303519 (SATT)• DEPARTMENT OF BUILDING 8 SAFETY
FIELD OFFICE
BUILDING PERMIT . ,.,�, — �,,,e, ,,�� ,
J F M A M J J A S O N D
PERMIT NO.i
5
OWNER
1, V. ca"_
76
k.-UN11 Vr RIYCnZowr
�'
VALUATION
DATE
DST
CONSTRUCTION ESTIMATE
LA QUIRTA
NO. ELECTRICAL FEES
7-11-77
NO. PLUMBING FEES
Ind",
78
1 ST FL. i �'
2ND FL.
POR. `-l4
GAR. :`
CAR P. EEJSQ.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ s ,'J -/>f
`� r
UNITS
USE OF PERMIT 7��jSUPP.
& Att. Garage
TO PERMIT PEQ
IIT
lJd�
SQ. FT. @ u .q YARD SPKLR SYSTEM
SQ. FT. MOBILEHOME SVC. BAR SINK
COPIES
SQ. FT. @z, -n> f^ POWER OUTLET ROOF DRAINS
r .
FT. @ DRAINAGE PIPING
LEGAL DESCRIPTION
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ r" J y+; s :. is WATER PIPING
-8 Lot 8, bi-334 Unit 28
NOTE: Not to be used as property tax valuation
DBL
$
SWIM POOL, PVT
USE NO.
FLOOR _DRAIN
SET BACK
LOT SIZE
GRP
MECHANICAL FEES
CK BY
SWIM POOL, COMM
WATER SOFTENER
R-1
5Jx1�3C!
VENT SYSTEM FAN ❑ EVAP. COOL [„HOOD
V-
re
SIGN
S S' Is
WASHER (AUTO)(D
R 25
C
APPLIANCE RYER
;•
- .+
PLAN NO.
PLAN CHECKER
v GARBAGE DISPOSAL
ECTOR
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
CONSTRUCTION FEE
DBL
AIR HANDLING UNIT CFM
NAME OF CONST. LENDER BRANCH
IDLE METER
NO LENDER INVOLVED
KITCHEN SINK
_ L)
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
)',WATER CLOSET
f
COMPRESSOR="l: ';" HP
POLE, TEMP/PERM
ELECTRICAL FEE
',LAVATORY
$
ADDRESS CITY
HEATING SYSTEM El FORCED ❑ GRAVITY
{
STATE
l - J, AMPERES SERV ENT
s.!
SHOWER
s„9
BOILER B.T.U.
SQ.FT. @ a
-2 BATH TUB
STRONG MOTION
SQ. FT. @ a
$
i WATER HEATER
OWNER/AGENTS SIGNATURE CONTRACT
++O
INSTRUMENTATION FEE
,�?fSQ.FT.RESID @ 1 Y4a
r s' r�
f SEWAGE DISPOSAL
$
ADDRESS ADDRESS
Y: ;,7;'SQ.FT.GAR @ 3/4a
:% �a.
HOUSE SEWER
37-075 Palm View
PLUMBING FEE
DBL
$
GAS PIPING
J Aa,
ZIP CODE
PERMIT FEE
✓" a'A
PERMIT FEE
C P�
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEEMI
FEE
FEE
PLUMB. FEE
J F M A M J J A S O N D
JOB ADDRESS SP NO
54-645 Avenida Velasco I
OWNER
1, V. ca"_
76
77
COMMUNITY
VALUATION
DATE
DST
OFFICE
LA QUIRTA
$ 25,973, 00
7-11-77
11
Ind",
78
M H PERMIT FEE
$
USE OF PERMIT 7��jSUPP.
& Att. Garage
TO PERMIT PEQ
IIT
lJd�
NO.DwIling
03519-
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
774. 283 0
-8 Lot 8, bi-334 Unit 28
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
TYPE
CK BY
n y
R-1
5Jx1�3C!
R-3
V-
bs
2i�
S S' Is
.5"
R 25
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAQ`DAj�( �y I,NSI
-7
ECTOR
,l) -s
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFIC
NO LENDER INVOLVED
J
ELECTRICAL FEE
DBL
$
ADDRESS CITY
,
STATE
s„9
STRONG MOTION
$
OWNER/AGENTS SIGNATURE CONTRACT
INSTRUMENTATION FEE
Froben & Sons
SPECIAL INSP
$
ADDRESS ADDRESS
DEM
REGISTRATTIION
FEE
37-075 Palm View
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
Rambo Mirage, CA 322701
TOTAL FEES 2)0.
$
TEL. NO. AREA
CODE TEL.
NO.
AREA CODE
LICENSE c
CASH❑CHECK .O.❑N,C.❑
t
328-336
714
246119
I
RECEIVED BY
TREES REQUIREDSHALL
BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SEWAGE SYSTEM
IEBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T
ILL
P �'
H THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
C-UMPtINDA I IUN INJUKANLt UPON MY tMPLOYEE5. COMPLIANCE WITH THE LAWS OF THE STATE OF
CALIFORNIA COVERING CONTRACTORS 15 ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.