303515 (SFD)• DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT C NTY F a
I
J F M A M J J A S O N D
PERMIT NO.
5A
OWNER
R v CnRP.
76
OV O RIVERSIDE
COMMUNITY VALUATION
DATE
DST
DST
CONSTRUCTION ESTIMATE
LA QUINTA 25.97 (N}
NO.
ELECTRICAL FEES
78
NO. PLUMBING FEES
1ST FL. r �217 SQ.
2ND FL.
POR.
GAR. b r'
CAR P. SQ.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @ l 1$ �
! =-`'
F.C.
UNITS .
NO.
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ 'L r3/a =_= MOBILEHOME SVC. BAR SINK
SQ. FT. @ ""^ G ' ' z°<.E' POWER OUTLET ROOF DRAINS
FT. @ r DRAINAGE PIPING
3
FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
COPIES
VALUATION $r` 7 WATER PIPING
`I ,
`3 i
r
NOTE: Not to be used as property tax valuation
LEGAL DESCRIPTION
SWIM POOL, PVT
FLOOR DRAIN
;
MECHANICAL FEE
MECHANICAL FEES
$
USE NO.
SWIM POOL, COMM
SET BACK
WATER SOFTENER
GRP
TYPECK
VENT SYSTEM FAN ❑ EVAP. COOL 'HOOD
i'
,;\c
S 1
SIGN
WASHER (AUTO) (QkH);t3
tt
APPLIANCE Q DRYER
'k-1
, ,
it?
#! i•,
GARBAGE DISPOSAL
$
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSP
OR '
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
DBL
$
ABSORPTION SYSTEM B.T.U.
NAME OF CONST. LENDER BRANCH
OFFICE
NO LE E INVOLVED
TEMP USE PERM SVC
WATER CLOSET)
COMPRESSOR "'?"'(0 HP
ELECTRICAL FEE
DBL
POLE, TEMP/PERM
LAVATORY
STATE
HEATING SYSTEM Q -F RCED❑GRAVITY
a`i
y {
S�! ='
AMPERES SERV ENT
SHOWER
STRONG MOTION
BOILER B.T.U.
OWNER/AGENTS SIGNATURE CONTRACTOR
t�
SQ.FT. @ ¢
BATH TUBS
o�
-
'SPECIALINSP
SQ.FT. @ a
$
WATER HEATER
ADDRESS ADDRESS
DEMOLITION
FEE
w
SQ.FT.RESID @ 1/a¢
SEWAGE DISPOSAL
REGISTRATION
.'
SQ.FT.GAR @ 3/a¢
;, dj_
HOUSE SEWER
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
m View
- ZIP CODE
GAS PIPING
PERMIT FEE
{, R*
PERMIT FEE
;> (c C)
PERMIT FEE
TOTAL FEES $
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
J F M A M J J A S O N D
JOB ADDRESS I SP NO
1
54-040 Avenida Velasco
OWNER
R v CnRP.
76
77
COMMUNITY VALUATION
DATE
DST
OFFICE
LA QUINTA 25.97 (N}
9
1 n
78
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP. TO PERMIT PE$MIT
NO.
balling Att.g
3
MICROFILM FEE
COPIES
$
BOOK PAGE PARCELI
LEGAL DESCRIPTION
774 -2I5 - 2-
;
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
TYPECK
BY
I
S #
S 1
R
tt
'k-1
- �n. g
it?
#! i•,
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSP
OR '
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LE E INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
�f
STRONG MOTION
$
OWNER/AGENTS SIGNATURE CONTRACTOR
t�
INSTRUMENTATION FEES
o�
-
'SPECIALINSP
$
ADDRESS ADDRESS
DEMOLITION
FEE
REGISTRATION
PLUMBING FEE
DBL
$
CITY ZIP CODE CITY
m View
- ZIP CODE
nA In h G
TOTAL FEES $
TEL. NO.
AREA CODE TEL.
N
LICE SE`B
'CASH ❑CHECK 0
.O.❑N.C.-.
RECEIVED BY TREES REQUIRED
IS IT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID,
:SEWAGE SYSTEM
s`
F-7
L ' "
ALL WORK INTION PERMITWITHTWS IN RDANCE
T
LL
P .A
H THE SEOF RIVERSIDE DEE COUNTTY ANDTHAT
WTHHE STATE OF CAL FORNIABI ALSSOEAGREE TO
O CARRY
C.UMPtNSA I IUN INSURANCt UPON MY EMPLOYEES. 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 SPECIFICATIONS HAS DONE
FORM 2e4-206 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.