SFD (303341)53815 Avenida Madero
303341
DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
BUILDING PERMIT
J F M A M J J A S O N D
PERMIT NO,
OWNER
Cvuim 1 i Or KI V CKWUC
DST
1
CONSTRUCTION ESTIMATE
COMMUNITY
La ta
NO. I ELECTRICAL FEES
DATE DST
6-30-77 11
NO. PLUMBING FEES
78
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
$
UNITS
USE OF PERMIT
F.C.
SUPP. TO PERMIT
SQ. FT. @ YARD SPKLR SYSTEM
MIT NO.
SQ. FT. 1 4129 MOBILEHOME SVC. BAR SINK
SQ. FT. @ _tV POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
. ca
'E."..TION
SQ. FT. @ URINAL
297418
VALUATION $ Od WATER PIPING
G C7
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
MICROFILM FEE
FLOOR DRAIN
$
MECHANICAL FEES
LEGAL
ISWIM POOL, COMM
WATER SOFTENER
774 -142- 017
VENT SYSTEM AN ❑ EVAP. COOL 5eOOD
MECHANICAL FEE
SIGN
$
WASHER (AUTH)
CD
LOT SIZE
APPLIANCE RYER
FURNACE ❑ UNIT ❑ WALL ❑ FL OR SUSPENDED
GIDj
BY
GARBAGE DISPOSAL
LAUNDRY TRAY
ao
AIR HANDLING UNIT CFM
IDLE METER
ICK
KITCHEN SINK
dG
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
QXI
2YVATER CLOSET
GVr,1
COMPRESSOR HP
w
040
POLE, TEMP/PERM
:ZLAVATORY
PLAN NO. PLAN CHECKER
FINAL DATE INSPEO
HEATING SYSTEM ORCED ❑ GRAVITY
400
426AMPERES SERV ENT
G'a
SHOWER
Q!J
.
BOILER B.T.U.
SQ.FT. @ a
bBL
BATH TUB
pi?
NAME OF CONST. LENDER
BRANCH OFFICE
NOL&bERINVOLVED
SQ. FT. @ a
WATER HEATER .10
4156
FT.RESID @ l I/4a
DBL
SEWAGE DISPOSAL
%1D
ADDRESS
CITY
STATE
444?SQ.FT.GAR @ 3/44
HOUSE SEWER
- f / %
Z
GAS PIPING 100
... ..
.2sL1- f l' /'
PERMIT FEE
406
PERMIT FEE
PERMIT FEE
co
OWNER/AGENT'S SIGNATURE t
DBL.
TOTAL FEES
1
MOB.HM.FEE
MICRO FEE
ME . FEE
9,4
L. CK. FEE
CONST.. -F-EE
XJ' d c
ELEC FEE
s
SMI FEE
. .L
FEE PL
.FEE
J F M A M J J A S O N D
JOB ADDRESS SP NO
I
53-815 AvoMadero
OWNER
76'
Driscoll I)ev.
77
COMMUNITY
La ta
FLUATION
S
25 34 00
DATE DST
6-30-77 11
OFFICE
ladig
78
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP. TO PERMIT
PE
MIT NO.
. ca
'E."..TION
297418
03341
MICROFILM FEE
COPIES
$
BOOK1i PAG PARCEL
LEGAL
774 -142- 017
I
tot S- bl 197 Innit V)
MECHANICAL FEE
DBL
$
USE NO. ZONE SET BACK
LOT SIZE
GRP TYPE
BY
ao
ICK
g.. , I S S R 13
QXI
R
-3 V
-
PLAN CHECK FEE
$
BOND AMT.
PLAN NO. PLAN CHECKER
FINAL DATE INSPEO
R
C
.
l5
CONSTRUCTION FEE
bBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NOL&bERINVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
- f / %
Z
OYJ
... ..
.2sL1- f l' /'
STRONG MOTION
$
OWNER/AGENT'S SIGNATURE t
CONTRACTOR
INSTRUMENTATION FEE
Driscoll
SPECIALINSP
$
ADDRESS
ADDRESS
DEMOLITON
FEE
REGISTRATION
417
PLUMBING FEE
DBL
$
CIT ZIP CODE
CITY ZIP CODE
I
>oo
„ y.
TOTAL FEES is
TEL. NO.
AREA CODE
TEL. NO.
LICENSE a
fQ
7CODE
CASH ❑CHECK .O.❑N.C.❑ V
s"-11,59
714
RECEIVED BV17 TREES REQUIRED
RMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
K R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SEWAGE SYSTEM
/6fn
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T L
P
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
I.UMrrIVJAiIUIN IINJUKAIVL.t UPUIN MY tMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.