348614 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO.
3486 14
PERMIT NO.
348614
Job Address 0 1? el ,r / +�S [j
54-705 Avenida �rji 49)92253
COUNTY OF RIVERSIDEDST
Owner
R.v. Cor .
11
CONSTRUCTION ESTIMATE
(�
NO.
ELECTRICAL FEES
Off.
I
NO.
PLUMBING FEES
1ST FL. 13177SQ.
2ND FL.
POR. 5
GAR. 447 SQ.
CAR P.
WALL
ESTIMATED CONSTRUCTION
FT. 6 18e40 $ 24 232.00
UNITS
Parcel No. Z /7 ",,
774-275=TbLV aS I
Use No. Ck.by
/
Mech. Fee Dbl $ 22 50
PI. Ck. fee s
YARD SPKLR SYSTEM
SQ. FT. Ga
Lot Size
C
.50 Z 100 '
SQ. FT. Cat 4.00 229.00 MOBILEHOME SVC. BAR SINK
Legal Description
T *_ /gy8p �? x
Lot 10 Block.308. S V Y $ 28
FT. @6- 50 2,905.50 POWER OUTLET ROOF DRAINS
F 20
SQ. FT. (a} DRAINAGE PIPING
¢
s5
DRINKING FOUNTAIN
SQ. FT. Ga
Electrical Fee Dbl $ 29 81
SQ. FT. Ga URINAL
Gr �
VALUATION $ 27 358t. 00 1 WATER PIPING 2
DO
NOTE: Not to be used as property tax valuation
SMI Fee $ 1 99
SWIM POOL, PVT
Dbl $
37 W
FLOOR DRAIN
Pla�n�[Nf
/ O 1 �
Plan/fi/1�cker �•�+
l.0/%„�
MECHANICAL FEES
sector
SWIM POOL, COMM
! Denial. Fee
$
WATER SOFTENER
Const. Lender Branch
Address City Zip
'I certify that in the performapce oft a work for which this
not employ any person in any manner so bs to become subject
pensotion laws of California."
Owner Signature
Builder Signature
permit is issued I shall
to the workmen's com-
VENT SYSTEM 0 FAN ❑ EVAP. COOL ® HOOD
5 W
Witness Fee $
SIGN
$
1
WASHER IAUTOI�roISH1
4
)0
Zip
APPLIANCE C DRYER
300
y
212 30
Address 1
65+733 Perez Rd
1
GARBAGE DISPOSAL
Z
0
6. Received by
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
Contractor
Tel.
License #
LAUNDRY TRAY
Sewage System
f/j/J
,i wO LL
L /
pvX/%/
Address
AIR HANDLING UNIT CFM
Workers' Comp.
yes no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALLA U PER TO BECOME VOID.
I HEREBY AGREE THAT O WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV6RSIDE COUNTY D 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.
IDLE METER
i Sewer District
1- QC
f`= "
Form 284.2081Rev. 4.771 Os
I
KITCHEN SINK
2
0
ABSORPTION SYSTEM � B.T.U.
TEMP USE PERMIT SVC
2
WATER CLOSET
4
0
COMPRESSOR 34 T � HP
7 50
POLE, TEMP/PERM
2
LAVATORY
4
0
HEATING SYSTEM FORCED ❑ GRAVITY
4.00
AMPERES SERV ENT
7 00
SHOWER
BOILER � B.T.U.
SQ. FT. 6 ¢
2
BATH TUB
4
SQ. FT. 6 ¢
1
WATER HEATER
2
0
317
SQ. FT. RESID Ga 1'/.¢
16 46
1
SEWAGE DISPOSAL
14
"7
SQ. FT. GAR C 3/.¢
3 35
HOUSE SEWER
GAS PIPING
PERMIT FEE
300
1 PERMIT FEE
3 00
1
PERMIT FEE
3
DBL.
I TOTAL FEES
212.
MOB. HM. FEE
MICRO FEE
MECH. FEE
22.50
PL. CK. FEE
r
CONST. FEE
122.0(3
ELECT. FEE
29.81
SMI FEE
1.99'
FEE
PLUMB. FEE
37.00
PERMIT NO.
3486 14
Supp. Permit
Job Address 0 1? el ,r / +�S [j
54-705 Avenida �rji 49)92253
Space Zip
Owner
R.v. Cor .
Community
L4Quint8
Valuationc
is 27,358-00
(�
- Date Q
11-7-78
Di,,. _
11
Off.
I
F.C.
001
: MH Permit Fee E
Micro Film Fee Cop $
Use of Permit
Dwelling & Attached Garage
Parcel No. Z /7 ",,
774-275=TbLV aS I
Use No. Ck.by
/
Mech. Fee Dbl $ 22 50
PI. Ck. fee s
Set Backs
Lot Size
C
.50 Z 100 '
4
Construction Fee Dbl $ 121 00
Legal Description
T *_ /gy8p �? x
Lot 10 Block.308. S V Y $ 28
F 20
C
S5
¢
s5
R 22
Electrical Fee Dbl $ 29 81
Zone
Rai
Gr �
T
Unit/
SMI Fee $ 1 99
Plumbing Fee
Dbl $
37 W
Bond Amt.
$
Pla�n�[Nf
/ O 1 �
Plan/fi/1�cker �•�+
l.0/%„�
Final Dat
— S
sector
{�
kl Sp. Insp. ee $
! Denial. Fee
$
Const. Lender Branch
Address City Zip
'I certify that in the performapce oft a work for which this
not employ any person in any manner so bs to become subject
pensotion laws of California."
Owner Signature
Builder Signature
permit is issued I shall
to the workmen's com-
Reg istr. Fee $
Mileage Fee $
l g
Witness Fee $
Reinsp. Fee
$
Owner/AgentTel.
1y�L/
�t
R.V.tar ration
3288886
Zip
`
i Total Fees
y
212 30
Address 1
65+733 Perez Rd
City
Cathedral City
Zip
92234
M.O. C]N Cash [DCheck-
6. Received by
Contractor
Tel.
License #
!Trees required
tSAM
Sewage System
f/j/J
,i wO LL
L /
pvX/%/
Address
City Zip
Workers' Comp.
yes no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALLA U PER TO BECOME VOID.
I HEREBY AGREE THAT O WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWS OF RIV6RSIDE COUNTY D 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.
v nfiad by -
i Sewer District
1- QC
f`= "
Form 284.2081Rev. 4.771 Os