HomeMy WebLinkAboutHEALD AVE 403_04-00001063 r •
s City of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 04-00001063 DATE : 4/28/04
JOB ADDRESS . . . . . 403 E HEALD AVE
DESCRIPTION OF WORK MECHANICAL PERMIT
OWNER CONTRACTOR
RUENES VICTOR INTER CITY ENERGY SYSTEMS
403 E HEALD AVE 12252 MC CANN DR
LAKE ELSINORE CA 92530 SANTA FE SPRINGS, CA 90670
562-777-1142
LIC EXP 0/00/00
A. P. # . . . . . 373-034-021 9 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . . . . . . R-1
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 13 . 2500 FAU/FURNACE/DUCTS/VENTS 13 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
MECHANICAL PERMIT 48 . 25 . 00 48 . 25
OTHER FEES
PLAN RETENTION FEE 1 . 00 . 00 1 . 00
TOTAL 49 . 25 . 00 49 . 25
SPECIAL NOTES & CONDITIONS
INSTALL FAU UNIT.
Date: 4/28/04 28 Receipt no: 5268
2884 1863
BP BUILDING PERNIT 1 $49.25
Trans number: 76012
CK CHECK 448 $295.59
Trans date: 4/28/64 Time: 10:05:43
tit i. i_ ` ` I"ti' • �"il 1'Ica,( }lead and Initial
i i arm Li,,:is,d under the provisions of Bu,mess and Professional
Cc,1e tieeuon 7(X><")et seq and my het ose is in lull font
��111[ IIl lt)1)��)Il'llllll� I)�'1Cl' 2 1 as ow-ner of mr pruix•rtv or my emplovves w/wages as their sole
cornpensarron will do the work and the stru(ture is not intended or
(ill the joh oil(n-d for ,.t:e-
3 1 a,ownerolth( proper» am ex(lusheh•mntraceing with licen,ed
comr-actnrs to construct the propel
{ \!{ ! \; \{{ { {� I1; _ 4 1ha�vaccnlficatrot(onv Tit toselfinsureoracerlifrcaleofWorkers
Compensation insurance or a certified cola• thereof
{ 5 1,hall not e mploti am p(rson In anv manner ur as to h(,nme suh)trl
to 1Aorkcrs Ccx�mpensation laws to the pertnnnance of the work for
which this lx•nnit is issued
Notr It you should hecome suhp•(i to Workers(ompensauon alter
making this c-ruficacion Nou must f(.rthwith cornpK with suth pro-
,-t,k,n-,or thl,permit shall In deemed re%nked
EL- 7r =a- S.�-
PI= e- p U-•ce
C a-'c -c y
E3 t''
o-1 2 S =e - :e—ey-
3
r,'Y_ Wig,n pee
S": -S e S�,�
I
I
I =
F.^ y
2 S ;a e --" j OTHER DEPARTMENT RELEASES
Far_-nen("oval rcquu---,j pnoc to the
S„ =_ = ouuctrx ?,x rElea_v_,�by the City
Tes
Da•e insoec'or
S_cL S ,a•
La-csczae
ess
Flr�ancc:
Gnaineenn
'� =a na S;v
City of Lake Elsinore
130 South Main Street
APPLICATION NO.
APPLICATION FOR O -I U63
,' XTRICAL APPLICATION RECEIVED
PLUMBING PERMIT DATE
IECHANICAL AP By
1 I certify that I leave read this appl%Calson and state that the G R M04G AOORESS
rove information is correct.I agree to comply with all city
d county ordinances and state laws relating to building TRACE RIOCx/PA IoriPARat
nstruction. and hereby thorize repres tatives of this
y to enter upon the e-mentioned rty for inspec- L] •• , „t r
a1 purposes `�/ /
z WAAROG
ADDRESS A
L q A �P C ill �' q ; S" 3 V
Slgnolurc fdApplecong or Agent Date
I Mabp atKrm%MI I om Licanssd Cam«9lco.eaenc6ny unfi S.crwn
7000)of Wvi%mn 3 of"Swisess and woie siom code.and my t.cense is in lull twce
SENT FOR CONTRACTOR Cl OWNER
wxn11O�OA s C' 1� �, —n� ftwz IRiwrrss
i
;ENT'S NAME \KC.Lk 4-30MA&A - Rif' e"kr M/V
rsMtatG
;ENT'S ADDRESS k A•�l�q,f1A ST• AlmaEss Z
g =.`
STREET CITYg&AF�A ZI_ P_ �ry srwrEizw PrrotrE s`
Tf,V �7.��J N � 7 O
.
CON CrOR S SrcNArURE DACE l t y.=+
ILDING PERMIT NO.
ELECTRICAL Quan PLUMBING Quart MECHANICAL Quan
•w Residential Multi Family Fixture or Trap Furnace up to 100.000 BTU's
w Residential Single Family Building Sewer Furnace Over 100.0008TU's
vote Swimming Pools Rain Water Sys per Drain Floor Furnace/Vent
itches/1st 20 Private Septic System Unit Heater/Wall Neater
itches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent e`R'
Vt.Outlet/Ist 20 Gas Piping System 1-4 Outlets Ventilating Fan
:ps.Outlet/Over 20 Gas Piping 5 or More Outlets Exhaust Hood
tiding Fixtures/1st 20 Dishwasher Fireplace
Fixed Appliance/Outlet Solar Tank Commercial Incinerator
%-Res.Appliance/Outlet Solar Collector per Panel Air Nandler► 10.000 CFM
•200 Amp Service rt 600V Grease Trap/(interceptor) Air Handler-4 10.000CFM
-1000 Amp Service-4 600V Install.Alter or Repair System Fire Dampers
rice Over 1000 Amp or 600V Lawn Sprinkler System Registers
_Apparatus.Conduits.ETC Sacktlow Device Smaller than 2" Boiler/Compressor to 3 H.P.
Is Backflow,Device Larger than 2" Boiler/Compressor 3-15 H.P.
Branch Circuit Floor Drain Boiler/Compressor 15-30 H.P.
vays/EA 100It Floor Sink Soifer/Compressor 30-50 H.P.
porary Power Service Water Service Boiler/Compressor►50 H.P.
P.Power Distribution Sys. After or Repair Drain or Vent Repair/Alter Misc.HVAC Equip.
MOTORS/TRANSFORMERS Fire Sprinklers per Building
us up to I H.P. SWIMMING POOL
ors/Transformers 1.10 H.P. Swimming Pool/Public
,rs/Transformers 10-SO N.P. Swimming Pool/Private
ors/Transformers 50-100 H.P. Water Heater/Vent
rs/Transformers► 100 H.P. Replace Piping
Replace Filter
Misc Replace
Gas Piping