347597 (SFD)BUILDING PERMIT a -' DEPARTMENT OF BUILDING & SAFETY /-1 FIELD OFFICE
PERMTT NO.
347597
I I COUNTY OF RIVERSIDE
DST
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL
2ND FL.
POR.
GAR. (�
CAR P.
WALL
ESTIMATED CONSTRUCTION
rc
SQ, FT. @ �4
SQ, FT @
SQ. FT. @ 4, %'-w
SQ. FT. @
SQ. FT. @
SQ. FT.
SQ. FT. @
VALUATION
$ 2—t IZ 2
UNITS
YARD SPKLR SYSTEM
2 z D G�
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENTSYSTEM N ❑ EVAR COOL ODD
SIGN
WASHER [AUT%7 ISHI
Q
APPLIANCE DRYER
D
GARBAGE DISPOSAL
FURNACE []UNIT ❑ WALL []FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
2
QD
ABSORPTION SYSTEM C� B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
L
COMPRESSOR HP
SU
POLE, TEMP/PERM
LAVATORY
6
HEATING SYSTEM FORCED ❑ GRAVITY
41
(,9
Z
AMPERES SERV ENT
OQ
SHOWER
Z
O()
BOILER B T U
SQ. FT. Ca, ¢
/
BATHTUB
Z
40
SQ. FT. G ¢
WATER HEATER
2
Q. FT. RESID G 11G¢
6
SEWAGE DISPOSAL
QQ
,0eG SQ. FT. GAR G /.¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
p0
PERMIT FEE
Op
PERMIT FEE
3
oo
DBL,
TOTRL FEES Moe, HM FEE
30
MICRO FEE
MECH. FEE
?2
PL CK FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
PERM IT NCI- �J
4 f 5 9 1
Supp. Permit
Job Address Space
54-090 Avenida Herrera 92253
Zip Owner
9ZS Puy Carr
Commmunity S,�
La uinta
Valuation
is ' �
Dare p
11-7-78
•Dist*
11
Off.
Y
Y
jFFCC
0
I
i MH Permit Fee
i
$
Micro Film Fee
i
Cop
E
Use of Permit
Dwelling & Attached Garage
Parcel No Use No.
_
Ck by
1 Mech Fee .:,+�
Dbl
$ 7z
i PI. Ck Fee
$
•I Backs
Lor Srs
.• Construction Fee
Dbl
$
D
Legal Description
of 20 lock 282 S c.V 0 261
Q
S '�
Electrical Fee
Dbl
$
Zone
-1 loe-
Grp
3
Type Unit•?
SMI Fee
$
''
I` Plumbing Fee
Dbl
$
Bond Amt.
b
Plan No.
111.02Z
Plan Ch a
4 (J/! % ,j
Final Date /\
I --z q v
Inspector
r
�. Sp. Insp Fee
E
' Demol Fee
$
Const Lender Branch I certify that in the periormence of the r: for nhi:h Ihis
not employ any person in any manner so cisra hecarcn wbll
ae—t,— laws of California'
Address City Zip Owner 5rg--maa
_ Builde •Ir•,Hur�
pr••rm,ris,isacd I shall
l so thn.woekrnen'a com•
Registr Fee
E
Mileage Fee
y
Witness Fee
$
Reinsp Fee
$
Owner/Agent -
a�
R.V. Cor=atlo
Tel
•
Zip
Total Fees
s
2/ZM
Address
erez
City
v
Zip
M O ❑ N C_0 Cash ❑ Check
kc:er.er! by
Contractor
Sam
Tel
License Fl
3
flees required
Sewage System
T cnQLL
P X
Address
City Zip
Workers Comp.
yes no ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK. FOR 12f7 DAYS 5HALL AL US ERAII FQ BECOME VOID.
i HEREBY AGREE IHAT A I N CTT WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
WITH THE LAWSOF RIVSRSIOE COUNTY LD I H E STATE OF CAL] FQRN[A.
So �HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
N ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF
CALIFORNIA.
rsrifiedby
r
Se wcr DIStfICf �
`
F
Form 284-208 (Rev. 4.77) is