HomeMy WebLinkAboutCANYON ESTATES DRIVE 31555_04-00002597 Z.
City of Labe Elsinore
r� -
�\'1 130 South Main Street
PERMIT
PERMIT NO : 04-00002597 DATE: 10/07/04
JOB ADDRESS . . . . . 31555 CANYON ESTATES DR
DESCRIPTION OF WORK MECHANICAL PERMIT
OWNER CONTRACTOR
ANASTASI DEVELOPEMENT CO LLC OWNER
1200 AVIATION BLVD #100
REDONDO BEACH, CA 90278
31-376-8077
A. P. # . . . . . 363-550-005 7 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . . . . . . C-1
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
9 . 00 X 13 . 2500 FAU/FURNACE/DUCTS/VENTS 119 . 25
3 . 00 X 6 . 5000 VENTILATING FAN 19 . 50
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
MECHANICAL PERMIT 173 . 75 . 00 173 . 75
OTHER FEES
PLAN RETENTION FEE . 52 . 00 . 52
TOTAL 174 . 27 . 00 174 . 27
SPECIAL NOTES & CONDITIONS
INSTALL MECHANICAL, STORAGE UNIT AND
OFFICE
Late: 10/07/04 07 Peoept ray: 186E
2CA4 2597
Ep aM M,,G FM11T 1 $174.27
C{Q-33{ X64 $174.27
Total.t $174.27
Total. PEI � $174.L7
Piease Read and Initial
E'l °1 'i'; i`t i�t I'll `1 I I am Incensed under the provisions of Business and Prolesstonal
Code Section 70DO et seq and my license is in full force
hlttit In conspicuous place 2 1 as owner of the property ormv employeesw/wages as their sole
compensation will do the work and the structure is not intended or
on the job offered for sale
3 1 as owner of the property am exrlushely contractingwtth licensed
contractors to construct the project
�ru iil ll�[ ;umni,n PEP\111 M MBER .lnel hic _ a I has e a certificate ofconsent to selfinsure or a certificate of Workers
1CM \DDIhEsti, for 1. IJI r c,recii\c IIITO,:11011 Compensation Insurance or a certified ropy thereof
5 [shall not employ any person In any manner so as to become subject
\hnr,,,c.! h)i in, nlll,l hio tin iob to V.orkers Coompensation Laws to the performance of the work for
l dill whtch this permit is issued
Vote If you should become subject to Workers Compensation after
making this ceruftcauon you must forthw-ith comph with such pro-
visions or this permit shall be deemed revoked
Coae Aooyo•:a,s Da'e Inscec,o•
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Coae Po s S:a Aoceo.-a,s Da a s_-e,'Y OTHER DEPARTMENT RELEASES
De; rs __
Department Approval required poor to ttte
Pol Poo See tee^ ro._s builang being released by the City
2141, Poo D_ * , aess Tes
P 03 P•e G_ e
Da'e Inspector
ELD6 Po•_,n Poo E ec^c
PIa n n,
Sl_D L-s ADc o•.a'
Lanoscape
D•J0: Pao-Fe-ti,rti Access
Finance
PC05 P•e P'as'e'
Engineering
POC9 F.-z Poo-Soa
joCity of Lake Elsinore
130 South Main treet
APPLICATION FOR :PERMIT
A" �PL�T , Ac��(
BY
ELECTRICAL /PLUMBING / MECHANICAL 3613
BUILDING ADDRESS /
I hereby certify that I have read this application and state that the ` /1
above information is correct I agree to comply with all cny and county TRACT BLOCK/PAGE LOT/PARCEL
ordinances and state laws relating to budding construction,and hereby
authorize representatives of this city to enter upon the above-mentioned O N A ��5
property for inspection purposes W 4R5 '
N MAILING ,PHONE
—7 E ADDRESS 2.a D ,Q Yi :917
R CIT STATE/ZIP
lure o Agent Date e-C11017,11 X t Ol / (!14
1 hereby affml that I am licensed under the provisions of Chapter 9(commencmg
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#
AGENT'S NAME R NAME
A
AGENT'S ADDRESS C MAILING
street city state Zip T ADDRESS
O CITY STATE/ZIP PHONE
R
CONTRACTOR'S SIGNATURE
ELECTRICAL Quart PLUMBING Quart r MECHANICAL an
Gw Res.Multi Family/SQ.FT. Fixture or Trap F.A.U. urn ents J I�•2S
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/ Ist 20 Gas Piping System I -4 Outlets Ventilating Fan
Receptacle Outlet/Over 20 Gas Piping 5 or More Outlets Evaporative Cooler
Lighting Fixtures/ 1st 20 Dishwasher Ventilating System
Lighting Fixtures/Over 20 Solar Tank Exaust Hood
Residential Fixed Appliance/Outlet Solar Collector per Panel Fireplace
Non-Residential Appliance/Outlet Grease Trap/(Interceptor) Commercial Incinerator
100-200 Amp Service<600V Install,Alter or Repair System Air Handler> 10000 CFM
200- 1000 Amp Service<600V Lawn Sprinkler System Air Handler< 10000 CFM
Misc.Apparatus,Conduits,Etc. Backflow Device Smaller than 2" Fire Dampers
Signs Backflow Device Larger than 2" Registers
Sign Branch Circuit Floor Drain Compressor/Heatpump-3 H.P.
Busways/EA 100 FT Floor Sink Compressor/Heatpump 3- 15 H.P.
Temporary Power Service Water Service lCompressor/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. 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