SFD (347542)77175 Calle Madrid
347542
BUILDING PERMIT ,go,, DEPARTMENT OF BUILDING & SAFETY r FIELD OFFICE
PERMIT NO.
3475 4 2-
PERMIT NO.
347542
b ddress -7;" `
Community
e:2
COUNTY OF RIVERSIDE.
F.C.
per/
DST
CONSTRUCTION ESTIMATE
Micro Film Fee Cop E
NO. ELECTRICAL FEES
Use of Permit .►'
li
NO. PLUMBING FEES
Parcel No.
7 _a
1ST FL. SQ.
2ND FL.
FOR.
GAR. SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. ® U $
Mech. Fee Dbl E
UNITS
Set Backs
Lot Size
`-A14
SQ. FT. 8 YARD SPKLR SYSTEM
SQ. FT. 8 _ MOBILEHOMESVC. BAR SINK
FT. Q FPOWER OUTLET ROOF DRAINS
S J
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
Grp
SQ. FT. @ URINAL
Unit
VALUATION $ f'r! WATER PIPING
Plumbing Fee Dbl E
NOTE: Not to be used as property tax voluotion
Bond Amt.
E
SWIM POOL, PVT
Plan Checker
Z%:;
FLOOR DRAIN
Insecto
prpp
`I
MECHANICAL FEES
5p.Insp..Fee E
SWIM POOL, COMM
E
WATER SOFTENER
Const. Lender
-
Address
Branch 'I certify that in the performopce of the work for which this permit issued I shall
not employ any person in any manner so as to become subject to the workmen's com.
pensotion laws of California."
City Zip Owner Signature
Builder Signature
VENT SYSTE W FAN ❑ EVAP. COOL HOOD
p
SIGN
Reinsp. Fee
WASHER (AUTOPISH)
Owner/Agent
APPLIANCE JRDRYER
Tel.
Zip
GARBAGE DISPOSAL
E
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
city
Zip
M.O. ❑ N.C. ❑ Cash ❑ Check
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
License q
KITCHEN SINK
Sewage System
ABSORPTION SYSTEM B.T.U.
Address
TEMP USE PERMIT SVC
Comp.
yes_ no ❑
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @
It BATH TUB
SQ. FT. 6 a
WATER HEATER
Q. FT. RESID 6 1'Ait
SEWAGE DISPOSAL
SQ. FT. GAR 6 s/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.TOTAL
FEES
MOB. HM.FEE
MICRO FEE
MECH. FEE
ai
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE
PL B. FEE
G
PERMIT NO.
3475 4 2-
Supp. Permit
b ddress -7;" `
Community
e:2
S ce Zip Owner
-
Valuation Dore Dist. Off.
E a' 7 ifl / `
F.C.
per/
MH Permit Fee EtR
Micro Film Fee Cop E
Use of Permit .►'
li
" 6?YL 1l. =
Parcel No.
7 _a
Use No.Ck.by
S
Mech. Fee Dbl E
PI. Ck. Fee E
Set Backs
Lot Size
`-A14
Construction Fee Dbl ELegal
Electrical Fee Dbl E
SMI Fee E
Description
SJ/
F "f
S J
S
Zone
1?/
Grp
Type
Unit
Plumbing Fee Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Z%:;
Final Dote
R t.
x,-60
Insecto
prpp
`I
5p.Insp..Fee E
Dental. Fee
E
-
Const. Lender
-
Address
Branch 'I certify that in the performopce of the work for which this permit issued I shall
not employ any person in any manner so as to become subject to the workmen's com.
pensotion laws of California."
City Zip Owner Signature
Builder Signature
Registr. Fee E
Mileage Fee E
Witness Fee E
Reinsp. Fee
E
Owner/Agent
Tel.
Zip
rotal Fees
E
Address
.
city
Zip
M.O. ❑ N.C. ❑ Cash ❑ Check
Received by
Trees required
Contractor
i
Tel.
License q
Sewage System
Address
City Ziprkers'
Comp.
yes_ no ❑
I LL P
fewer District
Form 284.208 (Rev. 4.77) Os
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL CA E PERJIT TO ECOME VOID.
1 HEREBY AGREE THAT C N TION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDECOUNTY NDTHESTATEOFCALIFORNIA. - r
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS -AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.