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303500 (SATT)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE BUILDING PERMIT NSURANCE 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 284.208 (REV. 676) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. PERMIT NO. OWNER R. V. COP. Vr RIYCRIIJ VVV171 I �C COMMUNITY VALUATION DST CONSTRUCTION ESTIMATE OFFICE NO. ELECTRICAL FEES La luinttt NO. PLUMBING FEES 7-11-77 1ST FL. °"J 2ND FL. ! POR. 11 GAR. 'L CAR P. EE]SQ. WALL ESTIMATED CONSTRUCTION SQ. FT. @ 4E -r$ UNITS M H PERMIT FEE $ SQ. FT. @ YARD SPKLR SYSTEM USE OF PERMIT SQ. FT. @ ��� �'. �.,,;,,.f MOBILEHOME SVC. BAR SINK SUPP. TO PERMITPERMIT SQ. FT. @ POWER OUTLET ROOF DRAINS FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL DMIU114; SI Att. Garage VALUATION $ WATER PIPING,' I3 NOTE: Not to be used as property tax valuation SWIM POOL, PVT MICROFILM FEE FLOOR DRAIN, $ MECHANICAL FEES LEGAL DESCRIPTION ' SWIM POOL, COMM WATER SOFTENER 774 - 164- 022 VENT SYSTEM fFAN ❑ EVAP.000L [HOOD r" +$,a SIGN $ F' WASHER (AUTO)(DIS1:1) USE NO. ZONE APPLIANCE ['DRYER LOT SIZE GRP TYPE CK GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL. ❑ FLOOR ❑ SUSPENDED R-1 LAUNDRY TRAY R-3 AIR HANDLING UNIT �20 IDLE METER S 5' KITCHEN SINK e lfl ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC PLAN NO. WATER CLOSET ` tx .J COMPRESSOR HP J ;. POLE, TEMP/PERM !-,LAVATORY } _CHECKER HEATING SYSTEM FORCED Cl GRAVITY �;' f, AMPERES SERV ENT :e.. SHOWER NAME OF CONST. LENDER BRANCH BOILER T. U. NO LEND RINVOLVED SQ.FT. @ a BATH TUB SQ. FT. "@ a DBL WATER HEATER ADDRESS CITY STATE F .."'?SQ.FT.RESID @ 11/44 �r _ t SEWAGE DISPOSAL SQ.FT.GAR @/4a HOUSE SEWER � OWNER/AGENT'S SIGNATURE CONTRA CTOR ,d. .INSTRUMENTATION FEE GAS PIPING ti` PERMIT FEE}hCG PERMIT FEE PERMIT FEE �� ADDRESS ADDRESS DBL. TOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE- PL CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE NSURANCE 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 284.208 (REV. 676) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. JOB ADDRESSI SP NO 53.911 Avenida Velasco I OWNER R. V. COP. 76 77 COMMUNITY VALUATION DATE DST OFFICE La luinttt $ 25,970.00 7-11-77 11 Trx!II 78 M H PERMIT FEE $ USE OF PERMIT F.C. SUPP. TO PERMITPERMIT NO. DMIU114; SI Att. Garage 001 I3 03501 MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGAL DESCRIPTION ' 774 - 164- 022 3 Lot 30, B1-238, UnLt 22 MECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT SIZE GRP TYPE CK BY R-1 +?z1i� R-3 �20 S 5,' S 5' R ?3r r PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN FINAL DATE INSPECTOR } _CHECKER CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LEND RINVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ � OWNER/AGENT'S SIGNATURE CONTRA CTOR ,d. .INSTRUMENTATION FEE ,. _OYs SPECIALINSP $ ADDRESS ADDRESS DEMREGISOTIION FEE TRAT 37-075 Palm View PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE Rancho Mirage CA, 92270 TOTAL FEES $ TEL. NO. AREA CODE TEL. NO. AREA CODELICENSE a CASH ❑CHECK .O.❑N.C.❑ q �� ✓ �5 328-3368 I 714 246119 ;RECEIVED BY TREES REQUIRED T.�i).SMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF ((�JRRIIff' 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. AGREE THAT ALL WORK IN COI NECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE L$EWAGE SYSTEM r �p T :%.:'rt.•i LL p , %'r „/� THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY, MPENSATION I NSURANCE 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 284.208 (REV. 676) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.