209842 (SPIN)BUILDING PERMIT
SIGN
DEPARTMENT OF BUILDING & SAFET
COUNTY OF RIVERSIDE
FIELD OFFICE
TRANSFORMER OK•W•
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1ST FL.
2ND FL.
POR.
GAR.
CAR P.
WALL
AIR HANDLING UNIT CFM
SQ. FT. @
KITCHEN SINK
NO.
NO.
SQ. FT. @
COMPRESSOR E== HP
SQ. FT. @ MOTOR 1 OR LESS H.P.
LAVATORY
SQ. FT. @ MOTOR 5 OR LESS H.P.
AMPERES SERV. ENT.
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
I URINAL
IIK.W.UNITS
WATER PIPING
ESTIMATED VALUATION is
SEWAGE DISPOSAL
BOILER E== B.T.U.
I I FLOOR DRAIN
HOUSE SEWER
MECHANICAL FEES
BALANCE OF MIN. FEE
GAS PIPING
I IWATER SOFTENER
VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD
SIGN
WASHER (AUTO) (DISH)
APPLIANCE
TRANSFORMER OK•W•
GARBAGE DISPOSAL
FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED
OUTLETS
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
WATER CLOSET
COMPRESSOR E== HP
IPOLE
LAVATORY
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
ABSORPTION SYSTEM B.T.U.
SQ. FT.@ q
BATH TUB
INCINERATOR ❑ DOMESTIC [D INDUS. OR COMM.
SQ. FT.@ 4
WATER HEATER
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
SQ. FT. RESID. @ 1 ¢
SEWAGE DISPOSAL
BOILER E== B.T.U.
SQ. FT. GAR AGE @ z Q
HOUSE SEWER
PERMIT FEE
BALANCE OF MIN. FEE
GAS PIPING
MOBILEHOME HOOKUP FEE
I$ I 1
I 1 IPERMIT FEE I
I I I PERMIT FEE I I
PERMIT NUMBER
TOTAL FEES
MOB. HOOK FEE
HEAT li VENT FEE
DBL
PL, CK. FEE
CONST, FEE
ELEC, FEEFEE PLUMBING FEE
DBL
NO.
ars
I
I
74
. Re—Inspection
I
JOBLI
1.7
J F M A M J J A S O
N D
JOB ADDRESS
OWNER
72
48-800 San Lucas St.
La Ouinta Dev.
73USE
OF BUILDING
F.C.
DATE PERMIT
NO.
74
. Re—Inspection
5-20.72 209842
755
COMMUNITYr0jET
UNITS
SUPP. TO PERMIT
OFFICE
76
La Quints
�ROOMJVALUATION
206154
F
MOBILEHOME
$
LEGAL DESCRIPTION
HOOKUP FEE
Lot 61 — La (taints if Est.#1 -PC-617-290-030
DBL
SET BACK
LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
MECHANICAL FEE
$
I
F S R
_
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE
INSPECTOR
5^ vo -) �_
DBL
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOL ED
CONSTRUCTION FEE
DBL
ADDRESS
CITY
STATE
ELECTRICAL FEE
$
•5AeIra 114e-
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
47a
CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
11V.5p, FEE
%
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE
IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF -
ORNIA. 1 ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
OBL
PLUMBING FEE
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 SPECIFI-
TOTAL FEES $
U`u
CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINE
PROFESSIONS CODE OF THE STATE OF CALIFORNIA. /
CASH CHECK Ej M.O. Q N.C.
OWNER
CONTRAC TO r ^
/f��ejr
Received By az ell'l
ADDRESS
ADDRESS
Sewage System
T
LL
P
CITY
CITY
Trees Required
Yes
No
INFORMATION
TEL. NO.
TEL. NO. LICENSE
(�y yy
FORM 284-208 (REV. 4/71) V y