360199 (ELEC)PERMIT No.
F-7
COUNTY -16F
AF�TT�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO.. PLUMBING FEES
1$T It Sq. FT.. @
UNITS
Vatuollon ,. - . , • d' ata Xq%'Fa7I
-
71011 IIS&
Porcef No, Use GA*"No
Socks
F S 'S R
Rer&ictions Graup
2ND. FL:� SQ. FT: ®
MH-Permit Fee i
Micro, Film Fee Cop E
YARD SPKLR SYSTEM
POR.y Sp. FT; @
MOB.IIEHOME-W.
BAR SINK
GAR., Sp, FT...@
POWER 'OUTLET'
ROOF DRAINS
CAR P: SQ, FT.. (�!
y,
DRAINAGE PIPING
'WALL" •'@ -
Sp. FT.
Iri dor
_ DRINKING FOUNTAIN
Sp. FT.. @
Sp, Insp. Twe S:
URINAL
ESTIMATED CONSTRUCTION VALUATION
Suppffrhental Permit Numbers -
.Zip' • - .-, !
t WATER PIPING
NOTE: Not,io'be used as property tox voluation•
SWIM'POOL, PVT
FLOOR DRAIN
MECHAN'ICAL.FEES
SWIM POOL,'C•OM'M
S WATER SOFTENER
WENT SYSTEM.' FAN EVAP:�C60L ' HOOD
SIGN
) WASHER (AUTO)(DISH)
APPLIANCE DRYER
_ - Styr
i GARBAGE DISPOSAL
FURNACE Ut1T .. WALT FLOOR - SUSPENDED
�J
LAUNDRY TRAY
AIR HANDLING: UNIT CFM,
IDLE METER
I KITCHEN: SINK
ABSORPTION SYSTEM B.T.U.
TEMP -USE PERMIT SVC
WATER CLOSET
COMPRESSOR _ HP
POLE TEMP/PERM , ..
LAVATORY
HEATING SYSTEM FORCED GRAVITY'
ANiPEo2 SERV'ENT r
SHOWER
BOILER . B.T,•U., .
Sp. TT. @ _ c:
BATH TUB
a :Q.wi... .tw ..H p,..'! --
IrS
,..o - a�
SQ. FT. @ c
WATER HEATER
Sp, FT. RESID @IVAc
SEWAGE,DISPOSAL
'SO. FT. GAR @ 1% G
HOUSE. SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE '
DB[ -
TOTAL FEES,
MOBiHNLFEE
MICRO FEE MECH. FEE
Pl. CK: FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
I
T
FERMIT NO. __.-.-. . • - -
360199
Jot Address _ - - -. - :. -- -;"' -. r.,;
53*?4,1� A"*
-. - .- , . .. ;SpoG.e Zip
-r
- -
Use of Perm -•
.
!}f es � Dole
i
Legal Description - - - -
%t
Vatuollon ,. - . , • d' ata Xq%'Fa7I
-
71011 IIS&
Porcef No, Use GA*"No
Socks
F S 'S R
Rer&ictions Graup
F,CC.
Ck. By
Lo!'Size
Type
MH-Permit Fee i
Micro, Film Fee Cop E
ML& Fee DW $
PI. Ck. Fee t•
Construction, Fee Dbl S
,Electrical Fee Dbl SZone
SMI Fee - $
PWmbihq, Fee Dbl S
Bond Amt:
i
J'Plan,No; I
Plan Checker '
Fina.
s
Iri dor
Unit
Sp, Insp. Twe S:
.Damoi.,Fee, i
iConsL,Lender - Branch
Addreis - - -city _
- i P '� - f%' ,
Suppffrhental Permit Numbers -
.Zip' • - .-, !
�ReipstF- Fee S'
.Mileoge Fee - _.
' V✓itn}ess. fee ' >f
-.
Refnsp.,Fee:, _ _ -
',ovv ewlAgent°�:Tel.
, -
`•+`
Zip
ToiO(Fees.
..• ..
ss Addrre``- - .-
Al galdwwd,
_ - Styr
Zip
=Mi'0 , •' C&h Che
Rece_ ived by -
�t.
Cont.ractor :To d � �
`
Licensel
Trees reg6irew
1rsowoge Sysierel
T U. P
F Form 28d-208 (RegiB�i 8) •�
AddCess _ .• ., CiY r ZIp7�
ROO.' Aft 7004
CA
THIS PERMIT SHALL BECOME VOID IF WOkK.'IS'NOT COMMENCED WITHIN 120 DAYS. CESSAtION OF WORK
FOR,120,DAY•S SHALL ALSO SPE IT TO COME:VOID
I HELAWREBY AGREEVERSITHATDENSI THi�.?ERfG1]T WILL BE DONE IN ACCORDANCE WITH
THE'S OF RI' COUNTY A THE STATE OF,6LIFORNIAr
I HEREBY CERTIFY -THAT THE INDIVIDUAL WHO.P.REPARED THE FANS AND SPECIFICATIONS HAS DONE SO IN
PCCORDANCE WITH SECTION 5541' OF THE BUSINESS AND PROFESSIONS CODE OF THE.STATE OF CALIFORNIA.
verified by:
G!"i 9" 91
6EPARTMEW-0f BUI.ILDING't-SAFET11,
'COUMT7 IVERSIDE',".,
-0IF R
FIELD
CON - STRUCTION,.85TIAWTE
NO.'A
Mir— CFE -S
I NO. PLUMBING FEES
,IST FL
POR. : ,
GAR.
CAR: P1
SQ; FT
UNITS
8
14
SQ.';FT@
;�
YARD SPKU? SYSTEM
m66LE HO svC
SQ.
BAR SINK,
I
SQ. FT. POWER k
ROOF^DRAINS
SQ, FT- @
DRAINAGE PIPING
Sq, 'FT; a
DRINKING FOUNTAIN
56 "FT.
Micro Film Fee
COP $
URINAL
:ESTIMATED ;CONSTRUC'6q
0 'VALtjATt6N'1'1.l $
Mech.�-u. 7 b b';1'
WATER PIPING
NOTE: Not, to be used as propertytax: %c 16otion`
SWIM POOL;':PVi
FLOOR DRAIN
'MECHANICAL FEES
v-
SWIM
WATER SOFTENER,
COP
.IS -I'ff0PD
SMI Fee
SIG,,
WASHER (AUTO)(DISH)
A DRYER
um
Ph birig. Fee*
{yySp.
DbI S
GARBAGE DISPOSAL
FURNACE. '`UNIT WALL':. FLOOR SUSPENDED
J.Plan No:
i: <71.1�� 11 C
LAUNDRY TRAY
AIR, HANDLING UNIT_ CFM
p.,
KITCHEN SINK
AbSORP-n6N'--0'gTEM` B. T. U.
C7 Ea -f F-je 4
7
TW pg,fvWITSVC , S, -C,
WATER CLOSET
COMPRESSOR' S.
PQII;TEMP/BERM
LAVATORY
Y-
HEATLIO&;� STEAr,. FORCED- 'GRAVITY',
Fee.
AMPERES SERY;ENT `
SHOWER
BOI LEW.
IItlePge�'P,ee,
'SQ; ff
BATH TUB
$
'WATER HEATER
,bwnei/Agen Zip
X
7
Ak
.,SO., FT. RESID 6i,/, C
SEWAGE -DISPOSAL
4 I$
SQ; FT: GAR �' < t
HOUSE SEWER
GAS PIPING
RMIT FEE
PERMI FEE
PERMIT FEE
L.
TOTAL FEES
MPS.HKFEE
MICRO FEE
MECH.. FEE j4.11.. CK. FEE
CONST, FEEELIt.
SMI FEE
FEE PLUMB. FEE
Zip Owner
360199
8
UMAft "
Community
Valuation to . . . . . .
$
F.C.C.
Micro Film Fee
COP $
Parcel No.: Use"e jo Ck. BY
6 Size
Ma
Mech.�-u. 7 b b';1'
.01:,Ck. Fee
ckti Lot
Legol,Closcription P, S R Ap
Zone- Ratitifitions Group Type
Aff
Construction Fee Dbl 1$
Efectijcal Fee- DbI IS.,
SMI Fee
$
um
Ph birig. Fee*
{yySp.
DbI S
liondlAmt.
J.Plan No:
lbwCh Ina
Checker W- I
--,T5Z1,6
Unit
Insp Fe6.',
As.
-
C7 Ea -f F-je 4
7
-ped
'ns!,, tojender Bran pItTental Permit Numbers
lv'bistrl
Fee.
$
City -Zip_ p
IItlePge�'P,ee,
$
,bwnei/Agen Zip
X
7
Ak
otclr.
I Feei, I
4 I$
*ddres.
C Zip
: . I -
?M;OiC] Nr- El Qnh Ch
tor Licenseil
re
L4.
Addres's Z.
:Poo* so
WON*
T
LL P
THIS PERMIT SHAWBECOMEVOID , IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION.OF WORK verified by:
FOR 120 DAYS SHALL ,ALS -0 C64W'PER MIT TO BECOMEVOib.-
S4iWer,Distriit
I HEREgY'XGREE;T"KITH IS.PERMIT WILL BE DONE IN,ACCORDANCE WITH
LAM�-
THER-IYE,RSIbE 4 EFSTATfE OF CALIFORNIA
?
IHERE6Y CERTIFY THAT THE INDNOUA�,WHOI PREPAREDT' H�.PLANISAND SPECIFICATIONS HAS DONE $O IN
ACCORDANCE WITH SECTioN.554-.bF'fHE BUSINESS AND PROFESS " S CODE OF THE STATE OF CALIFORNIA.
ION
j (y
orm 284-208!(Rev!W,,8)
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUOLDING APPROVALS
RRGCHAMUCAd APPROVALS
1
Set Back
33
Ventilation System
•2
Figs & Frms
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Comport.
3 r
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
B
Vents,
41
Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
,'Fireplace P.L.
43
Final
10A
Fireplace T.O. E
ONON
ADDU4UOMAL UNFORR AUBOM
-
r
•
SEWAGE SYSTUR'SUZE LOCAITIOM '
1I Exterior.lath
:12 internal C'dth '
12A ' Drywgll
1'3 -Finish Grade '• - r
INSULATION Thick R
Value
7A _'Walls (Batts)
128 Ceiling (Barts)
12C Ceiling (Blown) '
14 . FJnaL
PLOMBUNG APPROVALS
15 Ground Plumb
16 Water Piping
17' Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 . Woter Service
24 Gas Test
25
Final,
-Tank 71 Pit . L. Line
P/L
.REAR•OR PROPERTY LINE
[ELIECURICAL APPROVALS
,
' Pi
26 Power Pole
27 Conduit
28' Service Entrance
29 Wiring •
29A 'Grounding Wire"
29B Bonding
30 Fixtures
31 Service
32 - Final
STREET NAME