303337 (SFD)DEPARTMENT OF BIiIIDlNG & SAFETY FIELD OFFICE
BUILDING PERMIT ,�,�„ ,�
F M A M J J A S O N D
PERMIT NO37 .
03
OWNER
VVVIYI T Vr RIVCK�IUG
'
53-665 Ave. .Tvara:
Dlriocoll Dev.
DST
1
CONSTRUCTION
ESTIMATE
DATE
6-34-77
NO. ELECTRICAL FEES
OFFICE
IrAi
NO. PLUMBING FEES
M H PERMIT FEE
1 ST FL.
2ND FL.
POR. ze
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
Off►
UNITS
F.C.
SUPP. TO PERMIT
PE
SQ. FT. @ YARD SPKLR SYSTEM
NO.
SQ. FT. @ , MOBILEHOME SVC. BAR SINK
SQ. FT. @ / POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
&mlli & a t .aIs
I
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ 00 WATER PIPING
NOTE: Not to be used as property tax valuation
COPIES
SWIM POOL, PVT
FLOOR DRAIN
LEGAL DE RIPTION
MECHANICAL FEES
SWIM POOL, COMM
774-r 1
T -1 - 020
WATER SOFTENER
MECHANICAL FEE
DBL
VENT SYSTEM AN ❑ EVAP. COOL OOD
SIGN
ZONE SET BACK
WASHER (AUTO H)
GRP TYPE CK BY
APPLIANCE RYERi
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
�7
GARBAGE DISPC5SAL
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
.."w..,
KITCHEN SINK
R-1 1 91) S T S R
ABSORPTION SYSTEM B.T.U.
PLAN CHECK FEE
TEMP USE PERM SVC
$
WATER CLOSET
BOND AMT.
PLAN NO.
COMPRESSOR a ,..,.7—E�" HP
C
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEMRCED ❑ GRAVITY
BOILER B.T.U.
t��
AMPERES SERV ENT
SQ.FT. @ a
�j
70
SHOWER
BATH TUB
o►
e
DBL
SQ. FT. @ a
BRANCH OFFICE
WATER HEATER
Q.FT.RESID @ 1 I/na
G3
SEWAGE DISPOSAL6.Y>
ELECTRICAL FEE
DBL
$
SQ.FT.GAR @ 3/4a
CITY
HOUSE SEWER
(''/j%�f,/y►
,�r�
/
Z'II,• / y, r7
-74 GAS PIPING
100
$
PERMIT FEE
CX9
CONTRACTOR
IPERMIT -FEE
PERMIT FEE
ri a.;l Dev. Corp.
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MEC H. FEE
PL. CK. FEE
CONST. FEE EL
FEE
SMI FEE
FEE
PLUMB. FEE
F M A M J J A S O N D
JOB ADDRESS SP NO
OWNER
76
53-665 Ave. .Tvara:
Dlriocoll Dev.
77
COMMUNITY
La vint&
VALUATION
$
44
25 3.00
DATE
6-34-77
DST
11
OFFICE
IrAi
7s
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP. TO PERMIT
PE
MIT
NO.
&mlli & a t .aIs
I
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DE RIPTION
774-r 1
T -1 - 020
Lot 8 hl -193 unit Z9
MECHANICAL FEE
DBL
$
USE NO.
ZONE SET BACK
LOT SIZE
GRP TYPE CK BY
�7
.."w..,
R-1 1 91) S T S R
-
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER/
AL DATE
IZL
✓
/
�j
70
CONSTRUCTION FEE
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
N DER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
(''/j%�f,/y►
,�r�
/
Z'II,• / y, r7
STRONG MOTION
$
OWNER/AGENTS SIGNATURE 'f
CONTRACTOR
INSTRUMENTATION FEE
ri a.;l Dev. Corp.
SPECIAL INSP
$
ADDRESS
ADDRESS
DEMOLITONFEE
�4
REGISTRATION
-F.Vin
PLUMBING FEE
DBL
$
CIT ZIP cooE
CITY ZIP CODE
t�
"paintat
TOTAL FEES $
—51
TEL. NO. AREA CODE
TEL. NO.
AREA CODE
L CENSE
CASH ❑CHECK O.❑N.C.❑ 0.w
564-1159
RECEIVED BY :' TREES REQUIREDe
T IS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
w–.,,,
RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SEWAGE SYSTEM
�•
f`
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T LL
P �" !
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
COMPENSATIONINSURANCE 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 CALI ORNIA.