ELEC (351585)54265 Avenida Madero
351585
BUILDING PERMIT Aft DEPARTMENT OF BUILDING & SAFETY Aft FIELD OFFICE
i[ PERMITNO.
3 515 8 5
I
PERMIT NO.
COUNTY OF RIVERSIDE
FD;ST35158
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL. SQ.
2ND FL.
POR.
GAR. SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. Qa $ UNITS
SQ. FT. YARD SPKLR SYSTEM
SQ, FT. MOBILEHOME SVC. BAR SINK
FT. Ga POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
SQ. FT. (a}✓L DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used os property tax voluation SWIM POOL, PVT FLOOR DRAIN
F.C.
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
'MH Permit Fee $
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) I DISH)
Cop $
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
Use of Permit
/ 74
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FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
Use No. Ck.by
ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET
-PI. Ck. Fee $
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
Lot Size
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
Legal Description
` p7 / L a
I ! %
BOILER B.T.U. SQ. FT. Cq a BATH TUB
F
SQ. FT. (a, ¢ WATER HEATER
S
SQ. FT. RESID Cas 1'Aa SEWAGE DISPOSAL
Fee Dbl
SQ. FT. GAR @ Y, HOUSE SEWER
Grp
GAS PIPING
Unit
PERMIT FEE PERMIT FEE 3 yp PERMIT FEE
SMI Fee E
SMIFee $
DBL.
FTAILFEES
MOB. HM. FEE
MICRO FEE MECH. FEE PL. CK. FEE
CONST. FEE I ELECT. FEE SMI FEE
FEE PLUMB. FEE
i[ PERMITNO.
3 515 8 5
I
Supp. Permit
9tz
Job Address
s -
• le
Space Zip
Owner L
Community
H//1%I
Valuation
$
Date
Dist.
Off.
F.C.
'MH Permit Fee $
Micro Film Fee
Cop $
Use of Permit
/ 74
[^P/✓
Parcel No.
7 / ; 3i ora
Use No. Ck.by
-Meth. Fee Dbl E
-PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
` p7 / L a
I ! %
.y .
" /L -ira
G✓
F
S
S
R
Fee Dbl
Zone
/
Grp
Type
Unit
SMI Fee E
SMIFee $
;Plumbing Fee
Dbl E
Bond Amt.
$
Pion No.
Plan
Checker
F' at 1 Ins
._
ctor
Sp.Insp. Fee $
"Demol. Fee
$
Const. Lender Branch
Address City
1 certify that tot The performance a work for which this permit is issued I sholl
not employ any person in any man as to become subject to the workmen's com.
pensotion lows of California.
Zip
Owner Signature
Builder Signature
IRegisir. Fee $
iMileoge Fee $
Witness Fee $
Oeinsp. Fee
$
Owner/Agent
Tel. Zip
Notal Fees
$
/!
AddressCiry
4LIZ?
Zip
M.O. ❑ N.C. ❑ Cosh Che ❑
;Received by
Contra r
S — //` '
•!
Tel.
G/ .JJ
d
License #
67.p f3/
'HYD
Trees required -
(Sewage System
1.
Address
r /
/ 3 —,06 1 L .
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I ri.n:,
Ci tY Zip
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Workers' Comp.
yesM no ❑
(Sewer District
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL A C ` R ME VOID.
I HEREBY AGREE THAT //k lj I WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY ND 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.