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417880 (BLCK)54055 Avenida Martinez 417880 PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FI,']' 417880 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEF l IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS SQ. FT. @ YARD SPKLR SYSTEM it, SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING ' . SQ. FT. @ DRINKING FOUNTAIN URINAL VALUATION $ "fI 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 No. '7? GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Mech. Fee Dbl 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 SQ. FT. @ c WATER HEATER Group SQ. FT. RESID @1'/.c SEWAGE DISPOSAL R. / SQ. FT. GAR @ % c HOUSE SEWER E ` i r GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FFEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. Job Address y Space Zip Owner - (" 7 0 " y A P' Al - Community E Valuation EV Date t Dist. Off. MH.Permit Fee E Micro Film Fee Cop E Use of Permitrcel No. '7? -L + •:d / - OI Use/Case No. Ck. By Mech. Fee Dbl E PI. Ck. Fee E Set Backs Lot Size 5 S R Construction Fee Dbl E Legol D scription F /J Zone Restric' ns Group Type Electrical Fee Dbl E R. / SMI Fee E ` i r Plumbing Fee Dbl E Bond Amt. E Plan No. i Plan Checker Final D e X - CC U In ector Unit Sp. Insp. Fee E Dental. Fee E Const. Lender Branch Suppli ental Permit Numbers Registr. Fee E Mileage Fee E Address City Zip Witness Fee E.. , Reinsp. Fee E Owner/Agent ,./4 Tel. a Zip Total Fes E A dress City / Zip M. .C. 171 Cas heck , Received b Contractor Tel. Li ense# Trees require Sewage 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. /.41' t 1 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 rALIFORNIA. EB nGt<RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-2110 (Rev.8/78) as ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: NO. OPERATIONDATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms Cj/ s! / 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel :37F 36 1 Inlets a Outlets 4 Grout Blocks a 8 37 Combustion Air 5 Bond Beams gI 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 10A Fireplace T. 0. P' ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE 8 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 a PLUMBING A0,0ROVALS 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 ELECTRICAL APPROVALS P/L Pt Q 1. 26 Power Pole 27 Conduit .28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE An 'owner builder' building permit has been applied for in your name and bearing. your signature. 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 provide the major labor and materials for con- struction of the proposed property improvement (yes or no) 2. I (have/have not) 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 follow- ing persons to provide the work indicated: Name Address Phone Type of Work eSigfiature6'Property Own Date Social Security Number 284-2002. .NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION -TO CONSTRUCT DEPARTMENTOFBUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No AW 284 199 9/74 CANARY—FILE, PINK—APPLICANT Owner/ 9iS% Architect Contractor e'SS`s*Opf =Ue-- Y Addres-.5`/ Address Address— ep, City/ City City_ — Phone T& Phone Phone — — W 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. 1 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 all laws of the County of Riverside and the State of California governing said property. r v ' SIGNATURE DATE .r 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. I SPACE N0. USE OF STRUCTURE 2 JOB ADDRESS( — SINGLE FAMILY, UPLEX El LEGAL D SCRIP I N ( \BJP OPE T(Y/ APARTMENT Z 0.t; AGRIC. 7COMMERCIAL . INDUSTRIAL l U" GC COMMUNITY . t ALTERATza IONS ❑ Z NO. OF SUBMITTED PLANS --__ USE OF PERMIT 4 P CASE NO. L' Z NO. OF PAR IN SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING --- ZONEETBACKS: FRONT SIDE REAR J m GRADING PERMI REQUIRED? YES ❑ NO ❑ LOT SIZE r i SETBACK ORDINANCE # _— OF FEET REQUIRED ON — TREET DATE — j _ SIGNATURE OF LAND USE OFFICIAL _ F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET- --z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ _STREET t- o d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET CIMPROVEMENT? YES ❑ NO ❑ °C DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC • W SEWAGE DISPOSAL _ FOOD ESTABLISHMENT _ _ WATER POLLUTION REMARKS n FLOOD CONTROL W AIR POLLUTION W S DIV OF HWY . o — YOUR PROPERTY MAY BE SUBJECT TO o. o FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT DUILY1mv rcRmll PERMIT NO. 14178801 PERMIT NO. Q 417 O.U U o (CONSTRUCTION Job Addressv A r' • DEPARTMENT OF BUILDING A SAFETY COUNTY OF RIVERSIDE FIELD OFFICE DST ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS Dote SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ '~ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ S() WATER PIPING NOTE: Not to be used os 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 Plumbing Fee GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Plan No. 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 Reinsp. Fee SQ. FT. @ C WATER HEATER SQ. FT. RESID @1'hG SEWAGE DISPOSAL SQ. FT. GAR @ '/. c HOUSE SEWER A dressCity r l qi .i `[ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES,, MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONSE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 14178801 Job Addressv A r' • VIT.Ao Space C2 Zip Owner `=• Community Valuation E v + ' Dote Dist. Off. CI F.C.C. MH.Permit Fee E Micro Film Fee Cop j Use of Permit - Parcel L („ .`, . N./ o. I / " r4r • 4gs Use/Case No. Ck. By Mech. Fee Dbl E PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl b Legal Description F Electrical S S R Fee Dbl E I Lo-, Zone Restri s Group Type SMI Fee E .+" Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Date — —U Inspector Unit Sp. Insp. Fee E Demol. Fee E Const. Lender Branch Supplimental Permit Numbers ' Regisir. Fee E Mileage Fee E Add'res ` iry Zip ':..e✓' c - •• •ti---• Witness Fee E Reinsp. Fee E Owner/(s§ent Tel. , , 7J 1 Zip Total Fe E A dressCity r l qi .i `[ i Zip M. .C. Cosh heck Received by Trees required Contractor elf License# Sewage System Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:.A 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 F_ Y RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Re,8/78) ©s 66'«✓✓ ''ii CC C' OiTTFF'66ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.