. + -
•
SQ., FT:, @ a
WATERMEATER - - -7,
•Pion No.
SO. FT. RESID -. @ 1 %a
SEWAGE DISPOSAL h
Finol Do "pevor•
' S0. 'FT. GAR @ s/aa _
- HOUSE SEWER
- t
"-
•
GAS PIPING •
PERMIT FEE"
•MOB.
Branch
PERMIT FEE
PERMIT FEE
DBL.='
L TOTAL FEES'
HM. FEE
MICRO'FEE
* MECH. FEE PL CK. FEE
CONST. FEE' ELECT. FEE
SMI FEE' - ee`+.F PLUMB. FEE ..
P. _ ._
-. .. -
Job Address ,.. ..� -. ..
..
.: .r+Space
Zip - .=. .OwnoF
.PERMIT NO.
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403333:
ommunity
Valuation
Dale.
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Off:
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Micro Film Fee
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Parcel No. +' Use/Gose
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No.
•Lot
Ck. By '
IV
S'
Mach. Fee Dot S
PI. Ck. Fee $
Set Backs Si=e
F S 5 R
one Restrictions - Group'' . Type' -
s
Construction Fee Dbl 'g
gal Description _ ?
L/ R ,
,%`� �•�/D/ 4«/��w Q�
Electricol Fae Dbl g _
SMI Fee .. 5
Plumbing Fee "+•
Dbl $ ' '.;
Band Amt.
-
g
•Pion No.
.Pion•Checker
Finol Do "pevor•
Unit -
Sp. Insp. Fee $
Demol. Fee '
$
Const. Lender -
Branch
i
Supplimental'Permit. Numbersn" - -
Registr.. Fee
Mileage Fee S`
Address - City zip t-, c
Witnesi Fee' •. S-
Remsp; Foe
g:
Owner/Agent j", 6�, •�:
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Total Fees -
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Address A !,
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City _ '.
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Zip
.. M.O N.C. Cash heck .-.•�•'_-t'r
Receijed by '
'
Comrocto ` ' '.�,
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Te`iC'
.
Licensek
• y
Trees require
Sewage System
-, •
.4.4"M
Address
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Ciry.
r
Zip
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T LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION_•OF WORK ' verified by:
Sewer District i FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOMEWOID.: • ' +-
- I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITHE. ' r
`•' , THE LAWS OF RIVERSIDE COUNTY'ANDTHE STATE OF CALIFORNIA,
- • I HEREBY CERTIFY -THAT THE INDIVIDUAL WHO PREPARED'THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208, IF— 1/801 t - ORD WITHSECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF -THE STATE OF CALIFORNIA. T '