303530 (SATT)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT ,�,�„ ,�� ,
'
J F M A M J J A S O N D
PERMITNO.
OWNER
+VVI\1 1 Vr RIYCICm,jr.
.111W'
COMMUNITY
VALUATION
DST
tI
CONSTRUCTION ESTIMATE
OFFICE
NO. ELECTRICAL FEES
OUINTA
'NO. PLUMBING FEES
7-11-77
1 ST Fl. R f- !%
2ND FL.
POR. el 'r,
GAR. %%
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ % f '$ . : % ee F' " UNITS
78
M H PERMIT FEE
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ `2 / . f{)� =� MOBILEHOME SVC. BAR SINK
F.C.
�f%, POWER OUTLET ROOF DRAINS
SQ. FT. @ r a .-
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ ±?" El1w, !;%- WATER PIPING
41 (; G
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
COPIES
$
MECHANICAL FEES
BOOK PAGE -PARCEL
774Z 21Z
SWIM POOL, COMM
MECHANICAL FEE
WATER SOFTENER
$
VENT SYSTEM a FAN ❑ EVAP. COOL HOOD
r ('
SIGN
GRP
WASHER (AUTO)(DISkt).G
BY
APPLIANCE ❑;rDRYER.
< , #'
GARBAGE DISPOSAL
:i ~s
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
S R X
IDLE METER
'i
KITCHEN SINK
PLAN CHECK FEE
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
PLAN NO, PLAN CHECKER
E .WATER CLOSET
COMPRESSOR{„ HP
1. " '/,j
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM [{FORCED ❑ GRAVITY
,%l` {'? C?
rhe,"AMPERES SERV ENT
i,<
SHOWER
BRANCH OFFICE
NO LE VOLVED
BOILER B.T.U.
SQ. FT. @ ¢
BATHTUB
ELECTRICAL FEE
DBL
SQ. FT. @ a
WATER HEATER
CITY
STATE
: e ,7.rrSQ.FT.RESID @ 11/4a
! :1'
f SEWAGE DISPOSAL
-
`X_4,e SQ.FT.GAR @ s/411
�_` fpr
HOUSE SEWER
STRONG MOTION
$
GAS PIPING
;'. 0
INSTRUMENTATION FEE
PERMIT FEE
'"?
PERMIT FEE
F
PERMIT FEE
' d
DBL.
I TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
'
J F M A M J J A S O N D
JOB ADDRESS SP NO
I
54-175 Avenida Velasco
OWNER
76
77
COMMUNITY
VALUATION
DATE
DST
OFFICE
OUINTA
25.974
7-11-77
i3
I T.ndic
78
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP. TO PERMIT.PERMIT
NO.
rara
I303530
MICROFILM FEE
COPIES
$
BOOK PAGE -PARCEL
774Z 21Z
LEGAL DES IPTION
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK LOT SIZE
GRP
TYPE
BY
„r
ICK
S R X
-3
V-14
bs
PLAN CHECK FEE
$
BOND AMT.
PLAN NO, PLAN CHECKER
FINAL DATE INSPECT
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LE VOLVED
f ✓
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
STRONG MOTION
$
OWNER/AGENTS SIGNATURE
CONTRACTOR .
INSTRUMENTATION FEE
'SPECIAL
$
ADDRESS
ADDRESS
INSP
DEMOLITON
FEE
REGISTRATION
-75
T I
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
1R >Ili° a
TOTAL FEES$
TEL. NO.
TEL, NO,
AREA CODE
LICENSE x
F, F' ri
j
f68
77E
CASH ❑CHECK .O.❑N. -.❑ "{
328
71A:
246119
RECEIVED BY TREES REQUIRED
S" &IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
fR 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 ,���rLL
P
HE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY,DFAIC A Tlnll 1—I1
V 1CCJ. I. IY\r LIMINI C —In IHL LF YYJ V17 1 nC a I A 1 C VI -
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
FORM 284-208 (REV. 6-761 OF CALIFORNIA.