BLCK (387222)51825 Avenida Martinez
387222
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
387222 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
Owner
2ND. FL. SQ. FT. @
Valuation
E
YARD SPKLR SYSTEM
Date 11.4 /
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
MH.Permit Fee $
r
Cop b
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. @
Mach. Fee Dbl $
PI. Ck. Fee $
CAR P. SQ. FT. @
Electrical Fee Dbl $
DRAINAGE PIPING
WALL SQ. FT. @
Sp. Insp. Fee $
DRINKING FOUNTAIN
Registr. Fee $
Mileage Fee $
URINAL
SQ FT @
$
ESTIMATED CONSTRUCTION VALUATION $
Tel. Zip
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
Contractor
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
License#
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
SO. FT. RESID @1'/.c
SEWAGE DISPOSAL
S0. FT. GAR @ 3/. C
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTALy"
1/0
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST.E, ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO
138722721
Address
''' . _ Awe- , ✓ . ; .
Space
, Zip
z- 31
Owner
Community
I
✓i /
Valuation
E
Date 11.4 /
Dist.
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,(
Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop b
Use of Permit Parcel No. Use/Case
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J' !f– moi' `. '.. o t.%t' J ("' `' ' :r f 7 o (
Set Backs
Legal Description ( .y () F
` / y " Al 1.,,,j v4 C /+. Zone Restrictions Group
JJ M Aja
Bond Amt. Plan No. Plan Checker Final D_otte.;tr l/ •- Ztspeetyr ; –
V
$
Const. Lender Branch Supplimeentnnttyt II/PP mit Numbers
Address—) Cit Zip
/ f C , L• z,.,, (moi• i .
No. Ckel_ -
Lot Size
Type
Unit
Mach. Fee Dbl $
PI. Ck. Fee $
Construction Fee Dbl $ i
Electrical Fee Dbl $
SMI Fee $
Plumbing Fee Dbl $
Sp. Insp. Fee $
Demol. Fee $
Registr. Fee $
Mileage Fee $
Witness Fee $
Reinsp. Fee
$
Own r/Agent t /
Tel. Zip
Total Fees
s
Address ess
City
Zip
M.O. n N.C. nCash rl Ch..
Received by tv
Trees require
Contractor
Tel.
License#
Sewage System
Address
City
Zip
T LL P
Sewer District
b06
Form 284-208 (Rev.8/78) P It
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.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 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. C]
43
Final
10A
Fireplace T. 0.
P'
ADDITIONAL INFORMATION
-
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
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
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE or
ELECTRICAL APPROVALS
PSL
4
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner oL Architect—' — --_. Contractor—&
Pn
Addres l 3—_ Address___ Address—
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City • City----- — City--- —
rr y1,
Phone_<Z2 T " n Phone _ Phone— --_----.—_._
ce
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I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
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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
0
without an encroachment permit. ,
"
NOW, therefore, it is agreed that I (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--
GENT —Approval
Approvalby Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE N0.
JOB ADDRESS j 1 %/ _ USE OF STRUCTURE
% — SINGLE FAMILYX DUPLEX
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LEGAL ESCRIPTION OF PROPERTY r t _ ❑
APARTMENTS AGRIC. El
Q—COMMERCIAL
Q
INDUSTRIAL LJ
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COMMUNITY
ALTERATIONS
Z
N0. OF SUBMITTED PLANS USE OF PERMIT C —
H Q
CASE NO.
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NO. OF P IRKING SPACES REQUIRED N0. OF BUILDINGS NOW E ISTING
Q
ZONE ETBACKS: FRONT SIDE REAR
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m
GRA ING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON zzzl STREET
DATE SIGNATURE OF LAND USE OFFICI,
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
a
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
=
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL —
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
$A FLOOD CONTROL—
z AIR POLLUTION '
w :2W
DIV OF HWY
F-
0 as° — YOUR PROPERTY MAYBE SUBJECT TO
a
UA FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO.
13872221
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
F,/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @ $
UNITS
Community
(,, /,?/,
2ND. FL.
SQ. FT. @
Data
%"'
YARD SPKLR SYSTEM
POR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR.
SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P.
WALL
SQ. FT. @
PI. Ck. Fee $
DRAINAGE PIPING
SQ. FT. @
DRINKING FOUNTAIN
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
Legal Description
l 0/,k 7-S vG ( y / i
"7 ✓
URINAL
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
Plan No.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
pec r
'VL
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
Address
/.rd o X-
SQ. FT. RESID @1'/.c
SEWAGE DISPOSAL
M.O. N.C. Cash Chec
SQ. FT. GAR @ 3/ c
HOUSE SEWER
Contractor
Tel.
GAS PIPING
PERMIT FEE
Sewage System
PERMIT FEE
PERMIT FEE
DBL.
TOTAL,99r
MOB7
MICRO FEE
MECH. FEE PL. CK. FEEFCONST. ELECT.
FEE
SMI FEE —]-----FEE
PLUMB. FEE
PERMIT NO.
387222
J.Address
Space Zip
Owner
C_'
Community
(,, /,?/,
Valuation
$
Data
%"'
Dist.
/
xOff. F.C.C.
L
MH.Permit Fee $
Micro Film Fee
Cop $
Uso of Permit /,
Y " W 0 G ,.j "/.1/''
Parcel No.. /
73-1;7S, QI/ L
Use/Case
No.
Ck. By
Mech. Fee Dbl b
PI. Ck. Fee $
Set Backs
lot Size
Construction Fee Dbl $
Legal Description
l 0/,k 7-S vG ( y / i
"7 ✓
F S S R
Electrical Fee Dbl $
Zone Restrictions
-k "'"
Z I
Group
Type
SMI Fee Is
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Final Dote_
4s
pec r
'VL
Unit
Sp. Insp. Fee §
Demol. Fee
$
Const. Lender Branch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Addr s ... Ci Zip
I
Witness Fee $
Reinsp. Fee
§
Orent
Tel. y Zip
Total Fees
$
Address
/.rd o X-
Ciittyy!
zi"
M.O. N.C. Cash Chec
Received by
Contractor
Tel.
LicenseX
Trees requir
Sewage System
Address
City
Zip
r
T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:
Sewer District 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
Form 284-208 (Rev.8/78) s
•ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
P