A014755 Gradingr .. FIELD -
{ DEPARTMENT OF BUILDING & SAFETY - A
PERMIT NO. ,• _ PERMIT TYPE ;.` COUNTY"OF RIVERSIDE
A014755
;Additional Information:.
;FACTORY BUILT HOUSING •`.
1 -
MOBILE HOME INSTALLATION!
:Manufacturer
MH Monuf. -
New ❑
'Model Designation -
Size
Relocated ❑
;Unit Serial No. _
Total Fees $
;.Plan Approval No.
„Insig. Serial No.
_
Moving
eSewage System
' ' T
p
Permission -is hereby granted to move the
structure, described below, in
;Total Fees $
Width Length
Height
.GRADING' _ :_ :'
#1
Number 46i
of #2
Sections-
#3
;'Cut
Fill 90 C V=YJS.
fTotal Fees $
Present Location
Community ` ., County
,',.RELOCATION INSPECTION
Destination
r•
rRresenrl.ocation ,;e- --
;• '
;' ; R*
-::�• _., _
'
rCommunityr;,
Y i County
Total Fees '
1
$
,Total -Fees *�►�:{'$ t,n°•3 :
' .,Permit No.
Job:Address -
SP #
Zip
Owner
•
ommunity --y. `
Va_luation
Date
S'/
Dist
�/
Off
P. C.
PIar1 Check :
c L.J, l�2
$
3,41
_r
1
I
Use of Permit
Parcel No.
Lot Size
,Reinspection' '
t lL7 V V S t
-746 f —62 Cog_
F(1CtOCyr
. Set backs
Use Permit N
Buili
Legal Description
j�c.
qe-Sgp7-C1,
t
',Grading-
Bond
ne
7
Grp
Type
Unit
ck by
tri 1 31 .4
It
'
Engineer. License
Final Date
Inspector
Env. Assmt.
t[ Mobile home
lei ij
Requirement
Escrow Company
Branch
Relocations
&0
Address,
-
City
Zip
Total Fees
$ .50
r'•
{.: Cosh
Check
Mo
NC .
O'wner/Age
�'�"
Tel
347E Z/
r
Ic iarl 0iev?a
.Received by Date
Address
3 326 %O&d 41?
City
rl/ e�
Zip
YRelated Permit(s) - ,
Contractor/Mover _:4
'
Tel.
'workers` comp.Address
City.
Zip
yes ❑ no ❑
=,fir`'t
t.r:' '
[�jject
certify that in the � e � x ryr f
y performance of the work fol which this rpermit is . • This permit shall become vo�d if work'Is'not commenced witHn 120 days. Cessation of work for, 120 days
sued I shall not employ any person in any manner so as to become sub. shall also cause permit to become void ' h ".. - •
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.lows of
Riverside County and the Stote'of Cahfornio: I hereby certify shot the individual who prepared the pions and
Owner Signature r • specifications hos done so in"o'cioidonce'.with Section 5541,of the Business and Professions Code of the
Builder Signature s- State of California.
FORM 284-208A-5-77 OP _ -
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
Slob 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 Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls IBottsl
12B Ceiling IBottsl
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
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
_ P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Find
STREET NAME
f s
NOTICE: THIS IS NOTtA AYILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE`
DISTRICT
Permit No P
dk54 199 9/74
CAN 4RY—FILE, PINK—APPLICANT
Owner _A fC4e4 q,0 _ _ O Architect Contractor
Address 2; 7r,,0e Anoy,6_AddressAddress-
City IAIh10 r,b City_ City -
Phone Phone Phone
W
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree -hat if Curb and Gutter, and
Z
Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Deparment 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.
DATE �0JA SIGNATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Departments Listed o JUS
Must Be Obtained Prior to the Issuing of a Construction Permit.
___7 -1 I SPACE NO.
A.y
s�CJ -� 49�/I USE OF STRUCTURE
JOB ADDRESS -� I 0
SINGLE FAMILY DUPLEX
}
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LEGA ,DESCRI ON OF PROPERTY
/� - APARTMENTS AGRIC.
in Q
" �— � COMMERCIAL INDUSTRIAL n
j 4A
COMMUNITY o or
p
Z
ALTERATIONS ❑
NO.'OF SUBMITTED PLANS — USE OF PERMIT /'
ul a
4A
__
j
CASE NO. �
� �
p Z
NOOOF PARKING SPACES REQUIRED NO. OF BUILDIN NOW EXISTING _
Q 10
ZON "� ETBAC'KS: FRONT SIDE REAR
J
m
GRADING'PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE -- OF FEET REQUIRED ON - STREET
'
DATE'_ SIGNATURE OF LAND USE OFFICIAL
F,
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-
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CURB AND GUTTER REQUIRED: . YES ❑ NO -❑ STREET
H
oc
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
D
C
IMPROVEMENT? YES ❑ NO ❑
°L
\
DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL
H
SWIMMING POOLS PUBLIC
WSEWAGE
DISPOSAL _
FOOD ESTABLISHMENT
W
WATER POLLUTION REMARKS
�n FLOOD CONTROL
W AIR POLLUTION
_ DIV OF HWY
c 4 — YOUR PROPERTY MAY BE SUBJECT TO
o.
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
dk54 199 9/74
CAN 4RY—FILE, PINK—APPLICANT