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A013641 (RIV CNTY PERMIT)• FIELD ! DEPARTMENT'OF BUILDING,& SAFETY*,., • PERMILNO. PERM TYPE COUNTY OF RIVERSIDE ' A 013 6 41 P/C, Addltlonal Intormatlon: 'FACTORY BUILT HOUSING IIIIIIIIIIIIIII�IIIIIIIII MOBILE HOME INSTALLATION 45 IE 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 I[ . -;, #1 Number of #2 Sections #3 I Cut / f FiII w `Total Fees $ Present Location Community County RELOCATION INSPECTION Destination .Present location `Community County Total Fees $ Total Fees $ Permit No. - 0 Job Address s os sr `� SP #' Zip Owner ���s% �s Plan Check 'Reinspection �Ud �' Com unity u Use f Permit � � �, i-� fA7j Legal Description Tff— c Valuation Date Dist Off P.C. f - $ .°b-2 / — / f Parcel No. Lot Size 3%S �U 15 769-65U .-IC,0 / Set backs Use Permit # ne Grp Type Unit c y j i [ 3 .L5- Bond i—o f $ /2 v• se i"Factory- ;Built Grading i Mobile home Engineer License # Final Date a �� Inspector. Env. Assmt. Requirement r Relocations Escrow Company Branch Total Fees $ ,)C Address City Zip Cosh Check MO NC pW r/Agent Tel. r .Received b .c\��Date Address City Zip elated'Rermitlsl Contractor/Mover Tel. 'workers' comp. I" yes ❑ no ❑ Address City 1 Zip I certify that in the performance of the work for which this permit is TI iA permit shall become void if work is not commenced within 120 days. Cessation of work for 120 days issued I shall not employ ` p y an y person in any so as to Become sub- / t shall also muse permit to become void. eject to the workers' compensatbn.lows of Califor ia� t / I1hereby agree that all work in connection with this permit will be done in accordance with the lows of r //' f �ij i.< jt j ,%t : _�fdiverside County and the State of California. I hereby certify that the individual who prepared the plans and Owner Signature// tt GG ii vt�� specifications has done so in accordance with Section 5541 of the Business and Professions Code of the Y,.. Builder Signature State of California. FORM 284-208A 5-77 ©M Q. 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 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. Clearonce 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. NON ADDITIONAL INFORMATION _ SEWAGE SYSTEM SIZE & LOCATION 1 1 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 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 25 Final Tank Pit L. Line REAR OF PROPERTY LINE ELECTRICAL APPROVALS PSL Pi i 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 •Final Agghk STREET NAME _