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Home My WebLink AboutLAKEVIEW AVE 17326_04-00000206 s k City of Lake Elsinore �4 130 South Main Street PERMIT PERMIT NO: 04-00000206 DATE: 1/26/04 JOB ADDRESS . . . . . 17326 LAKEVIEW AVE DESCRIPTION OF WORK ELECTRICAL OWNER CONTRACTOR VLACH DENNIS J S JOHNSON CONSTRUCTION 6323 CARLO DR. RIVERSIDE, CA 92506 909-784-7556 LIC EXP 0/00/00 A. P. # . . . . . 375-183-042 3 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . ZONE . . . . . . NA ELECTRICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 1 . 0000 SWITCHES / 1ST 20 1 . 00 17 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 17 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES ELECTRICAL PERMIT 53 . 00 . 00 53 . 00 OTHER FEES PLAN RETENTION FEE 1 . 00 . 00 1 . 00 TOTAL 54 . 00 . 00 54 . 00 Date: 1/26/64 26 Receipt no: 3491 2m 266 BP BUILDING PERMIT 1 S5C 86 Trans amber: 73459 CK tam 153e 9286.80 Trans date: 1/26/64 Time: 12:09:14 C It% fit Lake EI1!nOre (i ��III�' ti tiCt% I)t�t<t��tt Please Read and Initial !!� I I Lic ensed censed under the provisions of Business and Professional J" Code Section 7000 et seq and my license is in full force Post in cun,,picuf►us 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 3 1 as owner of the property am exclustvely contracting with licensed contractors to construct the project �t,u n1tl,t 1LIMI,h PERMIT M %IBER .fill] the 4 1hasea certificate ofconsenttoselMsurrora certificate ofWorkers I13 All ).LYti t r .i.h re r«tne Compensation insurance or a certified copy thereof 5 I shall not cmpiov any person to any manner so as to become subject Itt!!,t 11-0 irtt li'h to Workers Commpensation Laws in the performance of the work for i II tiRl which this permit is issued Note- If}ou should become subject to Workers Compensation after making this certification you must forthwith comply with such pro- visions or this permit shall be deemed revoked Coce Aoo•ova,s Da a I-sr�to• ELO'. Te•--:)EIec Ser:ces PLO' Sod Roe EL02 E+a Crc_ U-ae o+.mac BPO' Foo'+ s BPp2 S;ee'Re+^'o•ce^er,' BPS G•:)- BFG-' Say G-ace PLO U-oe o.-c Wa er P ce SSO P ` Se^cSYse- SV:r_,- O-S'e Se*e• P - F*--,•k s., ?x a amp a�� r-i^i EL- ? E t EL5 c - E:e': Ti ME- - 4 e-z-a ca ME^2 D-c 5 a -= F S a----,c Sp 2 1^5--a :- BP 3 Na BP'' La EL-- r-a E ec-c.a ME?? F-a IA,--a-�cz Cooe Poo-5 S:.a Ax✓ovas Da e Ir a OTHER DEPARTMENT RELEASES De^ 1^s^ec- Department Appxoval required prior to tie PIC Px See-Re-- :--s bucking being released by the City P,FC Poo P,--x>^-x'ess Tes Da e Inspector ELOE Ro_g-Poo Ee-'-c Fia^ro S_o L-s,Aoro•.a Lancscape PDC-: Poo+Fe c•-,-Access Finance P?05 are Pas a Enaineenn P U-9 F,^,a Poo.Soe City of Lake Elsinore 130 South Main Street APPLICATION NO APPLICATION FOR D4 - ELECTRICAL APPLICATION RECEI D PLUMBING PERMIT DATE , 1 Z� U4 MECHANICAL APk By I certify that I have read this application and state that the BUILDING ADDRESS '' W above Information is correct I agree to comply with all city t' Z.& LA/�C—✓/ 42 A 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- J NAME tion purposes Z MAILING PHONE AODRESSII�7 r O CITY STATE,ZIP Signature of Applicant or Agent Date I hereby affirm Ihal1 am kensed under pro—ons of Chapter O(commencing w 11,Section 1000)of 03 of the Business and Profesvom Code ued my 1--ism full force and.Tied AGENT FOR O CONTRACTOR. ❑ OWNER LICENSE CITY BUSINESS Z AND CLASS TAX 0 0 NAME AGENT'S NAM Y3� ,T�h,t� oN - 2r�e Ti o�v MAILING ADDRESS AGENT'S ADDRESS CITY STATE ZIP PHONE STREET CITY STATE ZIP CONTRACTOR S SIGNAIURE DATE BUILDING PERMIT NO. ELECTRICAL Quan PLUMBING Ouan MECHANICAL Quan New Residential Multi Family Fixture or Trap Furnace up to 100 000 BTU's New Residential Single Family Building Sewer Furnace Over iuw,000 BTU's Private Swimming Pools Rain Water Sys per Drain Floor Furnace/Vent Switches/ Ist 20 1 Private Septic System Unit Heater/Wall Heater Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent Recpt Outlet/ 1 sf 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 1r 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 Handler4 10,000CFM 200-1000 Amp Service �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-I5 H P. Sign Branch Circuit Floor Drain Boiler/Compressor 15-30 H.P Busways/EA 100 It 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 GGS Piping nCV DATE 11 190