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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 k� (" lit L.11 Fl tnl're /�• 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 C Ooe Aao Tra S Da a Irsoec'0 ELO• Te-D E ec Se--:es PLO' S-D,P oe ELO2 E e<:Co-c_ U rrro �c 6P r`00 Gs BP;.2 S e-e Re,-c ce-er' BPC3 G•o_ BPC Sao G ace PLC U-oe,-o•_-c v:a er P:z SK Rio_--4o t S•s e- Sv:i, O-S e Se-e, P G c c a•�"•� 7 a I CI R FI- - - E Eti-- EL_7 - Ta PE- Po--- 4r -a-I,d v 214 ME,2 D__s a - aLs- Gas p'-e Tes Bp ` s_a B P'3 J D-:-a Na - BP La- 5 Sc,- r ai_^ -a Z. EL33 F-a E r_ -- A1E9? F-a Ike•_^a•tiia BP+2 F-.e B_c-c 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 Pp03 P•e-G_ e Date inspector Plan^+ S_a l s Ax,z•%a Lancsca PJi= ao, Fero-.Access Finance Do,,„ a e Pas e. Engineering �✓L? F-a,Poc Sae �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