A014739 GradingFIELD
f DEPARTMENT OF BUILDING & SAFETY
PERMIT NO. PERMITTYPE COUNTY OF RIVERSIDE Ice)_
A014739G_kAj),_
ionol Information:
!FACTORY BUILT HOUSING
`
EMonufacturer
MOBILE HOME INSTALLATION
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 6S C U. y 1i S,
Fill C V , a
Notal Fees $
Uv
Present Location
Community County
RELOCATION INSPECTION
F
Destination
Present location
,Community
County
Total Fees
$
Notal Fees $
Permit No.Job
LA0147391'
Address
S �S A v� O�lrc.� ov
SP #
Zip
ctzzs
Owner,
1/vr 00 1-1
Plan Check
Community
Valuation
$
Date
,5_"t�-�/ I
Oist
%( Ir
Off
P.C.
Reins ection417
Use of Permit ,
.:r
Parcel No. -
Lot
Size
1. Factory-
jBuilt t�
Set backs
Use Permit q
Legal Description
�
U( _� P ./ 7!�vi,77
Grading
ij
Bored zone
$
Grp
Type
Unit
ckby
Mobile home
ngineer License
e, V1 ri 26Y43
Final Date
D ,Z
Ins ector
Env. Assmt.
Requirement
i
Relocations
Escrow Company
anch
Notal Fees
$ f
Address
City
Zip
Cash
I Check
MO
nfc
Owner` /A -gent i-
Tel.
'Received by Date
t.r ),:k !� -J� -ii
Address
City
Zip
[Related Permit(s) �
•`% ( /
Cgntractor/. over
Q
Tel.
workers' comp.
yes no ❑
ddress(�
,a (3a i6-s%-a/�
City. jj ,,ll
,!!Q$���
Zip
4 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.
Owner Signature
y Builder Signature
r a
y2/,/3 P'
FORM 284-208A 5-77 @M
7
This permit shall become void if work is not 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 wqh rhe 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. -
IF
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ventilation System
2
Figs & Frms
34 Plenums & Ducts
2A
Slab 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 Damper
8
Vents
41 Smoke Detention Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P.L.
43
Final
10A
Fireplace T.O. 0
NON
ADDITIONAL INFORMATION
4
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 i8lown1
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
32Final '
i
STREET NAME
NOTICE: THIS `IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT
Permit No
264 199A 9/74 / CANARY—FILE, PINK—APPLICANT
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Owners ). ,tJ/'i'I Architect —_ _ Contractor--.— —
Address r ---- Address--- Address --- ----
ry
Ci ' 'Q�✓!' City— City ---
Phone Z'�7_ ?� �U�T Phone _ Phone—
oC
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. I 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.
DATE ------ SIGNATURE 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.
f i SPACE N0. USE OF STRUCTURE
/�
��a�
/ /c, �-
11 _ 1 � . �`�
r
JOB ADDRESS _
�`T F7 7 SINGLE FAMILY] DUPLEX
Z W
/
0 L6
LEGAL DESCRIPTION OF PROPERTY
_. �,. APARTMENTS AGRIC.
j M
Q
—
` ��-- --Cry— — COMMERCIALEj INDUSTRIAL
QCOMMUNITY
Z
ALTERATI N�S�_
NO. OF SUBMITTED PLANS — USE OF PERMITLu _
a
CASE NO.
4
Z
NO. OF PARKING SPACES REQUIRED _— -- NO. OF BUILDINGS NOW EXISTING
Q �
ZONE SETBA6KS: FRONT SIDE REAR
_j
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # OF FEET REQUIRED ON >ZtEF�
DATE SIGNATURE OF LAND USE OFFICIAL Z
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___
Lu
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
CIL
CAN CURB AND GUTTER FEASIBLY QBE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
IMPROVEMENT? YES ❑ NO ❑
O
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
Z
rn SWIMMING POOLS PUBLIC
J
d
,eSEWA.G -DISPOSAL 9 .
= O
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
&A FLOOD CONTROL—
z AIR POLLUTION
v'
_DIV OF HWY
f -
c a YOUR PROPERTY MAY BE SUBJECT TO
T —
LU + FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD..
264 199A 9/74 / CANARY—FILE, PINK—APPLICANT
if r
PERMIT NO.
A01 4739 PERMIT TYPE
Gx-�.,,�
Jitional Information:
FIELD OFgCE
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE =
FACTORY BUILT HOUSING
MOBILE HOME INSTALLATION
Manufacturer
MH Manuf.
New O
Model Designation
'Size Relocated El
'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 6S C U. Y 4 5,
Fill V , S r
.Total Fees $
0t)
Present Location
Community County
i,REL•OCATION INSPECTION
Destination ,
;Present location
AGammunity
County
TTotal
Fees
Total.Fees $ -- - —_ - �--$
: A6141391,
nit 0
�. _
Job Address SP #
(, s A L/ --t. dbIr- g
Zip
Owner
X) 0;:)
Al
`,Plan Check
Community
Valuation
I $
Date
,5"—LT 7 1
E51st
Off
P. C.
-Reinspection
Use of Perm't
,r
�, e.r /-t
6? f
Parcel No.
4,.� f -41/
Lot
Size
`Factory-
:Built
Set backs
Use Permit q
Legal Description
40 -IF-7 Sc V�,�q
.'Grading
J57
Bond :one
It k
Grp
Type
Unit
Fkb,
Mobile home
Engineer License
be ym» 20411,0-7--t
Final Date Ins for Env. Assmt.
Requirement
Relocatidns
Escrow Company
Bran
Total Fees,
$ .
Address
City
Zip
Cash
I Chec
MO
NCy
Ow..er� Agent '
Tel,
;Received by Date
' Address
City
Zip
Related ermit(s)
Contra cto / over
Tel.
workers' comp.
yes no O
ddress
,0 �d 6 �
City
2/� ��SQ{�%
Zip
v
I certify that in the perform rhe 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 onp;person in any manner so as to become sub- sholl also cause permit to become void.
lett to the workers' compensation laws of California. I hereby agree that all work in connection with this permit will be done in accordance with the lows of
Riverside County and the State of California. I hereby certify that the individual who prepared the plans and
4 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 5.77 QP M