303336 (SFD)FIELD OFFICE
BUILDING PERMIT DEPARTMENT OF BUILDING 81 SAFETY
F M A M J J A S O N D
PERMIT NO. 6
0333
OWNER
Driscoll Dsv.
Vt- RIYCR.7IYC
76
DST
CONSTRUCTION ESTIMATE
COMMUNITY
NO. ELECTRICAL FEES
NO. PLUMBING FEES
DST
1ST FL. SQ.
2ND FL. SQ.
POR. SQ.
GAR. SQ.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @,J"$Q
IA Quints
UNITS
5-30-77
11
FT. @ YARD SPKLR SYSTEM
78
FT. @ MOBILEHOME SVC. BAR SINK
�" POWER OUTLET ROOF DRAINS
FT. @ lit
FT. @ DRAINAGE PIPING
F.G.
FT. @ DRINKING FOUNTAIN
PERMIT
SQ. FT. @ URINAL
VALUATION $ +, WATER PIPING
G�
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
401
I
297420
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
MICROFILM FEE
COPIES
VENT SYSTEM AN ❑ EVAP. COOL jj&OOD
SIGN
WASHER(AUTO 4ISH)
APPLIANCE RYER
7741..151 -022
GARBAGE DISP SAL
(}�
DBL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
USE NO.
LAUNDRY TRAY
SET BACK
LOT SIZE
AIR HANDLING UNIT CFM
TYPE
IDLE METER
KITCHEN SINK
5'
5j.
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
COMPRESSORHP
r
5WOO
POLE, TEMP/PERM
4 LAVATORY
p�
HEATING SYSTEM ORCED ❑ GRAVITYtxi&OAMPERES
SERV ENT
SHOWER
EX7
I
BOILER T. U.
S
SQ.FT. @ a
BATH TUB
4%V1
-i[
PLAN CHECK FEE
SQ.FT. @ ¢
WATER HEATER
BOND AMT.
PLAN NO.
PLAN CHECKER
j 07 Q.FT.RESID @ 11/aa
b SEWAGE DISPOSAL
SQ.FT.GAR @ 3/aa
HOUSE SEWER
A
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
$
DBL.
I TOTAL FEES
L//a�
JMOB.HM.FEE�
ELECTRICAL FEE
MEC .FEE
PL. CK. FEE
COOjNS`T FEE
ELE . FEE SMI FEE
FEE
PLU . FEE
F M A M J J A S O N D
JOB ADDRESS I SP NO
53-945 Ave. Diaz I
OWNER
Driscoll Dsv.
76
77
COMMUNITY
VALUATION
DATE
DST
IA Quints
$ 25,344,00
5-30-77
11
J.OFFICE
Indi
78
M H PERMIT FEE
$
USE OF PERMIT
F.G.
SUPP. TO PERMIT
PERMIT
NO.
chiclling 5t att. gara&e
401
I
297420
3033
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
7741..151 -022
Lot 10 b1-199 Dsit 19
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
TYPE
CK BY
20'
5'
5j.
13
g'1
5WOO
R-3
P
bs
I
S
S
-i[
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE IN SP
TOR
A
e
CONSTRUCTION FEE
DBL
$
NAME OF CONST. CENDER BRANCH
OFFICE
001ENOER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
lyg
OWNER/AGEflirS Sldf4ATURE f CONTRACTOR
INSTRUMENTATION FEE
Driscoll DEY. CC p.
SPECIAL INSP
$
ADDRESS ADDRESS
DEMOLITON
FEE
REGISTRATION
P-0- Box 917
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
Jf
La ists 92253
TOTAL FEES $
TEL. NO. AREA
CODE TEL,
NO,
AREA CODE
LICENSE I+
CASH ❑CHECK .O.❑N.C.❑
554-1159
714
RECEIVED B TEES REQUIRED
T I PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
OR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
HE BY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH HE
SEWAGE SYSTEM
/ YI�f�
T L
P I
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
rnMPFNCATIn1J INV IDAAIr r I IDnkl AAV CAADI l VCCC rr, AADi IA 1— wiTU TUC i —C roc TUC CTATC nC
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM zea•zoe IREV, 6.761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.