HomeMy WebLinkAboutBAYBERRY DRIVE 28994_03-00000348r
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City of Lake
PERMIT 130 South. Main Stree
PERMIT NO: 03- 00000348 DATE: 3/04/03
JOB ADDRESS . . . . . 28994 BAYBERRY DRIVE
DESCRIPTION OF WORK BLOCK WALL Z
OWNER CONTRACTOR
CORMAN LEIGH -TOZAI ELS, LLC OWNER
42346 RIO NEDO SUITE L
TEMECULA CA 92590
A.P.# . . . . 296--370 -012 SQUARE FOOTAGE 0
OCCUPANCY . . GARAGE SQ FT 0
CONSTRUCTION . FIRE SPRNKLR
VALUATION . . 1,782 ZONE . . . . . . R -1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45.00
13.00 X 2.7500 VALUATION 35.75
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 85.75 00 85.75
OTHER FEES
SEISMIC GROUP R 50 00 50
PLAN CHECK FEE 64.31 00 64.31
TOTAL 150.56 00 150.56
SPECIAL NOTES & CONDITIONS
80 li.n ft of 6 ft masonry wall
Oper: COUNTER Type: DF Drawer! 1
Date: 3/13/83 13 Receipt no: 4215
2883 348
BP BUILDING PERHIT 1 9150.56
Trans number: 66436
CK CHECK 1119 96017.63
Trans date: 3/13/03 Time: 16;54:49
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1 st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
111141
SF
VALUATION:
FEES
BUILDING PERMIT $
PLAN CHECK
ADDITIONAL PLAN CHECK
MICROFILM
COPIES
IMPRO FEES SCHOOL FEES
PAID
0
City of Lake Elsinore
1 certify that 1 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 inspec-
tion purposes.
o is %a3
Signature of Applicant or Agent Date
AGENT FOR CONTRACTOR OWNER
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP
130 South Main Street
REV. DATE 11.190
APPLICATION NO.
APPLICATION RECEIVED
DATE
By
BUILDING ADDRESS
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TRACT ^ BLOCK /PAGE LOT /PARCELQ [
NAME
Z
O
MAILING r
J 1 ' „
pHgNE
ADDRESS 70tT (~E..f 1n /z C.rWV
CITY
STATTEE/ /
ZIP
72. rnec..'_ 0L CA `32 P?0
1 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 affect.
LICENSE R CITY BUSINESS
AND CLASS TA %M
OU NAME
MAILING
ADDRESS
CITY STATE /ZIP PHONE
CONTRACTOR'S SIGNATURE DATE
Z
NAME LICENSE p
Z
V
MAILING
ADDRESs
Q CITY STATE /ZIP PHONE
NEW REPAIR OCC GRP./ CONST.
DIVISION: TYPE:
ADDITION DMOVE NUMBER OF NUMBER OF
STORIES: BEDROOMS: ALTERATION MIDEMOLISH
OTHER ZONE:
INGLE FAMILY units
HAZARD AREA? YES NO
APARTMENTS units
CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
TOWNHOMES units PROPOSED USE OF BUILDING:
PRESENT USE OF BUILDING:
COMMERCIAL []INDUSTRIAL
JOB DESCRIPTION r r
M as [.ctcill 6 , , r 'Y 93. to
Re -fa.i'n e.:L LtJa l r "
N / e_4-o A N %e v
REV. DATE 11.190