303516 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT
J F M A M J J A S Q N D
PERMIT NO.
3035161
OWNER
R. V. CORP.
VVVI\1 u Vr Kivrai7INC
NOW
rf�
CONSTRUCTION ESTIMATE
VALUATION
NO. ELECTRICAL FEES
DST
NO. PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR. ^ '
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ �i -^
r "' 6j
UNITS
Indi.
I
76
SQ. FT. @ YARD SPKLR SYSTEM
ti' ; •' �d MOBILEHOME SVC. BAR SINK
SQ. FT. @
SQ. FT. @ �/ '` POWER OUTLET ROOF DRAINS
M H PERMIT FEE
SQ. FT. @ DRAINAGE PIPING
$
SQ. FT. @ DRINKING FOUNTAIN
USE OF PERMIT
SQ. FT. @ URINAL
SUPP. TO PERMIT
VALUATION $ /' f r tld } WATER PIPING
NO.
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Dwelling � Att. Gltrags
MECHANICAL FEES
SWIM POOL, COMM
03516.
WATER SOFTENER
MICROFILM FEE
VENT SYSTEM aFAN ❑ EVAP. COOL OOD
- r =fi
SIGN
BOOK PAGE PARCEL
WASHER (AUTO)(WI
;'1 c
APPLIANCE [DRYER
"! t" r1
774--283--OW-91
Lot 15. block 304, Unit 28
GARBAGE DISPOSAL
!J
$
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
USE NO.
ZONE
SET BACK
LAUNDRY TRAY
GRP
TYPE GK BY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
R-1
5c 10a
ABSORPTION SYSTEM B.T.U.
V- bs
TEMP USE PERM SVC
5.5
WATER CLOSET
y t, 0
COMPRESSOR ,_<. ^ HP
: 'fit
POLE, TEMP/PERM
:'LAVATORY
r t
HEATING SYSTEM FORCED .❑ GRAVITY
y
AMPERES SERV ENT
!` 4.�e,
SHOWER
PLAN CHECK FEE
BOILER E::� B.T.U.
SQ.FT. @ a
PLAN NO.
"? BATH TUBSO.
FINAL D c�� ^ INS?
E OR
FT. @ a
, WATER HEATER
0
✓✓✓JJJ
''-'jSQ.FT.RESID @ lY4ar�
DBL
SEWAGE DISPOSAL
f - c^
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDEFVINVOLVED
i h SQ.FT.GAR @ 3/4a
"! Ar`
HOUSE SEWER
Ir
ELECTRICAL FEE
DBL
GAS PIPING
!; s
ADDRESS CITY
PERMIT FEEJFEE
STATE
PERMIT FEE
- {;h
PERMIT FEE
DBL.
TOTAL FEES
IMOB.HM.FEEI
MICRO FEE
MECH.PL.
CK. FEE
CONST. FEE
ELECT.. FEE
SMMI FEE
FEE
PLUMB. FEE
J F M A M J J A S Q N D
.JOB ADDRESS _ I SP NO
54-700 A�maids morzcrs
OWNER
R. V. CORP.
76
77
COMMUNITY
VALUATION
DATE
DST
OFFICE
LAA QZTIM
$ 25.970.00
7-11-77
11
Indi.
I
76
M H PERMIT FEE
$
USE OF PERMIT
SUPP. TO PERMIT
PERMIT
NO.
Dwelling � Att. Gltrags
700i
03516.
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
774--283--OW-91
Lot 15. block 304, Unit 28
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
TYPE GK BY
R-1
5c 10a
8-3
V- bs
201S
5.5
5�
. 25
,
R
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL D c�� ^ INS?
E OR
✓✓✓JJJ
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDEFVINVOLVED
Ir
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
OWNER/AGENT'S SIGNATURE CONTRAtiOp
Aq.
INSTRUMENTATION FEE
piabil & bons
'SPECIALINSP
$
ADDRESS ADDRESS
DEMOLITON
FEE
37-075 Palm View
REGISTRATION
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
%
itsQcbc► ?firage. CA 92270
TOTAL FEES No-
$
TEL. NO. AREA
CODE TEL,
NO. AREA CODE
LICENSE u
t
328-334 714
2"119
CASH ❑CHECK .O.❑N.C.❑
RECEIVED BY :�
TREES REQUIRED
I IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
THATALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
SEWAGE SYSTEMAGREE
TP/7111
T
LL
list
AOCI HE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
(-YIMDr&l' A TInK] 1-C I m A w1— r
U5. CQMFLIMI C1—n 1"L LMvvJ yr nr�orni�vr
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 (REV. e -gel SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.