286652 (SFD)BUILDING PERMIT DEPARTMENT OF. BUILDING & SAFETY FIELD OFFICE
J F I M A M J J A' S O N .D
PERMIT NO.
1.2866521
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%.wwtm 1 i Vr RI V CK31UC
77
COMMUNITY
DST
r
CONSTRUCTION ESTIMATE
IZO
NO. ELECTRICAL FEES
NO. PLUMBING FEES
Ls Ants
1ST FL.
2ND FL.
FOR.
GAR. 5-10
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @� :y $
lI
UNITS
78
M H PERMIT FEE
SQ. FT. @ I YARD SPKLR SYSTEM
$
SQ. FT. @ MOBILEHOME SVC. BAR SINK
USE OF PERMIT/M
CX
SQ. FT. @ dM POWER OUTLET ROOF DRAINS
SUPP, TO PERMIT
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
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it�I . ^Y
VALUATION $ log WATER PIPING
NOTE: Not to be Used as property tax valuation
MICROFILM FEE
SWIM POOL, PVT
FLOOR DRAIN
BOOK PAGE PARCEL
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
627_330428
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
MECHANICAL FEE
SIGN
WASHER (AUTO) (DISH)
USE NO.
APPLIANCE ❑ DRYER
BACK
LOT SIZE
GARBAGE DISPOSAL
TYPE
CK BY
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
R-1
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
20
5' jr
ABSORPTION SYSTEM B.T.U.
5'
TEMP USE PERM SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
R
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT.
SHOWER
PLAN CHECK FEE
BOILER B.T.U.
SQ.FT. @ a
BATH TUB
PLAN CHECKER
FINAL DATE IN
P TOR
SQ. FT. @ a
WATER HEATER
SQ.FT.RESID @ 11/4a
SEWAGE DISPOSAL
CONSTRUCTION FEE
DBL
$
SQ.FT.GAR @ 114 (1
HOUSE SEWER
NO LENDEf INVOLVED
GAS PIPING
i�
ELECTRICAL FEE
PERMIT FEE
$
PERMIT FEE
PERMIT FEE
STATE
DBL.
I TOT/AAL FEES
IMOB.HM.FEEI
MICRO FEE
MECH. FEE
PL. CK. FE;4 CONST. FEE ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
J F I M A M J J A' S O N .D
JOB ADDRESS '- SP NO
78-6,48 Sate Tinateo
OWNER
CARTER, Wes �
76
77
COMMUNITY
VALUATION
DATE
DST
OFFICE
Ls Ants
$
22.23-76
lI
iodic
78
M H PERMIT FEE
$
USE OF PERMIT/M
CX
F.C.
SUPP, TO PERMIT
PERMIT NO.
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it�I . ^Y
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
627_330428
Lot 28, La Qui.nta Golf gatates #2
MECHANICAL FEE
DBL
$
USE NO.
ZONESET
BACK
LOT SIZE
GRP
TYPE
CK BY
R-1
00x167
5
20
5' jr
5k
5'
,
S
R
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE IN
P TOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDEf INVOLVED
i�
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
Y X
STRONG MOTION
a•
$
OWNER/AGENTS SIGNATURE CONTRACTOR
`��` ♦
��1
INSTRUMENTATION FEE���
ito$s Pattem -
'SPECIALINSP
$
ADDRESS ADDRESS
DEMOLITON
REGISTRATION
FEE
_
73-730 Righway 2i2
PLUMBING FEE
DBL
$
-CITY ZIP CODE CITY
ZIP CODE
Palm Dozert, CA 12260
TOTAL FEES $
�
TEL. NO. AREA
CODE TEL,
NO.'
AR..EAA CODE
LICENSE
CASH ❑CHECK( .O.❑N.C.❑ �� ol
J
346-1718
/!
A,
RECEIVED BY TREES REQUIRED •
r'rHIS IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
D.
V4:rOEBY AGEEE THAT ALL0 DAYS LL ALSO CAUSE PERMIT TO BECOME WORK IIN CONNECTION WITH THIIS PE M WILL BE DONE IN ACCORDANCE
SEWAGE SYSTEM
/` 1
T ��+!%
LL
i>7
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRCAIC ATI/lwi iwic�io�wi!-c ..n�.i ..v r....�..rrr i-.-..........-�....�.. �...�...... ...��..�..�. ��.-.�
FORM 284-208 (REV. 6.76)
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
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.