HomeMy WebLinkAboutSCRIVENER ST 118_02-00001001 City of Lake Elsinore
130 South Main Street
PERMIT
PERMIT NO: 02-00001001 DATE : 5/15/02
JOB ADDRESS . . . . . 118 N SCRIVENER ST
DESCRIPTION OF WORK MECHANICAL PERMIT
OWNER CONTRACTOR
AVERILL HALLIE FYE AIR CONDITIONING & HEATING
AVERILL JANICE 455 N. BUENA VISTA
118 N SCRIVENER ST HEMET CA 92543
LAKE ELSINORE CA 92530 909-658-9454
LIC EXP 0/00/00
A. P. # . . . . . 374-183-002 0 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . . . . . . NA
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 12 . 2500 REPAIR/ALTER MISC HVAC 12 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
OTHER FEES
MECHANICAL PERMIT 60 . 50 . 00 60 . 50
TOTAL 60 . 50 . 00 60 . 50
SPECIAL NOTES & CONDITIONS
CHANGE OUT PACKAGE UNIT ON REOOF
Operator: COUNTER
Date: 5/15/02 15 Receipt: M5147
Total Payment SR.50
Amount Tendered $Q.50
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Please Read and Initial �
1 I am Licensed under the provisions of Business and Profes tonal
d Code Section 7000 et seq and my license is in full force
Post in cl)f)tiplcllou,; place 2 1 asowneroftheproperty ormv employeesw/wages as theirsolet
compensation will do the work and the structure is not intended or
on t fl e-I tl�) offered for sale
3 1 as owner of the propertm am exclushety contracting with licensed
ontractors to construct the project
Il'rl—n FBI R�ii 1 �� ��fi�-k ltl ti Inc �"' 4 Iha%ea certificate of consent to selMsure or a cerllfica to of Workers
I( )1', C1,1) rc•,oc�II% in—e` I w n Compensation insurance or a certified copy thereof
S 1 shall not emplov any person to anv manner so as to become subject
\ 'r•`'' c I i I°�• ''ill t [� I Il 1t'h to Workers Coompensation Laws to the performance of the work for
[ III tl i'I"` which this permit is issued
Note If Nou should become subject to,Workers Compensation after
making this certification you must forthwith oomph,with such pro-
visions or this permit shall be deemed revoked
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Cone oti s Saa AJorora�s Da e t-sze-:or OTHER DEPARTMENT RELEASES
De 6^sc"ec o Department Approval required prior to the
POC ax S ee-pee- f,,•--•s building being released by the City
PIX Poo P'_-c•-ePess Tes
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Date inspector
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Finance
Do,,„ a e Pas e. Engineering
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�4 City of Lake Elsinore
130 South Main Street
APPLICATION NO
APPLICATION FOR 02- (Go 1
ELECTRICAL APPLICATION RECEIVED
PLUMBING PERMIT DATE
MECHANICAL AP a �tf � _� _ � By
I certify that I have read this application and state that the BUILDING ADDRESS SC d/ LlCvia!(�
above Information is correct I agree to comply with all city /V "
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-mentio ed property for inspec J NAME L U>✓ t
tion purposes
Z MAILING �+ ,/� PHONE
ADDRESS \�("1 1fC s IC(/'
y r O ccJJ
�1 QZ CITY TE ZIP
CCCJJJ ��j�d Signature o pplicant or Agent DOf r
hereby affirm that I am licensed under provisions of Chapter 9(commencing with Seclion
J 7000)of Division 3 of the Business and Professions Code and my license is in full force
AGENT FOR CONTRACTOR ❑ OWNER LICENSE pd effect) �J -7 CITY BUSINESS Q'I
Z AND CLASS (!-a0 a;L TAX# �DC7 Q`T 3
O0 NAME
AGENT'S NAME X� N � Tf►J6 (SIC • E C C
MAILING /
2 ADDRESS N t X
AGENT'S ADDRESS �55�U VUWuaU,S CCC
STREET CITY STATE 7 ZIP(` ciry ST 'ZIP
l`t"C(mein N, �`S�r CONTRACTOR S S U DAtt
BUILDING PERMIT NO. :�W
ELECTRICAL Quan PLUMBING Quan MECHANICAL Quan
New Residential Multi Family Fixture or Trap Furnace up to 100,000 BTU'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 Private Septic System Unit Heater/Wall Heater
Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent
Recpt Outlet/1 st 20 Gas Piping System 1-4 Outlets Ventilating Fan
Recpt Outlet i Over 20 Gas Piping 5 or More Outlets Exhaust Hood
Lighting Fixtures /1st 20 Dishwasher Fireplace
Res Fixed Appliance/Outlet Solar Tank Commercial Incinerator
Non-Res Appliance/Outlet Solar Collector per Panel Air Handler► 10,000 CFM
100-200 Amp Service-4 600V Grease Trap/(Interceptor) Air Handler-4 10,000CFM
200.1000 Amp Service-4 600V Install,Alter or Repair System Fire Dampers
Service Over 1000 Amp or 600V Lawn Sprinkler System Registers
Misc Apparatus,Conduits,ETC Backflow Device Smaller than 2" Boiler/Compressor to 3 H P
Signs Backflow Device Larger than 2" Boiler/Compressor 3-15 H P
Sign Branch Circuit Floor Drain Boiler/Compressor 15-30 H P
Busways/EA 100 ft Floor Sink Boiler/Compressor 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 Equip
MOTORS/TRANSFORMERS Fire Sprinklers per Building
Motors up to 1 H P SWIMMING POOL
Motors, Transformers 1-10 H P Swimming Pool/Public
Motors i Transformers 10-50 H P Swimming Pool/Private
Motors i Transformers 50-100 H P Water Heater/Vent
Motors/Transformers► 100 H P Replace Piping
Replace Filter
Misc Replace
Gas Piping
REV DATE 11 1 90