286048 (SATT)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT ,,,�„„�„ ,�� „
1 F M A M J J A S O N D
PERMIT NO.
1 2860481
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L.VVIYI i Vr Rivcr%31UC
77
COMMUNITY �i j'j1'%�
AA"a
VALUATION ,p[ /j
$ !/ 0 or,
DST
CONSTRUCTION ESTIMATE
OFFIIICC'E'''''
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. /000SQ.
2ND FL.
FOR. 6t
GAR.
CAR P.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @ * $
USE"OF PERMIT
UNITS
SUPP. 1. PERMrr
PERMIT NO.
28MICROFILM
SQ. FT. @ YARD SPKLR SYSTEM
COPIES
SQ. FT. @ i MOBILEHOME SVC. BAR SINK
SQ. FT. @ .. �� sip POWER OUTLET ROOF DRAINS
LEGAL DESCRIPTION
SQ. FT. ' @ DRAINAGE PIPING
FT. @ DRINKING FOUNTAIN
SQ. FT. @ URINAL
VALUATION $ 2 Z 2 1. AM WATER PIPING,
DBL
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
ZONE
FLOOR DRAIN
LOT
ySIyZ;fig '
J (/MV�
GRP TYPE ICK
-7
MECHANICAL FEES
�j ,.,
1 1-80
SWIM POOL, COMM
s
WATER SOFTENER
PLAN CHECK FEE
VENT SYSTEM FAN ❑ EVAP. COOL 5eOOD
SIGN
PLAN NO.
WASHER (AUTO ISH)
FINAL AT 1” I. INS�TOR
APPLIANCE [R, bRYER
1:2S
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
CONSTRUCTION FEE
DBL
LAUNDRY TRAY
NAME OF CONST, LENDER BRANCH
AIR HANDLING UNIT
NOLENDE INVOLVED
IDLE METER
KITCHEN SINK
2
ABSORPTION SYSTEM B.T.U.
TEMP USE PERM SVC
DBL
WATER CLOSET
ow -
ADDRESS CITY
COMPRESSOR 2 7Z%O� HP
C7�
IPOLE, TEMP/PERM
LAVATORY
I ,CONTRACTOR
HEATING SYSTEM XFORCED ❑GRAVITY'
AMPERES SERV ENT
40
SHOWER
!
BOILER B.T.U.
SQ.FT. @ ¢
f BATH TUB
n Mails Construction C 5.
''SPECIAL
SQ.FT. @ a
WATER HEATER
$
ADDRESS ADDRESS
/.7e Q.FT.RESID @ 1'/4a
FEE
SEWAGE DISPOSAL'
L
Q.FT.GAR @ 3/4a
4(
HOUSE SEWER
•
P O o% 917
GAS PIPING
DBL
$
37
PERMIT FEE
d`
PERMIT FEE
r
PERMIT FEE
DBL.
TOTAL FEES
jMOB.HM.FEET
MICRO FEE
MECH. FEE
PL. CK. FEE
CONST. FEE
ELECT. FEE
'i
SMI FEE
FEE
PLUMB. FEElog8.Mir
1 F M A M J J A S O N D
JOB ADDRESS SP NO
I
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&elf A14
76 F
77
COMMUNITY �i j'j1'%�
AA"a
VALUATION ,p[ /j
$ !/ 0 or,
DATE
DST
DST
OFFIIICC'E'''''
76
M H PERMIT FEE$
USE"OF PERMIT
F.C.
SUPP. 1. PERMrr
PERMIT NO.
28MICROFILM
FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT
ySIyZ;fig '
J (/MV�
GRP TYPE ICK
-7
BYf
w7
�j ,.,
1 1-80
S ��
s
�Q
PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL AT 1” I. INS�TOR
CONSTRUCTION FEE
DBL
$
NAME OF CONST, LENDER BRANCH
OFFICE
NOLENDE INVOLVED
�0.
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
I ,CONTRACTOR
I MOTION
INSTRUMENTATION
kNSTRUMENTATION FEEIndia
$
/
OiVStyE Si.GNA URErj1.
n Mails Construction C 5.
''SPECIAL
$
ADDRESS ADDRESS
INSP
DEMOLITON
FEE
;'REGISTRATION
P O o% 917
PLUMBING FEE
DBL
$
37
CITY ZIP CODE CITY
ZIP CODE
r
La t ainta . 92253
”
TOTAL FEES$
p
/�
TEL. NO, AREA
CODE TEL,
NO,
AREA CODE
LICENSE A
ICASH ❑CHECK .O.❑N.C.❑
./-
564-1159
`
1
+RECEIVED BY,0 TREES REQUIRED
MIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
P
120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
Oryl
REB AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
ITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
A T.
:SEWAGE SYSTEM
t.
T /
LL
P X 4drnhADCw
—L Vrvly Ml CMr '- iCCS. COMPLIANCE WITH HE LAWS OF IrIt JI A I t Ut-
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
FORM 284-208 IREV. 6-761 OF CALIFORNIA.