A005384 (GRD),
FIELD ~
ANN&DEPARTMEK7 OF BUILDING & SAFETY
PERMIT NO. PERMIT TVP COUNTY OF RIVERSIDE
A0.05384 F(- _ .».�_. . ,�-•— ........ _
Additional Information: -
FACTORY BUILT HOUSING
r
MOBILE HOME INSTALLATION
Manufacturer -
MH Monuf-
New ❑
!Model Designation
Size
Relocated ❑
Unit Serial No.
Total Fees $
lon Approval No.
Insig. Serial No.
Moving
1 eviwage System
';"• T 1 1
p
Permission is hereby granted to move the
structure, described below, in
fatal Fees $
Width Length Height
GRADING
#1
Number
of #2
—Sections
#3
Cut
•iIF-
totoI Fees $ � �
Present Location
Community County
ELOCATION INSPECTION
_
Destination
'
�` ','
resent location
Community
County
Total Fees
$
Cotol Fees $
P emit No.
�"J 00.538
Job Address
#
�4;OVA
Zip
Owne
v
/
g
Com nit y
f
Valuation
Date
Dist
Off
Plan Check
y
$
`se�of
�teinspection
Permit
Parcel No.
Lot Size
f J
Set backs
Use Permit #
Factory-
r uilt
Legal Description
�� �':�� .
y /
�%s�� S r2 / Bond Grp
Type Unit ck
li:•'.
Grading
one z
I Ale. $
by
s.
Engineer License
Final D to
Inspector
Env. Assmt.
:5651-- HOD
. obile home
#
lO l %�
Requirement
F&.0
Escrow Company
ankh
12fIP/3
Relocations
"'
Address
City
Zip
otol Fees
$
-+r cash
I Check
Mo
rvc
Owner/Agents
Tel.
Ieceive�d�
y Date
Address � �
}iso•
City
Zip*
7�
%��Q .
!'�i?P'/l1f ��
elated Permit(s)
Contractor/ Mover
Tel.
workers' comp.
Address
City
Zip
:yes ❑ no ❑
h>certify that in the perfo7once of the work for which this perm t is This permit shall become void if work is not commenced within 120 days. Cessation of work for 120 days
s`ued I shall no.employ any person in opy ma er s as to become sub- shall also cause permit to become void.
.ect io the wor ers •cortlipensotion lows oftalrf nio. I hereby agree that all work in connection with this permit will be done in accordance with the laws of
Riverside County and the State of California. I hereby certify that the individual who prepared the plans and
,,OwnerSignaturespe�cifications has done so in accordance with Section 5541 of the Business and Professions Code of the
-[. Builder Signature ! ,Sfote of California.
FORM 284-208A 5-77 Or
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. E]
NpN
ADDITIONAL INFORMATION
x
SEWAGE SYSTEM SIZE & LOCATION
1 1 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
128 Ceiling lBottsl
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
s STREET NAME