HomeMy WebLinkAboutRIVERSIDE DR 32310_02-00001622 City of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 02-00001622 DATE : 8/07/02
JOB ADDRESS . . . . . 32310 RIVERSIDE DR
DESCRIPTION OF WORK PLUMBING PERMIT
OWNER CONTRACTOR
OUTHOUSE INC OWNER
9140 ROSE ST
BELLFLOWER, CA 90706
909-678-9822
A. P. # . . . . . 379-100-016 1 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . . . . . . C-1
PLUMBING PERMITS
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
1 . 00 X 11 . 0000 WATER HEATER OR VENT 11 . 00
1 . 00 X 8 . 7500 FLOOR SINK 8 . 75
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
PLUMBING PERMITS 54 . 75 . 00 54 . 75
OTHER FEES
PLAN RETENTION FEE 1 . 00 . 00 1 . 00
TOTAL 55 . 75 . 00 55 . 75
SPECIAL NOTES & CONDITIONS
misc plumbing for The Outhouse
Oper: KIM
Date: 8/87/02 07 Receipt no: 862
Total tendered $55.75
Total payment $55.75
}� .,lu �;is i� (]i`•i I 'i1 Please Read and Initial
I I am Licensed under the provisions of Business and Professional
e Section 7000 et seq and my license is In full forre�
Post in conspicuous puce / ��asoumerofthe property,ormy employeesw/wages as their sole
compensation will do the work and the structure Is not Intended or
on the joh ofTered for sale
3 1 as owner of the property am exclusively contracting with licensed
contractors to construct the project
��ql r-u,i lt!Cm-h YER\111 \L MBLR ind the _ :
( Ihasea certificate of consent tosclflnsureora certificate ofWorkers
H M \F)DR}_C\ i C „I,h rc,pec[i%c 111>Dec[Wll -7 "'fCmmpensatlon insurance or a certified copy thereof
�✓1/1 5 1 shall not employ any person to any manner so as to become subject
I;rl` 1111,lm f on Ik-+ to Workers Coompensation Laws in the performance of the work for
Ply 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
Phi, Pool S'ee Re-- Fa -s buddtng being released by the City
PI; Poo P_-N>- P-ess Tes'
bate inspector
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P009 F ra Poo SOP
e. City of Lake Elsinore
130 South Main Street
APPLICATION NO
APPLICATION FOR DZ
ELECTRICAL APPLICATIOECVE
PLUMBING PERMIT DATE
MECHANICAL APq�29_ /6-0/6
By 144Y/� A• A
I certify that I have read this application and state that the B D G D� I vE72S��E l/v/�
obove information is correct I agree to comply with all city . /itJ
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- J NAM T /
Lion purposes ,� — SC JV /V (�
3 ADDREMAILINSS
ADDRESS
0
71 T STATE ZIP
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Signature of Applicant or Agent Date I hereby affirm that 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,n full force
AGENT FOR CONTRACTOR C' OWNER LICENSa elect CITY BUSINESS
= AND CLASS TAX s
0 NAME
AGENT'S NAME
MAILING
ADDRESS
AGENT'S ADDRESS
ONE
STREET CITY STATE ZIP CITY STATE ZIP
CONTRACTORS SIGNATURE DATE
BUILDING PERMIT NO.
ELECTRICAL Quan PLUMBING Quan 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/ Ist 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