BLCK (384901)52960 Avenida Martinez
384901
VU1LY1N%P rCKMII
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST
384901 COUNTY OF RIVERSIDE FIELD
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
SQ. FT. @ $
UNITS
- .
2ND. FL.
SQ. FT. @
Dist
Off.
YARD SPKLR SYSTEM
POR.
SQ. FT. @
Copy
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL: / SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
'
Y
d
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property fox valuation
`
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
Construction Fee Dbl $
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
Electrical Fee Dbl $
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
SMI Fee E
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED..
Bond Amt.
$
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
Supplime mit Numbers
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
Address City Zip
SQ. FT. @ t
BATH TUB
y
SQ. FT. @ t
WATER HEATER
Tel.
SQ. FT. RESID @ 11/. C
SEWAGE DISPOSAL
Total Fees
y
SQ. FT. GAR @ '/. c
HOUSE SEWER
City
Zip
GAS PIPING
PERMIT FEE
/
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
9 ...r'
MOB. HM. FEE
MICRO FEE
MECH. FEE
PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
884801---
Job Address
Space
Zip
Owner
v
Community
,i
- .
VQI'i"ation
y
y
Date
Dist
Off.
F.C.
MH.Permit Fee5
Micro Film Fee
Copy
se of Permit] t
i V , (. •, G !JT r s"` " n
" t }` .(;,JG. ;,,
Parcel No.
7 y{ _
Use/Case No. Id.
By
Mech. Fee Dbl $
PI. Ck. Fee y
et B— s `
Lot Size
Construction Fee Dbl $
Legal Description
/ f y f'/ 4,
F R
S S
Electrical Fee Dbl $
Zone Restrictions
Group
Type
SMI Fee E
Plumbing Fee
Dbl y
Bond Amt.
$
Plan No. r
Plan Checker
Final Date
/ — V
Inspector
Q,(/
Unit
Sp. Insp. Fee E
Dental. Fee
b
Const. Lender
Branch
Supplime mit Numbers
Registr. Fee y
Mileage Fee y
Address City Zip
Wilness Fee $
Reinsp. Fee
y
Owner/Agent
Tel.
Zip
Total Fees
y
r
Address
,/
City
Zip
M.O.0 N.C. Cash Check
Received bt
/
Cop or
/, rt• 9 r
"';' ' ` 7T - r
R Y'' k ! ..
Tel.
.f\>,'. (,/' r f'_ r
License#
Trees require
Sewage System
Y..•'
Address
"
4
City Zi
_ P
T LL P
Sewer District
Form 284-208 (Rev. l8) ,/
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
Rough Plumb
BUILDING APPROVALS
Vents
MECHANICAL APPROVALS
I
Set Back _ _ Q
_
33
Ventilation System
Water Heater
2
Ftgs 8 Frms
34
Plenums 8 Ducts
24
2A
Slab Grade
35
Furnace Comport.
3
Steel
v 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
Smcke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Find
10A
Fireplace T.O. ❑
No ADDITIONAL INFORMATION
) 7e
l/ J
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATIONI Thick I 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
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service Entrance
29
Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Flnol
SEWAGE SYSTEM SIZE & LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L 6 P/L
STREET MME
4
NOT:CE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
Ali l- kC 017. 651 5
284 199A 9/74
CANARY—FILE, PINK—APPLICANT
^
Owner u rdh ` 7 Architect —_ _ Contractor f
/J
Addres !- 1W- Address__- Address_y
V ---
City-f/ Fss City-- City----T_-' I!!i
Phone— ( Phone _ Phone— SLO
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
W
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 occupied until I (we) have
complied with of the County of Riverside and the State of California governing said property.
/all —laws
DATE Ll _` /__ SIGNATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
qo I SPACE N0.
S 1
OF STRUCTURE
USE
hek
JOB ADDRESSJo _/ 9 _ ❑
INGLE FAMILY DUPLEX
LEGA DESCRIPTION OF PROPERTY Z = - 01--t _
Z W
/ ' Sci APARTMENTS ❑ AGRIC. ❑
Q
COMMERCIAL ❑ INDUSTRIAL
j '^
COMMUNITY 2--
, ALTERATIONS
C
Z
NO. OF SUBMITTED PLANS — U 5 E OF PERM T
4 Q
CASE NO. / /—/ Z=04L7
Z
NO. OF PARKING SPACES REQUIRED _— NO. OF BUILDINGS NOW EXISTING
Q
ZONEI/Z691-- SETBAeKS: FRONT SIDE REAR --
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE N OF FEET REQUIRED ON — STREET
DATE SIGNATURE OF LAND USE OFFICIAL —
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
t-
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
cc
d
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
O
cc
DATE _ SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
JW
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
n FLOOD CONTROL—
z AIR POLLUTION
W DIV OF HWY
• c a YOUR PROPERTY MAY BE SUBJECT TO
—
CL
FLOOD. RIVERSIDE COUNTY ASSUMES
i,
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74
CANARY—FILE, PINK—APPLICANT
OVILWInv rCKmll
PERMIT NO.
384901
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.
2ND. FL.
SQ. FT. @ $
UNITS
Owner
SQ. FT. @
YARD SPKLR SYSTEM
POR.
SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
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
Mech. Fee Dbl $
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
Lot Size
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
Bond Amt.
$
SQ. FT. @ c
WATER HEATER
Pian Checker
SQ. FT. RESID @ 1/. c
SEWAGE DISPOSAL
Inspector
SO. FT. GAR @ 1%c
HOUSE SEWER
Sp. Insp. Fee $
Dental. Fee
GAS PIPING
PERMIT FEE
Branch
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMITEF___F
FEE PLUMB: FEE
PERMIT NO.
384901
Job Address
- a-4-
)X
SpaceZip
4111-41
A
Owner
Comm ity
V ;tion
$
Date
Dist. Off.
F.C.C.
MH.Permit Fee $
Micro Film Fee
Cop $
Use of Permit
'. X L ,J
- 4a1... , .
Parcel No.
—
se/Case No.
-
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dbl $
Legal Description
A T '"f' l
F
S S
R
Electrical Fee Dbl $
Zone Restrictions
9—/
Group
Type
SMI Fee $
Plumbing Fee
Dbl $
Bond Amt.
$
Plan No.
1
Pian Checker
Final Date {
— 5 ,
Inspector
Unit
Sp. Insp. Fee $
Dental. Fee
$
Const. Lender
Branch
Supplimental Permit Numbers
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
Is
Address
City
r
Zip
M. 0. N.C. Cash Check
Received b °" "'
'
Co. r
Tel.
Licensee
Trees required
Sewage System
V"
Address
Ci
oma, . ..
Zip
•
T LL P
Sewer District,
t
Form 284-208 (Rev.8/78)ODs
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verifidd 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.