BLCK (359753)52661 Avenida Martinez
359753
l BUILDING PERMIT
PERMIT No. DEPARTMENT OF BUILDING &SAFETY- DS
[3597531 COUNTY OF RIVERSIDE FIELD
WTI
CONSTRUCTION ESTIMATE
NO,. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
POR.
.GAR.
CAR P.SQ.
SQ. FT. @ $
UNITS
Owner
SQ. FT. @
YARD SPKLR SYSTEM
SQ. FT. -@ " ' ' ` ` MOBILEHOME gyC.. c. '
BAR SINK
POWER OUTLET
SQ. FT. @
ROOF DRAINS
FT. @
DRAINAGE PIPING
WALL / SQ. FT. @
1 Ej SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION
MH.Permit Fee E
DRINKING FOUNTAIN
URINAL
WATER PIPING
.,NOTE:, Not.*, be used asproperty tax valuation
•. SWIM POOL, PVT • -
FLOOR DRAIN r
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Lot Size
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Legal Description
>4.(- (i JL /
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. @ t
BATH TUB
Inspector
SQ. FT. @ c.
WATER HEATER
Sp. Insp. Fee E
SQ. FT. RESID @)'Ac
SEWAGE DISPOSAL
SQ. FT. GAR @ '/. c
HOUSE SEWER
Supplimentol a it Numbers
i
Registr. Fee E
GAS PIPING
PERMIT FEE
Witness Fee E
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES .
MOB.HM.FEE
- MICRO FEE
MECH. FEE. PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
1. 359753..
'
Job Address
Space
Zip
Owner
Comm nity}
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auation
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P
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ff.
Off.]
F.C.C.
MH.Permit Fee E
Micro Film Fee
Cop E
Use of Permit ""
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G'" % iL I, 4- %'✓ sf
"Parcel
L „ /i / ,
No.
se/Case go. —'-
Ck. By
e r
Mech. Fee Dbl E
PI. Ck. Fee E
:g6_
_ ocks -
Lot Size
./
Construction Fee DialE _
Legal Description
>4.(- (i JL /
F
_
_ S S R
Electrical Fee Dbl E ..r
Zone Restrictions
GroupType
SMI Fee E
Plumbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Fina Db a
9—Z-7--79
Inspector
Unit
Sp. Insp. Fee E
Demol. Fee
E
Const. Lender
Branch
Supplimentol a it Numbers
i
Registr. Fee E
Mileage Fee E
Address City Zip
Witness Fee E
Reinsp. Fee
E
Owner/Agent
-
Tel. -
Zip
Total Fees
Address- -
... ..
,City•
Zip
M.O. N.C. Cash Check
Received by
Contractor
,,,
Tel.
License#
Trees required r
Sewage System
Address
r#' / i
City'7'c/ '' ` - Zip
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATI N OF WORK
cip J,
Sewer District FOR 120 DAYS SHALL ALSO CAU PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ATHIS PERMIT WILL BE DONE IN ACCORDANCE WITH
D E STATE OF
O` THE LAWS OF RIVERSIDE C ANCALIFORNIA.
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.
Form 284-208 (Rev.8/78)
verified by:
26
Power Pole
27
t
NO.
OPERATION DATE
INSPECTOR NO.
OPERATION
DATE INSPECTOR
Grounding Wire
BUILDING APPROVALS
Bonding
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
Final
2
Ftgs 8 Frms
_ 34
Plencros 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel �8.� �O
/
2v 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
IDA
Fireplace T. 0.
P'N
ADDITIONAL INFORMATION
11
Exterior Lath
12
Internal Lath
12A
Drywall
13
Finish Grade
INSULATION Thick R
Value
7A
Walls (Batts)
12B
Ceiling (Batts)
I 2
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
SEWAGE SYSTEM SIZE & LOCATION
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
�pS �
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P(L F„
STREET NAME
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner u 4a W Oq Architect — _ Contractor— / V ` 1 , y
// , ( (
Addres _ A I Address--_ Address +
City FN m V '4419z City-- City_ .H-5_
,t cC (
Phone _ Phone/— _? O , _.._
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
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 (we) will not occupy said property and will not cause said property to be occupie until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property.
n
DATE ------ SIGNATURE OF OWNER AND/OR AGEj+L j_x —
s Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
i a a r3 SPACE NO.
a1 /¢ /t ten, _ USE OF STRUCTURE
JOB ADDRESS ue —j - Y SINGLE FAMILY DUPLEX
r
Z W
GAL D SCRIPTION OF PROP RTY _ --7
y[ APARTMENTS AGRIC. El
/
— /— — _
Q
_ COMMERCIAL INDUSTRIAL ❑
CtA
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COMMUNITY ALTERATIONS ❑
NO. OF SUBMITTED PLANS USE OF PE MIT
jCASE
NO.
p Z
NO. OF P KINGS AGES REQUIRED _ NO. OF BUILDINGS NOW EXISTING -
ZONE —' ETBA(fKS: FRONT SIDE REAR
J-
m
GRA ING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE OF FEET REQUIRED ON STREET
/#
DATE ` r SIGNATURE OF LAND USE OFFICIA _ --
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
Q
IMPROVEMENT? YES ❑ NO ❑
O
°C
DATE — SIGNATURE OF ROAD DEPT. OFFICIA1
=
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
—
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
to FLOOD CONTROL
F-
W AIR POLLUTION
_ DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
d
UA FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO. 1d
359753
DEPARTMENT OF BUILDING 8 SAFETY FIND QFF JCE DST
COUNTY OF RIVERSIDE I Al
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
' IST FL.
' 2ND. FL.
SQ. FT. @ $
UNITS
MH Permit Fee E
SQ. FT. @
YARD SPKLR SYSTEM
FT. @ + R MOBILEHOME SVC°
BAR SINK
GAR. S(j, FT, @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
POWER OUTLET
a?
I:'
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
`"Olt "Hi iY'lo'be used ds'prop`eitf fax SaAiatiot'i
- SWW POOL,' PVT ^`" ''
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Zone Restrictions
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
'SMI Fee 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
Registr. Fee _ E
• • • SQ.,,FT., @ , ,4
WATER HEATER
Witness Fee E
SQ. FT. RESID @I he
SEWAGE DISPOSAL
'
SQ. FT. GAR @ 3/. c
HOUSE SEWER
` Zip
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE'
DBL.'
TOTAL FEES
MOB. HM. FEE
MICRO FEE
' MECH.-FEE ; " 'PL. CK. FEE'
CONST. FEE r rELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
3.5.9753
- _
Job Address
Community
s
Valuation
E
Space Zip Owner
-
Date
D t. Off. F.C.C.
MH Permit Fee E
Micro Film Fee
Cop E
Use of Permit
% f/
G.1,4. -A% Al,,q, 1.3e_> 04' S 7
Parcel No,
4Z3 C
se/Case No.
Ck. By
'Meth. Fee Dbl E
PI?Ck. Fee E
e acks
Lot Size
Construction Fee
Electrical Fee
Dbl $
Dbl S
Legal Description
/ G
. c / y ...,w ► As
F S 5
R
Zone Restrictions
Group
Type
'SMI Fee E ` -'
0ILTbing Fee
Dbl E
Bond Amt.
E
Plan No.
Plan Checker
Final Date r -7
-/,,, —
Inspector
nit
Sp. Insp. Fee E
Demol, Fee
E
Const. Lender
Branch -
Supplimental Permit Numbers
t
_
_
Registr. Fee _ E
Mileoge Fee E
Address City Zip
Witness Fee E
fzeinV. FeeE
Owner(Agent
Y •
,Tel. G
` Zip
Total Fees •
M.O. C3 N.C.
b.
C.shEj Check
Address-
- ;" ' T "" •
a t
'C jy
Zip
(teceived by
Tr es required
ContractorTel
F
- fl : "
(I
e _
092
.`
t
LicenseM
Se-dge System
Address
City
Zip
r
LL P7 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District FOR 120 DAYS SHALL ALSO PERO BECOME VOID.
I HEREBY AGREE THAT A H THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
THE LAWS OF RIVERSIDE COSTATE OF CALIFORNIA.
I HEREBY CERTIFY THAT THE INDIVIDUAL WOO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev.8/78; ACCORDANCE WITH SECTION 5541 OF TAE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: