303369 (SFD)BUILDING' PERMIT
DEPARTMENT OF BUILDING & SAFETY
i.wruw w.. wu.�wwww .
.
'PERMIT`NO.
303,369.1
-
'VV,.V I\1 1: %jr n1vcR.71YG
-
ED/ -
CONSTRUCTION
ESTIMATE
"VALUATION
$ .821476.10*
NO ELECTRICAL FEES '
NO':. PLUMBING FEES
iac v.
1ST FL. SQ. FT. @
2NR'FK, SQ. FT. •@
POR. . SQ. FT. @.-
GAR. SQ: FT. @
`- CAR P. SQ. FT-. @
WALL SQ. FT. @
SQ., FT. @
" ESTIMATED�CONSTRUCTION VALUATION $
deo_
UNITS
ACIBILEHOME. SVC. -
POWER OUTLET
:YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGEPIPING
DRINKING FOUNTAIN -
URINAL,,
WATER FIRING
QMD
NOTE: Not to beused osproperty tax valuation
SUPP. TO; PERMIT
SWIM POOL, PVT
FLOOR DRAIN'
MECHANICAL FEES_
SWIM POOL, COMM
WATER SOFTENER
001
297339
VENT SYSTEM UFAN ❑ EV,AP. COOL CODSIGN
WASHER (AUTO' H)
d'a
.COPIES
APPLIANCE YER
BOOK' PAGE PARCEL .LEGAL„DEW-RIPTION
GARBAGE DISP SAL
�p -
•
'FURNACE [3+UNIT' ❑ 1NALL ❑ FLOOR ❑ SUSPENDED
DBL
$
LAUNDRY'TRAY
ZONE
..
SET BACK
AIR HANDLING UNITj CFM
GRP
IDLE METER
r 'KITCHEN'§INK
-
ABSORPTION SYSTEM B:T.U:
** +lf -yy
cu -1924 -El
TEMP USE PERM. SVC
4VATER CLOSET
d1
'
COMP,RESSORHP
A
ll' 6-20
POLE, TEMP/PERM
LAVATORY
bE
HEATING•SYSTEM_ CEDE] GRAVITY.GID
_
MPERES SERV'ENT
�>� SHOWER
n
.5. .
'BOILER j'U.
R
SQ.FT'. I@ 4'
BATH TUB
22.
-..PLAN CHECK FEE
SQ. FT. @ a
WATER HEATER
e00
PLAN CHECKER
JiFINALOATE INSPectost
1&0122&Q,fTIES�ID,@ ' '11/44
Q SEWAGE DISPOSAL
�'
"
SQ.FT.GAR @- 114t
41
HOUSE SEWER
CONSTRUCTION FEE
DBL
$'
NAME'OF.CONSRLENDER BRANCH
OFFICE
GAS PIPING
PERMITTEE`
731 .00
j PERMIT FEE
PERMIT FEE_
G
DBL '$
DBL.
I TOTAL FEES
M08,HM.FTa&MIGRO
FEE
n
.FEE
L. CK„FEE
I CONST. -FEE - - EL
FEE'SMI °FEE
FEE
PLUMB. FEE
J F M A' M J J A S O N D
-.=76
JOWADDRESS' - -SP NO
1
78� 234 gacle $ I'
OWNER -
VU” Dn T.�
�7
COMMUNITY -
1.A QUMTA
"VALUATION
$ .821476.10*
'DATE
T»1?7
- OST OFFICE
11
iac v.
r78
1 M H 'PERMIT FEE
i•
D
USE OF PERMIT - '--
FC,
SUPP. TO; PERMIT
PE
MI -.N,
DMOIUiu & Att. oarago-
001
297339
''MICROFILM, FEE ..
.COPIES
Q
V'
BOOK' PAGE PARCEL .LEGAL„DEW-RIPTION
61; 3N 04 Lot -1.6 tract 8792
/v1ECHANICAL FEE
DBL
$
USE NO.
ZONE
..
SET BACK
LOTI�SeI�Z.E.,�
GRP
TYPE
CK;BY
-
** +lf -yy
cu -1924 -El
, 7
, R-1
�
6®
34
5'
q
4Q
A
ll' 6-20
$-3
V-
bE
_
n
.5. .
s
R
-..PLAN CHECK FEE
$
BOND AMT.
.PLAN NO.
PLAN CHECKER
JiFINALOATE INSPectost
CONSTRUCTION FEE
DBL
$'
NAME'OF.CONSRLENDER BRANCH
OFFICE
NO LENDER INVOLVED
'ELECTRICAL FEE
DBL '$
ADDRESS. - CrrY
STATE .
STRONG MOTION
�
$
OWNEWAGENTS �C
SIGNATURE
ONTRACFOR
INSTRUMENTATION -;FEE
um erft
-'SPECIAL kNSP
$
ADDRESS ADDRESS
-
DEMOLITION_
L. REGISTRATION
FEE.
-.P.O. Box 9
''PLUMBING FEE
DBL
$ '
CITY ZIP'CODE •CITY
ZIP CODE
La Quiata, Calif, 91253 ' -
f TOTAL FEES $
TEL NO.
TEL.
NO.
AREA,CODE
ILICFNSE N
' CASH RcHEE .O.ON'.C.p ,3
JAREXCqDE
364*4038
7;14
300692
RECEIVED B,Y TREES REQUIREDHALL
BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 'DAYS.- CESSATION OF
1. 0 DAYS SHALL.A'LSO,.CAUSE,PERMIT TO BECOME, VOID.
OTN,EL�A9W AREE THAT ALL WORK IN CONNECTION WITH THS PERMIT WILL BE DONE IN ACCORDANCE
SOF' RIVERSID€ COUNTY AND THE STATE OF CALIFORNIA 1 ALSO: AGgEE. TO CARRY
EWAGE'SYSTEM _
^- T �� LL
P}}
C.VMYCrv'>A I1UN INJUKANk.t UPON MT EMPLOYEES:-COMFLIANC:t WI,IH Iht-LAV § OF T Ht _JIAI.CVI-
CALIFORIyIA COVERING CONTRACTORS,[$ ALSO GUARANTEED.
I'HEKEBY CERTIFY THAT THE'INDIVIDUAL WHO'PREPARED THE PLANS AND SFECIFICATIONS'HAS DONE
FORM 264-200 !REv', 6.761 SO IN ACCORDANCE WITH SECTION 5341 OF THE'BUSINESS AND PROFESSIONS$ CODE:OF THE STATE
OF CALIFORNIA.