SFD (303391)52411 Avenida Martinez
303391
1
DEPARTMENT OF'BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT , ,.,— — ,.,,
J F I M A M
PERMIT NO.
H2391
"low COUN I i Or RI YCRJIUC
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Fil
CONSTRUCTION ESTIMATE NO. ELECTRICAL'FEES NO. PLUMBING FEES,
1ST FL.
2ND FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ tk4EUNITS
SQ. FT. @ YARD SPKLR SYSTEM
SQ. '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) AL
APPLIANCE RYER GARBAGE DISPOSAL
SUPP. TO PERMIT PE MIT NO.
FURNACE Cl UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
COPIES
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET
03
PARC L L AL E
COMPRESSOR HPAle POLE, TEMP/PERM LAVATORY
HEATING SYSTEM FORCED ❑ GRAVITY AMPERES SERV ENT1904
SHOWER
BOILER B.T.U. SQ.FT. @ a BATH TUB
}
SQ.FT. @ ¢ WATER HEATER
DBL
ftjjQSQ.FT.RESID @ 14/4a SEWAGE DISPOSAL
Q.FT.GAR @ 3/4a HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
TV PE GK BY
DBL,
I TOTAL FEES
MOB.H M. FEE
MICRO FEE .FEE POC FEE
J
CONST: FEE ELECr F E SMI FEE
FEE PLtPft. FEE
J F I M A M
J J
A S• O
1 N D
JOB ADDRESS
SP NO OWNER ,
I
-..
76
77
CARIMIRlivIF
-MT
4*7
78
M H PERMIT FEE
$
U ERMIT
SUPP. TO PERMIT PE MIT NO.
MICROFILM FEE
COPIES
$
G
03
PARC L L AL E
}
MECHANICAL FEE
DBL
$
USE NU_
Z N SET BACK LOT SIZE GRP
TV PE GK BY
7
/yy
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL GATE IN TOR f
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH OFFICE
NO LENGE INVOLVED
t
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
STRONG MOTION
$
OWNER/AGE SI TURE _ q CONTRACTOR
INSTRUMENTATION FEE
SPECIALINSP
$
AD
ADDRESS
DEMOLITION FEE
REGISTRATION
PLUMBING FEE
DBL
$
CITY
ZIP CODE CITY ZIP CODE
TOTAL FEES is
TEL. NO.
AREA CODE EL. NO.AREA
CODE
LICENSE tt
CASH ❑CHECK .O.❑N.C. t
31
s,4 -++
1126A7v
RECEIVED BY
TREES REQUIRED
'
I
ALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OFv
J
20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
ASEWAGE SYSTEM
V
A REE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T til►
L
P
;
VtIU HE LAWS
OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
LUMPENSA I IUNINSURANCE 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.