303503 (SATT). BUILDING PERMIT DEPARTMENT _ OF _ BUILDING & SAFETY
- __
FIELD OFFICE
J F M A M J J A S O N D
PERMIT NO.
5
l
76
--mu i I Vr RIYCR�IuC
COMMUNITY
VALUATION
DATE
,
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
7-33-77
NO. PLUMBING FEES
Incl.
78
1 ST FL. r" 'moi '
2ND FL.
FOR.
GAR. .���- •
CAR P.
WALL SQ.
ESTIMATED CONSTRUCTION
SQ. FT. @ f $ _'r w h� C.
UNITS
USE OF PERMIT
Dwelling & Att. Garage
I F,C.
001
SQ. FT. @ YARD SPKLR SYSTEM
`ldJ�l
SQ. FT. @ rix %> �-«� MOBILEHOME SVC. BAR SINK
t�
SQ. FT. @ a' �+.F POWER OUTLET ROOF DRAINS
L•�r +� .}�.
COPIES
SQ. FT. @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
LEGAL DESCRIPTION
aWit',' WATER PIPING
VALUATION $tS" 77
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Lot 11, B1-238, Unit 22
FLOOR DRAIN
DBL
$
MECHANICAL FEES
ZONE
SET BACK
SWIM POOL, COMM
GARP
WATER SOFTENER
VENT SYSTEM 5 FAN ❑ EVAP. COOL Q;,,QOOD
e
SIGN
�� y�
a 5oia 7
WASHER (AUTO) (DISH)
V—�CK
LBY
i ba
APPLIANCE *DRYER
1,
0 Yc<
ry
2.,
PLAN CHECK FEE
GARBAGE DISPOSAL
$
r
BOND AMT.
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
PLAN CHECKER
FINAL DATE INSPECTOR
LAUNDRY TRAY.
AIR HANDLING UNIT CFM
J
IDLE METER
CONSTRUCTION FEE
KITCHEN SINK
$
ABSORPTION SYSTEM 0 B.T.U.
OFFICE
NOLEN ERINVOLVED
TEMP USE PERM SVC
WATER CLOSET
d
w,ys2
COMPRESSOR HP
ELECTRICAL FEE
^F
POLE, TEMP PERM
tR' LAVATORY
h
STATE
HEATING SYSTEM FORCED ❑GRAVITYt
W5�
F' awa
AMPERES SERV ENT
SHOWER '
STRONG MOTION
$
BOILER B.T.U.
OWNER/AGENTS SIGNATURE CONTRACTOR
SQ.FT. @ a
BATH TUB
r=
Robert bcOTis
'SPECIALINSP
SQ.FT. @ a
$
WATER HEATER
/?
DEMOLITON
FEE
f)7SQ.FT.RESID
@ 1 Y4a
SEWAGE DISPOSAL
REGISTRATION
-
SQ.FT.GAR @ 1/4¢
J 4,,t
HOUSE SEWER
37-075 Falco Meta
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
GAS PIPING
�3
PERMIT FEE"
`f
PERMIT FEE
iYL7
PERMIT FEE
CODE TEL.
NO,
AREA CODE
DBL.
I TOTAL FEES
vi. two •s fi
MOB. HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
�� - -',.o-. %.n
CONST. FEE
p♦ d> N � •
ELECT. FEE
t > � ai
SMI FEE
a 1- �",;.,,
FEE
PLUMB. FEE
"^ +r.Pjr F ry
J F M A M J J A S O N D
JOB ADDRESS I SP NO
53-955 Avenida Velasco
OWNER '
R. V. CORP.
76
77
COMMUNITY
VALUATION
DATE
DSTOFFICE
LA quIST,A
$ 25,970.€ 0
7-33-77
ll
Incl.
78
M H PERMIT FEE
$
USE OF PERMIT
Dwelling & Att. Garage
I F,C.
001
SUPP. TO PERMIT PE$MIT
`ldJ�l
NO03503-
5
MICROFILM
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
774- 361-- 023-4
Lot 11, B1-238, Unit 22
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GARP
TYPE
y� {
EC -1
�� y�
a 5oia 7
�}
$--3
V—�CK
LBY
i ba
JAR
I 201S
� �S3R
�*
ry
2.,
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
J
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NOLEN ERINVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
h
STATE
W5�
F' awa
STRONG MOTION
$
OWNER/AGENTS SIGNATURE CONTRACTOR
INSTRUMENTATION FEE
r=
Robert bcOTis
'SPECIALINSP
$
ADDRESS ADDRESS
DEMOLITON
FEE
REGISTRATION
-
37-075 Falco Meta
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
�3
Raacho W rage, CA 92270
TOTAL FEES $
TEL. NO. AREA
CODE TEL.
NO,
AREA CODE
LICENSE #
CASHEIcHECK O.DN.C. 0
328-3368
734
1
246119 .
RECEIVED BY + ' TREES REQUIRED
I SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SEWAGE SYSTEM
� I
I BY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T %�-''++i
Ll
P f- y
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
FORM 284-208 (REV. 6-761 -
uvrLVICCJ. I. V/V\r LIHIV I_C min InC LAVVJUr InC JIA IC Ur
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED -
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.