HomeMy WebLinkAboutKELLOGG ST 104 S_10-00000987CITY OF
LAKE LSMOIJE BUILDING & SAFETY
DREAM EXTREMETM
PERMIT
PERMIT NO: 10-00000987
JOB ADDRESS . . . . . 104 S KELLOGG ST C
DESCRIPTION OF WORK . ELECTRICAL
rolJj l
ELSINORE CHRISTIANCENTER
A.P.# . . . . . . 374-242-004 4
OCCUPANCY . . . .
CONSTRUCTION . . .
VALUATION . . . .
QTY UNIT CHG
CONTRACTOR
OWNER
BASE FEE
4.00 X 1.0000 SWITCHES / 1ST 20
10.00 X 1.0000 RECPT,OUTLET / 1ST 20
7.00 X 1.0000 LIGHTING FIXTURES/1ST 20
1.00 X 16.2500 MISC. WHERE NO OTHER FEE
MBING PERMITS
QTY UNIT CHG
BASE FEE
2.00 X 8.7500 FIXTURE OR TRAP
FEE SUMMARY CHARGES
PERMIT FEES
ELECTRICAL PERMIT 67.25
PLUMBING PERMITS 47.50
OTHER FEES
PROF.DEV.FEE 2 TRADES 10.00
PLAN RETENTION FEE .52
130 South Main Street
DATE: 8/25/10
SQUARE FOOTAGE
GARAGE SQ FT .
FIRE SPRNKLR .
ZONE . . . . .
ITEM CHARGE
30.00
4.00
10.00
7.00
16.25
ITEM CHARGE
30.00
17.50
PAID DUE
00 67.25
00 47.50
00 10.00
00 .52
TOTAL 125.27 .00 125.27
SPECIAL NOTES & CONDITIONS
ELECTRICAL AND PLUMBING
0
0
NA
iipei.-CU UM Type:ff WWI 1
IBC" armo-i " ltmipt no: 1008
2010 ET._
EF lUiEBI[F-fflW i 5125.F7
has rrlftr:-1'94PR
ry f"Tv mrn 07_a7
Tram dmW. W25(10 TiW: 1%20:31
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 read and initial -_
1. 1 am Licensed under the provisions of Business and professional Code Section 7000 et seq. and
my license is in full force.
2. Las owner of the 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. I,as owner of the property,am exclusively contracting with licensed contractors to construct the
project.
4. I have a certificate of consent to selfmsure or a certificate of Workers 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 must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
EL01 Temporary Electric Service
PLOT Soil Pipe Underground
EL02 Electric Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BP03 1 Grout
BP04 Slab Grade
PLOT Underground Water Pipe
SS01 Rough Septic System
S W Ol On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPO8 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric / T-Bar
ME01 Rough Mechanical
ME02 Ducts, Ventilating
PLO4 Rough Gas Pipe / Test
PL02 Roof Drains
BP1O Framing & Flashing
BP12 Insulation
BP13 Drywall Nailing
BPI 1 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical L, 7t
ME99 Final Mechanical
BP99 Final Building
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building being released by the CityP001PoolSteelRein. / Forms
P001 Pool Plumbing / Pressure Test
P003 Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval I Landscape
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre -Plaster Approval Engineering
P009 Final Pool / Spa
CI'TY OF ink
LADE LSIT10R E
I . T-,J , 130 South Main Street
LJ ttLlllVl L L[\L.IVI L: TM APPLICATION#
APPLICATION FOR PERMIT
AVLICATI DATE:
AP# BY:
ELECTRICAL / PLUMBING / MECHANICAL
BUB,DAI G ADD SS
IIherebycertifythatIhavereadthisapplicationandstatethatthet.
above information is correct. I agree to comply with all city and county TRACT BLOCK/PAGE LOT/PARCEL
ordinances and state laws relating to building construction, and hereby
authorize reprggssentatives of this city to enter upon the above -mentioned O NAME
property for idspection purposes. H' F L ,1No e-7'fiZtS n/v L.'A`I :Z-
N MAILING PHOp4h /
t E ADDRESS I O`i 5• 044 nI li 1 C Te-J -0 7
C I-j/ v, I ICE R C TY STA /ZIP _
a Si ure of Applicant o Date li - C. L 5 t'4!' T - / S 3 Z
1 hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
C with Section 7000) of Division 3 of the Business and Professions Code, and my
circle one) O license is in full force and effect.
AGENT FOR: CONTRACTOR OWNER N LICENSE # CITY BUSINESS
T AND CLASS TAX#
AGENTS NAME f AN ! Yam- 7t R NAME
AGENTS ADDRESS ) [ •• J Pi+`Lu t-I t E L- co « C MAILING
street city state zip T ADDRESS
rhi`5 ;Z O CITY STATE/ZIP PHONE
R
CONTRACTOR'S SIGNATURE
ELECTRICAL Qum PLUMBING Qum MECHANICAL Qum
New Res. Multi Family / SQ. FT. Fixture or Trap F.A.U. / Furnace / Ducts / Vents
New Res. Single Family / SQ. FT. Building Sewer F.A.U. / Furnace / Misc. /> 100000
Pool Electric System, Private Rain Water System per Drain Floor Furnace / Vent
Switches / Ist 20 Private Septic System Unit Heater / Wall Heater
Switches / Over 20 Water Heater / Vent Install / Relocate / Replace Vent
Receptacle Outlet / 1 st 20 if D Gas Piping System I - 4 Outlets Ventilating Fan
Receptacle Outlet / Over 20 lGas Piping 5 or More Outlets Evaporative Cooler
Lighting Fixtures / 1st 20 IDishwasher Ventilating System
Lighting Fixtures / Over 20 Solar Tank Exaust Hood
Residential Fixed Appliance / Outlet ISolu Collector per Panel Fireplace
Non -Residential Appliance / Outlet lGrease Trap / (Interceptor) Commercial Incinerator
100 - 200 Amp Service < 600V Install, Alter or Repair System Air Handler> 10000 CFM
200 - 1000 Amp Service <600V ILawn Sprinkler System Air Handler < 10000 CFM
Misc. Apparatus, Conduits, Etc. Backflow Device Smaller than 2" Fire Dampers
Signs Backflow, Device Larger than 2" lRegisten
Sign Branch Circuit Floor Drain lCompressor / Heatpump - 3 H.P.
Busways / EA 100 FT Floor Sink Compressor / Heatpump 3 - 15 H.P.
Temporary Power Service Water Service Compressor / Heatpump 15 - 30 H.P.
Temporary Power Distribution System Alter or Repair Drain or Vent Compressor / Heatpump 30 - 50 H.P.
Motors / Transformers Fire Sprinklers per Building Repair / Alter Misc. HVAC
Motors up to 1 H.P. Swimming Pool Compressor / Heatpump Over 50 H.P.
Motors / Transformers 1 - 10 H.P. jSwimming 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