302025 (SFD)DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
BUILDING PERMIT
L3 PERMIT NO.
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL. SQ.
2ND FL.
POR.
GAR.
CAR P.
WALL SQ.
ESTIMATED CONSTRUCTION
FT. @I
SO. FT. @
SQ. FT. C-_ i
SQ. FT. @ �
SQ. FT. @
FT. @
SQ. FT,
VALUATION
$ !
UNITS
R a
YARD SPKLR SYSTEM
�
MOBILEHOME SVC.
BAR SINK
�d
j C7
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
4
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
NOTE: Not to be used as property tax valuation
1SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM3X FAN ❑ EVAP. COOL OOD
D
SIGN
WASHER(AUT H)
1 �
APPLIANCE RYER
0,0
GARBAGE DISPOSAL
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
j
KITCHEN SINK
A
ABSORPTION SYSTEM 0 B.T.U.
TEMP USE PERM SVC
WATER CLOSET
ell
COMPRESSOR. - HP
04
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ZtfORCED ❑ GRAVITY?
AMPERES SERV ENT
t
SHOWER
gjp
BOILER B.T.U.
SQ. FT. @ a
IBATH TUB
SQ. FT. @ a
WATER HEATER
GO
FT.RESID @ 11/aa
��
.SEWAGE DISPOSAL
SQ.FT.GAR @ 3/4a
HOUSE SEWER
GAS PIPING
�-
PERMIT FEE
QO
PERMIT FEE
PERMIT FEE
,FEE
DBL.
TOTAL FEES
'L'
MOB HM FEE
MICRO FEE
MECH. FEE
L-'OK- FEE
CONST FEE
ELECT,FEE
SMI FEE
FEE
PLUMB.
J
F
M
A
M
J
J
A
S
O
N
D
JOB ADDRESSSP NO
I
49-429 Gui jarro Dr. I
owrl�R
VILLA DEL LAW
76
77
COMMUNITY VALUATION
DATE DST
OFFICE
LA QUIM S 43f,226.00
6-17-77 11
Ind.
76
M H PERMIT FEE
$
USE OF PERMIT
F,C.
SUPP. TO PERMIT PE
MIT
NO.
dwelling & att. garage
001
I
297081 i
020
MICROFILM FEE
COPIES
$
BOOK PAGE PARCEL
LEGAL OESCRIP710N
617-320-341
Lot 5 tr-8792
MECHANICAL FEE
DBL
$
UBE NO.
ZONE SET BACK
LOT 512E
6RP
PE
K BY
'
r
'
R-1 0'
20
-°TYv-
R
EsCu
120 S5R
PLAN CHECK FEE
$
BOND AMT. PLAN No,
PLAN CHECKER
FINAL DATE �'2gj
—� 711
2083
Kinsey
--
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LCrER I.4VOLVED
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
,
STRONG MOTION
$
17
OWNER/AGENTS SIGNATURE CONTRACTOR
INSTRUMENTATION FEE
►
Suwaerfield Development
5PECiALINSP
$
ADDRESS ADDRE5s
DEMOLITION
REGISTRATION
FEE
F. 0. Box 9
PLUMBING FEE
DBL
$
CITY ZIP CODIF CITY
ZIP CODE
La Quint& Calif. 92253
,
TOTAL FEES $
YEL NO.
AREA CODE TEL
NO AREA CODE
564-4766 714
7�Z9"2
CASH❑CHE .0.❑N,coll
RECEIVED BY r r TREES REQUIRED
5I1ALL BECOME VOID IF WOP,K IS NO COMMENCED WITHIN 120 DAYS. CESSATICr3 OF
120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID,
Y AGREE THAT WORK IN CONNECTION W17H THIS PERMfTWILL BE DONE IN ACCORDANCE
SEWAGE SYSTEM
ALL
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO CARRY
r+aw,'-1 'i"unnl. �cvry Iy- r �.nr-. i�. �..I.r F ix ..III
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.