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SFD (346859)
54220 Avenida Madero 346859 BUILDING PERMIT Alk DEPARTMENT OF BUILDING & SAFETY AINk FIELD OFFICE PERMITNO. 468593 PERMIT NO. 346859 Job Address Space Zip jam- , r , J.3 COUNTY OF RIVERSIDE y , Community 49 I'J/nf j°=} -9T CONSTRUCTION ESTIMATE Dist.Off. NO. ELECTRICAL FEES F.C. NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. POR. SQ. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION Ij $ 3 FT. Q — b -. UNITS Use of Permit ti'LCo f +Aiti 4c Parcel No. _ Use No. Ck.by SQ. FT. @ YARD SPKLR SYSTEM PI. Ck. Fee $ FT. ® MOBILEHOME SVC. BARSINK lot Size POWER OUTLET ROOF DRAINS FT, fa3 ,e 01! Legal Description _ ` / • r L 7-Sc l.9q asp SQ. FT. @ DRAINAGE PIPING SQ. FT. Qa DRINKING FOUNTAIN SQ. FT. Q URINAL Zone VALUATION $ WATER PIPING Type NOTE: Not to be used as property tax voluation SWIM POOL, PVT SMI Fee E FLOOR DRAIN Dbl 8 MECHANICAL FEES Plan No. SWIM POOL, COMM /Final Dote WATER SOFTENER } Sp. Insp. Fee E VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD E SIGN Const. Lender Branch 'I certify that in the performance of thewo or which this permit is issued I shah not employ any person in any manner so as to Wcome subject to the workmen's com. pensotion laws of California." Address City Zip Owner Signature Builder Signature WASHER TAUT ISHI Mileage Fee E Witness Fee b APPLIANCE DRYER E Owner/Agent s ri it - GARBAGE DISPOSAL Zip FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED y a a Address LAUNDRY TRAY Zip M.O. ❑ N.C. ❑ Cash ❑ Check g AIR HANDLING UNIT CFM IDLE METER Contractor KITCHEN SINK License # gees required ABSORPTION SYSTEM B.T.U. LL TEMP USE PERMIT SVC Address WATER CLOSET AA THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN120 DAYS. CESSATION OF WORK FOR 120 DAYS SHAL O C SE PERMIT TO BECOME VOID. i I HEREBY AGREE THA WN Ci?I Z61ON WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THF I AWS r1F RIV6RSInF rr)1 IN V ANn THF STATE rw r'AI tFrlal.lte COMPRESSOR yrHP hewer District y i- POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. Ga ¢ BATH TUB SQ. FT. Ga ¢ WATER HEATER 3 Q. FT. RESID @ I t/.a SEWAGE DISPOSAL All Sr SQ. FT. GAR @ '/.¢ HOUSE SEWER J' GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES aia MOB. HM. FEE MICRO FEE MECH. FEE Ao PL. CK. FEECONST. FEE iay ELECT. FEE ay SMI FEE i ti FEE PLUMB. FEE PERMITNO. 468593 Supp. Permit Job Address Space Zip jam- , r , J.3 Owner y , Community 49 I'J/nf j°=} Valuation S a F OJ -410/Q Date /a ' ' Dist.Off. F.C. MH Permit Fee E Micro Film Fee Cop E Use of Permit ti'LCo f +Aiti 4c Parcel No. _ Use No. Ck.by Meth. Fee Dbl E PI. Ck. Fee $ Set Backs lot Size Construction Fee Dbl E Legal Description _ ` / • r L 7-Sc l.9q asp Electrical Fee Dbl E Zone Grp Type Unit SMI Fee E Plumbing Fee Dbl 8 Bond Amt. $ - Plan No. Pion Checker /Final Dote Inspe } Sp. Insp. Fee E bemol. Fee E Const. Lender Branch 'I certify that in the performance of thewo or which this permit is issued I shah not employ any person in any manner so as to Wcome subject to the workmen's com. pensotion laws of California." Address City Zip Owner Signature Builder Signature kegistr. Fee E Mileage Fee E Witness Fee b Reinsp. Fee E Owner/Agent s ri it - Tel. Zip fotai fees y a a Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Check g Received by Contractor Tel, License # gees required Sewage system T LL A'' X 'T P Address City Zip Workers' Comp. yes C]no ❑ THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN120 DAYS. CESSATION OF WORK FOR 120 DAYS SHAL O C SE PERMIT TO BECOME VOID. i I HEREBY AGREE THA WN Ci?I Z61ON WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THF I AWS r1F RIV6RSInF rr)1 IN V ANn THF STATE rw r'AI tFrlal.lte verified by: r hewer District y i- II 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 Form 284.208 (Rev. 4.771 ©s CALIFORNIA.