403319 (SPIN)403319
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD DST
A/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
Community (/;� / )
,! // • a v i r7/ ��
2ND. FL. SO. FT. @
Date
� `,/ [F �0
YARD SPKLR SYSTEM
FOR. SO. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. @
Ck. By
� �
DRAINAGE PIPING
WALL SO. FT. @
Set Backs
DRINKING FOUNTAIN
SO. FT. @
Legal Description
swt 17--/ �� 'k-1-- �C�
U 4e
rPlan
URINAL T
ESTIMATED CONSTRUCTION VALUATION $
one Restrictions
ll
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN t
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Const. Lender Branch
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Witness Fee 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. @ a
BATH TUB
City Zip
SO. FT. @ a
WATER HEATER
S0. FT. RESID @ 1 /<a
SEWAGE DISPOSAL
S0. FT. GAR @ t/aa
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
H=E
MICRO FEE
MECH. FEE Pl. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
EE PLUMB. FEE
L
.3v to 0
.
PERMIT NO.
4033 19
Job 'Addrozs - _ � � � ��- - _ - ��- _ _ "_ --- -- _ -- _ - ' spam-
rr rf �`rt i2
ip
z z �-
Owner
C� �: f; c-�.- /A,G
Community (/;� / )
,! // • a v i r7/ ��
Valuation
S
Date
� `,/ [F �0
Dnt.
//
Off.
F.C.C.
MH Permit Fee E
Micro Film Fee Cop s
Use of Permit _ _
/
% % S� - / %Zi �-.
Parcel No.
/ 7 -7- ✓'C`�' - �a'�
Use/Cosa No.
Ck. By
� �
Mach. Fee Dbl $
PI. Ck. Fee E
Set Backs
Lot Size
7 ` l.•/
Construction Fee Dbl b
Legal Description
swt 17--/ �� 'k-1-- �C�
U 4e
rPlan
F 5 S R
Electrical Fee Dbl 5
one Restrictions
ll
Group
�� 3
Type '
--7z2t--
SMI Fee S
Plumbing Fee Del S
Bond Amt.
E
Plan No.
Checker
FinalDate
/s Insp tO"CYr—
/i / / j/ o
Unit
Sp. Insp. Fee S "� _
Dismal. Fee S
Const. Lender Branch
pplim�it Numbers
3 41 - � � �!._ 0
/ "/�
Regisir. Fee S
Witness Fee S
Address City Tp
Witness Fee $
Reinsp. Fee S
Owner/Agent ./... r .. ( r �Ci ice` }"
r� C.�= cuGI�/
Tell. / Zip
Total Fees $
M.O. ❑ N.C. E) Cash Q Check
Address
'-� -� / CJ /
City ) Zip
. LU l lee �..`, C— 1"i
Received by tit t,,L -..�
Contractor
Tel.
Licensap
Trees required
Sewage System ; / �. �,'IA
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.
1 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.
� HEREBY CERTIFY THAT THE INDIVIDUAL W�-IO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) SEE WITH SECTION 55 �4Es
1SINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
-
verified by:
a
tl(O.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 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.
E
43
Final
10A
Fireplace T. 0.
❑
NO.
ADDITIONAL INFORMATION
'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal*Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Valve
7A Walls (Botts)
128 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
REAR of PROPERTY LINE
ELECTRICAL APPROVALS
PSL
r
'
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. DEPARTMENT OF BUILDING & SAFETY
03319
ST
COUNTY OF RIVERSIDE FIELD OFFICE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
~
ESTIMATED CONSTRUCTION
SO. FT. @ It
UNITS
Valuation
S
50. FT. @
YARD SPKLR SYSTEM
50. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF'DRAINS
SO. FT. @
DRAINAGE PIPING
50. 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 "
Plan No,
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Inspector
Q S ce'p
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
Received by ftltrj
50. FT. @ a
WATER HEATER
Ucensell
S0. FT. RESID @ 11/44
SEWAGE DISPOSAL
Address
S0. FT. GAR @ 3/<a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
� Q
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEEffne
EE PLUMB. FEE
PERMIT NO.
4033 19
lAddress �� Space
'([�
z-f�s� RvE,
Zip
9zzs�
Owner
G4--beC 1b� / '04'4
Community
. /.,, �s ri V I n /
Valuation
S
Date
Dist.
Off.
F.C.C.
MH Permit Fee S
Micro Film Fee Cop S
Use of Permit ,`
`'*2 / /-Z.,
✓
Parcel
�•No.
Oc�l
Use/Cosa No.
Ck. By
Mach. Fee Dbl S
PI. Ck. Fee S
Set Backs
Lot Size
�Oejr/6O
Construction Fee Dbl $
Legal Description - 7F
L �'� Y �•J /V" &�
U4. Q.
S S R
Electrical Fee Dbl S
one astrictions
Group
Type
SMI Fee $
Plumbing Fee Dbl S
Bond Amt.
S
Plan No,
Plan Checker
Finolll]DoteJ
Inspector
Q S ce'p
Unit
Sp. Insp. Fee $34
Dermal. Fee S
Const. Lender Branch
Supplimental Permit Numbers
3.417 ?5' 0
Regist, Fee $
Mileage Fee $
Address City Zip
Witness Fee S
Reirnp. Fee S
Owner/Agent mss./:"" y,. `
G�o/�GL �oG�iO,�r'>'
Tel. Zip
Total Fees S
M.O. N.C. [] Cash Check
Address
City ^ , j�y� t� 'Ziipp
�LL%' ✓� • / /�v
Received by ftltrj
Contractor - -
Tel.
Ucensell
Trees required
Sewage System /��
�7
Address
City Zip
LFo-284-'�'..'
LL Is 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.
�YsERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS IFAS DONE SO IN
Rev. 1/80) IgCEWITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
vvified by.