366808 (SATT) (2)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
1-366808 1. COUNTY OF RIVERSIDE
P
CONSTRUCTION ESTIMATE
NO. ELECTRICAIL FEES
NO. -PLUMBINGFEES
I ST FL. SQ. FT. @ go' $
2ND - FL S I Q. FT. @
POR. SQ. FT. @
GAR. SQ. FT. @ A2
�AR P. SQ. FT. @
SQ. FT. @
SQ. FT. @=
ESTIMATED CO NSTRUCTION VALUATION 1$ '.�r4oi
'!�p
9 90, q0_
0,69F;2�p
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
-7, WATER PIPING
NOTE: Not.to be used as property tax valuation
a gg
SWIM POOL, PVT
FLOOR DRAIN
Use/Case No.
MECHANICAL FEES
Mech. Fee Dbl $
SWIM POOL, COMM
WATER SOFTENER
Lot Size,
VENT SYSTEM f.,l—FAN EVAP. COOL /HOOD
.
MILegol
Construction Fee DbI $
SIGN
WASHER (AUTO)(")
—71
A�PLIANCE ARYER
Ele:trical Fee DbI $
/I -GARBAGE',DISP0SAL,
6< -5 01
F URNACE UNIT WALL FLOOR SUSPENDED
'�Ml Fee
P1 umbing Fee DbI
L AUNDRY TRAY
Bond Amt.
$
AIR HANDLING UNIT CFM
Plan Checker
IDLE METER
KITCHEN SINK
Unit
ABSORPTION SYSTEM B. T. U..
De -nal. Fee 1$
TEMP USE PERMIT SVC
Z.WATER CLOSET
r,.nch
COMPRESSOR HP
Supplimentol- Permit Num9ers
LE,TEMP/PERM
�AVATORY
Mileage Fee $
HEATING SYSTEM FORCED GRAVITY
Witness Fee $
0000 AMPERES SERV ENT
SHOWER
O-ner/Agent
't
w
w &
BOILER B. T. U.
SQ.:FT. @
BATH TUB
Total Fees
SQ. FT., @
WATER HEATER,
-32&4136
city
CA
Zip
SQ. FT. RESID @1114 c /877
7SEWAGE DISPOSAL
Contractor
AM
0. FT. GAR @ 314 c
HOUSE SEWER
Lig=se&
�rees required
Sew'o6e System
, I
44,
/.6AS PIPING
PERMIT FEE
w Zip
PERMIT FEE
FEE
DBL.
TOTAL FEES
MOB:HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE,,,o ELECT. FEE
S-6
SMI F2E
FEE
//L,,M FEE_
PERMIT NO.
j366808]
Job Address
53*745 Avenida xavarrn
Community
La quintan
Space Zip 0- er
'I ""it J.4'&�W6
Volubtion ate _1ist�
1$ 30f; -(*8. 00 s- a- 7 9 11
�,
Off. F.. C.
1 bot.
�41111`ermit Fee $
/Micro Film Fee Co'e $
Use of Permit
Mailing Atti.. Gar
a gg
174,
Parcel No.
134-022
Use/Case No.
Ck. By
BS
Mech. Fee Dbl $
Pl. Ck. Fee $
- Set Backs
Lot Size,
i
.
MILegol
Construction Fee DbI $
Descripti n
Lot 12. A 241 SCV
F Sq S
20 Sh 10
Ele:trical Fee DbI $
Zone Restrictions
Group
Type
_14
'�Ml Fee
P1 umbing Fee DbI
;2A
Bond Amt.
$
Plan No.
Plan Checker
Final Dote
3_0
b
inspe I
cn
Unit
Sp..Insp. Fee 's
De -nal. Fee 1$
Const. Lender
r,.nch
t
Supplimentol- Permit Num9ers
Registr. Fee 1$
Mileage Fee $
Address Z/ity Zip
Witness Fee $
Reinsp. Fee $
O-ner/Agent
't
w
w &
Tel.
Zip
Total Fees
Address
930 veils Rd.,
-32&4136
city
CA
Zip
M. 0. E] N. C.E] Coshn CheckX
Received by
Contractor
AM
_211WL-aggifta.
Tel.
AaaA
Lig=se&
�rees required
Sew'o6e System
, I
44,
Address
same
w Zip
16*jj, T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
S4wer District FOR 120 DAYS SHALL ALSO CA P
TO OID.
Igj
I Ck
I HEREBY AGREE THAT N
I C INJECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
T HE ND E S
LAWS OF RIVERSIDE ND E STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE I N'D]\?[C;UAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO I N
-208 (Re,8/78) (Ds ACCORDANCE WITH SECTION 5541 OF THE BUSINESS . AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
form 284
verified by: