302027 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
PERMIT NO,
3 02 .02 7]
COUNTY OF RIVERSIDE
asT
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL. 15rX I
2ND FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SQ. FT, @
SO. FT. @
SQ. FT. @
SQ. FT. @ Cam-
SQ. FT. @
SQ. FT. @ +Iva
SQ. FT. @
VALUATION
UNITS
YARD SPKLR SYSTEM
l
MOBILEHOME SVC.
BAR SINK
d�
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
I
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
I
IWATER SOFTENER
VENT SYSTEM FAN ❑ EVAP. COOL CLOD
SIGN
I
WASHER(AUT H)
APPLIANCE RYER
GARBAGE DISPOSAL
FURNACE ❑ UNIT- ❑ WALL [:]FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT I
CFM
IDLE METER
KITCHEN SINK
Q
ABSORPTION SYSTEM 0 B.T.U.
TEMP USE PERM SVC
WATER CLOSET.
COMPRESSOR _ HP
POLE, TEMP/PERM
LAVATORY
QQ
HEATING SYSTEM ORCED ❑GRAVITY
AMPERES SERV ENT
JSHOWER
BOILER B.T.U.
SQ. FT. @ ¢
BATH TUB
4g
SQ. FT. @ ¢
WATER HEATER
02
X/§Q.FT.RESID @ 1 Y4¢
SEWAGE DISPOSAL
C�
j 7Q.FT.GAR @ 1/4¢
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES IM013-HM.FE-E[
MICRO FEE
MECH. FEE
PL. CK. FEE
.�-
CONST, FEE
ELECT. FEF_
3
SMI FEE
, �Q
FEE
PL B. FEE
J
F
M
A
M
J
J
A
S
O
N
D
JOB ADDRESS SP NO
i
49-385 Gui arro Dr.
OWNER
g
76
77
COMMUNITY
VALUATION
DATE
DST
❑FF K:E
La Quinta
32 7704000
6-17-77
11
lindig
78
M H PERMIT FEE
$
USE OF PERMIT
P.C.
SUPP. TO PFRMIT
PE MIT N
dwelling& att era a 1003
297079
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL DESCRIPTION
61Z 320. 041
Lot 3 tract 8792
I
MECHANICAL FEE
DBL
$
USE NO.
ZONE
SET BACK
LOT SIZE
GRP
TYPE
CK BY
20 5' 5' 10'
CU-1824-E
R-1
60x120
R-3
V-
S S R
B:
PLAN CHECK FEE
$
BOND AMT,
PLAN NO PLAN CHECKER
FINAL DATE IN5PE-TOR
2085 Kinsey
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER
BRANCH OFFICE
NO LENDER INVOLVED
ELECTRICAL FEE
DBL
$
ADDRESS
CITY
STATE
Q�
STRONG MOTION
$
OWNER/AGENTS SIGNATURE
CONTRACT R
INSTRUMENTATION FEE
Sul Id Dey,
SPECIAL INSP
$
ADDRESS
ADDRESS
[OkAkOLITION
FEE
REGISTRATION
P.O. Box 9
PLUMBING FEE
DBL
$
CITY ZIP CODE
CITY ZIP CODE
►Qp
La Quista Calif. 92253
TOTAL FEES $
TEL. NO, AREA
CODE
TEL. NO AREA CODE
LICENSE #
CASH❑CHECK O.❑N.C.❑ �+8
564-47b6 714
00692
RECEIVED BY TREES REQUIRED
511ALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
G GAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
WtC-_R
EE TI {ATALL WORK IN CONNECTION WITH THI$ PERMIT WILL BE DONE IN ACCORDANCET
SEWAGE SYSTEM
//
LL
P '
-
LAWS OF RIVERSIDE COUNTY AND THE STATE OF CAi IFORNIA, I ALSO AGREE TO CARRY
�VlAe t N Jd I IL'.)N INS, VKANLt UFUN MY I_MVLU T t t`.i. LL /AFLIA N4-I: WI Ili I Ht LAWy UY I Hk 51AI EOh
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
FORM 284-208 (REV. 6-76) SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.