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384384 (MISC)ov�ry w r PERMIT Na 384384 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE ST COUNTY OF RIVERSIDE �f CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. SQ. FT. @ $ UNITS Dist, Off. /f' F.C.=. SQ. FT. @ YARD SPKLR SYSTEM POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ MOBILEHOME SVC. Ck. By 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 SMI Fee $ FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM Plan Checker WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN Sp. Insp. Fee $ WASHER (AUTO)(DISH) APPLIANCE DRYER Supplimental Permit Numbers / %Y h•A at V Registr. Fee $ ' GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED r Reinsp. Fee $ LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER Total Fees Is / KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC • WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM trees required LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB SQ. FT. @ c WATER HEATER SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ '/,'c HOUSE SEWER GAS PIPING PERMIT FEE 'PERMIT FEE „.ij PERMIT FEE DBL. jTOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE P'-. CK. FEE CONST. FEE fELECT. FE SMI FEE FEE PLUMB. FEI PERMIT NO. 384384 Job dress "`y - • Space Zip Owner �, 6 �- . Com nity s _ Valuation $ Date 3 / � i Dist, Off. /f' F.C.=. MH.Permit Fee $ Micro Film Fee Cop $ Use of Pe it /�•�^•�k.h!"„Ly�.... Parcel No. (a � %S[��• � �, Use/Case No. Ck. By Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Le' Descri ion /" ",,/ �.Sl-Q.��R.ti...(/A /"+, %w F S S R Electrical FeeDbl $ Zone Res4ictions 11.1d •'"^ Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final /Dote / ( 7 Inspector Unit Sp. Insp. Fee $ DemoL Fee $ Const., Lender Brcnch Supplimental Permit Numbers / %Y h•A at V Registr. Fee $ ' Mileage Fee $ Address Ciy Zip Witness Fee $ Reinsp. Fee $ Owner/Agent a Tel. _ Zip Total Fees Is / - dre s City Zip �/re•+ M.O. N.C. Cash Che i Received by , Co tract Tel. LicenseN trees required Sewage System / M dres ✓ City Zip T LL P U Sewer District Form 284.208 (Rev.8/78) ©s THIS PERMIT SHALL BECOME VOIC IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: FOR 120 DAYS SHALL ALSO CAUSE IERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK N CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY 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. BNILDING PERMIT - PERMIT NO. DEPARTMENT OF BUILDING & SAFETY 13843841 COUNTY OF RIVERSIDE FIELD Mr,/ST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Zip Owner,, NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS F.0=. MH.Permit Fee E 2ND. FL. POR. SQ. FT. @ Parcel No. 9_1 �C_3^• Q/ �. Use/Case No. YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET leg Descri ion / rr _ I q� �J ROOF DRAINS • CAR P. WALL SQ. FT. @ Zone Res fictions GroupType DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ Final +Dote�J Inspector WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT Const. Lender Branch FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM Address City Zip WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN Tel. Zip WASHER (AUTO)(DISH) APPLIANCE DRYER dress 'L`+T°"S.• ,tj,+ :.� City/—Zip .«' ./.,a..+�,...n,.'kw !,,, .S GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Coriiroct6 `.'� •'(;"� t ' Tel. % LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER /ddresr 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 SQ. FT. RESID @ 1114 c SEWAGE DISPOSAL SQ. FT. GAR @ '/. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE C: Zv PERMIT FEE DBL. 1/,,TOTAL FES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE /ELECT.JFEE, SMI FEE FEE PLUMB. FE T PERMIT NO. 41 b� JSpoce Zip Owner,, Com unity • Valuation $ Date %J �'� Dist. Off. 1 ,/ F.0=. MH.Permit Fee E Micro Film Fee copis Use of P.r' it A ''��.4 y ` � p 76 ` �'� wuww���" w"` "'••• Parcel No. 9_1 �C_3^• Q/ �. Use/Case No. Ck. By Mech. Fee Dbl $ Pl: Ck. Fee $ Set Backs Lot Size ' Construction Fee Obl $ leg Descri ion / rr _ I q� �J F 5 S R Electrical Fee Dbl E �} Zone Res fictions GroupType - SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final +Dote�J Inspector Unit Sp. Insp. Fee $ De mol. Fee $ Const. Lender Branch SupplimentoWPbe�rs 3710 111T__ l Registr. Fee - $ Mileage Fee • $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent ��. Tel. Zip Total 'Feel $ % dress 'L`+T°"S.• ,tj,+ :.� City/—Zip .«' ./.,a..+�,...n,.'kw !,,, .S M.O. N.C. Cash Chec Received by(i Coriiroct6 `.'� •'(;"� t ' Tel. % License# Trees required Sewage System /ddresr City Zip T LL P L% Sewer District a Form 284-208 (Rev.8/78) @s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK 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 THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY 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. verified by: 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 1 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 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. ❑ 43 Final IDA Fireplace T. 0. OP'N 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 PSL REAR OF PROPERTY LINE ELECTRICAL' APPROVALS P/ 26 Power Pole 17 / 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 7�J r 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME DEPARTMENT OF BUILDING AND SAFETY o COUNTY OF RIVERSIDE OFFICE DATE TIME (% PERMIT NUMBER - �5 INSPECTION REQUESTED I ADDRESS , I SPACE N FOR: 1 , OWNER COMMUN TY A.M. j I P.M. BUILDING PLUMBING ELECTRICAL MECHANICAL wiON TUES cQ WED REMARKS: THUR FRI f OWNER/CONTRACTOR TEL.NO. (� FEE-17-2005 07:39 AM P.02 CER.TIFICATF Of FIELD VERIFICATION AND DIAGNOSTIC TESTIIyN!}G% CF-4R 0..w.......1 i.�. w..,... oee T �i Bui der Na e 0 S ' i �'7 Plan Number Sample Group Number /0.- A _ ifying $lgnature Date Sample House Number Firm;_ � . �( ri�rOr„! - �� HERS Provider, C HE C 5 Street Address; .7�r� Sea&!t' C-IYC/�_ city/state/Zip: 4u alr1& 1of Copies to; Builder, HERS Provider HM RATER COMeLIANCZEMENT The house was; Tasted ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the houses identified on this form comply with the dlagnostic tested compliance requirements as checked on this form. Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns In lieu of ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct Connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostie Leakage Testing Results (Maximum 6% Duct Leakage) ,j Measured Duct Pressurization Test results (CFM @ 25 Pa) values Test Leakage Flow In CFM I /0,2 If fart flow is calculated as 4000fm/ton x number of tons enter calculated value here L If fan flow is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) = .7► ?5 p y�/A Check Box for Pass or Fall (Pass-6% or less) ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV or Commission a roved a uivaient &!J Yes ❑ No Thermostatic Expansion Valve (Or Commission approved equivalent) Is Installed and Access is provided for inspection ❑ Yes is a pass CI MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT Pass Fail 1, ❑ Yes Q No ACCA Manual D Design requirements have been met (rater has verified that actual Installation matches values in CF-1 R and design on plan. J J 2. ❑ Yes 13 No TXV Is Installed or Fan flow has been verified. If no TXV, y►,/ verified fan flow matches design from CF-1R. Measured Fan Flow Yes for both 1 and 2 is a Pass d ❑ Pass Fall