SFD (351565)54290 Avenida Martinez
351565
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO.Supp.
3 515 6 5
PERMIT NO.
351565
1W COUNTY OF RIVERSIDE
F/
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL. SQ.
2ND FL
POR.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. 8 $ UNITS
SQ. FT. 6 YARD SPKLR SYSTEM
SQ. FT. @ / --- MOBILEHOME SVC. BAR SINK
FT. @ POWER OUTLET ROOF DRAINS
FT. @ DRAINAGE PIPING
FT. DRINKING FOUNTAIN
SQ. FT. ---URINAL
VALUATION $ D Z, WATER PIPING
NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
Micro Film fee
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) ( DISH)
Use of Permit /
"' C
/ /¢ $
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
Parcel No.
7'71/^ 7'♦ .
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
Mech.Fee Dbl $
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
. . ,. Set Backs. •
ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET
Construction Fee Dbl $
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
FO%Q
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
S"s
BOILER B.T.U. SQ. FT. Gn ¢ BATHTUB
'Electrical Fee Dbt $
SQ. FT. Co, ¢ WATER HEATER
I Grp
SQ. FT. RESID 8 1'/.¢ SEWAGE DISPOSAL
Unit
SQ. FT. GAR G '/.it HOUSE SEWER
SMI Fee $
GAS PIPING
Dbl $Bond
PERMIT FEE PERMIT FEE PERMIT FEE
Plan No.
ot
DBL.
A FEES f
MOB. HM. FEE
MICRO FEE MECH. FEE PLC . FEE
! S'
CONST. FEE ELECT. FEE SMI FEE
FEE PLUMB. FEE
PERMIT NO.Supp.
3 515 6 5
Permit
Job Address
-Sy— . ,
Space Zi
Owner
N 5« J.
Com/m%nintty CIL
/ / i Q CIL / A) 4
Valuation
$
Dote
a _ / c" 7 g
Dist. /Off_
I
F.C.
MH Permit Fee $
Micro Film fee
Co E
Use of Permit /
"' C
/ /¢ $
Parcel No.
7'71/^ 7'♦ .
Use No. IS. by
Mech.Fee Dbl $
PI. Ck. Fee$ 8 ,..
. . ,. Set Backs. •
Lot Size
Construction Fee Dbl $
Legal Description
FO%Q
S
S"s
iBKp
'Electrical Fee Dbt $
Zone
I Grp
Typ.JG —
Unit
SMI Fee $
Plumbing Fee
Dbl $Bond
Amt.
$
Plan No.
ot
Plan Checker
r
Fino to Inspector
_ - ✓
✓ `
Sp. Insp. Fee $
Dermal. Fee
$
Const. Lender Branch 't certify that in the performance of the work for/L hich this permit is issued I shall
not employ any person in any manner so os.. to beta a subject I-- workmen's com.
pensation laws of California.'
Address City Zip Owner Signature
Builder Signature
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel, Zip
Total Fees
$
Address
City Zip
M.O. ❑ N.C. ❑ Cash ❑ Che
Received by
Trees required
Contract
OY✓
Tel.
License #
Sewage System
A&%11V U/ X 1
Address
l
- — ✓ I2 Z
City Jv yO Zip
f /g CIH/!✓%/i
Workers' Comp.
yes ❑ no ❑
District
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHALL ALS USE RMIT TO BECOME VOID.
I HEREBY AGREE THAT AL I NI ITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV6RSIDE COUNTY ArfD THE STATE OF CALIFORNIA.
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.