403311 (SPIN)PERMIT No. DEPARTMENT OF BUILDING 8 SAFETY FIELD M11
03311 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
UNITS
t
SO. FT. @
YARD SPKLR SYSTEM
50. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
S0. 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
Cop S
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.
SO. FT. @ a
BATH TUB
Ty�pe�
SO. FT. @ a
WATER HEATER
Dbl $�`+~•
50. FT. RESID @ 11/44.
SEWAGE DISPOSAL
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I
S0. FT. GAR @ sba
HOUSE SEWER
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SMI Fee S
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES,
n
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE -
-• � E PLUMB. FEE
IL
PERMIT NO.,
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
1-40331s
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
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CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284208 (Rev. 1/80)
C1A-
Community
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SValuation
Date
ist
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Use/Cose No.
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Mach. Fee Dbl $
PI. Ck. FeeS
Set Backs
Lot Size
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Construction Fee Dbl S
Lagal Descriptio
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Zone Restrictions
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Plumbing Fee
Dbl $
Bond mt.
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Plan
No. /
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Plan Checker
Final Dott'eJ�j � s actor
C7YjC �"
Unit
'
Sp. Insp. Fee ; '`^2
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
'
,
Regisir. Fee $
Mileage Fee S
Address City Zip
Witness Fee
Reinsp. Fee
S
Owner/Agent
f1Cr
Tel.
Zip
Total Fees
E
Address
City
Zip
M.O. ❑ N.C.❑ Cash ❑ Check
Received 6y \
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Contractor
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Tel (
J
LicenseR
Trees required
Sewage System
s �,h
Address
City
Zip
i T 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 10 BECOME VOID.
Sewer District
t
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.
/ _/G - /6-�/�
1 EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284208 (Rev. 1/80)
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
Furnace Comport.
3
Steel
36
Inlets 6 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
ADDITIONAL INFORMATION
'
,
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
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
I
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
BUILDING PERMIT
PERMIT NO.
403311
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
1S
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.'
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Valuation
S
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
50. FT. @ I
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
Bond mt.
g
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Final D
lea �(
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
City Zip
SQ. FT. @ a
WATER HEATER
Contractorr
S0. FT. RESID @ 1'/4a
SEWAGE DISPOSAL
Trees required
SO. FT. GAR @ 1/4a
HOUSE SEWER
City Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEET ^
U—►M/7
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
.403311
Job Address Space
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Zip
Owner
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Comm'Ti Rity
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Valuation
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Dote
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Micro Film Fee Cop S
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Parcel No.
Use/Cose No.
Ck. By
Mech. Fee Obl g
P1. Ck. Fee 5
s get Backs
Lot Size
Construction Fee Dbl $
Legal Description
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F S S
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Electrical Fee Dbl S�
Zone Restrictions
G(ro�upTy(pe�
IG,
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SMI Fee S
Plumbing Fee Dbl S
Bond mt.
g
Plon No.
$
Plan Checker
Final D
lea �(
Ins for
Unit
Sp.'Insp. Fee g-
Demol. Fee $
Const. Lender Branch
Supplimentol Permit Numbers
,
��
Registr. Fee S
Mileage Fee S
Address City Zip
Witness Fee g
Reinsp. Fee g
Owner/AgentTel.
r'
)��, n''i M a A 4C
Zip
Total Fees $
A dress
City Zip
M.O. N.C. Cosh Q Check
Received 1:!Lk 0 i
Contractorr
Tel.
Ucenseff
Trees required
Sewage System �
Address
City Zip
T. LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer DistrictFOR 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.
ER£BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: