BLCK (398476)53680 Avenida Martinez
398476
BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY
9 8 4 7 6 COUNTY OF RIVERSIDE FIELD Dsr
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES '
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. .@ $
UNITS
!
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
S0. FT. @ C I
DRINKING FOUNTAIN
♦ ! r
SO. FT.
URINAL
VALUATION
WATER PIPING
NOTE: Not to be used as property tax voluotion /
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
- Electrical Fee S
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
S
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.
SO. FT. @ 4
BATH TUB
Tel. Zip
SO. FT. @ a
WATER HEATER
y^
SO. FT. RESID @ 1 tA4
SEWAGE DISPOSAL
S0. FT. GAR @ t/4e
HOUSE SEWER
'
Tocol Fees
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
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MOB. HM. FEEMICRO
FEE MECH. FEE
PL. CK. FEE
CONST. FEE ELECT. FEE
00
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
Job Address Space Zip Owner
!
398476
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C m ily VQIuotion e
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MH Permit Fee S
Micro Film Fee
Cop S
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Mach. Fee
Dbl S
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Pl. Ck. Fee $
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Construction Fee
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Zone Restrictions Group Type
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- Electrical Fee S
SMI Fee S
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Plumbing Fee
S
Bond Amt.Plan
b
No.
Plan Checker
Final / pact Unit
3
Sp. Insp. Fee S
Dental. Fee
S
Const. Lender Branch
Supplimental Permit umbers
Registr. Fee S
Mileage Fee $
Address City Zip
'
Witness Fee S
Reinsp. Fee
$
Owner/Agent
Tel. Zip
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Tocol Fees
E s/
Address -
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City - Zip
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M.O. E] N.C. 0 Cash 'Cheie
Received byContractor
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Tel. ` v LicenseR
Trees req uf
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Sewage System
Address City Zip
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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
e
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
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H BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80)
RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
fi.
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
I 33
Ventilation System
2
Figs & Frms
, g0 _0�%`✓
J�
34
Plenums & Ducts
2A
Slab Grade
—'7�
t 35
Furnace Comport.
3
Steel
C _ �7
J tS
36
Inlets & Outlets t
4
Grout Blocks
'
37
Combustion Air
5
Bond Beams
38
Compressor -
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
- Vents _
t
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood -
10
Fireplace P,L.
43
Final
' 16A
Fireplace T. 0.
El
NO ADDITIONAL INFORMATION
"
- - '
-
-
SEWAGE 'SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
Thick Value
7A Walls (Botts)
n
12B Ceiling (Botts) -
- -' •
12C Ceiling (Blown)
14 Final
_PLUMBING APPROVALS-
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
- 19 Sewage Disposal -
20 Sewer s
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Finaf
-
Tank Pit L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P
'
26 Power Pole
27 Conduit
28 Service Entrance -
29 Wiring
29A Grounding Wire -
:29R. „ Bonding
,30 ,'Fixtures
31 Service
32 Final
STREET NAME
1
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DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
oo, Z— INSPECTION
ADDRESS
5--3 6b'O
OWNER
BUILDING PLUMBING
1121,7
REMARKS:
SPACE NO.
V
COMMUNITY
ELECTRICAL MECHANICAL
OWNER/CONTRACTOR TEL.NO
REQUESTED
FOR:
1-1 A.M.
P.m.
�J
TUES
WED
THUR
-ow
28«1 F1/�5.
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT 1
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner /wTa 112uQSM721 Architect --. Contractor_—.. --
Address S3 " 80 Q Vs ,Dar"* Address___ Address_--.—. --
P.OBoz 8
City 4d9 1—A _S • g215Ycity_— _ City_—__-----
Phone' q z Q Phone _ Phone—
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I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and gr a 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 D pariment 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 o be done within the County R/W
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without at encroachment permit.
NO ih refore, it is agreed that I (we) will not occupy said property and will not cause said prop riy t e occupied until I (we) have
complied it all laws the County of Riverside and the State of California governing said property
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SIGNATURE OF OWNER AND/ AGENT,
DATE - /_ / — _
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
2yS 3 ISPACE N0.
~Cr USE OF STRUCTURE
Al c. I
JOB ADDRESS _
7 0 SINGLE FAMILY DUPLEX
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LE G A Lp. .DESCR PT F PROP T
t f APARTMENTS AGRIC.
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( / --'- COMMERCIAL INDUSTRIAL ❑
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COMMUNITY .
ALTERATIONS n
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N0. OF SUBMITTED PLANS —
W a
CASE N0. C 7S =
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xGoM. /!'cdr iTta✓ % /Z
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NO. OF PA KI NG SPACES REQUIRED — NO. OF BUILDINGS NOW EXISTING /
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ZONE _105K _/ FRONT SIDE REAR
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE N OF FEET REQUIRED ON _ STREET
DATE -1 SIGNATURE OF LAND USE OFFICIAL --
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_
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W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
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a
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CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
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IMPROVEMENT? YES ❑ NO ❑
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DATE — SIGNATURE OF ROAD DEPT. OFFICIAI
=
SWIMMING POOLS PUBLIC
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SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
to FLOOD CONTROL
H
W AIR POLLUTION
_
t -DIV OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
o.
LU FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
BUILDING PERMIT
PERMIT NO.
PERMIT No.
3 (] O 4 7 6
O
398476
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
`FIELD OFFICE
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. OOW
2ND. FL.
POR.
`GAR.
CAR P.
WALL 'SQ.
ESTIMATED CONSTRUCTION
SO. FT. .Q° $
UNITS
Use/Caseo.
SO'. FT. @
YARD SPKLR SYSTEM
MOBILEHOME SVC.
SO. FT.
BAR SINK
,@
SO. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @"
DRAINAGE PIPING
FT. @ S
DRINKING FOUNTAIN'
-
URINAL t
VALUATION $ +
WATER PIPING,
NOTE: Not to be used as property tax valuation
Aw—SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE•DISPOSAi
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
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ a
BATH TUB ,
+ SQ. FT. @ a
WATER HEATER
City • Zip
S0. FT. RESID @ 1 t%a
SEWAGE DISPOSAL
S0. FT. GAR @ 3/<a
HOUSE SEWER
Tel.
Licensee
Trees require
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
Ba
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
pa
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
Job Address Space 6ip Owner
go
398476
C.—unify MvotiNL.-; Dote Dist. O .
r S
1 MH Permit Fee $
Micro Film Fee Cop S
se f Pofnr r /
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arce No.
Use/Caseo.
Ck. By
Mach. Fee Del $ -
H
/
Zyj 7.r,.
,
PI. Ck. Fee 5
Set Backs
Lot Size
f
S S
R
'Construction Fee Dbl S
egal escr prion
/.J f►
Electrical Fee Dbl 5
Zone Restrictions
Group
'
Type ,
SMI Fee
5!!
/
Plumbing Fee Dbl $
Bond Amt.
$
Plan No.
Plan Checker
Finol 'Daft
Inspector
Unit
Ste. Insp. Fee S
Demol. Fee S
Const. Lender Branch
Supplimental Permit Numbers
• '
Regist, Fee S
Mileage Fee S +
Address City Zip
Witness FeeS
Reinsp. Fee S
Owwen
Tel. 1 Zip
Total Fees Ice
I
Address
City • Zip
I --I
M.O. -1 N.C. Cash Chec
3-
Received by
Contractor
Tel.
Licensee
Trees require
<
,Sewoge System
/
Address - .
City Zip
T Ll p THIS PERMIT. SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
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.
H BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
RD
Form 284208 (Rev. 1/80) ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
erified by:
t f.