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GRD (A015033)53888 Avenida Madero A015033 I A0150331 I Additioncll Information: FIELD DEPARTMENT OF BUILDING & SAFETY 1W COUNTY OF RIVERSIDE f/ 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 $ (gyp Present Location Community County ;RELOCATION INSPECTION Destination Present location Community County Total Fees $ Total Fees $ Permit No. 0 .G Job Address 53-83, B AJ . . ADC40 SP # Zip ! ??S3 caner . cb. re v. C0 Plan heck O Coffm m u y f _ 60 u , ti► !-f'-L Valuation $ Date w zs 91 Dist i f Q{f i P. C. Reinspection Use of Permit ►` / /Q V Parcel No. ," G - ._ tjg Lot Size Factory- -Built Set backs I Use Permit # Legal Description Z , + (.AAt -t Grading Sonde `Grp Type Unit ckby Mobile home Engineer License # Final Date Z -A- 8' Inspector J,,e. J e_ Env. Assmt. Requirement ,Relocations Escrow Company BroncF} / ( 'G(• QQ ( l Tota I Fees $ % S Qo "' Address City Zip Cash I Check MO NC Owae /Agent Tel. Received y Date Addr ss Zip RelotM ermit(s) 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 OQ 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 lows of Riverside County and the State of California. I hereby certify that the individual who prepared the plans and specifications hos 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. Cieoronce 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 Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 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 PSL REAR OF PROPERTY LINE P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 .Fixtures 31 96rvice 32 ' Fina$ _ r rj. STREET NAME FIELD OFFICE Additional Information: FACTORY BUILT HOUSING DEPARTMENT OF BUILDING & SAFETY t PERMIT NO. A015033 PERMIT TYPE 6111f�� MH Manuf. COUNTY OF RIVERSIDE Model Designation 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 f �, 'Total Fees $ aO SPresent Location Community County RELOCATION INSPECTION Destination ;Present location Community County Total Fees _� +Total Fees-...,�$..--._.��...� ....�._ �« ~� ermit No. A615033 a��-� Job Address s3 -88B Rum �m SP # �Zzs--3� Zip caner b. (� 2 Plan Check i CojnmunLty u „J14 Valuation $ Date Dist Off P. C. Reinspection Use of Permit D ! �'�►` �bQ y �C �� L 1— s (� Parcel No. "'t'�L�_ jL�3_Qog Lot Size Factory• Built Set backs Use Permit # Legal Description (� V,' f ^ ' Grading $and 110 `Grp Type Unit ckby 'Mobile home Engineer License # Final Date Inspector lrlc Env. Assmt. Requirement Relocations Escrow Company Bran Total Fees $ I cJ � Address City Zip Cosh I Check MO NC OW /Age Tel Recei ed y Date Addrss 6 Zip Relat d Permit(s) 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 lows of California. Owner Signature Builder Signature FORM 284.208A 5-77 (D. 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. 1 hereby agree that all 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 hos done so in accordance with Section 5541 of the Business and Professions Code of the State of California.