HomeMy WebLinkAboutKELLOGG ST 104 S_10-00000987 CITY OF
LAKE 3 LSIl-1OP.,E BUILDING & SAFETY Y
DREAM EXTREMETm
130 South Main Street
PERMIT
PERMIT NO: 10-00000987 DATE: 8/25/10
JOB ADDRESS . . . . . 104 S KELLOGG ST C
DESCRIPTION OF WORK ELECTRICAL
OWNER CONTRACTOR
ELSINORE CHRISTIANCENTER OWNER
A. P.# . . . . . . 374-242-004 4 SQUARE FOOTAGE 0
OCCUPANCY . . . . GARAGE SQ FT 0
CONSTRUCTION FIRE SPRNKLR
VALUATION ZONE . . . . . . NA
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
4 . 00 X 1 . 0000 SWITCHES / 1ST 20 4 . 00
10 . 00 X 1 . 0000 RECPT, OUTLET / 1ST 20 10 . 00
7 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 7 . .00
1 . 00 X 16 . 2500 MISC. WHERE NO OTHER FEE 16 . 25
PLUMBING PERMITS
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
2 . 00 X 8 . 7500 FIXTURE OR TRAP 17 . 50
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
ELECTRICAL PERMIT 67 . 25 . 00 67 . 25
PLUMBING PERMITS 47 . 50 . 00 47 . 50
OTHER FEES
PROF.DEV. FEE 2 TRADES 10 . 00 . 00 10 . 00
PLAN RETENTION FEE . 52 . 00 . 52
TOTAL 125 . 27 . 00 125 . 27
SPECIAL NOTES & CONDITIONS
ELECTRICAL AND PLUMBING
� ;.-IF .- : 1
ice= ffrdYM� �ipt nq: 1008
.-mlo . 9ffT."
EF Bi.FUDUMN 1. SSw427
Tram mar': 144IT�
Trar. date: WiW10 "1irq?:
City of Lake Elsinore Please read and initial
Building Safety Division L I am Licensed under the provisions of Business and professional Code Section 7000 et seq.and
my license is in full force.
Post in conspicuous place ")IL2.Las owner of the prope3ty,or my employees w/wages as their sole compensation will do the work
on the job and the smreture is not intended or offered for sale.
3.I,as owner of the property,am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the project.
JOB ADDRESS for each respective inspection: 4.1 have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
Approved plans must be on job !� or a certified copy thereof.
at all times: /`) 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 malting this certification,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall he deemed revoked.
EL01 Temporary Electric Service
PLO1 Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO1 Underground Water Pipe
SS01 Rough Septic System
SWO 11 on Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
13P08 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 IDucts,Ventilating
PLO4 Rough Gas Pipe/Test
PL02 Roof Drains
BPIO Framing&Flashing
BP12 insulation
BP13 Drywall Nailing
BPI] Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 FinalMechanical 3112
BP99 lFinal Building
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
P001 Pool Steel Rein./Forms building being released by the City
P001 Pool Plumbing/Pressure Test
P003 I Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing/Gates/Alarms Finance
P005 Pre-Plaster Approval Engineering
P009 Final Pool/Spa
.0 rTY OF
LA K E �C-929, LSIriOR.5
D REAM EXT RE M E T. 130 South Main Street
APPLICATION#
APPLICATION FOR PERMIT AWLICATI�DATE:
AN BY:
ELECTRICAL/PLUMBING 1 MECHANICAL
BURDIW,ADD SS
I hereby certify that I have read this application and state that the .
above information is correct.I agree to comply with all city and county TRACT BLOCKIPAGE LOT/PARCEL
ordinances and state laws relating to building construction,and hereby
authorize representatives of this city to enter upon the above-mentioned O NAME A ��
property for inspection purposes. W `�r 11j C t rltt S Z'r1.�1
�� N MAILING .( PHO E
�L5 E ADDRESS ti`i �) ' I Q 1 r7I L�e7CJ ^eJ- 7
C J+. R C TY STA IZIP _
ure of Applicant o Date 4 �. L 5 %q G�' �- 9
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 OWNI R N LICENSE# CITY BUSINESS
_ T AND CLASS TAX#
AGENTS NAME l� �/V � �� R NAME
AGENTS ADDRESS �:%�,(] i t �7 M1-Le t� !�`Co LA C MAILING
street city state r�zip T ADDRESS
7`S O CITY STATEIZIP PHONE
R
CONTRACTOR'S SIGNATURE
ELECTRICAL Quan PLUMBING Quan MECHANICAL Quan
New Res.Multi Family/SQ.FT. Fixture or Trap 7Z F.A.U./Furnace I Ducts I 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/Over20 Water Heater/Vent Install/Relocate/Replace Vent
Receptacle Outlet/1 st 20 Gas Piping System I -4 Outlets Ventilating Fan
Receptacle Outlet/Over 20 Gas Piping 5 or More Outlets Evaporative Cooler
Lighting Fixtures 1 Ist 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 lCompressor/Heatpump-3 H.P.
Busways/EA 100 FT Floor Sink Compressor/Heatpump 3- 15 H.P.
Temporary Power Service lWater Service Compressor 1 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. lWater Heater/Vent
Motors/Transformers> 100 H.P. lReplace Piping
Replace Filter
Misc.Replace
Gas Piping