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A014747 (GRD)FIELD DEPARTMENT OF BUILDING & SAFETY PERMIT NO. PER MI ,TYPE COUNTY OF RIVERSIDE cei) A0147471 itional Information: -j-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 f T 1 1 p Permission is hereby granted to move the structure, described below, in Width Length Height RTotal Fees $ t'GRADING #1 Number of #2 Sections #3 Cut Z5 Fill 3/do 'Total Fees $dd C j ;-�— Present Location Community County RELOCATION INSPECTION Destination 'Present location !Community County Total Fees $ y 'Total Fees $ Permit No. 0 I Job Address � 5� oc-4 .,s c © SP # Zip Iy.�3 Owner dR.t/ .Plan Check �f` Communl), y Ql Valuation $ Date Dist _ / // Off P.C. [Reinspection Use of Permit r 7� Parcel No. �—_. f f Lot Size Factory- Built Set backs Use Permit a Legal Description 644- �Z �O SC"A3 y�, Gly!' Grading I ,j��n i7 Bond zone $ �/ Grp Type Unit ckby Mobile home Engineer License # no Date Inspector Env. Assmt. Requirement Relocations Escrow Company Branch rTotal Fees $ � Address City Zip Cash Check MO NC Owner' ,gent Tel. 'y !Reccly-d by Date Ad rens r �.- % City Zip �- Related Permit(s) . Contractor/Mover Tel. workers' comp. yes ❑ no ❑ Address City -Zip I,I certify that in the .performance of the work for which this permit is 'issued I sholl not employ any person in any monner so as to become sub. Iect to the workers' compensation laws of California. Owner Signature Builder Signature FORM 284.208A 5-77 @m This permit shall become void if work is not commenced within 120 days. Cessofion 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 la;vs 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. i NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Bock 33 Ventilation System 2 Ftgs & Firms 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 I SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Wolls (Botts) 12B Ceiling (Botts) 12C Ceding (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 i! STREET NAME M Owner 17Av 00" Architect —. Contractor_--.' _ -r. Address DOX //0 __—_ Address_—_ Address_ --_— ----_— cit City_ City_____ _ • IlDa i 74 M 1} . L NOTICE: THIS IS NOT:, A BUILDING PERMIT 'APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY ' COUNTY OF RIVERSIDE DISTRICT Permit No 284 199A -9/74• �- - CANARY—FILE, PINK—APPLICANT Owner 17Av 00" Architect —. Contractor_--.' _ Address DOX //0 __—_ Address_—_ Address_ --_— ----_— cit City_ City_____ _ • IlDa i 74 Phone _ Phone— hone—C Phone cc cc 1•(we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and Z Paving, and/or Dedication of right of way'is required by the County of Riverside, the Riverside County Department 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 -- -- SIGNATURE OF OWNER AND/OR AGENT — Approval by Signature from the Following Departments Listed -Below Must Be Obtained Prior to the Issuing of a Construction Per®isr SPACE td0_ 1 fl15E OF STRUCTURE JOB ADDRESS _.__ SINGLE FAMILY�;� : � DUPLEX � � a3a . tai/ S' > Z f LE AL DESCRIPTI OF PROPERTY f� y71z ly — APARTMENTS' � AGRIC. LI '^ COMMERCIAL E INDUSTRIAL COMMUNITY.. �`� % � 5: C�p,{ ALTERATIONS ❑ DIA/1 G Z NO. OF SUBMITTED PLANSnvv��F PERMIT rjc. jCASE NO. i 4r 4�� Z N0. OF PA KING SPACES REQUIRED __ NO. OF BUILDINGS NOW EXISTING Q 0 ZONE '� 1 SETBACKS: FRONT SIDE • REAR J m GRADING PERMIT REQUIRED? YES --I NO ❑ LOT SIZE SETBACK ORDINANCE# OF FEET REQUIRED ON STREET ' �/ SIGNATURE OF LAND USE OFFICIAL DATE SIGNATURE DEDICATION YES "❑ NO ❑ NO. OF FEET -- — z LL,,REQUIRED: CURB;AN000TTER REQUIRED:/YES ❑ NO O STREET J - s. •, Qa CAN CURByAND"GUTTERr<FEASIBLY BE INSTALLED? YES [INO ❑ ACCEPTABLE,'.APPLI,CATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT?? YES�El- -NO. ❑ O r °G DATE " *°` SIGNATURE OF ROAD DEPT. OFFICIAL HSWIMMING POOLS PUBLIC W SEWAGE DISPOSAL Q W � FOOD ESTABLISHMENT • ` I + WATER PO1LA_UDTi IIQNf REMARKS vt FLOOD CONTROL— z AIR POLLUTION _ DIV OF HWY c YOUR PROPERTY MAY BE SUBJECT TO a — c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A -9/74• �- - CANARY—FILE, PINK—APPLICANT