403332 (SPIN)BUILDING PERMIT i
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
03332 COUNTY OF RIVERSIDE FIELD D$
�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. Fl.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
YARD SPKLR SYSTEM �t
SO. FT. @
SO. FT. @ MOBILEHOME SVC. BAR SINK
SO. FT. @ POWER OUTLET ROOF DRAINS
DRAINAGE PIPING
SO. FT. @
SO. FT. @ DRINKING FOUNTAIN -
SO. FT. @ URINAL
VALUATION $ WATER PIPING t
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
Mech. Fee Dbl $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Lot Sire .
I r,
LAUNDRY TRAY i
AIR HANDLING UNIT CFM*
IDLE METER
KITCHEN SINK 1:
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY �1
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ a
BATH TUB
Dental. Fee $
SO. FT. @ a
WATER HEATER
Registr. Fee $
50. FT. RESID @ 1144
SEWAGE DISPOSAL
S0. FT, GAR @ 1/4a
HOUSE SEWER
Witness Fee $
Reinsp. Fee $
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESM08.
HM. FEE
MICRO'FEE
MECH. FEE -PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
a FE ' PLUMB. FEE
V �v
PERMR NO.
Job Address Spare
Zip
C•wner-
'7
403332
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MH Permit Fee
Micro Film Fee Cop $
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Parcel No. J 'Y'
.. j ' r� ?
Use/C o_.°
Ck:•By '
f
Mech. Fee Dbl $
Pi. Ck. Fee $
saf Bow' -'-d' Z�7
Lot Sire .
I r,
Construction Fee Dbl $
Legal Description
j?3
F S S
R
Electrical Fee Dbl $
Z saicti ns '- "'f
Gr6i3p
pe"•. ,{
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Pion No.
Plan Checker
FTndP to ector nit,
Sp. Insp. Fee 0S
Dental. Fee $
Const. Lender Branch
Supplimentol Permit Numbers ,
3y
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent j `
Tel. Zip
11
s'
Total Fees $ X
42,
Address
City s •�� / (; $ltyf \,} �„ �... Zip
M.O. ❑ N.C.❑ Cash ❑ Cfie,4
Received
Controctor -•� r / <� -
eT�%`_;i `• + ' 'tel•"
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Licensell
w
Trees re '%�>'"�
Sew System
Address
City 'Zip
//
T LL Is 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 WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN i.000RDANCE WITH
THE LAWS OF' RIVERSIDE COUNTY AND THE STATE OF, CALIFORNIA.
- HERE ERTIFY THAT THE INDIVIDUAL WHO PREPARED THE.PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) ANCE WITH SECTION5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: -
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
i
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
—
37
Combustion Air t
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.O.
ONPON
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 (Botts)
12C Ceiling (Blown)
14 Final
__.., y...,- ----_,.- 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/
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
-
FERMI DEPARTMENT .OF •BUILDING & SAFETY
` • _ . •' FIELD OFFICE'
0 3 3 32"
. OFFICE-
-COUNTY OF RIVERSIDE-
0,33
IVERSIDE a
L'
.-CONSTRUCTION ESTIMATE,
NO. ' - ELECTRICAL FEES,
NO. PLUMBING. FEES.
1ST' FL. ' r y
2ND. PC
•
FOR., •• -, '' r
"'
GAR.
CAR P,
-WALL' --
• ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
32$
SO. FT. @ {r t
- YARD SPKLR SYSTEM
SO. FT. @ • -. •• MOBILEHOME'SVC.' v
BAR SINK .. -
L -f POWER OUTLET • - -
SO. FT. @
'ROOF DRAINS
SO. FL @ -
DRAINAGE PIPING= r
SO: FT` @'
.• DRINKING FOUNTAIN '
SO. FT; @
URINAL
VAIIIATION"- $ S
WATER PIPING
NOTE: Not to'be,sised os+propaHy tax valuation
SWIM°POOL, PVT,
FLOOR DRAIN v '
" ",MECHANICAL" FEES
SWIM` POOL, COMM
WATER SOFTENER','
,VENTSYSTEAI -PAN EV.AP'."000L HOOD .
` SIGN•
WASHER (AUTO)(DISH) ♦,
.APPLIANCE'-'. , DRYER
<"
GARBAGE•DISPOSAL
FURNACE "UNIT. WALL `" FLOOR •' SUSPENDED
" -`' •. •' K t, ;.
'` ' ' LAUNDRY TRAY _
AIR +.HANDIING;UNIT" t CFM
IDLE•METER . t , • `
KITCHEN ,SINK 4
ABSORPTION SYSTEM B.T.U..
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSORHPr
POLE, TEMP/PERM e
LAVATORY'
HEATING SYSTEM { FORCED ' t , -GRA VITY 5
AMPERES SERV ENT
SHOWER 4 d
BOILER B,T.U. `
SO. FT. @, •a;
BATH TUB
'
SO> FT' @ ' : a -
WATER HEATER
e
- FT. RE ID @II/ t
SEWAGEDISPOSALe.
regal Description
cT
i 50. Fi GAR;t Ca, 3/44 -
HOUSE SEWER
ZoneRestrictions : .;(s,
GAS PIPING
PERMIT FEE +
PERMIT FEE
PERMIT FEE s
DBL: '
> TOTAL,FEEES•
MOB. HM. FEE
MICRO FEE - •
- MECH. FEE PL..CK. FEE.•
•- CONST: FEE �1 ELECT. FEE
SMI FEE G.;r/�E • , PLUMB. FEE
'
.. PERMIT NO.
Job Address
"" +. •'Space"'"Zip"
•Ow,ier
_T
32$
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C m nity4033
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MH,Permii Fee -
Micro film. Fee r,, Cop 5
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se of Permit
'. - Parcel
v
-
No
Use/Case No.
Ck. By
i
Mech Fee' ,4 t y •, Dbl:. $./•I
PI. Ck. Fee,; $
Set .Rocks
tot Size .-
•.
,
F'
S S
+'.Group
R•/
Constructio Fee 'Dbl $
regal Description
cT
+ • -'s'
,Rze /.SGT/. ��(/� '• � -
1 _r1�
Electrical Fee Dbl $
ZoneRestrictions : .;(s,
Typa - -
f
Plumbing Fee. , Dbl, $
Bond Amt.
$•
Plan No.
Plan Checker "'
• t .. ..t
inal D
/
In;peer
1
Unit
Sp,'Insp.'Fee 8 �o
Demol- Fee. $ ,
Const. lender
Branch.. .
�+.+ .s
Supplimentol Permit Numbers -
•..' �Y �
3 / ' !
Fee
_
., • ,
Registr.+Fee g
Mileage • • $
-Address ,City Zip
Witness Fee g`.
Reinsp. Fee $
Owner/Agent
��� / /�yj/
'Tel. -
- Zip ..
Total FeesS
t
Address
y
City e
Zip
M.O. N.C. Cash Check
L.
Received y
Cont
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Al
Sew0fre System • •
Address
City
Zip
-
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS: CESSATION OF WORK yedlied by: '
FOR 120 DAYS SHALL ALSO'.CAUSE PERMIT TO BECOME VOID.
Sewer.Diitric} --
•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. -' '•
- �H CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rey. 1/80)•
E WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA` r°o•..
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