303338 (SFD)BUILDING PERMIT
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE
J F I M A M J J A S Q N D
PERMIT
O3.
OWNER
Driscoll Dov.
NO3
77
COMMUNITY
3,a Quiuta
VALUATION
$
25,334.00
DATE
6-30.77
DST
11
OFFICE
indil
DST
CONSTRUCTION
ESTIMATE
$
NO. ELECTRICAL FEES
NO. PLUMBING FEES
F.C.
1ST FL. -
2ND FL.
POR. Jq
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
SQ. FT. @
UNITS
YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SO. FT. @rA: POWER OUTLET ROOF DRAINS
001
I
SQ. FT. @ DRAINAGE PIPING
3338
SQ. FT. @ DRINKING FOUNTAIN
COPIES
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
0
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
774- 10? 018
Lot 2, Muck 193s unit 19 '
MECHANICAL FEES
DBL
ISWIM POOL, COMM
WATER SOFTENER
USE NO.
ZONE
VENT SYSTEM AN ❑ EVAP. COOL OOD
Q
SIGN
WASHER(AUTO H)
4
CK BY
APPLIANCE WRYER
CC1
GARBAGE DISPISSAL
Rw1
FURNACE ❑ UNIT ❑ WALL [:1 FLOOR ❑ SUSPENDED
Ar
LAUNDRY TRAY
�j
I 2@
5
AIR HANDLING UNIT CFM
R131
IDLE METER
KITCHEN SINK
�lCi
ABSORPTION SYSTEM B.T.U.
PLAN NO.
TEMP USE PERM SVC
WATER CLOSET•
COMPRESSOR .a, HP
POLE, TEMP/PERMLAVATORY
t,V
HEATING SYSTEM ORCED ❑GRAVITYoe!
MPERES SERV ENT
SHOWER
$
BOILER B.T.U.
OFFICE
SQ.FT. @ a
BATH TUB
!i
SQ.FT. @ a
WATER HEATER
ELECTRICAL FEE
DBL
$
Q.FT.RESID @ 11/4a
SEWAGE DISPOSAL
01"?
SQ.FT.GAR @ 3/44
HOUSE SEWER
STRONG MOTION
$
GAS PIPING
INSTRUMENTATION FEE
PERMIT FEE
470
PERMIT FEE
PERMIT FEE
'SPECIALINSP
DBL.
TOTAL FEES
IMOB.HM.FEEI MICRO FEE
MM FEE
PL. CK. FEE
CON/ST. FEE EL
.FEE SMI FEE
FEE
PLU713.FEE
J F I M A M J J A S Q N D
JOB ADDRESS I SP NO
53-605 Ave. Juarez
OWNER
Driscoll Dov.
76
77
COMMUNITY
3,a Quiuta
VALUATION
$
25,334.00
DATE
6-30.77
DST
11
OFFICE
indil
78
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP. TO PERMIT
PERMIT NO.
Dwelling & Att. Garage
001
I
297422
3338
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
774- 10? 018
Lot 2, Muck 193s unit 19 '
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOTSIZE
GRP
TYPE
CK BY
!/��✓�
�..��
Rw1
//���
50r] VVI
Ar
N b!
�j
I 2@
5
S 4
R131
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKERFINAL
DATE INSPECTOR
f
t,V
CONSTRUCTION FEE
DBL
$
NAME OF CONST, LENDER Jr BRANCH
OFFICE
NO LE DER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
`T!
STRONG MOTION
$
OWNER/AGENTS SIGNATURE CONTRACTOR
INSTRUMENTATION FEE
Driscoll Dov. Corp.
'SPECIALINSP
$
ADDRESS ADDRESS
DEMOLIT
FEE
REGISSTRATTIION
P.O. Box 917
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
I
Lar?uats 52253
TOTAL FEES m)0- $
TEL. NO. AREA
CODE TEL,
NO,
AREA CODE
LICENSE 4
CASH [)CHEC .O.0N.C.❑
5&4-11551
714
RECEIVED BY TREES REQUIRED
PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
n
ORnFOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
,SEWAGE SYSTEMT-� /�
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
r LL P /et
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
i(IAA DC AIf A
ovnrrvi.� 1111-)ry /VR 1:A91LVTttJ. L.VMPUANCt WI IH IME 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 284.208 (REV. 8-78) _ SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.