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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 AFer: 034T52 lYi If D aer: Date= KEA'3 E kemiri nod. ti/ a} L.IItDTkr Pt 1. $ L?— Trans mnbGr; UN Di rDa lu $12e. cans eite. Sr I IPP- li C City of Lake Elsinore 130 South Main Street APPLICATIO APPLICATION FOR PERMIT APPLICATION DA AP#BY: ELECTRICAL / PLUMBING / MECHANICAL BUILDING ADDRES$ 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