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303886 (SATT):. BUILDING PERMIT r DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. W COUNTY OF RIVERSIDE PERMITNNO 3 03886 DST 1303886 mmunity - QMH Permit Fee $ CONSTRUCTION ESTIMATE Micro Film Fee NO. ELECTRICAL FEES $ NO. PLUMBING FEES �Mech. Fee 1 ST FL. SQ. FT. $ $ UNITS iPI. Ck. Fee $� 7 2ND. FL.- SQ. FT. (a} Construction Fee Dbl $ YARD SPKLR SYSTEM Electrical Fee POR. 4 J J SQ. FT, @ DO 2tk:? MOBILEHOME SVC. SMI Fee BAR SINK $ GAR. SQ. FT.,POWER -Plumbing Fee POWER OUTLET $ ROOF DRAINS -Sp. Insp. Fee CAR P. SQ. FT. $ $ Demol. Fee DRAINAGE PIPING $ WALL SQ. FT. ® Registr. Fee b DRINKING FOUNTAIN Mileage Fee SQ. FT. Col $ Address 'Witness Fee URINAL $ ESTIMATED CONSTRUCTION VALUATION is , Reinsp. Fee $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTE Q FAN EVAP. COOL ❑HOOD (� SIGN WASHER (AUTO) (DISH) APPLIANC E] 6RYER GARBAGE DISPOSAL FURNACE ❑ UNIT Q WALL OPFLOOR C] SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC AfWATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY KS HEATING SY ORCED GRAVITYin © AMPERES SERV ENT fl SHOWER I LCL BOILER B.T.U. SQ. FT. p f7 BATH TUB - SQ. FT. Ga ¢ WATER HEATER SQ. FT. RESID Q 1 t/.¢SEWAGE DISPOSAL SQ. FT. GAR Ga '/.¢ HOUSE SEWER GAS PIPING PERMIT FEE ..- PERMIT FEE PERMIT FEE DBL TOTAL FEESdMOWHM. FEE - MICRO FEE ECH. FEE PL. CK. FEE CONST. FEE - CT. FEE SMI FEE FEE MB. FEE .y . n No. Plan deder Branch City Zip v Space I Zip Date Owner I `r#OF Parcel No. if 0.2 —A Use No. to +/ Set Backs Lot Size F r S S Zo Grp I Type Unit + v. Final Date Inspector ! 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 workmen s com. pensation laws of California. Owner Signature • Builder Signature Tet. Zip Total Fees $ ddress City Zip - M.O. 0 N.C. 0 Cas h OF Received by r Contractor Tel. License # Trees req/ear-r„ ��'t Sewage System resd - City CO`s' Zip Workers' Comp. oao Y !.. no O T L p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF e,,hed by. .Sewer DistriLl v RK 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 I SO IN ACCORDANCE WITH SECTION 554L OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284-208 (Rev. 4.771 ©s CALIFORNIA. PERMITNNO 3 03886 Supp. Per m it Job Address -gt ,/.�(� mmunity - QMH Permit Fee $ Micro Film Fee Cop $ se Pe mit �Mech. Fee Dbl $ iPI. Ck. Fee $� Construction Fee Dbl $ egol escription Electrical Fee Dbl $ SMI Fee $ -Plumbing Fee Dbl $ Bon Amt. -Sp. Insp. Fee $ $ Demol. Fee $ Const. Lender Registr. Fee b Mileage Fee $ Address 'Witness Fee $ Reinsp. Fee $ Owner/Agent .y . n No. Plan deder Branch City Zip v Space I Zip Date Owner I `r#OF Parcel No. if 0.2 —A Use No. to +/ Set Backs Lot Size F r S S Zo Grp I Type Unit + v. Final Date Inspector ! 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 workmen s com. pensation laws of California. Owner Signature • Builder Signature Tet. Zip Total Fees $ ddress City Zip - M.O. 0 N.C. 0 Cas h OF Received by r Contractor Tel. License # Trees req/ear-r„ ��'t Sewage System resd - City CO`s' Zip Workers' Comp. oao Y !.. no O T L p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF e,,hed by. .Sewer DistriLl v RK 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 I SO IN ACCORDANCE WITH SECTION 554L OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284-208 (Rev. 4.771 ©s CALIFORNIA.