HomeMy WebLinkAbout505 GRAHAM AVE_
$MY OF LAKE ELSINORL .10
BUILDING DEPARTMENT
130 South Main Street
674-3125
ENCROACHMENT
PERMIT and APPLICATION
lS' t'I'?/. /`/�- U EN
DATE
OIMNER �Gri'sf�i 1t/J//
A�,� �d 40r ^ �i HlQ Nsaripticn Unit Price r1ml Uty Cost��
3%of Est.Cst
Grey F .
4 J:'!: �,/► Tel.No. Pt:n check fa Min$60.00
Addnm nY
Nearest i^ �LIA-1
C". P4r Permit and Inspection Fees 7r
� Curb and — -�
Contractor �Yf r SS/ far l�L,. Gurner _ t
Address GR•5►r+YE ✓ Cross Gutter OR
Tel.No. _ Driwnay Approaa.h
State City Bus. Residential -�--
156•St0lea
Architect or Cbmncercial
S20/act.
K
Address _ _ yYhoelcha r Ram S5 ,510l—
City Tel.No. Sidewalk $5+S.05/SF. I �p
State —
Roadway Grad=.v; I S204 2W100 SF _
Loth Bbei y! _ Tract C G SF
No.aldgs. t
Lot Size Now can lot � i >j /r.
Use of exivin9 _-
itJAU
Anessor: Pr + Seww n 1 '
fI✓ and C.U. Ylrea.
& t t,20Joe.
!Tdjgnatufj r Authorized ntod Agent
Stint Lights $4.W.
;Mon -FjrGt. �t
Address-. Prmit F,ae lof Offfits Imp.
This is an encroachment Perrnit when properly ^ TOTAL
filled out,.signed,and validated.
P!om—t Validation-
' BUILDING DEPARTMENT COPY
�''
CITY OF LAKE, ELSIFU6RE 451 PLUMBING " � r
BUI,L41NG 0EPARTMEiVT
674.3125 - 10 4 3 PERMIT-APPLICATION
- evILolNc
11iM1�A�1Pg
OWNER ADDRESS � CJJa '•�
WALL NO REST
ADDRESS t? CROSS ST.
CM TiEt- NO.
BY
PLUMBER
- irae�a'elreea - f
ADDRESS". -�-3 _ .. :� INSPECTION RECOR DA
r•c--•-�
" CITY ?/ TEh KO.
3TA9Z - 1/ City BUMS
5 N / l.aense Number
'.`ITErt •F'- FEE - . . .-. '
TOILET AT SI.50 _
.BATH TUB AT 1.50 -
SHOWER AT
WASH BA5IN AT /_50( -
KITCHEN SINK AT 1.50
DISHWASHER AT 1.50 - _
LAUNDRY TUC, OR TRAY AT 1.50 _
UTOMATIC WASHER AT 1.50 _
WATER HEATER AT I-so J
WATER SOFTENER- AT 1.50
GAS SYSTEM AT 1.50 _
FLOOR DRAIN
LAWN SPRINKLER• Ar 1.50 i -•
MISC. WATER PIPING AT 1_SO I S
I
SWIMMING POOL PIPING AT 1.50 !
_ l
1
APFftOVAL* DATE; I tNOPECTOR's
SIGNATURE
• PERMIT NO: PCQUIRED ON 1 UNDER FLOOR WORK
- NEW STRUCTURE PERMIT S 2 OO -
ROUGIt PLUMBING
.l�► '
GAS PIPING irrn
TOTAL. FEE S
GAS VENTS
I arlcoowiv-dge that I have reid this appiks ion and state that PLUMBING Ft R
the above is correct and agree to comply with Al!city or�nmces
and state lasrs regulating rlumbi -) Imisc_
!certify that 1 am plOperljr rs.,•'tiered arxf t; ostd as raGuired `
by the City of LAG Elsinore and-:Jtate of California or that 1 am -- !
the Ito owali�gf The i Ye descrroa9 rettderlt*al;ttplje!ty,: _GAS TEST _
SIGNATURE./�, )/// / UTILITY Co.
Tf
OK PER d
FINAL .
VALIDATION .
This is a Plumbing Permit vv%en prop'wly filled out, signed -drrd validated
F,eermit void if wort; is not commenced within 60 days of dote-yF issuance '
INSPECTOR'S Cc;•r
00 1
250
PERNUMON is grwied
B*.No r Iot No_.3L .__Tract No " j
Total Fee ReeAved CITY COIINCII., ELSIM�K CAI.IFOIt11TIA