HomeMy WebLinkAbout29261 CENTRAL AVE_ 05-00004616AA
Citv of Lake Elsinore I(
PERMIT
PERMMIT NO: 05- 00004616
JOB ADDRESS . . . . . 29261 CENTRAL AVE SUITE B
TENANT RTBR, NAME . . COLD STONE
DESCRIPTION OF WORK PLUMBING PERMIT
130 South Main Street
DATE: 11/28/05
OWNER CONTRACTOR
NTE LC SRW, INC.
8251 WES TE. AVE 12851 WESTERN AVE. #F
WESTMIi ER, 92683 GARDEN GROVE CA 92851
714- 890 -5215
LIC EXP 0 /00 /00
A.P.# . . • • . 377- 040 -027 2 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT `0
CONSTRUCTION FIRE SPRNKLR
VALUATION ZONE . . . . . . C -2
PLUMBING PERMITS
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
7.00 X 8.7500 FIXTURE OR TRAP 61.25
1.00 X 4.2500 DISHWASHER 4.25
1.00 X 8.7500 FLOOR DRAIN 8.75
3.00 X 8.7500 FLOOR SINK 26.25
1.00 X 8.7500 WATER SERVICE 8.75
FEE SUMMARY
PERMIT FEES
PLUMBING PERMITS
OTHER FEES
PLAN RETENTION FEE
CHARGES
139.25
1.00
TOTAL 140.25
SPECIAL NOTES_& CONDITIONS
PLUMBING FOR COLD -STONE ICE CREAM
PAID
00
00
00
DUE
139.25
1.00
140.25
Oper: COUNTER
Date: 11/28/05 28 Receipt no: 3073
Total tendered $140.25
Total payment $140. -",5
is
City of Lake Elsinore
Building Safety Division
Post in conspicuous place
on the job
You must furnish PERMIT NUMBER and the
JOB ADDRESS for each respective inspection:
Approved plans must be on job
at all times:
Please re nitial
1.1 am Licensed under the provisions of Bus ness and professional Code Section 7000 et 56q and
my license is in full force
2. l,as owner ofthe property,or my employees w /wages as their sole compensation will do the work
and the structure is not intended or offered for sale.
3. l as owner of the propertyam exclusively contracting with licensed contractors to construct the
project
4.1 have a certificate ofconsent to selfinsure or a certificate ofworkers Compensation Insurance
or a certified copy thereof
5. I shall not employ any person in any manner so as to become subject to Workers Compensation
Laws in the performance of the work for which this permit is issued.
Note: If you should become subject to Workers Compensation after making this certification,
you mast forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
ELO 1 Temporary Electric Service
PL01 Soil Pipe Underground
EL02 Electric Conduit Underground
BP01 Footings
BP02 I Steel Reinforcement
BP03 lGrout
BP04 Slab Grade
PLO 1 Underground Water Pipe
SSO I Rough Septic System
SWO1 0. Site Sewer
BP05 I Floor Joists
BP06 Floor Sheathing
BP07 lRoofFraming
BP08 JRfShthg
BP09 IShear Wall & Pre -Lath
PL03 lRough Plumbing Z•
EL03 lRough Electric Conduit
EL04 I Rough Electric Wring
EL05 Rough Electric / T -Bar
ME01 Rough Mechanical
ME02 Ducts, ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP 10 Framing & Flashing
BP12 linsulation
BP13 lDrywaliNailing
BPI I I Lathing & Siding
PL99 IFinal Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector partment Approval required prior to the
building bem released b the CityP001PoolSteelReis / Forte
P001 Pool Plumbing / Pressure Test FL=dsca
P003 Pre - Gunite Approval Date Inspector
EL06 Rough Pool Electric
Sub List Approval
P004 Pool Fencing / Gates / Alarms Finance
P005 I Pre - Plaster Approval Engineeringi
P009 IFinal Pool / Spa
City of-L-ak
130 South Main Street
e Elsinore
r APPLTCA3ON N
APPLICATION FOR =PERMIT
APPLTCA N °z
c
City of-L-ak
130 South Main Street
e Elsinore
r APPLTCA3ON N
APPLICATION FOR =PERMIT
APPLTCA N °z
AM By-
ELECTRICAL / PLUMBING / MECHANICAL
hereby certify that T have read (his &Mi 6ou add sWc mat the i
above infw=tion is eon-cm r agree to comply wick all city and eoaaty CT BLOCKIPAGE LOT/PARCEL
ordutun s and mcc laws relati to buBding and hereby
audwaiae rcprtseosatives of this city to enax upoa the abovomarti000d O NAME.
property for pugmcs. W w.,
N MAILING
E- ADQRES,S-
R C1 STAT
S' tune of or Agcad to - ,0 S
I hereby affum that l am liorasod under the provisions of Chapter 9 (cornamcing
C w6 Saxiob 7000) ofDivWw 3 of (he Bushes and Profcsions Code. and my
Circle one) O Tinaue is in fuU fixcc and effccL
AGENT FOR: OWNER N' LICENSE & CITY BUSINESS
T AND CLASS `l TA}CA
f -2.
AGENTS NAME R NAME
r
AGENT'S ADDRESS 1 t IiV G_ . ( /CA
T O -
t5 "Ili l 1
STATE/Zip /
R
CilY
e N "l t U•'L ( LL O 5
CONTRACTORS SIGNATURE
EGE[7MC L Quern PLUMM Quern t14F.C[IANICAL Quan
New Rcs. Mufti Family / -SQ. ET. Fiacttue or Trap 7 FAU. / Furnace / Ditds• /'Vents
ew Res. S " e'Fnntity/ SQ: OM: _ ' _ Building Sewer EAU. / FurttabF[ tyfisc, / > t000Q0
Qa1- Fletxric• Private ": Rani Wata_'S stttp Flow.FunumI Venc.:-. -_ _
trues -/.1 st 20 Pride c t Heater 1 VI/all Heater
witdtes / Ova 20- -` water tfeater /Vent ttrstall / Relocate / Replant;
e Outlet /'1st 20 Gas ' System 1 - 4 Outlets V4afilat_ing Fan .
c Otttlei /Ova 20 Gas Piping 5 or More Outlets Evaporative Cooler-
Lighting Fixtures f lst 20 0 ist wastter ' Ventitating Sy9tem- .
fighting Flxtirres / Qya2b _ T`anic. Exaust Hood
Fixed Appliance / Outkz Solsr Collector per - Ftieplace
de=uisl (iauoc 1 Qtrtlet ' _ T / (Int ) sl lrtcitteratoi~
loll -- 200 Ainp Savice <600Y Install, Alter or-Rep f Sysicm - Alt Etandler > 10000 CFM• -
1000 Amp Service <600V- - - Lawn SpriddeiSystbm Aiiiiu;&ef < 10000 CFM
Miser Appartsats, Conduits, Etc _ B&iigoQV Devicy Smatter than 27 l:ife.Dampen
BadcBow Device Largrx than 2'= _ Resters .
Sign Branch Circuit Etoor D-isin,
Busways / EA 100 Fr Ftoot Sink H 3 - 1$15. •
Temporary Power Service water Service le. =- 30 H.P. =
Temporary Power Distit'btdan System Altet or Drank dr Vent - fi 30 : SO ILP.
Motors / Trstrsformsas` _. f., Fire Sprinkfas per Buitding _ Repair i Alta IvGsc. WAC
klotor;s up to. l H.P. Pool pampr=or / Hcgqmmp - Over 50 (-LP.. -
M,otom / Transformers t_- 10.1u. Swimming Poou% Public
Mocddl Transftxmua 10- 50 H P. wim — Pool_ / Private
Motors / Traitdeniers 50 - 100 H.P. - - Water Hchter /. Vent
motors i Trans €ornias >:t00 ELP_
lace Filter
tom: _ - • - _ -
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