HomeMy WebLinkAboutBAKER STREET 17401_03-00001024 Cily of Lake Elsinore r
PERMIT 130 South Main Street
PERMIT NO: 03-00001024 DATE : 6/02/03
JOB ADDRESS . . . . . 17401 BAKER ST
DESCRIPTION OF WORK ELECTRICAL
OWNER CONTRACTOR
RUVALCABA SALVADOR OWNER
RUVALCABA MARIA
17401 BAKER ST
LAKE ELSINORE CA 92530
A. P. # . . . . . 378-020-038 7 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . . . . . . NA
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
10 . 00 X 1 . 0000 SWITCHES / 1ST 20 10 . 00
10 . 00 X 1 . 0000 RECPT, OUTLET / 1ST 20 10 . 00
5 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 5 . 00
1 . 00 X 27 . 2500 100-200AMP SERVICE<600VLT 27 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
ELECTRICAL PERMIT 87 . 25 . 00 87 . 25
OTHER FEES
PLAN RETENTION FEE 1 . 00 . 00 1 . 00
TOTAL 88 . 25 . 00 88 . 25
-SPECIAL NOTES & CONDITIONS
mist electrical
Oper: CODUTER Type: DF Draaer: 1
Date: 6/02/03 02 Receipt no: 5513
2N3 1024
BP BUILDING PERMIT 1 $88.25
Trans number: 68195
CA CASH $100.00
Trans date: 6/02/03 Tize: 15:28:24
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( 'i. Of 1_,1;C CI,111irc
Please Read and Initial
I 1 am Licensed under the provisions of Business and professional
Code Section 7000 ei seq and my license is in full force
E'o,;t in conspicuous place 2 1 aso -neroftheproperty or my employeesw/wages as their sole
compensation will do the work and the structure Is not Intended or
on the job offered for sale
3 1 as owner of the property am exclusively contracting with licensed
contractors to construct the project
� IiJ I'lU�i 1Ufil�i� 1'FRVI T Nl MBLR Ind i11e 4 Iha%e a certificate ofconsent to selfinsure or a certificate of Workers
f)li lI)1)RI_`� iIV c::(1 f� �c�i1�� 1I1 ^�.It 'tl I Compensation Insurance ora certified copy thereof
5 ]-,.hall not employ any person In any manner so as to become subject
11 'n' .1 h�.til ITIu f hc' IM 10P to Workers Coompensatton Laws in the performance of the work for
f ,II iilll which this permit is issued
Note- if}ou should become subject to Workers Compensation after
making this ceruficauon you must forthwith comply with such pro-
%-Isions or this permit shall be deemed revoked
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Coae Pool S S-�a A:):i r- ,s Da'e Irsc.e,: OTHER DEPARTMENT RELEASES
C" t- 3- Departnenl Approval required prior to die
HOC' Pc.o-Sre•Re- fo'—s building betng released by die City
POC Poo P' �--- }ess Tes
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Da'e Ins ctor
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Finance
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City of Lake Elsinore
130 South Main Street
APPLICATION NO
APPLICATION FOR — d�
ELECTRICAL APPLICATION RECEIVED
PLUMBING PERMIT DATE Z—
MECHANICAL AP a By
certify that I have read this application and state that the BUILDING ADDRESS r r
above Information is correct f agree to comply with all city a �T
and county ordinances and state laws relating to building TRACT �6 ^4 BLOCK
F` LOT/PARCEL
construction, and hereby authorize representatives of this /juI
city to enter upon the above-mentioned property for inspec- []
NAME
tion purposes �bCt�U Y LJ dAA-,,ia/0/-
i
3 A
Signature of Applicant or Agent Date I hereby affirm tfat 7t-
nsed under provisions of peer 9(commencing with Section
7000)at Division 3 usiness and Professions Code and my license is in full force
and effect
AGENT FOR El CONTRACTOR OWNER LICENSE/ CITY BUSINESS
Z AND CLASS TAX
O NAME
AGENT'S NAME L OA 0 L)A L CA
4,+
MAILING �00
ADDRESS
AGENT'S ADDRESS
STREET CITY STATE ZIP CITY CG°/b u!'^ tA LATE/ZIP O PHONE
r
CTOR S SIGNATURE DATE
BUILDING PERMIT NO.
ELECTRICAL Quan PLUMBING Quan MECHANICAL Quan
New Residential Multi Family Fixture or Trap Furnace 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/1 st 20 Private Septic System Unit Heater/Wall Heater
Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent
Recpt.Outlet/1 st 20 Gas Piping System 1-4 Outlets Ventilating Fan
Recpt.Outlet/Over 20 Gas Piping 5 or More Outlets Exhaust Hood
Lighting Fixtures/1 st 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-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 Backf low Device Smaller than 2" Boiler/Compressor to 3 H P.
Signs Backf low Device Larger than 2" Boiler/Compressor 3.15 H P.
Sign Branch Circuit Floor Drain Boiler/Compressor 15-30 H P.
Busways/EA 100 It 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 I H.P. SWIMMING POOL
Motors/Transformers I-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/Transformers► 100 H P Replace Piping
Replace Filter
Misc Replace
Gas Piping
REV DAIE II 1 90