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A014741 (GRD)
y' PERMIT NO. A014741 FIELD DEPARTMENT OF BUILDING & SAFETY SPE COUNTY OF RIVERSIDE �!- 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 $ GRADING #1 Number of #2 Sections #3 Cut Fill -3 Total Fees $ at? 1�7_ - tj Present Location Community County RELOCATION INSPECTION Destination Present location Community County Toto l Fees $ Total Fees $ Permit No. 0 Job Address — c� c Ceti SP # Zip zs'3 Owner 0 •r/ Plan Check ommunl y /of- ��/ j j Valuation $�f [Date, Dist �/ Off •.•_ P.C. Reinspection Use of Permit- '„ Parcel No. Lot Size Factory- Built Set backs I Use Permit # Legal Description 1F a�C'�/ Grading $Bond �% Grp Type Unit ckby Mobile home Engineer LicenseFinal 14h,7V Al Date 9--2 / $'� Insp clot Env. Assmt. Requirement Relocations Escrow Company Br wrl Total Fees $ ` W Address City Zip Cash check nno rvc Owner/e • Tel. Re•Qvved by Date Ad ress v is 3 Cy �.r. i� �5 Zip 7� 6/ e oted Permit(s) _Q 3 Contractor/Mover Tel. workers• comp. yes ❑ no ❑ Address City Zip 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 sub. :. ject to the workers' compensation laws of California. :x Owner Signature Builder Signature FORM 284-208A 5.77 ©- This permit sholl become void if work is not commenced within 120 days. Cessation of work.for 120 days sholl also cause permit to become void. I hereby agree that all work in connection with this permit. will be done in accordance with tete laws of Riverside County and the State of California. I hereby certify tliot 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.Colifornia. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE iINSPECTOR 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 r Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detention Device 9 Garage Fiie Wall 42 Commercial Hood 10 Fireplace P.L. 43 Final 10A 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 Walls (Botts) 12B Ceiling (Batts) 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 PSL P) ilk ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final S STREET NAME • _ #,,.. .. _" '_'r_r � [tWK'3.. �, +1, ,r• "J+'W{M+�w-,'Y+.?;�:� . t•. . NOT:CE: THIS IS NOT, BUILDING •PERMIT DISTRICT' APPLICATION. TO CONSTRUCT Permit No DEPARTMENT OF -BUILDING AND -SAFETY '. COUNTY -Of",RIVERSIDE 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owneta,17 771) A'rchitect -__._ Contractor_--..- _. �� Address-__ Address Addres -_-_ —._— ---_- Ciry� t:rt Gry_- City----- - — l�- 'Phone Phone Phone— "�—-------- - cc I (we) the undersigned, hereby cc 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. I ani -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 occu ie .until I (we) have complied with all laws of the County of Riverside and the 'State of California governing .said proper Y. DATE ______-- SIGNATURE OF OWNER AND/OR AGENT -- Approval by Signature from the Following Departments -Listed.Below Must Be. Obtained Prior to theAssuing of a Construction Permit. SPACE AD. 5, 1 USE OF ST CTURE_ JOB ADDRESS) 40,04)' `-' 2 ;�# _ U,*• � SINGLE FAMILY DUPLEX Z F. LL L E GROLTY _— AS D ESCRIN OFPER—� ��� -/ APARTMENTS ❑ AGRIC. ❑ (�) / -0A O C // ¢ COMMERCIAL Q INDUSTRIAL N Q - COMMUNITY " i�. ;�- - c) 6LUFRATIONS/ ❑ '-_ Z NO. OF SUBMITTED PLANS - USE OF PERMITLu H Q CASE N0. G z NO. OF PARKING SPACES REQUIRED _- NO, OF BUILDINGS NOW EXISTING' -- _ Q o ZON SETBACKS: FRONT. SIDE REAR J rm._ GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE ` SETBACK ORDINANCE -- OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIA - DEDICATION REQUIRED: YES ❑ NO..❑ •. NO. OF FEET-_ _ H ,Z., CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET t- d CAN 'CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O °L DATE SIGNATURE OF ROAD. DEPT. OFFICIAL_ S SWIMMING POOLS PUBLIC I SEWAGE DISPOSAL — WW = C `; ^; FOOD ESTABLISHMENT M .. 0"WATER POLLUTION REMARKS ' XFryYF^ ` FLOOD CONTROL :W AIR POLLUTION• W DIV OF HWY c YOUR PROPERTY +MAY BE SUBJECT TO .Q — Lu• FLOOD�RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY'IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT ? -FIELD OFFICE ., DEPARTMENT OF BUILDING & SAFETY „ PERMIT No. PER TTYPE 4 COUNTY OF RIVERSIDE ' A0l4741t 18 Additional Information: FACTORY BUILT HOUSING This permit shall become void if work is not commenced within 120 days. Cessation of work for 120 days issued I shall not employ any person in any manner so as to become sub. MOBILE HOME INSTALLATION ject to the workers' compensation lows of California. ”. Manufacturer Riverside Couoty and the State of California. I hereby certify that the individual who prepared the plans and Owner Signature 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 $ GRADING #1 Number of #2 Sections #3 Cut Fill Total Fees $ Present Location Community County RELOCATION INSPECTION Destination Present location~ Community County Total Fees 1.A6�e mit No. 4741 Job Address -� c ��vti SP # zzs Zip Owner -o Plan Check ommuni 4' 771- Valuation $• Date —'g� Dist Off P. C. Reinspection Use of Permit• Parcel No. . Lot Size Factory- Built Set backs Use Permit # LegalDescription r f �1 Lk /00 l 4.49 I Grading Bond zone $ Grp Type Unit ckby Mobile home Engineer License W/1 -now #_ Aab Final Date Inspector Env. Assmt Requirement Relocations Escrow Company Bro c.h Total Fees $ Address City Zip Cosh Check MO NC Owner/ Tel. R ;ed by, Date Ad ress Cl y S� Zip 7�L�/ 'e ated Permit(s) _b 3 , Contractor/Mover , 't Tel. workers' comp.„Address yes ❑ no ❑ ' , City Zip I certify that in the performance of the work for which this permit is This permit shall become void if work is not commenced within 120 days. Cessation of work for 120 days issued I shall not employ any person in any manner so as to become sub. shall also cause permit to become void. ject to the workers' compensation lows of California. ”. I hereby agree that all work .in connection with this permit will be done in accordance with the lows of Riverside Couoty and the State of California. I hereby certify that the individual who prepared the plans and Owner Signature specifications has done so in accordance with Section 5541 of the Business and Professions, Code of the Builder Signature State of California FORM 284-208A 5-770m M