206121 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE. 10
SIGN
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
APPLIANCE
IST F.L.
2ND FL,
POR.
GAR.
CAR P.
WALL
352
389
SQ. FT. @ 13.40
SQ. FT. @
11,363.20 NO.
OUTLETS
�1 pp
SQ. FT. @ 2.50 $$0.00 MOTOR 1 OR LESS H.P.
LAUNDRY TRAY
SQ. FT. @ MOTOR 5 OR LESS H.P.
SQ. FT. @ 2.50 472. 50 MOTOR 20 OR LESS H.P.
FIXTURE OR SOCKET
SQ. FT. @
KITCHEN SINK
SQ. FT. @
CONST. SERV. ENTRANCE
0 K.W. UNITS
WATER CLOSET 1-50
ESTIMATED VALUATION Is
POLE
I
11LAVATORY 1150
MECHANICAL FEES
AMPERES SERV. ENT.
2,00
FIELD OFFICE
PLUMBING FEES '
DRAINAGE PIPING
DRINKING FOUNTAIt`
URINAL
WATER PIPING
FLOOR DRAIN
WGTFR Cr)FTFNFR
VENT SYSTEM ❑ FAN ❑ EVAP.COOL [HOOD
SIGN
JOB ADDRESS
WASHER(AUTO) ISH)
APPLIANCE
�' TRANSFORMER =K•W•
51,930 Ave.Villa
j GARBAGE DISPOSAL
FURNACE❑UNIT❑WALL❑FLOOR❑SUSPENDED
OUTLETS
USEOF BUILDING .'
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET
KITCHEN SINK
GAS PIPE F] NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE
74
WATER CLOSET 1-50
COMPRESSOR 0 HP
POLE
I
11LAVATORY 1150
APPLIANCE VENT
AMPERES SERV. ENT.
2,00
SHOWER
ABSORPTION SYSTEM B.T.U.
SQ. FT. @ q
BATH TUB 50
INCINERATOR ❑ DOMESTIC ❑INDUS. OR COMM.
SQ. FT.@ , T.
VALUATION
WATER HEATER
HEATING SYSTEM FORCED ❑ GRAVITY
J.SQ. FT. RESID. @ 1 Q
7.8,5SEWAGE
DISPOSAL (}
901LER E=� B.T.U.
SQ. FT. GAR AGE @ 'zQ
2 25
HOUSE SEWER
PERMIT FEE
�� BALANCE OF MIN. FEE
MOBILEHOME
GAS PIPING
MOBILEHOME HOOKUP FEE I$ I I I I IPERMIT FEE I XOGI I PERMIT FEE I 21.00
PERMIT NUMBER TOTAL FEES MOB. HOOK FEE MEAT 8 VENT FEE DBL PL. CK. FEE CONST.FEE DBL ELEC. FEE DBL FEE PLUM�FEE121 � �. s3 17. 28.00 56.1 1510 �
J F M A M J J A S O
N D
JOB ADDRESS
OWNER
72
51,930 Ave.Villa
Mountain Mirage,
73
USEOF BUILDING .'
F.C.
DATE
PER2T6121
74
DWg.&- A t.farpdrt
00
3-14-72
75COMMUNITY
DST
UNITS
OOM
VALUATION
SUPP. TO PERMIT[OFFICE
7s
La Qninta
T
1.3 215.70
P
MOBILEHOME
$
LEGAL DESCRIPTION
HOOKUP FEE
Lot 16. -BI -120. Sento Caroelita, 012 - 1IC-773-183-008
DBL
SET BACK
LOT SIZE
ZONE
GRP
TYPE
MECHANICAL FEE
-
$
JUSENO.
JCKBY17,
_
F-C �}a�
20 S 5+*� 5 32
fin
•R-:1
—h
oba
-
•BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPE
TOR
PLAN CHECK FEE
$29.00
I
I
DBL
-
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOL ED
CONSTRUCTION FEE-
DBL
ADDRESS
CITY STATE
'
ELECTRICAL FEE ,
$
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS.
CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
SIM FEE
+3
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE
IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF -
DBL
PLUMBING FEE
$
ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
COMPLIANCE WITH THE LAWS OF THE STATE_OF CALIFORNIA COVERING CONTRACTORS
�►
IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE, INDIVIDUAL WHO PREPAREP THEXPLAS AND SPECIFI-
TOTAL FEES 5
cATIONs HAS DONE SO IN ACCORDANCE WITH SECTIO 541 OF,BUSINESS N
1 .2
PROFESSIONS CODE OF THE STATE OF CALIFORNIA. o
CASH ❑ CHECK Ck M.O. C] N.C. M
OWNER
CONTR o �j
Received By_ ,
ADDRESS
�.A vi�NJq C63NST/t; LQ;
e V�0
Sewage System
T
LL
P
`s -Z
CITY
CITY
Trees Required
Yes
No
A314/G s �/�}L�
%�.
INFORMATION flian #1
TEL. NO.
TEL. NO. LICENSE
FORM 284-208 (REV. 4/71) ro
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