SFD (346860)54200 Avenida Madero
346860
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Ank FIELD OFFICE
PERMIT NO.
3468601
PERMIT NO. 346$60
1
COUNTYOFRIVERSIDE
Zip
Owner
. •7, .
,rT "
CONSTRUCTION ESTIMATE
Community
/-109 [jy/i✓7/-i
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Dist.
//
1STFL. 13,03 SQ.
2ND FL.
POR.
GAR.. SQ.
CAR P. SQ.
WALL
ESTIMATED CONSTRUCTION
FT. ® $
b
UNITS
AH Permit Fee E
Micro Film Fee
SQ. FT. Cia YARD SPKLR SYSTEM
SQ. FT. @ de MOBILEHOME SVC. BAR SINK
FT. @ a 6 POWER OUTLET ROOF DRAINS
Use No.
FT. DRAINAGE PIPING
Ck.by
DRINKING FOUNTAIN
SQ. FT. (a}
11. Ck. Fee yttSet
SQ. FT. ® URINAL
VALUATION $ — of WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
SSElectrical
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
Grp
!L3
Type
VENT SYSTEM ❑ FAN ❑ EVAP. COOL R HOOD
SIGN
WASHER TAUT ISHI
Dbl E
3
APPLIANCE DRYER
Plan No.
Plan Checker
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
ip. Insp. Fee E
)emol. Fee
LAUNDRY TRAY
Const. Lender Branch I certify that in the perfor(mmaince of the work for which this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen's com-
pensation laws of California."
Address City Zip Owner Signature .
Signature
AIR HANDLING UNIT CFM
IAileoge Fee b
IDLE METER
KITCHEN SINK
S
ABSORPTION SYSTEM B.T.U.
Tel.
TEMP USE PERMIT SVC
WATER CLOSET
oral Fees
y
COMPRESSOR HP
Address
a„J ',r3/r,/ 1%
POLE, TEMP/PERM
LAVATORY
M.O.❑ N.C.❑ Cash❑ heckjo
teceived by
HEATING SYSTEM INC FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
License q
BOILER B.T.U.
iewage System
SQ. FT. Cw ¢
BATH TUB
Address
City Zip
Workers'
yes ❑
Comp.
no ❑
SQ. FT. Ga ¢
oz
WATER HEATER
SQ. FT. RESID Ga 1'Atr
SEWAGE DISPOSAL
SQ. FT. GAR @ 1Kcz
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
I TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK.-FEj
CONST. FEE
ELECT. FEE SMI FEE
FEE
PLUMB. FEE
PERMIT NO.
3468601
Supp. Permit
Job Address
- act r .
a-3
Space
Zip
Owner
. •7, .
,rT "
Community
/-109 [jy/i✓7/-i
Valuation
$ o7 Ff OJ 3v
Date
-
Dist.
//
Off.
—z-
F.C.
AH Permit Fee E
Micro Film Fee
Cop b
Use of Permit
Parcel No.
Use No.
Ck.by
Nech. Fee Dbl E
11. Ck. Fee yttSet
Backs
Lot
:onstruttion Fee Dbl E /
Legal Description
„ a7 iS A
SSElectrical
Fee Dbl E
WF
Grp
!L3
Type
Unit
MI Fee E
'lumbing Fee
Dbl E
3
Bond Amt.
$
Plan No.
Plan Checker
Final Date Inspector
ip. Insp. Fee E
)emol. Fee
E
Const. Lender Branch I certify that in the perfor(mmaince of the work for which this permit is issued I shall
not employ any person in any manner so as to become subject to the workmen's com-
pensation laws of California."
Address City Zip Owner Signature .
Signature
tegisir. Fee E
IAileoge Fee b
Nitness Fee E
teinsp. Fee
S
IBuilder
Owner/Agentk 25
Tel.
Zip
oral Fees
y
/ '
Address
a„J ',r3/r,/ 1%
City
AeC j/ 2
Zip
M.O.❑ N.C.❑ Cash❑ heckjo
teceived by
Contractor
Tel.
License q
:rees required
iewage System
l
X 1/
Address
City Zip
Workers'
yes ❑
Comp.
no ❑
fewer District
V.
:arm 284.208 1Rev. 4.771 Bs
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF 'verified by:
WORK FOR 120 DAYS SHyPLS0,.CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE TH L M1>—CDNNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE CO TY 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.