HomeMy WebLinkAboutPASADENA STREET 18357_03-00001363 LaCityof Lake Elsinore
' ' PERMIT 130 South Main Street
PERMIT NO: 03-00001363 DATE : 7/15/03
JOB ADDRESS . . . . . 18357 PASADENA ST
DESCRIPTION OF WORK PLUMBING PERMIT
OWNER CONTRACTOR
PASADENA STREET INDUSTRIAL OWNER
512 CHANEY ST
LAKE ELSINORE CA 92530
A. P. # . . . . . 377-130-028 1 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . . . . . . M-1
PLUMBING PERMITS
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
2 . 00 X 8 . 7500 FIXTURE OR TRAP 17 . 50
1 . 00 X 22 . 0000 BUILDING SEWER 22 . 00
2 . 00 X 8 . 7500 RAIN WATER SYSTEM 17 . 50
1 . 00 X 11 . 0000 BACKFLOW DEVICW < 2 " 11 . 00
1 . 00 X 8 . 7500 WATER SERVICE 8 . 75
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
PLUMBING PERMITS 111 . 75 . 00 111 . 75
TOTAL 111 . 75 . 00 111 . 75
SPECIAL NOTES & CONDITIONS
BASIC PLUMBING FOR SHELL BUILDING
Oper: fAU1iTER Type: DF Drawer. 1
Date: 7//15/83 1353 Receipt no: 310
203 gp BUILDIgG PENIT 1 9111.75
Trans number: 69286
CH CHM 5153 sm•5e
Trans date: 7/15/03 Tine: 13:61:1®
13-I luiil S.liei� Di%i,tiit P Read and Initial
1 I am L0, .nderlc�hlseprovisions of Business and Professional
Code Section 7000 et seq and my license is in full force
Post in conspicuous place 2 1 as owner of the property ormy employeesw/wages as their sole
compensation will do the work and the structure Is not intended or
un the job offered for sale
3 1 as owner of the property.am exclusively contracting with licensed
contractors to construct the project
l,.0 mu,i iurni-h PERMIT \UMBER .lnd the _ 4 Iha%eacertiflcateofconsenttoselfinsureora certificate ofWorkers
I(iB \DDRE S-S tier ea.h re,NCU\e IiI�,Pe,:110n Compensation insurance or a certified copy thereof
5 1 shall not employ any person in any manner so as to become subject
1pPr i' j til.lil illll t lY on li h to Workers Coompensauon taws in the performance of the work for
.ii A ilme- which this permit is issued
Note: If}ou should become subject to Workers Compensation after
making this cerUficatlon you must forthwith comply with such pro-
visions or this permit shall be deemed revoked
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Cace Pool s S,-a ADoro.as Da•e rsoec or OTHER DEPARTMENT RELEASES
De rs•,ec•o• Department Approval required prior to the
PCIO Poo Seer Re-- Fo—s building being released by the City
POO1 Poo P,,,••-c-gTless Tes
PO 3 P e-G, e
ELJc R,, y Poo e-c I Date Inspector
1 Urn P1anrong
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POC-: Pc-) Fe,*:-c Access
Finance
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City of LakeG"""E,1sinore
130 South Main Street
APPLICATION FOR APPLICATION 13 6
ELECTRICAL APPLICATION RECE vJED
PLUMBING PERMIT DATE 2 S
MECHANICAL AP a �_ Q By
fJ I certify that I have read this application and state that the BUILDING ADORES$
above information is correct 1 agree to comply with all city
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- Lj NAME
tion purposes `f r ' C_
Z MAILING PHONE
3 ADDRESS
O
CITY STATE/ZIP
Signature of Applicant or Agent Date I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
1000)of Division 3 of the Business and Professions Code and my license is in full force
AGENT FOR ❑ CONTRACTOR ❑ OWNER LICENSEMdeffecct CITYSUSINESS
Z AND CLASS -l TAXI
0 NAME
AGENT'S NAME
MAILING ^ ^ ' /6 9 h
ADORES$ // dJ lf�.C//1 7 C
AGENT'S ADDRESS
STREET CITY STATE ZIP cirY i\ TATE/ZIP PHo E
r
A S IGNAJTURE DATE
BUILDING PERMIT NO.
ELECTRICAL Quart PLU ING Quan MECHANICAL Quart
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/lst 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 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 Trop/(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 Backflow Device Larger than 2" Boiler/Compressor 3-15 H-P-
Sign Branch Circuit Floor Drain Boiler/Compressor 15.30 H P
Busways/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 I 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/Transformers► 100 H P Replace Piping
Replace Filter
Misc.Replace
Gas Piping
REV DATE I I 1 90