GRD (A015051)53888 Avenida Madero
A015051
PERMIT NO. PERMIT TV PE
A 015 0 51 ,'
Additional Information:
FIELD
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
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
otol Fees $
i
,GRADI,NG
1
6
#I
Number
of #2
Sections
#3
!Cut
!Fill Q
:Total Fees $
Present Location
Community County
,RELOCATION INSPECTION
i.
!
Destination
(Present location
iCommunity
County
Total Fees
$
Total Fees $
Permit No.
A0150511
Job Address
M., W&
SP #
Zip
O___
PIaITCh
Co muni
oe
Va nation
$
Dote 7
DistP.C.
'Reinspection
Use of Per it /
i
[ / /(%
P o.
Y– /
Lot
Size
'Factory-
!Built
Set backs
Use Permit N
Legal Description
Grading
Bond p
$
Type
Unit ekb
;Mobile home
Engineer LicenseFinal
Jf,efo_ 1&6 #9503
Date
13-;11_9s_
Ins ector
1
Env. Assmt.
Requirement
iRelocations
Escrow Company
ranch
(Total Fees
!
$ J
Address
City
Zip
Cash
Check
MO NC
O / gent
{ 1 `-tel ✓(L7V
Tel.
/v
!.
;Received -by D 'e
J ! /
!iRelate Permitls)
Add s %
Contractor/Mover
Ci L
Tel.
Zip
workers' comp.
i yes [A- 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-
iect to the workers' compensation lows of California.
Owner Signature
L Builder Signature
FORM 284-208A 5-77 @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 all work in connection with this permit will be done in accordance with the laws of
Rivers -ids County and the State of California. I hereby certify that the individual who prepared the plans and
specifications has-dpne so in accordance with Section 5541 of the Business and Professions Code of the
State of California.
/ ay
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
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 (Botts)
12B Ceiling IBottsl
12C Ceiling (Blown)
14 Find
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
P/L P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
r
STREET NAME
FIELD OFFICE
DEPARTMENT OF BUILDING 8 SAFETY
PERMIT 110. PERMITTYPE COUNTY OF RIVERSIDE '
A015051G' 4el,'
Additional Information:
FACTORY BUILT HOUSING
MOBILE HOME INSTALLATION
Manufacturer
MH Monuf.
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 $
Present Location
Community County
RELOCATION INSPECTION
Destination
Present location
Community
County
Total Fees
$
Total Fees $ _
erml No.
1A61505:
ddr
SP #
19"OF
PIae&,lccp.
Co muni LG1iL
Valuation
Date
Dist
P.C.
Reinspection
Use of Per it
i /a G /
rW
Po I o.
W o LA .-
Lot
Size
Factory-
Built
_k
Set backs
Use Permit #
Legal Description
/ 9
Grading
Bond p
$
Type
Unit ck b
Mobile home
Engineer License
v— —
Final Date
In pector. Env. Assmt.
Requirement
-Relocations
Escrow Company
Bran
Total Fees
$
Addre
City
Tel.
Zip
Cosh
Check
MO IC
Owpe j/ ent
AA17 A",
411,
Received by D
e
Addr s
Cit
Zip
Relate P( Mxiif(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 @M
This permit shall become void if work is no
shall also cause permit to become void.
I hereby agree that all work in connection
Riverside County and the State of California
specifications has done so in accordance v
State of California.
commenced within 120 days. Cessation of work for 120 days
with this permit will be done in accordance with the lows of
I hereby certify that the individual who prepared the plans and
ith Section 5541 of the Business and Professions Code of the