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A015817 (GRD)
I I FIELD PERMIT NO. PERMITTYP A01581 h `Additional Information: DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FACTORY BUILT HOUSI 911, -.4 - 1`2 MOBILE HOME INSTALLATION Manufacturer MH Manuf. New ❑ :Model Designationt Size Relocated ❑ ;Unit Serial No. Total Fees $ :Plan Approval No. t;lnsig. Serial No. Moving Permission is ereby granted to move the structure, described below, in Width Length Height iSewage System 1 1 p Total Fees $ GRADING r { # 1 Number of #2 Sections #3 ,Cut ( Fill tom}= Total Fees $ J , � 7�( � Present Location Community County RELOCATION INSPECTION Destination 'Present location Community County Toto l Fees $ :Total Fees $ Permit No. AQ 8 Job dd ess /� j SP # Zi p net Plan Check, c nity . 7,mu Valuation $ �� to r. -�'3" dN. i t O f P.C. • ' Reinspection Us f Perm t ����]�� (" , t Parcgl No. Lot Size Factory- ,Built Set backs _Use Permit q A/ f RC1 J Legal D s4�r}iptio 2 / lr t - _> 'Grading Bond Grp Type Unit ck by Mobile home Enginee License y L.:#�CAo Final Date 4`c�zl IAspector S Env. Assmt. Requirement Relocations Escrow Company Branch ; Total Fees % y /'1 $` �.o Address City Zip Cash I Check MO NC Owner/Agent Tel. I Recejyrdf,Dat� AI Address I City Zip Related Permit(s) Controctor/Mover Tel. workers' com iyes ❑ no Address City Zip -.1 certify that in the performance of the work for which this permit is E issued I shall not employ any person in any manner so as to become sub- ject to the workers' compensation laws of California. i Owner Signature Builder Signature r 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 lows of Rie side 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. 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 Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Wolls (Botts) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 Final PLUMBAG 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 ELECTRICAL APPROVALS Pi 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final i STREET NAME