HomeMy WebLinkAboutCENTRAL AVE 570_07-00000736L
Citv o
PERMIT
PEXIvlll NU: U /- UUUUU - /3b
JOB ADDRESS . . . 570 CENTRAL AVE B
DESCRIPTION OF WORK MISCELLANIOUS
WIELAND CHARLES LEWIS
WIELAND MARGUUERITE E
A.P.# . . . . . 377 - 150 -080 9
OCCUPANCY . . . .
CONSTRUCTION .
VALUATION . . . 500
BUILDING PERMIT
QTY UNIT CHG
BASE FEE
1.00 X 5.0000 PROFESSIONAL DEV - FEE
ELECTRICAL ELECTRICAL PERMIT
QTY UNIT CHG
BASE FEE
8.00 X 1.0000 RECPT,OUTLET / 1ST 20
100000000.00 X 5.0000 PROFESSIONAL DEV FEE
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
ELECTRICAL PERMIT
OTHER FEES
PLAN RETENTION FEE
PLAN CHECK FEES
CHARGES
50.00
38.00
1.00
33.75
TOTAL 122.75
SPECIAL NOTES _ &_CONDITIONS
make bathroom ada compliant, new
electrical and no racking over 5
r
ce Elsinore
130 South Main Street
CONTRACTOR
OWNER
SQUARE FOOTAGE
GARAGE SQ FT .
FIRE SPRNKLR .
ZONE . . . . .NA
ITEM CHARGE
45.00
5.00
ITEM CHARGE
30.00
8.00
PAID
00
00
00
00
00
DUE
50.00
38.00
1.00
33.75
122.75
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C City of Lake Elsinore
130 South Main Street
APPLICATIO
APPLICATION FOR PERMIT
APPLICATION DA
AP#BY:
ELECTRICAL / PLUMBING / MECHANICAL
BUILDING ADDRES$
22 '/
70 Uy1.4j41a- d4-I hereby certify that I have read this application and state tbat the dY !3
above information is correct. I agree to comply with all city and county TRACT BLOCK/PAGE LODPARCEL
ordinances and state laws relating to building construction, and hereby
authorize representatives ofthis city to enter upon the above- mbationed O NAME
property for inspection purposes.W
E ADDRESS 570 Ca.ir - 4C H S%21- ,J 4
R CIT} STATE2IP -
S gnature ofApplicant or Agent Date G- .1C.¢—Z/, . fNo, 4'.se—
I hereby affmnthat I am licensed under the provisions of Chapter 9 (commencing
C with Section 7000) ofDivision 3 of the Business and Proressioas Code, and my
circle one) O license is in full force and effect
AGENTFOR: CONTRACTOR OWNER N LICENSE# CITY BUSINESS
T AND CLASS TAX#
AGENT'S NAME R NAME
A
AGENT'S ADDRESS C MAILING
street city state zip T ADDRESS
O CITY STATEIZIP PHONE
R
CONTRACTOR'S SIGNATURE
ELECTRICAL Quan PLUMBING Quan MECHANICAL Quan
New Res. Multi Family / SQ. FT.Fixture or Trap FAU. / Furnace / Ducts / 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 / 1 at 20 Private Sept System Unit Heater / Wall Heater
Switches / Over 20 Water Heater / Vent Install / Relocate / Replace Vent
Receptacle Outlet / 1st 20 h<-Gas Piping System 1 - 4 Outlets Ventilating Fan
Receptacle Outlet / Over 20 Gas Piping 5 or More Outlets Evaporative Cooler
Lighting Fixtures / 1st 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 S rinkler System Air Handler < 10000 CFM
Misc. Apparatus, Conduits, Eta Backflow Device Smaller than 2"Fire Dampers
Signs lBackflow Device Larger than 2"Registers
Sign Branch Circuit Floor Drain Compressor / Heatpump - 3 H.P.
Busways / EA 100 FT Floor Sink Compressor / Heatpump 3 -15 H.P.
Temporary Power Service Water Service Compressor / 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.ISwimming Pool / Private
Motors / Transformers 50 - 100 H.P.lWater Heater / Vent
Motors / Transformers > 100 H.P.Replace Piping
Replace Filter
Miser Replace
Gas Piping