286047 (SATT)DEPARTMENT OF BUILDING & SAFETY -
FIELD OFFICE
BUILDING PERMIT ,. I. - ,��
1 F M A M J J A S O N D
PERMIT NO.
6047
- t.VVIV 1 If %./r• KI V CK3!UC 'Row'
1
DST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. -PLUMBING FEES
1 ST FL. 41
2ND FL.
POR. AI 44
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $ UNITS
SQ. FT. @ YARD SPKLR SYSTEM
SQ. FT. @ MOBILEHOME SVC. BAR SINK
SQ. FT. @ POWER OUTLET ROOF DRAINS
SQ. FT. @ DRAINAGE PIPING
SQ. FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ WATER PIPING
NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN
MECHANICAL FEES ISWIM POOL, COMM WATER SOFTENER
M H PERMIT FEE
VENT SYSTEM WFAN ❑ EVAP. COOL HOOD o0 SIGN WASHER (AUTO ISH)
$
APPLIANCE DRYER GARBAGE DISPOSAL
USE OF PERMIT
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
SUPP. TO PERMIT
AIR HANDLING UNIT CFM IDLE METER j# KITCHEN SINK
ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET ✓ `;Fxj
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
HEATING SYSTEM XFORCED ❑ GRAVITYAMPERES SERV ENT SHOWER
_0_Q 462L
001
I
BOILER B.T.U. SQ.FT. @ a BATH TUB aZ 00
86047
SQ.FT. @ a WATER HEATER
MICROFILM FEE \
.SQ.FT.RESID @ 111/4a '0SEWAGE DISPOSAL �Q
$
W51SO.FT.GAR @ 1/44 -1/19 HOUSE SEWER
BOOK PAGE PARCEL
GAS PIPING �Q
PERMIT FEE ¢� f PERMIT FEE PERMIT FEE d
DBL.
TOTAL FEES
MOB.HM.FEE
MI O FEE MEC H. FEE PL. CK. FEE
CONST. FEE ELECT. FEE SMI FEE
FEE PLUMB. FEE
17 -a3L
1 F M A M J J A S O N D
JOB ADDRESS SP NO
I
54-34S. Avenida Velasco
OWNER
Indian !dells Const. Co.
76
77
COMMUNITY
VALUATION
DATE
DST
OFFICE
i» Quinu
$;2 807, E—`10-28-76
I/
78
M H PERMIT FEE
$
USE OF PERMIT
F.C.
SUPP. TO PERMIT
PE MIT NO.
Dwlg. & Att. garage
001
I
86047
MICROFILM FEE \
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
`�
774-152-4105
Lot 5, Block 292
MECHANICAL FEE
DBL
$
USE NO.
ZONE
BACK
LOT SIZE
GRP
TYPE
CK BY
^�
R-1
/�(�
50xl(3�'
�
/^�AA
I GVH
}S/E�T
S lolls
5'
}}��
R,117'
PLAN CHECK FEE
$
BOND AMT.
PLAN NO,
PLAN CHECKER
FINAL IIFLT.OR�
180i
Kinsey
CONSTRUCTION FEE
DBL$
��
IV—V
o
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDE NVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
r
STRONG MOTION
$
�...:
9 c FJ S SIGNAYURE CONTRACTOR
INSTRUMENTATION FEE
Indian Wells Construction Cm.
'SPECIALINSP
$
ADDRESS ADDRESS
DEMOLIT
FEE
REGISSTRATTIION
P.O. Box 917
PLUMBING FEE
DBL
$'37
�4
CITY ZIP CODE CITY
ZIP CODE
La Quinta 92253
TOTAL FEES
$
/
�� 7T7
TEL. NO. AREA
CODE TEL,
NO,
AREA CODE
LICENSE e
CASH❑CHECK .O.❑N.C.❑
I O s,?
564,&k59
7 -W
RECEIVED BY
TREES REG UIREDI
RMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF,
}7 R 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
REBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
SEWAGE SYSTEM
�j
% V f
T LL
P O(O
TH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
'%R_-UMFt NJA I IVN INbUHANCt UPUN 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 284-208 IREV. 6-761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.