290497 (SATT)DEPARTMENT OF BUILDING &`SAFETY
BUILDING PERMIT
FIELD OFFICE
J F M A M J J A 5 O N D
PERMIT NO.
.9
7111111W
-_VVI•I r Vr RIYCR.7IYG
•77-
VALUATION
DST
CONSTRUCTION ESTIMATE .
OFFICE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P. :
' WALL
"
ESTIMATED CONSTRUCTION
SQ. FT. @ $
"n a
UNITS"
$
SQ. FT. @ YARD SPKLR SYSTEM
F.C.
!X90497
°�' !7J MOBILEHOME SVC. BAR SINK
SQ. FT. @ °� '�
PE MIT
SQ. FT. @ POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
iMICROFILM FEE
SQ. FT. @ DRINKING FOUNTAIN
$
SQ. -,FT. @ URINAL
BOOK PAGE PARCEL
VALUATION _;. $ WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
77.4, 33-;0 41-
FLOOR DRAIN
MECHANICAL FEE
DBL
MECHANICAL FEES
SWIM POOL, COMM
ZONE
WATER SOFTENER
GRP TYPE CK BY
VENT SYSTEM FAN ❑ EVAP. COOL-4
OOLOOD
SIGN
..
WASHER(AUTO) SH)'
��qq �y S9 (n►,
MIS 'IPS
A__
APPLIANCE RYER
Cf°
GARBAGE DISPOSAL
0.0
I -! 17 ��LF1�:!
FURNACE ❑ UNIT El WALL El FLOOR [1 SUSPENDED
PLAN CHECK FEE
$.
LAUNDRY TRAY
BOND AMT.
PLAN NO.PLAN
AIR HANDLING UNIT 1 CFM
FINAL DATE INSPECTOR
IDLE METER
KITCHEN SINK
V419ABSORPTION
SYSTEM B.T.U.
TEMP USE PERM SVC
q a l7
WATER CLOSET
�jty
COMPRESSOR HP
'f"c^.'�
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM kORCED [-].GRAVITY
'e -WO
AMPERES SERV ENT
*�
SHOWERS
BRANCH OFFICE
NO LENIbER INVOLVED
BOILER T. U.
SQ. FT. @ a
BATH TUB
�Ct
v
SQ.FT. @ a "
WATER HEATER
.ELECTRICAL FEE
DBL
/:2,7 Q.FT.RESID @ MAI:
AM
SEWAGE DISPOSAL
h!%
STATE
4 Q.FT.GAR @ 1/4a
/
HOUSE SEWER
GAS. PIPING
C
-
PERMIT FEE
A
PERMIT FEE
s
PERMIT FEEDBL.
TOTAL FEES
�i
MOB.HM.FEE
MIC RO'FEE
PL". CK. FEE
CONST. FEE
118% av
ELECT. FEE
,
SMI FEE
%
FEE
PLUMB: FEE
3
J F M A M J J A 5 O N D
JOB ADDRESS - SP NO.
I
53-533 Avenida Y%i l*
OWNER
JOII3 cly"
76
•77-
COMMUNITY
VALUATION
DATE
DST
OFFICE
�,,C(
'M H PERMIT FEE.
$
USE OF PERMIT
YwIli:ng S ate. garage
F.C.
!X90497
SUPP, TO PERMIT
PE MIT
NO.
iMICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
77.4, 33-;0 41-
Lot 2. B1-242-.Slante 6armelita at Vee #23
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SETBACK LOT SIZE
.R ,11
GRP TYPE CK BY
..
y
�"
��qq �y S9 (n►,
MIS 'IPS
A__
I -! 17 ��LF1�:!
PLAN CHECK FEE
$.
BOND AMT.
PLAN NO.PLAN
CHECKER
FINAL DATE INSPECTOR
q a l7
CONSTRUCTION FEE
DBLNAME
$�
OF CONST. LENDER
BRANCH OFFICE
NO LENIbER INVOLVED
I'
v
.ELECTRICAL FEE
DBL
$
AM
ADDRESS
CITY
STATE
x
STRONG MOTION
$OWNER/A
S TSIGNAT.. E
CONTFACTOR -
INSTRUMENTATION FEE,r
'SPECIAL INSP
$
-
ADDRESS -- -
ADDRESSO -
FEE�l
,REGISSTRATTIION
-
..4 -269 Sierra,
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
India CA 92201
TOTAL FEES $
TEL. NO, AREA
CODE
TEL. NO.
AREA CODE
LICENSE c
%.
CASH(]CHECK O.ON.C.❑
347"5.532,
RECEIVED BY~TREES REQUIRED
�'z�s
"
IT SHALL BECOME VOID'IF WORK IS NOT COMMENCED WITHIN 1.20 DAYS CESSATION OF
120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME_ VOID:
elH
SEWAGE SYSTEM
�/ !/%B
-Y AGREETHAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE,
I. T
LL
Pl(�
E LAWS OF RIVERSIDE.COUNTY AND THE STATE OF CALIFORNIA, "I ALSO AGREE TO CARRY
mrcmrwlEw.l.vmrlwrvLt VVIIrl Int LAWJUt' Int JIAIt Ur
CALIFORNIA COVERING CONTRACTORS IS 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.