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A015029 (GRD)DEPARTMENT OF BUILDING 8 SAFETY COUNTY OF RIVERSIDE A015029 tion: FIELD ,FACTORY BUILT HOUSING MOBILE HOME INSTALLATION ' Manufacturer MH Manuf. New ❑ ,Model Designation - Size Relocated ❑ nit Serial No. Total Fees $ lan Approval No. nsig. Serial No. I"ota Moving ewage System T 1 1 p Permission is hereby granted to move the structure, described below, in Width Length Height ll Fees $ r 'GRADING #1 Number of #2 Sections #3 'Cut Fill ,r 9. Total Fees $ ,,, Present Location Community County RELOCATION INSPECTION Destination Present location 'Community County Total Fees $ 'Total Fees $ • Permit No. Job Address� jSP#1-Zip�Iv wner A E0 'Plan Check �� 0 Cqmmunity L A Q u. A -A Valuation $ Date I/1 -7s-81 Dist 1( Of -- P. C. I.Reinspection Use of Permit //j V �-+��tN $ G`ba �r �. ` ' , �- � Parcer No. Lot Size _Factory- Built Setbacks. Use Permit # Legal Description !p-� I� $'�� U� Grading $ond �Eej Grp Type Unit F11y it Mobile home Engineer License # Final Date oZ — —�' Lns ector Env. Assmt. Requirement. Relocations Escrow Company anch ,Total Fees $ Sod Address City Zip ' Cash Check u MO NC +;n�lvy er/ ent Tel. .Recei ed by Date A t f�l1 Zip -Related rmitfsl Contractor /Mover Tel. - workers' comp. yes ❑ no ❑ Address City. Zip t I certify that in the performance of the work for which this permit is Tissued I shall not employ any person in any manner so as to become sub- :. ject to the workers compensation laws of Coliforwio. — Owner Signature Builder Signature FORM 284.208A 5-77 (E)r 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 lows 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 Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slob Grade 35 Furnace Comport - 3 Steel 36 Inlets & Outlets 4 Grout Blacks 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. 0 NON ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION IT Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls IBattsl 12B Ceiling IB6ttsl 12C Ceiling 1Blownl 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 Pi 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding . 30 Fixtures 31 Service 32.: • f al STREET NAME ' DEPARTMENT OF BUILDING & SAFETY Ci� PERMITNO.PEPIMITT'! COUNTY OF RIVERSIDE FIELD IA01502916tv 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 �ewoge System T 1 1 p Permission is hereby granted to move the structure, described below, in Width Length Height Total Fees $ t GRADING #1 Number of #2 Sections #3 Cut Fill / . \ +. Total Fees $ Present Location Community County RELOCATION INSPECTION Destination Present location Community County Total Fees $ 'Total Fees $ Permit No. A015 291 Job Address SP # Zip caner PI. CD. Plan Check _ er 0 C mmunity AQu,$ Valuation Date /1.75-RI Dist V 11 P.C. Reinspection Use of Permit � �`- �'-t � 1+: 1 t t � � �. • � ,.� � Parcel No. '�'�1�— 2%&— C�� Lot Size Factory- Built :e, hack- I Ll;e Perrtli! 4 Legal Description II I� t� tI (c l%_ a-7 z� Grading bond �9 $ ram Grp Type Unit ckby Mobile home Engineer License # Final Date Ins ector Env. Assmt. a— —g' Requirement Relocations Escrow Company Vonch lTotaI Fees $ Address City Zip Cash Check Mo NC wner/ - ent _ ._ Tel. , Received)by Date Address �; CiTy—� Zip 47Z Z C- Z Related ermitlsl 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 1 shall not employ any person in any manner so as to become sub- ject to the workers compensation laws of California. Owner Signature Builder Signature FORM 284-208A 5-77 ©M This permit shall become void if work is not commenced within 120 days. 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