368615 (RPL)BUILDING PERMIT —
PERMIT NO. r DEPARTMENT OF BUILDING & SAFETYDST
368615 COUNTY OF RIVERSIDE FIELD t
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FE=S
Space
Zip Ovner
= C" , '
Community #{ s
'I .i'/fit.% j„�
Valuation
$
� r mow'""
UNITS
_
Off.
F.C.C.
,
42-6
+
IST FL. SQ. FT. @
Cop $
Use of Permit
J
Parcel No./
._� _ (r .: M ,w,
w-1-
Use/Gose No. r�
/7
CIC By
' YARD SPKLR SYSTEM
Pl. Ck. Fee $
2ND. FL. SQ. FT. @
Lot Size
Construction Fee Dbl $
Legal Description
/� ,.r+ % +- 6 C/ �°"
f
F
/
(� y,..>
MOBILEHOME SVC.
BAR SINK
Zone Restrictions r
r,.
POR. SQ. FT. @
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
POWER OUTLET
Plan Checker
ROOF DRAINS
GAR. SQ. FT. @
Inspecor
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch
DRAINAGE PIPING
CAR P. SQ. FT. @
Registr. Fee $%i
Mileage Fee $
Address City Zip
SQ. FT. @
Reinsp. Fee
$
DRINKING FOUNTAIN
�W/6LL
Tel.
Zip
URINAL
Total Fees
M.O. N. C..
SQ. FT. @
Address /
Al // ♦ �f _ 3•! // l%
City
ESTIMATED CONSTRUCTION VALUATION $ ""
y )
WATER PIPING
—�
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
Trees required
MECHANICAL FEES
SWIM POOL, COMM
Address
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
�� SHOWER
BOILER B.T.U.
SQ. FT. @ C
BATH TUB
SQ. FT. @ t
WATER HEATER
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
SQ. FT. GAR @ 3/ c
HOUSE SEWER
GAS, PIPING
PERMIT FEE
PERMIT FEE
p
PERMIT FEE
DBL.
TOTAL FEES
MOB.HM.FEE
MICRO FEE
MECH. FEE L.., CK. FEE
CONST. FEE
ELICrT. FEE
S.AI FEE
FEE
PL B. FEE
t�
17,
�316-41
F- r
PERMIT NO.
136861514-1.�.:��
Job Address
Space
Zip Ovner
= C" , '
Community #{ s
'I .i'/fit.% j„�
Valuation
$
� r mow'""
Date Dist.
�• ' 'j t
_
Off.
F.C.C.
,
42-6
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit
J
Parcel No./
._� _ (r .: M ,w,
w-1-
Use/Gose No. r�
/7
CIC By
Mech. Fee Dbl $
Pl. Ck. Fee $
Set ocks _.
Lot Size
Construction Fee Dbl $
Legal Description
/� ,.r+ % +- 6 C/ �°"
f
F
/
(� y,..>
*vim 5
Electrical Fee Dbl $ /
Zone Restrictions r
r,.
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
lan No.
Plan Checker
Final Date
6-
Inspecor
Unit
Sp. Insp. Fee $
Demol. Fee
$
Const. Lender Branch
Supplimenta ' t Numbers
/
Registr. Fee $%i
Mileage Fee $
Address City Zip
Witness Fee S
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
M.O. N. C..
$ - F
Cash Chec
Address /
Al // ♦ �f _ 3•! // l%
City
Zip
Received by
Contractor {'•
Tel.
License#
Trees required
Sewage System
Address
city Zip
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSAT'ON OF WORK
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BEOO- AE VOID.
I HEREBY AGREE THAT I yxG�gli THIS PERMIT WILL BE DONE IN ACCOEDANCE WITH
THE LAWS OF RIVERSIDE TY AN k9E SALIFORNIA.
I,HEREBY CERTIFY THAT THE INDIVIUVAL ::4,Li PREPARED THE PLANS AND SPECIFICATIONS HA! DONE SO IN
Ai.A."CORDANCE WITH SECTION 5541.0E THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF AI;FORNIA.
Form 284-208 (Rev.ena) - �� -
verified by:
NO.
OPERATION DATE
INSPECTOR �\ l
NO. — OPERATION DATE INSPECTOR
MECHANICAL APPROVALS
BUILDING APPROVALS
1
Set Back
.33 Ventilation System
2
Ftgs 8 Frms
34 Plenums 8 Ducts s
2A
Slab Grade
35 Furnace Comport. }
3
Steel 1�7
36 Inlets 8 Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
39 Appl. Clearance
7
Framing
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
43 Final
10A
Fireplace T. 0. E]
No ADDITIONAL INFORMATION
1' "�M � —Ax " p�� ltt
(j `
I
SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal LathM
12A Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
-PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb 6, 772nmL
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
FinalSEWAGE
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL P/
r
J.
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire l7, G
29B Bonding
30 Fixtures
31 Service i
32 Final J _
STREET NAME .J
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
•1
DISTRICT �
Permit No-
284 1'99A 9/74
CANA2Y—FILE, PINK—APPLICANT-
Ownery � f BzFC-' Architect ' n) '� + zMt-'— Con tracto 14L-q>S., -
Address 4 �� U r U -_-_ Address L `' M �v �'` Addres ���CN/_��_/_ms �-
�� Le,l��a, ��.s
ciry—�^ — City city- r' r_—
Phone� Phone 125 a �- (0 2 Z Z _ Phone_3op_—.—_._
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
cc
W
ZPaving,
and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
I
shall not make a Final Inspection untilsaid requirements have been met. 1 am also aware that no work i= to be done within the County R/W
O
without an encroachment permit.
NOW, therefore, it is agreed that 1 (we) will not occupy said property and will not cause said property to be occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property.
DATE/------- SIGNATURE OF OWNER AND/OR AGENT-��
Approval by Signature from the Following Departments Listed Belbw
Must Be Obtained Prior to the Issuing of a Construction Permit.
/ �2 o2S --31 SPACE NO.
1/
-� 1 USE OF STRUCTURE
JOB ADDRESSU __tYU 1
_7T= �OC SINGLE FAMI_Y DUPLEX
15Z
Z H
LEGAL DESCRIPTION OF R P RTY APARTMENT° AGRIC. E
211-ACOMMERCIAL
N Q
INDUSTRIAL ❑
U ��
j %A
C C
Z
ku Q
COMMUNITY _ ALTERATIONS n
NO. OF SUBMITTED PLANS - USE OF PE IT-
CASE NO. -
Z
a
NO. OF P KING SPACES REQUIRED -- N0. OF BUILDINGS E STING -
ZONE�SETBACfKS: FRONT ��c SIDE 5� REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
1-1
SETBACK ORDINANCE #r�OF FEET REQUIRED ON STREET
DATE '� �� SIGNATURE OF LAND USE OFFICIAL —. -
H
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - —
z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR !DRIVEWAY AND STREET
Q
IMPROVEMENT? YES ❑ NO ❑
O
Ix
DATE — SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
a W
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER.POLLUTION _ REMARKS
vt FLOOD CONTROL
H
W AIR POLLUTION
_ DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
c FLOOD. RIVERSIDE -OUNTY ASSUMES
NO RESPONSIBILITY 1N EVENT OF FLOOD.
284 1'99A 9/74
CANA2Y—FILE, PINK—APPLICANT-
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40,� s -
,F • . t J .. � .I///J,/`i��_y . - y.. '{ `Z ' �'� a • � -w i • � ,�IJ�y i - {. l'. • '
'Pool size./ak4d Depth 3
Access r '
r
Fence MR. Owner r Cont.,' 4 "�
Elev.
Crane footage
SPA size N A' ' c , =,. r;.•;
Jets , "' Lite: �•', a t +
Blower �,`�•-_H �. Boost4r —"rte
' '. a e r .� ^1.. •'•
it - '• ^L h � .
Gas footage. ,.
Gas T, stub "Y s-{•.� r_,: A �� r
Elect. footage 7.00 4`� •�``" r� �,
'$ub panels ;a, .yes no
i>-
'Motor -voltage j •• s
Blower. �: Voltages' �' (•�=
r Lites ` '' its Outlets+ Nva. 1�. t
G F.I : 5 >A
a 'J' b Ox's
,8 aster' voltage •^ f "
r
Deck_sg':footage 7 '
-T ype Cant<
T.ype.finith •^S' �,
;;EQUIP. ,
Filter' Size '' `Type C '
Pump. - H.P. % s _ Type
Type
Heater . NO . -'
Air blower, Amp. Voltage'
;Booster pump
Oivjng board Size ` Color
Slide Size
Ladder
• Pool cleaner -;.;. Pype
r�
.Other �' i �.r . r f
Name
Add.''y yy o . o* •,.
Tele.' W. '
'Lot �5. Tract'al nr.-Ji •
Owner`approval- {'
SiJN-SAVER FIBERLASS`POOLS, INC:
i'' �'; L ge. 4 �� , h •+ .,'Ci0i9fPclC�®�S7 258'1" -Kelvin Avenue: ' ,
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let oc all,
'# Iivine Ca 92714 +
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