SFD (268755)53790 Avenida Madero
268755
APPLIANCE PeGARBAGE
BOOB AADDRESS7 - SP NU
-3" 40 tlF
OWNER
FIELD OFFICE
BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY
DATE
a-a -
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ USPENDED
M H PERMIT FEE
COUNTY OF RIVERSIDE I
$
LAUNDRY TRAY
COMMUwry
*
AIR HANDLING UNIT CFM
DST
ESTIMATE
NO. ELECTRICAL FEES
NO.
PLUMBING FEES fl
/CONSTRUCTION
I ST FL. v SQ.FT. @ I y
/
a UNITS
TEMP USE PERM SVC
.14 1i /Tq
2ND FL. SO. FT. @
.L'I
p L
YARD SPKLR SYSTEM
POR.SO. FT. @
MOBILEHOME SVC.
MICROFILM FEE
BAR SINK
r
GAR. $Q. FT, @.7
POWER OUTLET
LEGAL DESCRIPTION
pep- 7 'y-/ -aa ,. • 07 -93-—15pKAVr PHt it
ROOF DRAINS
CAR P. SQ.F1. @
SHOWER
DRAINAGE PIPING
WALL SQ. FT. @
SQ FT @ C
DRINKING FOUNTAIN
SQ. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
!Ef
WATER HEATER
WATER PIPINGf7
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
9-0 SQ FT RESID @
FLOOR DRAIN
MECHANICAL FEES SWIM POOL,COMMWATER
PLAN CHECK FEE
SOFTENER
$60ABOND
VENT SYSTEM ❑ FAN ❑ EVAP. COOL
HOOD ' Li SIGN
HOUSE SEWER
WASHER IALITnMI`%SHI Al D?J
APPLIANCE PeGARBAGE
BOOB AADDRESS7 - SP NU
-3" 40 tlF
OWNER
75
76
DISPOSAL
F.C.
DATE
a-a -
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ USPENDED
M H PERMIT FEE
$
LAUNDRY TRAY
COMMUwry
DST
AIR HANDLING UNIT CFM
ROOMS
IDLE METER
SUPP. TO PERMIT
KITCHEN SINK
A
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
.14 1i /Tq
WATER CLOSET
.L'I
p L
COMPRESSOR 3'% HP
Ao
POLE, TEMP/PERM
MICROFILM FEE
LAVATORY
$
HEATING SYSTEM FORCED ❑ GRAVITY
LEGAL DESCRIPTION
pep- 7 'y-/ -aa ,. • 07 -93-—15pKAVr PHt it
AMPERES SERV ENT
a
SHOWER
SET BjACCK
BOILER B.T.U.
SQ FT @ C
2
BATH TUB
SQ FT @ ¢
O D
WATER HEATER
Q
9-0 SQ FT RESID @
j
SEWAGE DISPOSAL
PLAN CHECK FEE
$60ABOND
SQ FT GARAGE @
AMT.
HOUSE SEWER
PLAN CHECKER
FINAL DATE -INSPECTOR
PERMIT FEE 1J
ap
I
I
GAS PIPING
MOBILE HOME PERMIT FEE Is
Al
PERMIT FEE
S J I
PERMIT FEE
p
PERMIT NO.
268755
TOTAL FEES
0Vq
40
MOB. HM.FEE
MICRO FEE
`
MECH. FEE
DBL.
PL. CK. FEE
CONST. FEE
DBL.
ELECT. FEE
y
DBI,.
SMI FEE
FEE
PLUMB, FEE
DBL.
J I F I M A I M I J I J A I S 1 O 1 N I D
74
BOOB AADDRESS7 - SP NU
-3" 40 tlF
OWNER
75
76
USE OF PERMIT
i y° r ,6 . p
4g
F.C.
DATE
a-a -
PERMIT NO.
268755
M H PERMIT FEE
$
COMMUwry
DST
UNITS
ROOMS
I VALUATION
a
SUPP. TO PERMIT
OFFICE
.14 1i /Tq
i
a3. 17
T
MICROFILM FEE
COPIES
%t
$
6,01
LEGAL DESCRIPTION
pep- 7 'y-/ -aa ,. • 07 -93-—15pKAVr PHt it
MECHANICAL FEE
DBL
$
SET BjACCK
LOT SIZE ZONE
USE NO.
GRP
TYPE
I/
O D
•rr?q
r(
F (g V S j`'' Rj
PLAN CHECK FEE
$60ABOND
AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE -INSPECTOR
I
Al
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLV
/Os/
oa
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
0*7
STRONG MOTION
$
OWN eTv t s yNer)f € '/
'LA'/ r '1 J
CONTRACTOR
INSTRUMENTATION FEE
/
E :
FEE
$
ADDRESS
ADDRESS
PLUMBING FEE
DBL
$
CITYZIP CODE
CITY ZIP CODE
TOTAL FEES
TEL. NO.
TEL. NO. LICENSE
CASH ❑ CHECK M.O. ❑ N.C. ❑ 0
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA
TION OF 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 AC
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC
RECEIVED BY .f1
TREES REQUIRED
SEWAGE SYSTEMT
1":
LL
P
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
` I V. II IL JIi-'IIL VI l../"ILII VRI VIM L,V"LRIIVV LVIVIRMI..IVRJ IJ MLJV VUMKM1V I LLV.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.