290602 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
I
J F M A M J J A S O N D
PERMIT NO,
906021
1
COUNTY OF RIVERSIDE
COMMUNITY
8 s T1i
VALOATION� DATE
$ > "7 27r
ST
11
DST
yy
CONSTRUCTION ESTIMATE.
M H PERMIT FEE
NO. ELECTRICAL FEES
$
NO. PLUMBING FEES
OFPER
USE MIT
F.C. SUPP. TO PERMIT PERMIT
1 ST FL. r-
' 2ND FL.
POR.
u
GAR.
CAR P. e "
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ %
"t1 '~ UNITS
thmUlmr- 46 At-rjtri
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ Q' 3 MOBILEHOME SVC. BAR SINK
MICROFILM FEE
i
SQ. FT. @ POWER OUTLET ROOF DRAINS
$
SQ. FT. @ irC3 coo• DRAINAGE PIPING
BOOK PAGE PARCEL
774-01%3-005
SQ. FT. @ DRINKING FOUNTAIN
MECHANICAL FEE
SQ. FT. @ URINAL
$
VALUATION $ 77 4&WATER PIPING
USE NO.
" NOTE: Not to be used as property tax valuation
SET BACK
SWIM POOL, PVT
GRP
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM_
WATER SOFTENER
/?_"'���v
S
VENT SYSTEM NIFAN ❑ EVAP. COOL E3+<HOOD
5 4
SIGN
9
R . 32
WASHER(AUTO)(DIS
$
APPLIANCE DRYER
Tis
PLAN NO. .
PLAN CHECKER
GARBAGE DISPOSAL
- r=/
DBL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
NAME OF CONST. LENDER BRANCH
OFFICE
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
lx. S3 O
$
y
� l
ABSORPTION SYSTEM B.T.U.
ADDRESS CITY
f
TEMP USE PERM SVC
STATE
WATER CLOSET
�jr Lt�1
p
$
!
COMPRESSOR HP
' {3,
POLE, TEMP/PERM
SPECIALINSP
DEMOLITON
REGISTRATION
LAVATORY
C? (;
HEATING SYSTEM [FORCED ❑GRAVITY
?" Ems+ tf��
E AMPERES SERV ENT
SHOWER
M Z.
PLUMBING FEE
BOILER B.T.U.
$
SQ.FT. @ a
CITY ZIP CODE CITY
BATH TUB
� C�
0
Palau Desert 3
SQ.FT. @ a
TOTAL FEES $
CASH❑CHECK .O.❑N.C.❑
WATER HEATER
TEL. NO. AREA
3" .0100
CODE TEL,
f
NO.
AREA CODE
�? SQ.FT.RESID @ 1V4a
r.y '"
SEWAGE DISPOSAL
SEW61 ,AGE SYSTEM
T i�jU{ LL
p 'x /
SQ.FT.GAR @ 3/4a
y
HOUSE SEWER
GAS PIPING
.
PERMIT FEE
J � ()
�' PERMIT fEE
•, �,
� PERMIT FEE
''7,
-
DBL.
I TOTAL FEES
IMOB,IIM,FEEI
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
oe
SMI FEE
FEE
PLUMB, FEE
J F M A M J J A S O N D
JOB ADDRESS SP NO OWNER
I
53-330 AveiAJa Va leioI lim-1S ST
76
77
COMMUNITY
8 s T1i
VALOATION� DATE
$ > "7 27r
ST
11
OFFICE
;
78
M H PERMIT FEE
$
OFPER
USE MIT
F.C. SUPP. TO PERMIT PERMIT
NO.
thmUlmr- 46 At-rjtri
MICROFILM FEE
COPIES
/V
$
BOOK PAGE PARCEL
774-01%3-005
LEGAL DESCRIP ION
Lot 20, Block Znj} 'Unit 21
MECHANICAL FEE
DBL
$
USE NO.
ZONES
SET BACK
LOST
GRP
TYPErck-BY
/y
YY
/SIIZEy /��
SQX10tl
/?_"'���v
S
I 2
S Jr
S S'
9
R . 32
PLAN CHECK FEE
$
BOND AMT.
PLAN NO. .
PLAN CHECKER
FINAL DATE INSPECTOR
CONSTRUCTION FEE'
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
-=LECTRICAL FEE
DBL
$
y
� l
70A
ADDRESS CITY
f
STATE
STRONG MOTION
INSTRUMENTATION FEE
p
$
!
s
j �•:
OWNER/AG iJT SIG @%� CONTRACTOR
�`a _ W. Weiss
SPECIALINSP
DEMOLITON
REGISTRATION
FEE
$
ADD SS ADDRESS
74-340 Da"za way
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
0
Palau Desert 3
TOTAL FEES $
CASH❑CHECK .O.❑N.C.❑
TEL. NO. AREA
3" .0100
CODE TEL,
f
NO.
AREA CODE
LICENSE v
RECEIVED BY TREES REQUIRED
THIS IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORP M
K 20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I H AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
E TION I
SEW61 ,AGE SYSTEM
T i�jU{ LL
p 'x /
- 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
SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS. CODE OF THE STATE
FORM 284-208 (REV. 6-76) OF CALIFORNIA.