SFD (376509)53673 Avenida Madero
376509
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COUNTY OF RIVERSIDE
FIELD
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES"
IST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. (o $
SQ. FT. @
UNITS
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
s
SQ. FT. @ f"
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
y: -NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Pla Ch ker
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Unit`_
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
Received by r-
SQ. FT. @ c
WATER HEATER ".
Licensetf
SQ. FT. RESID @1 /.c
SEWAGE DISPOSAL
Address
SQ. FT. GAR @ M,, c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
_' Vis..
yTOTAL FEES,MOB.HM.FEE
'"•KS:' 41 •
_
MICRO FEE
_.i
MECH. FEE PL. CK. .FEE
``
y t.. •,.i .. ,r;,,yy Fi _f+- iS P,
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO. "" .L.
50
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•
Address t • ' y
_{ „F• l•`. • i4P .. +y, Space
Zip
..'Owner ..
Community r
/ y,, ,.• h
Valuation
$
Date
Dist.
' Off.
F.C.0
MH.Permil Fee $
Micro Film Fee Cop $
U f Permit z¢
wM
• , }J„ ,,.,
Parcel No.
•,.,
se/Case No.
Ck. By _
„ -
Mach. Fee Dbl $
PI. Ck. Fee $ ,r
Set Backs
Lot Size r
'
Construction Fee Dbl $
Legal Description /) {/
U r ) .`°"`
• n"!°" V
F S
S
R
Electrical Fee Dbl $
Zone Restrictions
. I
Group -Type
SMI Fee $
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
1`
Pla Ch ker
Final Date
Inspector
Unit`_
Sp. Insp. Fee $
Demo!. Fee $
Const. Lender Branch
Suppli e I Permit Numbers
Registr. Fee $
Mileage Fee $
Address City ,.-.,, Zip
Witness Fee $
Reinsp. Fee $
Owner/Agent w '' / ' ,P : t.
jest. _. Zip
'
Total Fees $ /"••a/'; Cti
Address
9 (,. w- -fry tj
'T" / - "-.'"', / 1- ` Jf•
Cjit y Zip
f , f a*( "^•' :•"'
..
M.O. N.C. Cash Check
Received by r-
Contractor
Tel. y
Licensetf
Trees required
Sewage System
Address
City Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District 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 LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
M
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND. SPEC,FICATJONS HAS DONE SO IN
_ ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
Form 284-208 (Rev.8/78) @s
verified by:
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
IDA
Fireplace T.O. ❑
NO
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L. Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING PERMIT
PERMIT NO.
13765091
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
DST
COUNTY OF RIVERSIDE
/1
CONSTRUCTION
ESTIM TE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.' 0
2ND. FL.
SQ. FT. $
/' UNITS
LJ
SQ. - FT. @
YARD SPKLR SYSTEM
POR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
POWER OUTLET
D
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
aT%nNOTE,Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
.<.; -MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
,VENT SYSTEM FAN .• EVAP. COOL HOOD
SIGN
- .WASHER (AUTO)(DISH) •9^
APPLIANCE DRYER
Set Backs
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Construction Fee Dbl $
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
v
POLE,TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ <
BATH TUB{
Inspector
SQ. FT. @ c
WATER HEATER
Sp. Insp. Fee $
SQ. FT. RESID @I /, c
SEWAGE DISPOSAL
Const. Lender
SQ. FT. GAR @ 'r. c
HOUSE SEWER,
Supplimental Permit Numbers '
_
-
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
ST
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE q
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO. '
,3765'09
Job Address 7
i-
Space
Owner
Zip O
LJ
Commu
r
Valuation,
$
Date
A r +7
Dist.
Off.
F.C.C.
•MH.Permit Fee $
Mic`j
ro Film Fee
Cop $
UseofR ermit
Parcel No.
77V 10),—ol-o
Use/Case No. -
Ck. B
,/1
T
Mech. Fee Dbl Is
SPI. Ck. Fee g,,,,Q
Set Backs
Lot Size
Construction Fee Dbl $
Leg
Legal Description
i ti
%
/` /^/ 1i 7— J C 1/6✓ • / '
/
F S S R
Elecirical Fee Dbl $
Zone Rest Ictions
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checke
Final Date
Inspector
Unit
-
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers '
_
-
Registr. Fee $
Mileage fee $
AddressOf .Zip
. ..
Witness Fee $^
Reinsp. Fee
$
Owner/Agent
t
Zip
Total Fees
Is
Address - ' t
( E/ ` ,,
w' f
fa—)
Cit
pZ,
Zip
D
M. 0. N.C. Cash Chec
Received by
Contraclor
Tel.
Licenseq
Trees required
Sewoge System
t'
Address ^'
City Zip
T LL P
Sewer District
Form 284-208 (Rev.8/78) @s
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS: CESSATION OF WORK verified by:
FOR 120 DAY 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 LAWS OF RIVERSIDE COUNTY AND THE STATE•OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE • WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE.STATE OF CALIFORNIA.