302029 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT r �ury �r nn
302 PERMIT NO29-1 . DST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. I PLUMBING FEES
1 ST FL. -2'
p
2ND FL.
FOR.
r'tr
GAR. • •
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT, @
SQ. FT. @
50. FT. @
SQ. FT. @
SQ. FT. Cj
SO. FT. @
SQ. FT. @
VALUATION
$
UNITS
YARD SPKLR SYSTEM
-
MOBILEHOME SVC.
-BAR SINK
fS r.
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$ 4;:�
T
WATER PIPING
NOTE: Not to be used as properly tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM; ''FAN ❑ EVAP. COOL HOOD
;-, ,�
SIGN
WASHER(AUTO)OISH)
APPLIANCE � DRYER
;
GARBAGE DISPOSAL
,1
FURNACE ❑ UNIT [:)WALL-[] FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
:;
;] 0
ABSORPTION SYSTEM
B.T.U,
TEMP USE PERM SVC
•'
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM [ FORCED ❑GRAVITY
r.
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ.FT. @ ¢
`
BATH TUB
SQ.FT. @ a
WATER HEATER
- SQ.FT.RESID @ 1/a¢
e' i
!•,
SEWAGE DISPOSAL
e-- :-, SQ.FT.GAR @ 3/aa
I '
L
HOUSE SEWER
GAS PIPING
C+
PERMIT FEE
r
PERMIT FEE
-
PERMIT FEE
DBL
TOTAL FEES :MOB.HM.FEE
MICRO FEE
MECH, FEE
PL CK FEE
I CONST FEE
ELECT, FEE
SMI FEE
FEE
PLUMB FEE
J
F
M
A
M
J
J
A
S
O
N
.D.
JOB ADDRESS
1 SP NO
OWNER
76
4 9- 363 Gu i i a rro Dr.
VILLA. I3I.L i.HGO
77
COMMUNITY
VALUATION
DATE
DST OFFICE
$
78
Lc� c: UINTA
46.-735. j
�i-17-77
2t
TLndis
M H PERMIT FEE
$
USE OF PERMIT
F.0
SUPP. TO PERMIT PE
MI
No
dwell'_h:- - atr are Ye
R.
001
029
MICROFILM FEE.
COPIES
$
BOOK PAGE PARCEL LEGAL p 9CRI
617-37n 04 Tot 2 tract 8792
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
TYPE
CK BY
?
tOU-1S24-E
:1-1
'
1
s5'
S 5
R i
60 l
_
rwp
PLAN CHECK FEE
$
BOND AMT.
PLAN NO
PLAN CHECKER
FIN�AL�7DATE
r
JINSPECTOR
2U35
se
�7'7,
CONSTRUCTION FEE
DBL
$
NAME OF CONST LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
OWNER/AGENTS SIGNATURE CONTRACTOR
%
INSTRUMENTATION FEE
Sunnerf.eld
Dey_
'SPECIALINSP
$
ADDRESS ADDRESS
DEMOLITION
FEE
REGISTRATION
PLUMBING FEE
DBL
$
CITY ZIP CODE CTrY
ZIP CODE
TOTAL FEES $
TEL NO. AREA
CODE TEL.
NO.
~
AREA CODE LICENSE F
1
CASH❑CHECK O.❑N.C.❑ j '`l
rfi4—
• RECEIVED B 0r TREES REQUIRED
p SHAU BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
R 20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID,
SEWAGE SYSTEM
X I
I Y GLAWREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T LL
P
THE S OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
L IJIYIP CI`JA It.!(`uYJV Rli LC 0rlJl'! r"I tMrLUTtt3. I.UMrLIAINI.t WI I11 111t LAVVD Ur IFit JI AI t jr
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 264-206 (REV 6-76) SO IN ACCORDANCE WITHSECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.