303522 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & -SAFETY
FIELD OFFICE
J F M A M J J A S O N D
PERMIT NO .
��
76
�.VV171 t Vr RIYCRJIVC
�'
VALUATION
DATE
DST
A
CONSTRUCTION ESTIMATE
LA QMWA
NO. ELECTRICAL FEES
7-11-77
NO. PLUMBING FEES
IndL
1ST FL. !� SQ.
2ND FL.
FOR. ; ..
GAR. �'
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT.@
UNITS
USE OF PERMIT
F.C.
r
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ .�:`' _' }�� 'i MOBILEHOME SVC. BAR SINK
SQ. FT. @ J' � ` �,...* POWER OUTLET ROOF DRAINS
FT. @ h DRAINAGE PIPING
Dwelling � Att. Garags
FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $:. WATER PIPING
COPIES
NOTE: Not to be used as property tax valuation
BOOK PAGE PARCEL
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL.FEES
9 Lot 7, DI -282 Unit 26
MECHANICAL FEE
SWIM POOL, COMM
$
WATER SOFTENER
USE NO.
ZONE
VENT SYSTEM FAN ❑ EVAP.000L HOOD
,
t)
SIGN
CK BY
WASHER(AUTO)(D"-
5'
5'
APPLIANCEDRYER
wt,
i GARBAGE DISPOSAL
5t 100
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
�.PE
LAUNDRY TRAY
AIR HANDLING UNIT CFM
s
IDLE METER
R
KITCHEN SINK
'4 C`-1
ABSORPTION SYSTEM B.T.U.
PLAN CHECK FEE
TEMP USE PERM SVC
WATER CLOSET
<'*j
CHECKER
COMPRESSOR HP
POLE, TEMP/PERM
—LAVATORY
212
HEATING SYSTEM [.FORCED ❑ GRAVITY
,�'- <Y
C%
B jc, ;AMPERES SERV ENT
DBL
SHOWER,
NAME OF CONST. LENDER BRANCH
BOILER B.T.U.
NO L R INVOLVED
SQ.FT. @ a
^ : BATH TUB"
<y{
ELECTRICAL FEE
DBL
SQ.FT. @ a
WATER HEATER
STATE
F ; ^ tSQ.FT.RESID @ 11/4a
SEWAGE DISPOSAL
f Q9 c"0
«, SQ.FT.GAR @ 1/4a
`> i
HOUSE SEWER
STRONG MOTION�p
OWNER/AGENTS SIGNATURE CONTRACTO
Gam- �I}.
INSTRUMENTATION FEE
GAS PIPING
t7
PERMIT FEE ''
t•
PERMIT FEE
1PERMIT FEE
$
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
J
MECH. FEE
PL. CK. FEE
I CONST. FEE
ELECT. FEE
SMI FEE
�'T
FEE
PLUMB. FEE
J F M A M J J A S O N D
JOB ADDRESS SP NO
I
54-145 Avenida Velasco I
OWNER
R. V. COU.
76
77
COMMUNITY
VALUATION
DATE
DST
OFFICE
LA QMWA
$ 25,970.0€3
7-11-77
11
IndL
78
M H PERMIT FEE
$
D
USE OF PERMIT
F.C.
SUPP. TO PERMIT- PERMIT
NO,
Dwelling � Att. Garags
00303522
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
11 774244 a
9 Lot 7, DI -282 Unit 26
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
CK BY
is
5'
5'
25
5t 100
�.PE
s
s
R
8�-
bs
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.PLAN
CHECKER
FINAL DATE INS,P�`�°R
F
212
Belgeu
,�'- <Y
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO L R INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
40,r
STRONG MOTION�p
OWNER/AGENTS SIGNATURE CONTRACTO
Gam- �I}.
INSTRUMENTATION FEE
Prohert Sons
'SPECIAL
$
ADDRESS ADDRESS,
INSP
DEMOLITON
FEE
REGISTRATION
37-375 Palm View
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
r
`
r 3SO
I
I Rancho Mirage, CA 92270
TOTAL FEES $
TEL. NO. AREA
CODE TEL,
NO.
AREA CODE
LICENSE
CASH ❑CHECK, .O.QN.C. r--"''�
328-33'8
714
246119
P
RECEIVED BY TREES REQUIRED
HIS MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
SEWAGE SYSTEM
T 'X'jr
LL
P " ; !�
'^ T LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
('fIAA DG AIC. TIl 11 I-. Al---
FORM 284-208 (REV. 6-76)
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.