00015278 (BLDG)APPLICANT NAME (L, F. MI)
PS
DATE
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Ro Fk4 ER A
POOLS/SUE
C FEE
A1M -J., T',
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r e
;
GA
a•A #
a RESS/SPACE
/ ,M
�i
r+AN
r7
64
O NITYISTATE/ZIP
x n y
M M 1?00 $10,01)
$11"'1000
RR
Cw A L`ttC
IwAcr
C
TWN "' S
+1e1
$3,00
No of UnitsE 2 Service Voltat 0
FL..L3
LOP MOD
SB
AC M
iu.00
f
I`L .:
A P 6roXG {
j FIXTURES—Bar Sink t 0 Drinking Frttn i U FIr Drain i i
ER A m, p
'
PHONEN
X.
ti,?.50
GAS PJPING SYSTEM-- 1 to 5 Out'letst l b or More Outlets; 0
Insta lation Water
CONTRACTOR F1R.hA7
LICNC N
FTE :
s� . +.,0
SMI FEE
'ADtRES1.11,"
$0.04
PLAN CHECK FEE
CITY/ M STA
*60.12
IP
BLDG. ECT
° 'FIWAI D E
+4
AR /E G F M AME
LICNC N
ADDRESS
TOTAL .
FEE
CITY/COMMUNITY/STATEIZI P
6K
U
PLAN N
COUNTER B.I.
PLANS EXAMINER
COUNTER L.U.T.
APPROVE DATE
USE OF PERMIT
♦e
L -ZO
♦e
S 8 ' 'SS
SB' OFC
111' hr! A n A 4
A2 ♦t�
ZON OHb N
L .S
END 'SIDE
APPL/PRMT N
U U �J 4 f U
PS
DATE
- 0 t tib kid:
2615 r n
/
4. !kW ♦ J r
C FEE
3 T Ft U is T U le A L ( BUILDING 1 P L R M
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G
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/ ,M
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E
Description FCC Group 'Type S? F"t Rate
PRIMARY MISC
x n y
M M 1?00 $10,01)
$11"'1000
Construction Fee based on 'Total Actual, Valuation of $14UU9
ami FEL
$921.50
ELECTRICAL FEE COMPUTATIONS * Permit Fee (if applicable)
FEE:
$3,00
No of UnitsE 2 Service Voltat 0
FL..L3
146. UQ
' SW MMENG POOL;Priv tet Y Commerciale N Service Chan 0 R/L,
PLUM IN FEE COMPUTATIONS Permit
tF.Ei
iu.00
f
I`L .:
$4.00
j FIXTURES—Bar Sink t 0 Drinking Frttn i U FIr Drain i i
* of Water f4atlerss 1 6 of Drains on Roof: 00
f,LL.1
ti,?.50
GAS PJPING SYSTEM-- 1 to 5 Out'letst l b or More Outlets; 0
Insta lation Water
FL.C.i
il'.af1
of Piping anti/or Water Treatment Equx.p s l
FTE :
s� . +.,0
SMI FEE
$0.04
PLAN CHECK FEE
*60.12
TOTAL .
FEE
i rR A L
6K
U
NC
COUNTER B.I.
COUNTER L.U.T.
FORM 284-208 (11-81) INSPKTOR
1.�
k r
3 T Ft U is T U le A L ( BUILDING 1 P L R M
.1
i `i'
261
TOTAL. PERMIT COST IS 7r1t35 46
CONSTRUCTION ESTIMATE (NOTE: Not to be used as property valuatian)
Description FCC Group 'Type S? F"t Rate
PRIMARY MISC
Valuation
M M 1?00 $10,01)
$11"'1000
Construction Fee based on 'Total Actual, Valuation of $14UU9
s•a:
$921.50
ELECTRICAL FEE COMPUTATIONS * Permit Fee (if applicable)
FEE:
$3,00
No of UnitsE 2 Service Voltat 0
FL..L3
146. UQ
' SW MMENG POOL;Priv tet Y Commerciale N Service Chan 0 R/L,
PLUM IN FEE COMPUTATIONS Permit
tF.Ei
iu.00
Petr iif appli.cablel
I`L .:
$4.00
j FIXTURES—Bar Sink t 0 Drinking Frttn i U FIr Drain i i
* of Water f4atlerss 1 6 of Drains on Roof: 00
f,LL.1
ti,?.50
GAS PJPING SYSTEM-- 1 to 5 Out'letst l b or More Outlets; 0
Insta lation Water
FL.C.i
il'.af1
of Piping anti/or Water Treatment Equx.p s l
FTE :
s� . +.,0
SMI FEE
$0.04
PLAN CHECK FEE
*60.12
FORM 284-208 (11-81) INSPKTOR
1.�
k r
1k i
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTO
BUILDING APPROVALS
MECHANICAL APPROVALS r t
1
Set Back
3 ,
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
7) 3
36
Inlets 6 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
IDA
Fireplace
T.O. Ej
ADDITIONAL INFORMATION
NO.
—
/��C 7-0 !0
v
C TX—V�a�" 1 �%
�®
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal lath
12A
FinishDrywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final l.—
PLUMBING APPROVALS
15 Ground Plumb 30 YZI-
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
t�
i
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
k,WB Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
t.
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME 3 > PERMIT NUMBER
/Z INSPECTION
ADDRESS
-zo
OWNER
BUILDING PLUMBING
REMARKS:
COMMUNITY
ELECTRICAL
SPACE NO.
MECHANICAL
r
REQUESTED
FOR:
A.M.
El
#64
TUE S
a WED
aTHUR
IZ4
OWNER/CONTRACTOR TEL.NO.
2844* {1//5
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
INSPECTION
ADDRESS .
K -f -
OWNER
BUILDING PLUMBING
REMARKS:
U �L
OWNER/CONTRACTOR TEL.NO,
ELECTRICAL
REQUESTED
NO. FOR:
MECHANICAt
A.M.
P.M.
a
TU>E S
a WED
MTHUR
17 FRI
t
284-" 11/75
R ' 'k:€VAIL V13C.I_S/81JE ELKINS
b&ITWSTATE/ZIP CA 922010000
L RESSISPACE bAN LUG05-
:"I uWt
1604
C
TWN
E'Y
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SB
WIT iq a qFj
FA tv U-4 jowirEy
PHONE 4
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LZ 4s o'
h))Dq S BUX 1,563
A IVjg)NITYISTATEIZIP
N{�q.. �j '^� -. �•
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME _
LICNC O "
ADDRESS
CITYICOM MUNITYISTATEIZI P
PLAN # PLANS EXAMINER-
APPROVE DATE .
aS ' �f%Pj. ITf4�. _e
qa
R TAON
WT.0
JOLS@
qe
. ZONE ORD #
LOT SZ
END
OPV VRi':,I T,«% Grd Y4St � i,4 f,�0'TE)2 .. 26151' 6151„
. •a
i
TOTAL .
FEE '
CA
CK
NC
COUNTER B.I. -
COUNTER L.U.T.
NO.
OPERATION DATE.
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set.BaTk
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. E]
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 (Batts)
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
PSL 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