SFD (00003578)54805 Avenida Madero
00003578
.bjr 1%$ F•,S11
: A409.90
y1(/ y py►p1 (g AVE
pe
N C lYIJ4l i i /ME/ZIP CA .922330000
LtOB HOTS DRESS/SPACE ' AVE
'M iui OAr01_ R O
►11Y 1C74A iJ
1T9 COM1i 4E ZIP gyp » / y y y
d f l 922530 0 0 0
994
3
(
TWIN' 06,40
00
S
SB
L.VLWQ 25 '- BLK 274
•CONTRACTOR -FIRM NAME -..
ADDRESS
CIT1'!COMMUN ITV/STATE/ZIP
. PHONE N
LICNC N
'
ARC/ENG FIRM NAME -
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE N
IICNC NY
'
R A'C'S' plft .
db
3"
021%
OT6
0 (r/
!lam
Til
ZONE ORD N
LOT SZ
®G
0
.v
TOTAL
FEE
INSPECTOWS-COPY-,
008456
T 1S 1.0 •A''fit A0.'P LA cAT ON. 0E.:X
,tiYov: must see the f 01.
Oing Depov-tents (if listed) gar iorwtur 6hc fe-POR
+ 1
f6RM428420812/81) Vii• -
008456
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 & 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
Goioge Fire Wall
42
Commercial Hood
10
Fireplace P. L.
❑
43
Final
10A
Fireplace T. 0.
[]
°o
ADDITIONAL INFORMATION
,
SEWAGE SYSTEM SIZE 8t LOCATION
11 Exterior Lath
12 Internal Loth
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
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
c
.:...rrnmnrwrrur.9nunP . Y
CauntY of F trside r.
l'Departmentof Bullam and SSI
4080 Lemon Sl. 2nd Flom 135 N.`Alessandro Rd. Rm. 203 880 N. State Street .j;;, 227 -North t0" Street 46-209 Oasis St. Rm. 310 , 160 N. Broadway
Riverside. CA 92501 Benning, CA 92220 Hemet, CA 92343 ' Pei' I -A'92370 " Indio, CA 92201 , Blythe, CA 92225, ' !'
Ph: 787-6146 Ph: 849.1312 Ph: 658.4464 Ph.' ob1-3898 '' Ph: 342-8271 Ph: 922-2670 51
This permit becomes void if work not -commenced within 180 days from date of issuance, Oq, if work ha`s been suspended or abandoned for a period of 180 days. 'V
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This'seclion need not be completed it the
with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. • permit is for one hundred (S10O) or less. I certify that in the performance of the, work for which this permit is issued, I
- shall not employ any person in any manner so as to,become subject to the Workers' Compensation Laws of California. .
License Class Lic. Number A 1
Date Applicant
Date Contractor NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' j
OWNER•BUILOER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the following Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be
reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, deemed revoked.
improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
signed statement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing E] I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be I
with Section 7000) of Division 3 o1 the Business and Professions Code) or that he is exempt therefrom and the basis for made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or
the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2. Grp 2. Art 2, Sec 341, Title 8. I
penalty of not more, than live hundred dollars (5500).): . C.A.C.)
1 As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial
s I, as owner t the property, d or employees with wages as their sole compensation, will do the work, and the IS', -It
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law' arery. as.noted above, unless such person has a permit to do such work from that division.
does not apply to an owner of property who builds or improves thereon, and who does such work himself or through Division of Industrial Safety, Permit No.
' his ow0vnployees, provided that such improvements are not intended or offered for sale: If, however, the building or Date Applicant i
improvement is sold within one year of completion, the owner -builder will have the burden of Droving that he did not -
build or improve for the purpose of sale.). .. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of '
the work for which this permit is issued (Sec. 3097, Civ. C.). 1
PI, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Lender's Name i
usineas and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or
improves -thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's Lender's Address
License Law,). I certify that 1 have read this application and slate that the above information is correct. I agree to comply with'all
❑ 1 am exempt under Sec. B. 8 P.C. (Attach Certificate). city and county ordinances and state laws relating to building construction, and hereby authorize representatives of
this county to enter upon the above-mentioned property for inspection purposes. +
Date Owner _
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a Signature of Applicant or Agent Date . •-
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.). CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I I certify I have read this application and state that the
inlormation giyen`s correct. 1 agree to comply with all state laws and county ordinances relating to building con -
Policy No. Company struction. nand orize a re re nfative of.lhe'County of Riverside. Department of Building and Safety to enter.uDan
Certified copy is hereby furnished. the properyf of whic l,hav, led Ior tMs` permit fo tne Dor seyol making insDectio i
Certified copy is filed with'the County Building Inspection Department or County Department. r;`' A ' Slgh re oty'Appl!caPt' Agent V ,7, s Dale
Date Applicant : !/ .r,'*, d.
Print Applicant/Agent Name,,''' /f*rT°' y
APPLICANT NAME IL, F, MI) - -. - - - --- APPVPRMT It - a PS f DATE
.. ins `066
AM 6 P 0
CITY/COMMUNITY/STATE/ZIIP,1•-
4 !! a
JOB'-SITE•ADDRESS/SPACE- !
1-2
CITY/COMMUNITY/STATE/ZIP • •{ ' n °-0 r - - - • r t`
N
BOK l PAG "4 %PRC C y3sr` TWN - - rRNG SE S '
1111A A' I a
TRACT 'LOT; .rs:•, MOD SBS - . •;
TRACT. NAME' - r Y-. is rti - a '( }L'
.34.r r
OWNER .NAME (L, F, MO' r • ;'T"y ' r-+ ` '
b rim
1 EAT
CONTRACTOR FIRM NAME
ADDRESS
CITYYCOMMUNITY/STATE/ZIP
PHONE n j' A•i' ; • LICNC It '
ARC/ENG FIRM NAME-
/+ ,
ADDRESS..
CITY/COMMUNITY/STATE/ZIP -
PHONE d b LICNC p - , -
:.
USE OF PERMIT - • S , , ^ . , - t
n.' r' ,
BL.; 'ZONA ,. -1. FSB SSB SSB RSB OFC-.'
d r _ !' w
ZONE ORDa.r•. • LOT SZ r •r .'i",' i. END -t. SIDE- -•-- - 1 •`
' ' `* TOTAL
FEE
-
+ • 006066.
Y f *04-J , $hO foll16o1r 9' Do" a-tm Pi t + '!°ori c ing0r r'enV0 BrwoftC
►' sP rr►i t r rt b ac v ac1: ; , r f X i
z" ?r, n i ,
..dna
MSE i t.11!°
ii,4QT U,Q,,T%.0N ES xd b'3`t"Ei OTEi flat Iajbe ufa'+o p ^4.
p ty v l' on
_ 'rr X?+ p.r t3t% .''Mf Cq } + upt da f i
r.e !! lZ •s tiq 7, ; 1 ,ntsi 6.Wp/+pp',4Yt igVd 1pe3S,ri: V!+J4x 2..
,4s f HDRY i'.. f"aT14 •, ( 'pV A 1-e _ R.6 vv L,i;i" J .., YB X. -' n'P + 3 M r ':• d d.ri+ :,
FFa * ifio fd6'4 0 b-Ar60 it'B;a:l Yk e ti lrtYi '►fid a e, ' $1,66 40
li, ,- • ti.. 'y t I / "ytt! /ifi ':., " r f , ,,, • /• ` . S• ` 'r a : r ' - • •. '_
N.
• - ! '. : ` is ✓. - .ti. 16
`. 4 '
FORM 280.208 (2/81) - /
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
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. 0.
°o
ADDITIONAL INFORMATION
-------------------
'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A. Drywall ---
13 Finish Grade
INSULATION Thick 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
Y
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
9
•Z, 1 1 "
STREET NAME
rchmll Rri-LILR11U14
County of FBverside_.
Department of Building and Salety
4080 Lemom St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North -0" Street 46-209 Oasis St. Rm. 310 160 N. Broadway
Riverside. CA 92501 Banning, LA 92220 Hemet, CA 92343 • r., Perms. CA 92370 ' Indio, CA 92201 Blythe. CA 92225
Ph: 787-6116 Ph: 849-7312 Ph: 658.4464 ` -19rk7-3898 Ph: 342-8271 Ph: 922.2670
This permit%ecomes void if work nohcommenced within 180 days from date of issuance, '611, i1 work has been h/spended or abandoned for a period of 180 days.
I[
LICENSED CONTRACTORS DECLARATION: 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Divisiiln 3 of the Business and Professions Code, and my license is in full force and effect.
License Class i, Lic. Number
Date
Contractor
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's license Law for the following
reason (Sec. 7031.5. Businetis and Professions Code: Any city or county which requires a permit to construct, alter,
improve. demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a
signed statement that he is licensed pursuant to the provisions of the Contractors License law (Chapter 9 (commencing
with Section 7000) of Divisio, l 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for
the alleged exemption. Any,•violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil
penally of not more than lire hundred dollars ($500).):
F1 h as owner of the prof erty, or my employees with wages as their sole compensation, will do the work, and the
structure is not intended erl,offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an ownerlol property who builds or improves thereon, and who does such work himself or through
his own employees, provideJ that such improvements are not intended or offered for sale. It, however, the building or
improvement is sold withinlone year of completion, the owner -builder will have the burden of proving that he did not
build or improve for the purpose of sale.).
1
I, asowner of the property, am exclusively contracting with licensed contractors to construct the project (Sec7044,
usiness and Professions Cbde: The Contractor's License Law does not apply to an owner of property who builds or
improves thereon, and whi) contracts for such projects with a contractor(s) licensed pursuant to the Contractor's
License Law.). I I
❑ I am exempt under See. , B. 8 P.C. (Attach Certificate)
Date 11 Owner
WORKERS' COMPENSATION, DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a
certificate of Workers' Comtpensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.).
Policy No. I Company
Certified copy is here iy furnished.
n
Certified copy is liletll. with'the County Building Inspection Department or County Department.
Date d Applicant
,t
6PRglf F"! UO F STC{.7b-
v4m
i ,AVC MADERO
tTrf O Vduil" I
T721P OA rA:2 . 301040
rr
,1 1g y r yOR/ESS Sq/ iPyACCE AV MAD/Et RO
1fr} ZIP
! { ; y y ,y 4 p
A.TlO VRil i4'i CA 7 1G.2530 V V 0
7, /'7
-W-0
9404
PW1 3
o
TWN
fJ N Q
SV 0
S-
0
1.010
14
µVpgSB
5 RLK 274
01 elS 11 RODERT •.
CONTRACTOR -FIRM i,'NAME -
IE
ADDRESS
CITYYCOMMUNITY/S :ATE/ZIP
f
PHONE a
LICNC n -
ARC/ENG FIRM NAN`E
ADDRESS
al r
CITY/COMMUNITY/S
FATE/ZIP
f
PHONE p f
LICNC e
L %1414 IffT
10
Tt"A,ii
'UL'60
6116
W
0%9
THD
ZONE ORD II
LOT SZ
011✓• 4! ®
a SjID@ 't•
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the
permit is for one hundred ($100) or less. I certify that in the performance of the work for which this permit is issued.
shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California.
Date Applicant
NOTICE TO APPLICANT: It, after making this Certificate of Exemption, you should become subject to the Workers'
Compensation pr0isions of the Labor Code, you must forthwith comply with such provisions or this permit shall be
deemed revoked.
DIVISION OF INDUSTNIAL SAFETY PERMIT CERTIFICATION:
I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be
made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or
demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2. Art 2, Sec 341, Title B.
C.A.C.)
I—I As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial
a ety, as noted above, unless such person has a permit to do such work from that division.
❑ Division of Industrial Safety Permit No.
Date Applicant
CONSTRUCTION LENDING AGENCY: 1 hereby affirm that there is a construction lending agency for the performance of
the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives of
this county to enter upon the above-mentioned property for inspection purposes. -
Signature of Applicant or Agent - Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the
information given is correct. I agree to comply with all state laws and county ordinances relating to building con.
struction, and authorize a representative of the County of Riverside, Department of Building and Safety to enter upon
the property for which.) have applied for this permit for the purpose of making inspections.
Signature of Applicant or Agent Date .
Print Applicant/Agent
i
1P Pt it 5 9t 09/2 tw 1'008060
>APPLXCATION FOR STRUCTURAL: ALAN REVIC
U.S. CENSUS COPY TOTAL
! FEE
IAPWL ICA'TTON FOR STRUCTURAL. PLAN REVIEW 00806o
T.NIS I S AN A P P L :BOAT X ON 0NLY.
You M0114 eee the following Departments W' listed) for concurrence &SPORE
e Per it can be issuedt
A escri,ptionDepart. kin I
6 V34
r
FORM 2847208 (2/81
Li
AVE, HAPERO
YlCOVUN O,WzlP I 92=0004
4
V
I &fB (ARIDRESS/SPACE ` AVE ADCyA tR yi ,
7YV Ff t 1 '.1'i+I.W !J`i'Lw'M ..""3
11 a-y y p
11<11 1 tllGONpNI'll ,"64F)aR P 1.'-.• 0000
i
Ptj64y4
"(FT Si
TWN
nu
SWo
S
ggPqq{Q"( 3
Tf1'17'.V 17 V
`1W
• LN
v q
i1 i !C
A {, .
•:i i[
SB
' "T WOsa'1'lFpG• 21•A LK 29A. '
17L ..I.F'•r WTMII• } .. 16 S7!
,CONTRACTOR -FIRM NAME - •• _
{i
-tADDRESS
:CITYYCOMMUNITY/STATE/ZIP , -
!
t
PHONE pp t
J,
LICNC #
YARG/ENG FIRM NAME {5t
('ADDRESS (' '
:CITY/COMMUNITY/STATE/ZIP
r
t :PHONE 4.+-y: ,
LICNC M
'
ATT" CAR
J' ZONE ORD p ,
LOT SZ
,AbPP"y, arz .6,0,;
I
✓ i
TOTAL a
FEE
INSPECTOR'S COPY
AWA:RXCA`'CJ3;`ORi'i lGiltal.` Ei `1 I i'
W.
Ilk
da„S M': t ! + I. \ f •f f? . , ilii
Ypu u t nt fie`a'xa iri li:gt r s''E A4edfnNOVI-
+ r nL1 ..
Depar
"HOLD' ROAD
i . w_, _ 5.11• }'•T•
t A"11 w.y`%^t ... d . 4 .. t { i.' _ • s.. 'F YS ' _ w i
r.ri • t5 '.. !' r i ♦ . l• C, -.i 4, c'.; i:tt w,' ' . `,.,rf' • ;, a, ... F
r
FORM 284-20812/811(-
•
V
TOTAL a
FEE
INSPECTOR'S COPY
AWA:RXCA`'CJ3;`ORi'i lGiltal.` Ei `1 I i'
W.
Ilk
da„S M': t ! + I. \ f •f f? . , ilii
Ypu u t nt fie`a'xa iri li:gt r s''E A4edfnNOVI-
+ r nL1 ..
Depar
"HOLD' ROAD
i . w_, _ 5.11• }'•T•
t A"11 w.y`%^t ... d . 4 .. t { i.' _ • s.. 'F YS ' _ w i
r.ri • t5 '.. !' r i ♦ . l• C, -.i 4, c'.; i:tt w,' ' . `,.,rf' • ;, a, ... F
r
FORM 284-20812/811(-
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
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
loA
Fireplace T. 0.
°o
ADDITIONAL INFORMATION
-
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
- • -----------
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
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
00003578
CONSTRUCTION FEE
6405 AVE MADERO
` IT /COOIyI:TAW ZIP
111 922$10000
"OA$17 DRESS/SPACE 77 y
AV14ADENO
IiCI i,I JET iy/ZIP
CA 922530000
7" 4
2&4
k1 R 3
6
$15,, i35
TWN 4 W O
to
S
Iftfb 0 0 a
W613
isi
*20. 60
iii 1
Ss
1
S%WAQ 25 DLK 274
ra EI" - MI) ROBERT B
kNTRACTOR•FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE N
$3,100
LICNC p
FEEL
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE N
STRUCTURAL E BUILDING > PERMIT
LICNC p
*37
Iy + ( y
Rt WfRMQ. A ,S GAR ' ,
ATT
&i>
$7.00
9T
PEEN
040
06
0 9
09.
ATT era o V' rA3 is t 1 at * .00 Each
AD
*4 . o
ZONE ORD p
LOT SZ
Water8ofta ev t 0 Washer (Auto/Dish i t 2 9m 'Dixp a 1
0 dND 0
0 M
00003578
CONSTRUCTION FEE
PLUMB I'm !"EE
$49. ;50
ELECTRICAL FEE
PRIMARY DWLGI 0001 R-3 V_Id $590 $23.40
MECHANICAL FEE
SaO.'Si
ADD'L PLAN REV FEE
$15,, i35
4x1207
SE NDRY Pix A Oi''` M WD -1 541 67.70
,NDRY 00 i1 R-3 R -115#t0 $1190$,1U21
Shl FEE
$3,19 .:
SE Al CO
Construction Fe basta*rtl ora Total Actual: Valuation of *45679
isi
*20. 60
MECdi } :CCAI FE GttMd+l!'i Ai'E1Ad8 d4 of°or`tai ts a a t ; . 00 EachEE
a
00
► ,Nt"F aras: 0 Swap tap/ ear I tlti 'flood : u 1thor s q Miaar; t 00
EE:,.
APP1..IANCEwwlnstaliation a 0th Roo sir a q0 Dryer• a q1 Uther t t30
FWEa
$3,100
G®MF@di $pdt dir3 HP00 t10 >3-1'5I 01 )15-30:00 >30-5000 a 0 >50:00
FEEL
0
$7,50
HATNG EY TEM-* pa p01 BTU:01 100 001 ar Mori 8 Ut00
'ELECTRICAL r C COM Por'
F Ea
FEET
#.00
STRUCTURAL E BUILDING > PERMIT
3 -> — a. i 8- g °..'- TOTAL
*37
INSPECTOR'S COPY
5 `l R UCTUR AL 4 klU'ILDXNG i
TIUTAI PERMIT COST is 8377.98
P.i»R"I T
CONSTRUCTION ESTIMATE (NOTE, Not to be trso d' as Pgoporty valu. ti®n)
an
Description FCC Croup Type i q Ft Rataluat9
i
an
PRIMARY DWLGI 0001 R-3 V_Id $590 $23.40
$37206
SECNDRY PAT 01 0012 M OPCP 314 $4.14
4x1207
SE NDRY Pix A Oi''` M WD -1 541 67.70
,NDRY 00 i1 R-3 R -115#t0 $1190$,1U21
f4165
SE Al CO
Construction Fe basta*rtl ora Total Actual: Valuation of *45679
isi
*20. 60
MECdi } :CCAI FE GttMd+l!'i Ai'E1Ad8 d4 of°or`tai ts a a t ; . 00 EachEE
a
00
► ,Nt"F aras: 0 Swap tap/ ear I tlti 'flood : u 1thor s q Miaar; t 00
EE:,.
APP1..IANCEwwlnstaliation a 0th Roo sir a q0 Dryer• a q1 Uther t t30
FWEa
$3,100
G®MF@di $pdt dir3 HP00 t10 >3-1'5I 01 )15-30:00 >30-5000 a 0 >50:00
FEEL
0
$7,50
HATNG EY TEM-* pa p01 BTU:01 100 001 ar Mori 8 Ut00
'ELECTRICAL r C COM Por'
F Ea
FEET
#.00
Ui AhaNIS * 0 od' tlst 1 at # .0 Coe
*4.00
KUT Unitst 0 AM /Valt Rruca f of Aga /Volta 0
Ft .
FCEI
$7.00
ATEA'L PEEa 1590 Sq. Residence 6 ,0075 Pop dirt. Ft,
PEEN
$v?,89
4 r Ft. G4r',*$* W .0125 P r fico. Ft.
P UMAINO FEE COMM N3
F t
•
64.pb
ATT era o V' rA3 is t 1 at * .00 Each
F s
*4 . o
IXTURE848ar• Sink; 0 Dr InkinF'ntnt 0 FIr• Dpaaina 0
,
Water8ofta ev t 0 Washer (Auto/Dish i t 2 9m 'Dixp a 1
Xi. tchtrn Sink a gqGAr-b
C1' sot t 2
Laundr ' r° Iay t Mna i = 1r
iii
Lovator y i 2 shower° t Tub t [
0 {3t ,
FEEa
$30.00
Pvt Eaawage Dspsl. t 1 'Manic I 0 LL:0 Pitt 0
FEE,
$100
# of Water` Heatarst 1 dk of Dramas can Rooi'a Oil
i. -EF,:
ta2ia
BM&WIlalion of Water -Piping and/or Watery Treatment Equip(t
FEE:
ADD' L PLAN REVFEE
ADD' L PLAN REV, FEE ;., `;
$5.05
05 65
.
.
d
FORM -208(2/81)
NO.
OPERATION
DATE
INSPECTbR'— _
r
„<40. " OPERATION
DATE
IN.. \,TOR
BUILDING APPROVALS
MECHANICAL APPROVALS
OC 1
Set Back
33 Ventilation System
1 2
Figs & Frms
8
per/
34 Plenums 8 Ducts
v 1
2A
Slab Grade
S f
`
35 Furnace Comport.
3
Steel
Ur g
36 Inlets 8 Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
/
39 Appl. Clearance
A
7
Framing
40 Fire Damper 1r
8
Vents'
41 Smoke Detection Device L
9
Garage Fire Wall
L !
42 Commercial Hood
10
Fireplace P. L.
0, .
43 Final
IDA
Fireplace T. 0.
°o ADDITIONAL INFORMATION
le 'rRci ► n S p LC Crn/IGS,
`
I 'Y Qyt
Y " v fQi (/i SO
-- ------- -- --------------
SEWAGE SYSTEM/ SIZE & LOCATION
11 Exterior Loth i
12 Internal Loth
12A Drywall p
.13 Finish Grade
INSULATION Thick Value
7A Walls (Batts) 1,
128 Ceiling (Batts) ()
12C Ceiling (Blown)
14 Final
- -- PLUMBINGAPPROV?fA L-S----------------
15 Ground Plumb d
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal D_
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test '
25 FinalJ
-0 Pit / L. Line
Tank 6
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
J
.. P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
ci v
29A Grounding Wire
298 Bonding
30 Fixtures
v
31 Service
32 Final
STREET NAME `