348782 (TT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERM IT NO.
3 4 8 7 8 2
PERMIT NO.
348'�8�
Job Address -
53-940 Ave, Juarez
COUNTY OF RIVERSIDE
Zip
92253
Owner
FAWO, A.
L
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Dist.
1ST FL. SQ.
2ND FL. SQ.
POR. SQ.
0GAR. SQ.
CAR P. SQ.
WALL SQ.
SQ.
ESTIMATED CONSTRUCTION
FT. Q $
UNITS
:MH Permit Fee E
Micro
Micro Film Fee
FT. Cia YARD SPKLR SYSTEM
FT. 8 MOBILEHOME SVC. BAR SINK
POWER OUTLET ROOF DRAINS
FT.
Use No.
FT. @ DRAINAGE PIPING
Mech. Fee Dbl E
DRINKING FOUNTAIN
FT.. (03
Set Backs
FT. URINAL
VALUATION $ WATER PIPING
Legal Description
nf{ j�}
SV! � .#19
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
S
FLOOR DRAIN
R
Electrical Fee Dbl E
MECHANICAL FEES
SWIM POOL, COMM
Type
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
SIGN
Dbl E
WASHER (AUTO) (DISH)
Bond Amt.P
E
Ion No.
APPLIANCE ❑ DRYER
J/� Ins
7
r
GARBAGE DISPOSAL
�Sp. Insp. Fee E
;Demol. Fee
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Const. lender Branch . I certify that in the performance ofirVwork for which this permit is issued 1 sholl
not employ any person in any manne as to become subject to the workmen's corn.
pensotion laws of California."
Address City Zip _ Owner Signature
Builder Signature
LAUNDRY TRAY
!Mileage Fee E
Witness Fee E
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Tel.
Zip
1 M.O. ❑ N.C. ❑ Cosh ❑ •hecX
EReceived by
Contractor
Tel.
License q
[Trees required
I
,Sewage System
I/,Pro
Address
City Zip
Workers' Comp.
yes ❑ . no ❑
M
District
THIS PERMIT SHALL BEC_WE VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK FOR 120 DAYS SHAJ1���WOR
P MIT TO BECOME VOID.
I HEREBY AGREE THA�{j-5AL[L CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE r
WITH THE LAWS OF RIVERSIDE CND THE STATE OF CALIFORNIA.
HEREBY CERTIFY THAT TH: INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
SO I N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.