GRD (A015031)53854 Avenida Madero
A015031
FIELD
DEPARTMENT OF BUILDING & SAFETY
PERMIT NO.PERMIT TYPE COUNTY OF RIVERSIDEr
A 015 0 31 6r7A ,a
Additional 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 $
'GRADING
#1 .
Number
of #2
Sections
#3
Cut
Fill
Total Fees $! 0 p
{ s
Present Location
Community County
'RELOCATION INSPECTION
Destination
'Present location
Community
County
Total Fees
Total Fees $ E1$
Permit No.
-Zq I -C3-
Job Address
A
S#
4
Zipwner
rs3
r_r.Q ,4 'rpt• Co.
Plan Check
Co munit Y
(,2ur , -
Valuation
$
Date
1'7'j'$
Dist
t!
Off
1r
P.C.
Reinspection
Use of Permit
\
1 ./ s 1J S — i
• \
Parcel No.
14-300'I
Lot Size
FOCYOry-
Built
Set backs
Use Permit #
Legal Description
3C yJ,l (} t L R a•
'Grading
Bond
e
Grp
Type
Unit
ckby
Mobile home
Engineer License
#
Final Da
Inspector
C -A r(L_
Env. Assmt.
Requirement
Relocations
Escrow Company
Branc
Total Fees
$ r
OC)Address
lt.
City
Zip
Cash
Check
MO
I NC
Ownerl) 2gent
Tel.
8- fv4 S
Receiv(ej by Date
rr-25-8t
Address
r3K /F, 3S
City .1..
n( _brsF_2 t
Zip
GZ2 oZ
Related Permitls)
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.
Owner Signature
Builder Signature
FORM 284-208A 5-77 (2)m
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 oil 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.
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. 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. ❑
NON
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick_ R
Value
7A Walls IBottsl
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Finaf
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
PSL
REAR OF PROPERTY LINE
N
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
2ff,, Service Entrance
M
29* Wiring '
294A Grounding Wire
29B Bonding '
30 Fixtures
31 Service
32. ' Final • .
1p
STREET NAME