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A008152r , . FIELD f.' DEPARTMENT OF BUILDING & SAFETY F. PERMIT NO. PER:.�ITTYPE COUNTY OF RIVERSIDE A0081152 dditional Information:., ' ACTORY BUILT HOUSING MOBILE HOME INSTALLATION bnufocturer MH Monuf. New ❑ bdel Designation Size Relocated ❑ nit Serial No. Total Fees $ ,,Ian Approval No. Insig. Serial No. Moving ewage System T 1 1 p Permission is hereby granted to move the structure, described below, in Width Length ,Height otal Fees $ RADING #1 Number of #2 Sections #3 ut ' 00 O otal Fees $ ;. , /?s Oct --'— Present Location Community County ELOCATION INSPECTION Destination resent location ommunity County Total Fees $ otal Fees $ 608T5 A2 Job Address e) 6?0zliall.11 711. 7174q1 SP# Zip Owner . ' Plan Check �® Communit , f Valuation $ Dte -i rp �d Dist Off P. Reinspection Use of Per It o&,�,W `. Parcel No. 4j, _t5 --�/ Lot Size Factory- uilt Set backs Use Permit # Legal Description -¢.� � •�-o t e ` t i ( � rading Bond zone Is Grp Type Unit ck by Mobile home Engineer License # Final Date allZ.'j`-1 Inspector ,; y Env. Assmt. Requirement 1 �� t 12elocations Escrow Company Br chg�. t �.� Fatal Total Fees $ 0 7 , Address City Lip - Cash I Check MO rvc Owner/Agent �[ if a . Tel. ecei by `wDatte Address' City Zip `Related Permit(s) Contractor/ Mover Tel. workers' comp. yes ❑ no ❑ Address City Zip .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 120 days 'sued I shall not employ any person in any monner so as to become sub- shall also cause permit to become void. ct to the workers' compensation lows of California. I hereby agree that all work in connection with this permit will be done in accordance with the lows of Riverside County and the State of California. I hereby certify that the individual who prepared the plans and Owner Signature specifications has done so in accordance with Section 5541 of the Business and Professions Code of the < ry Builder Signature StoteofCalifornia. FORM 284-208A 5.77 ©r. 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 s 10 Fireplace P. L. 43 Final 10A Fireplace T.O. NON ADDITIONAL INFORMATION ' SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts)) 12B Ceiling IBattsl 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 Ask W STREET NAME