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SFD (304221)53100 Avenida Madero 304221 BUILDING PERMIT : ►, DEPARTMENT -OF BUILDING & SAFETY FIELD FFI[E' PERMIT NO. 3422 PERMIT No 30422 'AW - -COUNTY OF RIVERSIDE m Comunity •. .4 419.01 107)4 DST CONSTRUCTION ESTIMATE Dist. NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL.. _ SQ. 2ND FL. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. 8 It UNITS Parcel No. Use No. SQ. FT. (a} YARD SPKLR SYSTEM , ech. Fee Dbl $ FT. @ Ael 2 6 MOBILEHOME SVC. BAR SINK t acks FT. Q O POWER OUTLET ROOF DRAINS FJ=Zjr FT, @ DRAINAGE PIPING g DRINKING FOUNTAIN FT. ®' Zone • SQ. FT. Ca3 URINAL Type VALUATION $ p WATER PIPING , NOTE: Not to be used (is property tax valuation - SWIM POOL, PVT FLOOR DRAIN Plan Checker_ol •"' "L ` •s — MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Const. Lender Branch - 'I certify that in the performance of''', work for which this permit is issued I stroll not employ any person to any manner so us to become subject 16 the workmen s com. a pensotion lows of California.' _ _ ` Address City Zip ' Owner Signature r Builder Sionature Registr. Fee g VENT SYSTEtjjQ FAN ❑. EVAP. COOL Q HOOD _ Witness Fee $ SIGN WASHER fAUTQf DISH) Owner/Agent - Tel. Zip APPLIANCE DRYER ?titol Feesg M.O. ❑ N.C. ❑ Cash If Check Address - GARBAGE DISPOSAL Received by/ Trees required FURNACE ❑ UNIT ❑ WALL ❑ FLOOR - ❑ SUSPENDED Tel. - J 2 License H LAUNDRY TRAY A dress ' _ — City I Zip' ..., .. - , AIR HANDLING UNIT CFM 119- THIS PERMIT SHALL BECOME VOID .IF WORK IS NOT COMMENCED WITHIN, 120 DAYS. CESSATION OF venhed by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. t - , IDLE METERKITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET 'COMPRESSOR O HP POLE, TEM /PERM. LAVATORY HEATING SYSTEM ] FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT.. p ¢ BATH TUB SQ. FT. @ ¢ WATER HEATER JF SQ. FT. RESID p. 1 t/.¢ SEWAGE DISPOSAL SQ. FT. GAR .'/.a HOUSE SEWER GAS PIPING , PERMIT FEE PERMIT. FEE PERMIT FEE DBL. [7—FEES . M08. HM. FEE MICRO FEE-MECH. F E S PL. CK. FEE- CONST. FEE 3 crow - EL T. FEE SMI FEE FEE PLUMB. FEE _00 PERMIT NO. 3422 Supp. Permit Job Address - Space Zip - 6 t+ Owner - 1- m Comunity •. .4 419.01 107)4 Valuation- is3a? - . ' Date- S/J Dist. Off. F.C. MH Permit Fee $ icro Film Fee Cop $ Use of Permit - r f—!V L q O G7 C Legal Description • 4V s e/Aq r34.. /7"f- Parcel No. Use No. Ck. by , ech. Fee Dbl $ RI. Ck. Fee $ Construction Fee Dbl $ Electrical Fee Dbl $ SMI Fee $ t acks Lot Size oe FJ=Zjr I Z? I g Zone • Grp Type Unit , iPlumbing Fee Dbl- $Bond Sp. Insp. Fee $ Amt. S - Plan No. Plan Checker_ol •"' "L ` •s — Insp or ' Dental. Fee $ Const. Lender Branch - 'I certify that in the performance of''', work for which this permit is issued I stroll not employ any person to any manner so us to become subject 16 the workmen s com. a pensotion lows of California.' _ _ ` Address City Zip ' Owner Signature r Builder Sionature Registr. Fee g Mileage Fee $ _ Witness Fee $ Reinsp. Fee $ Owner/Agent - Tel. Zip ?titol Feesg M.O. ❑ N.C. ❑ Cash If Check Address - City Zip Received by/ Trees required Controct - Tel. - J 2 License H Sewage System // .,. / _, LL G X `%/' r wer District, // all _ A dress ' _ — City I Zip' ..., .. - , Workers' Comp. yes .. no ❑. 119- THIS PERMIT SHALL BECOME VOID .IF WORK IS NOT COMMENCED WITHIN, 120 DAYS. CESSATION OF venhed by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. t - , I HEREBY AGREE THAT ALUWORK IN CONNECTION -WITH THIS -PERMIT WILL BE DONE IN ACCORDANCE 'WITH THE LAWSOF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE f 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284.208 (Rev. 4.771 ©s CALIFORNIA. '