SFD (347231)52130 Avenida Madero
347231
BuiI.DING PERMIT- IDEPARTMENT OF BUILDING & SAFETY FIELD OFFICE -
-PE RM IT NO.
34723i
PERMIT NO.
34723117T
-
- COUNTY OF RIVERSIDE
- -
-
- -
-
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Valuation
ls,,27
1ST FL... •
2ND FL...
POR.- ''Atka //
GAR. 0004/0 SQ.
-. CAR P.
WALL .
ESTIMATE
SQ. FT. 8 1 - $ 3 331,E0.
UNITS
Dist.
Off.
27
F.C.
Ozl/
SQ. FT.. (a) ` YARD SPKLR SYSTEM "
SQ. FT. @ — MOBILEHOME SVC. BARSINK
Micro Film Fee Cop $
FT: Q POWER OUTLET ROOF DRAINS
Use of Permit
SQ. FT. . DRAINAGE PIPING
i
SQ. FT. Q DRINKING FOUNTAIN .
SQ.. FT. Col URINAL
Mech. Fee Dbl $
VALUATION $ ? WATER PIPING
= Set otic
NOTE: Not to be used as property tox voluotion
Lot Size -
...
SWIM POOL, PVT
Legal Description
-
FLOOR DRAIN
FCaQ
S J
MECHANICAL FEES
ere
SWIM POOL, COMM
ZoneGrp
WATER SOFTENER
typ-e- • F
'
VENT SYSTEMZCaFAN ❑ EVAP. COOL HOOD
SMI Fee $ -
SIGN
WASHER IAUT4DISHI
Plan No.
APPLIANCE 'DRYER
Final Dote Inspectori'=
-
Sp. Insp. Fee $ .-
GARBAGE DISPOSAL
Const. Lender -
'
Address
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR. ❑ SUSPENDED
Branch "I certify that in the performapce of the work.f which this permit i asued 1 shag
- not employ any person in any manner so as to become subject to the workmen's cqm-
-' pensotiori laws of California." -
City Zip Owner Signature ,
Builder Signature
+.
Mileage Fee $
LAUNDRY TRAY
Reinsp. Fee $
AIR HANDLING UNIT CFM
IDLE METER
Tel.
KITCHEN SINK
Total Fees is
ABSORPTION SYSTEM 0 B.T.U.
Address -
TEMP USE PERMIT SVC ,.
.. ..
WATER CLOSET
Zip
. ... ..
M.O. ❑ N.C. ❑ Cosh ❑ Check t
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Tel.
HEATING SYSTEM FORCED ❑ GRAVITY
dl
AMPERES SERV ENTSHOWER
Address
I
..
City -
BOILER $.T.U.
Workers' Comp.
yes ❑ no ❑
SQ. FT. p it
BATH TUB
SQ. FT. Ga ¢
WATER HEATER
Ok:gQ. FT. RESID Q 1 V. ¢
SEWAGE DISPOSAL
SQ. FT. GAR Cat '/.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
3
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES •
]MOB. HM. FEE
• 'MICRO FEE
'/'?''
MECH. FEE
PL. CK. FEE
CONST. FEE
/ / =
ELECT. FEE
yrs
SMIFEE
/ !
FEE
PLUMB.F
-PE RM IT NO.
34723i
Supp. Permit
Job Address
- -
-
Space Zip
-
-
Community
Valuation
ls,,27
Date
..
Dist.
Off.
27
F.C.
Ozl/
MH Permit Fee $
Micro Film Fee Cop $
k
Use of Permit
-
,og'" VnL
i
Parcel No.
Use No. k.by
Mech. Fee Dbl $
PI. Ck. Fee $L
= Set otic
Lot Size -
...
Construction Fee Dbl $
Legal Description
-
-
- -
• !!
FCaQ
S J
S -S
ere
Electrical Fee Dbl $ a
ZoneGrp
Grp
' •-
typ-e- • F
Unit
SMI Fee $ -
Plumbing Fee Dbl $
Bond Amt:
$OL C rr7
Plan No.
Plan Checker ./Y
Final Dote Inspectori'=
-
Sp. Insp. Fee $ .-
Dental. Fee- $
Const. Lender -
'
Address
Branch "I certify that in the performapce of the work.f which this permit i asued 1 shag
- not employ any person in any manner so as to become subject to the workmen's cqm-
-' pensotiori laws of California." -
City Zip Owner Signature ,
Builder Signature
Regisir. Fee $
Mileage Fee $
Witness Fee - $ .
Reinsp. Fee $
Owner/Agent
Tel.
- Zip
Total Fees is
Address -
. / —
.. ..
City
• _. _ ..
Zip
. ... ..
M.O. ❑ N.C. ❑ Cosh ❑ Check t
Received by
Trees required
Contractor
-
Tel.
License #
Sewage System
. .._. 0...- ..
-6X1J1
Address
I
..
City -
Zip
Workers' Comp.
yes ❑ no ❑
T LL I I P
Sewer District
Form 284.208 IRev. 4.771 (5s
THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by,
WORK FOR I20 DAYS S AL CAUSE PERMIT TO BE ME VOID.
I HEREBY AGREE% I CiE ION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV6RSIDEC TY 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.