SFD (335169)53440 Avenida Madero
335169
BUILDING PERMIT - ;h DEPARTMENT OF BUILDING & SAFETY. FIELD OFFICE
PERMITNO.
3351691
PERM IT NO.
.335169
Job Address -
. 3
Space
COUNTY OF RIVERSIDE
-
Owner
' ;CONSTRUCTION.ESTIMATE
NO. ELECTRICAL FEES
Dist.
NO. PLUMBING FEES
F.C.
1ST FL. SQ.
2ND FL.
POR. .+
GAR. SQ.
CAR P. SQ.
WALL
ESTIMATED CONSTRUCTION
FT. Qlk e $ a
G =
UNITS
Cop $
Use of Permit Q / Parcel `No. - Use No.
._ 4G r,/ / LA/1/'Cf li G. /9 `,:P3V—
YJ - Set BatksLot
Legal Description -. .l^`. S7
- p...• , e_ t / ' i Zone Grp Type Unit
/Orxz I o •- / 8 A?3
SQ. FT. @ YARD SPKLR SYSTEM
'Mech. Fee Dbl $ O
SQ. FT. — MOBILEHOME SVC: BAR SINK
"Construction fee Dbl $'' 3p !)io
FT. /' POWER OUTLET ROOF DRAINS
SMI Fee $
FT. @ DRAINAGE PIPING
Dbl $
SQ. FT. .® ' DRINKING FOUNTAIN
Bond Amt.
$
SQ. FT. URINAL
• Plan Checkerr
VALUATION $ --7 '3 dam+ " WATER PIPING
Inspector
NOTE: Not to be used as property to valuation
"Sp. Insp. Fee $
SWIM POOL, PVT
$Const.
FLOOR DRAIN
Lender Branch "I certify that :n the performance of the work f which this permit is issued I shall
" - - nm employ any person m any manner so as to be me subject to the workmen's com-
pensorion laws of California. -
Address - City ZipO'
wner Signature
Builder Signature
Registr. Fee $
MECHANICAL FEES
Witness Fee $
SWIM POOL, COMM
$
WATERSOFTENER
Owner/Agent ;/ U.IVI A jw C-&. -,
Tel.
VENT SYSTEM FAN ❑ EVAP. COOL )] HOOD
SIGN. y
is
WASHER (AUTO)tBe I
Address ` e/ y• / • 6 '
' 7 i / / 77 ..J // •%`
City ,
L' •% o L
APPLIANCE ❑ DRYER
• M.O. C]N.C. ❑ Cash -0 Cr,
Received by
GARBAGE DISPOSAL
Contractor -
Tel. -
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR, '❑ SUSPENDED
Trees required r
4th
Sewage System
/"Z9
LAUNDRY TRAY
Address •
City % Zip
AIR HANDLING UNIT CFM
Comp.
no ❑
IDLE METER
KITCHEN SINK
_
ABSORPTION SYSTEM O B.T.U..
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR % 0 HP
'7 01t'
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM y^ ] FORCED ❑GRAVITY
S .jo
AMPERES SERV ENT
Q
SHOWER
BOILER B.T.U.
SQ. FT. p ¢
BATH TUB
SQ. FT. @ ¢
WATER HEATER
gLfjol SQ. FT. RESID Cal 1'Ait
"3
SEWAGE DISPOSAL
JlO SQ. T. GAR CaJ °/.¢
-3
HOUSE SEWER
GAS PIPING
•
PERMIT FEE
*
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
C21
jM0B.HWFEEj..
MICRO FEE .
MECH. F.EE
- PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
7
FEE
PLUMB. FEE
PERMITNO.
3351691
Supp. Permit
Job Address -
. 3
Space
Zip
Owner
Community - - _.
Valuation -Date
`
Dist.
Off.
F.C.
'MH Permit Fee $ .
:Micro Film Fee
Cop $
Use of Permit Q / Parcel `No. - Use No.
._ 4G r,/ / LA/1/'Cf li G. /9 `,:P3V—
YJ - Set BatksLot
Legal Description -. .l^`. S7
- p...• , e_ t / ' i Zone Grp Type Unit
/Orxz I o •- / 8 A?3
- Ckk..bby
y
,
'Mech. Fee Dbl $ O
SPI. Ck. fee $
"Construction fee Dbl $'' 3p !)io
Electrical Fee Fee Dbl $
SMI Fee $
Plumbing Fee
Dbl $
7—
Bond Amt.
$
Plan No. -
• Plan Checkerr
Final Date 9
Inspector
"Sp. Insp. Fee $
Denial. Fee
$Const.
Lender Branch "I certify that :n the performance of the work f which this permit is issued I shall
" - - nm employ any person m any manner so as to be me subject to the workmen's com-
pensorion laws of California. -
Address - City ZipO'
wner Signature
Builder Signature
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent ;/ U.IVI A jw C-&. -,
Tel.
Zi
Total Fees
is
a/ `7
Address ` e/ y• / • 6 '
' 7 i / / 77 ..J // •%`
City ,
L' •% o L
Zip
• M.O. C]N.C. ❑ Cash -0 Cr,
Received by
Contractor -
Tel. -
License 0
-
Trees required r
4th
Sewage System
/"Z9
t,•'a t+sxY ..- .KX/
Address •
City % Zip
Workers'
yes ❑
Comp.
no ❑
T r"•^'" LL P All I
Sewer District
Form 284.208 (Rev. 4.771 @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 12.0 DAYS. CESSATION OF verihed by:
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. -
I HEREBY AGREE THAT ALL WORK.IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWSOF RIVEJSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541. OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.