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215618 (SATT)BUILDING PERMIT SIGN DEPARTMENT OF BUILDING & SAFET COUNTY OF RIVERSIDE WASHER(AUTO&DISH) FIELD OFFICE APPLIANCE ESTIMATE ELECTRICAL FEES GARBAGE DISPOSAL PLUMBING FEES 1ST FL. 2ND FL. POR. GAR. CAR P. WALL ��CIIONSTRUCTION 2311. 424 SQ. FT. P13,40 31,771.40NO. 741001Dm. NO. FIXTURE OR SOCKET SQ. FT. @ KITCHEN SINK SQ. FT. @ MOTOR 1 OR LESS H.P. GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL SQ. FT. @ 6 25 MOTOR 5 OR LESS H.P. 1 Ear Sink 150 SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL OK.W.UNITS WATER PIPING I So ESTIMATED VALUATION Is 2 SHOWER FLOOR DRAIN SQ. FT.@ Q MECHANICAL FEES BATH TUB 00 INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. werro Gf1CTCAICO VENT SYSTEM FAN ❑ EVAP.COOL HOOD SIGN I WASHER(AUTO&DISH) 3. 00 APPLIANCE TRANSFORMER =K•W GARBAGE DISPOSAL 1,50 FURNACE❑UNIT❑WALL❑FLOOR❑SUSPEND ED OUTLETS DATE LAUNDRY TRAY 741001Dm. AIR HANDLING UNITI I CFM FIXTURE OR SOCKET I KITCHEN SINK 1.50 GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE 3 WATER CLOSET 11, rM COMPRESSOR HP POLE 4 LAVATORY AlAn APPLIANCE VENT AMPERES SERV. ENT. 2 SHOWER ABSORPTION SYSTEM O B.T.U. SQ. FT.@ Q 2 BATH TUB 00 INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ q I WATER HEATER HEATING SYSTEM 5 FORCED ❑ GRAVITY SQ. FT. RESID. @1 q ll 7n ISEWAGE DISPOSAL DBL BOILER B.T.U. SQ. FT. GARAGE @ z q 9 Art HOUSE SEWER NO. PERMIT FEE BALANCE OF•MIN.FEE CK BY GAS PIPING gn MOBILEHOME HOOKUP FEE I$ I 1 I I IPERMIT FEE 13 1(M I I PERMIT FEE I 2 IO0 PERMIT NUMBER I TOTAL FEES I MOB. HOOK- FEE I HEAT B VENT FEE IDBLI PL. CK. FEE I CONST. FEE JOBLI ELEC. FEE IDBLI FEE FPLUMBING FEE IDBL J F M A M J I J A S O N D JOB ADDRESS OWNER 72 78-074 Lago La Quint& 73 USE OF BUILDING F.C. DATE PERMIT NO. 215 618 741001Dm. 9-2S-72 75 COMMUNITY DST UNITSOOM VALUATION SUPP. TO PERMIT OFFICE 76 f t>et: I �S / DU 0,5/ MOBILEHOME $ LEGAL DESCRIPTION HOOKUP FEE Lot 15 4w Tr -"18 DBL SET BACK LOT SIZE ZONE NO. GRP TYPE CK BY MECHANICAL FEE $ JUSE 24 � F s OIR In_ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR PLAN CHECK FEE $ 1 V j n 1 \_ 59.25 7� � DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED CONSTRUCTION FEE 116.50 DBL Alft RESS CITY STATE ELECTRICAL FEE $ 30.160 $ 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. FEE 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 46 ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. �0COMPLIANCE 50 WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS ANQ SPECIFI- TOTAL FEES $ PROFONS HAS DONE ACCORDANCE WARN SE 41 OF; .H US1 ESS AND SOT I �� 277.3 ESSIONS CODE STATE np;2 CASH M CHECK 0' M.O. ❑ N.C. 0 OWNER CONTRACTOR Received By ADDRESS A Pmnr 164 Sewage System��, P CITY CITY Trees Required Yes No INFORMATION TEL. NO. TEL. NO. LICENSE 346-5002 -,L S-*:) t0 y P. I FORM 284-208 (REV. 4/71) i