ELEC (351297)77305 Calle Madrid
351297
BUILDING PERMIT Alok DEPARTMENT OF BUILDING & SAFETY jglkFIELD OFFICE
RMIT NO.
735-12971
PERMIT NO.
351297
Job Address
-27305
COUNTY OF RIVERSIDE
IF'
9Z25
Owner
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Dist. -
//
1ST FL. SQ.
2ND FL.
POR.
GAR. SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. 8 $
2_ UNITS
MH Permit Fee 5
Micro Film Fee
SQ. FT. Cay YARD SPKLR SYSTEM
SQ. FT. MOBILEHOME SVC. BAR SINK
/ j >// /
S ` j (/ /
FT. ® POWER OUTLET ROOF DRAINS
Use No.
SQ. FT.. @ DRAINAGE PIPING
Mech. Fee Dbl 8
SQ. FT. (ia ' DRINKING FOUNTAIN
Seat Backs
SO. FT. @ URINAL
Construction Fee Dbl 8
VALUATION It WATER PIPING
} 7 % L
'✓,1 G.- 4 /
vef g2 `
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
s21 o R 9
FLOOR DRAIN
Zone
I Grp
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Plumbing Fee
Dbl 8
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
Plan No.
WASHER (AUTO) (DISH)
Plan Checker
APPLIANCE ❑ DRYER
or
GARBAGE DISPOSAL
Sp. Insp. Fee E
Demol. Fee
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Lender
Address
LAUNDRY TRAY
"I certify that in'the performonce of work for which this permit is issued I shall
not employ any person in any manner s to become subject to the workmen's com.
pensotion laws of California."
Owner Signature
Builder Signature
Registr. Fee S
AIR HANDLING UNIT CFM
IDLE METER
'Reinsp. Fee
KITCHEN SINK
Own nt
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERMIT SVC
Tel.
C — C
WATER CLOSET
Total Fees
COMPRESSOR HP
POLE, TEMP/PERM
.. y
Address // /
• - V
LAVATORY
City
C
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
Received by
SHOWER
Contractor
BOILER B.T.U.
SQ. FT. Ga ¢
Tel.
BATH TUB
License q
Trees required
Sewage System
SQ. FT. Ga ¢
.
WATER HEATER
Q
City
SQ. FT. RES ID G 1 V tr
Workers' Comp.
yes ❑ no ❑
SEWAGE DISPOSAL
SQ. FT. GAR Ca. '/.¢
_
HOUSE SEWER
GAS PIPING
2 Q
PERMIT FEE
PERMIT FEE
3
PERMIT FEE
O
DBL.
I TOTAL FEES
110013.141A.FEE1
.- MICRO FEEMECH.
FEE PL. CK. FEE
CONST. FEE
ELECT. FEE'
a r
SMI FEE
FEE
PLUMB. FEE
6D
RMIT NO.
735-12971
Supp. Permit
Job Address
-27305
/
Space Zip
9Z25
Owner
Community ' / A Valuation
i..r • / (/ r, .. is
Dote
/—/7 -'
Dist. -
//
Off.
1
F.C.
MH Permit Fee 5
Micro Film Fee
Cop 8
Use of Permit
/i% C- s
V
/ j >// /
S ` j (/ /
Parcel No.
L/ '7 7 / f
v 3
Use No.
Ck.by
Mech. Fee Dbl 8
PI. Ck. Fee 8
Seat Backs
lot Size
v
Construction Fee Dbl 8
Legal Description
6 T r>,
f !
} 7 % L
'✓,1 G.- 4 /
vef g2 `
F /31, —2Q
s21 o R 9
Electrical Fee Dbl 8 (
Zone
I Grp
Type
Unit
SMI Fee 8
Plumbing Fee
Dbl 8
/
Bond Amt.
8
Plan No.
Plan Checker
I p Ins
or
Sp. Insp. Fee E
Demol. Fee
8Cons,.
Lender
Address
Branch
City Zip
"I certify that in'the performonce of work for which this permit is issued I shall
not employ any person in any manner s to become subject to the workmen's com.
pensotion laws of California."
Owner Signature
Builder Signature
Registr. Fee S
:Mileage Fee 8
Witness Fee 8
'Reinsp. Fee
8
Own nt
Tel.
C — C
Zip
aD
Total Fees
8
L -
.. y
Address // /
• - V
/
!
City
C
Zip
M.O. ❑ N.C. / ash Check
Received by
Contractor
Tel.
License q
Trees required
Sewage System
.
Address
City
Zip
Workers' Comp.
yes ❑ no ❑
Sewer District
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL ALS AUSE P MIT T v—ECOME VOID.
I HEREBY AGREE THAT A K1N,CONNECTION I H THIS PERMIT WILL BE DONE IN ACCORDANCE
` bVITH 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.