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A006862 (SFD)FIELD DEPARTMENT OF BUILDING 8 SAFETY PERMIT NO. I PERMITTYPE i .•. ' COUNTY OF RIVERSIDE- A 0 0'6 8 6`2 7. r Additional Information: FACTORY BUILT HOUSING e MOBILE HOME INSTALLATION t Manufacturer MH Monuf. New C1�� Model Designatio ...t AlSize Relocated r ❑ Unit Serial No. 0 / -7 Total Fees $ Plan Approval No. Insig. Serial No. j ` 3 A`- P Moving Sewage System T / ft? T) 1 1 ir p f y/�, � Permission is hereby granted to move the structure, described below, in Width Length Heig-it Total Fees $ _ �"" ,I x GRADING #1 Number of #2 Sections #3 Cut Fi I I Total Fees $ ` Present Location Community County RELOCATION INSPECTION Destination Present location Community County Total Fees $ Total Fees $ Permit No. A00686 Job Address - � ,4 -4 SP #. Zip wner J 'r _P1. ' Plan Check Com. unit Valuation Date ist Off Reinspection Use of Permit ®, � �;.r�,,;,t,•t,� 19 P cel No,• •�,. ,� t Size/ �� Factory- BuiltLegal Set backs Use Permiaft Description., / !� /�C 'Q'9 �( / / 21 Grading Bond Jane $ Grp Type Unit b home Engineer License # Final Date IJI-3Mobile IF Inspe`to Env. Assmt. Requirement Relocations Escrow Company Branc% Total Fees $ Address City Zip Cosh ; heck MO NC O r/Agent y�q Tel. Rec"WiAbd by �DIate7 Address City Zip Related Permit(s) Con r©ctoT/Move ` =' Tel. workers' comp. yes ❑ no ❑ Address 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 12C days .Issued I shall not employ any person in any manner so as;o become sub- shall also cause permit to become void. -ject to the workers' compensalion o s f Califo{nio. I hereby agree that all work in connection with this permit will be done in accordance with the laws of i' r� Riverside County and the State of California. I hereby certify that the individual who prepared the ploy, and } Owner Signature+,4-,-, sp9cifications has done so in accordance with Section 5541 of the Business and Professions Code of the Builder Siqnoture Sfote of California. FORM 284-208A 5-77 P M - ^, NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back ��7_ �v 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 —A//- 38 Compressor 6 Roof Deck 39 Appl. Cleoror ce 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detention Device 3 "% 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P.L. 43 Final _ 10A Fireplace T.O. NON ADDITIONAL INFORMATIONS j 0 kQa( �y _ SEWAGE SYSTEM SIZE &LOCATION 11 Exterior Lath 12 Internal Loth 12A Drywall 13 Finish Grade av INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling IBatts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal CLQ_ 20 Sewer 21 Water Heater 3,_21 37 22 Water Softener 23 Water Service 24 Gas Test 25 Final Qui Tank G OC) Pit 5-f- ` L. Line REAR OF PROPERTY LINE / n 1 Amok ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31, Service 32 Final 3— 7 dMlk I 1p STREET NAM���� DEPARTMENT OF BUILDING -AND SAFETY . COUNTY OF RIVERSIDE OFFI/� I DATE -% TIME PERMIT NUMBER INSPE•=TION REQUESTED ADDRESS. I SPACE N0. FOR: OWNER BUILDING REMARKS: C / COOONITY L., PLUMBING I ELECTRICAL MECHANICAL OWNER/CON TRACTOR TEL.NO L A.M. P.M. OON �1 Uf S VED THUR a FRI 281-6 11/75 DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE OFFICE DATE I TIME PERMIT NUMBER �( INSPECTION REQUESTED ADDRESS I SPACE NO. FOR: 5-8-9,-5-9 OWNER p COMMUNITY BUILDING PLUMBING ELECTRICAL MECHANICAL REMARKS: r � �OWNER/CONTOR TEL. 0. NON TUES J�]AED THUR FRI • 1 1211446 11/75 DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE OFFICE DATE TIME PERMIT NUMBER INSPECT ON ADDRESS< --2,17 9 a /v VA -t,(, -/(, 1 SPACE N0. I OWNER COMMUNITY f� BUILDING PLUMBING ELECTRICAL MECHANICAL /I REMARKS: (� � � ) I N i OWNER/CONTRACTOR TEL. REUUESIED FOR: A.M. P.M. WON TUES WEID. a2THUR �.FRI 28446IVIS DEPARTMENT OF BUILDING AND SAFETY. COUNTY OF.RIVERSIDE OFFICE DATE TIME PERMIT NUMBER' INSPECT -ON REUUESIED ADDRESS _7SPACE NO. FOR: _ I OWNER BUILDING PLUMBING REMARKS: OWNER/CONTRACTOR TEL.NO A. M. COMMUNITY P.A. ELECTRICAL MECHANICAt w1 TU -ES f. THUR aF RI 261-b� tt/!5 DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE OFFICE -DATE TIME �j PERMIT NUMBER INSPECTION REQUESTED ADDRESS - I SPACE NO. FOR: s3 - A.M. OWNER COMMUNITY,/ BUILDING I PLUMBING I ELECTRICAL I MECHANICAL REMARKS: CIA. OWNER/CONTRACTOR TEL.NO.���_ P.A. a TUBS WEE, aTHUIR MFRI DEPARTMENT OF BUILDING AND SAFETY .COUNTY OF RIVERSIDE TIMES PERMIT NUMBER 74-00(p INSPECTION REQUESTED ADDRESS I SPACE NO. FOR: OWNER BUILDING REMARKS: COMMUNITY PLUMBING I ELECTRICAL /`-/ 7- 7 i I F-1 A.M. �.P.M. MECHANICAL TUIES ED kZ THORN:, QFRI OWNER/CONTRACTOR TELAO. 28440 11/75 4E PX OF BUILDING AND SAFETY .COUNTY OF RIVERSIDE OFFICE DATE TIME PERMIT NUMBER �•,J 3� 1 1 �� INSPECTION REQUESTED ADDRESS �.1 I SPACE N0. FOR: q u ot AM OWNER BUILDING l REMARKS: UNITY PLUMBING ELECTRICAL MECHANICAL OWNER/CONTRACTOR TEL.NO P.M. NON TUES. WED ��.. QTHUR FRI' 281-1 {1/75. 41 NOTICE: THIS IS NOT: A BUILDING PERMIT DISTRICT 4 APPLICATION TO CONSTRUCT Permit DEPARTMENT' OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE 284 199 . 9/74 CANARY — FILE; PINK—APPLICANT Owner C ( 1i -5f Architect6f/, dei),W Contractor "� 0. AddressB Add res Address �r P4 City Y.d CAvr SfOelti 4C -S* City 4 4''' S%' /sf✓(o ✓P �19s City - /� `2 Phone Phone hone Phone— I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and cc cc so 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 proper to be occu un I I (we) have complied with a I law 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 Be ow Must Be Obtained Prior to the Issuing of a Construction Permit. h �'�j �) U !�j/ • ��I SPACE NO. USE OF TRUCTURE JOB ADDRESS SINGLE FAMILY DUPLEX ?, > LDE TIONI OF PRPE TY r tr\� C v: - APARTMENTS AGRIC. N ll✓✓ h_N ulJ O H COMMERCIAL INDUSTRIAL CJ N G C Z COMMUNITY.f �y ALTERATIONS n t J ( J ///y�T�" N0. OF SUBMITTED PLANS —� USE OF PERMIT % --- CASE NO. •� \ �" P KING SPACES REQUIRED — % NO. OF BUILDJGSJJNO ,EXISTING z z Q ZONE ` y // / r/ SETBACKS: FRONT SIDE REAR m AV GRADING PERMIT REQUIREDt?,' YES ❑ NO (� LOT SIZE SETBACK ORDINAN/ E A.�1' OF FEET REQUIRED ON — STREET DATE � —_I I SIGNATURE OF LAND USE OFFICIAL , f s DEDICATION REQUIRED: YES ❑ NO ❑ NO..,OF_,FEET___ t tZa CURB AND GUTTER REQUIRED: YES ❑ NO ❑ • .r STREET of A:. W CAN.. CURB AND GUTTER FEASIBLY,. -BE •INSTALLED?.' -YES ❑ 'NO?❑'$, O HAS AN ACCEPTABLE" APP CATtEk1 BEEN MADE FOR ENCROACHMENT PERMIT F DRIV D STREET r s„ �IMPROVEM T?EO �aO� ° „tj'y.- jjjjJ ,• ' SIGNATURE -OF DEPTT.IQICIA DATE _ 'Z, cr 4 r Ire = SWIMMING POOLS PUBLIC SEWAGE DISPOSAL Y - ~. �! _. x• .. W FOOD ESTABLISHMENT _ 1c = O . t• WATER POLLUTION � REMARKS A � r�a FLOOD CONTROL z rAIR POLLUTION a . W DIV OF HWY � YOUR PROPER_I Y_�E SUBJECT TO c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY •JN EVENT OF FLOOD. 284 199 . 9/74 CANARY — FILE; PINK—APPLICANT 0 3ti=' RIVERSIDE COUNTY 'DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH .. r.—n food Establishment Sewage Disposal # r:' Trailer Park iz!`' r Gal. Septic Tank otel, Apt tel SF q. ff Leach Line , ;.�.,• © x J Seepage Pit6..q�";T •t.',.•�s` Dwelling `'" 1... E .. e, FU�T% Commercial Building Connection to Sewer _ > Swlmm.ing P" -•. ✓ No on-site regenerating water softening devices may be discharged into the individual sewage disposal system herewith approved without clearance frorn the Vater Quality Control Board. .�G Water supply serving this installation must be from zn 'app. cved source. .,�.� All sewage disposal installation must conform with requirements of current. Uhifdrm Plumbing Code. Any cutting, grading, or' filling in excess of four (4) 14:et will nullify sewage disposal approval. Approval has been obtained from the Regional Water Quality Control Board for installation of the sew- age disposal system. This is to certify that the Riverside County Department of Public Health approves for occupancy, construction or installation the itern(s) checked above. rDate— — f — % f �+ B''- — DEPARTMENT OF BUILDING AND SAFETY ' 'COUNTY OF RIVERSIDE NOTICE TO APPLICANT In conformity with the provisions of State.of California Labor Code Section 3800, the applicant shall have on file or file with the Riverside County Department of Building and Safety a certificate as designated in Items I or II.below, or shall indicate Item III,, IV or V, whichever is applicable. CERTIFICATE OF.APPLICANT Please mark the appropriate block: (� I. Certificate of Consent to self -insure issued by, the Director of Industrial Relations. 0 Copy on file. Copy submitted II. Certificate of Workers' Compensation Insurance issued.by an admitted insurer. Copy on file a Copy submitted . (� III. The cost" -of the work to be performed is $100 or less. �Z-�,V_ .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 subject to the Workers' Compensation laws of California. 'I further certify that, in the event I become subject,to the Workers' Compensation provisions of the Labor Code that I will comply forthwith with the.provisions of Labor'Code Section,3700, et seq., and understand that, if I_ do not comply, the permit '.shall be deemed revoked. n ' V. I certify as-�the owner (or the agent of the owner) that in the performance of the work for which this permit is issued I have.engaged contractor. (Contractor must have on file, or submit-, certificate required by I or II above.) Applicant's'Si Date Address and to ature / C� �' v Permit No. tion where work is to be performed n i 284-141 Rev. 6/77 t