HomeMy WebLinkAboutRIVERSIDE DR 32310_02-00001622City of Lake Elsinore
PERMIT NO: 02- 00001622
JOB ADDRESS . . . . .
DESCRIPTION OF WORK
OWNER
OUTHOUSE INC
9140 ROSE ST
BELLFLOWER,
909 - 678 -9822
A. P. # . . . . .
OCCUPANCY . . .
CONSTRUCTION . .
VALUATION . . .
PERMIT 130 South Main Street
32310 RIVERSIDE DR
PLUMBING PERMIT
CA 90706
CONTRACTOR
OWNER
DATE: 8/07/02
379 - 100 -016 1 SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . C-1
PLUMBING PERMITS
QTY UNIT CHG
BASE FEE
1.00 X 5.0000 PROFESSIONAL DEV FEE
1.00 X 11.0000 WATER HEATER OR VENT
1.00 X 8.7500 FLOOR SINK
FEE SUMMARY
PERMIT FEES
PLUMBING PERMITS
OTHER FEES
PLAN RETENTION FEE
CHARGES
54.75
1.00
TOTAL 55.75
SPECIAL NOTES & CONDITIONS
misc plumbing for The Outhouse
ITEM CHARGE
30.00
5.00
11.00
8.75
PAID DUE
00 54.75
00 1.00
00 55.75
Oper: KIM
Date: 8/07/02 07 Receipt no: 862
Total tendered $55.75
Total payment $55.75
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Please Read and Initial
I I am Licensed under the provisions of Business and Professional
e Section 7000 et seq and my license is to full forre
asoumerofthe property, ormy employeesw /wages as their sole
compensation will do the work and the structure Is not Intended or
ofTered for sale
3 1 as owner of the property am exclusively contracting with licensed
contractors to construct the project
rr4: Ihas eacertificateofconsenttoscl flnsure oracertificateofWorkers
Compensatlon insurance or a certified copy thereof
1/1 5 1 shall not employ any person to any manner so as to become subject
to Workers Coompensation Laws in the performance of the work for
which this permit is issued
Note Ifyou should become subject to Workers Compensation alter
making this certification you must forthwith comply with such pro-
visions or this permit shall be deemed rrvoked
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Cooe Pool s Soa Aooro:a!s Da a Irscec OTHER DEPARTMENT RELEASES
De- trs 'o• Department Approval required poor to the
buddtng being released by the CityPoi, Pool S'ee Re-- Fa -s
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110 Cnnth Main Ctraat
REV DATE 11 1 90
APPLICATION NO1)
APPLICATION FOR OZ
ELECTRICAL
APPLICATIOECVE
PLUMBING PERMIT DATE
MECHANICAL APq
yj 0 /%, By
iUs
I certify that I have read this application and state that the B D G D q SS1J1
obove information is correct I agree to comply with all city
r!/
EI v /i2J
and county ordinances and state laws relating to building TRACT BLOCK 'PAGE LOTiPARCEL
construction and hereby authorize representatives of this
city to enter upon the above - mentioned property for inspec- J
NAM T /
Ilan purposes SC JV/V (
3 MAILING /
ADDRESS Q Q ,
PION
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ZIPCIT.-. —
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Signature of Applicant or Agent Date
I hereby off irm 'hot I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code and my license is in full force
AGENT FOR CONTRACTOR C' OWNER rANDCLASSENSEa
flea
CITY BUSINESS
TAX s
0 NAME
AGENT'S NAME
MAILING
ADDRESS
AGENT'S ADDRESS
STREET CITY STATE ZIP
CITY STATE ZIP ONE
CONTRACTORS SIGNATURE DATE
BUILDING PERMIT NO,
ELECTRICAL Quon PLUMBING Quoin MECHANICAL Quon
New Residential Multi Family Fixture or Trap Furnace up to 100,000 BTU's
New Residential Single Family Building Sewer Furnoce 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 / I st 20 Gas Piping System 1.4 Outlets Ventilating Fan
Recpt Outlet - Over 20 Gas Piping 5 or More Outlets Exhoust Hood
Lighting Fixtures 1st 20 Dishwasher Fireplace
Res Fixed Appliance Outlet Solar Tank Commercial Incinerator
Non -Res Appliance i Outlet Solor Collector per Panel Air Hondler 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 Bockflow Device Larger than 2" Boiler / Compressor 3.15 H P.
Sign Branch Circuit Floor Drain Boiler / Compressor 15.30 H P
Buswoys / 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 / Transformers 10.50 H P Swimming Pool / Private
Motors/ Transformers 50 -100 H P Water Heater / Vent
Motors i Transformers 100 H P Replace Piping
Replace Filter
Misc Replace
Gas Piping
REV DATE 11 1 90