SFD (346857)54240 Avenida Madero
346857
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY A1111111. FIELD OFFICE
PERMIT NO.
3468571
PERMIT NO.
346857
"
COUNTY OF RIVERSIDE
Space Zip
Z 3
Owner 1
T L,
DST
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
Dist.
NO. PLUMBING FEES
F.C.
1ST FL. SQ.
2ND FL.
FOR.
GAR. SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. Q $
MH Permit Fee b
Micro Film Fee
UNITS
Use of Permit
LG
YARD SPKLR SYSTEM
SQ. FT. (a3
SQ. FT. MOBILEHOME SVC. BAR SINK
Use No.
FT. @ j io POWER OUTLET - ROOF DRAINS
Mech. Fee Dbl $
SQ. FT. @ DRAINAGE PIPING
Set Backs
SQ. FT. 8 DRINKING FOUNTAIN
.onstruction Fee Dbl b dO
SQ. FT. URINAL
VALUATION $ WATER PIPING
S .
NOTE: Not to be used os property tax valuation
o I Electrical
Fee Dbl E
SMI Fee $
SWIM POOL, PVT
Grp
FLOOR DRAIN
Unit
MECHANICAL FEES
Dbl E
J 'd
SWIM POOL, COMM
Plan No.
WATER SOFTENER
Final Date Inspector
I 1 --Z_O
VENT SYSTEM ❑ FAN ❑ EVAP. COOL RHOOD
1 .D
Sp. Insp. Fee E
SIGN
E
WASHER (AUTO) (D")
Const. Lender
Address
APPLIANCE WDRYER
2egistr. Fee b
4lileoge Fee E
Witness Fee b
teinzp. Fee
GARBAGE DISPOSAL
Owner/Agent
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
7r
TeL
Zip
LAUNDRY TRAY
s
laft
AIR HANDLING UNIT CFM
City
Zip
IDLE METER
received by
frees required
KITCHEN SINK
G
Contractor
ABSORPTION SYSTEM B.T.U.
Tel.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR = HP
POLE, TEMP/PERM
Workers' Comp.
yes ❑' no ❑
LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. Ga ¢
BATH TUB
SQ. FT. 6 ¢
WATER HEATER
/?70SQ.FT.RESID
@ 1'A¢SEWAGE
.17
DISPOSAL
SQ. FT. GAR @ I/.a
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL,
[—:;AULF ,ESMOB.HWFEEJ
9
MICROFEE
MECKFEE
dp`
PL.CK.FEE
CONST.FEE
/a7
ELECT. FEE
30 y3
SMIFEE
doh
FEE
PLUMB. FEE
sLl
PERMIT NO.
3468571
Supp. Permit
Job Address
Space Zip
Z 3
Owner 1
T L,
Community
% //1// YI
Valuation
a
Dote
Dist.
Off.
F.C.
MH Permit Fee b
Micro Film Fee
Cap E
Use of Permit
LG
G 7 j' %' i `
Parcel No.
77 _
Use No.
Ck.by
Mech. Fee Dbl $
tl. Ck. Fee $
Set Backs
Lot Size
.onstruction Fee Dbl b dO
Legal Description
S .
S
o I Electrical
Fee Dbl E
SMI Fee $
JF..=; a
ne I
Grp
Type
Unit
slumbing Fee
Dbl E
J 'd
Bond Amt.
$
Plan No.
Plan Checker,/t!'
uL'(
Final Date Inspector
I 1 --Z_O
Sp. Insp. Fee E
Bemol. Fee
E
Const. Lender
Address
Branch "I certify that in the performance 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."
City Zip Owner Signature
Builder Signature
2egistr. Fee b
4lileoge Fee E
Witness Fee b
teinzp. Fee
E
Owner/Agent
7r
TeL
Zip
'oral Fees
s
laft
Address
07, C1 'r fixw 4AI
City
Zip
M.O. ❑ N.C. ❑ Cosh ❑ Che k ®
received by
frees required
s
Contractor
Tel.
License #
Sewage System
/&&7!"
Address
City Zip
1
Workers' Comp.
yes ❑' no ❑
District
'orm 284.208 IRev. 4.771 0S
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHA LSO AUSORMIT TO BECOME VOID.
I HEREBY AGREE T /Fh l INtOOI SECTION 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
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.