286659 (SFD)- DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT' ___._.___ __ _•._._______
�•. . - wmr�rv�Hllvry Irvaurcr�rv�.t urvry mr tmrwrttJ. L.VMYLIANC,t WIIH IHt LAWS OF 1HE S7ATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT'THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM ze4-208 IREV. 6-761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.
PERMIT No.-
C%ju V 1 T VI' K1 V CKNUC �'
DST
6659
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL. I --e3 414 SQ.
FT. @ `fit $ UNITS
V
SQ. FT. @ YARD SPKLR SYSTEM
2ND FL.
�j?.: v3�a MOBILEHOME SVC. BAR SINK
SQ. FT. @ � '�
FOR.
GAR. SQ.
FT. @ �' �� POWER OUTLET ROOF DRAINS
FT. @ DRAINAGE PIPING
CAR P. SQ.
FT. @ DRINKING FOUNTAIN
WALL SQ.
SQ. FT. @ URINAL
VALUATION $ " z' WATER PIPING �}
ESTIMATED CONSTRUCTION
NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
y
VENT SYSTEM [])I( FAN ❑ EVAP. COOL HOOD / SIGN WASHER(AUTO)'OISH) 6
APPLIANCE QtDRYER a GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
k
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC `' WATER CLOSET
COMPRESSOR ^` HP. (t POLE, TEMP/PERM '<- LAVATORY Ijt.; •�
a
L
'
HEATING SYSTEM FORCED ❑ GRAVITY" AMPERES SERV ENT tr "40 SHOWER
BOILER B.T.U. SQ.FT. @ a BATH TUB c:t Cy
E
SQ.FT. @ a WATER HEATER .ps d �}
SQ.FT.RESID @ 11/aa f, SEWAGE DISPOSAL{]
$Q.FT.GAR @ l/ea HOUSE SEWER
%
GAS PIPING �2 0 a
p
PERMIT FEE -3 0 I I PERMIT FEE CJ CT PERMIT FEE op
DBL. f TOTAL FEES MOB.HM.FEE MICRO FEE FEE STICK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE
jM°ECH.
'
J F M A M J J A S O N D
JOB ADDRESS SP 4O
I !
53-840 Aveniida Obregon
OWNER
Indian Wells Co"t. Co.
w76
77
COMMUNITY
78 Quinta
VALUATION
$a 31.5137- 0
DATE
12-27-76
DST OFFICE
11
Inds
478
r M H PERMIT FEE
$
USE OF PERMIT F.C. SUPP. TO PERMIT PE MI NCS6 6
IfA.
MICROFILM FEE
COPIES
• /
BOOK PAGE PARCEL LEGAL DE9CRIPTION
$
774-1 5-60 Lot T. B1-203, Santa Carmlite at Yale #I9
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET
BACK
ILOT SIZE GRP
I TYPE
ICK BY
Q�
xi I�►-3;
5'
Is 1()
10
1201
S
R
'So,
PLAN CHECK FEE
pd,
$
BOND AMT.
PLAN NO. d�
'fJ
LAN CHECKER
CHECKER
FINAL DATE
INSPECTOR
n
g
,�
CONSTRUCTION FEE
DBL
E
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE -
DBL
$
ADDRESS
CITY
STATE
c 4
:.STRONG MOTION
"INSTRUMENTATION
Iw
$
L
O, NE G
CONTRACTOR
FEE
/
= T tT
'.'SPECIALINSP
$
A S
ADDRESS
DEMOLITION FEE
.REGISTRATION
1
'PLUMBING FEE
DBL
$
t711w ZIP CODE
CITY ZIP CODE
f
� r+ i �. • lfe�tC
ZND'
TOTAL FEES $
r 1
DE
TEL. NO.
AREA CODE
LICENSE a
�f
CASH❑GREG M.O.❑❑`
r
}
RECEIVED BYE TREES REQUIRED
ISO
HI PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WO FOR 120" DAYS SHALL ALSO CAUSE PERMIT TO BECOME. VOID.
SEWAGE SYSTEM�Tr
I REBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T�
LL
P 3 7
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
�•. . - wmr�rv�Hllvry Irvaurcr�rv�.t urvry mr tmrwrttJ. L.VMYLIANC,t WIIH IHt LAWS OF 1HE S7ATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT'THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM ze4-208 IREV. 6-761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.