HomeMy WebLinkAboutCEREAL STREET 20701_04-00000183 Cki of Lake Elsinore(
L PERMIT 130 South Main Street
PERMIT NO: 04-00000183 DATE : 1/22/04
JOB ADDRESS . . . . . 20701 CEREAL ST
DESCRIPTION OF WORK ELECTRICAL
OWNER CONTRACTOR
LAKE ELSINORE AIRPORT PARTNERS OWNER
A. P. # . . . . . 370-080-010 1 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
2 . 00 X 27 . 2500 100-200AMP SERVICE<600VLT 54 . 50
1 . 00 X 16 . 2500 MISC. WHERE NO OTHER FEE 16 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
ELECTRICAL PERMIT 105 . 75 . 00 105 . 75
OTHER FEES
PLAN RETENTION FEE 1 . 00 . 00 1 . 00
TOTAL 106 . 75 . 00 106 . 75
SPECIAL NOTES & CONDITIONS
INSTALLATION OF 2 SERVICE UNITS .
I
Date: 1/22/04 22 Receipt no: 3447
2m 183
Bp BUIIDIRG PERMIT 1 $106.75
Trans nwber: 73393
CK cum 4170 91e6.75
Trans date: 1/22/04 Tim: 14:34:00
('it,. 01 Like Elmore
f�uildm" S tte[\ l�t%I li n Please Read and Initial
I I am licensed under the provisions of Business and Professional
ICode SeCtk)n 7000 el seq and my license Is in full force
Post In conspicuous place 2 1 as owner of the property ormy emploveesw/wagesas their sole
compensation will do the work and the structure Is not Intended or
on the job offered(or sale
3 1 as owner of the property am exclustvel-v contracting with licensed
contractors to construct the project
) nl mint turns h f'f RN11i \l %iBEf: .mli the a 1hasea certificate ofconsenttosel(lnsureora certificate ofWorkers
JOB NDDRl Sk) lo, cake h rc pe�.U\e lll,�Pek[1011 � Compensation Insurance or a certlfled copy thereof
/� k 5 1 shall not employ any person In any manner so as to become subject
\liar"�e� I I.lil nlu t kill li h to Workers Coompensalion laws in the performance of the work for
It .ill i1111e, which this permit is issued
Note If you 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
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ME99 Feral Mec-.a^.ca
BFP39 F-, Bti'c•-
Goae Pool S SDa Ao-ao.as Da e ►soe .D OTHER DEPARTMENT RELEASES
De- r.spec,o Department Approval required prior to the
"J^ Poo S-ee.Re.- Fo-s budding being released by the Clty
PX Poo P_ b-r Pesa Tes
PJG3 P•e G_^,•e
Date nsnector
ELDE Ro_g^Pool E ec'rc
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Landscape
POC= Poo Fe,,-,--,Access
Finance
P005 P•e P%as e• En meenn
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F_10 - City of Lake Elsinore
130 South Main Street
APPLICATION NO
APPLICATION FOR OZI - I Q)3
ELECTRICAL APPLICATION RECEIV,yE-D�
PLUMBING PERMIT DATE ,12'L /bC�-
MECHANICAL AP# _ OQ�-,_�,D By n� /p
1 certify that I have read this apl: C lion and state that the BUILDING ADDRESS CJv K
above Information is correct 1 a e to comply with all city �} 1�•
and county ordinances and st I�ws relating to building TRACT BLOCK'PAGE LOT/PARCEL
construction and hereby out triz` representatives of this
city to enter upon the ov nt oned pcopeffy for inspec- -k NAME�\� II I
Non purposes J kIo
Z MAILING PHONE
ADDRESS
° J070 p! ( k, — I
STATE5P
Signature f Ap lic n or Agent Date 1 hereby affirm that 1 am Licensed under provisions of Chapter 9(commencing with Section
7000)of Division 3 of the Baseness and Professions Code and my license is in lull force
and effect
AGENTFOR O CONTRACTOR CI OWNER LICENSE CITY BUSINESS
Z AND CLASS TAX
T� ye
GJ� Q0 NAME
AGENT'S NAME U lr?
MAILING
-��� ADDRESS
AGENT'S ADDRESS (,�Ls I�Y�Pg' !�� ��
CITY STATF/ZIP PHONE
STREET CITY STATE ZIP
C'1 Lit Z 5 w CONTRACTOR S SIGNATURE DATE
BUILDING PERMIT NO.
ELECTRICAL Quan PLUMBING Quart MECHANICAL Quart
New Residential Multi Family Fixture or Trap Furnace up to 100,000 BTU's
New Residential Single Family Building Sewer Furnace Over i00,000 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 Exhaust Hood
Lighting Fixtures/I st 20 Dishwasher Fireplace
Res Fixed Appliance/Outlet Solar Tank Commercial Incinerator
Non-Res Appliance/Outlet Solar Collector per Panel Air Hondler► 10,000 CFM
100-200 Amp Service IIII 600V Grease Trap/(Interceptor) Air Handler-4 10,000CFM
200-1000 Amp Service 14 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.
Eluswoys/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 J Alter Misc.HVAC Equip
MOTORS/TRANSFORMERS Fire Sprinklers per Building
Motors up to I H.P SWIMMING POOL
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
Replace Filter
Misc Replace
Gas Piping
REV DATE 11 1 90