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$15.00
LOT
11
SB
TRACT NAME
Org N/iIU%WA COUNTRY A
CONTRACTOR -FIRM NAME
ADDRESS
CIP.' OMMUNITY/STATE/ZIP
PH"E M
9
LICNC N
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE #
#
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at 1
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W
%
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ON
M
ELICTIt
LOT SZ
P ER M I T
END
TOTAL
.
6
k
ELEItTRICAL
PES
$13.11
t
CONST. TRAILER
$15.00
g �,0
ELICTIt
I CAS.
P ER M I T
TOTAL
.
$?a.
E L E C 7 0 1 C A L P I R M I T
TOTAL PERMIT COST I8 S29.04
ELXJTKICAI� FEE CempUiATio"S * a porm tsps 1 at 1 . ppQ Esch
MP 8V�°T*mp/ as�sttr ur, r Y sump Us* mit 1 M add F't So t a
CONST. TRAILER
FORM 284.208 (2/81)
FEET $11!
$15.00
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System -^
2
Figs & Frms
..
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8 •
Vents
41
Smoke Detection Device
9
Goroge Fire Wall
42
Commercial Hood
10
Fireplace P. L.
❑
43
Final
10A
Fireplace T. 0.
°O.
.,,
_ _ . _
ADDITIONAL INFORMATION
., .. _ _ .._
-----
____15
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
,13 Finish Grade-r— •. •, _ ..
INSULATION Thick R
Value
7A Walls (Botts)
128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS - - - - - - - - - _ _ .
15 Ground Plumb
;0 Water Piping
17 Rough Plumb
`i Vents
f
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
Final
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
i
l
26 Power Pole �^ _bY/ t
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire O
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING A$ID SAkETY . COUNTY OF RIVERSIDE
OFFICE DATE TIM PERMIT NUMBER '
l �� camINSPECTION
ADDRESS
OWNER COMMU I
'BU+LDING PLUMBING ELECTRICAL
a�
REMARKS:
TY
NO.
MECHANICAL
REQUESTED
FOR:
FIA.M.
11 P.M.
TU>ES
aWED
TH UR
® FRI
OWNER/CONTRACTOR TEL.NO.
1294-46 tl/75
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
FFICE DATE TIME 3-3 PERMIT NUMBER -
C-/ -2 1 INSPECTION
ADDRESS SPACE NO.
1.
sl-` CD '
OWNER OMMUNITY
BUILDING PLUMBING ELECTRICAL MECHANICAL
REMARKS:
OWNER/CONTRACTOR TEL.NO,
REQUESTED
FOR:
A.M.
P.M.
MON
TUES
a WED
THUR
P;qFRI
r
28446. $I/h