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Home My WebLink AboutLAKESHORE DRIVE 505_04-00000750 City of Lake Elsinore PERMIT 130 South Main Street PERMIT NO: 04-00000750 DATE : 3/23/04 JOB ADDRESS . . . . . 505 LAKESHORE DR DESCRIPTION OF WORK PLUMBING PERMIT OWNER CONTRACTOR WOLFE CINDE OWNER OTTOSEN DONNA 505 LAKESHORE DR LAKE ELSINORE CA 92530 A. P. # . . . . . 374-253-008 2 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . ZONE . . . . . . R-1 PLUMBING PERMITS QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 1 . 00 X 11 . 0000 GAS PIPING SYS 1-4 OUTLET 11 . 00 REROOF PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 35 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES PLUMBING PERMITS 46 . 00 . 00 46 . 00 REROOF PERMIT 35 . 00 . 00 35 . 00 TOTAL 81 . 00 . 00 81 . 00 SPECIAL NOTES & CONDITIONS REROOF-COMP SHINGLE 1 ST LAYER AND GAS PIPING Date: 3rnl@4 23 bmipt no: 4569 Total tendered $81.06 Total paymat $81.e8 ram. \ 7 Please Read and Vnifial 1 I am Imi nst•d under thr pru%isinns of Busm1•ss and Prolt"tonal CM, 4rlion 7000 ct 4,q and my license is to full torxr Post III l0lllsj)Illltlll1; J)LICL- 2 1 asowtvrolthvproper1N oriny tniployeesw/wa};esasthetrsole compensation will do the work and the, siruc turc is not fnit nd(-d or 011 UIL' 101) oflen-d for sa!v 3 1 as uw•nt r of the,properry am exclusneh,ecmtracrinaw-tth licensed contractors to construct the•project �� i', i" f'f h�l� V \H)i R �' tlt. _ .l Iha%cacrnificateofeonx-niinselfinsurtoracernficaleofWorkers 11 ){ Conipen.auon insurencc or a certified copy lhervof 5 I shall not rmpioN am person in arev manner so as to lit.nine subjt<I 1u `''f f '' to Korkers Ccurnpe•ncauon Laws in the Ixxrfonnanee of the work for which this permit is issued \otc II you should become subject eo'lorkers t omjwrisaunn alter manin¢this carufitauren %ou must tt,rihwith comph with such pro Visions or this permit shall be deemed n,%okt d I 'L ix o=?i Se iPs ,{ t Jam_ FO- vc S D- tiM a - - j 1 s -a S— OTHER DEPARTMENT RELEASES - - -.- " _-r 3,':'^leni AoD rival required prior to d-ie '-- S?e ' Ic r� cctinc eleased by tie City 7es Da In spec r Lta-csce..e ��nancc; D e- Encineenno City of Lake Elsinore 130 South Main Street APPIICATI N NO. APPLICATION FOR ' 745-0 ELECTRICAL APPLICATION RECEIVED PLUMBING PERMIT DATE _ MECHANICAL AP s� a ,�,\ ByAd ;1/ 13 1 certify that I have read this application and state that the BUILDINGADDRESS V� above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building TRACT BLOCK/PAGE LOT/PARCEL construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspec N E lion purposes. Z MATTING � A / O ADDRESS I-+ Dk i1i/i/� �� CIT - 1 /— STATE/ZIP RF Signature oLljLLf Applicant or Agent Dote I hereby oflorm that 1 am licensed under provisions of Chapter 9(commencing with Section ! T0001 of Division 3 of the Business and Professions Code and my license is in full force AGENT FOR 0 CONTRACTOR ❑ OWNER IICENSEM CITY BUSINESS Z AND CLASS TAX r 0 NAME AGENT'S NAME MAILING ADDRESS AGENT'S ADDRESS urY ArE/ziP PH STREET CITY STATE ZIP CONTRACTOR S SIGNATURE DATE BUILDING PERMIT NO. ELECTRICAL Quan PLUMBING Quart MECHANICAL Quart Fss/ sidential Multi Family Fixture or Trop Furnace up to 100,000 BTU's sidential Single Family Building Sewer Furnace Over 100,000 BTU's Swimming Pools Rain Water Sys per Drain Floor Furnace/Vent 1st 20 Private Septic System Unit Heater/Wall Heater Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent Recpt.Outlet/1st 20 Gas Piping System 1-4 Outlets Ventilating Fan Recpt.Outlet/Over 20 Gas Piping S or More Outlets Exhaust Hood Lighting Fixtures/1st 20 Dishwasher Fireplace Res.Fixed Appliance/Outlet Solar Tank Commercial Incinerator Non-Res.Appliance/Outlet Solar Collector per Panel Air Handler► 10,000 CFM 100-200 Amp Service-4 600V Grease Trap/(Interceptor) Air Handler-4 10,000CFM 200-1000Amp Service-4 600V Install,Alter or Repair System Fire,Dompers Service Over 1000 Amp or 600V Lawn Sprinkler System Registers Misc Apparatus,Conduits,ETC Backflow Device Smaller than 2" Boiler/Compressor to 3 H P Signs Backflow Device Larger than 2" Boiler/Compressor 3-15 H P. Sign Branch Circuit Floor Drain Boiler/Compressor 15-30 H.P Busways/EA 100 ft Floor Sink Boiler/Compressor 30-50 H.P. Temporary Power Service Water Service Boiler/Compressor► 50 H P. Temp Power Distribution Sys Alter or Repair Drain or Vent Repair/Alter Misc HVAC Equip MOTORS/TRANSFORMERS Fire Sprinklers per Building Motors up to I H P. SWIMMING POOL Motors/Transformers 1-10 H P Swimming Pool/Public Motors/Transformers 10-50 H P Swimming Pool/Private Motors/Transformers 50-100 H P. Water Heater/Vent Motors/Transformers► 100 H.P Replace Piping Replace Filter Misc.Replace Gas Piping