A012782 GradingFIELD OFFICE
;Ank, DEPARTMENT OF BUILDING & SAFETY
PERMIT NO. PE TTVPE COUNTY OF RIVERSIDE
A01272
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
-Fill
Total Fees $.
Present Location
Community County
RELOCATION INSPECTION
Destination
Present location
Community
County
Totol'Fees .
_ _ $
-.
'total Fees $ . -
`P r it oJob
Address
SP #
Zip Owner
Plan Check
pfl
C mu%
�:.i7 / %
Valuation
$
Date ..
" Dist
Off
2
P.C.
Reinspection
Use o P errn'e
Parcel No.
Lot Size
,
Factory-
Built
Set backsl
Use Permit #
Legal Description
tJ
Grading
Bond i
one
$
Grp
Type
Unit!
c b
'.Mobile home
Engineer License
#
Final Date
_ f
lnspecWr `
Env. Assmt.
Requirement
_.
Relocations
Escrow Company
Bra
Total Fees
$
Address
City
`Tel.
- Zip
Cash
I Check
M0
NC
= Owner/A ent
Z AA
4r Z
d by Date
se 9�
Address
- 3 �G 7v, �4LXi�
Cites
�,:v�io
Zip
�zyo
eT6ted Permit(s)
N • trZs`/3
Contractor/Mover
Tel.
workers' comp.Address
yes ❑ no ❑ Poll
City
Zip
I 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. Cessation of work for 120 days
issued f shall not employ any person in any manner so as to become.sub- shall also cause permit to become void.
ject to the workers' compensation lows of California. I -hereby,ogre trot all work in connection with this permit will be done in accordance with the lows of
Riverside ty e St Colifomi hereby ceriify that rhe individual who prepared the plans and
Owner Signature ' specific i e with Section 554.E of the Business and Professions Code of the
e� Builder Signature State ifo ma.
n(.
A
FORM 284-208A 5-77 QQ M
FIELD
DEPARTMENT OF BUILDING & SAFETY ,
PERMIT NO. PE IT TYPE COUNTY OF RIVERSIDE IMF
A012782 >�
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 more the
structure, described below, in
Width Length Height
;Total Fees $
:GRADING
#1
Number
of #2
Sections
#3
Cut
Fill Q
';Total Fees $G
—
Present Location
Community
County
°RELOCATION INSPECTION
Destination
`Present location
'Community
County
Total Fees
$
;Total Fees $
Permit No
-A ® 8 2
(7'C
'Job-�/� Jo Address %� _
:$gyp— 1�9cc� > 7�
SP #
�/ Z2.1
ZipJC:wner�/
.�!
•�
;Pan Check
�,S
a
C mmu�rFy `
1�• M41- "7
Valuation
$
Date
j ". s /
Dist
Off
P. C.
Reinspection
Use o P rmit���
/'
4� )Re.� "/ r4 0CJ C41,
'769-076-190
Parcel No. -
�—*
Lot Srze
`
'Factory-
.Built
Setbacks
I Use Permit N
e
Legal Description a7
tc;r '31
Grading
Bond J;e
$
I Grp
Type
Unit
ckby
Mobile home
Engineer License TFinal
#
Date
inspector
Env. Assmt.
Requir_ment
,Relocations
Escrow Company
.z
Banc
'
.Total Fees
$ A—
Gti
Address
City
Zip
Cash
Check
MO
NC
� ner/A ent
'1f' A
Tel.
3i4L — a r 2-
eceLved by Date
Address
City—
Zip
Related Permit(s)
6tl Z /3
Contractor/ Mover
ti
Tel.
workers' comp.
yes ❑ no ❑
Address t
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 (Dm
This permit shall become void if work is not commenced withir 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 v ilkbe done in accordance with the laws of
Riverside County and the State of California. I hereby certify thct the individual who prepared the plans and
specifications has done so in accordance with Section 5541 .f the Business and Professions Code of the
State of California.
F—
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 Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls IBottsl
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
P/L
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
STREET NAME