A009297 (CPWU)E;�-,•...�,. _
DEPARTMENT OF BLILDING & SAFETY FIELD
,
PERMIT NO. PE .Q TY PE �. COUNTY OF RIVERSIDE :��:;. ,
r -A009297
itionol Information:
FACTORY BUILT HOUSING
MOBILE HOME INSTALLATION
;Manufacturer
MH Monuf. New ❑
(Model Designation
Size Relocated ❑
Unit Serial No.
Total Fees $
Plan Approval No.
I;nsig. Serial No.
Moving
ISewoge System
T 1 1
p
'ermission' is hereby granted to move the
structure, described below, in
Width Length Height
otal Fees $
F..
GRA ADING
f
#1
Number
of #2
Sections
#3
Cut
Fill Q
4Totol Fees $
R.-
CA -1—
7
'resent Location
-ommunity County
RELOCATION INSPECTION
Destination
,Present location
'Community
County
rotaI Fees
It
otol Fees $
1r Per it N .
�,Ao 9
Job Address ,
-7 – 1 -7 -7 r)y Z C 77?
SP #
Zip
Owner
c A�
lemmunty
n Check
R
A '
��//?'U1.�✓ T.� :T$V
luation
Date
/13 $Zi
Dist
f� _,7
Off
P.C.
'•''
Reinspection
Use of Permit
r ��t/�� C XleeC/�
< ,�, y. ����✓
Parcel No.
773-07`3-t
Lot Size
Factory-
'Built
Set backs
Use Permit #
Legal Description ,Q
j`p j R7� SSS
�"'�1?'•K�R ..+r7"rP
jJ"?/'D
'�T.S
Grading
Bond zone
$
Grp
Type
Unit
ckby
`
Mobile home
Engineer License Final Dat
/1NSOnl # C�D-a-- - 1
Ins ctor
Env. Assmt.
Re uirement
:Relocations
Escrow Company
B n
i
Total Fees
_
$ �•.E00y
Address
City Zip
`. Cash I
Check
MO
NC
Owner%Agent /
Tel.
i73v
Receied`by f Date
le �aRelated Permit(s)
Address -� ( ...
Contractor/ Mover
Cit Zi
Tel
workers' comp.
yes ❑ no ❑
Address
City Zip
certify that in the performance of the work for which this permit is
slued I shall not employ any person in any monner so as to become sub-
II,pct.to the workers' compensation lows of California.
Owner Signature
Builder Signature
FORM 284.208A 5-77 QM
This permit shall become void if work is not commenced within 120 days. Cessation of work for 120 days
shall also cause permit to become void.
I hereby agree thct all work in connection withthis permit will be done in accordance with the laws of
Riverside County oad the State of California. I hereby certify that the individual who prepared the plans and
specifications hos done so in accordance with Section 5541 of the Business and Professions Code of the
State of California.
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs & 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. 0
43
Final
10A
Fireplace T.O.
NON
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
1 1 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION
Thick
R
Value
7A Walls (Batts))
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
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
W
STREET NAME
PERMIT NO: PE
A 0 0 9 2 9 71
ional Information:
DEPARTMENT OF BUILDING & SAFETY
-; COUNTY OF RIVERSIDE,
FIELD OFFICE
FACTORY BUILT HOUSING
MOBILE HOME INSTALLATION
Manufocturer
MH Monuf.
New ❑
Model Designation
4
S:ze
Relocated ❑
`Unit Serial No.
TDtal Fees. $
Plan Approval No.
Insig. Serial No.
/woving
Sewage System
T 1 1
p
P'armission is hereby granted to move the
s:ructure, described below, in" ,
Width Length Height
TotoI Fees $
'
GRADING
#1
Number
of #2
Sections
#3
!Cut
'Fill
Total Fees $
Fresent Location
Community County
'RELOCATION INSPECTION
Destination
'Present location
Community
County
-oto l Fees
$�_
Total Fees $J1-'
Permit.Nc= t`
7 2
"Job Address G� '
' SP°#t"
Ztp° Owner f
Plan Check-
_
Commun' y Valuation
�fJ $
Date
1/,o
Dist
Off
P. C.
:Reinspection
Use -f Per it
'
/Izl� �'
Parcel No.
773-07 3
Lot Size
iFaetory-
Built
Set backs
Use Permit q
Legal Description
4(97.:S/ �'�k `oZ
!9 '
.Grading
Bond
$
zone
Grp
Type
Unit
ckby
:Mobile home
Engineer License Final Gate
#d
Inspector
Env. Assmt.•
Requirement
Relocations
Escrow Company
Branc
'
Total Fees
$
Address
City
Zip
Cash
I C eck
MO
Nc
Ow e ,�xgei�ti ��
f r� G �/v ✓J /�
Tel.
Z gr 7 -2 J
r"1
Receil'ed'by Date
Z`-
A di:e,`ss 4� _
4 —2.0 G �1 -S ilt //1/
Ci
�'G A,
Zip
o E A,;? 70
'Related Permit(s)
Contractor/Mover
Tel.
'
workers' comp.
yes ❑ no ❑
Address
-
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 laws of California.
Owner Signature
E Builder Signature
FORM 284-208A 5.77 @m
Tht'sper It sho r4come void if work is no_ t commenced within 120 days. Cessation of work for 120 days
sho so cause permit to become void.
I hereby agree that all work in connection with this permitwill be done in accordance with the lows of
Riverside Count -w and the State of California. I hereby certify that the individual who prepared the plans and
specifications Fns done so in accordance with Section 5541 of the Business and Professions Code of the
State of Coliforr.io.