SFD (303459)53405 Avenida Martinez
303459
. ,, DEPARTMENT OF BUILDING & SAFETY
BUILDING PERMIT „„ , , „ ,
FIELD OFFICE
J F M A M J J A S O N D
PERMIT NO.
OWNER - -
l2Y,
.VVIYI I Vr nivrKzIVC
'
DST
CONSTRUCTION ESTIMATE
DATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
78
1 ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @
$
UNITS
USE OF PERMIT F.C.
Q
SU'P. TOP PERMIT PE
SQ. FT. @ YARD SPKLR SYSTEM
NO.
03459
SQ. FT. @ MOBILEHOME SVC. BAR SINK
COPIES
SQ. FT. @ POWER OUTLET ROOF DRAINS
SQ. FT, @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ D WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
DBL
$
MECHANICAL FEES
USE NO.
SWIM POOL, COMM
WATER SOFTENER
LOT SIZE
GRP
VENT SYSTEM 4FAN ❑ EVAP. COOL geOOD
B1r
SIGN
WASHER (AUTO ISH)
APPLIANCE 42RYEIT
GARBAGE DISPOSAL
IC
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT
civ
IDLE METER
KITCHEN SINK
I[
S
ABSORPTION SYSTEM B.T.U.
R
TEMP USE PERM SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
BOND AMT.
PLAN NO.
HEATING SYSTEM RCED ❑ GRAVITY
DATE INS
MPERES SERV ENT
SHOWER
BOILER T. U.
SQ.FT. @ a
BATH TUB
[FINAL
CONSTRUCTION FEE
DBL
SQ.FT. @ a
WATER HEATER
NAME OF CONST. LENDER
BRANCH OFFICE
NOLEObERINVOLVED
Q.FT.RESID @ 11/4a
SEWAGE DISPOSAL /A
x1h
Q.FT.GAR @ 3/4a
HOUSE SEWER
$
1
CITY
STATE
GAS PIPING
PERMIT FEE
/
PERMIT FEE
PERMIT FEE
STRONG MOTION
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE M
. FEE
PL. CK. FEE
CONST. FEE
COQ.
ELEC FEE SMI FEE
FEE PL
zt?
.FEE
le4-
J F M A M J J A S O N D
JOB ADDRESS SP NO
s3 cS I
OWNER - -
l2Y,
76
77
COMMUNITY
4A
-VALUATION
$
DATE
DST
OFFICE
78
M H PERMIT FEE
"
$
.
USE OF PERMIT F.C.
Q
SU'P. TOP PERMIT PE
MIT
NO.
03459
MICROFILM FEE
COPIES
$
BOOK -PAGE PARC L LEGAL: DESCRIPTADN
MECHANICAL FEE
DBL
$
USE NO.
ZONNEE
SET BACK
LOT SIZE
GRP
TYPE
B1r
IC
civ
I[
S
S
R
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
DATE INS
P OR
[FINAL
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NOLEObERINVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
/
STRONG MOTION
$•
NE
OWR/ENTS SIGN RE,,.
'` -
CONTRACTOR '
,
INSTRUMENTATION FEE
SPECIAL INSP
$
ADDRES
ADDRESS
DEMOLITION [ FEE
REGISTRATION7
PLUMBING FEE
DBL
$
clrr ZIP CODE
CITY ZIP CODE
39
lvisz 1eI j ''..}6 lo'%
TOTAL FEES $
TEL. NO. AREA
CODE
TEL. NO.
AREA CODE
LICENSE tt
CASH ❑.CHECK .O.❑N.C.❑ 4; -49 7
-32
f I
7!1
RECEIVED BY REES REQUIRED
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO.BECOME VOID. 0
SEWAGE SYSTE
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE \
T LL P
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
FORM 284-208 (REV. 6-76)
COMPENSATION 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
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.