303521 (SFD)BUILDING PERMIT
• DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
1ST FL.
SQ. FT. @
2ND FL.
SQ. FT. @
POR. !Y /`
SQ. FT.
�.
GAR. 7
k
SQ. FT. @ •%
CAR P.
SQ. FT. @
WALL
SQ. FT. @
r. .
SQ. FT. @
ESTIMATED CONSTRUCTION
VALUATION $ _ •"
NOTE: Not to be used as property tax valuation
NO. ELECTRICAL FEES
UNITS
- L, MOBILEHOME SVC.
POWER OUTLET
POOL, PVT
FIELD OFFICE
NO. I PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
J F M A M J J A S O N D
MECHANICAL FEES
OWNER
R CORP.
SWIM POOL, COMM
76
WATER SOFTENER
-y.
77
VENT SYSTEM 5CFAN ❑ EVAP. COOL gCOOD
` (
SIGN
DST
WASHER (AUTO) (DISH)
r. .
LA QYJMA
APPLIANCE [](DRYER
r �/
11
Indi,
I
GARBAGE DISPOSAL
M H PERMIT FEE
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
USE OF PERMIT
F.C.
LAUNDRY TRAY
PE
MIT N
AIR HANDLING UNIT , CFM
IDLE METER
KITCHEN SINK
Dwelling & Att. Garage
ABSORPTION SYSTEM O B.T.U.
TEMP USE PERM SVC
WATER CLOSET
MICROFILM FEE
COMPRESSOR HP
,,"
POLE, TEMP/PERMLAVATORY
BOOK PAGE PAR4-7
_
HEATING SYSTEM FORCED ❑ GRAVITY
+
AMPERES SERV ENT"
• 1
SHOWER
DBL
$
BOILER B.T.U.
USE NO.
SQ.FT. @ a
SET BACK
BATH TUB
TYPE CK BY
SQ.FT. @ ¢
WATER HEATER
;I
5D�r1Ut)
R-
v- bs
7i .., ,r Q.FT.RESID @ 11/4a
f;r
SEWAGE DISPOSAL
25
y SQ.FT.GAR @ 3/4¢
:1 Y -
HOUSE SEWER
S
S ,
R
GAS PIPING~
C
PERMIT FEE
1 C1
PERMIT FEE
'; C1 G
. PERMIT FEE
d! '
DBL.
I TOTAL FEES
f�
MOB.H M.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
a`
SMI FEE
FEE
PLUMB. FEE
`
J F M A M J J A S O N D
JOB ADDRESS SP NO
54-646 Avenida Hormra
OWNER
R CORP.
76
-y.
77
COMMUNITY
VALUATION
DATE
DST
OFFICE
LA QYJMA
$ 25,970.00
7-11-77
11
Indi,
I
78
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP. TO PERMIT
PE
MIT N
Dwelling & Att. Garage
001
MICROFILM FEE
COPIES
$
BOOK PAGE PAR4-7
EGAL DESCRIPTION
774 W
Lot 17 h1-304 Un-t.t 28
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZEGRP
TYPE CK BY
$-1
5D�r1Ut)
R-
v- bs
20
5
5
25
S
S ,
R
PLAN CHECK FEE
$
BONO AMT.
PLAN NO.
PLAN CHECKER
FINAL 'EF� Nl INSPECTOR
ic
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
C
STRONG MOTION
$
OWNER/AGENTS SIGNATURE CONTRAG�R
}
INSTRUMENTATION FEE
?'
PTQbeTt SOa$
SPECIALINSP
$
ADDRESS ADDRESS
DEMOLITON
REGISTRATION
FEE
37-075 Palm View
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
r�
60
Rancho Mirage, CA 92270
TOTAL FEES $
TEL. NO. AREA
CODE TEL.
NO. AREA CODE
LICENSE u
❑CHECK Q
`
328-33 714
2"119
CASH .O.❑N.C. �i r.,
RECEIVED BY TREES REQUIRED
SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
120DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
tPTPHE
SEWAGE SYSTEM
} ,
AGREE THATALL WORK IN CONNECTION WITH THIS PERMITWILL BE DONE IN ACCORDANCE
T '`s�'ll
P
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 2B4-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.