SFD (303495)52160 Avenida Martinez
303495
DEPARTMENT OF BUILDING 8r SAFETY FIELD OFFICE
BUILDING PERMIT
J F I M A M 'J 1 11 A S O N D
PERMIT NO.
I
1
Vuum T Or KI V CKWUC30340c:
77 -
COMMUNITY VALUATION
/x' 1.1 epa. rV 7, rs2,.ev I71
DST
d/
CONSTRUCTION ESTIMATE
OFFICE
.-
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR,
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
V
UNITS
SUPP. TO PERMIT PE
MIT
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
I
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
ISWIM POOL, COMM
WATER SOFTENER
$
VENT SYSTEM E(FAN ❑ EVAP. COOL CkHOOD
RIP ION
SIGN
WASHER (AUTO) (DISH)
APPLIANCE WRYEReel
r" err/ C
GARBAGE DISPOSAL
$
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
ZONE
SET BACK
LAUNDRY TRAY
G/LR/PGj
TYPE
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEMB.T.U.
TEMP USE PERM SVC
WATER CLOSET
I, -770S
COMPRESSOR HP
S /fl
/O
POLE, TEMP/PERMLAVATORY
PLAN CHECK FEE
$
HEATING SYSTEM DeORCED ❑ GRAVITY
BOND AMT.
MPERES SERV ENT
SHOWER
FINAL DATE
BOILER B.T.U.
SQ.FT. @ a
BATH TUB
ZTIR
SQ. FT. @ a
# WATER HEATER
DBL
$ t
NAME OF CONWENOER BRANCH
Q.FT.RESID @ 1 V4aSEWAGE
Q.FT.GAR @ 3/441HOUSE
DISPOSAL
SEWERIF
/
GAS PIPING
ELECTRICAL FEE
PERMIT FEE
$
PERMIT FEE
PERMIT FEE
STATE
DBL.
TOTAL FEES
IMOB.HM.FEEI
MICRO FEE
MECH. FEE
PL. CK, FEE
I CONST. FEE ELECT.
FEE MI FEE
FEE
PLUMB. FEE
J F I M A M 'J 1 11 A S O N D
JOB ADDRESS SP NO
> a I
OWNER
77 -
COMMUNITY VALUATION
/x' 1.1 epa. rV 7, rs2,.ev I71
DATEDS
7/S ?'7
' /
OFFICE
.-
78
M H PERMIT FEE
$
USE OF PERMIT
F.G.
SUPP. TO PERMIT PE
MIT
NO.
I
03495
MICROFILM FEE
COPIES
$
BOOK PAGE PARCELLEGALDE
RIP ION
773-034ZAV qX
r" err/ C
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
G/LR/PGj
TYPE
CK BY
'f
JY
/j
Ae
I, -770S
S /fl
/O
R /O
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
ZTIR
CONSTRUCTION FEE
DBL
$ t
NAME OF CONWENOER BRANCH
OFFICE
NO LE DER INVOLVED
/
ELECTRICAL FEE
DBL
$
A E S CITY
STATE
-OWNER/AGENTS SIGNATURE (, CONTRACTOR
STRONG MOTION
$
- .
INSTRUMENTATION FEE
SPECIAL
$
A DR SS ADDRESS
INSP
DEMOLITON FEE
l
REGISTRATION
w - 044J
PLUMBING FEE
DBL
$
CI ZIR E CITY
ZIP CODE
Q(C3
/d 4?2--0'i
TOTAL FEES
$
TEL. NO. AREA CODE TEL.
NO,
AREA CODE
LICENSE 4
CASH ❑CHECK .O.❑N.C.
I
RECEIVED BY TREES REQUIR ,,/V.,
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
vrj
SEWAGE SYSTEM
T LL P ✓G1
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANC
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARR
(-UMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284.208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.