SFD (217617)52125 Avenida Martinez
217617
BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETO
COUNTY OF RIVERSIDE
FIELD OFFICE
WASHER (AUTO)( SRi'
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
APPLIANCE L®
PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
70
SQ. FT. @
/
C -dc'^
NO.
DBL
NO.
SQ. FT. @
F E / '^
SQ. FT. @ ` MOTOR 1 OR LESS H.P.
FIXTURE OR SOCKET
SQ. FT. @ MOTOR 5 OR LESS H.P.
KITCHEN SINK
SQ. FT. @ r ` MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. 0)
URINAL
OK.W.UNITS
WATER PIPING
ESTIMATED VALUATION $
POLE
I UNITS
LAVATORY
FLOOR DRAIN
L>O
MECHANICAL FEES
AMPERES SERV. ENT.
%
SHOWER
WATFR SOFTFNFR
VENT SYSTEM" FAN ❑ EVAP.COOL HOOD
00 SIGN
I W V J
WASHER (AUTO)( SRi'
PE IT NUMBER
61.1
72
APPLIANCE L®
TRANSFORMER =K.W.
_O
GARBAGE DISPOSAL
%
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED'
OUTLETS
DBL
LAUNDRY TRAY
OBL
F E / '^
AIR HANDLING UNITI I CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL A.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR HP
POLE
I UNITS
LAVATORY
VA/LUAATIIOON
L>O
APPLIANCE VENT
AMPERES SERV. ENT.
%
SHOWER
_
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ q
BATH TUB
v
INCINERATOR ❑ DOMESTIC ❑INDUS. OR COMM.
SQ. FT.@ q.
WATER HEATER
/
3U
HEATING SYSTEM E6FORCED ❑ GRAVITY
CC 4&0 SQ. FT. RESID. @ 1 q
/T7570---7-SEWAGE
DISPOSAL Jv
DBL
BOILER O B.T.U.
yJC SQ. FT.GARAGE @ - q
1 .
HOUSE SEWER
ZQNE/
USE NO.
PERMIT FEE
9ALANCE OF MIN. FEE
JCKBY
f I GAS PIPING
5
MOBILEHOME HOOKUP FEE $
/ PERMIT FEE s "' / PERMIT FEE
I W V J
JOB ADDRESS
-21 f F/V/G 1-11,WT/1Ye
PE IT NUMBER
61.1
72
7p [E.$
Og
_O
MEATV T EE
DBL
[1
P`. C% E g
CONST. F
DBL
E F,E
OBL
F E / '^
PLUM BINC} S,F
DBL
75
CjOMM/UNITY
DST
I UNITS
OOM
VA/LUAATIIOON
SUPP. TO PERMIT
OFFICE
LEGAL DESCRIPTION
J F IMI A Ml J J JA
S O
N D
JOB ADDRESS
-21 f F/V/G 1-11,WT/1Ye
OWNER
t /,► t , .
72
, r'Ilt, ,
73
USE OF BUILDING
F:C.
DATE -7
PE211
N7 61 7
75
CjOMM/UNITY
DST
I UNITS
OOM
VA/LUAATIIOON
SUPP. TO PERMIT
OFFICE
LEGAL DESCRIPTION
00
LL)T E / 1 = /,.,C1 c./qui /-1- % 3' J% 017
MECHANICAL FEE
DBL
$
0v
SET BACK
r(> LU
LOT SIZE
ZQNE/
USE NO.
GRP
TYPE
JCKBY
:ea
F S __5R
/'t`/
PLAN CHECK FEE
$(
co
BOND AMT.
PLAN NO.
/
PLAN CHECKER
FINAL DATE IfY
`
PECTOR
5 3 )
CONSTRUCTION FEE
DBL
&lC_
GCS
NAME OF CONST. LENDER
C_ j
6&/3CITSTATE
BRANCH OFFICE
NO LENDER INVOLVED
I
ELECTRICAL FEE
DBL
$ /6+
5
ADDRESS
O/%! /`',g`
$
PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
ftpTHIS
LIHEREBYF
CESSATION WORK FOR BECOMEIT TO VOID.
FALL ALSO USE TI
IN
y5/If FEE _
AGREE THATIAOLLDAYS WORK CONNECTION WITH PERMIT WILL DONE
IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF-
DBL
11
ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING
CA.
CONTRACTORS
IS ALSO GUARANTEED.
I HEI1jjEBY CERTIF,. THAT THE INDIVIDUAL WHO PREPARED THE PLANS ANDSPECIFI-
CATL . S HAS DQNESO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND
TOTAL FEES $
G,'
/
P Fj SSIONS CpbE'OF THE STATEzOF CALIFORNIA.
CASH r --i CHECKb4 M.O. ❑ N.C. O
O. NER -
CONTRACTOR
Received By
ADDRESS
ADDRESS
J
1.563 1 ' L x7 e/Z
Sewage System
11411,1250
LL
P25
Trees Required
Yes X
No.
CITY
CITY
t/
4. INFORMATION
TEL. NO.
TEL. NO. LICENSE
33 2,—
FORM 284-208 (REV. 4/71) 14