HomeMy WebLinkAbout200 GRAHAM AVE_ 99-00001010200 W GRAHAM AVE 99- 00001010 1 OF 1
C City of Lake Elsinore I
PERMIT 130 Soutb, Main Street
PERMIT NO: 99- 00001010 DATE: 8/10/99
JOB ADDRESS . . . . . : 200 W GRAHAM AVE
TENANT NBR, NAME . . . ARCO AM —PM
DESCRIPTION OF WORK : PLUMBING PERMIT
OWNER CONTRACTOR
SEYEDGAUADI ALI OWNER
SEYEDGAVADI MAHBOUBEH
A.P.# . . . . . 374 -261 -002 1
OCCUPANCY . . . .
CONSTRUCTION . . .
VALUATION . . .
PLUMBING PERMITS
164.25
QTY
00
UNIT CHG
165.25 00 165.25
BASE FEE
1.00 X 5.0000 PROFESSIONAL DEV FEE
6.00 X 8.7500 FIXTURE OR TRAP
1.00 X 22.0000 BUILDING SEWER
1.00 X 11.0000 WATER HEATER OR VENT
4.00 X 8.7500 FLOOR SINK
1.00 X 8.7500 WATER SERVICE
FEE SUMMARY
PERMIT FEES
PLUMBING PERMITS
OTHER FEES
PLAN RETENTION FEE
TOTAL
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR .
ZONE . . . . . . NA
ITEM CHARGE
30.00
5.00
52.50
22.00
11.00
35.00
8.75
PAID DUE
164.25 00 164.25
1.00 00 1.00
165.25 00 165.25
SPECIAL NOTES & COP7DITIONS
PLUMBING FOR CONSTRUCTION OF MINI —MART
IWO 1165. W.
Cate: @/1 r54 10 8eceip;: 0000708
202
City of Lake Elsinore
Building Safety Division
Past in cxX'spiczxx]S ply
on the job
You must furnish PERMIT NUMBER
and the JOB ADDRESS for each
respective inspection:
Approved plans must be on job
at all times:
PLOI
Steel Reinforcement
BP04
EL99 IFinalEleci6cal
ME99 Final Mechancal
Approvals
Pool Pool PlumMinp/ptess_Test
P003 Pre•Gunile
EL06 Rough Pool Electric
Please Read and Initial:
1. 1 am Ucensed under the provisions of Business and Profea nal
Code Section 7000 et seq. and my license Is In full force. '
2. 1. as owne- of the property, or my - employees w /wages as their sole .
compensation will do the work and the structure Is not Intended or
offered for sale.
3. 1. as tamer of the property. am exclusively contracting with licensed
contractors to construct the project.
4. 1 have a crrtddcate of consent to selfinsure or a certificate of Workers
yI Compensation Insurance or a certified copy thereof.
5. 1 shall not employ any person In any manner ao as to become subject
to Workers Commpensation Laws In the performance of the work for
which this permit Is issued.
Note: ffyou should become subject to Workers Compensation after
making this certification. you must forthwith comply with such pro-
visions or this permit shall be deemed revoked.
OTHER DEPARTMENT RELEASES
Department Approval required prior to the
btddin9 being released by the City
Date Ins for
Planni
F'
E ineerin LL
01 7
City of Lake Elsinore
130 Smith Main Clri-m
V -
APPLICATION FOR
APPLICAT N
0/6
ELECTRICAI, APPLICATION RECEI D
PLUMBING PERMIT DATE
MECHANICAL AP By
i I certify that I have read this app6cotion and state that the BUILDING ADDRESS
w.
A /` '
Oaboveinformationiscorrect. I agree to comply with all city _00 GA tHb/ j I" „
I(
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- mentioned property for inspec- NAME /
V i• f e d Alionpurposes.
A
ADDRESS
R - J B --/ Q CITY
V !
7/—
eat ot
PHONE
STATE ZIP
ignoture of App icons or Agent Date
I hereby olrrm that I am hcenaed under prov-ans at Chapter 9Icomm.ncmy wah Snct,an
70001 of 01-S-0- 3 of the Business and Prolosvans Cod.. and my license is m lull force
AGENT FOR G CONTRACTOR OWNER LICENSE',
Iter.
CITY BUSINESS
ZANDCLASS xe
AGENT'S NAME 0 NAME
MAILING
AGENT'S ADDRESS
ADDRESS
STREET CITY STATE ZIP
CITY STATE ZIP PHONE
CONTRACTORS SIGNATURE
BUILDING PERMIT NO.
ELECTRICAL Quan PLUMBING Quo" MECHANICAL Qua"
New Residential Multi Family Fixture or Trap Furnoco 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 / 1st 20 _ Gas Piping System 1-4 Outlets Ventilo+ :erg Fan
Recpt. Outlet / Over 20 Gas Piping S 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 Q 600V Grease Trap (Interceptor) Air Handler -4 10.000CFM
200.1000 Amp Service 414 600V Instoll. Alter or Repair System Fire Dompers
Service Over 1000 Amp or 600V Lawn Sprinkler Systent 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
T
Boiler Compressor 15.30 H.P.
Buswoys i EA 100 ft _ Floor S ;nk bailer 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 140 H.P. Swimming Pool Public
Motors / Transformers 10.50 H.P. Swimming Pool Private
i
Motors / Transformers 50.100 H.P. Voter Hooter . Vent
Motors / Transformers 100 H.P. Replace Piping
Replace Filter
Misc. Replace
Gos
PRepl
PI 'V PATE 11 1 4f]