SFD (296565)52471 Avenida Martinez
296565
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
FIELD OFFICE
J F M A M 1 J A S O N D
PERMIT NO,
2-96,5651
Now
C%jum 1 T Or KI V CR.'311WIC
- 1
COMMUNITY`
VALUATIO
A3, Do
DST
f /
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.SQ.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ 40 $
SQ. FT. @
USE O PERMIT
UNITS
PE MIT NO.
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
FT. @ 6 400 DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
MICROFILM FEE
VALUATION $WATER PIPING
133
$
-3
NOTE: Not to be used as property tax valuation
___!F.C.
OK PAGE PARCEL LEGAL DESCRIPTION
SWIM POOL, PVT
FLOOR DRAIN
p
MECHANICAL FEES
DBL
SWIM POOL, COMM
WATER SOFTENER
ZOjNEE'/%
SEETyBACKK LOT SIZE
VENT SYSTEM FAN ❑ EVAP. COOL HOOD
e$
SIGN
WASHER (AUTO)(DISH)
a
APPLIANCE RYER
40
/
GARBAGE DISPOSAL-
00
PLAN CHECK FEE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
$
BOND AMT.
LAUNDRY TRAY
PLAN CHECKER
FINAL DAITE IN
AIR HANDLING UNIT — CFM
IDLE METER
KITCHEN SINK
00
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
00
COMPRESSOR HP
IPOLE, TEMP/PERM
LAVATORY
Qd
DBL
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
df
AMPERES SERV ENT
BRANCH OFFICE
SHOWER
BOILER B.T.U.
SQ.FT. @ a
BATH TUB
C?
DBL
$
SQ.FT. @ ¢
CITY
WATER HEATER
%00
$
FT.RESID @ 111/4¢
LT
SEWAGE DISPOSAL
l
...:.
SQ.FT.GAR @ 1/4a
'SPECIAL INSP
DEMOLITON
HOUSE SEWER
$
ADDRESS
ADDREAS
r ,s
GAS PIPING
PERMIT FEE
CO
PERMIT FEE
CSO
PERMIT FEE
d
DBL.
I TOTAL FEES
]MOB.HM.FEEI
MICRO FEE
MEC H. FEE
PL. CK. FEE
4-12
I CONST. FEE
ELECT. FEE
SMI FEE
FEE
F
PLUMB. FEE
J F M A M 1 J A S O N D
JOB ADDRESS SP NO
^- / I
J " q / r} / Are h1 ,oei I 1
OWNER
76
77
COMMUNITY`
VALUATIO
A3, Do
DATE
DST
/ OFFICE
78
M H PERMIT FEE
$
USE O PERMIT
SU P. TO PERMIT
PE MIT NO.
114#: .
MICROFILM FEE
COPIES
$
___!F.C.
OK PAGE PARCEL LEGAL DESCRIPTION
p
MECHANICAL FEE
DBL
$
USE NO.
ZOjNEE'/%
SEETyBACKK LOT SIZE
GRP
TYPE
CC Il_BY
/
PLAN CHECK FEE
$
BOND AMT.
PL/Ai/NNO.
PLAN CHECKER
FINAL DAITE IN
CTOR
1
/
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
STRONG MOTION
$
OWNER/AGENTS SIGNATURE
CON TRR OR
z
INSTRUMENTATION FEE
l
...:.
J'
LA Ir CC
'SPECIAL INSP
DEMOLITON
ffFEE
$
ADDRESS
ADDREAS
r ,s
REGISTRATION
aaa»>"` ! J 73
'
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
!Ga A 1
TOTAL FEES $ /
e,1f
( `
TEL. NO, AREA
CODE
TEL, NO, AREA CODE
LICEN/SSE #
CASH❑CHEC .O.❑N.C.❑ /
RECEIVED BY TREES REQUIRED
T T SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
9729
IgTj!
SEWAGE SYSTEM
"T
KA 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
P tai/
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
CVMPt NSAnCJN INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATEOF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY -THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284.206 (REV. 6.76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.