303367 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY - FIELD OFFICE
__ ___ _______
1 F M A M J J A S O
PERMIT NO.
1303367
�
1DjjSTJ/
%.UUI`�IT OF RIVERSIDE
76
T i
CONSTRUCTION ESTIMATE
NO. I ELECTRICAL FEES
NO. PLUMBING FEES
VALUATION
1ST FL.
2ND FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ ' $
JUNITS
i
.a,
SQ. FT. @ YARD SPKLR SYSTEM
11
SQ. FT. ', ~=' MOBILEHOME SVC. BAR SINK
c•
SQ. FT. @ POWER OUTLET ROOF DRAINS
78
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $&* WATER PIPING
a^pr
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
F.C.
FLOOR DRAIN
MIT
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN ❑ EVAP. COOL HOOD
001
I
SIGN
WASHER S
APPLIANCE EjDRYER
COPIES
$
GARBAGE DISPOS
LEGAL DESCRIPTION
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
�y
AIR HANDLING UNIT CFM
DBL
IDLE METER
t KITCHEN SINK
ZONE
ABSORPTION SYSTEM O B.T.U.
LOT SIZE
TEMP USE PERM SVC
TYPE
WATER CLOSET
, 94
COMPRESSOR HP
5 6
POLE, TEMP/PERM
LAVATORY
_
HEATING SYSTEM ZaFORCED ❑ GRAVITY
AMPERES SERV ENT
lOOx240
SHOWER
V-
BOILER B.T.U.
PLAN CHECK FEE
SQ.FT. @ a
$
"" BATH TUB
"t-
PLAN NO,
PLAN CHECKER FINAL DATE INSP
SQ.FT. @ a
WATER HEATER+y
:' s,,,SQ.FT.RESID @ 11/4a
�l
SEWAGE DISPOSAL
CONSTRUCTION FEE
DBL
$
I SQ.FT.GAR @ 3/4a
4r- �.
HOUSE SEWER
NO LENDER INVOLVED
"A5
"'
GAS PIPING
w
-�
PERMIT FEE
DBL
$
PERMIT FEE
jc
PERMIT FEE
�.X
DBL.
TOTAL FEES
Iq AA Wj
MOB.HM.FEE
MIG RO FEE
J
MEC .FEE
PL. CK. FEE
CONST. FEE
et
ELECT. FEE
SMI FEE
- FEE
PLUMB. FEE
1 F M A M J J A S O
N D
JOB ADDRESS SP NO
I
49-695 Gui'arro
OWNER
VILLA DEL LAGO
76
77
COMMUNITY
VALUATION
DATE
DST OFFICE
LA QUINTiA
$ 78,252.00
7-1-77
11
Indic
78
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SU P. TO PERMIT PE
MIT
NO.
Dwelling & Att. Garage
001
I
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
617- 320- 041
Lot 12, tract 8792
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
TYPE
CK BY
, 94
B 5
5 6
R 10
lOOx240
R-
V-
bs
PLAN CHECK FEE
$
BOND AMT.
PLAN NO,
PLAN CHECKER FINAL DATE INSP
TOR
—7
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
RANCH OFFICE
NO LENDER INVOLVED
"A5
"'
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
$
ASvmmerf
OWNER/AGENTS SIGNATURE
CONTRACTOR
INSTRUMENTATION FEE
:.eld Dev. .
SPECIAL NSP
$
ADDRESS
ADDRESS
DEMOLITION
FEE
P. O. BOY. 19
�]
REGISTRATION
CITY 53 ZIP CODE
IIIIIIIIIIIIIIIIIIIIIIIII
PLUMBING FEE
DBL
$
CITY ZIP CODE
IE
La Quinta, Calif. 92253
TOTAL FEES
$
TEL. NO. AREA
CODE
TEL. NO.
AREA CODE LICENSE tt
CASH❑CHECK O.❑N.C.❑
*
�
..-
564-40.
300692
RECEIVED BY
TREES REQUIRED
' I SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
F 20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SEWAGE SYSTEM
tr,�
H GREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
T F
LL
P h cs
!t<]K@7i THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
C-VMPtNSAIIVIN INSURANCE UPON MT EMPLOYEES. C OMPUANC E WITH THE LAWS OF THE STATE OF
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.