230122 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
COUNTY OF RIVERSIDE A&
k
CONSTRUCTION ES
I ST FL.
SQ. FT. @
2ND FL.
�+ r4• ;
SQ. FT. @
POR.
SQ. FT. @
GAR.
APPLIANCE c„ ip � -
SQ.FT. @
CAR P.
SQ. FT. @
WALL
OUTLETS
SQ.FT. @
AIR HANDLING UNIT CFM
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
.,,ELECTRICAL FEES,
h
iMOTOR I OR LESS H.P.
'�MOTOR 5 OR LESS H.P. �_' 2 X:
MOTOR 20 OR LESS H.P.
K.W. UNITS
NO.
NOTE: Not to be used as property tax valuation
$
MECHANICAL FEES
ftS .!`T ! 415 %+ S
�+ r4• ;
VENT SYSTEN"I-Q FAN ❑EVAP. COOL J&HOOD
SIGN
THIS PERMIT SHALL BECOME VOID 1F WORK IS NOT COMMENCED WITHIN 60 DAYS. CESTA -
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
APPLIANCE c„ ip � -
X%
TRANS -K.W.
FORMER D
FURNACE ❑ UNIT ❑ WALL ❑FLOOR kSUSPENDED
OUTLETS
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
PLUMBING FEE
CONST. SERV, ENTRANCE
t
COMPRESSOR HP
POLE
APPLIANCE VENT
AGREE•TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
AMPERES SERV. ENT.
ABSORPTION SYSTEM B.T.U.
SQ. FT. @ ¢
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ ¢
HEATING SYSTEIv67, 9 FORCED ❑ GRAVITY
C)
- SO. FT. RESID. @ I ¢
_
BOILER 'O B.T.U.
CODE OF THESTATE OF CALIFORNIA.
SQ. FT. GARAGE @1/,i$
,K
_
PERMIT FEE
«?
BALANCE OF MIN. FEE
ADDRESS
_MOBILE HOME HOOKUP FEE Is IPERMIT
SEWAGE SYSTEM TCL
FEE
® p
23P
OM1
N(
�I
TOT EES MOB. HK. FEE[:::��MECH.
FEE
DBL.
PL. CK. FEE CONST. F
-•!y `Ic 1
DBL
ELECT. FEE
J F M A I M I J I J A I S: Cl N I D
S+e
JOB ADDRES6
76-0'30 Lgep
Ctrcle
OWNER
EL
73
- 74
USE OF BUILDING
Oncl .Dn,&
Att/garage
F.C.
1001
DATE
6-
75
M.H. HOOKUP FEE
$
COMMUNITY
ta
DST
I UNITS
ROOMS
I VALUATIOt
MICROFILM FEE
COPIES
$
LEGALDESC IPTION
Tot-
`SETBACK
b
MECHANICAL FEE
DBL
$
1
1:3.%,
F SR
LOT SIZE
.
_
ZONE
U
V
PLAN CHECK FEE
$
BOND AMT.
PLAN
NO. PLAN CHECKER
FINAL DA
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
10.4
OFFICE
ELECTRICAL FEE
_
DBL
$
ADDRESS
CITY
-
PLUMBING FEES
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTOPDISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
cywce
941.
rtn
INVOLVED
MIA -VA
SMI FEE
$
ftS .!`T ! 415 %+ S
�+ r4• ;
THIS PERMIT SHALL BECOME VOID 1F WORK IS NOT COMMENCED WITHIN 60 DAYS. CESTA -
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
FEE
$
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC-
CQRDANCE: WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
PLUMBING FEE
DBL
$
AGREE•TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH
4w
THE, LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLAN ND SPEC ICATIONS
$
TOTAL FEES
,
HAS. DON WITH SECTION 55 O�HEUB 1 f� P FESSIONS
CODE OF THESTATE OF CALIFORNIA.
❑ CHECK ¢J/ M.O. ❑ ' N.C. ❑
OWNER. _
CONTRACTOR
c'' iCe` C
RECEIVED BY
ADDRESS
ADDRESS -
FOB02t`tL64
SEWAGE SYSTEM TCL
P
CITY
CITY
TREES REQUIRED YES
NO
Palm Desert
INFORMATION —
TEL. NO.
TEL. NO. LICENSE
WN 284.208 tRev. 11 /721 -04444girw346-6052
225368 '' ~ _