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SFD (268946)54455 Avenida Madero 268946 BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE di FIELD OFFICE DST CONSTRUCTION ESTIMATE N'O. ELECTRICAL FEES NO. PLUMBING FEES GARBAGE DISPOSAL 1 ST FL. 2ND FL. --.SQ. POR. .j GAR. % / CAR P. WALL ESTIMATED CONSTRUCTION SQ.FT. @ / fir'!_ UNITS FT. @• _ YARD SPKLR SYSTEM SQ. FT. @ - MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SO.FI. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. F.T. @ URINAL VALUATION $ y G WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER COMPRESSOR VENT SYSTEM FAN ❑ EVAP. COOL 9 HOOD SIGN WASHER (AUTO SH) APPLIANCE)/%v JOB ADDRESS SP NO ,f" d, bC2vi 4/ 75 USE OF PERMIT ! 1 F.C. GARBAGE DISPOSAL JP2M FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ S SPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM COMMUNITY IDLE METER UNITS ROOMS KITCHEN SINK QQ ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC 1J/ A17 -A WATER CLOSET L2O COMPRESSOR HP ri-/-) POLE, TEMP/PERM MICROFILM FEE COPIES LAVATORY HEATING SYSTEM XFORCED ❑ GRAVITY pQ 00AMPERES SERV ENT U SHOWER O BOILER 0 B.T.U. NO. GRP SQ FT @ a BATH TUB a 00 f/USE SQ FT @ a WATER HEATER $ ' BOND AMT. SQ FT RESID @ CHECKER SEWAGE DISPOSAL CONSTRUCTION FEE DBL $ L/r SQ FT GARAGE @ y S NO LENDER INVOLVED HOUSESEWER PERMIT FEE IGAS ELECTRICAL FEE PIPING $ MOBILE HOME PERMIT FEE $ STATE PERMIT FEE Q OP PERMIT -FEE _PEgM1T NO._ 26_990 6 8 9 4 (-Jjin TAL FEES 1101, HM.FEE MICRO FEE. En J !/ DBL, PL FEE P CONST. E >l DBL. ELE . E S DBL. SMI fEE 1 i j/ FEE PyLUMB. FEE .✓ 5t) DBL. J F M A M J J A S O N D 74 JOB ADDRESS SP NO ,f" d, bC2vi JOWNER / E /TTS ` / STS 75 USE OF PERMIT ! 1 F.C. DATE JP2M 76 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS I VALUATION SUPP. TO PERMIT OFFICE 1J/ A17 -A ✓1 ,,2 D MICROFILM FEE COPIES $ LEGAL DESCRIPTION 7" - MECHANICAL MECHANICAL FEE DBL $ SET BTAtCK LOT SIZE ZONE NO. GRP TYPE C BY f/USE PLAN CHECK FEE $ ' BOND AMT. PLAN NO.PLAN I CHECKER FINAL DATE h -/-7L, INSPECTOR C Cti CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE OP Q STRONG MOTION INSTRUMENTATION FEE $ OWNER /AGENT'S SIGNATURE ` i. CONTRACTOR FEE $ ADDRESS \ / ae d P, , % ADDRESS PLUMBING FEE DBL $ CITY ZIP CODE AAj VA V CITY ZIP CODE TOTAL FEES $ f TEL. NO. / TEL. NO. LICENSE CASH CHECK ❑ M.O. ❑ N.C. ❑ / THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY ,J TREES REQUIRED O 'fION I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTEM /O®D ( AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE T LL P WITH THI n 11 —1 1111IT-1 ll1 — I I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284.208 (Rev. 10-74) OL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE L OF THE STATEOF CALIFORNIA.