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A012510, A012527 GradingPERMIT NO. I PERMITTVPE A01251©.�,444° Additional Information: DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE WFIELD WF FACTORY BUILT HOUSING MOBILE HOME INSTALLATION Manufacturer MH Manuf. New ❑ Model Designation Size Relocated ❑ Unit Serial No. Total Fees $ Plan Approval No. Insi . 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 $ GRADING # 1 Number of #2 Sections r Cut Fill Total Fees $#3 / S. ® - � Present Location Community County RELOCATION INSPECTION Destination Present location Community CountyTotal Fees $ Total Fees $ Permit No. A0 10 Job Address / P•L�ril3 w SP # Zip Owner � 0 Plan Check 00�Zdr/� Co munit .. Valuation $1002,'27 Date 4:5pon Dist P.C. Reinspection'^~'- Use of Per mit t� � � � Legal Descripti Parcel No. Set backs I Bond ne Grp Type $ Lot Size Use Permit # Unit k Factory- Built Grading ` Mobile home Engineer - License # Fina I Do a-' In * / — for Env. Assmt. Requirement Relocations Escrow Company Bra nc Tota I Fees $-- Address City Zip cash I Chec Mo N Owner/Agent Tel. Re ed 4y Date Adre 1 City Zip Relate ermitls) Co actor/M 'ver 1 Tel workers' comp. yes ❑ no ❑ %c�¢fs3,i City /'�� %• — / Zip I certify that in the performance of the work for which this permit is issued I 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 (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 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 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 JOA Fireplace T.O. NON ADDITIONAL INFORMATION ' SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Botts) 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 REAR OF PROPERTY LINE r PA P/ • ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 2.98 Bonding 30 Fixtures 31 Service 32 -Final STREET NAME FIELD OFFICE DEPARTMENT OF BUILDING & SAFETY PERMIT NO. PE RMITTVPE _COUNTY OF RIVERSIDE 9 A 012 510 �,f�rA I 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 $ GRADING #1 Number of #2 Sections #3 Out, Fill Total Fees $ Present Location f Community County RELOCATION INSPECTION Destination Present location Community County Total Fees $ Total Fees $ _ rmit No M1.2510 - Job Address ` SP'# C,7r je Zip Owner Plan Check om unity v , Valuation i $ Date - — S� ist & 4_� O P.C. 1 Reinspection Use of Permit /� � / Parcel No. Lot Size ' Factory- Built Set backs Use Permit # Legal Description/_ �y / �j �l1/ L Grading $and z e Grp Type Unit ck b Mobile home Engineer License # Final Dak In ector Env. Assmt. Requirement Relocations Escrow Company Branch Total Fees $ Address City Zip Cash I Check MO NC Owner/Agent Tel. Rec ed b Date Ad res City Zip elated ermitlsl 904 Co ` actor/Mover Tel. � —A& workers' comp. yes ❑ no O Ad , s ' � � City � _ — � Zip I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become sub• jest 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 win 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 Riversideity and State of California. I hereby certify that the individual who prepared the plans and specif o h o rd nce�yith Section 5541 of the Business and Professions Code of the Sto i � FIELD ! DEPARTMENT OF BUILDING & SAFETY (, PERMITNO. PERMIT TYPE COUNTY OF RIVERSIDE�r' A012527 QG i Additional Information: FACTORY BUILT HOUSING MOBILE HOME INSTALLATION Manufacturer MH Monuf. 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 $ 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. J A 12 Job Address t `SP # Zip Owner - Wt IrA 1A Plan Check Co unit 9 .cam Valuation $ te r T-1(4 T `1( �� Di Off = �. Reinspection Use of Permit KRCLAtA• ` _ it4� < t Parcel No. _ ` Lot Size Factory- Built Set bucks Use Permit # Legal Description �� _ Grading Bond ode $ Grp Type Unit by Mobile home Engineer License # Final Dote Inspector Env. Assmt. Requirement Relocations Escrow Company Branch Total Fees $ Address City Zip Cash Qieck MO Nc Owner/Agent Tel. ceived by Date OLQIVV� � Address City Zip Relate& Permit(s) ' ontra for/Mover 1k Tef�_ workers* comp. yes A no ❑ Address 1.". _ - �� `''� cf City }— a3. - Zip I certify that in the performance of the work for which this permit is f issued I shall not employ any person in any manner so as to become sub- ject to the workers' compensation laws of California. OwnerSignature / - 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 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 Bock 33 Ventilation System 2 Figs 8 Frms 34 Plenums 8 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 4 SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS IS 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 fest 25 Final Tank Pit L. Line PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS Pr I 26 Power Pole 27 Conduit r 28 Service Entrance 29 Wiring 29A Grounding Wire 2.98 Bonding 30 Fixtures 31 Service 32 Ffnat STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT / APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199 9/74 CANARY—FILE, PINK—APPLICANT Owner �4"00v"4 E ms' MtS« Architect Contractor_L ✓!"� OY✓ 6 lL—_ 3`! 6' �^X' & WA Add Address. Address ress__ CityPeA&2 ,, MevCity City_ JA 0, 1w3 to t Cd - Phone Phone Phone_ may- d I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and Z Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety 3 shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be done within the County R/W O Mthout an encroachment permit. NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to be occuped unti (w ha complied with all laws of the County of Riverside and the State of California governing said property. ^ I DATE % Z U SIGNATURE OF OWNER AND/OR AGENT Approval by Signature fto the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. 1 USE OF STRUCTURE 1) JOB ADDRESS 673-92/5- Cht r�lGG�Jf. l Li✓- SINGLE FAMILY ® DUPLEX 4->t: Z% Z LEGAL DESCRIPTION OF PROPERTY _ APARTMENTS AGRIC. WNitC LkA-) +,/11 Ili �I t C] � '^ '�wA OMMERCIAL INDUSTRIAL 4A iwO A z 4/ j 0 COMMUNITY ALTERATIONS, LJ SUBMITTED PLANS USE OF PERMIT NO. OF — CASE NO. V-�(% p Z NO. OF PARKING SPACES REQUIRED N-0 OF BUILDINGS NOW EXISTING Q � ZONE SETBACKS: FRONT SIDE REAR .j m \ ./ - GRADING PERMIT REQUIRED? YES 0 NO LOT SIZE SETBACK ORDINANCE # OF FEET REQUIRED ON — STREET t " DATE f SIGNATURE OF LAND USE OFF] CI I• DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___ _ tZ.r, CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET t` s CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ C} HAS AN ACCEPTABLE APPLICATIONF BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O °L DATE -- SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS ' �n FLOOD CONTROL— x AIR POLLUTION _ DIV OF HWY 1 o < — YOUR PROPERTY MAY BE SUBJECT TO IL o FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY APPLICATION C&; TIFICATE COUNTY OF RIVERSIDE PERMIT N .Effective July 1, 1980, Chapter 1301 Section 19825'of the Nealth and Safety Code requires the execu- tion of the following applicable declarations prior to the issuance of a building permit. Please print 'or type .and sign,below: Q' LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with -Section 7000) of Division 3 of the Business and Professions Code and my license is in full force and effect. License Class, A _ Date i 1141R1 Q � . I hereby affirm that I icense No. OWNER -BUILDER DECLARATION am.exempt from the Contractor's License Law for the following reasons: M I, as owner of the property,.or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. If I sell within one-- year of completion, I understand I will have the burden of proving I did not build or improve for.the purpose of sale (Sec. 7031.5;'B.&P.C.). [� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). [:] I am exempt under Section B.&P.C. for this reason: Date Owner ®; WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a Certificate of Workers'. Compensation Insurance, or a certified copy thereof'(Sec. 3800, Lab. Code). Policy No. Insurance Q Certified copy is hereby furnished. ��- Certified copy is filed with the County of Rei%verrs/id?eDDepartent of Building and Safety. Date ^I JI dll l Applicant / y {' / V // !✓ /T 0 r CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if permit valuation is for $100.00 or less.) I certify that ,in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. I further -understand that if after making this Certificate of Exemption, I should become subject to the Workers' Compensation provisions of the labor code, I must forthwith comply with such provisions or this permit shall be deemed -revoked. Date' Applicant CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for -the performance of the work for which this permit is Issued (Sec. 3097, Civ. Code). Lender's Name Lender's Address DIVISION OF INDUSTRIAL -SAFETY PERMIT CERTIFICATION Q I hereby certify that no excavation five (5) or more feet in depth into which a person is re- quired to descend, will be made i6 connection with work authorized by this permit, and that no building, structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8, C.A.C.) 0 As owner -builder, Twill not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, -unless such person has a permit to do such work from that division. [:] Division of Industrial Safety Permit No. Date Applicant CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY I certify I have read this application and state that the information given is correct. I agree to comply with all state laws and county ordinances relating to building construction, and authorize a representative of the County of Riverside, Department of Building and Safety to enter upon the pro- perty for which I have applied for this permit for the purpose of making inspections. ignattUre of App scant/Aggenf' Daus ' r nt`ApplicSnt/Agent. Name 284-2000 7/80