303333 (SFD)DEPARTMENT OF BUILDING & SAFETY
BUILDING PERMIT ,.,,,,,k,T„ ,ter ft, m•e — I
FIELD OFFICE
J F M A M J A S Q N D
PERMIT NO.
'Raw
VVVIrI 1 Vr RIYGR7IVC
77
COMMUNITY
LA '. uim
VALUATION
$ 25,344.00
DST
DST I
11
303 33
78 T
M H PERMIT FEE
$
USE OF PERMIT
i�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST Fl. 't04 SQ. FT. @f %'� $ ►
0
UNITS
dwelling, & Act. garage
00i
297413
2ND FL. SQ. FT. @
YARD SPKLR SYSTEM
COPIES
POR. SQ. FT. @ Oaf
.v-0
MOBILEHOME SVC.
LEGAL DESCRIPTION
BAR SINK
GAR. SQ. FT. @ �
S'm
POWER OUTLET
Lot 8, block 199, Unit 19
ROOF DRAINS
DBL
CAR P. SQ. FT. @
USE NO.
ZONE
DRAINAGE PIPING
SIZE
WALL SQ. FT. @
TYPE CK BY
DRINKING FOUNTAIN
SQ. FT. @
R-1
5f)x1J0
R-3
URINAL
I 201S
ESTIMATED CONSTRUCTION VALUATION $
QO
R 13
PLAN CHECK FEE
WATER PIPING
$
NOTE: Not to be used os property tax valuation
BOND AMT.
SWIM POOL, PVT
PLANH/ECKER
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM AN ❑ EVAP. COOL OOD
CONSTRUCTION FEE
SIGN
$
WASHER (AUTOH)
NAME OF CONST. LENDER BRANCH
OFFICE
APPLIANCE RYER
00
;e GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
ELECTRICAL FEE
DBL
$
LAUNDRY TRAY
ADDRESS CITY
AIR HANDLING UNIT CFM
STRONG MOTION
INSTRUMENTATION FEE
IDLE METER
$
KITCHEN SINK
00
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
ADDRESS ADDRESS
COMPRESSOR HP
DEMOLITON
POLE, TEMP/PERM
LAVATORY
00
HEATING SYSTEM ORCED ❑ GRAVITYOc9
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ.FT. @ a
PLUMBING FEE
BATH TUB
[>ch
s�
CIT v ZIP CODE CITY
` ulnta, 015253
ZIP CODE
SQ. FT. @ a
I WATER HEATER
40
NO.
AREA CODE
LICENSE 4
Z-ZO.FT.RESID @ 11/4a
a
SEWAGE DISPOSAL
0
44 SQ.FT.GAR @/4a
HIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
HOUSE SEWER
SEWAGE SYSTEM
GAS PIPING
AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
nHT
PERMIT FEE
15
PERMIT FEEPERMIT
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
FEE
DBL.
TOTALFEES
M06.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELE . FEEEEE
SMI FEE
FEE
FEE
PLU . FEE
7
Z7
O
/
J F M A M J A S Q N D
JOB ADDRESS I SP NO
53-905 Ave. Diaz I
OWNER
DRISCOLL DEV.
76
77
COMMUNITY
LA '. uim
VALUATION
$ 25,344.00
DATE
6-30-17
DST I
11
OFFICE
Imlic
78 T
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP. TO PERMIT
N
dwelling, & Act. garage
00i
297413
1IT
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
774 152- 020
Lot 8, block 199, Unit 19
MECHANICAL FEE
DBL
$
USE NO.
ZONE
ISET BACKLOT
SIZE
GRP
TYPE CK BY
R-1
5f)x1J0
R-3
V ba
I 201S
51S
S
R 13
PLAN CHECK FEE
$
BOND AMT.
PL/AjN O.
PLANH/ECKER
FINAL DATE INSjPTOR
/N
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO DER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
OWNER/AGENTS SIGNATURE CONTRACTOR
Driscoll Dev. Cort` •
SPECIAL INSP
$
ADDRESS ADDRESS
DEMOLITON
FEE
REGISTRATION
PLUMBING FEE
DBL
$
s�
CIT v ZIP CODE CITY
` ulnta, 015253
ZIP CODE
TOTAL FEES $
TEL. NO. AREA
CODE TEL.
NO.
AREA CODE
LICENSE 4
CASH ❑CHECK' .O.❑N.C.❑ P
/
`
64-11 }
711
RECEIVED BY :' / TREES REQUIRED
't
HIS PERMIT 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
/� `
AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
nHT
T
LL
P AY!
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
COMPtNDA iOIN INSURANCE 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
FORM 264-206 IREV. e-761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.