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Home My WebLink AboutSAN JACINTO ROAD 265_04-00001677City of Lake Elsinore PERMIT 130 South Main Street PERMIT NO: 04- 00001677 DATE: 6/23/04 JOB ADDRESS . . . . . 265 SAN JACINTO RD TENANT NBR, NAME . . UNIT19 ('6'v DESCRIPTION OF WORK PLUMBING PERMIT OWNER CONTRACTOR CALIF. REO MNGMT CORP. OWNER A.P.# . . . . . 363 -140 -069 8 OCCUPANCY . . . CONSTRUCTION . . VALUATION . . . SQUARE FOOTAGE 0 GARAGE SQ FT 0 FIRE SPRNKLR ZONE . . . . . . C -0 ELECTRICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30.00 3.00 X 1.0000 RECPT,OUTLET / 1ST 20 3.00 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 5.00 X 8.7500 FIXTURE OR TRAP 43.75 FEE SUMMARY PERMIT FEES ELECTRICAL PERMIT PLUMBING PERMITS CHARGES 38.00 78.75 TOTAL 116.75 SPECIAL NOTES & CONDITIONS add plumbing and electrical to existing wall PAID 00 00 00 DUE 38.00 78.75 116.75 Date: 6/23/04 23 Receipt no: 6395 2884 1677 BP BUILDING PERMIT 1 9116.75 Trans number: 77772 CK CHECK 1162 9448.25 Trans date: 6/23/84 Time: 11:53:38 l" ,li _ ice ' I I" I "'1 1'ONt in cl)f1Npiculluti place oil (fie job I till} } '\l %H }f 1 '.I'i i}1_ Il) \I)I1}" 1 ;, } ,c ` -', I' e ' 1 :. Please Krad Ad hitial I I am I ice•nsed under the provisions of Business and Professional C.ocie Set non 7(K)0 e t sey and my hcerfI is in full force 2 1 asou-nerofthe property ormv emplovees w /wages as l heir sole compensation will do the work and the struclun• is not intended or onered for salt 3 1 as ow'nt rot the property im exc lust%cty contracting with iictln%M contractors to ronsirm t the prod i t 4 I haveaccriliratc ofconst ni ioselfinsureorarernfirairof Workers Compensauon insuranrt•ora rertifiedroln therrot I shall not rmplo% am ik rson In am mannt•r so as to bv<ome subject to'corkers Cooropensauon laws in the perfnnnanct of the work for which this ix =I( i, i —ii, d Note II you should N -come ;uhjtr t to 1lorkers ( omix nsanon alter makuiC this e<•rufic anon %ou must forthwith oomph with sue h pro - i.ions or this 1x rmil shall he deemed re%oked e---: _ -- S, .._e, P, :' So F y U -ce : c It ar:2 S. — SS S..:— c - I CJCe ac.c S Saz 4J -,c.a E: OTHER DEPARTMENT RELEASES r s U=„ar;me'nt Approval requited prior to the pu,l,71rn5 bang releasc by the CityPcc = Date lni Dector EL-k Le- csc-e FIn3nce r,clneennc NDFE CT x z a City of Lake Elsinore I In Cnttth Main gtreet V APPLICAiI N NO APPLICATION FOR 1 77 ELECTRICAL APPLICATION RECEIVED PLUMBING PERMIT DATE MECHANICAL AP a By n/J I certify that I have read this application and state that the BUILDING ADDRESS above information is correct 1 agree to comply with all city and county ordinances and state lows relating to building TRACT BLOCK /PAGE LOT/PARCEL construction and hereby authorize representatives of this city fdtf_ J\ MAIGZLIN Signature of Applicant or Agent Date 1 hereby affirm that I am licensed under provtsrons of Chapter 9 (commencing with Section J 7000) of Division 3 of the Business and Professions Code and my license is to fell force GENT FOR CONTRACTOR and effect OWNER a, LICENSE 11 CITYBUSINESS Z AND CLASS TAX 7 0 NAME AGENT'S NAME MAILING ADDRESS AGENT'S ADDRESS STREET CITY CITY STATE ZIP SPATE /ZIP PHONE CONTRACTOR S SIGNATURE DATE BUILDING PERMIT NO. ELECTRICAL Quart PLUMBING Quan MECHANICAL Quart 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 / 1 st 20 Private Septic System Unit Heater / Wall Heater Switches / Over 20 Water Heater / Vent Install / Relocate / Replace Vent Recpt Outlet/ I st 20 Gas Piping System 1-4 Outlets Ventilating Fan Recpt Outlet / Over 20 Gas Piping 5 or More Outlets Exhaust 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 -4 600V Grease Trap / (Interceptor) Air Handler -t 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 " Boiler / Compressor 3 -15 H.P Sign Branch Circuit Floor Drain Boiler / Compressor 15 -30 H.P- Buswoys / EA 100 ft Floor Sink Boiler /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 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