303525 (SFD)• -
DEPARTMENT OF BUILDING & SAFETY' FIELD OFFICE
BUILDING PERMIT CO NTY E �I
IJ
PERMIT NO,
0352 5
OWNER
it. V. coup.
OF RIV &SIDE
76
DST
ESTIMATE
VALUATION
NO. ELECTRICAL FEES
DST
NO. PLUMBING FEES
rCONSTRUCTION
1 ST FL. + + SQ.
2ND FL.
FOR.
GAR. f✓ *
CAR P.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @ JP "tL3 n 2 , f `'' ' t
UNITS
II
Isdil
78
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ % U<.. _ 0, MOBILEHOME SVC. BAR SINK
SQ. FT. @ .' POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
MIT
FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION Is g!c '2 --w WATER PIPING
O
NOTE: Not to be used as property tax voluation
SWIM POOL, PVT
FLOOR DRAIN
COPIES
$
MECHANICAL FEES
BOOK PAGE PARCEL
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM X, FAN ❑ EVAP. COOL E1 HOOD
A (aQ
SIGN
DBL
),WASHER (AUTO) (DISH
USE NO.
APPLIANCE DRYER+,
BACK
LOT SIZE
GRP
GARBAGE DISPOSAL±
Y1 C
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
g-3
9- bs
AIR HANDLING UNIT CFM
!it
IDLE METER
KITCHEN SINK
{s O
ABSORPTION SYSTEM 0 B.T.U.
TEMP USE PERM SVC
S
.oc '7 WATER CLOSET
` 0, rtj
COMPRESSOR' "(r� HP
PLAN CHECK FEE
POLE, TEMP/PERM
$
' LAVATORY
y� _
PLAN NO,
HEATING SYSTEM EE 'FORCED ❑ GRAVITY
f L} U
OVIAMPERES SERV ENT
�y^--� T. 6
SHOWER
BOILER T. U.
SQ.FT. @ a
s BATH TUB
`. es
CONSTRUCTION FEE
DBL
SQ. FT. @ a
WATER HEATER"}
OFFICE
NO LEND &INVOLVED
�wt �Q.FT.RESID @ 11/ea
6
SEWAGE DISPOSAL)
ELECTRICAL FEE'
DBL
f41.4/SQ.FT.GAR @ 3/4a
";. drr
HOUSE SEWER
z
STATE
GAS PIPING
STRONG MOTION
PERMIT FEE
s
PERMIT FEE
r Ci
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
- FEE
PLUMB. FEE
J F .M A M J J A S O N D
JOB ADDRESS I SP NO
$4-390 Avesid8' Ita3l@
OWNER
it. V. coup.
76
77
COMMUNITY
VALUATION
DATE
DST
OFFICE
1A QUI
$ 25,970.00
7-I1-77
II
Isdil
78
M H PERMIT FEE
$
USE OF PERMIT
SUPP. TO PERMIT PE
MIT
NO.Duelling
& Att. Garage7Z-
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
774- 235-
$ Lot 19, EI -264, Unit 24
MECHANICAL FEE
DBL
$
USE NO.
ZONESET
BACK
LOT SIZE
GRP
TYPE • CK BY
swoo
g-3
9- bs
!it
S' 25•
120'
S
S
PLAN CHECK FEE
$
BOND AMT.
PLAN NO,
PLAN {qCHECKER
FINAL/OAT
INSPECTOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LEND &INVOLVED
>�
6
ELECTRICAL FEE'
DBL
$
ADDRESS CITY
z
STATE
STRONG MOTION
s
OWNER/AGENTS SIGNATURE CONT&
CTO& - I 4
INSTRUMENTATION FEE
i'
Probert S g
SPECIAL INSP
$ -
ADDRESS ADDRESS
DEMOLITON
REGISTRATION
FEE
.17-075 Paha View
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
?/
e' Ej
RslW1114 JKirag*, CA 9'2270
f
TOTAL FEES $
TEL. NO. AREA
CODE TEL,
NO.
AREA CODE
LICENSE 4
CASH OCHECKC�(A.O.E)N.C.
1,41
328"3
714
2"129
RECEIVED BY TREES REQUIRED.
FWIT SHALL BECOMEVOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
�_IIHTJHE
SEWAGE SYSTEMr
AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCET
a"'67' LL P a- 11 f
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
CUMPtNSAI ION 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
FORM 284-20e (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.