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351178 (AR)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY ;ilk : FIELD OFFICE PERMIT NO. . - 351178 • PERMIT NO: 351178 f �' COUNTY OF RIVERSIDE Zip 22 " DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Valuation $ . NO. PLUMBING FEES Off. 1ST F.L. SQ. 2 ND FL. POR. GAR.. SQ. • CAR P. WALL ESTIMATED CONSTRUCTION FT. Q $ UNITS MH Permit Fee $ Micro Film Fee - YARD SPKLR SYSTEM SQ. FT. @ SQ. FT, ® MOBILEHOME SVC. BAR SINK FT. Q POWER OUTLET ROOF DRAINS Use No. - - SQ. FT. DRAINAGE PIPING Ck.by lbs - SQ. FT. (a3 DRINKING FOUNTAIN Set Backs SQ.FT. @ • URINAL VALUATION $ WATER PIPING _ S 11s5 NOTE: Not to be used as property tax valuation SWIM POOL, PVT Electrical Fee ( 8 14 FLOOR DRAIN Grp Type MECHANICAL FEES SWIM POOL, COMM SMI Fee $ WATER SOFTENER Dbl $ - VENT SYSTEM '❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Plan Checker .Final WASHER (AUTO) (DISH) - APPLIANCE ❑ DRYER, )emol. Fee • - $ GARBAGE DISPOSAL' Const. Lender Branch "I terrify that in the performopce of the work for which this permit is i - • • not employ any person in any manner so as ro.become su*ct to thew - pensation laws of California.""� Address City Zip Owner Signature _ Builder Signature ved. t sholl en'scorn. FURNACE ❑ UNIT ❑WALL ❑FLOOR ❑ SUSPENDED Mileage Fee $ Witness Fee. $ LAUNDRY TRAY $ AIR HANDLING UNIT . CFM IDLE METER Zip KITCHEN SINK rotol Fees $ ABSORPTION SYSTEM B.T.U. r TEMP USE PERMIT SVC, City La Quinta, WATER CLOSET M.O. ❑ N.C. C] Cash ❑ Check Received by COMPRESSOR HP POLE, TEMP/PERM Contractor _ '�•` R LAVATORY License I HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER . City Zip BOILER- B.T.U. SQ. FT.Cja ¢ BATHTUB SQ. FT. Ga ¢ WATER HEATER SQ. FT. RESID Cw 1'/.¢ SEWAGE DISPOSAL SQ. FT. GAR C '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. I TOOTAAL FEES Moe. NM. FEE MICRO FEE MECH. FEED - PL. CK.. FEE . CONST. FEE ELECT. FT"] FEE FEE PLUMB. FEE - PERMIT NO. . - 351178 Supp. Permit 309363 Job Address 51.480 Ave,. Obre au Space Zip 22 Owner OLIY t F Communnity Laqu nta Valuation $ . Date Dist. 1-11-79 11 Off. F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit Aenew permit=.Add .Fam Rm ! Carport, {r,T. Legal Description - - a[ 7F lots 3 i.i1 & 4 b,L }'_19• 8CV •#2 Parcel No. 773-081-01 �16 Use No. - - Ck.by lbs - Mech. Fee ^ ` $ 3 06 ?I. Ck. Fee $ :onstruction Fee 1 ad Set Backs Lot Size I 100X100 F20 S 11s5 5 R lo+ Electrical Fee ( 8 14 Zone R-1 Grp Type Unit ' SMI Fee $ Plumbing Fee Dbl $ - Bond Amt. $ Plan No. Plan Checker .Final Date../{/ Inspector - Sp. Insp. Fee $ )emol. Fee • - $ Const. Lender Branch "I terrify that in the performopce of the work for which this permit is i - • • not employ any person in any manner so as ro.become su*ct to thew - pensation laws of California.""� Address City Zip Owner Signature _ Builder Signature ved. t sholl en'scorn. Registr. Fee' 8 Mileage Fee $ Witness Fee. $ Zeinsp. Fee $ Owy+ner/Agent 1 - �/,/// - 471♦ Oli % ✓ • Tel. - }. 12 Zip rotol Fees $ Cl j9,? Address��• 51-480 Avt Obregon N City La Quinta, Zip M.O. ❑ N.C. C] Cash ❑ Check Received by Contractor _ '�•` R Tel. License I trees required iewoge System Address City Zip Workers' Comp. yes ❑ no ❑ T LL P THIS PERMIT SHALL BECOME VOID IF. WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verlfkedrby: , sewer District + WORK FOR 120 DAYS SHA' LSO USE PERMIT TO BECOME VOID. ' I HEREBY AGREE T��ON WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ITH THE LAWS OF RIVERSIDE CO TY AND THE STATE OF CALIFORNIA. a6ee1 HEREBY CERTIFY'THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Farm 284.208 (Rev. 4.77) ©s I CALIFORNIA.