HomeMy WebLinkAboutSAN JACINTO RD 265_02-00002025IV WNW. i
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City of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 02- 00002025
JOB ADDRESS . .
TENANT NBR, NAME
DESCRIPTION OF W,
OWNER
CALIF. REO MNGMT
A.P.# . . . . . 363- 140 -069 8
OCCUPANCY . .
CONSTRUCTION . .
VALUATION . . .
DATE: 10/10/02
SQUARE FOOTAGE
GARAGE SQ FT
FIRE SPRNKLR
ZONE . . . . . C -0
8
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
9.00 X 12.2500 REPAIR /ALTER MISC HVAC 110.25
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
PLUMBING PERMITS
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
1.00 X 8.7500 FIXTURE OR TRAP 8.75
FEE SUMMARY
PERMIT FEES
MECHANICAL PERMIT
PLUMBING PERMITS
OTHER FEES
PLAN RETENTION FEE
CHARGES
145.25
43.75
1.00
TOTAL 190.00
SPECIAL NOTES & CONDITIONS
relocate heat pumps add sink and
condensate lines
PAID
00
00
00
00
DUE
145.25
43.75
1.00
190.00
Oper: CMM
Date: 10/18/02 18 Receipt no: 1974
Total tendered 4198.00
Total payment $198.08
Cit% (-)I Like Elan+`r:
L3 L! +Ic'.n_' 1,!ici\ nl% t >L`n
llo,;t in con,,picuouti place
on the fob
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Please Read and Initial
I I am Licensed under the provisions of Business and Professional
Code Section 7000 et seq and my license is In full force
2 1 asou-nerof the properly or my employees w /wagc'sastheirsole
compensation will do the work and the structure is not Intended or
offered for sale
3 f as ou-nerof the property am exclusively contracting with licensed
contractors to construct the project
4 I hale a certificateofconsent to selMsure ora 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 Coompensation Laws in the performance of the work for
uhwh this permit Is issued
Note If you should become subject to Workers Compensation after
making this certificauon you must forthwith comply with such pro-
visions or this permit shall be deemed revoked
Cooe Aoo ova s Da e I ^sac'D
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OTHER DEPARTMENT RELEASES
De- vs -o._ D Department Approval required prar to the
budding being released by the CityP"r: Pao S,e-: Re- Fa'—s
PIX 0>o P--w- F`ess Tes
POC3 P e- G.;nr,e
Date Ins ctor
EL06 Rac,, Poe' Elecr,c
Plan u
S_D L s Aa - +o•.a
La- ,cscape
POD- ca Frc',cAccess
Finance
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City of Lake Elsinore
1 in Q t1, AAoin Qtr t
01
IV
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APPLICATION NO
APPLICATION FOR coz 020-
ELECTRICAL
APPLICATION RE C VED
DATE f6
PLUMBING PERMIT
MECHANICAL AP#- 622 By
I certify that I have read this application and state that the
BUILDINNGT
ADDRESS
2(05 S AtJ CI^) m fziuezaboveinformationiscorrectIagreetocomplywithallcity
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
nnGGnn AFL / G G
Qj_DtionpurposesC1fl t\arT RUern 1
Z MAILING
f' ADDRESS
IU
Pj1ONE
f Agent Da
CITY i
LALE t LSW0 C-
STATEZIP
f A
na tUr Applicant or e
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
and effect
LICENSE# CITY BUSINESS
Z
ANDCLASS TAX
0 NAME
AGENT'S NAME
MAILING
ADDRESS
AGENT'S ADDRESS
CITY
STREET CITY STATE ZIP
STATE 'ZIP PHONE
CONTRACTOR 5 SIGNATURE DATE
BUILDING PERMIT NO
ELECTRICAL Quan PLUMBING Quart MECHANICAL Quan
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 / 1st 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 Exhoust Hood
Lighting Fixtures/ 1st 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 -ell 600V Grease Trap / (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" Boller / Compressor 3.15 H P
Sign Branch Circuit Floor Drain Boller / Compressor 15 -30 H P
Busways / EA 100 ft Floor Sink Boller / 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}T UW1
Motors up to 1 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 11 1 90