280834 (SFD)1
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES INO
IST FL. 3300 SO.FT. @ 57,420.00 UNITS
2ND FL.SQ. FT. @
POR. SQ. FT. @ + 50— MOBILEHOME SVC.
GAR. SO. FT. @
POWER OUTLET
CAR P. ISO.F1. @
WALLSO. FT. @
---dSQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
NOTE: Not to be used os property tax vOluation
MECHANICAL FEES
VENT SYSTEJQX FAN ❑ EVAP. COOL I1 HOOD 9 Ft
SWIM POOL, PVT
SWIM POOL, COMM
SIGN
FIELD OFFICE
PLUMBING FEES
Voof drains
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO)IDISHI
DST
iI
APPLIANCE
JOB ADDRESS SP NO
49-300 Avenue Fernando
OWNER
74
GARBAGE DISPOSAL
ZI Ulu
FURNACE O UNIT O WALL O FLOOR O SUSPENDED
F.C.
DATE
IT O
PE2'90834
LAUNDRY TRAY
Dwlg. � Att. Garage . -. 1wi-
AIR HANDLING UNIT
CFM
0 8 3 4
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM
0 B.T.U.
UNITS
TEMP USE PERM SVC
I
WATER CLOSET
OFFICE
COMPRESSOR 2-4 tQ
HP
15. 51
POLE, TEMP/PERM
La QUinta
LAVATORY
I
HEATING SYSTEM X FORCED O GRAVITY
12, 01
ZUUI AMPERES SERV ENT
7.00 2
SHOWER
4 00
BOILER � B.T.U.
LEGAL DESCRIPTION
SQ FT @ ¢
1
BATH TUB
2 00
631-352-003 Lot 153Bl-G.f'
La uinta GolEst. #1
MECHANICAL FEE
DBL
SQ FT @ C
Z
WATER HEATER
4100
USE NO.
GRP
TYPE
00 SOFT RESID @ -7
/
SEWAGE DISPOSAL
�Q 64
1/0X1.16
R-1
;;-0 )- SQ FT GARAGE @
s A
HOUSE SEWER
F20 S10 ZO 10
PERMIT FEE
$
BOND AML.. Y�sem'
GAS PIPING
'3 b Q
MOBILE HOME PERMIT FEE
$
PD
PERMIT FEE
PERMIT FEE
1 �3 d E
ER IT O.
2663
TOTAL FEES
r7.�'
MOB. HM.FEE
MICRO EE
MECH. FEE
l
DBL.
PL. CK. FEE
CONST. FEE
,, �,��
DBI.
ELECT. FEE
;��
DBL.
SMI FEE
�-
FEE
PLUMB. FEE
�
DBL.
J F M A M J J A $ O N D
JOB ADDRESS SP NO
49-300 Avenue Fernando
OWNER
74
JONES TOM
75
USE OF PERMIT •, <:�a^
F.C.
DATE
IT O
PE2'90834
76
Dwlg. � Att. Garage . -. 1wi-
_ . 10-7-76
0 8 3 4
M H PERMIT FEE
$
COMMUNITY
DST
UNITS
ROOMS
VALUATION
SUPP. TO PERMIT
OFFICE
La QUinta
11
I
65,205.00
I
I
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
26
7.80
631-352-003 Lot 153Bl-G.f'
La uinta GolEst. #1
MECHANICAL FEE
DBL
$
SET BACK
12fy 13&1 ZONE
f�
USE NO.
GRP
TYPE
CK BY
39,50
1/0X1.16
R-1
B.S.
F20 S10 ZO 10
PLAN CHECK FEE
$
BOND AML.. Y�sem'
PLAN NO.
PLAN CHECKER
FINAL DATE
INS�;CTOR
PD
--
c°�C'�
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOLVED
219100
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
56.52
STRONG MOTION
$
�
OWNEQ(AG� SIGNATOR // A
fl -eu
CONTRACTOR
INSTRUMENTATION FEE
r�r//,
a'
$
ADDRESS
ADDRESS
FEE
�t�`� }h.,
N i l ��if t✓i
01
PLUMBING FEE
DBL
$
70
CITY ZIP CODE
CITY ZIP CODE
Palm sert 9 2260
TOTAL FEES
$ r 7
yrs
�, °,
TEL. NO'
TEL. NO. LICENSE
CASH O CHECK M.O. O N.C. O {
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
RECEIVED BYA gi;-�
TREES REQUIRED duTION
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC
SEWAGE SYSTEM
6 ^j
T15-6,9
LL
P
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI
IA%A/C nC TUC CTATC l C CAI ICI DAIIA 11\/CDl ll CKITDACTl1 DC IC Al Cn C1 IADAAITCCn
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS
FORM 284.208 (Rev. 10-74) OP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.