HomeMy WebLinkAboutHEALD AVE 403_01-00000281• 403 E HEALD AVE 01-00000281 1 OF 1
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Cily of Lake Elsinore
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PEIaMT 130 South Main Stree
PE%. MIT NO: 01-00000281 DATE: 4/05/01
JOB ADDRESS . . . . . : 403 E HEALD AVE
DESCRIPTION OF WORK . : PLUMBING PERMIT
OWNER _ CONTRACTOR
RUENES, VICTOR DON ISAACS' MOORE MAINTENANCE
27499 COMMERCE CENTER DR. #D
403 E HEALD TEMECULA CA 92590
LAKE ELSINORE CA 92530 909-699-6686
LIC EXP 0/00/00
A.P.# . . . . . . 373-034-021 9 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR .
VALUATION . . . ZONE . . . . . . NA
PLUMBING PERMITS
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
1.00 X 22.0000 GAS PIPING SYS 1-4 OUTLET 22.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
PLUMBING PERMITS i 57.00 .00 57.00
TOTAL 57.00 .00 57.00
SPECIAL NOTES & CONDITIONS
ALTER GAS LINE AND INSTALL BASE PAD
2001 [B1 $57.00 9p
we Date,. 4/05/01 05 Receipt: 00049 b71
00000000000(w
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City of Lake EMnone Pleame Read and Inmal:
Building Safety Dhislun -- 1. 1 am Ucemred unAer the provisions of Dumb—and Professional
�y in� Code Section 7000 et seq.and my ticerne to In fall finee.
Post icmus p� 4.1.as owner of"property.or my empioyas w/waai as their sale
�, job y compensation will do the work and the structum is not Intended or,
stirred for
on the cro
3.t.as orvrneraf the property.am acduslvey eontrsctbngvrih licensed
You must tarnish PERMIT NUMBER contractor*to construct the project.
aftdthe JOB ADDRESS for each _ 4.1 have a certificate ofconsenttoseftsureoracerttflnteofWokers
Compensation Insurance or a certified copy thereof.
respeCOVe Inapeatfon: 5.I shall not employ any person in any manner s°ss tobecome subject
Approved plans ffAM be on job to Workers Compensation Iaars in the performance of the work for
at ah tlrnes: which this permu is issued.
Note If you should become subject to Workers Compensation alter
making this certificatiom you must forthwith coat*with such pro-
vWms or this permit shall be deemed revoked.
Code ADWOWS Dow for
ELM Twe Else Service"
PLOT Sod nd
EL02 Else Conduit UndwgmwW
spot
OP02 Slmal RsinbmasnsN
am Grout
GM 90 Grads
PLO1 Un&Wajrd Water
sstn
swat On silo Seorar
ELAS Fisroh Elmetrie-TR.r
MEDt F1WJ&Mschamral
MEN DuM Vanela'
1 f-a-ol
Will Neft
Nil I Laeft a siarrw
FL9e Final Pknbkv '4-12.-CIAA-
Foal Elediial
MEN Fmd Modem
BPDe Fart -lz-on
todm P41aso.�.+'ntilm Dale lrspectw OTHER DEPARTMENT RELEASES
Can-YrsacYnr _ Depeffl ertt Approval mired prar lo tie
Pool Pool 8WA 3sin/Fams h*kV being released by to tarty
PDOt J Fm ft ' 7rea.Trost
PON Pr*Q mite
Date Msoector _
ELOa Roux POM EMCMe
Pknrwng
P001 Pam Fwrci Arrows
Erakmmn
POOH I Furl
City of Lake Elsinore
130 South Main Street
APPLICATION-4O. J
APPLICATION FOR
ELECTRICAL. APPLICATION RFED
PLUMBING PERMIT ( DATE
MECHANICAL AP a — % y /
I certify that I have read this application and state tha*the BUILDING ADDRESS
above information is correct. I 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- NAME
tion purposes.
= MAILIN L'
G �I ,PHONE�s�
ADDRESS
y�3
/t/t PQ+Iy S Of City STATE ZIP
Signature of Applicant er Agent Dote
I hereby af1Bm IMr I a.,L<unsed under pro•nwns of Ch.;),.,9lcommenung w�l�Se[nan
M7000;of Drvlsion]of Ih:Business c�d Profit ions Ccde.and my license is in full force
and offer 1.
AGENT FOR " CONTRACTOR -: OWNER , U":NSr. G sl 38q�i c. rUSINESS
= ANDCLASS � TAX
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AGENT'S NAME -- AME J:4AaC f")FNQmflP1
MAKING .!
ADDRESS (JC�9 Cam Qttil_isl! I�-: •/NL //\
AGENT'S ADDRESS_ _ -- L ) —
STREET CITY STATE ZIP clr TE
CONIRACTOR'SSIGNA!URE DATE
BUILDING PERMIT NO.
ELECTRICAL Quart PLUMBING Quart MECHANICAL Quon
New Residential Multi Family Fixture or Trop Furnace up to 100.000 BTLI's
New Residential Single Family Building Sewer Furnace Over 100,000 BTU's
Private Swimming Pools Rain Water Sys per Drain Floor Furnace/Vent
Switches/1st 20 Pri4ote 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
Recpf.Outlet/Over 20 Go-Piping S or More Outlets Exhoust Hood
Lighting Fixtures/1st 20 Dishwasher Fireplace
Res.Fixed Appliance/Outlet Solor Tank Commercial Inclrterator
Non-Res.Appliance 'Outlet So!or Collector per Panel Air Handler► 10,000 CFM
100-200 Amp Service-4 600V Grease Trap, (!nterceptor) Air Handler-4 10,000CFM
200.1000 Amp Service-4 600V Irstall.Alter or Repair System Fire Dampers
Service Over 1000 Amp or 600V Y Lown Sprinkler System Registers
Mist.Apparatus.Conduits,ETC Backflow Device Smaller than 2" Boiler Compressor to 3 H.P.
Signs Backflow Device Larger than 2" Boiler'Compressor 3.1.;H.P.
Sign Branch Cir,,if Floor Drain Boiler/Compressor I S-SJ H.P.
Busways/EA 100 ft Floor Sink Boiler!Compre'r.c.r 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 Egoip.
MOTORS/TRANSFORMERS Fire Sprinklers per Building
Motors up to 1 H.P. SWIMMING POOL
Motors r Transformers I.10 H.P. Swimming Pool Public
Motors/Transformers 10.50 H.P. Swimming Pool,Private
Motors/Transformers SO-100 H.P. Water Heater,Vent
Motors/Transformers► 100 H.P. Replace Piping
Replace Filter
Misc.Replace
Gas Piping -`- --
REV DATE 11.1.90