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BLCK (427483)53860 Avenida Martinez 427483 BUILDING PERMIT 1PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST 4274831 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL F ES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL ' ESTIMATED CONSTRUCTION SQ. FT. @ Zip ` t UNITS Owner } SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ "` DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ r,d WATER PIPING NOTE: Not to be used as property tax valuation MH.Permit Fee E SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES { , SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD ...'^. SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER PI. Ck. Fee $ [Db Set Backs GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Construction Fee E ,q LAUNDRY TRAY AIR HANDLING UNIT CFM SC q IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP Group POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Plumbing Fee AMPERES SERV ENT SHOWER BOILER B.T.U. Plan Checker SQ. FT. @ c BATH TUB Final Dat / SQ. FT. @ c WATER HEATER Unit SO. FT. RESID @1'/.c SEWAGE DISPOSAL E Const. lender SO. FT. GAR @ : c HOUSE SEWER " Supplimentol GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTALFEES IMOB.HM.FEEI MICRO FEE MECH. FEE PL. CK. FEE /jCONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 427483 Job Address- V 1• .__, — ` - - Q r -' ' ! - - Space o Zip ` . Owner } - y 19 .E s Community Valuation .. Z I r- S—q Date r Dist. I Off F.C.C. MH.Permit Fee E Micro Film Fee $ Use of Permitn/ n 300 & CI { , Parcel No. ` ...'^. Use/Case Mo. Ck. By Mech. Fee $ PI. Ck. Fee $ [Db Set Backs Lot Size Construction Fee E ,q Legal Description (( 0 SC q F ,.f "(51 SSRElectrical Fee $ Zone Resjl'ctions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. E Plan No. Plan Checker Final Dat / Inspe or Unit Sp. Insp. Fee $ Demol. Fee E Const. lender Branch Supplimentol Permit - Numbers Regisir. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent— Tel. G Zip Total Fees M.O. $A4 .C. Cosh Check Address "► `! / City C.... Zip Received by Contractor r Tel. - License# Trees required Sewage System f 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., _ 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. verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECMAMJCAL APPROVALS 1 Set Back 33 Ventilation System 2 figs 6 Frms 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 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. C] OP'N ADDITIONAL INFORMATION NO. / (/ 2 -------------------- -- -- SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 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 21 Water Heater 22 Water Softener ..23 Water Service 24 Gas Test 25. Final _ Tank Pit L.Line REAR OF PROPERTY LINE P/L P/ ELECTRICAL APPROVALS 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 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner&A OLNA Q 02moti-I Architect —. _ Contractor_--_ _ Address a 4-(Ct_r (A-JP4&F_A*,VAddress___ Address_._ _1 City hem CA cJ Dt, _ A— City___ _ City—.__— _ Phone d - 5: jPhone _ Phone— 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 arid 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, t refore, 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 h all laws of /the County of Riverside and the State of California governing said property. DAT C/ %3_(. 5 _/ SIGNATURE OF OWNER AND/OR AGENT W Approval by Signature from the Following Departments Listed Below ( Must Be Obtained Prior to the Issuing of a Construction Permit. s -XS 7 . I SPACE NO. USE OF STRUCTURE JOB ADDRESS -y7 — SINGLE FAMILY [`DUPLEX LEGAL DESCRIPTION OF PROPERTY /3 3 2 Z '~" y , J SC 4-y APARTMENTS AGRIC. O v. 7 '^ o LeVIA t#. L41 t ✓1 ! COMMERCIALS INDUSTRIAL rE O COMMUNITY G > .200 cele w,4LG I ALTERATIONS n Z NO. OF SUBMITTED PLANS' USE OF PERMIT Lu Q CASE NO. - - Z NO. OF P RKI/NG SPACES REQUIRED _— — NO. OF BUILDINGS NOW EXISTING — Q ZONE 1 SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACKy ORDINANCE OF FEET REQUIRED ON STREET DATE S.f 3 SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - — t- z CURB AND GUTTER REQUIRED: YES O NO ❑ STREET H a W CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT?` -YES ❑ .NO ❑ O cc DATE SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS in FLOOD CONTROL H W AIR POLLUTION _DIV OF HWY t - c a _ YOUR PROPERTY MAY BE SUBJECT TO a c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -.BUILDER VERIFICATION Owner 4-6, 1X t✓ IA/4 V . AF G. LA &rOG4 ?zlo za Aaaress An "owner -builder" building permit has been applied for in your name and bearing your signature. , r i Zn. Please complete and return this information in the envelope provided at your earliest opportunity -to -avoid unnecessary delay in processing and issuing your building permit. No building permit will. be issued until, -this ,verification is received. 1. I personally plan to pr`ovide'the major labor and materials for con- struction of the proposed property improvement•(yes or no)' y 2. I (have/have not) 1/4 tl r- signed an application for building permit for the proposed,work.,., 3. I have contracted with the following person (firm)'to provide the pro- posed construction: Name Phone, •. Address City Contractors License No. 4. I plan to provide portions of the"work, but I -have hired the following" ,.person to coordinate, supervise, and provide the major work: Name. Phone Address- City Contractors License No. 5. I will provide some of -the work but I.have'contracted ('hired) the'-fol-- lowing he'-fol-lowing persons to -provide the work indicated: Name, Address Phone- Type of work kol ,; Signatu Property -Owner Dat Social Security Number 284-2002 7/80 DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as owner -builder you are the responsible party of re- cord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the pro- per permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and, where required, to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemploy- ment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner - builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, DEPARTMENT OF BUILDING AND SAFETY 53 .5% Leopoldo Rojo, Jr. Director 284-2001 7/80 BUILDING VLKMII 1-1 PERMIT NO: DEPARTMENT OF BUILDING & SAFETY yr DST COUNTY OF RIVERSIDE FIELD OFFICE F1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES. NO. PLUMBING FEES IST FL. 2ND. FL. t FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ Owner UNITS SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. OT. @ BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ, FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $+ WATER PIPING NOTE: Not to be used as property tax valuation Use/Cose No. SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Set Backs SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD /1 CZ Construction Fee Dbl $ `"1 SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER R Electrical Fee Dbl $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Type LAUNDRY TRAY AIR HANDLING UNIT CFM Dbl $ IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Final Date /S O TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Const. Lender AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ t BATH TUB Mileage Fee Is Address City Zip SQ. FT. @. c WATER HEATER $ Ovener UL." C,_ SQ. FT. RESID @1'/.0 SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 C HOUSE SEWER Total Fees $ Address r 4, GAS PIPING PERMIT FEE Zip PERMIT FEE PERMIT FEE DBL. TOTAL FEES '141 -sol MOB. HM. FEE MICRO FEE MECH. FEE 1 PL. CK. FEE CONST. FEE ELECT. FEE 41 -So SMI FEE FEE PLUMB. FEE PERMIT NO. 42748 Job Address . h Space Zip Owner Community` - V aA . Valuation $ (eIS-SI-9r- 'p Date Dist. Off F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit 3 0 O Q Y'1" ` Parcel No. 3 ---s . — Use/Cose No. Ck. B l✓ Mech. fee Dbl $ Pl. Ck. Fee $ Set Backs Lot Size /1 CZ Construction Fee Dbl $ `"1 Legal Description ( '• IQ S L Pl1 F 5 S R Electrical Fee Dbl $ Zone Re ',tions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date /S O Inspector Unit . Sp. In Fee $ Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers Regisir. Fee $ Mileage Fee Is Address City Zip Witness Fee $ Reinsp. Fee $ Ovener UL." C,_ Tel. 44 Zip Total Fees $ Address r 4, City Zip M.O. C. Cash Check Received by Trees required Contractor Tel. _ LicenseN Sewage System Address Cih, Zip T LL P Sewer District Form 284-208 (Rev.8/78) @s 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.