384536 (SPIN)PERMIT NO. IDEPARTMENT OF BUILDING & SAFETY M/;/;
384536 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
UNITS
Com unity
/ Z
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
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
SMI Fee 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.
SQ. FT. @ c
BATH TUB
$/'��
SQ. FT. @ c
WATER HEATER
Tel. Zip
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
$
SQ. FT. GAR @ s/. c
HOUSE SEWER
City Zip
M.O. N.C. Cash El Chat
Received by
GAS PIPING
PERMIT FEE
Contractor
PERM{T FEE
PERMIT FEY
DBL.
TOTAL FEES)
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE✓YIE
141r,
PLUMB. FEE
t: °Ay�
PERMIT NO.
3 8453 6
Job Address� % f Spacel
Zip 2
Owner _ ` �/
Com unity
/ Z
Valuation
$
Date
Dist.
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use
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Parcel No.
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Use/Case No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee $
Set Backs
lot Size
Construction Fee Dbl S
Legal Description
P"-" _ // �j
1-/4 %, 1 -L- i
F S S R
Electrical fee Dbl $
Zone Restrictions
.� -..
Grou P
T e
YP
SMI Fee s
Plumbing Fee
Dbl $
Bond Amt.
E
Plan No.
Plan Checker
Final Date
— %q
Inspector Pp/2%E nit
Sp. Insp. Fee $
Deni Fee
$
Const. Lender Branch
Supplimentol Permit Numbe
r /�
Regisir. Fee $
Mileage fee $
Address City Zip
/
Witness Fee $
Reinsp. Fee
$/'��
'�% G
wner/Agent
.� .
of ,C
Tel. Zip
Total Fees
$
f` (%f
Address
City Zip
M.O. N.C. Cash El Chat
Received by
,fes
Contractor
Tel,
Licei
Trees required
Sewage System
T
LL P
Add Ss
%sc7 E �_ / c+�'
City,i. Zip
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THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENWITHIN 120 DAYS. CSSATION OF WORK verified by:
CED
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
Sewer District
11 1 —1 1:.111 L "I I urvi
;r I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.B p s
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & 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 �' —/ _ %01
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
IDA
Fireplace T.O. ❑
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
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
P/L P/
ELECTRICAL APPROVALS
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.
13845361
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE r/1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
CoCm l
2ND. FL. _ SQ. FT. @
Dote
1// —f-7,9
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK '
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. @
Ck. By
DRAINAGE PIPING
WALL SQ. FT. @
Set Backs
r
DRINKING FOUNTAIN i
SQ. FT. @
Leg Description
oll
URINAL I
@
ESTIMATED CONSTRUCTION VALUATION $
Electrical Fee Dbl $
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
Sp. Insp. Fee $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Supplimental Permit Numbers
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. @ t
BATH TUB
frees required
SQ. FT. @ t
WATER HEATER
City
Cit Y w / Zip
SQ. FT. RESID @I t/. C
SEWAGE DISPOSAL
Sewer District
\
SQ. FT. GAR @ s/. c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FE
DBL.
TOTAL FEE51
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
PLUMB. FEE
fi ✓�-
O r -
PERMIT NO.
384536
Job Address - Spate
ip
yvjOw.e4to&12,
CoCm l
Valuation
$
Dote
1// —f-7,9
Dist.
d
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee Cop y
Use of Per t
A
Parcel No.
Use/Case No.
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl i
Leg Description
oll
F 5
5 R
Electrical Fee Dbl $
Zone Restrictions r
Group
Type
SMI FeeS
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Date q
/� -(q ! `
In ect
�
Unit
Sp. Insp. Fee $
Demol. Fee E
Const. Lender Branch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Address , City Zip
Witness Fee $
Reinsp. Fee $
caner" /Agent / /
Tel. Zip
Total Fees $ 16 C,74
Address
City Zip
M.O. N.C.Ej C.sho Chec
Received by
Contractor
Tel.
License#
frees required
Sewage System
T LL P
Add
s�y/�
City
Cit Y w / Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. ASATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THATALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
TUC I A—C C oNrocinc r
!
Sewer District
\
�� „ ILHEREBY 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.
Form 284-208 (Rev.B/ p