A008840 (SFD)FIELD
' x`x"»`,�t"' DEPARTMENT OF BUILDING
5A9
8 SAFETYNO.'ITTYPE �I ".COUNTY'OFr RIVERSIDE
Additional Information: '
;,ACTORY BUILT HOUSING
MOBILE HOME INSTALLATION
t: r
wlanufacturer•U
ii`51
MH Manu f: ;,?
New ❑
Model Designation'
p"',, 9�6
Size
Relocated ❑ '
U.�lit Serial No.
Total Fees $
Plan Approval No. `
rrisig. Serial No.
Moving ,
sewage System
Permission is hereby granted to move the
structure, described below, in
•:YT 1 1 p
Totdl•Fees $ p 0
.�.
Width Length
Heig'}£
GRADING
"'
Number +.
�of #2
:Sections
#3
�
Cur.'s
'
Fllf a;,
Total•Fees $
PreWnt Location
Community' ' „ ' ` ,County
RELOCATION INSPECTION"•,
• . ,. ';S4.
Destination �`• i r*
,'.. .
�;'4. fir, ;Y•' `
Present location
Community
'County; r
Total Fees
- ` $ +
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Tota I Fees . $ z ,. ., .
y.: Permit No.
Job AddresswM,
SP #
Zip
Owner
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Community. ,. '+
Val do
Date
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P.C.
Plan Check
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$'(�'!� ✓Cj
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R�inspectionP
Use of ermit
Parcel No.. �)
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Factory-
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Set backs
Use Permit tt-
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Bulit
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Bond ',�
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Grp
Type
-Unit;
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Grading
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$
Engineer License.
Final Date f/
Znspq�� Env. Assmt.
obile home#
�S—$`Qrow
Requirement..
'
Escrow Company.
Branch
Relocations
'
Address
City �•
Zip
fiatal Fees
$
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Cash
Check
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NC
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Tel.
tRecel e by
to
Addrresss V4 Y
City
Zip,
,Related ermitlsl
Contractor/Mover 1j
Tel. 1 -'
workers' comp.
Address
City '=
Zip
,� • yes ❑ no
INcertify thot in the performance of the work for which this ermit is This permit shall become void if work is not commenced within 120 f1Us. Cessation of work for 120 dot's;'
'sued I shall not employ any person in any monner so os to bec a sub- shall also cause permit to become void.
crt to the workers' compensation lawsb Califor a I hereby agree that all work in connection with this permit will be done in accordance with the lows of
a%" R_ t .. S % Riverside County and the State of California. I hereby certify that the individual who prepared the plans and
{"; Owner Signature ✓` w specifications has done so in accordance with Section 5541 of; the Business, and Professions Code of the
Builder Signature State of Cclifornia. f+,.
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FORM 284.208A 5-77 (E)M ` y�S�,a C,
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33 Ventilation System
2
Figs & Frms
.�-
34 Plenums & Ducts
2A
Slab Grade
-�-�
35 Furnace Comport.
3
Steel
U
36 Inlets & Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor -�
6
Roof Deck
I - ?
39 Appl. Clearance
7
Framing
40 Fire Damper
8
Vents
41 Smoke Detention Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace
P.L.
43 Final
loA
Fireplace
T.O.
NON
-
ADDITIONAL INFORMATION
-- - -- ---- ------ - -
SEWAGE SYSTEM SIZE &LOCATION
1 1 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Wolls (Botts))
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 51-0--610
25
Final
Tank Pit L. Line
PA
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
t
O
d
'� P/
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6
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final _
I Ask
STREET NAM✓���i`� / 00 ����
DEPARTMENT OF BUILDING AND SAFETY OFFICE COPY
COUNTY OF RIVERSIDE
TO: PERMIT NO.
JOB ADDRESS: DATE
COMMUNITY: TIME -,a
7.
LEG: AL, N.OTICE . A'� - ' . ..
Construction procedure upon this proi . ect is not in,gcc?rdance with. the requirements of Riverside Co6hty Building.Cocle;
Ordigance 457 in the following particulars— &,c–;, 42 A% 49 9
49 -4e 9t 9 0z P
Received
Headquarters Inspector
Acknowledgment:
Local Office:
Hours:
284-180
Date
R. C. SMITH
Q Build n:g LDor
BY
General Gilding ln-specto�r
ti
State ID No. 1621
MR.. Ron Espalim
Assistant Building Director
County of Riverside
Bldg &.Safety 9th floor
4080 "Lemon Ave."
Riverside;;. Ca'. 9250`1
State Lic. No. 217944
`re;;Manufaetnred house C� 5.:1.655Avenita..Obregon,•"
La ui=..nt, -� Ca
Sir;
Z, Miles, L. Beadle',.pres. Manor House Inc., was present
at the -site when the house was. 'set and can verify that
the anchor* bolts were in Glace .as: per -.'.code (6 ,,. foot on center
and 1 foot from the`'openncs,l A"s policy we added ram set
bolts 'in the 'space -.between,the 6` foot,d. a.cinq This is
general, practice where wind :conditions are pr.evailent. .T?^i_s
is not required but only good. building.
We•hawe 3ust;, about finished= t new erection. manuel for. the
Builder or: 'developer. who buys our-:buildinas. In 'this book
we -have made :the notation to`.4be ;sure to contact their local
Building Official ttj che,cjC:on.when inspections are wanted.
W:,also ha
e;ve ?made recomendations..as,: t;o the inspection times
we Peel that they wi.11,r need. `:''They,,'' as follows; ti
1-. Foundation. and;= slab - (to. include. anchor bolts.)
2. Roof . nail ;Tie down nail:Jf �boxs and j oint connection.
3. Lid' riali'na
4: final
As soon as this manuel•is.. finished we will,furnish a copy
for your .fil,es:
spectfully,'..:
f �W },
MilesL Bead e pres.
Manor Hobs' a ",Inc.
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APPLICATION FORTREE ,PLANTING
I (we), the undersigned, hereCy certify and acknowledge that I (we) have read the application and agree that if trees are required under River-
side County Ordinance No. 457, the appplicant agrees to install said trees prior to final inspection. It is understood that no final inspection
will be given until said requirements hove•been met or exception has been granted by the County. Now, therefore, it is agreed that the prop-
erty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of
Riverside shall assume no responsibility should trees have to be removed due to lot line errors. f �/�/
Owner's Name rn R 1�
1�1C�,�`/�/� `� o Building Permit NoY-"
Mailing Address i\� Rn CityL..!z�i5 (�'er^,L5state EL`— / Zip J6-710
Job Address �y11%� ���L�� Community
Legal Description S 1 LcT 1,p -7-73-1-L3-IL .2) kQ%C -2:. '
Assessor's Map, Book & Page 73 2t, l8 Type Structure mr�< S� NC�LC lZC t}Cjl►�C -
Type of Soil ✓�� .Is water available —Road Deptt.. Plot Plan No.
Type of existing trees in road right-of-way �"(( � T W & — �� " ;Zo-�
Trees preferred by applicant (1) (2) (3)
Date 10 1 Ci -7 Owner's Signature
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL j
Approved species Washinetonia robusta (Mexican fan palm) Number of trees 1
Spacing oftrees Distance from lot lines: Front 2' in R/W $ide
Additional requirements Per plot plan attached. No street trees will be planted
within 10' of driveways. f _/1
Date Building `and Safety notified. 9/79 Signature
REQUEST FOR EXCEPTION
Reason
Request for hearing:, YES ❑
Owner's Signature
(attach additional page if necessary)
(Forward application to Planning Dept. if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
Concur ❑ Non -concur ❑ Explanation
Date Signature
Road Dept.
Concur ❑ Non -Concur ❑
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Dote hearing established Date hearing notice mailed to owner
Approved .❑ Disapproved ❑ Date Owner notified of decision
Date Building & Safety notified Signature
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NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT. %
Permit No /'�y G O
284 199 9/74 CANARY—FILE, PINK—APPLICANT
Ate;
Owner NCw J ArchitectContractorL-�-
Address Address Address_
City Lac, AL!�!O\s!6 Co. City City-
Phone5�1$201C, Phone Phone
01W
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
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Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
3
shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be done within the County R/W
O
without an encroachment permit. c.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to be occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property.
DATE --J3 SIGNATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Departments Listed Belo
Must Be Obtained Prior to the Issuing of a Construction Permit.
1 SPACE N0.
USE OF STRUCTURE
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Clif��i� y
JOB ADDRESS
� — SINGLE FAMILY [:1&0-$UPLEX
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LEGAL DESCRIPTION OF PROPERTY ��
— APARTMENTS � AGRIC.
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COMMER
V1 CIAL E] INDUSTRIAL IL
COMMUNITY/�S�t��H=' .
ALTERATIONS ❑
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NO. OF SUBMITTED'PLANS — USE OF PERMIT •
us <
CASE N0. '�' V� r
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NO. OF PARKING SPACES REQUIRE NO. OF BUILDINGS NOW EXISTING
JZONE
— SETBACKS: FRONT SIDE REAR �p
Us
GRADING PERMIT REQUIRED? - YES ❑ NO ❑ LOT SIZE x ! U Q
SETBACK ORDINANCE # 114— OF FEET REQUIRED ON — STREET
DATE Q SIGNATURE OF LAND USE OFFICIAL _--
F
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_—
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
oc
CAN CURB AND GUTTER FE 'IBLY BE INSTALLED? YES ❑ NO ❑
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HAS AN ACCEPTABLE APPCATION BEEN MADE FOR ENCROACHMENT PERMIT FO DRIVEWAY AND STREET
D
IMPROVE
ME Y NO -1°L
DATE SIGNATURE OF ROAD DEPT. OFFICIAL—
x
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
1
WATER POLLUTION REMARKS
�► FLOOD CONTROL—
zAIR POLLUTION
DIV OF HWY
c YOUR PROPERTY MAY BE SUBJECT TO
a _
d a
c - FLOOD. RIVERSIDE COUNTY ASSUMES
-NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
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IkIYERSIDE COUNTY DEPARTMENTHEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Sew;ge,D isposaFood Establishment lop GlS,tink
Trailer Park Sf, Leach Line•Motel, Apt., Hotel �r Seepage Pit'
___.,;,/,Dfirelling Connection to Sewer.
Commercial Building
Swimming Pool
✓ater softening dcv:ces may be discharged into the individual sewage disposal
No on-site regenerating w
�ystem herewith approved wi7;�cut clearance fro t re W cr Quality Control Board.
Water supply serv.r�g this Instaliation n-ust be f:jm an approved s�urCe.
---All sewage disposal installation must conform w�:h requirements of current Uniform Plumbing Code.
Any cutting, grading, or filling in excess of f_ur (4) feet will nullify sewage disposal approval.
Regi
Water Quality Control Board for installation of the sew -
Approval has been obtained from the age disposal system.
This is to certify that the Riverside County Department of Public Health approves for occupancy, construction
or installation the item(s) gqchecked above. 11zB–^�
—
Date— �– y
0
DEPARTMENT OF BUILDING:AND SAFETY
COUNTY OF RIVERSIDE
NOTICE"TO APPLICANT
.r
In conformity with the.provisions-of State of'California Labor Code Section
3800, the applicant.shall have on file or file with the Riyerside County
Department of Building and .Safety a certif.icate'as designated in Items I or
II below, or shall indica;te_T,tem III; IV or V, whichever is applicable.
CERTIFICATE OF..APPLICANT
Please mark the appropriate block:
F-1 V. I certify as the owner (or the agent of the owner) that in
the,performance of the work for which this permit is issued
I have engaged
contractor. (Coritra'etbr must have on .file, or submit
certificate required'by I or II above.)
Applicant's Signature
Date aag ,)-i Permit No.
Address ane location where work is -to be.performed
51 Cn75 �,e �t`� C�In
284-141 Rev. 6/77
V
I.
Certificate of Consent to self -insure issued:by the
Director of Industrial Relations.
a Copy on file ;Copy submitted
II.
Certificate.of Workers' Compensation Insurance issued by
an admitted insurer.
Copy on file Copy submitted
'
III.
-The cost of the work to�be performed^'is $100 or less.
IV.
I certify that in the performance of'the:.wdrk 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 certify that,
in the eventI become subject to the Workers' Compensation
provisions of the. Labor Code that I will comply forthwith
with the provisions of'Labor.Code Section 3700, et seq.,
and understand that, if I do not comply, the permit shall
be deemed revoked.
F-1 V. I certify as the owner (or the agent of the owner) that in
the,performance of the work for which this permit is issued
I have engaged
contractor. (Coritra'etbr must have on .file, or submit
certificate required'by I or II above.)
Applicant's Signature
Date aag ,)-i Permit No.
Address ane location where work is -to be.performed
51 Cn75 �,e �t`� C�In
284-141 Rev. 6/77
V
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