HomeMy WebLinkAbout31760 CASINO DR_ 97-00001159
.q
•�
i _0000115:
Sllq
S
o DR 97
,1
3
c of' � � 1
130 south M&Ln Sst:nt
PERM'
DATE: 12/10/97
ERMIT NO: 97-00001159
OB ADDRESS . . . • • : 31760 CASINO DR
ENANT NBR, NAME . . : UNIT 104
ESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL
CONTRACTOR
WNER � INE� ��NS
BEATER INLAND VALLEY INV fP OWNER
5
SQUARE FOOTAGE 2000
.P.# 363-171-023 2 0
CCUPANCY 91-RETAIL,DINING.OFFICE GE SQ FT
ONSTRUCTION TYPE V- NON RATED ALUATION - 21,000 ZONE C_2
ULLDING PERMIT ITEM CHARGE
QTY UNIT CHG 63 .00 _ •
BASE FEE 237 .50
19 .00 X 12 .5000 VALUATION FEE 5.00
1 .00 X 5.0000 PROFESSIONAL DEV r
ELECTRICAL PERMIT ITEM! CHARGE
QTY UNIT CHG 30.00
BASE FEE 5,00
5 .00 X 1 .0000 SWITCHES / 1ST 20 1.3.00
13 .00 X 1 .0000 RECPT,OUTLET / 1ST 20 q ,?5
1 .00 X 4 .2500 NON RES. APPLIANCE 5 .00
1 .00- X 5.0000 PROFESSIONAL DEV FEE
MECHANICAL PERMIT ITEM CHARGE
QTY UNIT CHG 30.00-12.
BASE FEE 25
1 .00 X 12.2500 REPAIR/ALTER MISC HVAC 525
1 .00 X 5.0000 PROFESSIONAL DEV FEE
TLUMBI bNUN PERMITS ITEM CHARGE
QTY UNIT CHG 30.00
BASE FEE 5.00
.OG X 5.0000 PROFESSIONAL DEV FEE 1.7 .50
1 . 00 X8.7500 FIXTURE OR"TRAP -
CH R ES PAID DUE
FEE SUMMARY *** CONTINUED ON NEXT PAGE ***
97 1459 $472.41 BP
Date: 12/30/97 30 Receipti 000 OM
DECK
U00a0Ut�D00i►4fiUmom
ek
of Lilurixinmr 1.~ NOW
i.Inow °swA s1a1�w1��
�@ t to IWA A axoe.
as
�..w.� Wow *,w OW
rCXSt safety ' . awwled of
�rwpa,.aw�,N1!�s a+�I z ,5"".Mra iswx
`the job
ages Aer Bata. .,,,b.ctA,�.�n noa++.ee
@f! the �
you noho,fthpERMTNUWSER LtAM..samtAftwofewant®ae ura�ttllaeer:lWo�km+
ard#0 Jog ADDRESS for oath u t e�+Pbl�aro wsse��e �
o ikon. wo.t�+a ms+too on 00 of u+ wwk
m air
Apprm
plans must be on jobb „ ,"�to bow. Oar
"Mo
at aN*nS$'. tMeaa t<Im amm W to*%dmm 1►w pr�
.iuww or 10da twmM atr aU be dwmw la ke&
E
t►oa ttktr G� _
.o
t r tll w "
8lpt Fk&cry Sgtt — ..�
i On
m
T r -
�pt pr>.et,pn+�d
� �. tNoeOla
a
` w
FYW
Eia1� FeWEWWW
Fool '
C4* �i a °.��°s Aooe"NOW
, p�r►�Fon++d
FOGt F� ee+Ysat
` F909 M'Gu�
EiAB P W EW"c
FyM F Aeeea
a
I i
t- ..Y. .s y.a.1.. - . .- .v-. w+.a. .r. _ �. w. -..-.._sue.... . . -., [ - --cr.u' ✓rY. - _-. . . -.sw+L�Y+.w...Ma .
a.�.
Citv of Lake Elsinore:
PERMT I.W.%Idh Man stmd
PERMIT NO: 97-00001159 DATE: 12/30197
** PAGE 2
JOB ADDRESS . . . . . 31760 CASINO DR
TENANT NBR, NAME . . : UNIT 104
DESCRIPTION OF WORK > : -ADD OR ALTER NON RESIDENTIAL
PERMIT FEES
$UILDING PERMIT 305 . 50 .00 305 .50
ELECTRICAL PERMIT 57 .25 .00 57 .25
MECHANICAL PER MI`!' 47 . 25 .00 47 .25
PLUMBING PERMITS 52.50 .00 52 .50
OTHER FEES
PLAN RETENTION FEE 5 . 50 .00 5 .50
SEISMIC OTHER 4 .41 .00 4 .41
P'LI,N CHECK FEE 229. 13 229 . 13 .00
TOTAL, 701.54 229. 13 472 .41
SPECIAL NOTES & CONDITIONS
TENANT IMPROVEMENT, PHYSICAL THERAPY
Safety Dijdm
C•Atr aeltlrlt el irp.ah9 boom tl ISM twat.
Pin I.L•tutus ddw prbpee�q.rat *rJ4npa e•tytek oieae
_ aittpetwrrgYw sN At►tlM ya/'6 rtatlittYle Y trot 9r►tanOe+E of
on the job etwtard�i�e�eop•t4y.•er•sd-k tteettnoiae�tttthItawmW
you ow*xrAsh w..r..�e •Rlltltt�lefN •et•umm ft
and it J�SS for
ER t••
a �h•eerart�nteafm�win iealwaesnevoet�llea:ean�►atrrs
wnwrttoc�►• e•�p ttrasoC
respecgve fin: S.i�to smpby ana'pwwn to•tgro•mmn"tobwome eubw
AWwied plans ffoM be on,job to wwbus Gmmpe mum Law In a*pu6no.nat of Ute wwk be
0 onus: .rafett to penult Y Yntd.
Nose rrym dmm b•e•tae w bod t•Welke n Cmen palmn•!kr
WAMMI..r,.�._... •e 1e asuamum
mlt iitt•p m setaed must
� �wro?[edly wo wtdt pt+l,-
r
T
Pt01 aei -�
Ili FoO -
®ilt stterlla►Aetoan+wA ��....,,.,�-- —
wo lkbrYYfWdrroff4ft'w Poe --
• Sol JUL ----
r WACM
-PLO b
ft
PAYlobmwIn -
JUL
iectnc•T
• iy' t iio n Wdgnc•! t v..�o
h titt P at"11L_.ee. _ �..��.�• ..�.�
wn
..v....,�..+....�.����..e..�.,.,.—
Loft a
rave,.��.,...r�s....re...,.nsi.e•
Ogle` piny 2 e.r..�e.......�..r�.�.�...+.r
tm fety tteetrniai Z ...�.. .r....�.e.re:e.
ow rmd
GsiM pw t so Apvoreit tyue t+WM
am ft2m
OspO��nl Appr4rYl Ftil �
jg
ABM lirn.fotmt 4AID bOV mWmod bY lhs C*
Pom poet eat Tom
PM ftaufl ie nr
ELM Deal EOCW
f Ao.'ew
City of Laie Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT APPItC A 11,501
ED
T10 R CEIVfD
GATE
VALUATION CALCULATIONS APO By
'3163-1-11-0
BUILDING ADDRESS /�
T st FLOOR SF L C C
2nd FLOOR _SF TRACT STOCK PAGE OT PARCEL
3rd FLOOR SF NAME f i pp {
GARAGE SF i�eti\e r- t VN tl+r l L' CA 'v re y si M P`L__
STORAGE SF MAIun-G PHONE
ADORE.`.S
DECK 8 BALCONIES SF CITY s*ATE ZIP
OTHER: ---
SF I hereby eH,m Thar I am licensee under pro+rsrons of Chaplef 9 0mmencrng..Ern Sec"On
CUT CY 7OW:at O•.nwn 7 of he Brninen end Prolessuons Code.and my license isin III fone
GRADING endeHec'
LICENSE e 7 C`t -Lj! CITY BUSINESS
_ FILL CY AND CLASS lJ J rJ Ib TAX
VALUATION: L NAME i
01
FEES MAILING.
ADDRESS vI
CITY 111 SIATnSIe PHONE � 1 "1 11
BUILDING PERMIT S — I C('C n S.C�4 ` C.
CO!+TR SSK,NA11� / DAY
PLAN CHECK C ICE/
NAME LIC[NSE e
ADDITIONAL PLAN CHECK 90--e- L5 �o u-e
� ALAIIING
GRADING PLAN CHECK ADOREss
< t:rtr 37ATEQl! PT!ONE
::NEW %_REPAIR. OCCGRPJ CONST.
DIVISION: i'` TYPE: f
MICROFILM =ADDITION CMOVE NUMBER OF + NUMBER OF
=ALTERATION DEMOItSH STORIES: BEDROOMS:
=OTHER ZONE:
COPIES
SINGLE FAMILY units HAZARD AREAS YES
IMPRO FEES C] SCHOOL FEES O =APARTMENTS units
f
::CONDOMINIUMS units SPRINKLERS REOUIRED4 ES NO 1l S�L tF/�
`.TOWNHOMES units PROPOSED USE OF BUILDING: j3,Ccz
; COMMERCIAL CINUV51RIAl PRESENT USE OF BWLDINCe:C
PAID DATE
JOB
JOB DESCRIPTION e?
O 1 certify thot I have read thin application and state that the {{
above Inforviation is correct.I agree to comply with all city
and county ordinarces and state lows relating to building
construction, and hereby authorize repmtentotivos of this:
city to enter upon the obove•monfioned property for inspec•
tionpurposes. _
Signature of Appl,cont or Ayhnl Dote
AGENT FOR ElCONTRACTOR O OWNER Operator: J3Ll
nd T na on_inF. lV1A�f;
Total Payuerlt $2e9.13
AGENT'S NAME ftoylnt Tendered 2223,LL
AGENT'S ADDRESS —_ REV.DATE"190
STREE( CITY STATE ZIP
t
1
City of Lake
Elsinore
130 South Main Street
APPLICATION NO.
APPLICATION FOR
AI'"':ICATION EIVED
ELECTRICAL DAIi /
PLUMBING PERMIT
MECHANICALAPIr •�!,3 � �� � _ ���-� Ry �,
I certify that I have rood'his application and state thot the suuaNG AaoREss `�� a
above information is correct.I agree to comply with all city V
and county ordinances and state lows relating to building nAC' BLOCK PAGE } t EQL PARCEE
construction, and hereby authorize representatives of this `rC a 1`tGs . �t� 5
city to enter:epon the obove-mentioned property for inspec- N { i
C.-
lionpurposes.
2 MAXING
f43mSs
O
1
CITY STATE DP
Signature of Applicant or Agent Date I I ci.Ww 9(Canm-n q.,u•s.r„o^
TOAD)of 0--3 of iM 5— -11 and Prc,1.11 ,Cod- and-1 1--i 's in lull tocce
on
AGENT FOR G CONTRACTOR Ci OWNER OCINSE 8d `r� L S S .- c�(v�y clTM Bused ss
z A"wss TAX.
v NAM4 .
AGENT'S NAME
ADDRESS �! ^1p J f\C.Gv� J`r —
AGENT'S ADDRESS CIn StATI I PHONE }
STREET CITY STATE ZIP I (e'_ny'�
CONTRACT S ATURE e.
aAIE
BUILDING PERMIT NO. �
ELECTRICAL Qurtn PLUMBING QuanMECHANICAL Quan
New Residential Multi Family Fixture or Trap Furnace up to 100.000 BTUs
New Residential Single Family Building Sewer Y Furnace Over 100.000 BTU's
Private Swimming Pools Rain Water Sys per Drain Floor Furnace/Vent
Switches/Is 20 Private Septic System U1ir Healer.Wall Hester
Switches/Over 20 Water Heater i Vent Install/Relocate Replace Vent
Rocpt.Outlet/I st 20 j Gas Piping System 1-4 Outlets Ventilating ion
Rocpt.Outlet/Over 20 Gas i eping S or More Outlets EAcust Hood
Llgfiting ixfurts/10 20 - Dishwasher Fireplace
Not.Fixed Appliance/Outlet Solar Tank Commercial Incinerator
Nan-Res.Appliance/Outlet / Solar Collector per P011e1 Air Handier► 10,000 CFM
IOD-200 Amp Service-4 600V Grease Trap/(interceptor) _` Air Handler a 10.0000FM
200.1000 Amp rSmics•a 600V Install,Alter or Repair System Fire Dampers
Service Over 1000 Amp or_00V Lawn Sprinkler System sailer er
rN7�.•.apparatus.Conduits,ETC 0ockflow Device Smaller than 2" _ Boiler/Compressor Ea 3 H.P.
�gns Bockfiow Device Larger than 2" _ Boiler/Compressor 3.1 S H.P.
Sign Branch Circuit Flour Drain- boilsr/Compressor 15.36:1.P.
!sways i EA 100 ft Floor Sink Boi{er/Compressor 30-50 H.P.
Temporary Power Service Wafer Service _ - boibr/Compnssor►SO M.P.
Temp,Power Distrih Vt
utlon Sys. Alter or Repair Drain or nt_ Rsrpoir/Alter Misc.HVAC Equip.
MOTORS/TRANSFORMERS Fire Sprinklers per Building
Motors up to 1 H,P. SWIMMING POOL _
Motors/Transformers••f0 H.P. Swimming Pool/Public —
Motors/Transformers 10•50 M.P. Swimming Poo;/Private
Motors/Tronsfor:»tn 50.100 M.P. Water Hooter/Von?
Motors/Transformers> 100 i1,P. Replace Piping
Reptoce Filtol^ -------
�Misc.Reptocip
-..._. t;soa Piping
--- F!EY DATE II.1.90
III
Citv of Lake Elsm'o
PEYMT 130 South main Sttfet
PERMIT NO: 98-00000073 DATE: 1/22/98
JOB ADDRESS . . . . . : 31760 C ,5INO DR
DESCRIPTION OF WORK . : PLUMBING PERMIT
OWNER CONTRACTOR
RAILROAD CANYON INV 87 LTD KING CONSTRUCTION
4059 JOHNSON DRIVE..
OCEANSIDE, CA 92056
760-941-7010
LIC EXP 0/00/00
A.P. # 363--171-015 5 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT . d
CONSTRUCTION FIRS; SPRNKLR . .
VALUATION . . . ZONE . . . . . . C-2
PLUMBING PERMITS
QTY UNIT CHG ITEM CHARGE
BASE FZIE 30.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5 .00
1.00 X 11.0000 GAS PIPING SYS 1-4 OUTLET 11 .00
_ CHARGES PAID DUE
FEE SUMMARY i
PERMIT FEES
PLUMBING PERMITS 46.00 .00 46.00
OTHER FEES
PLAN RETENTION FEE 1.50 .00 1.50
SEISMIC GROUP R .50 .00 .50
TOTAL 48.00 .00 48.00-
SPECIAL NOTES & CONDITIONS
ADDITIONAL PLMG FOR T.I .
98 73 M&00 BF'
Date: i/2,/96 22 fKeipt: 0003179
U ECA 1767
0000(►fr:A00000U
+�"��'�-' ,;A. ,�•F' �i: _-- _- � _ink .:-(, f - r7a,'�e. ��a.. v�._ s?��
4
vidm
Y ,t,BcdkWg'Sdety Dlvdkm un tr"eit i�gt od ao4q wrA lhy opf"mc
d L
Post in r` I L q ARM otthaprvpetq.Briny swuyAtd m'W/"*-ea kbW sok
oop�prw�aWon tirlN do dta crock are!lira ttbttec4tste is not ttrtetded a
aQeeei ter cola
on the j� 3.L ea mjw d Ve p oW jy,sot um%u W*anteseft wKh YmWW
You mLwA km tsri PERMIT NUMBER ornLwtteor.to sorxtnret cite ptyect
and tfte,.its$ADDRESS fcw out, a.i hare•oerttlleauotconsent en asUltrxire rxa e�tMleate otwostaa.
laspaewe tP9stpOedotl: Compmutltat hwurwm or a cwUftd OW Owea
6.IdmocotemployAV1- rA Inanymannerwptobeecmeou4rict
AppwW pk m nwo be oom job to Workea comFina.tim tam of the wN t AN
at al drws: Which"puna M MmAd.
lisle Iryou shsuki be>cotst- wbjwt to Waken Csmpumuon suer
tsaikW4 this aerftL=oWL you must knhwuh oalap*with such plo-
rldotw or&A perWt ehaU be 09euna8 worked.
Ft01 son pipe
Ow Csrl&m �.....�..
®pot
0p0� lnsl it Vaoiosnw+t — -
PLM
aFW �isbiirede --
Lmgaftwslr ,�o..�.
m
sm on so sow —
��m...
Won
tnc•T Der
ME0I Mscnsranl
..�.�
awe gm 5mint
9WOM
8
1
t K* FrW
ELM F"E*Mci l
MEN FM Mo tsmW
sm Firtsl B
Coax Pay.a 0 snows oaa ►npac+o►
,_._, �prkb►+arN ApptrJrM aitrNYsd prior a�
root Fnol Vl«eiFemte buieinp�ntodad by Or C,fgr
IM I pool ft ' Tsa
pm I F'wrCfeuw
EL01 Frog Ewft
Lim
Prot F
pm
t
Cityof Lake Elsinore
130 South Main Street APPIICATc`ON NO.
APPLICAi11ON FOR a,F_-jr
APPLICATION►:DECEIVED
EXECTRICAL DATE
1PLUMING PERMIT - -
KWHANICAL AP M 0✓ , BY /V
t certify that I have rood this application and state that the SURDING ADDRESS 1^y�O
above information is correct.I agree to comply with all city TRACT ` aocK PAct— IOT Asa'.
and county ordinances and state lows relating to building
cenatrvction, and hereby autleorize representative* of this
city to enter upon the above-Monti nod property for inspec- NAME
tton pu fitwx'NG PHONE
A'DMSS
CITY STATE%YIP -�
Signature of Applicant or Agent Date I hwisby offirm Ihet I em I.crrnsisd unds.Prov..iem of ChOPW 9
Tax))of Division 3 of the bsiniiss ad Prof"SiOns Ce&.and mf Ikonm is m 1u11 forte
°�aHfKf ^. RUSxVE55
AGENT FOR CONTRACTOR ❑ OWNERNER �cuu ,g_`SE5 TAX CITYs
AGENT'S NAME
$ NAME l Cprsikrt r_-0
IlNwit SS
�e �yf�t��[CC ADORfSS 1�
AGENT'S'ADDRESS STATC Z-
STREET CITY STATE ZIP CITY
CONTRACTORS SIGNATU DATE
1
BUILDING PERMIT NO.
EiECTRICAI Quart PLUMBING Quan MEkHANICAI Quan
Nano ibsi ""Ol Multi Family Fixture or Trap Furnace up to 100,000 !U B 's
Now Residential Siftgle Family Building Sewor Furnace Over 100.000 BTU's
Rain Water Sys per Drain Floor Furnace/Vent
let
20 Privat Septic System
Privola Sur Poole Unit Hooter/Wall Heater
Staitolnes/1st 10 e
Sedtcltes/Ova 20 Water Hooter/Vent Install/Relocate/Replace Vent
Swo.Outlet/1st 20 Gos Piping System 14 Outlets Ventilating Fan
bSgt Outw/Over 20 Gas Piping 5 or More Outlets Exhaust Hood
IIiQ"Flxtutos/1st 20 Dishwasher Fireplace
gin.Fixed Appliance/Outlet Solar Tank Commercial Incinerator
NDn4lee.Appliance/outlet Solar Collector per Panel Air Handler► 10,000 CFM
IOD-300 Amp Service d 400V Grease Trap/(Interceptor) Air Handler-4 10.000CFM
2W 100D Amp Service 600V install,Alter or Repair System Fire Do pars
Savko Over 1000 Amp or 600V town Sprinkler System Registers
Misc Apparatus.Conduits,ETC Bockflow Device Smaller than 2" Boiler;Comprissor to 3 H.P.
Bockf low Device Larger than 2" Boiler/Compressor 3.15 H.P.
h
Sign Branch Chcult Floor Drain miler/Comprnsar 15 a0 H.P.
Busways/EA 100 ft Floor Sink Boiler/Compressor 30.00 H.P.
Temporary Power Service Water Service Boiler/Compressor 0 SO H.P.
Temp.Power Distribution Sys. Alter or Repair Dram or Vent Repair/Alter Misc.HVAC Equip.
MOTORS/TRANSFORMERS Fire Sprinklors per Building
Motors up to 1 H.P. SWIMMING POOL
t/ Mabrs/Tror4ormers 1•t0 H.P. Swimming Pool/Public
Motors/Tranlormers 10.50 H.P. Swimming Pool/Private
Motors/Transformers SO-100 N.P. Water Hooter/Vent
MMors/Transformers► 100 M.P. Replace Piping
Replace Filter
Mlac.Replace _
Gas Piping
- REV DATE t I 90
w
. � orej
sin
cgy of Lake ,
130 ,:;ou*" Sot
PERMIT NO: 98-00000259
DATE: 3/12/98
JOB ADDRESS . 31760- CASINO DR
TENANT NSR, NAME• GREATLAND VALLEY INVESTME
DESCRIPTION OF WORK FIRE SPRINKLER SYSTEM
CONTRACTOR
OWNER KING CONSTRUCTION
RAILROAD CANYON INV 87 LTD 4059 JOHNSON DRIVE.
OCEANSIDE, CA 92056
760-941-7010
LIC EXP 0/00/010
A.P.# . SQUARE FOOTAGE 0 363-171-015 5 GARAGE SQ 'FT . 0
OCCUPANCY . • • FIRE SPRNKLR .
CONSTRUCTION ZONE . . • • C-2
VALUATION . . . .
PLUMBING PERMITS ITEM- CHARGE
QTY UNIT CHG 30.00
BASE FEE
1..00 X 1.5.0000 FIRE SPRINKLERS PER BUILD 15.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
PLUMBING PERMITS 45.00 00 - 45,001.
TOTAL 45.00 .00 , 45,.00
SPECIAL NOTES & CONDITIONS
FIRE SPRINKLER PE T - ;
F(A
98 63 $41 00 ®G
Data: 3/12/98 It Re 1pts OOD3879
CHECK
00U0(104G00"
l'A • i'1
► t t. �erte IMteleA e�te�er]Ree/eeq�of r�liofeae�� .
Dokft
Post i'1 place
Come ieiibee i�D a� ewd►fir
s ..i.an.�r�.I.Meeluaeflhep�.1leap� ��M/MI�f1Y�11rab
cn 2_b � f101e 11� ilk 9R�aAe 111t dfl10b11�!♦Ilit OPIi/idDd Or
YOU mw Au tnbh PERMIT NUMBER �••�..�.. 4ir�ww.oieopweeg..Aaa4Nonyaw .elts,Uo.we
ew to oerubeset Ow Fv#XL
IIpEf ft JOB ADDREW iwNiel A I s IMeeeeratlpoe�eefes eleeeelA�aueeesee®eeliaeeeoAYoe�ees
mopecom ko1: Cogeeaeeetloee beweeeleeor er oeetAa947 flueeioL
Apt: WAd� be on Job L I*-Av%t W w or�etenereoaueieeanee eabjiel
b�►-%" prlimma of,**Brit 6t
Me'c Wyoee olanM axeeaeeeee
eeeftlt�W@ urOw me,reeeMlve11 Lid *,x%h e0e0 sR
�Itime or tleie !"a be aewiw mmk xlth aeeeA pes,
`
T
1'LOS ioi
Elie 22!M
� llwl perdwoen+ene
Roo4 llei Qe6de �_.""_.
PL01 , tv&woww OWN fte
>4501ftuigh is
aft"m
T
Eli® FindEMc-I
ITEM Furl Mee wwW
Feed
Cede �001 9pt d10N'o ow I7o ww
Pots PeW a"per►k�enne OepottlleerM ir•4 ►4t►lw
o+cos Pna .Too. V '0+eM1e•� b Ctgr
Pon
ELoi RotNh PetA E1ieMie
t:
4 .
f I. Y of Lake Elsinore
130 South Alain Street
'� � APPt1CA t=lor •-
APPLICATION FOB!
APPLICATION RECEIVED
EI,F,C1'ItICAL PERMIT
�4T DATE
PL'UNSING --
M APR '.T J By
WEIANICAL
G I certify that I have rood this application and state that'IN WKWNG ADDRESS•� /O
above information is correct_i ogee to comply with all city TRACT
xoex►AGE toT PARCE
and county ordinances and state lows raloling to building
construction, and hareby outhorize representatives of this
city to enter upon the above-m-ntioned property for inspec- NAME AM y
Lion purposes. ►sAutNG ,t ,`i,����r�� - r"�'t
ADaREss
CITY STATE ZIP
Signature of Applicant or Agent Date I t,s,sbr 0"n ttw I ann bceftwd undo•p.ov.s.om of Ctrpnsr s(coKM^e^rwtit
700D)of Dtr.>w,3 of tlur 0usinwss ad F,0"siom Cody Old-Y IK*�n
and e"wi,
AGENTFOR U CONTRACTOR DOWNER ►tctmE6 CITY ef7SIMSS
Y AND CLASS TAXI --
V NA4RE
AGENT'S NAME —
µAftrc+�
roDRtss
AGENT'S ADDRESS CITY ,I A srAr:zr �'—7U/
STREET CITY STATE ZIP (% .0
CONTRACT 'S USE DATE
BUILDING PERMIT NO. — I
E':CTRICAL Quon WMBING Qtwn M ICAL Quan
New Residentlal Multi Family Fixture at Tr Furnace up to 000 BTU's
New Residerttiol Sinale Family Building Sewer Furnace Over IW.000 BTU's
Privefe Swimming Pools Rain Water Sys per Drain Floor Furnace/Vent
Switches/1e120 Private Septic System Unit Heater!Well""for
Swhches/Over 20 Water Heater/Vent Install/Relocr.te/RePloce Vent
Recpt.Outlet/1st 20 Gas Piping System 14 outlets Ventilatl.tg Fan
Recpt.Outlet/Over 20 Gas Piping S or More Outlets Exhaust Hood
Lights"Fixtures/IFt 20 Dishwosher _ Fireplace
Res.Fixed Appliance/Outlet Solar Tank Commercial Incinerator
NomRee.Appliwff e/Outlet Sobr Cdktctar per Panel Air Handier s 10.000 CFM
IM20CAmp Uftlice d 640V Greaw Trap/(Interceptor) Air Hondleir-410.00OCFM
200.1000 Antp Service d 600V Install.Ahoy of Repair System Fire Dampers
Sella.Over 1000 Amp or 6MV Lawn Sprinkler System Register s
Mist:Apparatus.Conduits.ETC ladAk+w D►.-vice Smaller than Y' Boiler/Cornpressar to 3 H.P.
4^s Baekflew,Cov:ce Larger the•,F" Boller/Compressor 3-IS H.P.
Flow Drain Bailer/Compressor 1S-30 M.P.
$tgn Brcnch Grcuh �•_
Bwways/EA 100 ft rlcw Sink ., badw/CompreaW 30-5+0 H.P.
Water Service Boiler/Compressor�50 M.P.
Temporary tower Service --
Temp•Power DistrIWIlon Sys. Alter or Repair Drain or Vent Repair/Alter Misc.HVAC Equip.
MOTORS/TRANSFORMERS Fire Sprinklers per WIE11119 _ ---
,daton up to i H.P. SWAWING POOL
0Motors/Trot, trmsn 1-10 H.P. Swimming Pool/Public
!Motors/Troniformen 10.50 H.P. Swimming Pool/Private
Motors/Transformers 50.100 H.I. Water Heater/Vent _
Motors/Transformers NO' 100 H.P. Replace Piping - M
Replace Filter M --
Miu.Replace „�_
Gas Piping
�MKv DATE 11 190