HomeMy WebLinkAboutLAKESHORE DRIVE 505_04-00000594 -V� City of Lake Elsinore
L v�� 130 South Main Street
PERMIT
PERMIT NO : 04-00000594 DATE : 3/08/04
JOB ADDRESS . . . . . 505 LAKESHORE DR
DESCRIPTION OF WORK ADD OR ALTER - RESIDENTIAL
OWNER CONTRACTOR
WOLFE CINDE OWNER
OTTOSEN DONNA
505 LAKESHORE DR
LAKE ELSINORE CA 92530
A. P. # . . . . . 374-253-008 2 SQUARE FOOTAGE 120
OCCUPANCY . . . DWELLINGS, LODGING HOUSES GARAGE SQ FT 0
CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . 1, 000 ZONE . . . . . . R-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45 . 00
5 . 00 X 2 . 7500 VALUATION 13 . 75
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 63 . 75 . 00 63 . 75
OTHER FEES
PLANNING REVIEW FEE 11 . 75 . 00 11 . 75
PLAN RETENTION FEE 1 . 00 . 00 1 . 00
SEISMIC GROUP R . 50 . 00 . 50
PLAN CHECK FEE 44 . 06 . 00 44 . 06
TOTAL 121 . 06 . 00 121 . 06
SPECIAL NOTES & CONDITIONS
REPLACE EXISTING 3 UNITS OF KITCHEN
WINDOWS AND APPLIED PARTIAL STUCCO AT
KITCHEN EXTERIOR WALL TO MATCH ADJACENT
WALL.
98
Date: 4 3/68/84eipt no: 4�
BP
BUILDING PERMIT 1 21.66
Trans nwber: 9174575
186 81216b
Trans date: 3/08/94 Time: 1S121.1@
1 I Ple A,v Rot ad and Initial
II ] ) am I-rre•n•.ifund,r LI)t pnn)I ,on%of Busjnctis and Prole
o cslnna)
Cde S,,lion 7000 et vq and tnv ht rnsc is in lull force
Ill coll"pictioll" placu 2 1 as owns r of tht prul-m or yin, emplo�eeti w1w'agt ti as their 4)Ic
compensation will du the work and the strut tun is not intended or
t)Il the job ollen-d for sa!e
3 1 asow-nerofthepropcm amexrlush,eh cont racting wit hhrrnsed
— t--
{ contractnrs to construct (he pmlcrt
4 1ha%eacertuit an, of(onsr Tit instIfinsureoracerufira it,o(Worktrs
)I; ,ili �� I•i` '., t Compensation insurance or acenUied copy thereof
(` �5 1.hall riot rmpin%am person In am manner so as to become sublet I
to`Aorkrrs Coompt nsinon Laws in the performance of the work for
which this Ix rmit is issued
Nair II%ou should hecome subpx t Io Workers Compt nsation after
making th15 R rtlbrAtlnn %rnt must lurthwith compK with sue h
Pm-or;his Ix•nnil shall be dt e med re•tokr(i
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OTHER DEPARTMENT RELEASES
' " = Cepa,' k nt Approval rc-•quired prior to the
7^ \ -
- - - - buiiCinq Ding releaud by,t)e City Da,e Insr�clor
S_D L s __
L2^csc�x
Finance
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nI1neenna
City of Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT O 4 - s c
APPLICATION ) 14
DATE 3 //
VALUATION CALCULATIONS AP k By Q
1 st FLOOR SF But
2nd FLOOR SF TRACT (C�J BLOCK/PAGE LOT/PARCEL
3rd FLOOR SF
GARAGE SF NAME
STORAGE SF i MAILING PHONE
DECK&BALCONIES SF 3 ADDRESS 1 --
o �
CITY STATE/ZIP
OTHER:
SF It hereby offirm that I am licensed under provisions of Chapter 9(commencing with Section
70D0)of Division 3 of the Business and Professions Code,and my license is in full force
and effect
Q LICENSE N CITY BUSINESS p
Z AND CLASS TAX
VALUATION: g NAME
FEES MAILING
ADDRESS
BUILDING PERMIT $ CITY STATE/ZIP PHONE
CONTRACTOR S SIGNATURE DATE
PLAN CHECK
ADDITIONAL PLAN CHECK NAME LICENSE IF
u
w MAILING
= ADDRESS
v
0
Q CITY STATE/ZIP PHONE
❑NEW ❑REPAIR OCC GRP / CONST
DIVISION TYPE
MICROFILM CADDITION ❑MOVE NUMBER OF NUMBER OF
❑ALTERATION [DEMOLISH STORIES BEDROOMS
COPIES ❑OTHER ZONE
❑SINGLE FAMILY units HAZARD AREAS YES NO
IMPRO FEES O SCHOOL FEES ❑ ❑APARTMENTS units
OCONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
OTOWNHOMES units PROPOSED USE OF BUILDING
❑COMMERCIAL ❑INDUSTRIAL PAID PRESENT USE OF BUILDING
DATE
JOB DESCRIPTION
❑ 1 certify that 1 have read this application and state that the
above information is correct I agree to comply with all city ALL' c6
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 inspec-
tion purposes
Signature of Applicant or Agent Date
1
AGENT FOR ❑ CONTRACTOR ❑ OWNER
AGENT'S NAME
AGENT'S ADDRESS
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