BLCK (403180)54490 Avenida Madero
403180
BUILDING PERMIT
PERMIT No. DEPARTMENT OF BUILDING & SAFETY
FIELD DST
0
3180 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@ $
UNITS
PERMIT NO. -
403180
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Legal Description a,
/
` f
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
5
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ a
BATH TUB
Sp. Insp. Fee E
SQ. FT. @ a
WATER HEATER
SO. FT. RESID @ 1 t/<a
SEWAGE DISPOSAL
S0. FT. GAR @ t/4a
HOUSE SEWER
t --"•Permit
/
'
GAS PIPING
PERMIT FEE
Mileage Fee E
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
HM. FEE
MICRO FEE
MECH. FEE Pl. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
T LL
Sewer District
r
Form 284-208 (Rev. 1/80)
THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
a
•1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HERBY -ERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
RgAtFCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. W
Job Address - -- -- -- - - - - - --- -_--
Space Zip
Owner
PERMIT NO. -
403180
/'J
I 'on
I--,'
- /"' i' it, r •;,OL}. - •'F. t.C.
mGnity /y G. - C'
-
S
—^Ck.
MH Permit Fee E
Micro Film Fee Cop S
Use of'Permit'r
J,,.,.._
O'j" C.• f !' G= •' -
Parcel
No. t!
Use/Casa Kel
By
s;. l
Mach. Fee Dbl $
PI. Ck. FeeE
pt t
/
lot Size / "•" -
'
Construction Fee Obl 5
Legal Description a,
/
` f
F
5
S
R
Electrical Fee Dbl E (.r'' ;. „
Zone Restrictions
rou
Type
:SMI Fee
Plumbing Fee Dbl S
Bond Amt.,„,;.•
S
PI6n No. ti..•
Plad.Ch&6r
Fina • to
Insp for
Unit
Sp. Insp. Fee E
Demol. Fee $
Const. lender Branch
$upplimentoNumbers
V Lj
t --"•Permit
/
,
Registr. Fee E
Mileage Fee E
Y Zi City ir
/ P
Witness Fee
Reinsp. Fee $
Owner ent •' ` ,i // `,..
,`
4.
ngf
Zip
Total Fees $
.Addre -- J
-at, Vit'"
City
'+-- Zip
M.O. ❑ N.C. ❑ Cash ❑ deck
Received by
Contra or ..
'
Tel.
l,".
1'✓"
censeN i
Trees require
Sewage Syst "- .'r
Address
City
Zip
%
T LL
Sewer District
r
Form 284-208 (Rev. 1/80)
THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
a
•1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HERBY -ERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
RgAtFCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. W
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8 Ducts
i
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
^J
( L
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hpod .
10
Fireplace P. L.
n
43
Final
10A
Fireplace T. 0.
Ej
°o
ADDITIONAL INFORMATION
,
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Final
Tank
Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
t
�- P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
BUILDING YI:KMII
PERMIT NO.
4031801
PERMIT No,
0 3180
Job Address - Space Zip Owner . 1
AY -I— A 7) A,_ /,0-1/",1— .0
mrrlunity al ton ditt,. I. F. C.
/ r
f rv. i s4,4 w, y S 1
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
i ST FL:
2ND. FL.
POR.
GAR.
il CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. .@ $
UNITS
Zone Restrictions
_
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL,, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCEDRYER
Controctor
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Trees require
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM.
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER -
BOILER B.T.U.
SQ. FT. @ a r,
BATH TUB
-
SQ. FT. @ c
WATER HEATER
SO. FT. RESID @-1 t/<a
SEWAGE DISPOSAL
•
S0. FT. GAR @ 3/<a
HOUSE SEWER
•
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
t
HM. FEE
MICRO FEE
MECH. FEE Pl. CK. FEE
CONST. FEE ELECT. FEE
G,
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
4031801
Job Address - Space Zip Owner . 1
AY -I— A 7) A,_ /,0-1/",1— .0
mrrlunity al ton ditt,. I. F. C.
/ r
f rv. i s4,4 w, y S 1
MH Permit Fee S
Micro Film Fee Cop S
Use`of ermit -
I O ® CF—
Parcel No.Or Use/Case Ck. By
et Bo -, f Lot Size
F 5 S R '
Mech. Fee Dist S
PI. Ck. FeeS
Construction Fee Dbl S
.
Legal Description
/ ,. -.. / g,_ ( A * re
Electrical Fee Dbl S
Zone Restrictions
_
Group
Type
SMI Fee S
Plumbing Fee Del S -
Bond- Amt.—OPon
g
14u:
FPloChic erFina
Date
— l
Inspector
Unit -
Sp. Insp. Fee S
Demol., Fee S
Const. Lender Branch
Supplimentol Permit Numbers
- -
Zip
Registr. Fee g
Mileage Fee S
Address' / J City Zip
Ow er t " --
Witness Fee
Reinsp. Fee g
Total Fees S `rye
ddress `r
`
City Zip
M.O. C, N.C. ❑ Cash O Check
Received by
Controctor
Tel. t -
icenseti
Trees require
Sewoge System
Address
City Zip
T LL
Sewer District
Form 284-208 (Rev. 1/80)
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. '
.I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. .
I E - Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
R ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.