418599 (SPIN)ER IT
4 P i M 8 N05. 9 9
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
M DST
/;;
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
I ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMAT '4
SO. FT. @ $
UNITS
Dote
-7 T
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
S, Q FT. @ POWER OUTLET
ROOF DRAINS
.
SQ. FT. @--
DRAINAGE PIPING
SQ. 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 FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Final Date
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Sp. Insp. Fee $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMR/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.,
SO. FT. @ c
BATH TUB
Contractor
SO. FT. @ c
WATER HEATER
Trees requirey-7,--�-Zj�19�-
SO. FT. RESID @I-/. c
SEWAGE DISPOSAL
City Zip
SO. FT. GAR @ 3/4
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT
DBL.
TOTALJEES
0
[3 iD
MO HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
7FFE�—_ ELECT. FEE
SMI FEE
FEE PLUMB. FEE
1 .
PERMIT NO.
4185 99
Job Address Space
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Ownz V
Community
4 C-)10
Valuation
$
I
Dote
-7 T
Dist.
Off.
X
F.C.C.
MH Permit Fee $
Micro Film Fee COP $
Use of Permit L
4, 09 L
Parcel No.
Use/Case No.
Ck. By
Z"O(
Mech. Fee DbI $
Pl. Ck. Fee $
Set Backs
Lot Size
Construction Fee DbI 1$
Legal Description
IC.
F IS 1 5 R
Electrical Fee DbI 1$
Zone Restrictions Ap I
X— /)
Type
SMI Fee $
Plumbing Fee DbI $
Bond Amt.
$
Plan No.
Plan Checker
Final Date
Insp
Unit
Sp. Insp. Fee $
Demol. Fee $
Const. Lender Branch
Supplimentol Permit Numb
Registr. Fee -$
Mileage Fee
Address City zip
Witness Fee $
Reinsp. Fee $
O.ner/Agenf
Tel. Zip
Total Fees $ I
lAddress
7, if .3
C zip
r'e�A dc- .3 4;;
M.O. [:] N.C. Cash Check'� L
Recei�ed by
Contractor
Tel.
License#
Trees requirey-7,--�-Zj�19�-
Sewage System ,.e
Address
City Zip
T LL P
Sewer District
9t
Form 284-208 (Rev.8/78)
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.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
I
INSPECTOR
I
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
�tgs-& Fims
34 Plenums & Ducts
2A
'Slob'Geade
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 Defection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace, P. L.
43
Final
10A
Fireplace T.O.
OP'N
NO.
ADDITIONAL INFORMATIOW
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick
Value
7A Walls (Batts)
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
V
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