369253 (RPL)BUILDING PERMIT i
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD
3 6 9 2 5 3 COUNTY OF RIVERSIDE DSr
CONSTRUCTION
ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES'
IST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
n� A)
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @ CSp
URINAL
VALUATION S
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER `.
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Ck. By
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
E
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. @ c
WATER HEATER
Dbl E
SO. FT. RESID @ 1 t/. c.
SEWAGE DISPOSAL
�
SO. FT. GAR @ %c
HOUSE SEWER
Type
GAS PIPING
PERMIT FEE
eL e
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
.99
MOB.HM.FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE
4C
SMI FEE
e.00
FEE PL B. FEE
•..m .p � _-.. J- - . .r V.l
PERMIT NO.
Job Address
L�
Space Zip Owner
3692
tv,
ommunity
- Valuation Date
E lo- «
Dist. O
F.C.C.
t
MH.Permit Fee E
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et Backs
Lot SizeLegal
Construction Fee E
Description
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Electrical Fee
Dbl E
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Zone estrictions
Group
Type
SMI Fee
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Plumbing Fee
Dbl E
Bond Amt.
Plan No. ~Plan
Checker
Final Dote
Inspector
Unit
Sp. Insp. Fee
E
E
I
- 0
Demol. Fee
E
Const. Lender
Branch
Supplimen o ermit Numbers
Registr. Fee E
Mileage Fee E
Address City Zip
t
Witness Fee E
Reinsp. Fee
E
Owner/Agent
Tel.
Zip
Total Fees
E
Address
City
Zip
M.O. N.C.
Cash 0 Check
Received by-
rector's
Tel.
LicenseN
Trees required
Sewage System
tf,N
Address -o' -Cit
y
Zip
i
T LL �~ P
Sewer District '
Form 284-208 (Rev.B/7../
ATHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF WORK
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
1 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 CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & 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.O.
OP'N
NO.
ADDITIONAL INFORMATION
�ess I• -� LC 1"�1�
O
"
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C- Ceiling (Blown)
14 Final
PLUMBING APPROVALS 4
15 Ground Plumb
16 Water Piping
1
17 Rough Plumb
.18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
?2 Water Softener
23 Water. Service
24 Gas Test
25
Roof q-ra-� r� _
Tank Pit L.Line
REAR OF PROPERTY LINE
1 t
P/L P/
ELECTRICAL APPROVALS
26 Power Pole
27 - Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final �10—Q
STREET NAME
J
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Pool size J•+'. �. "'�'''
Depth- i' ` ;• .
Access
Fence R&R Ownet
Cont.
Elev.
'
Crane footage r� ;-,
, ,
SPA size
J00
Jets
Gas footage
1
_
no ;
Elect. footage
Sub panels yes
r►o
Motor voltage
Lites F Pool', SPA
GFI �,- ' ' .
'J' -box's
r
-9
Type Cant.
-
Std. 1
Type finish e r
EQUIP. ~= A A
Filter Size
Type
Pump N.P. 1
Type
Neater Type
BTU
Air blower Amp.
voltage
Booster pump
Diving board Size
Color
Slide Size -
Color
Ladder
Rail
Pool cleaner
Type
Solar blanket Pool i
•SPA
�.
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Add.
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Tract 4-,\ �
Owner approval:
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Pool size J•+'. �. "'�'''
Depth- i' ` ;• .
Access
Fence R&R Ownet
Cont.
Elev.
'
Crane footage r� ;-,
, ,
SPA size
Jets
Gas footage
Gas T stub yes
_
no ;
Elect. footage
Sub panels yes
r►o
Motor voltage
Lites F Pool', SPA
GFI �,- ' ' .
'J' -box's
Deck sq. footage �'" •"� '
-9
Type Cant.
-
Std. 1
Type finish e r
EQUIP. ~= A A
Filter Size
Type
Pump N.P. 1
Type
Neater Type
BTU
Air blower Amp.
voltage
Booster pump
Diving board Size
Color
Slide Size -
Color
Ladder
Rail
Pool cleaner
Type
Solar blanket Pool i
•SPA
�.
Other '( �t' � �.{�
t-, c ,i � r'.r.,,� r•
Name
Add.
t,ta
city
Tele. w.
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Lot
Tract 4-,\ �
Owner approval:
SUN SAVER FIBERGLASS POOLS, INC.
750 Williams Rd.
Palm Springs, Ca. 92262
Telephone (714) 323-4293
r NOTICE: THIS IS NOTA BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199 9/74 . CANARY—FILE, PINK—APPLICANT
j L .- 1 ', ., X- 1: .. ,r i. )
`Jirot 1, i' / 3v.� ��il��. #_�� r,L� #a�l.a�'Ip..-.
Owner Architect Contract8r -
F>j 1,0 Iti� I% Address 7l ! (, Al ,i h ICGt
Addres�3 Address
Cityn t..lc,,,3. � r' 4 � i . #> � .1 • c �. C. v-._
City City_
{ 3A (r' ? 3 Phone �� rte'•^ �. r?.� L
PhonP3 Phone
I Iwr!) the undersigned, hereby certify and ackno--edge that I I -e) have read the application and agree that if Curb and Gutter, and
cc
m
Z
Paving, and/or Dedication `of right of way is required by The County of Riverside, the Riverside County Department of Building and Safety
3
shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be done within the County R/W
O
without an encroachment permit.
NOW, therefore, it is agreed that I Iwe) 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.• -
, Call_
DATE` SIGNATURE OF OWNER AND/OR AGENTI " �' •��u`" i
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
SPACE N0. _
USE •OF STRUCTURE•
°'l-7� Aid 1-ItOrz 4 I
JOB ADDRESS _
�`, SINGLE FAMILY ��DUPLEX
7-1"
LEGAL DEN OF"PROP3CRIPTIOERTY �
- „d - APARTMENTS AGRIC.
H Q
. COMMERCIAL INDUSTRIAL
�3 '�-
'^
COMMUNITY
t j Z:: n ALTERATIONS 1
l>� �(�)I r
Z
NO. OF SUBMITTED PLANS --- USE OF PERMITIWO
4091 4
CASE NO.
p Z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING --
4 f^ _ /
Q
ZONE'S SETBACKS: FRONT SIDE "'` / REAR
J m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE �`f ���
SETBACK•ORDINANCE b OF FEET REQUIRED ON —
4.STREET
�`� "� ° ' �^
DATE SIGNATURE OF LAND USE OFFICIAL ---
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
W
CURB AND GUTTER REQUIRED: YES' ❑ NO ❑ STREET
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
YES (:1NO ❑ '
°C
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL
_
SWIMMING POOLS PUBLIC
WSEWAGE
DISPOSAL
_
_
FOOD ESTABLISHMENT
WATER 'POLLUTION REMARKS
FLOOD CONTROL—'
W AIR POLLUTION
_ DIV OF HWY
c —' YOUR PROPERTY MAY BE SUBJECT TO
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO`RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 . CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE
1369253 COUNTY OF RIVERSIDE //
11
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Job Address
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
GAR.
CAR P.
WALL
r0A)_ -
ESTIMATED CONSTRUCTION
SQ. FT. @
UNITS
Community
SQ. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SQ. FT. @
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @ ryo
URINAL
VALUATION
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
Set Backs
5
F 5 R
Zone Restrictions Group
Ole
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
Electrical Fee Dbl $
Electrical
04 T,
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
Bond Amt.
$
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Plan Checker
Fino ate/
1, o
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Unit
Denial. Fee
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
Supplimental Permit Numbers
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
Mileage Fee $
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
$
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ C
$
' Cash Check
BATH TUB
City
SQ. FT. @ c
Zip
WATER HEATER
SQ. FT. RESID @1'/.c
I/
SEWAGE DISPOSAL
SQ. FT. GAR @ %c
Licensetf
� X 6
HOUSE SEWER
Address
r
City
Ito�
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE _
DBL.
TOTAL FEES
/
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEEEE.,� E
CAV
FEE
�
SMI FEE
FEE PLUMB. FEE
D
PERMIT NO.
3 6 9 2 5 3
Job Address
Space
Zip
Owner
Community
Valuation
Jjn Jj �
S (/i✓�/
Date
Dist. Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
`/Case
se of Pe mit , , a' �w
' 3
v� pO
Parcel No.
.-
Use
No.
Ck. By
Mech. Fee Dbl E
PI. Ck. Fee $
Set Backs
5
F 5 R
Zone Restrictions Group
Ole
I Lot Size
D
SO -
yJ
Type
Construction Fee Dbl $
Legal Description
.w /7 /]�»✓
OGIC
Electrical Fee Dbl $
Electrical
04 T,
SMI Fee $ eAq
Plumbing Fee
Sp. Insp. Fee
Dbl S
$
Bond Amt.
$
Pion No.
Plan Checker
Fino ate/
1, o
In�sppec�tor
� / (
Unit
Denial. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
M.O. N.
$
' Cash Check
Address .f� /
s Z Qr; - : ,� , l 1-11-1112/—t-1"
City
Zip
Received byon
frees required
octor
I/
Tel.
Licensetf
� X 6
Sewage System
Address
r
City
Ito�
. Zip
e Ao7
T LL i— P
-Sewer District
Form 284-208 (Re8) p
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF WORK verified by:
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 ACCORDANCE WITH
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
•,a..-.. . - .