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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 if r 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