SFD (301892)52215 Avenida Madero
301892
i DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BWI ING PERMIT '
J F M AIM J J A S O N D
PERMIT NO-
01892
NW
.
T .Vr KIVCK31UC
e
.'
DST
CONSTRUCTION ESTIMATE
VALUATION -
G
NO. ELECTRICAL FEES
DST"
NO. PLUMBING FEES
M H PERMIT FEE
1 ST FL.
2ND FL.
POR.
GAR. Z3
CAR P. r
WALL
ESTIMATED CONSTRUCTION
SQ. FT.@ t/ $ o Yi a
UNITS
USE OF PERMIT
P.
SUPP. TO PERMIT
SQ. FT. @ j YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
O. FT. @ ` '} POWER OUTLET ROOF DRAINS
SQ. FT. @ f DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ `1 WATER PIPING
NOTE: Not to be used os property tax voluation a
SWIM POOL, PVT
3018
FLOOR DRAIN
MICROFILM FEE
_
MECHANICAL FEES
SWIM POOL, COMM
LEGAL DESCRIPTION
WATER SOFTENER,
DBL
$
VENT SYSTEM [I FAN ❑ EVAP. COOL .❑ HOOD
ZONEvd
SIGN
LOT SIZE
WASHER wrovlm,.
CKyBY
APPLIANCE ❑ DRYER
GARBAGE DISPOSA
•
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
PLAN CHECK FEE
AIR HANDLING UNIT, CFM
IDLE METER
PLAN NO.PLAN
KITCHEN SINK
FINAL •D 7A/TE INSPE
TOR
ABSORPTION SYSTEM 0 B.T.U.
TEMP USE PERM SVC
WATER CLOSET
f
COMPRESSOR HP
DBL
POLE, TEMP/PERM
LAVATORY
41
NO LE ER INVOLVED
HEATING SYSTEM ❑ FORCED ❑ GRAVITYAMPERES
SERV ENT
SHOWER
ELECTRICAL FEE
DBL
BOILER B. T. U.
SQ.FT. @ a
Z BATH TUB,
SQ.FT. @ a
WATER HEATER
$
OW ER/AGENTS SIGNATURE CONTRACTOR
J -
t&
SL. 5Q.FT.RESID @ 11/4a
SEWAGE DISPOSAL
,
1
G Q.FT.GAR @ 3/4a
HOUSE SEWER
, 1 f+
'SPECIAL INSP
$
GAS PIPING
ADORES ADDRESS
'DEMOLITION
PERMIT FEE
FEE
PERMIT FEE
PERMIT FEE
i"3 )
DBL.
TOTALFEES
MOB.HM.FEE
MICRO FEE
MEC H. FEE
PL. CK, FEE
I CONST. FEE
_ ELECT. FEE
SMI FEE
FEE
PL MB. FEE
J F M AIM J J A S O N D
JOB ADDRESS SP NO
n +
A
OWNER
4,A/ <,.^
76
e
s
77'
COMMUNITY
VALUATION -
G
DATE
DST"
OFFICE
M H PERMIT FEE
C
USE OF PERMIT
P.
SUPP. TO PERMIT
PERMIT
NO.
-t 14/
3018
MICROFILM FEE
COPIES
$
EZOK Pt7E PARCEL
LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$
USE NO.
ZONEvd
SET BACK
LOT SIZE
GG RRRPP
CKyBY
;P
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.PLAN
CHECKjjER
FINAL •D 7A/TE INSPE
TOR
f
`CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LE ER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
OW ER/AGENTS SIGNATURE CONTRACTOR
J -
t&
'INSTRUMENTATION FEE
,
1
, 1 f+
'SPECIAL INSP
$
ADORES ADDRESS
'DEMOLITION
FEE
i"3 )
,REGISTRATION
f V
,PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
ati« Iq 1
' TOTAL FEES $
TEL. NO. . AREA
CODE . TEL.
NO.
AREA CODE
LICENSE a
CASH❑CHEC KA.O.❑N.C.❑
/ p
;RECEIVED BY . TREES REQUIRED
w
'W
TIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
F 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME -VOID.
H AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
- H LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO .CARRY
AA D C wIG ATIl1w
`SEWAGE SYSTEM
I{ y
\',
T '60
LL
P -y
CALIFORNIA_C--..—.OVE... .. ... v.. ...r... vr .-v,rrr Llr.l -1 rrllll IIIL LM rrJ Vf IIIC-JI"MIL VI
• RING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 (REV. s -gel SO IN ACCORDANCE WITH SECTION, 5541 OF THE BUSINESS.AND PROFESSIONS,, CODE OF THE STATE
OF CALIFORNIA.