HomeMy WebLinkAboutCOLLIER AVE 18650_05-00001263G
City of Lake. Elsinore
PERMIT
PERMIT -
JOB ADDRESS . . . . . 18650 COLLIER AVE #F
DESCRIPTION OF WORK ELECTRICAL
OWNER CONTRACTOR
J.S.T REALTY OWNER
A.P.# . . . . . 377- 110 -042
OCCUPANCY . . .
CONSTRUCTION . .
VALUATION . . .
130 South Main Street
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . NA
ELECTRICAL PERMIT
QTY UNIT CHG
BASE FEE
4.00 X 1.0000 RECPT,OUTLET / 1ST 20
1.00 X 27.2500 100- 200AMP SERVICE <600VLT
1.00 X 16.2500 MISC. WHERE NO OTHER FEE
1.00 X 5.0000 PROFESSIONAL DEV FEE
FEE SUMMARY
PERMIT FEES
ELECTRICAL PERMIT
OTHER FEES
PLAN RETENTION FEE
CHARGES
82.50
78
TOTAL 83.28
SPECIAL NOTES & CONDITIONS
PANEL UPGRADE 4 RECEPTS UPGRADE AMP
SERVICE FOR EXISTING ELECTRIC SYSTEM
PAID
00
00
00
ITEM CHARGE
30.00
4.00
27.25
16.25
5.00
DUE
82.50
78
83.28
R-
Oper: COUNTER
Date: 4/20/05 20. Receipt no: 5475
Total tendered $85.00
Total payment $83.28
Change $1.72
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City of Lake Elsinore
Building Safety Division
Post in conspicuous place
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:
Please read and initial
1.1 am Licensed under the provisions ofBusiness and professional Code Section 7000 et seq. and
my license is in full force.
2. [,as owner ofthe 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. ],as owner ofthe property am exclusively contracting with licensed contractors to construct the
project.
4.1 have a certificate ofconsent to selfinsure or a certificate of workers Compensation Insurance
or a certified copy thereof
5.1 shall not employ any person in any manner so as to become subject to Workers Compensation
Laws in the performance ofthe work for which this permit is issued.
Note: If you should become subject to Workers Compensation after making this certification,
you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
ELO 1 Temporary Electric Service
PLO 1 Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO 1 funderground Water Pipe
SSO I Rough Septic System
S W O 1 On Site Sewer
BPO5 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 lRough Electric Wiring
EL05 Rough Electric / T -Bar
MEO 1 Rough Mechanical
N E02 Ducts, ventilating
PL04 Rough Gas Pipe / Test
PL02 RoofDrains
BP 10 Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BPI I Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 1 Final Building
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building b ing released by the CityP001PoolSteelRein. /Forms
POO 1 Pool Plumbing / Pressure Test
P003 PreGunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub Ijst Approval Landscape
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre - Plaster Approval Engineering
P009 Final Pool / Spa
6A,
City of Lake Elsinore
V w V APPLICATION #
i
APPLICATION FOR PERMIT APPLIC „0:
AN BY:
ELECTRICAL / PLUMBING / MECHANICAL
BUILD G ADDRESS
I hereby certify that I have read this application and state that the
above information is correct. I agree to comply with all city and couary TRACT BLOCK/PAGE LOT/PARCEL
ordinances and state taws relating to budding construcbm and hereby
author¢ representatives of this city to a upon the aborromtntioned O NAME/
property for inspection purposes W Cy 4
N
DDRAEADDRESS
PHONE
R CI % , STATF/LIP
to t.
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
C M#i Section 7000) of Division 3 of the Business and Professions Code, and my
circle one) O license u farce mid effect.
AGENT FOR CONTRACTOR OWNER N LICENSE # CITY BUSINESS
T AND CLASS TAX#
AGENT'S NAME R NAME
A
AGENTS ADDRESS C MAILING
street city state up T ADDRESS
O CITY STATE/LIP
R
hE WMR'S SIGNATURE
ELECTRICAL Quan PLUMBING Quart MECHANICAL Quan
New Res. Multi Family / SQ. FT. ixture or Trap FAU. / Fumace / Ducts / Vents
New Res. Single Family/ SQ. FT. uilding Sc%-er F.A.U. / Fumace / Misc. / > 100000
Pool Electric System, Private Rain Water System per Drain Floor Fumaoe / Vent
Switches / Ist 20 Private Septic System Unit Heater / Wall Heater
Swite3ues / Oven 20 Wffia Heater / Vent Install / Relocate / Replace Vent
Receptacle Outlet / 1st 20 Gas Piping S)stept l - 4 Outlets Ventilating Fan
Recqftcle Outlet / Oven 20 Gas Piping 5 or More Outlets Evaporative Cooler
lighting Fixtures / 1st 20 Dishwasher Ventilating System
ghting Fixtures / Over 20 Solar Tattle JExaust Hood
Residential Fixed Appliance / Outlet Solar Collector per Panel lFirepla ce
on- Residential Appliance/ Outlet aT / (Interceptor) Commercial Incinerator
100 - 200 Amp Service < 600V kstall, After or Repair S)-stem Air Handler > 10000 CFM
200 - 1000 Amp Service < 600V Lawn Sprinkler Systems Air Handler < 10000 CFM
Misc Conduits, Etc ackflow Device Smaller than 2” Fire Dampers
Signs Backilow, Device Larger than 2° Registers
Sign Branch Circuit Floor Drain Compressor / Heatpump - 3 H.P.
Busways / EA 100 FT Floor Sink Compressor / Heatpump 3 - 15 H.P.
Temporary Power Service Water Service Compressor / Heatpump 15 - 30 H.P.
Temporary Power Distribution System Alter or Repair Drain or Vent Compressor / Heatpump 30 - 50 H.P.
Motors / Transformers Fire Sprinlders per Building Repair / Alter Misc. HVAC
Motors up to I H.P. Swimming Pool Compressor / Heatpump Over 50 H.P.
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