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A009039 (MISC)✓`.''" - ff FIELD OFFICE . DEPARTMENT OF BUILDING & SAFETY PERMIT NO. PERMIT TYPE Al COUNTY OF RIVERSIDE: A 00 9 0 3 916ewdir�e f 4dditionol Information: FACTORY BUILT HOUSING MOBILE HOME INSTALLATION Mdnufacturer 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 #3 _ Cut Fill e Total Fees $ D, Present Location Community County RELOCATION INSPECTION Destination Present location Community - County Total Fees $ Totallees $ Permit N^ , r I �.. �'A - Job Address S;I C�w"riEr - Plan Check- - C mmuni.t f �� (,�,/ �� Valuation $ D�e'qrDi —8Q t P.C. Reinspection ' Use of Permit A4414'01? , // Parcel No. 7_© Lot Size Factory- Built Set backs I Use Permit tf Legal Description /5�fj —lp� S��^UC # Gradin g s Bond Z Grp Type Unit, Mobile home Engineer License # Final Date — Inspector , Env. Assmt. Requirement Relocations Escrow Company Bran Total Fees $ Q •, Address City Zip Cash Chec MO IC O g it Tel A Rec d a e -AN �� AV/ •• %YJ�S City Zi�,� elated e itlsl Contractor/Mover Tel. workers' comp. yes ❑ no ❑ Address City Zip "I certify that in the performance of the work for which this permit is Thisrmit s all become void if work is not commenced within 120 days. Cessation of work for 120 days 'issued I shall not employ any person in any manner so as to become sub- shall Iso co ermit to become void. ject to the workers' compensation laws of California. I here a that all work in connection with this permit will be done in accordance with the laws of Riversi aunt d the State of California. I hereby certify that the individual who prepared the plans and Owner Signature spe ' co as so i actor once with Section 5541 of the Business and Professions Code of the •.-_ Builder Signature S orni FORM 284-208A 5.77 (D M FIELD, t DEPARTMENT OF BUILDING & SAFETY, 'PERMITNO. PERMITTYPE , a COUNTY OF RIVERSIDE ;:'JjJ;;a,,•. , A009039 Gam; t itional Information: ,FACTORY BUILT.HOUSING. MOBILE HOME INSTALLATION ariufacturer MH Manuf. New ❑ odelDesignation Size Relocated ❑ Unit Serial No. Total Fees $ ±Plln Approval No. nsig. Senol No. Moving Sewage System Permission is hereby granted to move the structure, described below, in ;t3 .T p dotal Fees $ Width Length Height GRADING #1 Number,, - r.... of"' #2 'Sections ... #3 Cut taI Fees Present Location Community County RELOCATION INSPECTION Destination r. ,�.. ; -1 , Present location Community County Total Fees $ to Fees $ -- Per it N- hl;A 0 3d Job Address 5-1-,We0 SP # Zip '--�Ow er . Abee� C mmun �. Valuation Ve �r 801: Dist P. C. Tian Check /�f z (. d tti $ — /` Reinspection Use of Permit / s � /y'" ,.ty,,—�-/�• � � � / ! / . r ,iL/- �' . J Parcel No.. ., ��-•�i Lot Size ; s: ',F-6 tory- Set backs Use Permit tt Legal Description' Gv / �t �j d�a� uilf ` � Bond-: e Grp Type Unit ;Giading +�� / 'T Engineer. License Final Date in ector Env. Assmt. " Mobile home # Requirement ;; xt ; Relocations Escrow Company B nch rY Address City , Zip Total Fees $ Cosh Check MO NC O € � at — 71\ Tel /3 7c/-,,.: �/�J-eAV471 , � �Rec iv d �f �� l City Related aUnit(s) ! Contractor/Mover Tel. workers' comp. Address City Zip ` p yes ❑ ' no ❑ ;;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 sued I shall not employ any person in any manner so as to become sub• shall also cause permit to become void. e .! ro the workers' compensation laws of California.. I hereby agree thot'iill work in connection with this permit will be done in accordance with the laws of 'kk�A' Riverside County.99d the State of California. I hereby certify that the individual who prepared the plans and Owner Signature specifications has done so in accordance with Section 5541 of the Business and Professions Code ofBuilder Sigrioture State of California. '€ FORM 284-208A 5-77 ©M �/ {t 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 Domper 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 Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 j 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 ELECTRICAL APPROVALS P/ 26 Power Pole - Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 298 Bonding 30 Fixtures 31 Service 32 Final STREET NAME