384537 (SPIN)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY MiST,
384537 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
1384537
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. 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
Use of Permit
,
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Parcel No.
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. @ C
BATH TUB
Construction Fee Dbl E
SQ. FT. @ t
WATER HEATER
F
SO. FT. RESID @1'/.c
SEWAGE DISPOSAL
Zone Restrictions
12-11
SO. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEEELECT. FEE
SMI FEE
PLUMB. FEE
PERMIT NO.
Job Address
t
SpaceZip Owner
1384537
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ommunit
c'
4
Valuation Doe Dist. Off.
E
F.C.C.
MH.Permit Fee
$
-7
Micro Film Fee
Cop E
Use of Permit
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Parcel No.
' Use /Case No. ,i--
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Mech. Fee
Dbl E
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Set Backs
Lot Size
Construction Fee Dbl E
Legal Description
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F
S S R
Electrical Fee Dbl E
Zone Restrictions
12-11
Group
Type
SMI Fee
E
Plumbing Fee
Dbl E
Bond Amt.
E
Pion
No.
Plan Checker
Final Date
IE'T
t;��
Unit
Sp. Insp. Fee E
Dental. Fee
E
Const. Lender
Branch
Supplim t rmit Numbers
J /
Registr. Fee E
Mileage Fee E
Address City Zip
Witness Fee
Reinsp. Fee
E1,
Owner/Agent
Tel.
Zip
Total Fees
E
`
Address
City
Zip
M.O.M N.C. Cash Check
Received by
Contractor
Tel.
License#
Trees required
�J
J
Sewage System
Address
CitZip
T LL P
Sewer District
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYJ( 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
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 8 Outlets
4
Grout Blocks
37 Combustion Air
s
Bond Beams
38 Compressor
6
Roof Deck 117.) ;F 7 4"
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. C]
43
Final
10A
Fireplace T. 0.
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final 0-1 f— ?7
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
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.
i 384537
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE MDST
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
MH Permit Fee Err
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
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 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
Plumbing Fee
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.
SQ. FT. @ C
BATH TUB
Witness Fee E
SQ. FT. @ C
WATER HEATER
Owner/Agent
SQ. FT. RESID @ I t/. C
SEWAGE DISPOSAL
Tel.
SQ. FT. GAR @ 3%c
HOUSE SEWER
Total Fees
E 4Q 196Address
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
FCONST. FEE ELECT. FEE
SMI FEE
PLUMB. FEE
PERMIT NO.
1384537
Job Address
ommunit
r
r
Space Zip Owner
Valuation Date F Dist.
E
– %
Off. F.C.C.
MH Permit Fee Err
Micro Film Fee
Cop E
Use of Permit
,
_
Parcel No.
7--
Use/Cosel4o.
Ck. By
Meth. FeeDbl E
PI. Ck. Fee E
Set Backs
Lot Size
Construction Fee Dbl E
Legal Description
A
v 4
�/
y
/ , H
v
F 5
S R
Electrical Fee Dbl $•
Zone Restrictions �
..T/
Group
Type
SMI Fee E
Plumbing Fee
Dbl E
Bond Amt. Plan No.
E
Pion Checker
Final Doterr
N-- '- ( _f � Ip
Ins ecto
l.•�`�
Unit
Sp. Insp. Fee E
Demol. Fee
is
Const. Lender
Branch
Supplimentol Permit Numbers
7
,
Fee ;
Mileage Fee E
Mileage
e
Address City Zip
Witness Fee E
Reinsp. Fee
EZa
Owner/Agent
Tel.
Zip
Total Fees
E 4Q 196Address
City
Zip
M-0.0 N.C. C3 Cash Check
Received by
Contractor
.
Tel.
�- D —
License#
Trees required
Sewage System
Address
O61
for
City Zip
4�-�
T U. P
Sewer District
Form 284-208 (Rev.8/78)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS( CESATION OF WORK verified by:
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.