A013235 (GRD);�5...+.x A1M- lY3r: t."...:P.i^.». .,t'--rr�3yd..ra� ... •
FIELD
DEPARTMENT
DEPARTMENT OF BUILDING & SAFETY`!'
PERMIT NO. eRlITTYPE �COUNTY OF RIVERSIDE�A013235„�;��
Additional Information: ,
FACTORY BUILT HOUSING
MOBILE HOME INSTALLATION
Manufacturer
MH Manuf.
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 $
1. `
GRADING
_
1
#i
Number
of #2
Sections
#3
Cut Z 7 71,,9(2
Fill
Total Fees $
Present Location
Community County
RELOCATION INSPECTION
Destination
Present location
Community
County
Total Fees
$
,Total Fees $
[]-Permit No.
A013 23
—T
Job Address
e
SP #
Zip
Ovv er
/
r
Plan Check
-
Communit ,
:;,04
Valuation
$
Dist
Reinspection
Tj se of a it
� ��.��,%��
Pa cel c
Lot
Size
'Factory-
Built
Set backs
Use Permit N
,�.>”
Grading
Bond zone
$
Grp
Type
Unit ckby
Mobile home
Engineer • License
#
Final
Dae
[ �%j
Inspector
Env. Assmt.
Requirement
Relocations
Escrow Company
Branch
Total Fees
aloe
$
iAddress -
City
Zip
Cash '
Check
MO
NC
t
Wnerf'A,n
Tel.
eceived b' ate
'Addresst
City
Zip
Rets ,-g Permi
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 J shall not employ any person in any manner so as to become sub-
ject to•the workers' compensation laws of California.
j', - Owner Signature
Builder Signature
FORM 284-208A 5-77 (DM
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 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
specifications
1 has done so in accordance with Section 554of the Business and Professions Code of the
State of California
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
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.
43
Final
10A
Fireplace
T.O.
NON
ADDITIONAL INFORMATIO
y
SEWAGE SYSTEM SIZE & LOCATION
1 1 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Bons)
128 Ceiling (Batts)
12C Ceiling t8lown)
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
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
r
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Find
W.
STREET NAME