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A014733 (GRD)
° FIELD AO DEPARTMENT OF BUILDING & SAFETY PERMIT No. PERMITTYPE �,' COUNTY OF RIVERSIDE A014733 6P Additional Information: FACTORY BUILT HOUSING MOBILE HOME INSTALLATION 'Manufacturer MH Monuf. New ❑. Model Designation Size Relocated ❑ Unit Serial No. Total Fees $ Plan Approval No. Insig. Serial No. Moving Sewage System ` T 1 1 p Permission is hereby granted to move the structure, described below, in Width Length Height Total Fees $ GRADING A4 QhecK #1 Number of #2 Sections #3 , `Cut w1s. Fill Total Fees $ Present Location Community County 'RELOCATION INSPECTION Destination Present locatiori Community County Total Fees $ Total Fees $ Permit No. �a _,Job Address SP # Zip Owner , Plan Check mmunit 2 V # a Valuation $_.6. Date Dii O•ffff— - P.C. Reinspection_ Use of Permit Q U ` 1 `` P K ZZ C—tl. yCls. �► Parcel No. 7 ` `.617 Lot Size Factory- :Built Set backs Use Permit # FLegal Description /� UT 7 gf • / O7 / JO. V• 4l 2� Grading Bond $ ne ", Grp Type I Unit ck by Mobile home Engineer License Fin I Date UEiViilj�lfr%pl�/ #(,9y3.�:'S'f I s ector Env. Assmt. Requirement Relocations Escrow Company rang Total Fees ' $ 1� Address City Zip Cosh Check MO NC Owner g t Tel. Received by Date Ad a res City Zip ' Related Permit(s) Contract r/Mover Tel. workers' comp. yes ❑ no ❑ Address D Cit 1s !� Zip J 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 sub- ject to the workers' compensation lows of California. Owner Signature Builder Signature FORM 284-208A 5-77 0M This permit shall become void if work is n t commenced within 120 days. Cessation of work 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 hos done so in accordance with Section 5541 of the Business and Professions Code of the State of California. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slob Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Domper 8 Vents 41 Smoke Detention Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. C:] 43 Final 10A Fireplace T.O. El NON ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Botts) 12C Ceiling IBlownl 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 P/L REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final 1p I STREET NAME FIELD OFFICE DEPARTMENT OF BUILDING & SAFETY _ TIT NO. PER TYPE COUNTY OF RIVERSIDE 14733 �,� ional Information: FACTORY BUILT HOUSING MOBILE HOME INSTALLATION Manufacturer MH Manuf. New ❑ Model Designation Size Relocated ❑ Unit Serial No. Total Fees $ Plan Approval No. Insig. Serial No. Moving Sewage System T 1 1 p Permission is hereby granted to move the structure, described below, in Width Length Height " Total Fees It GRADING �� #1 Number of #2' Sections #3 Cut Fill Total Fees $ Present Location Community County RELOCATION INSPECTION Destination Present location Community County Total Fees $ Total Fees $ P ' Perm 1 N [A 14733 Plan Check Job Address CQmmunity a, V - -SP-#- —Zip "" Owfie`r - 92zs3 11 iValuation I'll Date Di t/ $ J -�`a ) Off P.C. Reinspection' Use of Permit Q U L ,(j, Y _5, a Parcel No. 7 Lot Size Factory- Built Ser backs Use Permit # kegal Description U7 . so (/•`a 7,/ Grading Bond $ z n Grp Type Unit ck by Mobile home- Engineer License F z� y Final Date Ins ector 'Env. Assmt. Requirement Relocations Escrow Company Bra Total Fees $ Q Address City _ Zip Cash Check MO NC Owner/ g t Tel. Recei Date Ad res :.," City Zip Related Permit(s) Contract r/Mover Tel. 56 workers' comp. yes ❑ no ❑ 9.Address City - �i Zip ` Y - t - I certify that in the performance of the work for which this permit is issued I.sholl not employ any person in any manner so as to become sub- ject to the workers' compensation laws of California. Owner Signature Builder Signature FORM 284-208A 5-77" © M This permit shall become void if work is noVcommenced within 120 days. Cessation of work 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.