A009295 Gradingy A009295
(Additional Information:
DEPARTMENT OF BUILDING & SAFETY
MIT TVFE• -D COUNTY OF RIVERSIDE -:
FIELD
jFACTORY BUILT HOUSING
MOBILE HOME INSTALLATION
;Manufacturer
MH Manuf.
New ❑
(Model Designation
Size
Relocated ❑
,Unit Serial No.
Total Fees
$
.,Ian Approval No.
;nsig. Serial No.
Moving
Sewage System
,.T 1 1
p
Permission is hereby granted to move he
structure, described below, in
Width Length
Height
.fatal Fees $
�' `
(GRADING i
#1
Number
of #2
Sections
#3
iCut
IFi1l
LT. tol. Fees $ 00
Present Location
Community
County
RELOCATION INSPECTION
ts.
Destination
_
(Present location
Community
County
Total Fees
$
Tota_ I Fees $
Permit No.
':•A00929
s�q
Job Add r ss
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SP �i;2
Zip
Owner
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K
',Plon Check
Comm� ity
R tS� I V T v
Valuation
$ -
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Reinspection
U f Permits
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Parcel o. •
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Lot
Size
factory-
;Built
Set backs
Use Per #
L gal Descyi tbn
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e°�r "
Grading
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Bond )ene
$
f
^
.�rp
Type
Unit Ickby
,"Mobile home
Engineer License
#
Final DotiEf
p
1pagoor
Env. Assm-.
Requirement
Relocations
Escrow Company
Bra nc
W/
s
Notal Fees
$ j'�
fid'
--•
Address
City
Zip
Cash
Check
MO
NC
Owner/Agent
Tel.
Re7c/eirV;ieJ✓d!`bf/yam Date
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Zip
'tRelated Permit(s)
Contractor/Mover
Tel. r
K. • workers' comp.
-' yes O no ❑
Address
City
Zip
1 -=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 Boys. Cessation of work for 120 days
Issued I sholl not employ any person in any monner so as to become sub- shall also cause permit to become void.
fest to the workers' compensation lows of California. I hereby agree that all work in connection with this permit will be cone in accordance with the lows of
Riverside County and the State of California. I hereby certify that the individual who prepared the plans and
i Owner Signature specifications has done so in accordance With Section 5541 of the F'lisiness and Professions Code of the
Builder Signature State of California.
FORM 284-208A 5-77 (E)M
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
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.
43
Final
IDA
Fireplace T.O. 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 (Bons)
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
S
STREET NAME
r FIELD OFFICE t'
DEPARTMENT OF BUILDING & SAFETY
"~ PERMIT NO. - PERMIT TYPE • COUNTY OF RIVERSIDE'S
F' A009295
Additional Information:
,,FACTORY BUILT HOUSING
MOBILE HOME INSTALLATION
Manufacturer
MH Manuf.
New ❑
Model Designation
Size Relocated ❑
'Unit Serial No.
Total Fees $
Approval No.
,Plan
Insig. Serial No.
Moving
;Sewage System
y T 1 1
p
Permission is hereby granted to move the
structure, described below, in
;Total Fees $
t
Width Length,
Height
(GRADING -
3S G4 , i c4 1'' L L
#1
Number
!cut
of #2
Sections
1Fill
T6tol Fees $ Go
#3
Present Location
RELOCATION INSPECTION
Community County.
. •
Destination
fPresent location
!Community
County
Total Fees
,Total Fees $
r
$
Permit No. Job A.�dSP #•-I ' Zip Owner
S"�93- 9. C/9ZZl
�•�
,-A009295
3,--
'
!Plan Check--
Comm �jjlt�y�
/- 4 (WiA 1474
Valuation Date tat
$
P.C.
!Reinspection
ub9lPermyl//
/l�tJ hCG
Parcel o.
%�����1 Q -COY
Set backs
Lot Size
Use Permit ff
!Factory-
r'
Built
Leal Descrig;yon �)�S
GGT �//
&er 6`4
Bond ne Grp Type
$
Unit cls. b
G;
(Gradings-
Engineer License Final Dote Ins ector Env. Assmt.
IMobile home
#
Escrow Company
• 2 Requirement
Branch
I ;
,Relocations
'
Address
City
Zip
Total Fees
$
Cash
I Check
nno
rvc
Owner/Agent
Tel:
`Reteiv d;b' Date
A Cr7��sss!/Ly/
/�
Ci
Zip
Zip
y
;RelatedPermit(s)
Contractor/Mover
Tel.
_._.
workers' comp.
Address
City €
Zip
yes O no ❑
;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-
� lect to the workers' compensation laws of California.
Owner Signature
t. Builder Signature
FORM 284-208A 5-77 @M
1A .
'_`Pel
-ifs al ecome void if work is not commenced within 120 -days. Cessation of work for 120 days
shall oIs coos e i to become void.
I hereby r a . al work in connection with this permit will be done in accordance with the laws of
Riverside Co and th State of California. I hereby certify that the individual who prepared the plans and
specific a so i cordance with Section 5541 of the Business and Professions Code of the
State n'