335180 (SFD)BUILDING PERMIT . DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO.
335180
PERMIT.NO.
335180
'
COUNTY OF RIVERSIDE
Space
Zip
aa�3
Owner
/>/flfeIle Y, /Zr
DST
CONSTRUCTION ESTIMATE
Community -
/��% Qh✓//'✓�'7Z
NO. ELECTRICAL FEES
Voluati�o7n
$ 07 �7J"� vo
NO. PLUMBING FEES
Dist.
��
1ST FL. a SQ.
2ND FL.
POR aZIr
GAR. SQ.
CARP. - SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. QO $
& �D
UNITS
..MH Permit Fee $
Micro Film Fee
` Cop E
SQ. FT. - YARD SPKLR SYSTEM
Parcel No. Use No.
Set Backs Lot Size
F 3v S � S Re ro
Zone Grp Type - Unit
SQ. FT. Cil ' Io? �= MOBILEHOME'SVC. BAR SINK
'Meth. Fee Dbl E
FT. Q d. POWER OUTLET r ROOF DRAINS
'Construction Fee Dbl E
FT.- @ DRAINAGE PIPING
.SMI Tee
FT. DRINKING FOUNTAIN
Dbl $ 3s
SQ. F.T. @ '' URINAL
Pion No.
�.7II
VALUATION $ t7 77, WATER PIPING`
Plan Checker
�LL�L4
.NOTE: Not to be used as property tox valuation,
Inspector
SWIM POOL, PVT
FLOOR DRAIN
. Demal. Fee
E
MECHANICAL FEES
Branch I certify that in the performance of ihaaork for which this permit is issued
not -employ any person in any manner so as to become subject to the workmen's
pensation lows of California."
City Zip Owner Signature
Builder Signoture _
SWIM POOL, COMM
i Registr. Fee $. "
WATER SOFTENER
:Witness—fee $
.Reinsp. Pee
VENT SYSTEM ,g FAN ❑ EVAP. COOL X HOOD
Owner/Agent Il/
SIGN
Tel.
Zip `
Total Fees
I $ ZZ,
Addressity
� 3GYy � Al,
-- �a
�,J/,e7A4,4
z17T7q c
��C%• j�JL
M.O. ❑ N.C. ❑ Cash ❑ CheclVp
Received by
—
Contractor
Tel. -
License N
Trees required
SewageSystemAddress
City Zip
Workers'
yes ❑
Camp.
, no ❑
' T LL v
Sewer District
n.
tS rm 284.268 (Rev. 477) &S
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by:
WORK 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
WITH THE LAWS OF R1164SIDE COUNTY AND THE STATE OF CALIFORNIA.
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. '
+r xnr t
OF ITIS 78-105 CALLE ESTAbO -- LA. QUIN.TA, CALIFORNIA 92253.(619) 564-2246
FAX (619) 564=561.7 ;
-i.
December .14., 1992
TO WHOM IT. MAY CONCERN:
The City of La Qui nta Buildi.r�g Department and Coachella Valley
Water District (per aim Zinunermari) show no record of sewer .k
connection for the .home- at 52-44; Rubio. Sewer. is available, but
is. not a requirement. of the .Cit.y to be connected upon. sale of the
home 1.
Sincerely,
BUILDING,AND SAFETY DEPARTMENT
Tom Hartung f
Director 'of Build%nq_ and S.afet.y. ,
kt. .
t
i.
MAILING, ADDRESS P.O. BOX -1504 :- LA QUlNTA CALIFORNIA 92253 '`