403329 (SPIN)PERMIT NO.
03329
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELDMIN
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
SO. FT. @
YARD SPKLR SYSTEM
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
/
r�L.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
t''
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.
SO. FT. @ a
BATH TUB
Sp. Insp. Fea S .�'E
SO. FT. @ a
WATER HEATER
Branch
SO. FT. RESID @ 1 t/aa
SEWAGE DISPOSAL
S0. FT. GAR @ t/4a
HOUSE SEWER
Mileage Fee S
Address City Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEF,
DBL.
TOTAL FEES ♦
MOB. HM. FEE
MICROFEEMECH.
FEE PL. CK. FEE
CONST. FEE ELECT. FEE
F
SMI FEE
ycj vt�jti2� PLUMB. FEE
PERMIT NO.
1-403329
lob Address
--;�
Commune`f1
( /'�
1
'ter
Valuation
$
Dote
Dist.
11.
F.C.C.
MH Permit Fee 5
Micro Film Fee Cop 5
Uie of Permit
��� 11ir
` ;'�.a � ,.� ` � �
Parcel No.
r (♦
s� l
Use/Case
No.
Ck. BZ,
Mech. Fee Dbl S
PI. Ck. Fee b
Set Backs
Lo t Size
/
r�L.
Construction Fee Dbl $
Legal Description "'
' ' a
t''
F = S .""" S " •-�.
R jl14
Electrical Fee Dbl E
Zone Restr' tion,7
L , /
Grroouupp�J
(/ 4
Typs�^��"� -
�`•'..�..�►
SMI Fee S
Plumbing Fee Dbl $
Bond Amt.-
Plan No.
Plan Checker
N961 Date ecI r
Unit :.
Sp. Insp. Fea S .�'E
Dental. Fee S
Const. Lender
Branch
Supplimental Permit Numbers
i
Regist, Fee $
Mileage Fee S
Address City Zip
Witness Fee $
Reinsp. Fee S
Ow /A lent .j `r _-
!,._� �' , v T
Te/l.
Zip ,
Total Fees b .."�
Address r
City
Zip
t �,
\
f
l l •) ; C i L ;- t
M.O. ❑ N.C. ❑ Cash ❑Check
Received by Is t 1 1 1 -+r„c
Contractor
Tel. r
License#
Trees required
Sewage System /, _ -,/
Address
City
Zip
LForm284"2'08'
LL P 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 WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
EREBY�FY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
(Rev. 1/80) ITHSECTION 5541 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
Figs 8 Frms
34
Plenums & Ducts
2A
Slab 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.
FI
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal' Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value `
7A Walls (Botts)
12B Ceiling (Botts)
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
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
PERMIT NO.
03329
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF tRIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Owner
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SQ. 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 t FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
R
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. @ a
BATH TUB
Demol. Fee S
SQ. FT.. @ a
WATER HEATER
Branch
S0. FT. RESID @ 1 t%a
SEWAGE DISPOSAL
Regior. Fee g
S0. FT. GAR @ 3/.a
HOUSE SEWER
Witness Fee g
Reinsp. Fee g
Owner/Agent
0
GAS PIPING
PERMIT FEE
Tel.
PERMIT FEE
PERMIT FE
DBL.
TOTAL
IMOB.HM.FEEI
MICRO FEE I
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
PLUMB. FEE
PERMIT NO.
4 0 3 3 2 9
Job Address
C t
M
Space Zip
Owner
Commun y
�`K ,�
S
Dist. ff.
f
F.C.C.
MH Permit Fee S
Micro Film Fee . Cop S
e of er it
1
-
U
Porcel No.
.• DQ
Use/Case No.
Ck. By
Mech. Fee Dbl S
Pl. Ck. Fee 5
Set Bock,
lot Size
Construction Fee Diet S
legal es ription
F
S 5
R
Electrical Fee Dbl S
Zone Restrictions
Group
Typa......
SMI Fee S
Plumbing Fee Dbl S
Bond Amt.
Plan No.
Plan Checker
Final t
Inspector
Unit
Sp. Insp. Fee S
Demol. Fee S
Const. Lender
Branch
Supplimentol Permit Numbers
Regior. Fee g
Mileage Fee S
Address City Zip
Witness Fee g
Reinsp. Fee g
Owner/Agent
0
Cd
-.w , . T
Tel.
Zip
Total Fees - S
Address
v
0
Zip
M.O. 0 N.C. 0 Cosh C] Check
Received by 1
Contractor -
Tel.
LicenseR
Trees required
Sewage System �/
Address
t
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 WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
/) THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
,,0 EREBY CER FY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 784-208 (Rev. 1/80) V'l� y,EE'WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: