SFD (240809)BUILDING PERMIT
CONSTRUCTION ESTIMATE
1 ST FL. 1178 SQ.FT. @ 13.40 1.5.�
2ND FL. SO. FT. @
POR. 13� SQ. FT. @ 2.50 3
GAR. 437 SQ. FT. @ 4.25
CAR P. SQ.FT. @
WALL SQ. FT. @
SQ FT. @
ESTIMATED CONSTRUCTION VALUATION
NOTE: Not to be used as property tax valuation
MECHANICAL FEES
VENT SYSTEM ® FAN ❑ EVAP. COOL :Eb HOOD
EPARTMENT OF BUILDING & SAFE'
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
i_ 20 UNITS
MOBILEHOME SVC.
POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FIELD OFFICE
PLUMBING. FEES 1 111
BOILER I I B.T.U.
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUT(&IDISH) i113
APPLIANCE Dryer- 3 OC GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK t'
ABSORPTION SYSTEM j B.T.U. TEMP USE PERM SVC 2 WATER CLOSET 3 0f)
COMPRESSOR � HP 4. 00 POLE, TEMP/PERM 2 LAVATORY 1 00
HEATING SYSTEM �J FORCED ❑ GRAVITY 400 AMPERES SERV ENT 1 00 SHOWER
SQ FT @ ¢ 2 BATH TUB
SQ FT @ ¢ I WATER HEATER 50
s SQ FT RESID @ N 11 78 1 SEWAGE DISPOSAL I no
SQ FT GARAGE @ '/:¢ 2 1$ HOUSE SEWER
PERMIT FEE TEMP ELEC SVC GAS PIPING
MOBILE HOME PERMIT FEE $
PERMIT FEEEf O�} PERMIT FEE
PERMIT NO.TOTAL
FEES
171.22
MOB. HM. FEE
MICRO FEE
MECH. FEE
1.3.00
DBL.
PL. CK. FEE
U.00
CONST. fEE
58.00
DBL.
ELECT. FEE
16.96
DBL.
SMI FEE
1.26
FEE
PLUMB. FEEJDBL
30.00
A I M - • d. •.j'•A I S 1 O 1 N I D
JOB -ADDRESS--- ^Sruo^
LfiVe.Mend gn I
--OWN-E- .. - ..
n r
73
74
USE. OFPERMIT}
1 1 . CC att.,1". m
F.C.
00
J
DATE - PERMIT NO.
—10-74
75
MH PERMIT FEE
$
COMMUNITY
La Quinta
DST
1
UNITS
ROOMS
VALUATION ISUPP.
TO PERMIT
O FI
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
An
MECHANICAL FEE
DBL
$
E fiR
SET BACK
LOTSIZE ZONEUSE
4
O. GRP TYPE
)
CK BY
Ayers
F 2i3 S R
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER FINAOQA p
INSPECTOR -
CONSTRUCTION FEE
DBL
$
00
NAME OF CONST. LENDER BRANCH
pank of Caltf6rnta
OFFICE
NO LENDER NVOLVED
ELECTRICAL FEE
DBL'
$
ADDRESS CITY
STATE
SMI FEE
$
THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 12eBAYS. CESSA.
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
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
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE 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 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA. _
FEE
$I
PLUMBING FEE
DBL
$
X 00
TOTAL FEES
17
22
OWNER/AGENT'S SIGNATURE F r
f . T�3r+w
ADDRESS
19-740 Ventura Blvd.
CONTRACTOR
ADDRESS,
CASH ❑ CHECK M.O. ❑ N.C. ❑¢
RECEIVED BY
TREES REQUIRED'
SEWAGE SYSTEM
T
LL P
CITY ZIP CODE
Tarzana,
CITY ZIP CODE
INFORMATION
y
FORM 284.2081Rev. 9731 Os
7EL. NO.
TEL. NO. LICENSE