SFD (403189)54074 Avenida Martinez
403189
OUILUILVv reKMn
PERMIT NO. DEPARTMENT OF BUILDING 8t SAFETY
4 0 318 9 COUNTY OF RIVERSIDE FIELD DST
t►
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
"Zip Owner
. ,
NO. PLUMBING FEES
Community
, ts
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
ESTIMATED CONSTRUCTION
SO. FT. @ $
%
Date
Da -
v - G
UNITS
Off.
F.C.C.
MH Permit Fee $
Film Fee
SO. FT. @ YARD SPKLR SYSTEM
Use of Pe `tr•
-
SO. FT. @ L MOBILEHOME SVC. BAR SINK
r
SO. FT. @ J ' i+ POWER OUTLET ROOF DRAINS
Use/Co
50. FT. @ • DRAINAGE PIPING
Ck. By P
/
SO. FT. @ DRINKING FOUNTAIN
PI. Ck. Fee $ -
SO. FT. @ URINAL
lot Size
_
VALUATION $ ' WATER PIPING
Legal Description
NOTE: Not to be used as property tax valuation
F y S IS '=;kR'1
SWIM POOL, PVT
Zone Rest ' tions
FLOOR DRAIN
'
SMI Fee $Plumbing
MECHANICAL FEES'
Dbl $
Bond Amt.
$
SWIM POOL, COMM
an Checker
WATER SOFTENER
Final Date
t • , ^ V I
Inspector
VENT SYSTEM FAN EVAP. COOL / HOOD
Unit
$p. Insp. Fee $
SIGN
$
WASHER (AUTO)(DISH)
Branch
r
APPLIANCE DRYER
-
Registr. Fee $
Mileage Fee $
GARBAGE DISPOSAL
Witness Fee $
Reinsp. Fee
FURNACE UNIT WALL FLOOR SUSPENDED
Owner/Agent
Tel.
LAUNDRY TRAY
Zip
AIR HANDLING UNIT CFM
5 „
Address/
_
IDLE METER
KITCHEN SINK
Zip
ABSORPTION SYSTEM B.T.U.
Received
TEMP USE PERMIT SVC
.1WATER CLOSET
LicensaR
/ r ( /
If !!J
COMPRESSOR -4:1 HP
Sewage Sysstte/m /f '
(
LL P
POLE, TEMP/PERM'"-
City Zip
LAVATORY
„'
Lam•.
HEATING SYSTEM FORCE GRAVITY
Sewer
_ ,
AMPERES SERV ENT
"✓
SHOWER
BOILER / B.T.U.
SO. FT. @ a
1 BATH TUB
SO. FT. @ a
WATER HEATER
1
0. FT. RESID @11/4,:
r
SEWAGE DISPOSAL
w G
S0. FT. GAR @ 3/aa
HOUSE SEWER
GAS PIPING
PERMIT FEE
'2
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE
'MECH. FEE
PL. CK. FEE
CONST. FEE
T. F E
SMI fEt
FEE
PL M_ B. FEE
PERMIT NO.
403189
„
Space
(J/
,/,rz
"Zip Owner
. ,
yT
tDist.
Community
, ts
(n,Micro
oluation
$
%
Date
Da -
v - G
Off.
F.C.C.
MH Permit Fee $
Film Fee
Cop $
Use of Pe `tr•
-
-4 V"1 A
3 t
r
Parcel No. r
Use/Co
No.
Ck. By P
/
Mach. Fee Dbl $
PI. Ck. Fee $ -
Se cks
lot Size
_
Construction Fee Dbl $ /•L
Legal Description
C
F y S IS '=;kR'1
Electrical Fee Dbl $
Zone Rest ' tions
Group r
Type V
SMI Fee $Plumbing
Fee
Dbl $
Bond Amt.
$
Plan NF
an Checker
Final Date
t • , ^ V I
Inspector
Unit
$p. Insp. Fee $
Demol. Fee
$
Const. Lender
Branch
supplimrmit Numbers
-
Registr. Fee $
Mileage Fee $
Address City Zip
Witness Fee $
Reinsp. Fee
$
Owner/Agent
Tel.
Zip
Total Fees
5 „
Address/
_
•! , •'=! .
City
Zip
M.O. ❑ NC. ❑ Cash Check
Received
`r1" .S\ 'f^• '„ i-
}-•'
Tentractor (y %
i )
`,•/
LicensaR
/ r ( /
If !!J
Trees required ` "
Sewage Sysstte/m /f '
(
LL P
Address\
City Zip
THIS PERMIT SHAXL BECOME VOID IF WORK IS, NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
WORK
verified by: '
Sewer
bistricl
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 IN91VID4RAL V!iOs',EPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284.208 (Rev. 1/80) NCE WITH SECTION 5541 OF 'FHE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
_ t
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
17=I=O
` v;5
�
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & Ducts
2A
Slab Grade
7-16 r 90
�
35
Furnace Compart.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
— n —�) v
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Deice
9
Garage Fire Wall
�—
42
Commercial Hood
10
Fireplace P.L.
43
Final i I
10A
Fireplace T.O.
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE LOCATION
11 Exterior LathdA
12 Internal Lath
12A Drywall 1O—Z r
13 Finish Grade
INSULATION Thick
R
Value
�s
7A Walls (Batts) {
12B Ceiling (Batts) ✓/
I �L
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb Gjl pt 6
16 Water Piping/—p
17 Rough Plumb
a
18 Vents
19 Sewage Disposal 11Z-
20 Sewer
21 Water Heater
—/
22 Water Softener
23 Water Service
24 Gas Test
25 Final
�j&
Tank J 0 Q Pit 6 x 14— L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
t,
4
P/k \ _ , / P/
)
1
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
• STREET NAME AVE MA 77/41C L—
RIVERSIDE COUNTY [,EPA,RTIVIIENT OF BUILDING AND SAFETY
CORRECTION NOTICE
To:Permit No.
Address 54-6 % M_ 1-1,I61C 2 _ Date: /Z 41 Ri)
FINAL STRUCTURAL INSPECTION - U.B.C., 1976 EDITION
1. Slope finish grade away from building 1/2" per foot for 3' from building [Ord. 4571.
2. Finish grade to be 6 inches below wood [29071a11 .
3. Counterflash chimney. (3208).
4. Firewall: door to be solid core 1 3/8" and self-closing. [5031.
5. Glass not fixed. Door not self-closing. [Sec. 14121 .
6. Hand rail or guard rail. Intermediate rails 9" Max. apart. [17161 .
FINAL ELECTRICAL INSPECTION -N.E.C., 1975 EDITION
1 • Install missing blanks in main service or subpanel dead fronts [230-621 .
2• Place circuit identification on panel board [110-22] .
3. Fixtures or plates shall be installed in room. [410-121.
4• Provide disconnect for AC and/or airhandlers. [430-1021 .
5. Install correct wire size for appliances. [Article 310 d'^'
FINAL PLUMBING INSPECTION - U.P.C., 1976 EDITION
1. Permanent water supply to be connected to building before final. [1001] .
?• Hot and cold water supplies are crossed. [3211 .
3. Trap leaks. (3181.
4• No more than one approved slip joint on outlet side of trap. [703] .
5• Clean breather holds on vent buckets. (1315) .
6. Shower enclosure not watertight at walls. [909] .
7. Water heater burners or heating elements shall be 18" from floor. [13101 .
8. Water heater shall have protective barrier in front. [ 13101 .
9. Separate combustion air and return air intakes by 10' Min. [706 U.M.C.1 .
10. Gas gauge down; must hold 10 Lb. pressure for 15 Min. [ 12061 .
11. Gas gauge defective; replace. (1206) .
12. Seal floor and door of furnace room. (706 U.M.C.-1 .
13. Full way gate valve to be readily accessible on service line and at water heater. [ 1005] .
14. Support conductor vent pipe on water heater furnace
[1315].
15. Toilets to be sealed water tight at floors. [9071
16. Anti -syphon Ball cock required on toilet. (10031 .
17. No appliance or equipment permitted in lot setback. (Ord. 3481 .
18. More combustion air required for water heater ( 1, Furnace
( ) top ( ), bottom ( ), [ 13071 .
19. Furnace compartment too small. (704 U.M.C.1 I.
it I STALL DacT 1-6 iZ; WrI - A00P
2E T ' luwG K1ALL W 1zri, - Sj2 1 '
Inspector
CORRECT THE ABOVE CIRCLED ITEMS AND E L FOR R - INSPECTION
284-236 Rev 3/77
NOTICE: THIS 1S NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
i r /
DISTRICT
Permit No
0—
284 199 9/74 CANARY—FILE, PINK—APPLICANT
Owner 77=7. Architect '`G '' Contractor ic'rfffd/ C
Address -PO Daao7 Address'? ' jt fd c/j Address_
City / (.r[.L5 2T0i✓ 9ZGG City _fFiZ t/lJ C/t-. City_L-yfi G%/ 9-2Z J
Phone 7f It sZ r— 74 Phone G Z 7,F Phone y' / 6"3
Cie
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
3
Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
shall Final Inspection
O
not make a until said requirements have been met. I am also aware that no work is to be done within the County R/W
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 a I Laws of the Countv of Riverside and the State of California governing said pro e
'
DATE SIGNATURE OF OWNER AND/OR Alp _
Approval by Signature from the Following Departments Listed B`el
Must Be Obtained Priorto the Issuing of a Construction Permit.
I ACE NO.
JOB ADDRESS I J ,r USE OF STRUCTURE
SINGLE FAMILY DUPLEX
LEGAL-DESCR PTION.OF
z
PROPERTY --c ! ❑ AGRIC. L
J APARTMENTS
L a o
O
,n Q
+ — COMMERCIAL INDUSTRIAL r—
LJ
'^
p
Z
COMMUNITY
N0. OF SUBMITTED PLANS -----]USE OF PERMIT /t {
f - ALTERATIONS CJ
_
y-!/
CASE NO. ris__ TC 47""""'°
p Z
a
NO. OF PARKING SPACES REQUIRED N0. OF BUILDINGS NOW EXISTING
~
ZONE/—? --/ '- sETBAC'KS: FRONT - SIDE-
m
`REAR _
GRADING PERMIT REQUIRED? YES ❑ NO F-1OTSIZE --'
SETBACK ORDINAyC N OF FEET REQUIRED ON — STREET ..
DATE_+ SIGNATURE OF LAND USE OFFICIAL _—_
F
DEDICATIONREQUIRED: YES ❑ NO ❑ NO. OF FEET---
EET--
z
W
Q
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ "` ` ' STREET
W
CAN CURB AND GUTTER FEA5IBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE AP KATION BEEN MADE FOR ENCROACHMENT PERMIT FOR ,DRIVEWAY AND STREET
IMPROVEMENT? YES NO ❑ U V --' / ` '
/
o0c
/ 7
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
_ ,r
/
S
WSEWAGE
SWIMMING POOLS PUBLIC II
DISPOSAL b=4/aoosl .vl
= C
FOOD ESTABLISHMENT O 1 /Jst
WATER POLLUTION REMARKS
FLOOD CONTROL -
zAIR POLLUTION
W F DIV OF HWY
o a — YOUR PROPERTY MAY BE SUBJECT TO"
0
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
DEPARTMENT OF BUILDING AND SAFETY " %" - APPLICATION,CERTIFICATE-
COUNTY OF RIVERSIDE PERMIT H _i 'l/ 6 S
Effective July 1, 1980, Chapter 1301, Section 19825 of the Health and Safety Code requires the execu-
tion of the following applicable declarations prior to the issuance of a building permit. Please
print or type and sign below.
Q LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code and my license is in full
force and effect.
License Class I — t* ----,License No. 37
Date qr /Fn Contractor itz` / (- t, e eta -a
Q r / OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reasons:
Q I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. If I sell within one
year of completion, I understand I will have the burden of proving I did not build or
improve for the purpose of sale (Sec. 7031.5, B.&P.C.).
Q I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, B.&P.C.).
[::I I am exempt under Section , B.&P.C. for this reason:
Date
Owner
Q WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a Certificate of Workers'
Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. Code).
Policy No.___ SZ,9,er-r —,fn Insurance X777 7r
]> Certified copy is hereby furnished.
— Certified copy is filed with the County of Riverside, Department of Building and Safety.
Date Applicant
Q CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed if permit valuation is for $100.00 or less.)
I certify that in the performance of the work for which this permit is issued, I shall not employ
any person in any manner so as to become subject to the Workers' Compensation laws of California.
I further understand that if after making this Certificate of Exemption, I should become subject to
the Workers' Compensation provisions of the labor code, I must forthwith comply with such provisions
or this permit shall be deemed revoked.
Date Applicant
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued (Sec. 3097, Civ. Code).
Lender's Name
Lender's Address
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION
Q I hereby certify that no excavation five (5) or more feet in depth into which a person is re-
quired to descend, will be made in connection with work authorized by this permit, and that no
building, structure, scaffolding, falsework, or demolition or dismantling thereof, will be
more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8, C.A.C.)
[] As owner -builder, I will not employ anyone to do work which would require a permit from the
Division of Industrial Safety, as noted above, unless such person has a permit to do such work
from that division.
[ Division of Industrial Safety Permit No- 1
Date Applicant
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION 0'F"6TRY
I certify I have read this application and state that the information given is correct. I agree to
comply with all state laws and county ordinances relating to building construction, and authorize a
representative of the County of Riverside, Department of Building and Safety to enter upon the pro-
y_for which I have applied for this permit for the purpose of making inspections.
Ir /d__
Signature of Applicant/Agent Date i
Print Applicant/Agent Name y
284-2000 7/80 t f% rr ,, 0 , U 3 i3 T
1s` PERMIT NO.
403189
DEPARTMENT OF BUILDING &. SAFETY FIELD OFFICE DST
COUNTY OF. RIVERSIDE
►,
T
PERMIT NO.
4.03189
CONSTRUCTION ESTIMATE
Job Address
-
NO. ELECTRICAL FEES
' -
-
NO. PLUMBING FEES
Space
1STFL.
'2ND. FL.
FOR.
GAR.
' CAR P.
' WALL
'
ESTIMATED CONSTRUCTION
SOFT. @ $
'
UNITS
Community
y -
SO. FT. @ YARD SPKLR SYSTEM
pluotion
S
So. FT.- @ y MOBILEHOME SVC. BAR SINK
Dote
— g
yy
SO. FT. @ •J POWER OUTLET ROOF DRAINS
Off.
SO. FT. @ DRAINAGE,PIPING
MH Permit Fee 5
SO. FT. @ DRINKING FOUNTAIN
'
SO. FT. •@ _ URINAL -
VALUATION' $ T WATER PIPING
0
NOTE:- Not to be used as property tax valuation
No.
SWIM POOL, PVT
Mech. Fee Dbl S
PI. Ck. Fee 5
FLOOR DRAIN
Lot Size
,/
J 0
oo
MECHANICAL FEES
SWIM POOL, COMM
S ']
aI
WATER SOFTENER
F
VENT SYSTEM
FAN EVAP. COOL HOOD
SIGN
Group
,31
G WASHER (AUTO)(DISH)
APPLIANCE
DRYER
Bond Amt.
S
Pion
on Checker
GARBAGE DISPOSAL
Final Date
/9—v
FURNACE UNIT
WALL FL OR SUSPENDED
Unit
Sp. Insp. Fee S
LAUNDRY TRAY
AIR HANDLING UNIT
CFM
Branch
IDLE METER
Supplimentol Permit'Numbers
-
KITCHEN SINK
c
ABSORPTION SYSTEM
B.T.U. -
Address City Zip
TEMP USE PERMIT SVC
Reinsp. Fee S
WATER CLOSET
Owner/Agent
COMPRESSOR
HP
POLE, TEMP/PERM
f,
LAVATORY
•""
HEATING SYSTEM
FORCeD GRAVITY
T
J
AMPERES SERV ENT
SHOWER
.
BOILER
B.T.U.
SQ. FT. @ a'
I
BATH TUB
-
Tel. "
License#
SQ. FT. @ e
Sewage SystemAddress
AV t
WATER HEATER
t
-
n
0. FT. RESID @ 1 'Aa
SEWAGE DISPOSAL
SO. FT. GAR @ s/4a
HOUSE SEWER
GAS PIPING
PERMIT FEE
.PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES•
MOB. HM. FEE
MICRO FEE
H.. FE
P176. FEE
CONST. FEE
T. FEE
ISMI FEE
FEE PL MB. FEE
T
PERMIT NO.
4.03189
Job Address
-
' -
-
_
Space
Zip
-
Owner
-
Community
y -
pluotion
S
Dote
— g
Dist.
Off.
F.C.C.
MH Permit Fee 5
Micro Film Fee Cop S
Use of Pe
-
arce No.Use/Ca
I
No.
Ck. By
-
Mech. Fee Dbl S
PI. Ck. Fee 5
e cks
Lot Size
,/
J 0
oo
Construction Fee Dbl $
Electrical Fee Dbl $
SMI Fee S
Lege Description
S ']
aI
. j
I
F
S
$ R I
Zone Rest 'tions
Group
,31
Type
v
Plumbing Fee Dbl $
Bond Amt.
S
Pion
on Checker
Final Date
/9—v
Inspecto
Unit
Sp. Insp. Fee S
De mol. Fee $
Const. Lender
Branch
Supplimentol Permit'Numbers
-
-
c
Registr. Fee $.
Mileage Fee S
Address City Zip
Witness Fee $
Reinsp. Fee S
Owner/Agent
,Tal. -
f,
Zip .
Total Fees $
M.O_. Q C ❑ Cash Check
Address '
4
T
J
City -
.
Zip
Received
Trees required
ontr ctor „ _,,, ,.• ''
I
^• '-
-
Tel. "
License#
Sewage SystemAddress
AV t
l
-
n
City
V— LL W% P THIS PERMIT SHXiL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120, DAYS. CESSATION OF WORK verified by:
Sewer iwiat FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL'WORK M CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE.WITH'
THE `LAWS OF RIVERSIDE COUNTY AND THE STATE OF. CALIFORNIA. -
1 HEREBY CERTIFY. THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS'DONE SO IN
Form 284-208 (Rev. 1/80) "' [ ,,,,,NCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.