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SFD (286660)53595 Avenida Madero 286660 • FIELD OFFICE, DEPARTMENT OF BUILDING & SAFETY ; BUILDING PERMIT , 66_ PERMIT NO.CUUIV • OWNER L Indian Wells Const. Co 1 i %jr RI V CRaILJC 77 COMMUNITY VALUATION fT CONSTRUCTION ESTIMATE OFFICE NO. ELECTRICAL FEES Le Quinta NO. PLUMBING FEES i2-27-76 11 1ST FL. °: 4 SQ. 2ND FL. _ POR. GAR. ', CAR P. WALL ESTIMATED CONSTRUCTION FT. @ $ sp M H PERMIT FEE UNITS $ USE ]O.FaPERMIT {/ p+ y /y y o F.C. SQ. FT. @j YARD SPKLR SYSTEM PERMIT NO. SQ. FT. @ `+- MOBILEHOME SVC. BAR SINK SQ. FT. .@ 144 '' ^y =' POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN L 1 i286660 SQ. FT. @ URINAL VALUATION $ 4 WATER PIPING '+ • NOTE: Not to be used as property tax valuation COPIES SWIM POOL, PVT FLOOR DRAIN LEGAL DESCRIPTION 3 MECHANICAL FEES SWIM POOL, COMM. Lot 4,, 8I-194 Si.. Caxare2lta Me #19 WATER SOFTENER DBL $ , , VENT SYSTEM CX FAN ❑ EVAP. COOL HOOD _ SIGN LOT SIZE WASHER(AUTO)T6-1 S H) tic . ,. APPLIANCE ''DRYER S J n R' 104 "I GARBAGE DISPOSAL ` FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 50.l9 nao . LAUNDRY TRAY: $ AIR HANDLING UNIT CFM PLAN NO. IDLE METER FINAL DATE INSP KITCHEN SINK I, - ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC /9-500.oLi'S WATER CLOSET' `1-11 % 7 J o CONSTRUCTION FEE COMPRESSOR .HP $ j POLE, TEMP/PERM NAME OF CONST. LENDER BRANCH LAVATORY NO LENDER INVOLVED ' HEATING SYSTEM XFORCED ❑ GRAVITY it} AMPERES SERV ENT Q C SHOWER hr BOILER B.T.U. SQ.FT. @ 4 BATH TUB ` SQ.FT. @ ¢ WATER HEATER cy c S-4,_ `SQ.FT.RESID @ 11/4a '• SEWAGE DISPOSAL10 +l,di . Wells Const. Co. IY*SQ.FT.GAR @ s/4(1 HOUSE SEWER $ DX ADDRESS ADDRESS ' DEMOLITON FEE GAS PIPING PERMIT FEE °` PERMIT FEES PERMIT FEE g?+ 7l/ tt -' DBL. TOTAL FEES MOB.HM.FEE i MI71,MEC H. FEE PL.CK. FEE CONST. FEE ELECT.FEE SMIFEE -FEE PLUMB. FEE J F M A M J 1 A S O N D JOB ADDRESS - • SP NO I 53.595 Avenida Madera OWNER L Indian Wells Const. Co 76 77 COMMUNITY VALUATION DATE DST OFFICE Le Quinta $ r i m i2-27-76 11 2ndiA i8 M H PERMIT FEE $ USE ]O.FaPERMIT {/ p+ y /y y o F.C. SUPP. TO PERMIT PERMIT NO. 'ru r I ✓ Iu• FG / G L 1 i286660 / :MICROFILM FEE COPIES $ BOOK PAGE PARCEL LEGAL DESCRIPTION 3 774-102.0, Lot 4,, 8I-194 Si.. Caxare2lta Me #19 MECHANICAL FEE DBL $ , , USE NO. ZONAE SET BACK .,c LOT SIZE GRP TYPE CK BY' An I - 20 S ..5 S J n R' 104 { 4-6 50.l9 nao . PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSP TOR I, /9-500.oLi'S - `1-11 % 7 J o CONSTRUCTION FEE DBL $ j NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED .ELECTRICAL FEE DBL - $ ADDRESS CITY STATE STRONG MOTION S-4,_ OWNER/AGENTS SIGNATURE - CONTRACTOR , INSTRUMENTATION FEE +l,di . Wells Const. Co. '.jPECIAL INSP $ DX ADDRESS ADDRESS ' DEMOLITON FEE 'REGISTRATION g?+ 7l/ 'PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE ".'.. - La Ouints, 'CA 92253 TOTAL FEES $ TEL. NO. CODE TEL. NO. AREA CODE LICENSE a CASH❑CHECK O.pN.C.❑ /' ! rJtJ 7AREA if :RECEIVED BYf l` TREES REQUIRED, IS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF Wr RK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. IhEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE ' SEWAGE SYSTEM F 1j T F LL p Y` WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY - rnAADCAIC A T1l 1 I { FORM 284.208 (REV. 6-76) -11—Llr Il mi CmrLVTC[J. I.VMYLIAINL-t WITH HE LAWS OF HE STATE OF, 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.