286283 (RIV CNTY)48900 Avenida Anselmo
.
.
Ah DEPARTMENT OF BUILDING & SAFETY i
FIELD OFFICE
J F M A M J J A S Q N D
DUIL CKMII
.,
COUNTY OF RIVERSIDE
IIIIIIIIIIIIIIII IIIIIIIII 76
IE/
VALUATION.31
DATE 4F
Ik
sr
EI M"
V
CONSTRUCTION ESTIMATE
M H PERMIT FEE
NO. ELECTRICAL FEES
$
NO. PLUMBING FEES
USE OWPERMIT }
1ST FL.
2ND FL.
POR. 363
GAR.
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
SQ. FT. @ b $
3,J&
UNITS
MICROFILM FEE
COPIES
8
SQ. FT. @ YARD SPKLR SYSTEM
BOOK PAGE PARCEL
, 3J/_ f3Q$'
SQ. FT. @ - MOBILEHOME SVC. BAR SINK
MECHANICAL FEE
SQ. FT. @ 74f6, POWER OUTLET SVOOF DRAINS
$
FT. @ DRAINAGE PIPING
USE NO.
FT. @ DRINKING FOUNTAIN
SET BACKK( /
SQ. FT. @ URINAL
GRP TYPE CK BY
VALUATION $ All WATER PIPING
a
NOTE: Not to be used os property tax valuation
SWIM POOL, PVT
Pao.
FLOOR DRAIN
BOND AMT.
MECHANICAL FEES
PLAN CHECKER
SWIM POOL, COMM
-(
WATER SOFTENER
DBL$
Ab
VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD,
NAME OF CONST. LENDER BRANCH
SIGN
NO LENDER INVOLVED
WASHER(AUTO)JQISH)
CO
$
APPLIANCE DRYER
ADDRESS CITY
V ...
STATE
GARBAGE DISPOSAL
$
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
OWNER/AGE S SIGNAT R CONTRACTOR
fa
'SPECIALINSP
DEMOLITION
REGISTRATION
LAUNDRY TRAY
FEE
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
0
PLUMBING FEE
ABSORPTION SYSTEM B.T.U.
$
15-1
TEMP USE PERM SVC
CITY ZIP CODE CITY
WATER CLOSET
Q_O
COMPRESSOR HP
S4
POLE, TEMP/PERM
AREA CODE
LAVATORY
RECEIVED BY TREES REQUIRED
AH MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME, VOID.
REBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
TH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
HEATING SYSTEM 5eFORCED ❑ GRAVITY
1 NJAMPERES
SERV ENT
7jM SHOWER
BOILER B.T.U.
SQ.FT. @
4 BATH TUB
pp
SQ.FT. @ ¢
WATER HEATERf
}Q.FT.RESID @ 11/a¢
SEWAGE DISPOSALP
SQ.FT.GAR @ 3/aa
HOUSE SEWER
GAS PIPING
PERMIT FEE
G ^w,
PERMIT fEEti 1
PERMIT FEE
DBL, I
TOTAL FEES /
W
MOB.HM.FEE
MICRO FEE
I
MECH. FEE
-2/'
P;&FEE FEE
%
CONST. FEE
,e
ELECT.FEESMIFEE
I^ -t
FEE
1,5z'
PLUMB.FEE
J F M A M J J A S Q N D
JOB ADDRESSI SP NO
/ j ~ foo.44y e I
OWNER
PieWk1;6. PALd
76
77
COMMUNITY
VALUATION.31
DATE 4F
Ik
DST
OFFICE
78
M H PERMIT FEE
$
USE OWPERMIT }
F.C.j
SUPP. O PERMIT
PE MI N
82
MICROFILM FEE
COPIES
8
BOOK PAGE PARCEL
, 3J/_ f3Q$'
LEGAL DESCRIPTION
, f /x (va
MECHANICAL FEE
DBL
$
USE NO.
ZONE_
SET BACKK( /
LOT SIZE %]
GRP TYPE CK BY
PLAN CHECK FEE
Pao.
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE PPECTIR_
7
-(
CONSTRUCTION FEE
DBL$
Ab
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
V ...
STATE
STRONG MOTION
INSTRUMENTATION FEE
$
OWNER/AGE S SIGNAT R CONTRACTOR
fa
'SPECIALINSP
DEMOLITION
REGISTRATION
FEE
$
ADDRESS ADDRESS
43 _, Vkhoev ,,
77
PLUMBING FEE
DBL
$
15-1
r00,
CITY ZIP CODE CITY
ZIP CODE
TOTAL FEES $
CASH ❑GREG O.❑N.C.❑ v
TELL. lN O. .» A.REEAA
.7 TJ
CODE TEL.
! j4
NO,
AREA CODE
LICENSE a
RECEIVED BY TREES REQUIRED
AH MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME, VOID.
REBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
TH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
SEWAGE SYSTEM
s [
T s-
LL
7G/
. , OMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 IREV. 6-76) 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
IST FL.
SQ. FT. @
2ND FL.
SQ. FT. @
POR.
SQ. FT. @
GAR.
SQ. Ft. @
CAR P.
SQ. FT. @
WALL
SQ. FT. @)
SQ. FT. @
ESTIMATED VALUATION is
MECHANICAL FEES
ELECTRICAL FEES
NO. NO.
MOTOR 1 OR LESS H.P. V
MOTOR 5 OR LESS H.P.
MOTOR 20 OR LESS H.P.
K.W.
FIELD OFFICE
I IIIIIII VIII III VIII IIII 77
IE
PLUMBING FEES_
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD
SIGN
f
WASHER (AUTO) (DISH)
I „L 10 v
APPLIANCE
TRANSFORMER =K•W•
_0_U
MOB. HOO FEE
GARBAGE DISPOSAL
DBL
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED'
OUTLETS
ELEbF,
LAUNDRY TRAY
PLUM BI�E
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET 1' Vit)
eE
KITCHEN SINK
Ifi�/
GAS PIPE [::)NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
75
WATER CLOSET
COMMUNITY
ul
COMPRESSOR HP
POLE
OOM^I
LAVATORY
SUnPP{.'TO PERMIT
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ Q
BATH TUB
INCINERATOR ❑ DOMESTIC C] INDUS. OR COMM.
SQ. FT.@ (r
$
WATER HEATER
LEGAL DESCRIPTION
I R/ CtAAj;-R 6, 9e/ r13/-3.32
HEATING SYSTEM ❑ FORCED E] GRAVITY
SQ. FT. RESID. @ 1 Q
SEWAGE DISPOSAL
p7- .fir /Ple-
BOILER B.T.U.
SQ. FT. GARAGE @ z g
/
HOUSE X14
S 10
PERMIT FEE
BALANCE OF MIN. FEE
%
GAS PIPING I
z:;"v
MOBILEHOME HOOKUP FEE
I$ I 1 I 1 / IPERMIT FEE
f
I PERMIT FEE
I „L 10 v
PERMIT NUMBER
FEES
MOB. HOO FEE
HEAT 8 VENT FEE
DBL
��. FF�F� CONST. F�f�E
DBL
ELEbF,
JDSL�� FEr,�A
PLUM BI�E
DBL
eE
Ifi�/
4.II I
75
COMMUNITY
ul
DST
77
UNITS
OOM^I
VALUUAATTIIOONNU
SUnPP{.'TO PERMIT
J F M A M J J A S O
N D
JOB ADDRESS �J} 7.ss
OWNER �j /41
72
90/ / / �t; /�J�G c./' • L�
! / V,6C., e /
5#e-
OF BUrI+tN.%
U!
DATE
2
PER
/�-�n0
N 609
74
eE
Ifi�/
4.II I
75
COMMUNITY
ul
DST
77
UNITS
OOM^I
VALUUAATTIIOONNU
SUnPP{.'TO PERMIT
OFFICE
76
MOBILEHOME
$
LEGAL DESCRIPTION
I R/ CtAAj;-R 6, 9e/ r13/-3.32
HOOKUP FEE
p7- .fir /Ple-
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
R /
/'�"
%�
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPE
TOR
PLAN CHECK FEE
$ t!_
E{77
00
a ��
CONSTRUCTION FEE
DBL
$rL
Cho
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOL ED
y,.i"'
DBL
ADDRESS
CITY STATE
ELECTRICAL FEE
$ -7100
1
�)
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
f f FEE
_S/
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE
IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF -
DBL
PLUMBING FEE
ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
IS ALSO GUARANTEED.
CERTIFY THE UAL HO CT EPAQED THFI-
CIND
TOTAL FEES $ �
CATIONSEBY �P°LHENBU IN
HAS DONE SOH IN ACCORDANCE WITH
�V
WN`1.CC+.0
PROFESSIONS CODE OF THE STATE OF CALIFORNIoW: r
CASH F� CHECK M,
r77
OWNER
CONTRAC-rOR
4 ll s rr, .
Received By
ADDRESS
A DRESS
Sewage System
T
LL
P
CITU
CITY
Trees Required
Yes
No
INFORMATION
TEL. NO.
TEL. NO. LICENSE /S/x
/� � �
0
///��
/ e —••✓
3
FORM 284-208 (REV. 4/71)
/ � �+'/ r