SFD (302234)53200 Avenida Madero
302234
FIELD OFFICE
DEPARTMENT'.OF BUILDING & SAFETY
BUILDING PERMIT
F M A M J J A S O N D
PERMIT NOS
'
%.wum 1 i Vi KI V CK31UC
76
o,
CONSTRUCTION ESTIMATE
VALUATION -
-,..p
NO. ELECTRICAL FEES
DST
NO. PLUMBING FEES
78
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ.,FT. @ $ y
i 2t
UNITS
uSE o PERMI
F.C.
SUPP. OPER IT PERMIT
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @AW 0_0 MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET .. ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
--02234.,
SQ. FT..@ URINAL
VALUATION $ a WATER PIPING
O,
NOTE: Not to be used as property tax valuation
•Ie,,
SWIM POOL, PVT
,
FLOOR DRAIN
MICROFILM FEE
MECHANICAL FEES
$
SWIM POOL, COMM
BOOK AGE PARCEL
WATER SOFTENER
VENT SYSTEM [J FAN ❑ EVAP. COOLHOOD
e00_
SIGN
WASHER (AUTO)(
(tT
$
APPLIANCE RYER
4
ZONE
SET BACK
GARBAGE DISPOSAL
E?
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING -UNIT CFM
JkCj 751
IDLE METER_
KITCHEN SINK
00
PLAN CHECK FEE
ABSORPTION SYSTEM 0 B.T.U.
$BOND
TEMP USE PERM SVC
AMT.
WATER CLOSET
00
. FINALDAATE CTOR
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
00
HEATING SYSTEM ORCED ❑ GRAVITY
CONSTRUCTION FEE
2 • AMPERES SERV ENT
CIO
SHOWER
t?Cj
OFFICE
BOILER B.T.U.
.
SQ.FT. @" ¢
BATH TUB
I. -
ELECTRICAL FEE
SQ. FT. @
$
j WATER -HEATER
3
STATE
_
SQ.FT.RESID @ 11/44
SEWAGE DISPOSAL
O
STRONG MOTION
INSTRUMENTATION FEE
41& SQ.FT.GAR @ s/a¢
$
HOUSE SEWER
OWNER/AGENTS SIGNATURE CONTRACTOR
JE,
GAS PIPING
SPECIAL INSP
PERMIT FEE
PERMIT FEE
$
PERMIT FEE
'
DBI.
TOT/A L FEES
MOB.HM.FEE
J
MICRO FEE
MEC H. FEE
PL. CK. FEE
CONST. F E.yE EL
SMI FEE
93
FEE]eF JRE0
F M A M J J A S O N D
.IOB ADDRESS Y I SP NO
OWNER
C/
76
o,
77
COMM NITY
VALUATION -
-,..p
DATE
DST
OFFICE '
78
M H PERMIT FEE
$
uSE o PERMI
F.C.
SUPP. OPER IT PERMIT
NO.
13
--02234.,
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,
MICROFILM FEE
COPIES
$
BOOK AGE PARCEL
L GAAL DESCR IPTTON
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GR
JkCj 751
PLAN CHECK FEE
$BOND
AMT.
PLAN NO.PLAN
CHECKER •
. FINALDAATE CTOR
/472
''°}
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
.
.•.. ,.-v
I. -
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
OWNER/AGENTS SIGNATURE CONTRACTOR
SPECIAL INSP
$
ADDRESS ADDRESS
'
DEMOLITON
FEE
REGISTRATION
PLUMBING FEE
DBL
$
CITY IP CODE CITY
ZIP CODE
•
TOTAL FEES $
TEL. NO. AREA
CODE TEL.
NO. •
AREA CODE
LICENSE 4
/
CASH❑CHECK .O.❑N.C.❑ > P
RECEIVED BY TREES REQUIRED .
I MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
E Y AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE t
SEWAGE SYSTEM
T LL
P
H THE LAWS OF RIVERSIDE. COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY +
lIAADCA,f nTll w.wre„n•.i-n ........ .... .. r ..
-- . .... v...• •, ,. .. ♦.,,,r„,. /n J v1 •I.IL J.IMIL V
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM iea=zoe (REV. 6-76l SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.