SFD (297325)DEPARTMENT OF BUILDING&SAFETY FIELD OFFICE
BUILDING PERMIT
J F M J
M A J A S O N D
PERMIT NO.
297325
1.
6,VNIV 1 T ur Kl V CKZ0lUr
-I
COMMUNITY
Lal Quinta
VALUATION
$ 0
Fli)l-
CONSTRUCTIONESTIMATE
OFFICE
Ind:.a
NO. ELECTRICAL FEES
M H PERMIT FEE
NO. PLUMBING FEES
$
1ST FL. J 33'7
2ND FL.
POR.
GAR. 2
CAR P.
WALL SQ.
ESTIMATED CONSTRUCTION
SQ. FT. @ %9 $ ;
UNITS
SUPP. TO PERMIT
PE MIT N
SQY FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
dwIling & Att. Garage
SQ. FT. @ ;L %r -7 POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
MICROFILM FEE
FT. @ DRINKING FOUNTAIN
$
SQ. FT. @ URINAL
BOOK PAGE PARCEL
VALUATION $ 2' -7 -0'z5,' WATER PIPING
(t p
NOTE: Not to be used os property tax valuation
SWIM POOL, PVT
774 -173= 005
FLOOR DRAIN
MECHANICAL FEE
DBL
MECHANICAL FEES
SWIM POOL, COMM
ZONE
WATER SOFTENER
LOT SIZE
GRP
VENT SYSTEM FAN ❑ EVAP. COOL 4 OOD
BY
SIGN
WASHER (AUT DISH)
J a
APPLIANCE [DRYER
n 0
R3
VN
GARBAGE DISPOSAL
1 20
S 5
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
R 10+
PLAN CHECK FEE
LAUNDRY TRAY
BOND AMT.
AIR HANDLING UNIT—� CFM
PLAN CHECKER
IDLE METER
KITCHEN SINK
;1 c
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
WATER CLOSET
CONSTRUCTION FEE
COMPRESSOR HP
$
ROLE, TEMP/PERM
NAME OF CONST. LENDER BRANCH
JLAVATORY
NO ER INVOLVED
HEATING SYSTEM FORCED ❑ GRAVITY
F
t AMPERES SERV ENT
-- '�
SHOWER
BOILER B.T.U.
SQ.FT. @ ¢
BATH TUB
n^
ELECTRICAL FEE
DBL
$
SQ.FT. @ a
ADDRESS CITY
WATER HEATER
STATE
t Q fsQ.FT.RESID @ 11/4a
f ':,'
! SEWAGE DISPOSAL
. Cj
SQ.FT.GAR @ 3/4a
. t
HOUSE SEWER
STRONG MOTION
OWNER/AGENTS SIGNAT/E CONTRACTOR
r 1
GAS PIPING
INSTRUMENTATION FEE
PERMIT FEE
%al
PERMIT FEE
'> ft
PERMIT FEE
08L.
�/}}TO//TAL FEES
MOB.H M.FEE
MICRO FEE
J
MEC H. FEE
L. CK. FEE
CONST. FEE
:ELECT;.�
SMfI FEE FEE
PLUMB. FEE
J F M J
M A J A S O N D
JOB ADDRESS SP NO
I
53-830 Avenida Mendoza
OWNER
COX, C.E.
76
77 -
COMMUNITY
Lal Quinta
VALUATION
$ 0
DATE
5-27=77
DST
11
OFFICE
Ind:.a
78
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP. TO PERMIT
PE MIT N
dwIling & Att. Garage
0017325
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
774 -173= 005
Lot 20, block 2419, Unit 23
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
TYPE
BY
R-1
501Xi00'
R3
VN
ICK
rd
1 20
S 5
S 5
R 10+
PLAN CHECK FEE
$
BOND AMT.
NO.
PLAN CHECKER
FINAL DATEINS�GTOR—
[P;,
! !l/khl
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO ER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
STRONG MOTION
OWNER/AGENTS SIGNAT/E CONTRACTOR
r 1
INSTRUMENTATION FEE
ADDRESS ADDRESS
SPECIAL NSP
$
DEMOLREGISSTRATTIION
FEE�l
216 via m ento> w
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
ZIP CODE
.�
Newport Beach, CA 92660
TOTAL FEES
is
TEL. NO. AREA
CODE TEL.
NO.
AREA CODE
LICENSE c
CASH ❑CHECK ❑ .O.❑N.C.
`
675--5{39$
I
RECEIVED BY TREES REQUIRED
MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
OR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
16EWAGE SYSTEM ff f /
REBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
5: T j lY' LL P 7 x
ITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
L u/vxrtNZlA I IUN INJUKANC.t 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
FORM 284-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.