The URL can be used to link to this page

Home My WebLink AboutMAIN STREET N 133_07-00000442City o PERMIT NO:.07- 00000442 JOB ADDRESS . . . . DESCRIPTION OF WORK HUANG SHIAO DATE: 5/21/07 CONTRACTOR OWNER A.P.# . 374 - 174 -003 3 SQUARE FOOTAGE . OCCUPANCY OFFICE, RESTAURANTS, MISC GARAGE SQ FT . CONSTRUCTION TYPE V- NON RATED FIRE SPRNKLR VALUATION 34,590 ZONE . BUILDING PERMIT X 5.0000 PROFESSIONAL DEV FEE QTY UNIT CHG 3.00 ITEM CHARGE 8.7500 FIXTURE OR TRAP CFA: - '' BASE FEE 1 352.00 10.00 X 9.0000 VALUATION Date' Yzilr1-1. 90.00 7R 1.00 X 5.0000 X X PROFESSIONAL DEV FEE 7500 5.00 26i 2 6.2' ELECTRICAL PERMIT QTY UNIT CHG IT4.T ITEM CHARGE BASE FEE 30.00 3.00 X 1.0000 SWITCHES / 1ST 20 anl Total 17)lfrent 3.00 3759.7E'I 3.00 X 1.0000 RECPT,OUTLET / 1ST 20 3.00 1.00 X 1.0000 LIGHTING FIXTURES /1ST 20 1.00 6.00 X 4.2500 NON RES. APPLIANCE 25.50 1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00 MECHANICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30.00 3.00 X 6.5000 INSTL /RELOCATE /REPLC VENT 19.50 2.00 X 6.5000 VENTILATING FAN 13.00 1.00 X 9.5000 EXHAUST HOOD 9.50 1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00 NA PLUMBING PERMITS QTY UNIT CHG ITEM CHARGE BASE FEE 30.00 1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00 3.00 X 8.7500 FIXTURE OR TRAP CFA: - '' 5TYFR' 1 1.00 X 11.0000 BACKFLOW DEVICW < 2" Date' Yzilr1-1. 00... P`no• 7R 3 . 3.00 00 X X 8 8.7500 7500 FLOOR DRAIN FLOOR 26i 2 6.2' Z-9' . SINK G` tRE IT4.T t_wiIi 1.7F CONTINUED ON NEXT PAGE anl Total 17)lfrent 3759.7E'I Tana date; . C7', Tim: 15:94:51 City of Lake Elsinore Building Safety Division Trost 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 I. 1 am Licensed under the provisions of Business and professional Code Section 7000 et seq. and ry license is in full force. 2_ Las owner of the property,or my employees w /wages as their sole cmnpensation will do the work and the structure is not intended or offered for sale. 3. Las owner of the pmperty,am exclusively contracting with licensed contractors to construct the project. 4.1 have a certificate of consent to seifnsure or a certificate of Workers Compensation Insurance or a certified copy thereof s. 1 shall not employ any person in any manner so as to become subject to workers compenserion Laws in the performance of the 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 Apprxivals Date Inspector ELO 1 Temporary Electric Service PLOI Soil Pipe Underground EL02 Electric Conduit Underground BPOI Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLOI Underground Water Pipe SSOI Rough Septic System S W 01 On Site Sewer BP05 Flom Joists BP06 Floor Sheathing BP07 Roof Framing BPO8 Roof Sheathing Shear Wall & Pre-Lath Rough Plumbing Rough Elec is ConduitfRoughElectricWiring Rough Electric / T -Bar Rough Mechanical ME02 Ittucts, ventilating PL04 Rough eras Pipe / Test PL02 Roof Drains BPIO Framing & Flashing BP12 Insulation BPI3 Drywall Nailing BPII Lathing & Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mmhamusl BP99 JFinal Building Code Pool &Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the building being released by the CityPOOIPoolSteelRein. /Forms POOI Pool Plumbing/ Pressure Test P003 Pre- GuniteApproval Date Inspector EL06 Rough Pool Electric Planning Sub list Approval Landscti e P004 IPool Fencing /Gates /Hams Finance P00$ Pre - Plaster Approval I Engineering P009 Final Pool / Spa City of Lake Elsinore PERMIT 130 South Main Street PERMIT NO:.07- 00000442 DATE: 5/21/07 PAGE 2 JOB ADDRESS . . . . . 133 N MAIN ST DESCRIPTION OF WORK . ALTER COMMERCIAL INDUSTRIAL 3.00 X 4.2500 ALTER OR REP. DRAIN, VENT 12.75 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 447.00 00 447.00 ELECTRICAL PERMIT 67.50 00 67.50 MECHANICAL PERMIT 77.00 00 77.00 PLUMBING PERMITS 137.50 00 137.50 OTHER FEES PLANNING REVIEW FEE 88.40 88.40 00 PLAN RETENTION FEE 18.50 00 18.50 SEISMIC OTHER 7.26 00 7.26 PLAN CHECK FEES - 335.25 335.25 00 TOTAL 1178.41 423.65 754.76 SPECIAL _NOTES & CONDITIONS conversion of a vacant building into a bakery. Installation of equipment, constructing two restrooms, drop t -bar ceiling adding counter, lighting, plumbing electrical.2306sq ft. 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 I am Licensed u the provisions of Business and professional Code Section 7000 et seq. and m full force. 2. I,as o er of the pr pcny,or my employees w /wages as their sole compensation will do the work and the structure is not intended or offered for sale. 3. l,as owner of the property,am exclusively contracting with licensed contractors to construct the project. 4. I have a ce sate of consent m selfinsure or a certificate of Workers Compensation Insurance ed copy the eof 1 n t employ any person in any matter so as to become subject to Workers Compensation L the performance of the work for which this permit is issued. Note: If you should become subject to Workers Compensation after making this certification, you most forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector ELO1 Temporary Electric Service PLO Soil Pipe Underground f-% AG EL02 Electric Conduit Underground BPOI Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO Underground Water Pipe SSO I Rough Septic System S W O I On Site Sewer BP05 Floor Joists BP06 Fluor Sheathing BP07 Roof Framing BPOS RoofSheathing BP09 Shear wall & Pre-Lath PLO3 Rough Plumbing t EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric/ T -Bar 7 ME01 Rough Mechanical 1 k ME02 Ducts, Ventilating PL04 Rough Gas Pipe / Test 1.7 j3 h PL02 Roof Drains BP1O Framing & Flashing 7' -7 AM BP12 insulation BP13 Drywall Nailing BP l 1 Lathing & Siding PL99 I Final Plumbing Q•I-i 1 EL99 Final Electrical ME99 Final Mechanical BP99 lFinal Building Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the building being released by the CityPOOIPoolSteelRein. / Forms POO l Pool Plumbing/ Pressure Test P003 Pre- GuniteApproval Date Inspector EL06 Rough Pool Electric Planning Sub fist Approval Landscape P004 Pool Fencing / Gates / Alamrs Finance P005 Pre-Plaster Approval I Engineering P009 lFinal Pool / Spa PPLICATION FOR 13UILDING PERMIT City of Lake Elsinore 130 South Main Street VALUATION CALCULATIONS APPUCATION N APPLICAITON RECEIVED DATE st FLOOR O sF AFLOIADDRESS Q13SV'T ad FLOOR SF MNAE rl'S f 1rdFLOORSF iARAGE - SF If NE ITORAGE SF yl iECK 8 BALCQNIES. SF T R THER SF MAIUN ADDRESS ALUATION: 90 CITY. _ STA FEO_IP PHONE - R= 1 V A: RAMC - LICENSE p 51T r1. 'F5 3.65 . APPUCATION N APPLICAITON RECEIVED DATE 7 -17 AFLOIADDRESS Q13SV'T LOC AGE 1.01IPARCELCTB O MNAE rl'S f 1 W N MAILING {, L ADDRESS If NE E R Ulf Y yl C. 0 N 1 hereby um that 1 am licensed and proasrons o chapfer9 (commeaung Willi section 7000) of mmsi n 3 of the business and professions code.and my license is in full force and effect. LICENSE t " CITY HIISINESS AND CLASS TAX if T R NAME A C MAIUN ADDRESS T O.'. CITY. _ STA FEO_IP PHONE - R= 1 CONTRACTOR'S S1 NATURE GATE A: RAMC - LICENSE p R C. F.IAILING.:. ADDRESS AI UZIP PHONE NEW - OCC GRP" / CONST. DIVISION:. TYPE: O ADDITION Cl ALTERATION' NUMBER OF - NUMBER OF STORIES: - BEDROOMS: Q OTHER `. - CT SINGLE FAMILY ZONE: O APARTMENTS O.CONOO.MINIUMS HAZARD - - " YES AREA ?'.. - NO - I TOWN.HOMES"' O-- .0061MERCIAL SPRINKLERS Y -S - REQUIRED? 0 *401[ $TRIAD OLREPAIR.. ' PROPOSED USE OF UIOG: PRESENT USE OF BLDG: Cl OEMOUSH : JOB DESCRIPTION 16N LU I bauyv _FM ko Odd lY 1 d Y' GGi /D a +e 3jWul, rii _ TeLEipT no, u. i tiiei U yi y 51T r1. 'F5 3.65 . L -) c CEL Zcoo U 8c-, zCoo U rAL City ofof Lake Elsinore I 'ju Nout][11 Ivi am treet APPLICATION H APPLICATION FOR PERMIT APPLICATION DATE: AN BY ELECTRICAL / PLUMBING MECHANICAL BUILDING ADDRESS Ibereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county TRACT BLOCKIPAGE LOT/PARCEL ordinances and state laws relating to building construction, and hereby authorise representatives of this city to enter upon the above-mentioned O NAME property for inspectlyn purposes. W N MAILING E ADDRESS PHONE JJPP ) r7 R CITY STATE/ZIP Signature of Applicant or Age Date 1 hereby affum 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 effect. AGENT FOR: CONTRACTOR OWNER N LICENSE N CITY BUSINESS T AND CLASS TAM AGENT'S NAME R NAME A AGENT'S ADDRESS C MAILING street city state zip T ADDRESS O CITY STATE/ZIP PHONE R CONTRACTOR'S SIGNATURE ELECTRICAL Quart PLUMBING Quan 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 I Gas Piping System I - 4 Outlets Ventilating Fan Receptacle Outlet / Over 20 Gas Piping 5 or More Outlets Evaporative Cooler Lighting Fixtures / Ist 20 Dishwasher Ventilating System Lighting Fixtures / Over 20 Solar Tank Exaust Hood I 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 Ilandler < 10000 CFM Misc. Apparatus, Conduits, Etc. Backflow Device Smaller than 2" Fire Dampers Signs Backilow, Device Larger than 2" Registers Sign Branch Circuit Floor Drain Compressor / Heat pump - 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 Sprinklers per Building Repair / Alter Misc. HVAC Motors up to I H.P. Swimming Paol lCompressor / Heatpump Over 50 H.P. Motors / Transformers I - 10 H.P. jSwimming Pool / Public Motors / Transformers 10 - 50 H.P. ISwimming Pool / Private Motors / Transformers 50 - 100 H.P. lWater Heater / Vent Motors / Transformers > 100 H.P. lReplace Piping Replace Filter Misc. Replace Gas Piping MAY -24 -2007 THU 11:46 AM MURRIETA FIRE FAX N0, 951 600 6164 P. 01 /01 John R. Hawkins Fire Chief Proudly serving the Unincorporated Areas of Riverside County and the Cities of: Banning Beaumont 0. Calimesa Canyon Lake Coachella Desert Hot Springs e. Indian wells Indio Lake Elsinore La Quinta p Morena Valley y Palm Desert Perris Rancho Mirage a San Jacinto y Temecula Board of Supervisors Bob Buster, District 1 John Tavaglione, District 2 Jeff Stone, District 3 Roy Wilson, District 4 Marion Ashlcy, District 5 RIVERSIDE COUNTY FIRE DEPARTMENT In cooperation with the California Department of Forestry and Fire Protection 2300 Market St, Ste. 150 4 Riverside, Callrornla 92501 • (951) 955 -4777 • Fax (951) 955 -4885 39493 Los Alamos Road, Suite A Murrieta, CA 92563 951) 600 -6160 Fax (951) 600 -6164 82675 Highway 111, Sulte 2150 India, CA 922201 (760) BGM886 • Fax (750) 863 -7072 DATE: o4501— A FAX TO: LAKE ELSINORE 471 -1418 t TRACT /PARCEL MAP PERMIT /LOT NUMBEI JOB SITE ADDRESS: SURVEYOR'S OFFICE BUILDING AND SAFETY FINAL FOR RECORDATION RELEASE FOR BUILDING PERMITS SHELL FINAL ONLY (NO TENANT) FINAL FOR OCCUPANCY FINAL OCCUP. TEMP. EXPIRATION DATE BUILD PLAN CHECK FEES PAID CONDITIONS OF APPROVAL RESULTS OF INSPECTION FAIL RESULTS OF INSPECTION PASS FEES NOT REQUIRED If you should have any questions, please call Riverside County Fire Protection Planning at the number above. Tracy Hobday, BATTALION C EF RELEASED BY: 3 -8 -7 alw ity of L PERMIT PERMIT NO: 07- 00001668 JOB ADDRESS . . . . . 133 N MAIN ST DESCRIPTION OF WORK SIGN OWNER HUANG SHIAO A.P.# . . . . . 374- 174 -003 3 OCCUPANCY CONSTRUCTION . VALUATION 400 e Elsinore I f 130 South Main Street CONTRACTOR OWNER ELECTRICAL_PERMIT QTY UNIT CHG BASE FEE 1.00 X 21.0000 SIGNS 1.00 X 5.0000 PROFESSIONAL DEV FEE SIGN PERMIT QTY UNIT CHG BASE FEE 1.00 X 5.0000 PROFESSIONAL DEV FEE FEE SUMMARY PERMIT FEES ELECTRICAL PERMIT SIGN PERMIT OTHER FEES PLAN RETENTION FEE SEISMIC OTHER PLAN CHECK FEES TOTAL SPECIAL NOTES & CONDITIONS sign permit for Flour Fusion DATE: 6/18/07 SQUARE FOOTAGE GARAGE SQ FT . FIRE SPRNKLR . ZONE . . . . . ITEM CHARGE 30.00 21.00 5.00 ITEM CHARGE 45.00 5.00 CHARGES PAID DUE 56.00 00 56.00 50.00 00 50.00 50 00 50 50 00 50 32.50 00 32.50 139.50 .00 139.50 IO 0 NA Oar: IX;CtFffi? Type: LF 1 rmF: I Date: 6/18J07 18 dip` nD: 76% LCa7 166E EP TUT ME. FUNTT" I tl' a Trans nsn;;r: 11 EEir: IEs 3ti14.50 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: Plesse read and initial 1 - I am Licensed under the provisions of Business and professional Code Section 7000 et seq. and my license is in full force. 2. Las owner of the property,or my employees wtwages as their sole compensation will do the work and the structure is not intended or offered for sale. 3. Las owner of the property am exclusively contracting with licensed contractors to construct the project. 4.1 have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance or a certified copy thereof 5.1 shall not employ arty person in any insurer so as to become subject to Workers Compensation Laws in the perfomunce of the work for which this permit is issued. Note: If you should become subject to Workers Compensation after making this certification, you most forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector ELOI Temporary Electric Service PLO I Soil Pipe Underground EL02 Electric Conduit Underground BPO1 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLOI Underground Water Pipe SSOI Rough Septic System S W O I On Site Sewer BPO5 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BPO8 Roof Sheathing BP09 Shear Wall & Pre -Lath PLO3 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric/ T -Bar ME01 Rough Mechanical ME02 Ducts, Ventilating PL04 Rough Gas Pipe / Test PL02 Roof Drains BP10 Framing & Flashing BP12 Insulation BP13 Drywall Nailing BPI Lathing & siding PL99 Final Plumbing EL99 JFinal Electrical ME99 Limit Mechanical lBP99IFinalBuilding I Code Pool & spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the building being released by the CityP001PoolSteelRein. /Fomu POOI Pool Plumbing / Pressure Test P003 Pre-Gunite Approval Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landscape P004 Pool Fencing / Gates / Alarms Finance P005 Pre - Plaster Approval 4±1 Engineering P009 Final Pool / Spa 1 I eLty 0[suz 130 -sma Aid& %.d • -ea. &4. 4 &q-a. 925.qo • CU G. 909-674-3,2, • 9" 9°9- ?74-239: . Application for Sign Permit TYPE OF SIGN: APPLICATION NO. ELECTRIC Nox-Eucm c: B 62 APPLi CA R No., IELECnUCAL TIA-M- Fixtures Device Boxes Outlets switches Sj,- Lab Ek i(loff CA '"I 2, Sign ' Building Address P Standing Sections V7+114-003TransformersTract Y-1,6 11011P M VAL'UAMON S MstRonoN Add on Y Canopy City State/Zip Code Tract Sign — — — — — — — — — — — — — --- — — Ground CONTRACTOR wall Roof I hereby#ffirm that I am licensed under provisions of Chapter 9 ODInmencine with Section 7000) of Division 3 of the Business andConstructionProfessions6Dde, and my, Lct tse isin-itill force and effect. Change of Copy Other PROGRAMS C" Business Shopping Center/Integrated Dev, Class Tax No. ByPlsqier/or — By City. Dateletter-sent: Variance Pknned Signing CU.P. No.- ILLUMINATION LZip CodeNon - Illuminated City StatIt Interior Illumination Exterior Illumination Contractoes Signature bate 13gree to comply with all. city andoDunty ordinances and state laws relating to buildift construction, and hereby authorize represent ves fWtuhuspity to enter upon the above4nentioned property for inspection purposes. Signature of Applicant or Ag Date Form LE 2019. Wt*Uon Im Sign wWt • 1 d 2 ity of Lake Elsinore PERMIT 130 South Main Street PERMIT NO: 07- 00002263 JOB ADDRESS . . . . . 133 N MAIN ST DESCRIPTION OF WORK MECHANICAL PERMIT OWNER CONTRACTOR HUANG SHIAO OWNER DATE: 7/25/07 A.P.# . . . 374 - 174 -003 3 SQUARE FOOTAGE 0 OCCUPANCY GARAGE SQ FT 0 CONSTRUCTION FIRE SPRNKLR . VALUATION . . ZONE . . . . . . NA MECHANICAL.PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30.00 1.00 X 13.2500 FAU /FURNACE /DUCTS /VENTS 13.25 1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES MECHANICAL PERMIT 48.25 00 48.25 OTHER FEES PLAN RETENTION FEE 50 00 50 TOTAL 48.75 00 48.75 SPECIAL NOTES & CONDITIONS_ CHANGE OUT FAU L}j -fir: CgJv'l?Z ate; , %= '07 5 Fe =pt w: 61' Total tF-41J 39t3. tTotalpE' Sh6.7° 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 iuifiai w I. 1 am Licensed under the provisions of Business and professional Code Section 7000 et seq. and my license is in full force. 2. 1,as owner of the propeny,or my employees w /wages as their sole compensation will do the work and the structure is not intended or offered for sale. 3_ Las owner of the properly,am exclusively contracting with licensed contractors to construct the project. 4.1 have a certificate ofconsent to selfinsme or a certificate of Workers Compensation Insurance or a certified copy thereof 5. I shall not employ any person m any manner so as m become subject to Workers Compensation Laws in the performance of the work for which this permit is issued. Note: If you should become subject to Workers Compensation after maldng this certification, you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date ilmspector ELO 1 Temporary Electric Service PLO Soil Pipe Underground EL02 Electric Conduit Underground BPO1 Footings BPO2 Steel Reinforcement BP03 icrout BP04 Slab Grade PLO Underground Water Pipe SSO I Rough Septic System S W Ol On Site Sewer BP05 Floor Joists BP06 Floor Sheathing BPOI Roof Framing BPOS Roof Sheathing BPO9 Shear Wall & Pre -Lath PLO3 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric /T -Bar Mechanical Ducts, Ventilating Rough Gas Pipe / Test rRough Roof Drains Framing & Flashing Insulation Drywall Nailing BP I I Lathing & Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 Final Building Code Pool &Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the building being released by the CityPOO1PoolSteelRein. / Forms POOI Pool Plumbing/ Pressure'reet P003 Pre-Gunite Approval Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landscape P004 JPool Fencing /Gates /Alarms Finance POOS Pre - Plaster Approval En ineering P009 F=[ Pool / Spa APPLICATION FOR PERMIT City of Lake Elsinore APPLICATTON # z--43 APPLICATION DATe11 2S ELECTRICAL / PLUMBING / MECHANICAL 2 BY: J /" 1 7FBDINOADDRBSS 1 hereby certify that I have read ft application and state that the above information is correct. I Agra to comply with all city and county CT g AGg /p Ordinances and state laws relating to building construction, and hereby i authorize represwtatives of this city to enter upon the abovamCntioned perry for mspanion purposes. O W NAME S Z. 170CC..YP ll6LGPN B MAILING i Date lam hocased under the provisions orchapterr 9 (comtnenciag C with Section 7000) of Division 3 of the Business and Professions Coda and mycircleone) O Haase is is Cull force and eBcct. AGENT FOR: CONTRACTOR OWNER N LICENSE# CITYBUSMS AGENT'S NAME T AND CLASS`•. TAX# R AGENTS ADDRESS C MAILBNG street city state .tip T ADDRESS O CITY STAMLIP PHONE R CONTRACTOR'S SIGNATURE ELECTRICAL Quan PLUMBING Quan MECHANICAL QuarrNewRes. Multi Family / SQ. FT. Fixture or 1} F.A.U. / Furnace / Ducts / VentsNewRes. Single Family / SQ. FT. Building SCwer F.A.U. /Furnace /Misc. / > 100000PoolElectricStam, Private Rain Water System Drain Floor Furnace / Vent Switches / 1st 20 Private Septic System Unit Heater / Wall HeaterSwitches / Over 20 Water Heater / Vent install / Relocate / Replace VentRecetacleOutlet / Ist 20 Oas Piping Syste I - 4 Outlets Ventilating FanReceptacleOutlet / Over 20 Gas Piping 5 or More Outlets Evaporative Cooler' Lighting Fixtures/ 1st 20 Dishwasher Ventilating SystemLightingFixtures / Over 20 Solar Tank Exaust Hood Residential Fixed pliance / Outlet Solar Collector per Panel Fireplace Non - Residential fiance / Outlet Grease Trap / terce tor) Commercial Incinerator 100 - 20b Amp Service < 600V Install, Alter or Re air System Air Handler > 10000 CFM 200 - 1000 Amp Service < 600V Lawn Sprinkler System Air Handler < 10000 CFM Misc. Apparams, Conduits, Etc. Bac"ow Device Smaller than 2" Fire Dampers Signs Device Larger than 2" Registers Sign Branch Circuit Floor Drain Compressor / Hea um - 3 H.P. Busways / EA 100 FT Floor Sink Compressor Heat pump 3 - IS H.P. Tern Power Service Water Service Compressor 1 Heat um 15 - 30 H.P. Temporary Power Distribution System Alter or Repair Drain or Vent Compressor / Heatpurnp - 30 - 50 H.P. Motors / Transformers Fire Sprinklers per Building Re air /Alter Misc. HVAC Motors U to I H.P. Swimming Pool Compressor / Heatpunip 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 Re lace Filter Misc. Replace Gas Piping