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414055 (BLCK)14055 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. Fl. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS p• 41405 5 F SQ. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ .WATER PIPING NOTE: Not to be used as pppetty 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 Type s GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Bond Amt. S 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 ' SO. FT. @ a WATER HEATER 4 Reinsp. Fee $ S0. FT. RESID @ 1 %c SEWAGE DISPOSAL' S0. FT. GAR @ t/a HOUSE SEWER City - Zip /'{ ^�•.. �• �fy J L.�• i:.. • GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES,i MOB. HM. FEE MICRO'FEE MECH. FEE PL. CK. FEE 1. CONST. FE 3- ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. Job A dross -Spore /orJ -" ` o' ;te,t,v Zip ,r Owner .•+ / ,• ;,^; / iz p• 41405 5 F .. Community f " .•v . t yi / 1' �f :1 Valuation S -+ � ' ... .� '" - r� Dote' v _ - Dist / Off. F.C.C. MH Permit Fee $ Micro Film Fee Cop $ U mit ,.+ (r ♦k _ �...-.•—....r�+�� F���j''�''"'�, +t/�/ff Parcel No. Use%Gose No. Ck. By r �!/ � ~ ��� �' O• J r. �-' t Mech. Fee Dbl $ CJ d+ i _ Lot Size F S S Set BacksP-rou, PI. Ck. Fee S ---------------- Construction FeeID Legal Description `:/ - '"�^ \ % : /Tc �" �• ...... — �y/� � ' / Electrical Fee 5 Zone Restrictions / •( 'ri _ /• Type s SMI FeeS Plumbing Fee $ Bond Amt. S Plan No. Plan Checker Final Date !�Demol. Inspector Unit Sp. Insp. Fee$ Fee$ Const. Lender Branch Supplimental Permit NvmbWs t Registr. Fee $ ° Mileage Fee $ Address �' ( // City Zip ! Witness Fee $ 4 Reinsp. Fee $ Owner/Agent fir Tel. Zip Total Fees Is �77 r + Address ',Ji' •_ J�;i' City - Zip /'{ ^�•.. �• �fy J L.�• i:.. M.O. ❑ N.C. ❑ Cash ❑ Check �. Y .J ,tet ,J f Received b Contractor Tel. LicenteR Trees re wired Sewage System /� Address City Zip �p� T LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK veriLied 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 • /jJ THE LAWS OF RIVERSIDE, COUNTY AND THE'STATE OF CALIFORNIA. - CERTIFY THAT THE ANDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 28e•208 (Rev. 1/80) ACCORDANCE 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 I Set Back Z _ �' — $ 33 Ventilation System 2 Ftgs & Frms �( Y 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel Z -� 7 36 Inlets 8 Outlets ' 4 Grout Blocks 37 Combustion Air 5 Bond Beams Zz 5 - �(� U 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. ❑ °o ADDITIONAL INFORMATION r SEWAGE SYSTEM SIZE & LOCATION 11 Exterior lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick 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 ' PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit • 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures ' 31 Service ' 32 Final 1 STREET NAME BUILDING PERMIT PERMIT NO. 414055 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE M I COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS Communiyy `'� �� �"1Jy �^f. ;� 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 v,oluation 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 Electrical Fee Dbl S 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. @ c BATH TUB S SO. FT. @ a WATER HEATER Supplimental Permit NumWs / S0. FT. RESID @ 1 t/aa SEWAGE DISPOSAL r. Fee S e S0. FT. GAR @ t/<a HOUSE SEWER Witness Fee S Reinsp. Fee g GAS PIPING PERMIT FEE Tel.Zip _ /, -` Total Fees S f 0 (/ Address City , Ll! I^ � C�.- zip 7 .! .;2 M.O. ON C. E]Cash [3 Check Received Trees required lo Contractor Tel. Licensell / Sewage System Address City Zip THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK ...it;.a k— 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 Av THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev. 1/80) C RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.