303526 (SFD)DEPARTMENT OF BUILDING & SAFETY
BUILDING PERMIT
FIELD OFFICE
J F M A M J J. A S O N D
PERMIT NO.
-30350
OWNER
R. V.
11 Vr RI vcmjiuC
COMMUNITY -
LA QUINTA
VALUATION
$ 25,970.00
DST
CONSTRUCTION ESTIMATE
OFFICE
lsdia
NO. ELECTRICAL FEES
M H PERMIT FEE
NO. PLUMBING FEES
$
1ST FL.
2ND FL.'
POR.
GAR. IL
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @'$
F.G.
UNITS
PERMIT NO.
SQ. FT. @ YARD SPUR SYSTEM
SQ. FT. @ t 3,4o �" MOBILEHOME SVC. BAR SINK
SQ. FT. @°. f! ! , w -fit POWER OUTLET ROOF DRAINS
0 10�.303526
SQ. FT. @ IDRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
COPIES
VALUATION $ WATER PIPING
NOTE:,Not to be used as property tax valuation
LEGAL DESCRIPTION
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Let 10, 81.172, Unit 17
SWIM POOL, COMM
DBL
WATER SOFTENER
VENT SYSTEM FAN ❑ EVAP. COOL (HOOD
J �< C .
SIGN
LOT SIZE
WASHER (AUTO) -(DISH)
TV PE
APPLIANCE Q-IDRYER
'? C., PJ
,`{
GARBAGE DISPOSAL
4
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR Q SUSPENDED
50mloo
R-3
V-
LAUNDRY TRAY
120
AIR HANDLING UNIT CFM
5
IDLE METER
PLAN CHECK FEE
KITCHEN SINK
$
ABSORPTION SYSTEM 0 B.T.U.
BOND AMT.
TEMP USE PERM SVC
PLAN CHECKER
Y -e -u
WATER CLOSET
COMPRESSOR "� - "� HP
DBL
POLE, TEMP/PERM
P3 LAVATORY
C? C F
HEATING SYSTEM (]FORCED ❑ GRAVITY
a '0 v
! r-, AMPERES SERV ENT
? ,
SHOWER
' BOILER B.T.U.
SQ.FT. @ ¢
DBL
i; BATH TUB+
ADDRESS CITY
SQ.FT. @ a
WATER HEATER
Y:
f: '� �,
d? Oji jSQ.FT.RESID @ 11/4a
y
f SEWAGE DISPOSAL
$
%
�
�,;,-/SQ.FT.GAR @ 3/44
=c' fi
HOUSE SEWER
$
ADDRESS ADDRESS
f GAS PIPING
INSP
DEMOLITON
'REGISTRATION
PERMIT FEE
ars
PERMIT FEE
PERMIT FEE
t3
DBL.
I TOTAL FEES
IM013,HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
J F M A M J J. A S O N D
JOB ADDRESS SP NO
52-945 Av*nida Oregon
OWNER
R. V.
76
77
COMMUNITY -
LA QUINTA
VALUATION
$ 25,970.00
DATE
7�-11-77
DST
11
OFFICE
lsdia
78
M H PERMIT FEE
$
USE OF PERMIT
F.G.
SLIP, TO PERMIT
PERMIT NO.
Iling & Att. 'GorAge
0 10�.303526
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
773. 316 023
Let 10, 81.172, Unit 17
MECHANICAL FEE
DBL
$
USE NO.
ZONE
ISET BACK
LOT SIZE
GRP
TV PE
CK BY
'
,`{
„>
R-1
50mloo
R-3
V-
bs
120
S 516
5
R 25
PLAN CHECK FEE
c
$
BOND AMT.
PLAN NO. j
4f✓ 7
PLAN CHECKER
Y -e -u
[FINAL/D/.,ATE INSPrt,TOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
N NDER INVOLVED
ELECTRICALFEE
DBL
$
ADDRESS CITY
STATE
Ji'I ✓,
f: '� �,
B
y
STRONG MOTION
INSTRUMENTATION FEE
$
%
�
OWNER/AGENTS SIGNATURE CONTRACTOR,
abevt & Sona
'SPECIAL
$
ADDRESS ADDRESS
INSP
DEMOLITON
'REGISTRATION
FEE
37075 Pa,ltu View
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
itutcka itivage, CA 92V0
TOTAL FEES $
TEL. NO. AREA
CODE TEL,
NO.AREA
CODE
LICENSE P
CASHOCHECK O.N.C. '''
✓
31ST -33b
714
22119
RECEIVED BY TREES REQUIRED
MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
Y AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE '
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
rIAA�GwIf ATIllwi �wifi
SEWAGE SYSTEM
T 's" L%
LL
P ` - t f /
FORM 284-208 (REV. 6-76)
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I 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 CALIFORNIA.