GRD (A014825)il
PERMIT NO.PE RMIT TVP
A014825 �
Additional Information:
FIELD
DEPARTMENT OF AWIR
AIG 8 SAFETY
' COUNTY OIF 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
Total Fees $
:GRADING
#1
Number
of #2
Sections
#3
'Cut c?
!Fill y' (_l u, yfi S
,Total Fees $
Present Location
Community County
;RELOCATION INSPECTION
(Present
Destination
location
'Community
County
Total Fees
$
Notal Fees $
Permit No.
//�
Job Address _
SP #
Zip -
Owner _
:Plan Check
05mmunityV
1 ui /i./ 7-4 • T$
61uation
Date
D�it
%
Of.f
- -
P.C.
Reinspection
Use of PermitParcel
�� /� ��
No.
`�- "7
Lot Size
Factory-
`Built
Ser backs
Use Permit q
Legal Description _
,Ay 1 '*�_ � (+� �>
v �. (_�.
i/%G! =•
°
;Grading
Bond zone
$
Grp
Type
Unit
ckby
,Mobile home
Engineer License
#
Fin Date I
� �pIV
In ector
to q&
Env. Assmt.
Requirement
?
[ Relocations
_
Escrow Company
Bran
i Tota I Fees
$
Address
City Zip
Cash
Check
Mo
rfc
Owner/Agent
i
Received by Date
Address,,,. _ r �
`i =� 3 U u
City. Zip
Re ated Permitlsl
Contractor/Mover '
T. r �
Tel.
6
workers' comp.
r yes ❑ no ❑
Address
1 +1 /
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
Builder Signature
FORM 284-208A 5.77 OP M
i -
(1This permit shall become void if work is not commenced within 1500 days. Cessot' n 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 lows of
Riverside County and the State of California. I hereby certify that the individual who pre red rhe plans and
specifications has done so in accordance with Section 5541 of the Business and Pro ss ns 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. Ej
NON
ADDITIONAL INFORMATION
i
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 (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 Service
32 Final
1p 1p
STREET NAME