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HomeMy WebLinkAboutCORYDON STREET 31875_04-00002493 City of Lake Elsinore PERMIT 130 South Main Street PERMIT NO : 04-0000249-3 DATE : 10/12/04 JOB ADDRESS . . . . . 31875 CORYDON ST DESCRIPTION OF WORK ELECTRICAL OWNER CONTRACTOR Alesco DEVELOPEMENT CO LLC RIGHTWAY TEMPORARY POWER POLES 21021 VENTURA BLVD #300 DBA RIGHTWAY PORTABLE TOILETS WOODLAND HILLS, CA 91364 653 WEST MINTHORN LAKE ELSINORE CA 92530 909-674-2626 LIC EXP 0/00/00 A. P. # . . . . . 370-050-012 0 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . ZONE . . . . . . M-1 ELECTRICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 11 . 00 X 11 . 0000 TEMP POWER DISTRIB SYSTEM 121 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES ELECTRICAL PERMIT 156 . 00 . 00 156 . 00 OTHER FEES PLAN RETENTION FEE 1 . 04 . 00 1 . 04 TOTAL 157 . 04 . 00 157 . 04 SPECIAL NOTES & CONDI'TIONS TEMPORARY POWER DISTRIBUTION SYSTEM Late: 10/12/C4 12 Pamipt ram: 1938 Total tee $157.04 Total pwmff7t $157.04 c w. C li L.ilc 1_I tnore tt Please Read and Initial fiui��lltL' et'� I>I�t�nin `1 I am Llansed under the provisions o(F3usiness and Prvlessional Code Section 7000 et seq and my license is in full force lost In con,;picuou,; place 2 1 as owner of the property or my employees w/wages as their sole compensation will do the work and the structure is not intended or on the job offered for sale I asowncrOfffieproperiv am exclusivelycontracting with licensed rn_ � ntractors to construct the project �i�U i11L�t iLirni�h k'F f:\111 �L %IBEh aild the 4 Iha%e a certifirate of consent to selfinsure or a certifica to of Workers II )fi Compensation insurance or a certified copy thereof S 1 shall not emplov any person In anv manner so as to become subject \h7�ii��e� �il,l tl� P1lI�I he nit ii'h to Workers Coompensauon Laws in the performance of the work for t .111 1 111,, which this permit is issued Note If iou should become subject to Workers Compensation after making this certification you must forthwith comply with such pro- visions or this permit shall be deemed re%oked Cooe A,wo•:ais Da a irsoec•o• c"LC' TL--p Exec Se-:ices 1 PLC' Soy Pine Urce,grounc EL02 E.a_Co.,c.:-'U-aerrrou•x BPC I Foo s BP02 S ee-Re—o ce—e- BP 3 Gro_ BP:.•' Sao Gace PLG' U^oe 'a_'+c Wa r Pipe SS:,' Ra: Sec c S�s e— S`NG' O-S'e SeMe' o �— P•� ak r PI r ❑^ -Gas P-c' Tes Na - aP La-- S Sc-+' ca cooe Pco 5 Soa Aaarore-,s Da e b- o< OTHER DEPARTMENT RELEASES r,.. `-s 0 Deparnn--nl Approval required prior to the ;:Ix Poo'S.ee Re.- Fo—s buildirg bevig released by tie City P 11. Pao P_•ro- P•ess Tes' PCC3 P e G_ e Da'e inspector ELJ6 Rag^Poo E e<'�c Plan') S_o Ls'Ao.,rc.a+ Land-wape F;X-, Poo Access Finance P'�v; a•e Pas e En ineenn PO;- =-a Poc•Sae City of Lake Elsinore 130 o ith Main Street APP�C/1TION# qq3 APPLICATION FOR PERMIT APPLI 1 ATI C)OTl p E��� ELECTRICAL/PLUMBING /MECHANICAL AN3-7D_ 0-'�3D_ 01 Z BY BUILDIN DRES I hereby certify that I have read this application and state:that the V above information is correct I agree to comply with all city and county TRACT BL AG LOT/PARCEL ordinances and state laws relating to budding construction,and hereby authorize representatives ofthis city to enter upon the above-mentioned O NAME Date 1 hereby affirm that I am licensed under the provisions of Chapter 9(commencing C with Section 7000)of Division 3 of the Business and Professions Code,and my (circle one) O license is in full force and eff,rect AGENT FOR CONTRACTOR OWNER N LICENSE# ` 3 0 a ( CITY BUSINESS T AND CLASS i O TAX# AGENT'S NAME R NAME A I Q AGENTS ADDRESS C MAILING '/^ street city state ZIP T ADDRESS 14 b) 11�/h rl�r RClT STATE/ZIP CONTRACTOR'S S NAT RE ELECTRICAL Quan PLUMBING Quart MECHANICAL Quart New Res.Multi Family/SQ.FT. Fixture or Trap F.A.U./Furnace/Ducts/Vents New Res.Single Family/SQ.FT. Building Sewer F.A.U./Furnace/Misc./> 100000 Pool Electric System,Private Rain Water System 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 Receptacle Outlet/ Ist 20 Gas Piping System 1 -4 Outlets Ventilating Fan Receptacle Outlet/Over 20 Gas Piping 5 or More Outlets Evaporative Cooler Lighting Fixtures/ 1st 20 Dishwasher Ventilating System Lighting Fixtures/Over 20 Solar Tank Exaust Hood Residential Fixed Appliance/Outlet Solar Collector per Panel Fireplace Non-Residential Appliance/Outlet Grease Trap/(Interceptor) Commercial Incinerator 100-200 Amp Service<600V Install,Alter or Repair System Air Handler> 10000 CFM 200- 1000 Amp Service<600V Lawn Sprinkler System Air Handler< 10000 CFM Misc.Apparatus,Conduits,Etc. Backflow Device Smaller than 2" Fire Dampers Signs Backflow 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. T TempgTary Power Service IW Water Service Compressor/Heatpump 15-30 H.P. Temporary Power Distribution System 1 Alter or Repair Drain or Vent Compressor/Heatpump 30-50 H.P. Motors/Transformers Fire Sprinklers per Building Repair/Alter Misc.HVAC Motors up to I H.P. Swimming Pool lCompressor/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