SATT (301894)52011 Avenida Madero
301894
BUILDING PERMIT
db- DEPARTMENT OF BUILDING & SAFETY
I FIELD OFFICE
J F I M A M
PERMIT NO.
30189 4
A S O
COUNTY OF RIVERSIDE
JOB ADDRESS I SP NO OWNER
I
Z21
76
77
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
78
NO. PLUMBING FEES
1ST FL.
2ND FL.
POR. Yl
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
SE O F.C. SUPPArO PE IT PERMIT O.
UNITS
SQ. FT. @ YARD SPKLR SYSTEM
MICROFILM FEE
SQ. FT. @ MOBILEHOME SVC. BAR SINK
$
SQ. FT. @ POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
i
SQ. FT. @ URINAL
DBL
VALUATION $d7z 4 OCWATER PIPING
NOTE: Not to be used as property tax valuation
ZONE
SWIM POOL, PVT
TYPE CK BY
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM kFAN ❑ EVAP. COOL SeflOOD
APPLIANCE se RYER
tl'' CS'
SIGN
WASHER (AUTOSH)
GARBAGE DISP SAL
yQ
FURNACE ❑ UNIT ❑ WALL ❑ FL OR SUSPENDED
`OR
PLAN CHECK FEE
LAUNDRY TRAY
AIR HANDLING UNIT CFM
PLAN NO.
IDLE METER
FINAL DATE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
[PLAN
COMPRESSORIM HP
ot4 ,
POLETEMP/PERM
DBL
LAVATORY
'470p
i7
HEATING SYSTEM ORCED ❑ GRAVITY
dw
MPERES SERV ENT )70al
SHOWER
BOILER B.T.U.
SQ.FT. @ 4
BATH TUB
DBL
$
SQ.FT. @ ¢
CITY
WATER HEATER,4P7
(y
Q.FT.RESID @ 11/4¢
SEWAGE DISPOSAL
STRONG MOTION
SQ.FT.GAR @ 3/4Q
HOUSE SEWER
CO ACJ,O %
INSTRUMENTATION FEE
GAS PIPING
PERMIT FEE
PERMIT FEE
!' fJ
PERMIT FEE
DBL.
I TOTAL FEES
MOB.HM.FEE
MICRO FEE
J
MEC H.FrEEe
PL. CK. FEE
CONST, FEE EL
FEE
SMI FEE
FEE
PLUMB,FEEyE/9
J F I M A M
J J
A S O
N D
JOB ADDRESS I SP NO OWNER
I
Z21
76
77
COMMUNITY ALU TION DATE 5DEIT OFFICE
78
M H PERMIT FEE
$
SE O F.C. SUPPArO PE IT PERMIT O.
301894
OOK AGE PARCEL LEGAL DESCR ON
MICROFILM FEE
COPIES
$
i
MECHANICAL FEE
DBL
$
S
ZONE
SET BACK LOT SIZE GRP
TYPE CK BY
`OR
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
CH CKER
FINAL DATE
INSPE
[PLAN
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER VOLVED
d
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
SrA E
/
STRONG MOTION
$
OWNER/AGENTS SIGNATURE
CO ACJ,O %
INSTRUMENTATION FEE
SPECIALINSP
$
ADDRESS
ADD
DEMOLITON
l
FEE
REGISTRATION
0) <
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
.7
TOTAL FEES $
TEL. NO.
AREA CODE
TEL. NO.
LICENSE 4
CASH ❑CHEC
A!RtAFCODE
.O.❑N.C.❑
3
RECEIVED BY
TREES
REQUIRED
MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
RK 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
.SEWAGE SYSTEM
•<'-
T
LL
p
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
AADCAIf A Tlllwl I
l-llml'LIAIVlt WIIti 1111 LAWJ VY Itit JIAItuF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.