HomeMy WebLinkAboutMAIN STREET N 133_07-00000442 City of Lake Elsinore
130 South Main Street
PERMIT
PERMIT NO : .07 - 00000442 DATE : 5/21/07
JOB ADDRESS . . . . . 133 N MAIN ST
DESCRIPTION OF WORK ALTER COMMERCIAL/INDUSTRIAL
OWNER CONTRACTOR
-------------------------------
HUANG- SHIAO OWNER
A. P . ## 374 -174 -003 3 SQUARE FOOTAGE 0
OCCUPANCY . . . OFFICE , RESTAURANTS , MISC GARAGE SQ FT 0
CONSTRUCTION . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . 34 , 590 ZONE . . . . . . NA
-------------------------------------------------- -------------
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 352 . 00
10 . 00 X 9 . 0000 VALUATION 90 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
ELECTRICAL
----------------------------------- ---------------- ------------ ---
PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
3 . 00 X 1 . 0000 SWITCHES / 1ST 20 3 . 00
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
---------------------- ------------------------------------------ ---
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 op % f l �STYP�° �� Dr, 1
1 . 00 X 11 . 0000 BACKFLOW DEVICW < 2 " Date' �725,/ 'j-- l��iptno: 7 (
3 . 00 X 8 , 7500 FLOOR DRAIN 2.6 Z5
3 . 00 X 8 . 7500 FLOOR SINK M l Z '.'2 # -
Irn3 sT4.7E
*** CONTINUED ON NEXT PAGE * ,al t-ndff ?
Total p---ty%tit $751.7E
Tram Uat z 2Y r'.' Tire: '15:44:51
City of Lake Elsinore Please read and initial
Building Safety Division 1.1 am Licensed under the provisions of Business and professional Code Section 7000 ct seq.and
my license is in full force.
Post in conspicuous place 2.I,as owner ofthe property,or my employees w/wages as thcir sole compensation will do the work
on the job and the structure is not intended or offered for sale.
3.l,as owner ofthe property,am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the project.
SOB ADDRESS for each respective inspection: 4.1 have a certificate ofconsent to selfinsure or a certificate of Workers Compensation Insurance
Approved plans must be on job or a certified copy thereof
at all times: 5.I shall not employ any person in any manner so as to become subject to Workers Compensation
Laws in the performance ofthe work for which this permit is issued
Note:If you should become subject to Workers Compensation after making this certification,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
ELO 1 Temporary Electric Service
PLO I Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 I Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PL01 Underground Water Pipe
SSO 1 Rough Septic System
SWO1 Ion Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPOS Roof Sheathing
BP09 Shear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
ELOS Rough Electric/ T-Bar
MEO I Rough Mechanical
ME02 Ducts,Ventilating
PL04 Rough Gas Pipe/Test
PL02 Roof Drains
BP Ill Framing&Flashing
BP 12 Insulation
BPI3 Drywall Nailing
BPI 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
POOI Pool Steel Rein./Forms buildinR b ing released by the City
POO I Pool Plumbing/Pressure Tess
P003 Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric r�Lrands�ca
Sub List Approval e
P004 Pool Fencing/Gates/Aunts Finance
P005 [aster Approval Engineering
P009 I Final Pool/Spa
City of Lake . Elsinore
130 South Main Street
PERMIT
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 c0 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 Please read and initial
Building Safety Division I am Licensed u the provisions of Business and professional Code Section 7000 et seq.and
m full force.
Post in conspicuous place /-/2 I,as o er of the properry,or my employees w/wages as their sole compensation will do the work
On the job and the structure is not intended or off=d for sale_
3.l,as owner of the property,am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the project-
JOB ADDRESS for each respective inspection: 4.1 have a oe " cate of consent to sellmsure or a certificate of Workers Compensation Insurance
Approved plans must be on job ed copy thereof
at all times: I n t employ any person in any manner so as to become subject to Workers Compensation
1, the performance of the work for which this perrrtit is issued.
Note:If you should become subject to Workers Compensation after maidng this certification,
Code Aeprovals Date Inspector you must forthwith comply with such provisions or[his permit shall be deemed revoked.
ELO 1 Temporary Electric Service
PLO i Soil Pipe Underground 3f•7
EL02. Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcenwnt
BP03 Grout
BP04 Slab Grade
PLO Underground Water Pipe
SSW Rough Septic System
SWO l On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 Roof Sheathing
BPO9 Shear Wall&Pre-Lath
PL03 Rough Plumbing J /k
EL03 I Rough Electric Conduit
EL04 Rough Electric wiring
EL05 Rough Electric/ T-Bar
ME01 Rough Mechanical 1- *13
ME02 Ducts,Ventilating
PL04 Rough Gas Pipe/Test I•-7 a
PL02 Roof Drains
BP1O Framing&Flashing
BP 12 Insulation
BP13 Drywall Nailing
BP I I Lathing&Siding
PL99 Filial Plumbing Q•��=
EL99 Final Electrical
ME99 Final Mechanical
BP99 JFinal Building
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
PO01 Pool Steel Rein./Forms buildinp,b ing,released by the City
POO I 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 1 Pre-Plaster Approval Engineering
P009 IFnl Pool/Spa
City of Lake Elsinore
i 130 South Main Street
A.PP�LICATION FOR APPLiO� ,i
BUILDING PERMIT APf?UCAI�IUN f2LCC1VEf3
l Dare
VALUATION cn1.cLJL-ATIONS - ! _� 1�t
1���� FUILO ADDRESS
��FLOOR sl -s S
r T BLOC ACE IOTIPARCEE
rad FLOOR _ St [c+
rd FLOOR — -- F_ ONAME rIc7 en 1
-- -- W A IN _ QIn �
iARAGE SF N • AODRES>
— E ITY �9,T
IF
;TORAGE SF R nd pfaviSIOQS Of Chapter (Corruaeacrng
1ECK b BAILMAES. SF= with section 7000)of division 3'of the business and professions code.and my
C. license is in WO force and effect.
)THEW SF . 0 LICENSE# - CITY BUSINESS
N ANO CLASS TAX A
T N
rALUATfON• V R
�1 MAILING
G ADDRESS
FEES '.T CITY. STATU7_IP PHONE
O.- `•
WILDING PERMIT S.': R- CONTRACTOR'S•St NATURE GATE
ILAN CHECK ( �� LICENSE# i
/7 A`_
-Liars F.SV'tW— � R - t'li°�1lING'- •.•:.. - - .
• .'C-. A(3.CRESS . .
7EISMIC. -1 -CITY.' TATElZIP PHONE
i
ILAN RETENTl0k..• (I-NEW OCC GRP.i CONST.
O A01)1TION QIVISiON: -., TYPE:
Cl AETERATION: NUMBER OF NUMBER Or i
(3bTHE8• STORIES: fJEOROOMS: i
C f7�!£'EAAAiLY ZONE:... i
J cetfify that U%j% e•ieod tW aW&atidn and statetlrat the: . . a.CONOOMIN1(W HAZARD YES
aboW information is corceci:.l.agr8e to comply-With.all city. :!7-TOIl11N:110MES AREA?'•.: NO
.and.county.orNinanees a43tate tawrs retating to Wilding: ' O:COMMERCIAL, SPRWKLERS Y S
otinstnicfion;and hereby authorize representali es of Phis QlJOUSTRiAL.• RE04,11RE0?- N0
city to enter upari the abrne mrntioried Prope�ty.forinsp= O`REPAIR'. ' PRoeoSEO USE OF eLDG:
Harz piitposes. . Q DdAod. f •: PRESENT USE OF CLOG:
- .iOB QESCRIPTION
T \ ��
•.ignatare=of"ApPI+'"••" .or��lgerit. Oa1e•
Agent#or :.n; contractor ':'Q 'owtler 1
Ageitls"Maine
1 �i p 'no: 51y�q
Zip . /..
is i'
�i�s TtiPZ �- �J
co CEL
zcoo
zCoo
z� u�,L
�, 1ncJr�
. F City of Lake Elsinore
136 South Main Street
APPLICATION#
APPLICATION FOR PERMIT APPLICATION DATE:
A,P# BY:
ELECTRICAL/PLUMBING /MECHANICAL
BUILDING ADDRESS
1 bereby 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
authorize representatives of this city to enter upon the above-mentioned O NAME
property for inspectiyn purposes. W
/l N MAILING PHONE
E ADDRESS
S R CITY STATE/ZIP
ignaturc of Applicant or Age Date
I hereby affirm 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# CITY BUSINESS
T AND CLASS TAX#
AGENT'S NAME R NAME
A
AGENT'S ADDRESS C MAILING
street city state zip T ADDRESS
0 CITY STATE/ZIP PHONE
R
CONTRACTOR'S SIGNATURE
ELECTRICAL Quan PLI3MBING Quan MECHANICAL Quan
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./Fumace/Misc./> 100000
Pool Electric System,Private Rain Water System 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
Receptacle Outlet/ Ist 20 Gas Piping System 1 -4 Outlets Ventilating Fan
Receptacle Outlet/Over 20 Gas Piping 5 or More Outlets Evaporative Cooler
Lighting Fixtures/1st 20 Dishwasher Ventilating System
Lighting Fixtures/Over 20 Solar Tank Exaust Hood
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 Handler< 10000 CFM
Misc.Apparatus,Conduits,Etc. Backflow Device Smaller than 2" r Fire Dampers
Signs Backflow Device Larger than 2" Registers
Sign Branch Circuit Floor Drain Compressor/Heatpump-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 lCompressor/Heatpump 30-50 H.P.
Motors/'Transformers Fire Sprinklers per Building lRepair/Alter Misc.HVAC
Motors up to I H.P. Swimming Pool Compressor/Heatpump Over 50 H.P.
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
MAY-24-2007 THU 11 :46 AM MURRIETA FIRE FAX NO. 951 600 6164 P. 01/01
caul°fl"`" RIVERSIDE COUNTY
��,��4 Pflor�Gr�9r
FIRE DEPARTMENT
e In Cooperation with the
�F Califorriia Department of Forestry and Fire Protection
2300 Market St,Ste.150 ♦ Riverside,California 92501 • (951)955-4777 • Fax(951)955-4885
39493 Los Alamos Road, Suite A ♦ Murrieta, CA 92563
(951) 600-6160 4 Fax (951) 600-6164
82676 Highway 111,Sulte 2150♦ Indio,CA 922201 ♦ (760)863-8886 • Fax(760)863-7072
John R.Hawkins
Fire Chief
Proudly serving the v
Unincorporated PATE:
Areas of Riverside
County and the FAX TO: LAKE ELSINORE ► 471-1418 t
Citica of.
SURVEYOR'S OFFICE
Banning
BUILDING AND SAFETY
Beaumont
Calirnesa TRACT/PARCEL MAP NUMBER:
4
Canyon I al:e PERMIT/LOT NUMBER: l ��
r
Coachella JOB SITE ADDRESS;
1Desen Fict Springs
Indian wells FINAL FOR RECORDATION
Indio RELEASE FOR BUILDING PERMITS
�ZP SHELL FINAL ONLY (NO TENANT)
Luke 1 Isinorc
La
•Quinta FINAL FOR OCCUPANCY
.d
MorenoVulley FINAL OCCUP. TEMP. EXPIRATION DATE
•4
Palm Descrt
Parris BUILD PLAN CHECK FEES PAID
Rancho Mirage CONDITIONS OF APPROVAL
•b
Sun Jacinto RESULTS OF INSPECTION FAIL
Temecula RESULTS OF INSPECTION PASS
FEES NOT REQUIRED
Board of Supervisors
Bob Bustcr,
District 1
John Tavuglione,
Pi9trict2 If you should have any questions, please call Riverside County Fire Protection
lefFstonc,District 3 Planning at the number above.
Roy Wilson, Tracy Hobday, BATTALION C EF
District ti
RELEASED BY:
Murion Ashlcy, 3_B_7 alw
District 5
f
City of Lake Elsinore
130 South Main Street
PERMIT
PERMIT NO : 07 - 00001668 DATE : 6/18/07
JOB ADDRESS . 133 N MAIN ST
DESCRIPTION OF WORK : STGN
OWNER ----------- CONTRACTOR
HUANG SHIAO OWNER
A. P . # 374 -174 - 003 3 . SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION FIRE SPRNKLR
VALUATION 400 ZONE . . . . . NA
— ---------------------- --------------------- ---
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 x 21 . 0000 SIGNS 21 . 00
1 . 00 x 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
--------------------------------------------------------------
SIGN PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45 . 00
1 - 00 x 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
— ---------------------------------------------------------------- ---
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
ELECTRICAL PERMIT 56 . 00 . 00 56 - 00
SIGN PERMIT 50 . 00 . 00 50 - 00
OTHER FEES
--------------------------
PLAN RETENTION FEE . 50 . 00 . 50
SEISMIC OTHER . 50 . 00 . 50
PLAN CHECK FEES 32 . 50 . 00 32 . 50
TOTAL 139 . 50 . 00 139 . 50
SPECIAL—NOTES_&_CONDITIONS
--- ---- — -----------
sign permit for Flour Fusion
Ors-: CaKffiE�7 Tyw.' DF Dra er: II
i.Y]ti..�'s C6/la/0 11 -- 7i ri 8 Rmi o. 79%
LW! 166B
E� TIi DDIE. 1 $13B.5Q
Trans nLs ber: I II
CK 0-fa. 1E2614.5�
City of Lake Elsinore Please read and initial
Building Safety Division 1_I am Licensed under the provisionsof$usiness and professional Code Section 7000 et seq.and
my license is in full force.
Post in conspicuous place 2.I,as owner of the property,or my employees w/wages as their sole compensation will do the work
On the job and the structure is not intended or offered for sale.
3.I as owner of the property am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the project.
JOB ADDRESS for each respective inspection: 4.1 have a certificate ofconsent to selfinsure or a certificate of Workers Compensation Insurance
Approved plans must be on job or a certified copy thereof
at all times: 5.I shall not employ any person in any manner so as to 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 mating this certification,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
ELO l Temporary Electric Service
PLO I Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO I Underground Water Pipe
SSO I Rough Septic System
SWOI On Site Sewer
BPO5 Floor joists
BP06 Floor Sheathing
BP07 RoofFrarnmg
BPO8 Roofsheathing
BP09 Shear Wall&Pre-Latl►
PLO3 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric/ T-Bar
MEO I Rough Mechanical
ME02 Ducts,ventilating
PL04 Rough Gas Pipe/Test
PL02 lRoofDrains
BPI 0 Framing&Flashing
BPl 2 Insulation
BP13 Drywall Nailing
BP 1 1 Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building 2
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
POOI Pool Steel Rein./Fors building b ing released by the City
P001 Pool Plumbing/Pressure Test
P003 Pre-GuniteApproval Date Inspector
EL06 Rough Pool Electric Plannin
Sub List Approval Landscape
P004 Pool Fencing/Gates/Alarms Finance
P005 Pre-Plaster Approval Engineering
P009 Final Pool/Spa
Aso aouEl AfaA.Rua • 1'dIc 94La� ,..,1n 92530 • '_7A6fw,*9t'9-674-3124 • 9—9°9-67q-rs9s
Application for Sign Permit
TYPE OF SIGN: APPLICATION i4o.
ELXCMc _ Not_E Xcmc:
APPLIt"A oN RE
Ncx, EI.>rMUCAt. DArt*. .- .
Futures
-- DevlCe Boxes = _
Outlets 8 NER
Switches Z`;,2Z�
.- -.. Sign 'Building Address
-�-- Standing Sections
---�.�-- Transformers Tract Bla /Page p
Misc.
VALUATION$- ownei s Name
Address =
ephona-
I� rioNr
Canopy city -State/ 'p Code
Tract Sign
- -� Ground CONT"CTOIt ~•.. — ..,..��..�
---- — Wall I hereb affirm that-Tam under provisions of ltalster9
Roof y '
Construction ioomtnencin$g with Section 7040)of Division 3 of the Business and
— -- Change of Copy
Professions Cede,and rrry,I1tse is in full force and e3`fett.
—�--- Other
PROGRAMS Lieei►se`INo. City Business
Shopping Center/Integrated Dev, and Class Tax No.
—.---- By owner/or By Pty. =_
Date letter sent: Ms
Name
Variance
Planned Si g-in
� g ��;>�n�.�►aaress - ..
C:UY-No.: , - .:—
ILLLmNA-noN
hlon-llluit�ated Pty Statts/�,ip Code
-- Interior I'llumbiAtion
Exterior Illumination Contractor's Signature
I agree to comply with all.city'and.county ordinances and state laws relating to building construc7<ion,and hereby
authorize represent 'ves f this 'ty to enter-upon the above4nentioned property for inspection purposes.
Signature of Applicant or Ag Date
Form LE 2019. AWation for Sion P*M•1 d 2
s
City of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO : 07-00002263 DATE : 7/25/07
JOB ADDRESS . 133 N MAIN ST
DESCRIPTION OF WORK MECHANICAL PERMIT
OWNER CONTRACTOR
------------------------------ -----------------------------
HUANG SHIAO OWNER
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
ter: C0-h7 2
i>dt2: "5107 Li R=pt no; 6 '-1
T utal tencbreJ $48.7E .
Total pape;it $48.72
City of Lake Elsinore Please read and initial
Building Safety Division 1.1 am Licensed under die provisions of Business and professional Code Section 700o et seq.and
my license is in full force.
Post in conspicuous place 2.l,as owner of the property,or my employees w/wages as their sole compensation will do the work
on the job and the structure is not intended or offered for sale.
3.l,as owner of the propetty,am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the project.
JOB ADDRESS for each respective inspection: 4.I have a certificate ofconsent to selfinsure or a certificate of Workers Compensation Insurance
Approved plans must be on job or a certified copy thereof
at all limes: 5.1 shall not employ any person in any manner so as to 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 making this certification,
Code Approvals Date Inspector you most fortbwith comply with such provisions or this permit shall be deemed revoked.
ELO 1 Temporary Electric Service
PLO I Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 ISteel Reinforcement
BP03 lGrout
BP04 Slab Grade
PLO 1 Underground Water Pipe
SSO 1 Rough Septic System
SWOI On Site Sewer
BP05 Floor joists
BP06 Floor Sheathing
BPO7 Roof Framing
BPOS Roof Sheathing
BPO9 Shear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric/ T-Bar
MEO I Rough Mechanical
ME02 Ducts,Ventilating
PL04 Rough Gas Pipe/Test
PL02 Roof Drains
BP I O Framing&Flashing
BP 12 linsulation
BPl 3 IDrywall Nailing
BP l l Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical ''1
BP99 Final Building
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
P001 Pool Steel Rein./Forms building being released by the City
PO01 Pool Plumbing Pressure'fest
P003 Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric LL�a:ndsca
Sub List Approval
P004 Pool Fencing/Gates/Alarrrrs Finance
P005 Pra-Plaster Approval En 'neering
P009 Final Pool/Spa
+� Cl of Lake Elsinorje
130 outh Malls Ttireet
APPLICATION#
7,- z z�3
APPLICATION FOR PERMIT APPLICATION DATE:
PLU
ELECTRICAL/PLUMBING/MECHANICALv%7 BY:
NGADDRESS
I hereby certify that I have read this application and state that the
above information is corroM I agree to comply with all city and county TRACT B AGE /PARCEi
ordinaAces and state laws relating to building construction,and hereby
authorize represeatatives of this city to eotu upon the above-mtationed O NAME
T"for W iftm
N_�� L AD
J R CI
ignature ofApplicanta ent Date
i and the provisions of Chapter 9(camtrieaaing
C with Section 7000)of Division 3 of the Business and Profcvsions Code,and R1y
(circle one) O license I in full force and effect.
AGENT FOR: CONTRACTOR OWNER N LICENSE# CITY BUSDWSS
T AND CLASS �� TA}I#
AGENT S NAME R NAME
A
AGENT'S ADDRESS C tvIAILWO
street city state tip T ADDRESS
O CITY STATFMP PHONE
R
CONTRACTOR'S S[ONATIJRE
ELECTRICAL Quan PLUMING Quan I MECHANICAL Queen
New Res.Multi Family/SQ.FT. Fixture or LapF.A.U./Furnace/Duds/Vents
New Res.Single Family/SQ.FT. BuiIding Sower F.A.U./Furnace/Misc./>100000
Pool -letxric System,Private Rain Water System per Drain Floor Furnace/Vent
Switrtes/1st 20 Private Septic System Unit Heater/Wall Heater
Switches/Over 20 Witter Heater/Vent Install/Relocate/Re lace Vent
Rece tacle Outlet/ Ist 20 Gas Pi ing Syste• I -4 Outlets Ventilating Fan
Rwe tacle 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
Residential FixedAppliance/Outlet Solar Collector per Panel Fireplace
Non-Residential liancc I Outlet Grease Trap/ teroc tor) Commercial Incinerator
100-206 Amp Service<600V Install,Alter or Repair System Air Handler> 10000 CFM
200-1000 Amp Service<600V Lawn Sprinkler System Air Handler<10000 CFM
Misc.Apparatus,Conduits,Eta Bacldlow Device Smaller than 2" Fire Dampers
Signs Backflow Device Larger than 2" Registers
Sign Branch Circuit Floor Drain Compressor/Hea um -3 H.P.
BusWays/EA 100 FT Floor Sink Compressor/Heal ump 3- 15 H.P.
Tern Power Service Water Service Compressor/Heat urn 15-30 H.P.
Tern rary Power Distribution System lAlter or Re air Drain or Vent Compressor/Heatpump 30-50 H.P.
Motors/Transformers Fire S rtklers per Building Repair/Alter Misc.ffVAC-
Swimming Pool Compressor/Heqwp Over 50 H.P.
Motors/Transformers 1 -10 H.P. Swimming Pool/Public
Motors/Transformers 10-50 H.P. Swimming Pool/Private
Motors/Transformers 50-160 H.T. Water Heater/Vent
Motors/Transformers> 100 H.P. Replace Piping
Replace Filter
Misc.Replace
Gas Pi Ring