215833 (SATT)BUILDING PERMIT
W SIGN
PERMIT NUMBER
DEPARTMENT OF BUILDING & SAFETIO
COUNTY OF RIVERSIDE
I HEAT & VENT FEE
31.00
FIELD OFFICE
CO
TRUCTION ESTIMATE
ELECTRICAL FEES
50
PLUMBING FEES 7
1ST FL.
2ND FL.
POR. 533
GAR.
CAR P.
WALL
74
SQ. FT. @ 1-4u
Jupolevu
NO.
FIXTURE OR SOCKET
NO.
SQ. FT. @
50
SQ. FT. @ • Jt • MOTOR 1 OR LESS H.P.
SQ. FT. @ • 3 • MOTOR 5 OR LESS H.P.
CONST. SERV. ENTRANCE
SQ. FT. @ MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
URINAL
OK.W.UNITS
JL WATER PIPING
ESTIMATED VALUATION Is
AMPERES SERV. ENT.
•I
I
I IFLOOR DRAIN
ABSORPTION SYSTEM E:= B.T.U.
MECHANICAL FEES
LEGAL DESCRIPTION
I I
1
TER Sr)FTFNFR
VENT SYSTEM FAN ❑ EVAP.COOL❑ HOOD y
W SIGN
PERMIT NUMBER
WASHER (AUTO ISH)
I HEAT & VENT FEE
31.00
APPLIANCE
TRANSFORMER =K•W•
DBL ELEC. FEE
30.
GARBAGE DISPOSAL
50
FURNACE❑UNIT❑WALL❑FLOOR❑SUSPENDED
OUTLETS
74
LAUNDRY TRAY
AIR HANDLING UNITI CFM
FIXTURE OR SOCKET
KITCHEN SINK
50
❑ L.P.G. ❑ OIL
GAS PIPE ❑NATURAL50
CONST. SERV. ENTRANCE
WATER CLOSET
SUPP. TO PERMIT
COMPRESSOR HP
POLE
QuivtB
LAVATORY
6 00
APPLIANCE VENT
AMPERES SERV. ENT.
SHOWER
MOBILEHOME
ABSORPTION SYSTEM E:= B.T.U.
SQ. FT. @ Q
LEGAL DESCRIPTION
BATH TUB
1
INCINERATOR ❑ DOMESTIC ❑INDUS. OR COMM.
SQ. FT.@ R
1
WATER HEATER
1
HEATING SYSTEM 2tXFORCEID ❑ GRAVITY
SQ. FT. RESID.1 Q
1
SEWAGE DISPOSAL
10 00
BOILER O B.T.U.
SQ. FT. GARAGEI Q
4
501HOUSE
SEWER
$ 1 00
j
PERMIT FEE
BALANCE OF MIN. FEE
1 1
1 GAS PIPING
1
MOBILEHOME HOOKUP FEE I$ I I I ' IPERMIT FEE I ,I UVJ j I PERMIT FEE I Z IUD
JOB ADDRESS
PERMIT NUMBER
TOTAL FEE4 MOB. HOOK FEE
277.
I HEAT & VENT FEE
31.00
�OBLJ
PL. CK, FEE CONST. FEE
56. 116.50
DBL ELEC. FEE
30.
DBL
FEE
Stix 2.
PLUMBING FEE
39.00
JIBL
J F M A M J J A S O N D
JOB ADDRESS
OWNER
72
77-x942 LAW IA t UD-fA DR.
RLiM C w. (Z
73
.USE OF BUILDING
F.C.
DATE
PER�11T, NQS
//GG�J�
74
Coat. Drl,g. gf-4n, 6A
10.10••72
I 5 833
755
COMMUNITY
DST
DST
UNITS�OOMJVALUATIONOO�t�
SUPP. TO PERMIT
OFFICE
76Lai
QuivtB
T
1
35,1 9.
F
MOBILEHOME
$
LEGAL DESCRIPTION
HOOKUP FEE
Lot 4. Tar. W8
DBL
SET BACK
LOT SIZE
ZONE
USE NO.
GRP
TYPE
CK BY
MECHANICAL FEE
$ 1 00
j
IR -1
e"
F 20 IS Q R 10
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
PLAN CHECK FEE
$
25
ua/ G, 150
oz
DBL
NAME OF CONST. LENDER
BRANCH OFFICE NO LENDER INVOLVED
CONSTRUCTION FEE
$
TIA BANK
PATM IN -)EM
DBL
ADDRESS
CITY STATE
ELECTRICAL FEE
$ 40
$
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.
aff FEE
1 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
ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES.
COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS
00
IS ALSO GUARANTEED.
PECIFI-
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREP ED THE PLANS ANN�OS
TOTAL FEES $
CATIONS HAS DONE SO IN ACCORDANCE WITH SECT O T IAND
PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
CASH F-1 CHECK M.O. ❑ N.C. 0
OWNER
CONTRACTOR 1
i
Received By
ADDRESS
Sewage System
T
L L
P
CITY
CITY
Trees Required
Yes
No
unit 8 INFORMATION
TEL. NO.
T LICENSE
FORM 284-208 (REV. 4/71 )
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CITY OF LA NTA
CITY
BUILDING & SAFETY DEPARTMENT
CONDITIONALLY.
ACCEPTED FOR CONSTRUCTION
SUBJECT TO INSTALLATION AS PER
AND ALL APPLICABLE CCI?FS
B`
DATE'
OLO Z-YV4sc-H rA
109 L co4c
Wc-�
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CITY OF LA QUINTA
BUILDING& SAFETY DEPART MIEN'l
CONDITIONALLY
ACCEPTED FOR CONSTRUCTION
SUBJECT TO INSTALLATION AS PER
AND ALL APPLICABLE CODES
131YDATE BY