SFD (302233)53160 Avenida Madero
302233
DEPARTMENT OF BUILDING & SAFETY *&.
BUILDING PERMIT 1 __ _ _ _ _ __ _I
FIELD OFFICE
J F M A M J J A S O N D
PERMIT NO.
3 022
- 'ROW
k.V V IV 1 i Vi KI V CK IUC •
77 -
COMMUNITY -
+ .
VALUATION -
$ POS
DST
1
CONSTRUCTION ESTIMATE
X78
NO. ELECTRICAL FEES •
NO. PLUMBING FEES
IST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
SAF
UNITS'
MIT
NO.
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
FEE
SQ. FT. @ URINAL
$
VALUATION WATER PIPING
OY Kr`[ P E PARCEL
NOTE: Not to be used os property tax valuation
`•MECHANICAL
SWIM POOL„ PVT
FLOOR DRAIN
/g
l f T
y
~
01'
MECHANICAL FEES
DBL
SWIM POOL, COMM
WATER SOFTENER
SET BACK r,
VENT SYSTEM ❑ FAN ❑ EVAP. COOLHOOD
00
SIGN19
WASHER (AUTO)(__ _
APPLIANCE RYER
O
a
GARBAGE DISPOSAL
!
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
$
LAUNDRY TRAY
PLAN NO.
PLAN CHECKER '
AIR HANDLING UNIT CFM
IDLE METER -
KITCHEN SINK
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERM SVC
WATER CLOSET4'5-Q
DBI
$
COMPRESSOR 4 HP
C 3
POLE, TEMP/PERM
NO LEND INVOLVED
LAVATORY
00
HEATING SYSTEM ORCED ❑ GRAVITY
BOILER. B.T.U.
AMPERES SERV ENT
SQ.FT. @ a
Gl
SHOWER --_'too
ggTH TUB
SQ. FT., @ a
WATER HEATER
t1CJ
$
ADDRESS CITY
SQ.FT.RESID @-11/4a
f -.
,{ SEWAGE DISPOSAL
CX)
SQ.FT.GAR @ 1/4a
HOUSE SEWER
83
OWNER/AGENTS SIGNATURE CONTRACTOR
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
$
DBL.
TOTAL FEES
FH
MOB.HM.FEE
MICRO FEE
ME HP. F+EfiE n
-
CONST.
/.F/E E"
fJEE' LsEVCCCTf. FEE
- SMIFEE ,
3
FEE
PL MBFE
J F M A M J J A S O N D
JOB ADDRESS SP NO
I
OWNER
76
77 -
COMMUNITY -
+ .
VALUATION -
$ POS
DATE DST
OFFICE
X78
M H -PERMIT FEE
$
USE OF -PERMIT
F.C:
SUPP. O PERM"
PE
MIT
NO.
233MICROFILM
FEE
COPIES
$
OY Kr`[ P E PARCEL
LEGA,L/DESCRIPTI N
`•MECHANICAL
/g
l f T
y
~
01'
FEE
DBL
$
USE NO.ZONE'
SET BACK r,
LOT SIZES
GRP ' TYPE CK BY\I
a
i PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER '
FINAL DATE INSPECTOR
77
(CONSTRUCTION FEE
DBI
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LEND INVOLVED
wELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
'STRONG
STRONG MOTION
INSTRUMENTATION FEE
83
OWNER/AGENTS SIGNATURE CONTRACTOR
r
:'SPECIAL.INSP
$
ADDRESS ADDRESS
DEMOLITION
,lFEE
REGISTRATION
«-
/E
? PLUMBING FEE
DBL
$
CITEf ZIP COCITY
ZIP CODE
TOTAL FEES $
TEL. No. AREA
CODE 'TEL.
NO.
AREA CODE
LICENSE F
CASH❑CHECK 0.❑N.C.❑ ?
oze
r
RECEIVED BY TREES REQUIRED
`
'T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
RK 20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SYSTEM 'GREE
THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
IEWAGE
...' voleLL'
fiUMTHE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
• - '+i vim u wrtr rvV.0 vrvry MT rll LIIT.... l-VmrLIIIIII WIIrt Itit LAWJ VF IHt JIAIt VI'
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 2e4 -20e ,(REV. 6-75" SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.