AR (290563)52470 Avenida Madero
290563
y
FIELD OFFICE
i
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY -
-
J F I M A I M J JA S O N D
PERMITNO.
90563
.%.VVIYI i Vr RIVCK31UC
76
CONSTRUCTION ESTIMATE _ NO. ELECTRICAL FEES' NO. PLUMBING FEES
1ST FL.
2ND" FL. '
POR.
GAR.
CAR P.
' .WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $ UNITS
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR. SINK
SQ." FT. "@ POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ = DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be' used as property tax valuation SWIM POOL, PVT FLOOR DRAIN
...,SUPP. TO PERMIT
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH)
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY OCk
AIR HANDLING'UNIT. CFM IDLE METER KITCHEN SINK
YO
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET
-563
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
COPIES~
HEATING SYSTEM. ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER'
BOILER B.T.U. SQ.FT. ,@ ¢ BATH TUB
LEGGFAF DESCRIPTION
'SQ.FT. @ ¢ WATER HEATER '
SQ.FT.RESID @ 11/a¢ SEWAGE DISPOSAL -
SQ.FT.GAR .'@ 3/4¢ HOUSE SEWER
2 (ywj` _q' . ij. ¢ {// •{ j)a ` )
1' 1 eµ41A :5A l' Af• S..I ' .Ald-
MECHANICAL FEE
GAS PIPING
$
PERMIT FEE
PERMIT FEEOle PERMITTEE . >Ja
ZONE
DBL.
I TOTAL FEES
IMOB.HM.FEEI
MICRO FEE MECH. FEE PL: CK. FEE
I CONST. FEE ELECT. FEE SMI FEE
FEE PLUMB. FEE
oo
J F I M A I M J JA S O N D
JOB ADDRESS SP NO
PS ALF` i f/ Ply'
OWNER
!hY J` i ! E ,tl
76
77
COMMUNITY
VALUATION y
DATE j! '
OST OFFICE
,M H PERMIT FEE
$
USE O E MT F.0
...,SUPP. TO PERMIT
PE
YO
-563
MICROFILM FEE
COPIES~
$
BOOK PAGE PA L
LEGGFAF DESCRIPTION
2 (ywj` _q' . ij. ¢ {// •{ j)a ` )
1' 1 eµ41A :5A l' Af• S..I ' .Ald-
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
TYPE
BY
•
I
ICK
1
5
5- 'IR
PLAN. CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER -
Ffg1A AT INSPECTQR
'
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER .
BRANCH OFFICE
NO LENDS VOLVED
All,
ELECTRICAL FEE
DBL
$
ADDRESS
r _ -
CITY
STATE.
STRONG MOTION
$ .t
OWNERZ E.TS SIG A -GRE - -
,.
CONTRACTOR
INSTRUMENTATION FEE
ADDRESS
'SPECIAL' INSP
$
.:°b ss N1
DEMOLITION
FEE
'
REGISTRATION
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY' ZIP CODE
h
TOTAL FEES $
TEL. NO. AREA
CODE
TEL. NO.
AREA CODE
LICENSE 4
/
CASH❑CHECK O.❑N.C.❑
'RECEIVED BY p' TREES REQUIRED
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. -
.SEWAGE SYSTEMHERE
_
I BY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE'DONE IN ACCORDANCE
T LL P
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
FORM 264.20 (REV. 6.76)
I• C . I.0 VrVI`1/Y11 vv rLv([W.l.lIMrLIAIVI.X VVI I r1 I tit LAVVJ Ur-, Imt J1 A 1 t ull
CALIFORNIA OVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO INACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.