SFD (301844)51611 Avenida Martinez
301844
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT
F M A M J A S O N D
PERMIT NO.41
30
.VIJry 1 i Vr KI V CK IU[
'
COMMUNITY
q TIO
$ pG3
/D/S{r{T
CONSTRUCTION ESTIMATE
OFFI
NO. ELECTRICAL FEES
M H PERMIT FEE
NO. PLUMBING FEES
$
1 ST FL. I oe
2ND FL.
POR.
GAR.
CAR P.
WALL SQ.
ESTIMATED CONSTRUCTION
SQ. FT. @ $ P)
SUPP. TO PERMIT
UNITS
NO.
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
1
SQ. FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
COPIES
VALUATION $ 60 WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
n _
MECHANICAL FEE
MECHANICAL FEES
$
SWIM POOL, COMM
USE NO. ZONE
WATER SOFTENER
GRPPE CK^ByV
VENT SYSTEM WAN ❑ EVAP. COOL OOD
SIGN
WASHER(AUTO)gX*490
I(j
PLAN CHECK FEE
APPLIANCE RYER
C
BOND AMT,
GARBAGE DISPOSAL
CX3
FINAL DATE..,JINSPECTOR
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
CONSTRUCTION FEE
KITCHEN SINK
$
ABSORPTION SYSTEM B.T.U.
BRANCH OFFICE
TEMP USE PERM SVC
WATER CLOSETy
COMPRESSOR HP
POLE, TEMP/PERM
ELECTRICAL FEE
LAVATORY
$
HEATING SYSTEM ORCED ❑ GRAVITY
4,4
AMPERES SERV ENT_
0
SHOWER
BOILER T. U.
SQ.FT. @ ¢
STRONG MOTION
BATH TUB
$
OWNER/AGENTS SIGNATURE
CONTRACTOR
SQ.FT. @ a
WATER HEATER(}
SPECIAL
Q.FT.RESID @ 11/4a
SEWAGE DISPOSAL
013
ADDRESS
ADORES
SQ.FT.GAR @ 3/4a
X95
HOUSE SEWER
GAS PIPING
PERMIT FEE
t7d
PERMIT FEE
PERMIT FEE
G4CJ
$
DBL,
I TOTAL FEES
MOB.HM.FEE
MICRO FEE M
H. FEE
,s
PL. CK. FEECONST.
---
FEE EL
. FEE
SMI FEE
rl
FEE
PL MB. FEE
F M A M J A S O N D
JOB ADDRESS I 5P NO
OWNER
76
77
COMMUNITY
q TIO
$ pG3
DATE
Ci
DST
OFFI
78
M H PERMIT FEE
$
S Oy P 9 IT
SUPP. TO PERMIT
PERMIT
NO.
7 , F,.Cy.
G0 i t p,
1
301
MICROFILM FEE
COPIES
$
BOOK FrAGE PARCEL LEGAL DESCRIPTION
n _
MECHANICAL FEE
DBL
$
USE NO. ZONE
SET BAC LOOT./,SIyIZE
GRPPE CK^ByV
--IS
j fZ
I(j
PLAN CHECK FEE
BOND AMT,
PLAN NO.
PLAN CHECKER
FINAL DATE..,JINSPECTOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO NDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
STRONG MOTION
$
OWNER/AGENTS SIGNATURE
CONTRACTOR
INSTRUMENTATION FEE
SPECIAL
$
ADDRESS
ADORES
DEMOLITION
FEE
REGISTRATION
PLUMBING FEE
DBL
$
a'yY ZIP CODE
CITY ZIP CODE
..r
r
TOTAL FEES
$
TEL. NO. AREA
CODE
EL. N
AREA CODE
E
CASH 0CHECK .O.0N.C.❑
' g,,
,/
RECEIVED BY
TREES REQl11RE &dviol'l
I IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SEWAGE SYSTEME
Y AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
TH
T
L
p
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
AADCAIG
- - C -- .. ..- ... vr. „r rrrr vl .a. . vi i L lv ..0 -I" 1nl IH YYJ Vr IfIC JIHIC Vf
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 264-206 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
,FORM
AY OF CALIFORNIA.