HomeMy WebLinkAbout600 CENTRAL AVE 600_16-00001415S
LCITY OF
LADE ? LSIri0P E BUILDING & SAFETY -
DREAM EXTREME,. 130 South Main Street
Lake Elsinore Ca. 92530
PERMIT
PERMIT NO: 16-00001415 DATE: 6/02/16
JOB ADDRESS . . . . . 600 CENTRAL AVE SUITE El
DESCRIPTION OF WORK OCCUPANCY PERMIT
OWNER CONTRACTOR
KIMBLE, TIMOTHY J. OWNER
A.P.# . . . . . 37.7-410-002 2
OCCUPANCY . . . .
CONSTRUCTION . . .
VALUATION . . . .
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . NA
OCCUPANCY PERMIT
QTY UNIT CHG ITEM CHARGE
II ASE FEE 30.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
OCCUPANCY PERMIT 30.00 00 30.00
OTHER FEES
PROF.DEV.FEE 1 TRADE 5.00 00 5.00
TOTAL 35.00 00 35.00
SPECIAL NOTES & CONDITIONS
OCCUPANCY PERMIT FOR THE SLEEP SQUAD AT
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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:
Code Approvals Date Inspector
Please 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. I,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 offered for sale.
3. I,as owner of the property,am exclusively contracting with licensed contractors to construct the
project.
4. I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
or a certified copy thereof
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 making this certification,
you must forthwith comply with such provisions or this permit shall be deemed revoked.
ELO 1 Temporary Electric Service
PLO1 Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO 1 Underground Water Pipe
SS01 lRough Septic System
SWO1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 I Roof Sheathing
BP09 Shear Wall & Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 IRough Electric/ T-Bar
ME01 Rough Mechanical
NM02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP 10 Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BP11 Lathing & Siding_
PL99 *Final Plumbing
EL99 *Final Electrical
ME99 *Final Mechanical
BP99 *Final Building.
Final Signatures are Certificate of Occupancy for Single Family Residence
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
SPO 1 Electric Conduit UG Department Approval required prior to the
SP02 UG Gas Piping building being released by the City
SP03 Pool Steel Rein./Forms Date Inspector
SP04 Pool Plmb./Pressure Test Fire
SP05 Pre-Gunite Approval EVMWD
SP06 Rough Pool Electric Finance
SP07 Pool Fence/Gates/Alarms Engineering
SP08 Pre-Plaster Approval TUMF
SP99 Final •col /' a Planning/Landscape
1 6
CITY OF j
LAKE/; LS OL
Dl:-EAM EXTREM.F,-
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER:
VALUATION:
FEES
BUILDING PERMIT
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
SF
AI certify that I have read this application and state that the
above information is correct. I agree to comply with all city
and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this
city to enter upon the above - mentioned property for insp-
tion purposes.
Signature Opplic tr Agent Date
Agent for contractor
Agents Name
Agents Address
Street City State
owner
Zip
130 South Main Street
Nil
APPL CATION N
n
APPLICATION RECEIVED
DATE • . 'Z b
AP# By
BUILDIN AD RE S
ll Db
TRACT O K! AGE LOT A CEL
O
W
N
E
R
C
O
N
hereby affirm that I am licensed under provisions of chapter 9 (commencing
with section 7000) of division 3 of the business and professions code,and
my license is in full force and effect.
LICENSE # CITY BUSINESS
AND CLASS TAX #
T
R
NAME
A
C
MAILING
ADDRESS
T
O
CITY STATE/ZIP PHONE
R CONTRACTOR'S SIGNATURE DATE
A
NAME LICENSE #
R
C
MAILING
ADDRESS
H CITY STATE/ZIP PHONE
NEW OCC GRP. /
DIVISION:
CONST.
TYPE: ADDITION
ALTERATION NUMBER OF
STORIES:
NUMBER OF
BEDROOMS: OTHER
SINGLE FAMILY
APARTMENTS
ZONE:
CONDOMINIUMS HAZARD
AREA ?
YES
NOTOWNHOMES
COMMERCIAL SPRINKLERS
REQUIRED ?
YES
NOINDUSTRIAL
REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG: I DEMOLISH
JOB DESCRIPTION
Nil
1 0
C 1 TY OF
LAIJE LSIN0IZE
DRFAM EXTRFMFT..
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK 8 BALCONIES SF
OTHER: SF
FEES
BUILDING PERMIT $
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
XI certify that I have read this application and state that the
above information is correct. I agree to comply with all city
and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this
city to enter upon the above - mentioned property for insp-
tion purposes.
5
Signature ppli nt rAgent Date
Agent for contractor
Agents Name
Agents Address
Street City State
owner
Zip
130 South Main Street
APPL CATION
1 J
APPLI TION RECEIVED
DATE • UL • 2
AP# BY
BUILDIN AD RE
TRA TA E
Y
LUI/PARGEL
O
N
W
N
R
C
O
N
hereby a rtm that licensedensed un er prCvjsions of chapter 9 (commencing
with section 7000) of division 3 of the business and professions code,and
my license is in full force and effect.
LICENSE # CITY BUSINESS
AND CLASS TAX#
T
R
NAME
A
C
LIN
ADDRESS
T
O
CITY STATE/ZIP PHONE
R CONTRACTOR'S SI N UR DATE
A
NAME LICENSE
R
C
MAILING
ADDRESS
H CITY STA /ZIP PHONE
NEW OCC GRP. /
DIVISION:
CONST.
TYPE: ADDITION
ALTERATION NUMBER OF
STORIES:
NUMBER OF
BEDROOMS: OTHER
SINGLE FAMILY ZONE:
APARTMENTS
CONDOMINIUMS HAZARD
AREA?
YES
NOpTOWNHOMES
COMMERCIAL SPRINKLERS
REQUIRED?
YES
NOINDUSTRIAL
REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG: DEMOLISH
JOB DESCRIPTION
Y