A005533 (TT)FIELD
DEPARTMENT OF BUILe'DING & SAFETY
jft
PERMIT NO. PERMIT TYPE 1 COUNTY OF.RIVERSIDE
A005533 '"
on:
FACTORY BUILT HOUSING
MOBILE HOME INSTALLATION"
'Manufacturer ..t`/ jir `rf
MH Monuf.
New ❑-
Model Designation
Size Relocated ❑
;Unit Serial No. '%
Total Fees $
;Plan Approval No.
Insig. Seriol No. 1 3o
Moving
-Sewage System
` T 1 1
p / X �[�
Permission is hereby granted to move the
structure, described below, in
otal Fees $
r
Width Length
Height
'GRADING
#1
Number_
of #2
Sections
#3
.Cut
Fill
Notal Fees $
Present Location
Community County
RELOCATION INSPECTION
Destination
4;
Present location
'Community
County
Total Fees
"V,r. $
-total "Fees $
' Permit No.
A 0 0- 5 3
Job Ad Tress 1
c- r
� v.c.'
SP #
Zip
O ner
ly&r_
�r.,P�Ion
Co -muni
Valuation
Date
ilt
Dist
Off
P.C.
Check
''s(- �,,t,.� ,�
$
�,
f
Use of Permit
Parcel No. Lot Size
(Reinspection
`' '�
`�� _ Ll. ,I- - J ;
Set backs
So lel- 4
Use Permit Jt
Factory-
'Built
''�
Le961 De cription
.. �' �✓"`"�
�. /�/ N Bond zone Grp Type
Unit ck by
.,
'Grading
$
w
Engineer License
Final Date
-Inspector
Env. Assmt.
[Mobile home
#
/7--zo-7�
Requirement
Escrow Company
Bran'c
Relocations
/
_
Address
City
Zip
Total Fees
$
.cash
Check
MO
nfc
Owner/Agent
Tel.
1Rec�d by Date
11*,/� D,
Address
City
Zip
y. J,.� • S
-Related Permit(s)
Contrroqor// °ver
/�
Tel.
': • workerscomp-
❑ ❑�
Address
e-� I%
City
Zip
1, yes no
3;,Py;1�v
'J certify that in the performance of the work for which this permit is This permit shall become void if work is not commenced within 120 days. Ces!otion of work for 120 days
;issued I shall not employ any person in any manner so as to become sub- shall also cause permit to become void.
`ect to the workers' compensation laws of California. I 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
Owner Signature n // 1 / specifications hos donesC in accordance with Section 5541 of the Business and Professions Code of the
? Builder Signoture rL a.cf�A Slate of California.
FORM 284-208A 5-77 or 0
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
_7�Y
33
Ventilation System
2
Ftgs & Frms
-
34
Plenums & Ducts
2A
Slab Grade
Furnace Comport.
3
Steel
Inlets & Outlets
4
Grout Blocks
d38
Combustion Air
5
Bond Beams
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
1 1 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls [Botts)
12B Ceiling lBottsl
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents —
19 Sewage Disposal _;7k x4-
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank 1000 Pit Sx l L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
18 O
d
G Pi
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures _ z,0-71
31 Service
32 Fetal z _
c J STREETNAM��T D�G L/f�%A/LUOAS
W, a
RIVERSIDE COUNTY DEPARTMENT OF BUILDING AND SAFETY
CORRECTION NOTICE
To: -
Permit No.
Address:, �' ��3,0_2Ad 9� n ��_ Date: /,/-/S = Ze
GROUND PLUMBING - U.P.C., 1976 EDITION
1 • pproved plans shall be on job for inspection. [U.B.C. 302] .
Toilet facilities shall be on job site. (Calif. Health & Safety Code).
3• Post job card. [U.B.C. 3041 .
4• Replace defective fitting at [309).
5. Support soil pipe each joint ( ), continuous ( ) [3161
6. Closet bend to extend minimum floor level. [8051.
7. Off set plumbing out of bearing footing.. [3151.
8. Fill soil pipe with water for testing. [3181.
9. Stop leaks on line. [3181.
10. Unapproved fittings on line. (405 and 3101.
11. Minimum'/." per foot grade required on line. [407).
12. Gas line not permitted under slab. (1213-b] .
13. Pipe shall not be installed in a strained position. [503) (1205).
14.AI1 horizontal vents required to drain to fixture it serves. [5051.
15.Total vent area to be equal to largest required building sewer. [504] .
16. Cleanouts to grade. (4061 .
FOOTING AND FORM INSPECTION - U.B.C., 1976 EDITION
1. Approved plans shall be on job for inspection. (302) .
2. Provide legal lot stakes. [301 and 3041 .
3. Foundation footing to be 12 inches - 18 inches into undisturbed soil and 12 inches - 15
inches wide. [Table 29 -Al.
4. Regrade and compact fill, minimum thickness of concrete floor, 3% inches. [26231.
5. Fireplace footing to be 12 inches larger each dimension than fireplace. [3707(b)1 .
6. Interior bearing footings to be 12 inches into undisturbed soil; width, minimum 12 inches.
(2907 (b)] .
7. Pier footings minimum 16 inches square. (Chapt. 29) .
S. Forms shall conform to plan; tied and braced. [2606(a)) .
9• Minimum foundation height 6 inches above finish grade. (2907(a)) .
tO.Re-bar shall be tied in place. [2607(d)] .
11. Provide footing for veneer. Brick ( ), Rock ( ) [2006(b)].
12 -Water piping on branch to too small. [1009 U.P.C.] .
13•Gas piping not permitted under slab. (1213-b U.P.C.] .
14. Mastic required on all metallic pipes where they come through slab or footings. [315 U.P.C.) .
15 -Form shall be in place for tub trap recess. It shall be poured monolithic. (803 U.P.C.] .
16. Post job card [ U.B.C. 304(b) I
17.Job not ready for inspection.
Inspector
CORRECT THE ABOVE CIRCLED ITEMS AND CALL FOR RE -INSPECTION
284-233 REV 3/77
Permit Copy
Department ®f Building and Safety
COUNTY OF RIVERSIDE
TO: Dist.
ADDRESS:,�1j�-�3�nTadI15 Date/"a-la-&
CORRECTION NOTICE
Permit No..
q a 4t" fe bt- 4y '/ e/ w wood(
C"rAcs, l lWo (e
284-205 9/67 Inspector
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
NOTICE TO APPLICANT
In conformity with the provisions of State of California Labor Code Section
3800, the applicant shall have on file or file with the Riverside County
Department of Building and Safetya certificate as designated in Items I or
II below, or shall indicate Item III, IV or V, whichever is applicable.
CERTIFICATE OF APPLICANT
Please mark the appropriate block:
I. Certificate of Consent to self -insure issued by the
Director of Industrial Relations.
Copy on file r-1 Copy submitted
II. Certificate of Workers' Compensation Insurance issued by
an admitted insurer.
Copy on file F-1 Copy submitted
III. The cost of the work to be performed is $100 or less.
C IV. 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 subject to the Workers'
Compensation laws of California. I further certify that,
in the event I become subject to the Workers' Compensation
provisions of the Labor Code that I will comply forthwith
with the provisions of Labor Code Section 3700, et seq.,
and understand that, if I do not comply, the permit shall
be deemed revoked.
n V. I certify as the owner (or the agent of the owner) that in
the performance of the work for which this permit is issued
I have engaged ,
contractor. (Contractor must have on file, or submit
certificate required by I or II above.)
Applicant's Signature
Date / d - Z,_ -- -7 a' Permit No. If 2/`o 3 :� ::�
Address and location where work is to be performed
a M WNWJ
284-141 Rev. 6/77
« ..
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U, Ul a. W n
N
RTMEN OF PHEALTH USLIC EA
TOF
H
t. �RIVERSIDIVDE K�ON E VIRONM N AL
Food s lishment , Se.
age
Sepikic
j�77isposal _
Tank
I'llGal
ti . Apt,, Hotel Sq.
a
1%
f Leach Line
Seepage Pit Q�
Dwell ng x
Crm r ercial Building Co
ion to Sewer
Swimring Pool
No rating water softening devices m be disch4 ed into
he
dividual sewage disposal
on-site regen
system herewith ppreved without clearance from tl•e Water juality Con
ling
rol
oard.
Water supply serthis installation must be from an approa.^d source.
All sewage disposal installation must conform with equiris of curre
m U
)iform Plumbing Code,
.e-_
Any cutting, ; or filling in excess of four (4 feet nullify sewage
d
posal approval.
Approval has a^n obtained from the Regional Wa or Quality Control Bo
rd f
r installation of the sew-
age disposal system.
This is to certify that tl-1 Riverside County Department of Public Health appro
s f Ir
occupancy, construs.tion
or installation the item(s) checked above.
Date
--1
i
411
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
% COUNTY OF RIVERSIDE
284 199 9/74 CANARY—FILE, PINK—APPLICANT
01'
Owner42y,y�,.Amkesd iftArchitect_ C/�CV
80.69,* 2741
Addres -Address Address_
�7
S/ &/�)�
City City City- ///t 1 ✓-c`r �
bS7`7
Phone Phon Phone
W
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
Z
Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
3
shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be done within the County R/W
O
without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to be occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property.
/�� S 7 SIGNATURE OF OWNER AND/OR AGENT °1
DATE
Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE N0.
t`&_.XAj1W_
USE OF STRUCTURE
'M6
9 M
(jJ(1
JOB ADDRESS % �� ^ — 1 — SINGLE FAMILY E] DUPLEX
a
C
L GAL DE8RIP� OF PWPER,Tjf (� • r J _
f,K ' Af APARTMENTS AGRIC.
N Q�'
COMMERCIAL INDUSTRIAL ❑
CCOMMUNITY
G Z
1
4144 4, r, ALTERATIONS LJ
NO. OF SUBMITTED PLANS USE OF PERMIT AM
CASE NO. —
p Z
N0. OF P Raj KING SP CES REQUIRED — NO. OF BUILD�yGi W/EXISTING
Q
ZONE �e91` SETBACKS: FRONT SIDE f� REeR 7
r
m
GRADING PERMIT REQUIRED? YES 0 NO �J LOT SIZE
/ ' /�
I
SETBACK RDIN CE # OF FEET REQUIRED ON / TREET
DATE SIGNATURE OF LAND USE OFFICIAL ----
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_—
H
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE AP ICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVE AND STREET
OIMPROVEMENT?
S NO ❑ �!�
°L
OAT SIGNATURE SIGNATURE OF ROAD DEPT. OFFICI IL
S
SWIMMING POOLS PUBLIC
W
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
_
WATER POLLUTION REMARKS
�n FLOOD CONTROL
W AIR POLLUTION
_ DI V OF HWY
c a — YOUR PROPERTY MAY BE SUBJECT TO
is
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 CANARY—FILE, PINK—APPLICANT
RIVERSIDE COUNTY DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Food Establishment Sewage Disposal
--,Trailer Park Gal. Septic Tank
_/MDwelling
Motel; Apt., Hotel Sq• F. of Leach�tlne
x Seepage Pit /3z
Commercial Building Connection to Sewer
Swimm.!.ng Pool
__sz::.`No on-site regenerating, water softening devices may be discharged into the individual sewage dispo5al
system herewith approved without clearance from the Water Quality Control Board,
Water supply serving this installation must be from an approved source.
✓ All sewage disPOS31 installation must conform with requirements of current Unifdrm Plumbing Code.
Any cutting, grading, or filling in excess of four (4) feet will nullify sewage disposal approval,
Approval has been obtained from the Regional Water Quality Control Board for installation of the sew'
cite disposal system.
Phys is to certify that the Riverside County Department of Public Health approves for. occupancy, construction
o} installation the item(s) checked above.
--70 9 —
By—