A014166 Grading0"1"4"
NO. PERMIT TYPE
Additional Information:
•` FIELD
•DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE C*
r
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
Jotal Fees $
GRADING
#1
Number
of #2
Sections
#3
,
Cut 6,
Fill
'Total Fees $
Present Location
Community County
RELOCATION INSPECTION
Destination
. Present location
'Community
County
Total Fees
$
:Total Fees $
I Permit No.^h ^p
td
0 14 10861
Job A dGe�srs
iY'f/ F.d✓F
t / r;+, �o
SP #
ZiW
p 1-0-
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Plan Check�,
Community
ValuationDate
Dist
Off
P
'
Reinspection//
Use e PemitParcel
c 'r�'`�%�f/
,.1�, �►��
No.
f'�G{='�
Lot
Size
"Factory-
=Built
Set backs
I
Use Permit #
Legal escrip
/ Legal
s
"Grading
one
$
Grp
Type
Unit
ck by
Mobile home
Engineer License
#
Final DateInspector
31 i��j�
Env. Assmt.
'Requirement
Relocations
Escrow Company
Branch
'Total Fees
$
Address
City
Zip
_ Cash
Check
MO
NC`
i
Ocanerr/ gent r'�
Tel.
Received by Date
Add?e`sss
City
Zip
Refa'ted-Permit(sl r
Contractor/ Mover
Tel.
workers' comp.
yes ❑ no ❑
Address
City.
Zip
I' f certify that in the performance of the work for which this permit is
r issued I shall not employ any person in any manner so as to become sub-
ject to the workers' compensation laws of California.
ll.
Owner Signature
Builder Signature
FORM 284-208A 5-77 @ M
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 has 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 Bock
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
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 INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
1 I Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling lBlownl
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 A L. Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32' r i.61 ^
STREET NAME