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286658 (SFD)RUILnING PERMIT DEPARTMENT OF BUILDING & SAFETY dh FIELD OFFICE i J F M A M J 1 A S O PERMIT NO. 28 6 6 581 S VVVI91 t Vr RIYCRJIVC �' I?77 DST CONSTRUCTION ESTIMATE VALUATION NO. ELECTRICAL FEES DST NO. PLUMBING FEES F 1ST FL. V Q '4 SQ. : 2ND FL. POR. GAR. _7 t CAR P. - WALL I ESTIMATED CONSTRUCTION FT. @ % '--r $ `' ,'� � '� IC UNITS 11 I Indio 7e SQ. FT. @ YARD SPKLR SYSTEM ':Iv1 H PERMIT FEE SQ. FT. @ } ' MOBILEHOME SVC. BAR SINK $ POWER OUTLET ROOF DRAINS SQ. FT. @ i USE OF PERMIT SQ. FT. @ DRAINAGE PIPING SUPP, TO PERMIT SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $_a WATER PIPING [0— NOTE: Not to be used as property tax valuation SWIM POOL, PVT MICROFILM FEE FLOOR DRAIN $ MECHANICAL FEES LEGAL DESCRIPTION SWIM POOL, COMM WATER SOFTENER VENT SYSTEM [ k'FAN ❑ EVAP. COOL [HOOD .60 SIGN $ % WASHER(AUTOrJDISH) n ZONE SET BACK APPLIANCE , DRYER GRP TYPE CK BY GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Is LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER -1 1 24 s 13 5 R 10 / KITCHEN SINK .ic CJ b + ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET PLAN NO. PLAN CHECKER COMPRESSOR HP TOR POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY 't /, MPERES SERV ENT -7 0 SHOWER 00 BOILER B.T.U. SQ.FT. @ a BATH TUB CONSTRUCTION FEE DBL $ SQ.FT. @ a NAME OF CONST. LENDER WATER HEATER 1 Q.FT.RESID @ lI/aa SEWAGE DISPOSAL f�l "ELECTRICAL FEE DBL $ 2 SQ.FT.GAR @/aa ADDRESS HOUSE SEWER STATE GAS PIPING 00 PERMIT FEE I L�iIndian OWNER/AGENTS SIGNATURE PERMIT FEE r [_ PERMIT FEE A DBL. I TOTAL FEES MOB.HM.FEE MICRO FEE J MECHH.. FEE PL. CK.. FEE CONST. FEE ELECT. FEE �FEI FEE PLUMB. FEE r' r i J F M A M J 1 A S O N D JOB ADDRESS I SP NO I 4-345 Av entda Corranza OWNER Indian Wells Const, Co. [76 I?77 COMMUNITY VALUATION DATE DST OFFICE F La inta R 00 D �� ���� 12-27-76 11 I Indio 7e ':Iv1 H PERMIT FEE $ USE OF PERMIT F.C. SUPP, TO PERMIT PERMIT NO, [0— MICROFILM FEE COPIES $ BOOK AGE PARCEL LEGAL DESCRIPTION t' Czrmltta Valg #24 kMECHANICAL FEE DBL $ USE NO. ZONE SET BACK LOT SIZE GRP TYPE CK BY Is 'S -1 1 24 s 13 5 R 10 50'X100' -�► + LAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER I FINAL DATE INS J TOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED 00 "ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION FEE $ I L�iIndian OWNER/AGENTS SIGNATURE CONTRACTOR ;INSTRUMENTATION Wells Coust. Co.j ISPECIALINSP $ ADDRESS ADDRESS �AEMOLITION FEE ',REGISTRATION 10.6 Ito cPLUMBING FEE DBL $ CIT ZIP CODE CITY ZIP CODE 3 TOTAL FEES $ g 04 TEL. NO. AREA CODE TEL. NO. AREA CODE LICENSE z CASH❑CHECK M.O.❑�❑ { 7,141 4ECEIVED BY JREES REQUIREDIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF Wq) K FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE 'SEWAGE SYSTEM T , �{% LL P %` /% WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY (YI"VIZKIC ATIr%1I IAIC—AIl I .1 • c <rArc l'1[ CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE FORM 284-208 (REV. 6-761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.