354389 (SPIN){ PERMIT NO. DEPARTMENT OF BUILDING &. SAFETY FIELD ' gsT
13543891 COUNTY OF RIVERSIDE []
f
CONSTRUCTION
ESTIMATE
NO.. ELECTRICAL FEES., -r,
NO: ..PLUMBING FEES
IST FL.
12ND. FL.
f FOR.
'
i, GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
Do M ` j/-••�/
SQ. FT. @ - + •. • • w
s u . Y,ARD.SP,KLR,SYSTEM. : v
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used os property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
1
1 MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP'"COOL""%-ev "HOOD ft
f -' SIGN t . r.. '
Z• `WASHER JAUTO)(DISH)'
APPLIANCE DRYER L
+
�; 'GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Sp. Insp. Fee $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
° KITCHEN SINK
ABSORPTIONSYSTEM 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. @ c
' BATH TUB
Contractor _
SQ. FT. @ C
WATER HEATER
Trees required
SQ. FT. RESID @1'/.0
SEWAGE DISPOSAL
s
SQ. FT. GAR @. '/. t
HOUSE SEWER
GAS PIPING
PERMITrFEE i •'.
• " • PERMIT FEE„..
,PERMIT FEE
DBL.
TOalI,FEES
MOB: HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
FCONST. FEEL ELECT. FEE
SMI FEE
tJ { FEE PLUMB. FEE
' PERMIT NO.
35438910"7310
P
Jo ddress..•• If '41C Space
Zip
Ow er r
Commupity �q
Valuation
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O i.
F.C.C.
MSI Permit Fee $
Micro Film Fee Cop $
Use of Permit ��/)
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i
Parcel No. ` Use/Case No.
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Ck sfvlech.
Fee Dbl S
Ck. Fee i
Set Backs
Lot Size
'
Legal
Construction Fee Dbl $
Dgrsc"Pon ^f /? � ,� � �y F
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$ S R
Electrical Fee Dbl E/
Zone Re�st�ctigps ®
/GG
Group
Type
SMI Fee s
Plumbing Fee Dbl $
Bond Amt.
$
Plan No. -
Plan Checkei
Final Date�//
Z— 2, w”
Inspector
Unit
Sp. Insp. Fee $
DemoL Fee $
Const. Lender. Branch _
S 161 Permit Numbers
p •�
Regisir. Fee $
Mileage Fee $
Address City Zip.
t
Witness Fee $
Reinsp. Fee $ V- 17V
Own -i. - •' T •„
Tela ��� Zip
'77-
T!tal Fees $
Address•../n ` /
..l✓ti
City Zip
A1
M. 0. .C. Check n
R€ceived bye �'�4"""'
Contractor _
Tel. 1
' t
License#
Trees required
Sewage System
.
Address
Ci ry Zip
r
T LL
P
. Sewer District
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME OID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
FOR 120 DAYS SHALL ALSO ECOME VOID.
L HERE,RY AGREE.TH6TALL,WQRK CONNECTION VVJTH,THIS,.PERMIT,WIwBEQONE IN,ACCORDAN6E 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
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2 ,
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade '
35
Furnace Comport.
3
Steel +r
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.O.
NO
'
ADDITIONAL INFORMATION
y ` • , 'r
SEWAGE SYSTEM SIZE & LOCATION
0 Exterior Lath
12`. Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
.,14 , - Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping iK
17 Rough Plumb
18 Vents
19 Sewage Disposal
—!
20 . Sewer
21 -Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final Z—Z Z"%
Tank Pit ' L.Line
7
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
,
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 ' Fixtures
31 Service
•32Final
STREET NAME