258816 (SFD) BUILDING PERMIT DEPARTMENT OF BUILDING&SAFETY FIELD OFFICE
I COUNTY OF RIVERSIDE
DST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 11
1 ST FL. SQ.FT. UNITS
2ND FL. SQ.FT. @
BOILER B.T.U.
POR. SQ.FT.
MOBILEHOME SVC. } BAR SINK .50
GAR. SO.FT. POWER OUTLET ROOF DRAINS
CAR P. SQ.FT. @ DRAINAGE PIPING
WALL SO.FT. @ DRINKING FOUNTAIN
SO.FT. @ URINAL
ESTIMATED CONSTRUCTION VALUATION $ 30928,00 WATER PIPING _JL 50
NOTE:Not to be used as property tax valuation SWIM POOL,PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL,COMM WATER SOFTENER
VENT SYSTEM33P FAN ❑EVAP. COOL JP HOOD 9 doSIGN WASHER(AUT '(DISH) 00
APPLIANCE nz= 3 GARBAGE DISPOSAL
FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC 3 1 WATER CLOSET
COMPRESSO 0 HP 7 50 POLE,TEMP/PERM 4 LAVATORY 6 00
HEATING SYSTEM, 3P FORCED C3 GRAVITY AMPERES SERV ENT 200 3 SHOWER so
SOFT @ 1 BATH TUB 50
SOFT @ IWATER HEATER 50
SQ FT RESID @ 1¢ SEWAGE DISPOSAL 10 00
SQ FT GARAGE @ 'h¢ 260 HOUSE SEWER
PERMIT FEE 1 360 1 TEMP ELEC SVC 1 1 GAS PIPING
MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE
R T TOTAL FEES MOB.HM.FEE MICRO FEE MECH.FEE DBL. PL.CK.FEE CONST.FEE DBL. ELECT.FEE DBL. SMI FEE FEE PLUMB.FEE DBL.
2 00
25
J
8
1 6 228.51 2
an
T J F I M A I M I J I } A I $ 1 O 1 N D }OB ADDRESS -- � SP NO- OWNER --- _- -- ..
73 1 I /RRjy r4,
74 U F DriVe F, field y �V 1.6
75 Att e_��Aepgh ml 3m
M H PERMIT FEE $ C MMUNITY -[-'S—ST NITS ROOMS VALUATION SUPP.TO PERMIT OFFICE
MICROFILM FEE COPIES $ L A DE ION
30 928 nn
11, 4o. 4n4A
MECHANICAL FEE DBL $ SET BACK ZE ZONEE NO. GRP TYPE CK BY
F S R
4A 112-1 its
PLAN CHECK FEE $ 70-ND AMT. I PLAN 07 PLAN CHECKER FINA TE INSPECTOR
��' �3•
5-
CONSTRUCTION FEE DBL $ NAME OF CONST.LENDER BRANCH OFFICE NO LENDER INVOLVED
irpmt
ELECTRICAL FEE DBL $ ADD CI STATE
M
SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NO COMMENCED WITHIN 120 DAYS.CESSA.
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC-
$ CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO,
FEE AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE F
LAWS OF.THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
PLUMBING FEE DBL $ 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS '
HAS DONE SO IN ACCORDANCE WITH SECTION 55AI OF THE BUSINESS AND PROFESSIONS CODE
Ala Im OF THE STATE OF CALIFORNIA.
TOTAL FEES OWNER/AGENT'S SIGNATURE CONTRAT4!
CASH❑ CHECKX M.O. ❑ N.C. ❑ A- . • AD
RECEIVED BY TREES REQUIRED IIIIIIII VIII III VIII IIII 62 ZIP CODE
/� C ZIP CODE CITY
SEWAGE SYSTEM T�.0,0,0 LL P/Y/` IE
Le Quinta.
INFORMATION $ ��
TEL.NO. y TEL.N0. LICENSE
CP
-FORM 784.2081Re,9"731 �5 347.4920 ��� � ��-