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A015017 (GRD)A01501716 :Additional Information: DEPARTMENT OF BUILDING & SAFETY C/jge'dlk'� FIELD AOLR COUNTY OF RIVERSIDE .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 0 ;Cut ? Fill i 7�>57 C, Total Fees It is p © Present Location Community County :RELOCATION INSPECTION Destination :Present location + 'Community County Total Fees $ ,.Total Fees $ Permit No. A0150171nl _� Job Address "� SP # Zip Owner A� ;Plan Check �� Community U�Qu,, Valuation $ Date h9 -$l D}'st / P.C. Reinspection Use of Permit � +' '{ --�--- �141JfN Z. f. i l 35 ( Parcel No. 1 ��'' lo,4 -o f3 Lot Size 'Factory- Built Setbacks Use Permit ff Legal Descripti 5 v L GZ Grading Bond zone $ (Q Grp Type Unit ck by Mobile home Engineer License #I Final Date —�f Ins %inspector JT— Env. Assmt. Requirement .Relocations :Total Fees $ Escrow Company �.3'ed Address -5.' B rX c City Zip Cash Check MO NC ner/Agent Ae- U; k Te 5b�if lReceAeb y Dote Address ip Ci& Zip ' Related Permit(s) Contractor/ Mover Tel. „ workers' comp. yes ❑ no ❑ Address City Zip '.1 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 OM This permit shall become void if work is not commenced within 120 days. Cessaticn 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 whc prepared the plans and specifications has 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 Figs & 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. Ej 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 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 PSL REAR OF PROPERTY LINE Pi ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32. Fe+d 1p.. STREET NAME FIELD OFFICE DEPARTMENT OF BUILDING & SAFETY PERMIT NO. IE ` COUNTY OF RIVERSIDE A 015 017 6 a,4Dr;� 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 Z C ;Fill -) 3 Total Fees $ O Present Location Community County :RELOCATION INSPECTION Destination 'Present location 'Community County Total Fees $ Total Fees $ e mit No , A� .507 Z8q'� Job Address 'l'j—ggs �4&etwtboAs SP # tiZ7i:0 Zip Ownerr FYACS ba(t� d� r Plan Check Community �A GL I,, 1_'AN Valuation $ Date 1( --{g-g1 Dist ( ( O P. C. Reinspection Use of Permit n� Z Z C 9/ I l --) 35 Parcel No. 'T1 3 — to 4 -o i3 Lot Size -Factory-�f 'Built Set backsI Use Permit # Legal Descripti n� ScV L (Z %� Grading Bond zone $ Grp Type Unit ckby iMobile home Engineer License # Final Date Inspector Env. Assmt. Requirement Relocations Escrow Company .. Bra h -Total Fees tt $ !S 60 Address/ City Zip Cosh Check MO PIC nr/Agent Ae- �bc� r�< < Tel. 3ile"- Recei e by Date Address City. � Li 2..I loOoO � �`� Z Related ermitlsl 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 QQ 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 Riverside County and the State of California. I hereby certify that the individual who prepared the plans and specifications has done so in accordance with Section 5541 of the Business and Professions Code of the State of California.