230130 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICS
COUNTY OF RIVERSIDE
.. CONSTRUCTION ESTIMA-TE ,.,,,. ;
- . .. ,ELECTRICAL„FEE.S,,PLUMBING FEES DST
1 ST FL. % SQ. FT. % O.l ' J NO.
-i
2ND FL. SQ. FT. @°
POR. 41 SQ. FT. @ iJ. �^ MOTOR I OR LESS H.P.
GAR. SQ.FT. �a~ MOTOR 5 OR LESS H.P. _
CAR P. SQ. FT. @MOTOR 20 OR LESS H.P. DRAINAGE PIPING
WALL SQ.FT. Cia DRINKING FOUNTAIN
SQ. FT. Ci0 URINAL
ESTIMATED CONSTRUCTION VALUATION $� 0K W. UNITS f WATER PIPING
NOTE: Not to be used os property tox'voluotion
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENTSYSTEN,;4-9 FAN ❑EVAP. COOL AS -HOOD
(�' SIGN WASHER (AUT07BDISH)
APPLIANCE 'e
TRANS-. K.W. GARBAGE DISPOSAL
..; w FORMER 0
FURNACE 0 UNIT ❑ WALL ❑FLO R ❑SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT I = CFM
FIXTURE OR SOCKET KITCHEN SINK
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR HP
POLE LAVATORY UfJ
APPLIANCE VENT
AMPERES SERV. ENT. 2 SHOWER
ABSORPTION SYSTEM 0 B.T.U.
SO. FT. @ Q BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SO. FT. @ Q ,h WATER HEATER
_ HEATING 22J•FORCED ❑ GRAVITY
O �+ SQ. FT. RESID. Cain d '? SEWAGE DISPOSAL 0
_ BOILER 0 B.T.U.
SQ. FT. GARAGE @]/,4 ,'� HOUSE SEWER
PERMIT FEE
106 BALANCE OF MIN. FEE f GAS PIPING
MOBILE HOME HOOKUP.FEE Is
PERMIT FEE PERMIT FEE too
P
N
TOTAL FEES
MOB. HK. FEE MICRO FEE
MECH. FEE
DBL
PL. CK. FEE CONST. FEE
J�r 1116
DBL.
ELECT. F E
DBL.
SMI FEE
FEE PLUMB. FEE
DBL.
J
.,----• -J- F M I A M-1 J I J -1 A-1 S 1 O -1 N-1 D
!OB ADDRESS _ - �- -- ----OWNER - -
Lago La u nta Dr. ELM CORP. _ 4
73
74
USE OF BUILDING p /
c0I6�.Dw .& �,tthar a
F.C. DATE
01' G-�4-73
ERMLLN 1
75
M.H. HOOKUP FEE
$
COMMUNITY -
Le Quinta
DST
II
I UNITS
T '
ROOMS
VALUATIONSUPP.
35,v9.5. 00
5 09$.04
TO PERMIT
OFFICE
z
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
Lot -22` Tr -4418
MECHANICAL FEE
'DBL
$'
129
iq•�
GF
SET BACK
LOT S1ZE ZONE
JUSENO.
g 4
R_1ar-1034
a t �t
GRP
BY
TYPE Laley
A SR
PLAN CHECK FEE
.
$
BOND AMT. PIAN NO.
PLAN CHECKER FINAL DATE INSPEC
I / f”
OR/
CONSTRUCTI.ON.FEE
DBL
$• _�
Q
NAME OF CONST. LENDER BRANCH
OFFICE .NO
LENDER INVOLVED' 'F
ELECTRICAL FEE
DBL
$
fi�0
ADDRESS CITY
_ STATE
SMI FEE•
$
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA-
TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC.
CORDANCE'WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO
AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOY ESQ COMPLIANCE WITH
THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRA7,01,1S IS AL - GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PR THAT S A IONS
HAS DONE SO IN ACCORDANCE WITH SECTION 55�T N OF SIONS
CODE F HE STATE OF CALIFORNIA.
' FEE
$
_
PLUMBING FEE
DBL
$
Ci
111-40
TOTAL FEES
$
CASH ❑OWNER.
CHECK [� M.O. ❑ ' N.C. ❑
CONTRACTOR
".
RECEIVED BY
ADDRESS
AD'da !
'
SEWAGE SYSTEM • T
LL
P
TREES REQUIRED YES
NO
CITY
CITY
Desert
• INFORMATIONPA-lim
F0 284.2081Rev. 111721
TEL. NO.
•
TEL. NO. LICENSE
346-6002 26 F