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Home My WebLink AboutKANSAS STREET 30752_04-00003179 4 E:j City of Lake . Elsffiorel 130 South Main Street PERMIT PERMIT NO: 04-00003179 DATE: 12 07 04 JOB ADDRESS . . . . . 30752 KANSAS ST DESCRIPTION OF WORK PLUMBING PERMIT OWNER CONTRACTOR ROSILLO CARLOS CURTIS DUMP TRUCK AND BACKHOE 21130 UNION STREET 30752 KANSAS ST WILDOMAR, CA 92595 LAKE ELSINORE CA 92530 909-674-6156 LIC EXP 0/00/00 A.P.# . . . . . . 378-284-014 1 SQUARE FOOTAGE 0 OCCUPANCY . . . . GARAGE SQ FT 0 CONSTRUCTION . - . . FIRE SPRNKLR . VALUATION . . . . ZONE . . . . . . NA PLUMBING PERMITS QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 1 . 00 X 4 .2500 ALTER OR REP. DRAIN, VENT 4 .25 FEE SUMMARY CHARGES PAID DUE PERMIT FEES PLUMBING PERMITS 39 . 25 . 00 39 . 25 OTHER FEES PLAN RETENTION FEE 2 . 08 . 00 2 . 08 TOTAL 41 . 33 . 00 41 . 33 SPECIAL NOTES & CONDITIONS Replacement of existing leach line , approve by enviromental health. D#e: 1VO7/04 CA lboeipt m: 28M Total tenimmd $41.33 Total p $41.33 City of Lake Elsinore Please read and inhial Building Safety Division I am Licensed under the provisions of Business and professional Code Section 7000 et A.and ��-my license is in full force. Post in conspicuous place 2.l as owner of die property or my employees w/wages as their sole caution will do the work on the job and the structure is not intended or offix for sale. 3.l,as owner of the property am c elusively contracting with licensed contractors to construct the You must furnish PERMIT NUMBER and'the project. JOB ADDRESS for each respective inspection: qu=- acertificate ofconsent to scifinsure ora catificate of Workers Co mpea�tion InsuranceApproved plans must be on job or a certified copy therco£ at all times: 5.I shad not employ any pa aon in any manner so as to become subject to Workers Compensation Laws in the perfmnance of the work for which this permit is issued Note:If you should become subject to Workers Compensation after maldsg this certification, Code Approvals Date Impector you mast forthwith comply with sack ms or this permit shall be deemed revoked. ELO1 T Electric Service PLO1 Son1 Pipe underground EL02 Electric Conduit underground BPOI Footings BP02 Steil Reintoseenent BP03 Grout BPO4 slab Grade PLO1 underground water Pipe SSO I Septic System / {� SWO1 on site Sower BPO5 Flour Joists BP06 Floor Sheathing BP07 Roof Framing BPOS Sheatbing BPO9 shear Wall&Pre4Ath PL03 Rougb Plumbing EL03 lRough Electric Conduit EL04 lRough Electric wiring EL05 Rough Electric/ T-Bar ME01 RQugbMccbanical ME02 Ducts,ventilating PL04 Rough Gas Pi /Test PL02 Roof Drams BP 10 Fnuning&Flashing BP 12 Insuiation BP 13 prrvaimaiiig BP 11 Lathing&siding PL99 lizow Plumbing '1" EL99 Final Electrical ME99 Final M wnical BP99 Final Budding 1 Code Pool&Spa Approvals Date I■speetor OTHER DIVISION RELEASES De Inspector Department Approval required prior to the POO I Pool sted Re@./Forms buildin ing released by the City POO 1 Pool Plumbing/Pressure Test P003 Pro-Gunite Approval Date Inspector EL06 Rough Pool Electric Plannin Sub Iht Approval Landscape P004 Pool F /Gates/Alarms Finance P005 Pre-Piaster Approval Engi P009 Final Pool/Spa City of Lake Elsinore 130 Southam treet A"�.IFp�TION✓ 1 APPLICATION FOR PERMIT AP.lf07 TE/d v AN /`4 BY: ELECTRICAL/PLUMBING /MECHANICAL 3_7 5�&/ _t>k B QJG DRESS I hmeby aaufy that I hne reed this application and state that the LG n above infwmatioo is amat 1 agree to cmViy wiab all city and awmy TRACT B MPA E LOT/PARCEL ordmanam and state laws retati m to bu&ft eoaurac- and hmeby authorize relvesmatim of this city to Corm upon the abovemfttioned Date R .I \ �S 1 1 wn undo provisions o Chapter 9 cm eocmg C with Section 7000)of Division 3 of the Business and Professions Code,and my irele one) O Haase is in Cull force and etfact AGSM FOIL //CI1OMRACTO�� r OWNER N LICENSE/ ,4 �A'w S CITY BUSINESS AGENTS NAI4E-JQ- Qf- 0- �S T AND CLASS -y TAX# R "Ma , • /� uti AGENI`S ADDRtxS�1\"31� �� , I Cl l�(hC� Ly c MAIL N C V� scat City state zip T ADD �, O(1 St HONE R �iSl Quan Res.Multi Farm /SQ.FT. Fixture or T F.A.U./Furnace/Ducts/Vents Res.Single Family/ .FT. uildi Sewer F.A.U./Furnace/Misc./>100000 ElElectric Private Rain Water Syucm per Drain Floor Furnace/Vent Switdtes/1st 20 'vale&Vdc System Unit Heater/Wall Heater Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent Receptacle Outlet/Ist 20 Gas Piping Systeln 1 -4 Owlets Ventilating Fan Pteceptade Outlet/Over 20 Gas Piping 5 or Mare Outlets E ive Cooler Furores/1st 20 Dishwasher Ventilating System Fixtures/Over 20 Solar Tank Exaust Hood Mid 'al Fixed ae liae/Owlet Solar Collector Panel Fireplace 'dential Appliance/Outlet Grease T /(Interceptor) Commercial Incinerator 100-206 Amp Service<600V Install,Alter or Repair System Air Handler> 10000 CFM -1000 Amp Service<600V Sprinkler System Air Handler<10000 CFM Conduits,Etc. Badtfltnv Device Smaller than 2' Fire Dampers sign Badkflow Devito Imw than 2" Registcrs Sign BrwKh Circuit oar Drain Compressor/H -3 H.P. Busways/EA 100 Ft Floor Sink Compressor/Heal um 3- IS H.P. Temporary Power Service water Service Compressor/Heatpuinp 15-30 H.P. Temporary Power Distribution System Alter or Repair Drain or Vert Compressor/Heatpump 30-50 H.P. Motors/Transformers Fire Sprinklers per Building 'r/Alter Mise,HVAC Motors up to I H.P. SwimmingPool Compressor/H um Over 50 H.P. Maims/Transformers 1 -10 H.P. Swimmi Pool/Public Motors/Transformers 10-50 H.P. Swimming Pool/Private Motors/Transformers 50- 100 H.P. Water Heater/Vent txors/Transformers> 100 H.P. lace Pi in Rcph=Filter Replace Gas Piping t Qk W GamLL ,,, � LU T 0 d p w -� LLd - u. cn ac CL W 1 d 0 O D � I� CITY OF ELSINO ' ��k BU LDI G DIVISION 3179 PER IT # " PLANS A 'CEPf ABLE FOR Nl% qPD!;reTli 1Ni vl�RpnSESFS C1NI� OU ' HIVE iSIGF!_UUN I Y PLANNI 4G,;JF"-RTMF.NT 3Y ep4s d0 "ff 0 • • "• County of Riverside Community Health Agency Department of Environmental Health 4080 Lemon Street, 2nd Floor P.O. Box 1206 Riverside, CA 92502 (951) 955-8980 1. Certification of Existing Subsurface Sewage Disposal System. Date of Inspection: � � �� ra t 4 7 ![[ cowers r—) OAWSWAM FAILURE TO PROVIDE ALL REQUIRED INFORMATION SHALL PREVENT OWNER FROM OBTAINING ENVIRONMENTAL HEALTH SERVICES APPROVAL. 2. Show design and location on a scale of 1" = 10'to 1"=40'of the sewage disposal system and 100% expansion area in relation to attached dwellings, structures, wells, rocks, watercourses, etc. on required plot plan. 3. a. I examined the existing subsurface sewage disposal em at the above location 0n taa gz� 0( date and determined that the septic�t nk capacity is �CI gallons and that there Is sq. ft. of leachllne bottom area. There are _-;_bedrooms i9Ae dwelling. There are fixture units. b. There are leachline(s), each —.,90 ft. long. c. There are plastic chamber(s), each ft. long. d. There are seepage pit(s), each in diameter, ft. deep. e. The leach bed is ft. by ft., total sq. ft. of leachbed area. 4. a. Construction of septic tank (please check one of the following): o0ooncrete ❑ fiberglass Q steel ❑ other. b. Internal dimensions of septic (length ft., widths , depth ft.) c. Condition of tank (please answer yes or no for each question): Yes No Inlet Tee present? Q� ❑ Outlet Tee present? ❑ Two compartments? ❑ Tank structure deteriorated?' ❑ 2 'If yes, briefly explain and indicate appropriate correction suggested: d. Condition of D-Box (if needed) Level ❑ Yes❑ No replaced Q Yes❑ No full of septic effluent❑Yes❑ No 5. a. While pumping the tank, did effluent flow back into tank from the absorption system? gores Q No b. Prior to pumping, was the liquid level in the tank above the outlet tee? 209 s ❑ No c. Was the area around the lids oxidized? ❑ YesJRrko d. Is design of system gravity feed? Q°Ves❑ No e. Were well(s) observed on this or adjacent property? Q Yes Jffo'No If yes, indicate distance of well from: Septic Tank ft. Leachlines ft. , Seepage Pits ft. f. Distance from springs, lakes Septic Tank ft. and natural drainage courses: Leachlines ft. (circle appropriate item) Seepage Pits ft. g. Sewer is within 200 ft. of system and abuts property line. ❑ Yes jVo ADDITIONAL COMMENTS: h. How long has dwelling been vacant? (if applicable) months weeks WA ❑ 6a. (a It is my opinion that the system appears to be in good working order and can be expected to function property with proper maintenance. No repairs are necessary at this time. �6b. t is my opinion-ihi"w sygwwls vrderandvnflrnoNanctlorrproperly-without`the folio Mr g-repairs: I certify under{ enalty.�of ry �rI the foregoing is true and correct: �+ + + Gaa sate ucom N,ann.. EOMUM DW9 Pft llama at Plcttpsr Co,tp-i val R4cW ld w at Comaetq HoW C-42 Lkww A4dssa Phone NuMW The Department of Environmental Health has reviewed and approved this certification: Date OEH�UM-184(Rev 601) Olstribu&m:WHITE-0f floe;PINK-Gontractor;YELLOW-Applicant