BLCK (354059)52090 Avenida Martinez
354059
ovr urw rcrcnur ,. / PERMIT NO. + •' .DEPARTMENT OF BUILDING & SAFETY FIELD ; DST ,
35405 9 +j)yG COUNTY OF'RIVERSIDE J `
1. .1 ) i' I Y/ t , J: v ., ♦ M • _ _ .. . / •i
CONSTRUCTION ESTIMATE
' `
NO. ELECTRICAL FEES
NO. - PLUMBING FEES
IST FL.
SQ. FT. @ $'
i
UNITS rs+7 ru
Dote )/, /
f /
/
Diss.
%
2ND. FL.
SQ. FT. Qa
// r
MH,4rmit Fee / § r
M oro Film Fee/.
YARD SPKLR SYSTEM
FOR.
SQ. FT. @
_
+✓ '-AL1 ,...
MOBILEHOME SVC.
BAR SINK
-
,Mech. Fee Dbl E
GAR. SQ. FT. Q Y w
CAR P. SQ. FT. /
G zi FT. .... ;
WALLSQ.
SQ. FT.!@
ESTIMATED CONSTRUCTION VALUATION $
Set Backs
r POWER OUTLET' ' " ' "r' " 'ROOF` DRAINS'''`
DRAINAGE PIPING
.*, i,. t•..*,r ,.._r...r
DRINKING' FOUNTAIN'
URINAL
WATER PIPING
...
NOTE: Not to be used as Property tax valuation
legal Description - E
•+ 1" I ,1r'•
SWIM POOL, PVT
FLOOR DRAIN
Q% zrD
MECHANICAL FEES
Group
SWIM POOL, COMM
WATER SOFTENER
SMI Fee'rt $-
VENT SYSTEM FAN EVAP. COOL HOOD
Dbl E
SIGN
WASHER (AUTO)(DISH)
Plan No. T7
APPLIANCE DRYER
Final Date
!'
f
GARBAGE DISPOSAL
Unit
FURNACE UNIT WALL ' FLOOR SUSPENDED
Sp. Iri p. Fee E
Qe4r l. Fee
LAUNDRY TRAY
AIR HANDLING UNIT CFM,
Supplimental Permit bars
i r-» . _ .. ,. .. ,
`
IDLE METER
KITCHEN SINK
Mileage Fee §
ABSORPTION SYSTEM B.T.U.
r
Witness Fee E
TEMP USE PERMIT SVC
WATER CLOSET
COMPRE SORl HP
Tel.
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM FORCED _ GRAVITY {
§
AMPERES SERV ENT
SHOWER T
City
M f L v'Ii ✓/'/"r• • ♦
BOILER t B.T.U. v
M.O. N.C. Cash Che
SQ. FT. @ t
BATH TUB
Contractor
+ .' +'.{w`w ." •.f +.,u s . r -i .+•,•:ss+ •i
•
SQ. FT.. @ <
WATER HEATER
,
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t +
-,SQ. FT. RESID @Iv,c• . -`. t
SEWAGE, DISPOSAL.
f f.
City
SQ. FT. GAR @ '/i c
HOUSE SEWER -
i -
GAS PIPING
PERMIT FEE
PERMIT FEE ..f
PERMIT FEE
DBL.
., i....r
!VjtT L FV ,%,
MOB. HM. FEE
>w
MICRO FEE
MECH. FEE
.......
PL. CK. FEE
CONST. FEE ELECT. FEE
a~Z.. .mss
SMI FEE
. i , c
FEE
.. ,.
PLYMB. FEE
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.`ERMIT NP.
lob Address . Space
Zip
Owner
Communis
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Diss.
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F.C.C.
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Use of Permit /)
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Parcel No.
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Use/Case No.
Ck. By
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-
,Mech. Fee Dbl E
PI. Ck. Fee// G §-
Set Backs
Lot Size
Construdigh fee Dbl E L -!
legal Description - E
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F /_?
S + + •r, R S/
Gr •C✓
Electricof Feet Dbl E
Zone Restrictions
Group
Type
SMI Fee'rt $-
Plumbi)igi Fee
Dbl E
-
Bond Amt.
E
Plan No. T7
Final Date
!'
f
Inspector
Unit
_
Sp. Iri p. Fee E
Qe4r l. Fee
E
Const. Lender Branch
• 4
Supplimental Permit bars
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:•
, •-
'Registr. Fee
Mileage Fee §
Address • + - - -• City - Zip • r
r
Witness Fee E
Reinsp. Fee
§
Owner/Agent,.
Tel.
-
Zip
Total Fees
§
r„ Lr
Address - t q
-Z' i/''Z' / l`tL'Z. "/!'iso.
City
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M.O. N.C. Cash Che
Received b
Contractor
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Tel..
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License#
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Trees requ fired "» . .
Sewage Syrrstem
Address
City
r,• I LL P _ THIS PERMIT SHALLBECOMg VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL AL T BECOME VOID.
Aor-ft 00,
I HEREBY AGREE THAT L ORIRMTHE
NNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE`COUNTY STATE OF CALIFORNIA.
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I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78)
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
i
verified bY-
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms =
O_O
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.
43
Final
IDA
Fireplace T. 0.
P'
ADDITIONAL INFORMATION
s
'
_
SEWAGE SYSTEM SIZE i 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
Final4-
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
ti
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire -,
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
I
k
1 --71'
126-
E EAR YARD
7 ---oO , AREA PARKING
r-4 -, m-, - C n R D E D OADING
FRONT YAK, D --liEl T 131 - DG.
Z -- SIDE YARD Lo -.r V'Dl
DATE
iceL-
1167
APPROVED BY:
LAND USE 60N.
41
4
NOTICE: THIS IT- NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT'
E ti
Permit No
284 199A 9/74 _ CANARY—FILE, PINK—APPLICANT
Owner Architect _. _ Contractor___. _
C '
Addre S 0 7 -Address___ Address — —
City City_ City_—_ —
Phone Phone _ Phone— _
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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
O
without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said be occupied u it I (we) have
complied with7allws of the ouunntyy of Riverside and the State of California governing said prope
DATE _CJ _—_J SIGNATURE OF OWNER AND/OR AGENT
gBelow
Approval by Signature from the Following Departments List If
Must Be Obtained Prior to the Issuing of a Construction Permit.
b1. s 3 I SPACE NO.
USE OF STRUCTURE
-O v /t TI
JOB ADDRESS / ,Q C
,. SINGLE FAMILY DUPLEX
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LEPLL -D-ESCR PT F PRO RiY r' _ Q®_ - gGRIC.
d f APARTMENTS
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- COMMERCIAL INDUSTRIAL 0
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COMMUNITY . ALTERATIONS n
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N0. OF SUBMITTED PLANS — U E OF -PERMIT
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CASE NO.
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NO. OF PA• KING SPACES REQUIRED .— — NO. OF BUILDINGS NOW EXISTING —
ZONEETBACKS: FRONTLI—SIDE EAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # OF FEET REQUIRED ON STREET
/
DATE- 7_ SIGNATURE OF LAND USE OFFICIAL r
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-
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CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET.
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a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
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HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
GIMPROVEMENT?
YES C1NO C3
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DATE SIGNATURE OF ROAD DEPT. OFFICIAL
=
SWIMMING POOLS PUBLIC
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DISPOSAL
SEWAGE
_ma
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
H FLOOD CONTROL
F
Z AIR POLLUTION
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= H DIV OF HWY
I- a — YOUR PROPERTY MAY BE SUBJECT TO
a -•
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 _ CANARY—FILE, PINK—APPLICANT