SFD (303654)53600 Avenida Martinez
303654
BUILDING PERMIT , . DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO.
303654
PERMITNO.
3036541/1
Job Address
"3'
COUNTY OF RIVERSIDE
Owner
LAl
DST
CONSTRUCTION ESTIMATE
Dare
, / ' i
NO. I ELECTRICAL FEES
F.C.
OQ
NO. PLUMBING FEES
1ST FL. SQ.
2ND FL. _
POR.
GAR. SQ.
CAR P. 1 SQ.
WALL
ESTIMATED CONSTRUCTION
FT. Q $
-...
UNITS
Parcel No.
7
Use No.
SQ. FT.t c YARD SPKLR SYSTEM
Mech. Fee Dbl E
eQ MOBILEHOME SVC. BAR SINK
SQ. FT. (a}
Set Backs
r4-
FT. 8 ` POWER OUTLET ROOF DRAINS
Construction fee Dbl E
FT., @ 1 ( DRAINAGE PIPING
SQ. FT. ® DRINKING FOUNTAIN
S .
URINAL
SQ. FT. Cr}
VALUATION $, ` 4 WATER PIPING
Zone)
NOTE: Not to be used os property tax valuation = !
t
Ty p[e
SWIM POOL, PVT
FLOOR DRAIN
Plumbing Fee
Dbl E
MECHANICAL FEES
Plan No.
a
SWIM POOL, COMM
Final Dote 7'K
7 Y
/ (/
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL QrHOW
Dental. Fee
SIGN
Const Lender Branch 1 certify that in the perfa mam:e affil w rx tor +.mrh rn„ permu is issued Ishall
not employ tiny person in any manner Vos to become ,: r. en to the workmen s com-
pensonon lows of California
Address City Zip
1 Owner Signoture
J + Budder S, notr,re
r
WASHER IAUT(JDISH)
Mileage Fee E
Witness Fee E
APPLIANCE A DRYER
E
Owner/Agent '
4 c5 4/ c_
-Tel.
S7-7- 7- ciV®o
GARBAGE DISPOSAL
Total Fees
FURNACE ,❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Address
/
P(/
City
Zip
fSA4.0 III
LAUNDRY TRAY
Received by
/
AIR HANDLING UNIT CFM
Tel.
IDLE METER
License p
KITCHEN SINK
Sewage System
./400-10
s
r.414
ABSORPTION SYSTEM B.T.U.
City
TEMP USE PERMIT SVC
Workers' Comp.
yes ❑ no ❑
WATER CLOSET
COMPRESSOR r HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM &] FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ¢
BATH TUB
SQ. FT. fg ¢
WATER HEATER
SQ. FT. RESID @ 1'/.¢
le < ze
SEWAGE DISPOSAL
SQ. FT. GAR Cot '/.¢
ao
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
0
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE -M CH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
/
T -----FEE
PLUMB. FEE
3 040
PERMIT NO.
303654
Supp. Permit
Job Address
"3'
Space Zip
zz
Owner
LAl
Community
H//J /
Valuation
is 44 ale,—
Dare
, / ' i
Dist. Off.
`7
F.C.
OQ
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
.fAj _/.
Parcel No.
7
Use No.
Ck. by
Mech. Fee Dbl E
Pl. Ck. Fee E
Set Backs
Lot Size
Construction fee Dbl E
Legal Description
_
f L%% w
F _
S .
S ,
Electrical Fee Dbl E
Zone)
Grp
Ty p[e
Unit
SMI Fee E
XL
Plumbing Fee
Dbl E
Bond Amt.
8
Plan No.
a
Plan Checker
Final Dote 7'K
7 Y
/ (/
Impe r
Sp. Insp. Fee E
Dental. Fee
E
Const Lender Branch 1 certify that in the perfa mam:e affil w rx tor +.mrh rn„ permu is issued Ishall
not employ tiny person in any manner Vos to become ,: r. en to the workmen s com-
pensonon lows of California
Address City Zip
1 Owner Signoture
J + Budder S, notr,re
r
Regisir. Fee E
Mileage Fee E
Witness Fee E
Reinsp. Fee
E
Owner/Agent '
4 c5 4/ c_
-Tel.
S7-7- 7- ciV®o
Zip
Total Fees
E
Address
/
P(/
City
Zip
fSA4.0 III
M.O. ❑ N.C. ❑ Cosh ❑ Check
Received by
/
Contractor
Tel.
License p
Trees required
Sewage System
./400-10
s
r.414
Address
City
Zip
Workers' Comp.
yes ❑ no ❑
M
Sewer District
Form 284.208 (Rev. 477) Os
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ted by
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.