HomeMy WebLinkAbout1604 W LAKESHORE DR_ENERGOV PERMITS CITY OF �� PERMIT NUMBER: PBLDG-2020-0474
TT r Issue Date: Expiration:
LADE ' LSIN OKE i permit will expire 365 days from the Issue Date or the date of th(-
This per t p y
DREAM EXTREME last completed inspection. It is the responsibility of the permittee to
` ensure this permit is finaled. Permits that expire will need to be pulley!
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: PORTAL BUILDING PERMITS
LAKE ELSINORE, CA 92530 Work Classification: PORTAL BUILDING PERMIT
(951) 674-3124 Permit Status: APPROVED
PROJECT ADDRESS PARCEL NUMBER: 375205003
1604 W LAKESHORE DR Valuation: $0.00
LAKE ELSINORE, CA 92530 Total Sq Ft: 0
PERMIT CONTACTS ADDRESS PHONE CELL
APPLICANT
jack martin
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
room addition 13'x 26'x 8' and access door conforming to existing structure
FEES TOTAL FEES: AMOUNT DUE:
l
rPERMIT DETAILED REPORT (PBLDG-2020-0474)
Permit Type PORTAL BUILDING PERMITS Project: App Date: 07/13/2020
Work Class: PORTAL BUILDING PERMIT District: NA Issue Date: NOT ISSUED
Status: APPROVED Square Feet: 0.00 Exp Date: NOT AVAILABLE
Description: room addition 13'x 26'x 8'and access door Valuation: $0.00 Final Date: NOT FINALED
conforming to existing structure
Parcel: 375205003 Main Address: W 1604 Lakeshore Dr Main
Lake Elsinore,CA 92530
APPLICANT
Jack Martin
1604 W Lakeshore Dr17451
Ryan Ave W Dr
Lake Elsinore,CA 92530
Home:
Business:
Mobile:
Invoice No. Fee Fee Amount Amount Paid
$0.00
Total for Invoice
Grand Total for Permit $0.00
November 15,2021 Page 1 of 1
PERMIT NUMBER: FIRE-2020-00457
CITY OF i�
Issue Date: 10/27/2020 Expiration: 11/19/2021
LADE LSIfA0kE it from the Issue Date or the date of the
This permit will expire 365 days o
�w DRFAM EXTREME last completed inspection. It is the responsibility of the permittee to
ensure this permit is finaled. Permits that expire will need to be pulled
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: FIRE
LAKE ELSINORE, CA 92530 Work Classification: HOOD & DUCT SUPPRESSION SYSTEM
(951) 674-3124 Permit Status: FINAL
PROJECT ADDRESS PARCEL NUMBER: 375350007
Valuation: $0.00
Total Scl Ft: 0
PERMIT CONTACTS ADDRESS PHONE CELL
California State Fire Protection APPLICANT
Brianna McGehee
CALIFORNIA STATE FIRE APPLICANT
PROTECTION
STEVE NAUERT
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
Kitchen Suppression Hood & Duct
FEES
TOTAL FEES: $474.94 AMOUNT DUE: $0.00
FIRE-SUPRESSION SYSTEMS
REPORTPERMIT DETAILED 1 1 11
Permit Type FIRE Project: App Date: 10/20/2020
Work Class: HOOD&DUCT SUPPRESSION SYSTEM District: NA Issue Date: 10/27/2020
Status: FINAL Square Feet: 0.00 Exp Date: 11/19/2021
Description: Kitchen Suppression Hood&Duct Valuation: $0.00 Final Date: 12/18/2020
Parcel: 375350007 Main Address: W 1604 Lakeshore Dr Main
Lake Elsinore,CA 92530
APPLICANT APPLICANT
Brianna Mcgehee Steve Nauert
Home: Home:
Business: Business:
Mobile: Mobile:
Note Created By Date and Time Created
1. THE APPLICANT DIDN'T RECEIVE AN AUTOMATED Crissy Mirabella October 26,2020 9:26 am
NOTIFICATION TO UPLOAD HIS PLANS AND THAT HE HAS Al
INVOICE DUE. HE IS WORKING ON IT NOW.
2. RECEIVED PLANS AND SENT TO STEVE&JON VIA BLUEBEP Crissy Mirabella October 27,2020 8:04 am
Invoice No. Fee Fee Amount Amount Paid
INV-00026622 FIRE-SUPRESSION SYSTEMS $474.94 $474.94
Total for InvoiceINV-00026622 $474.94 $474.94
Grand Total for Permit $474.94 $474.94
November 16,2021 Page 1 of 1
PERMIT NUMBER: PFIRE-2020-0276
CITY OF i�T
LAKE CjLSINOkE Issue Date: Expiration:
This permit will expire 365 days from the Issue Date or the date of the
-�%�J DREAM EXTREME last completed inspection. It is the responsibility of the permittee to
`,- ensure this permit is finaled. Permits that expire will need to be pullpd
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: PORTAL FIRE PERMITS
LAKE ELSINORE, CA 92530 Work Classification: PORTAL FIRE PERMITS
(951) 674-3124 Permit Status: IN REVIEW
PROJECT ADDRESS PARCEL NUMBER: 375350007
Valuation: $0.00
Total Scl Ft: 0
PERMIT CONTACTS ADDRESS PHONE CELL
California State Fire Protection APPLICANT
Brianna McGehee
CALIFORNIA STATE FIRE APPLICANT
PROTECTION
STEVE NAUERT
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
Kitchen Suppression Hood & Duct
FEES TOTAL FEES: AMOUNT DUE:
PERMIT DETAILED REPORT - 1 1 1 . _y.
Permit Type PORTAL FIRE PERMITS Project: App Date: 10/14/2020
Work Class: PORTAL FIRE PERMITS District: NA Issue Date: NOT ISSUED
Status: IN REVIEW Square Feet: 0.00 Exp Date: NOT AVAILABLE
Description: Kitchen Suppression Hood&Duct Valuation: $0.00 Final Date: NOT FINALED
Parcel: 375350007 Main Address: W 1604 Lakeshore Dr Main
Lake Elsinore,CA 92530
APPLICANT APPLICANT
Brianna Mcgehee Steve Nauert
r
Home: Home:
Business: Business:
Mobile: Mobile:
Note Created By Date and Time Created
1. EMAILED THE APPLICANT FOR THE ADDRESS OF THE Crissy Mirabella October 15,2020 5:06 pm
PROPERTY.
Invoice No. Fee Fee Amount Amount Paid
$0.00
Total for Invoice $0.00
Grand Total for Permit $0.00
November 16,2021 Page 1 of 1
PERMIT NUMBER: BLDG-2020-02471
CITY OF
�-�
LADE In Issue Date: Expiration:
LSOI�E This permit will expire 365 days from the Issue Date or the date of the
J last completed inspection. It is the responsibility of the ermittee to
DRFAM EXTREME p p p Y p
ensure this permit is finaled. Permits that expire will need to be pulled
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: BUILDING
LAKE ELSINORE, CA 92530 Work Classification: BOAT DOCK
(951) 674-3124 Permit Status: IN REVIEW
PROJECT ADDRESS PARCEL NUMBER: 375350008
1604 LAKESHORE DR Valuation: $0.00
LAKE ELSINORE, CA Total Scl Ft: 0
PERMIT CONTACTS ADDRESS PHONE CELL
OWNER
CALI AMORE
JACK'S BBQ SHACK APPLICANT 1604 LAKESHORE DR (951)245-6500 (
DEREK CARMICHAEL LAKE ELSINORE, CA 92530
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
96 FT BOAT DOCK (PORTABLE DOCK)
FEES TOTAL FEES: AMOUNT DUE:
BOAT DOCKS
ERMIT DETAILED • ' 1 1 1
Permit Type BUILDING Project: App Date: 10/22/2020
Work Class: BOAT DOCK District: NA Issue Date: NOT ISSUED
Status: IN REVIEW Square Feet: 0.00 Exp Date: NOT AVAILABLE
Description: 96 FT BOAT DOCK(PORTABLE DOCK) Valuation: $0.00 Final Date: NOT FINALED
Parcel: 375350039 Address: 1604 Lakeshore Dr Main
375350008 Main Lake Elsinore, CA
OWNER APPLICANT
Cali Amore Derek Carmichael
1604 Lakeshore Dr 1604 Lakeshore Dr
Lake Elsinore,CA 92530 Lake Elsinore, CA 92530
Home: Home:
Business: Business: INFAM�
Mobile: Mobile:�
Invoice No. Fee Fee Amount Amount Paid
$0.00
Total for Invoice
Grand Total for Permit $0.00
November 16,2021 Page 1 of 1
CITY OF PERMIT NUMBER: BLDG-2020-02007
��
TT N R CI- Issue Date: 09/03/2020 Expiration: 07/06/2022
LAI-E �,LS11 1O` This permitexpire will ex 365 days from the Issue Date or the date of the
V y
DREAM EXTREME last completed inspection. It is the responsibility of the permittee to
` ensure this permit is finaled. Permits that expire will need to be pulled
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: BUILDING
LAKE ELSINORE, CA 92530 Work Classification: BACONY/ DECK
(951) 674-3124 Permit Status: FINAL
PROJECT ADDRESS PARCEL NUMBER: 375350007
1604 W LAKESHORE DR Valuation: $19,712.00
LAKE ELSINORE, Total Scl Ft: 896
PERMIT CONTACTS ADDRESS PHONE CELL
JACK'S BBQ SHACK OWNER
DEREK CARMICHAEL
APPLICANT
jack martin
L _
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
ATTACHED 28X32 DECK W/SOLID PATIO OVER. REVISED PLANS TO ADD ENCLOSURE OF DECK 12/8/20
FEES TOTAL FEES: $739.02 AMOUNT DUE: $0.00
BASE BUILDING PERMIT FEE BASE BUILDING PERMIT FEE GREEN BUILDING FEE
PLAN CHECK FEE PLAN CHECK FEE PLAN REVIEW FEE-PLANNING
PROFESSIONAL DEVELOPMENT FEE SEISMIC- RESIDENTIAL
REPORTPERMIT DETAILED 1 1 1 1 1
Permit Type BUILDING Project: App Date: 09/02/2020
Work Class: BACONY/DECK District: NA Issue Date: 09/03/2020
Status: FINAL Square Feet: 896.00 Exp Date: 07/06/2022
Description: ATTACHED 28X32 DECK W/SOLID PATIO Valuation: $19,712.00 Final Date: 08/18/2021
OVER. REVISED PLANS TO ADD ENCLOSURE
OF DECK 12/8/20
Parcel: 375350007 Main Address: W 1604 Lakeshore Dr Main
Lake Elsinore,
APPLICANT OWNER
Jack Martin Derek Carmichael
1604 W Lakeshore Dr17451 1604 Lakeshore Dr
Ryan Ave W Dr Lake Elsinore,CA 92530
Lake Elsinore,CA 92530 Home:
Home: Business:
Business: Mobile:
Mobile:
Invoice No. Fee Fee Amount Amount Paid
INV-00025851 BASE BUILDING PERMIT FEE $284.40 $284.40
GREEN BUILDING FEE $1.00 $1.00
SEISMIC-RESIDENTIAL $2.56 $2.56
PLAN CHECK FEE $213.30 $213.30
PROFESSIONAL DEVELOPMENT FEE $5.00 $5.00
PLAN REVIEW FEE-PLANNING $56.88 _ $56.88
Total for Invoice INV-00025851 $563.14 >563.1•1
INV-00027426 PLAN CHECK FEE $75.38 $75.38
BASE BUILDING PERMIT FEE $100.50 $100.50
Total for Invoice INV-00027426 $175.88 $175.88
Grand Total for Permit $739.02 $739.02
November 16,2021 Page 1 of 1
CITY OF PERMIT NUMBER: BLDG-2020-02230
��
' Issue Date: 09/28/2020 Expiration: 03/17/2022
LAKE LLSI nOI-E This permit will expire 365 days from the Issue Date or the date of the
DREAM EXTREME last completed inspection. It is the responsibility of the permittee to
` ensure this permit is finaled. Permits that expire will need to be pulled
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: BUILDING
LAKE ELSINORE, CA 92530 Work Classification: CERTIFICATE OF OCCUPANCY
(951) 674-3124 Permit Status: FINAL
PROJECT ADDRESS PARCEL NUMBER: 375350039
1604 W LAKESHORE DR Valuation: $0.00
LAKE ELSINORE, CA 92530 Total Scl Ft: 0
PERMIT CONTACTS ADDRESS PHONE CELL
CALI AMORE LLC OWNER
ARNETTA NOTKIN
JACK'S BBQ SHACK APPLICANT 1604 LAKESHORE DR �!
DEREK CARMICHAEL LAKE ELSINORE, CA 92530
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
JACKS BBQ 1604 W LAKESHORE CofO
FEES
TOTAL FEES: $108.00 AMOUNT DUE: $0.00
INSPECTION PROCESS FEE OCCUPANCY PERMIT PROFESSIONAL DEVELOPMENT FEE-
OCCUPANCY
PERMIT DETAILED REPORT (BLDG1 1 1 1
Permit Type BUILDING Project: App Date: 09/23/2020
Work Class: CERTIFICATE OF OCCUPANCY District: NA Issue Date: 09/28/2020
Status: FINAL Square Feet: 0.00 Exp Date: 03/17/2022
Description: JACKS BBQ 1604 W LAKESHORE CofO Valuation: $0.00 Final Date: 11/10/2021
Parcel: 375350039 Main Address: W 1604 Lakeshore Dr Main
Lake Elsinore,CA 92530
OWNER APPLICANT
Arnetta Notkin Derek Carmichael
W 1604 Lakeshore Or 1604 Lakeshore Dr
Lake Elsinore, 92530 Lake Elsinore, CA 92530
Home: Home:
Business: nommom Business:
Mobile: Mobile:
Invoice No. Fee Fee Amount Amount Paid
INV-00026226 INSPECTION PROCESS FEE $73.00 $73.00
PROFESSIONAL DEVELOPMENT FEE-OCCUPANCY $5.00 $5.00
OCCUPANCY PERMIT _ $30.00 $30.00
Total for Invoice INV-0002622.E 10 S108.00
Grand Total for Permit $108.00 $108.00
November 16,2021 Page 1 of 1
CITY OF PERMIT NUMBER: BLDG-2020-01419
i�
C12 ��T N O K Issue Date: 07/13/2020 Expiration: 12/09/2021
Lt-1 1 l 1 This permit will expire 365 days from the Issue Date or the date of the
—mow DREAM EXTREME last completed inspection. It is the responsibility of the permittee to
v ensure this permit is finaled. Permits that expire will need to be pulled
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: BUILDING
LAKE ELSINORE, CA 92530 Work Classification: ADDITION - OTC
(951) 674-3124 Permit Status: FINAL
PROJECT ADDRESS PARCEL NUMBER: 375205003
1604 W LAKESHORE DR Valuation: $8,000.00
LAKE ELSINORE, CA 92530 Total Scl Ft: 338
PERMIT CONTACTS ADDRESS PHONE CELL
JACK'S BBQ SHACK CONTRACTOR 1604 LAKESHORE DR (�
DEREK CARMICHAEL LAKE ELSINORE, CA 92530
APPLICANT
jack martin
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
addition 13'x 26'x 8' and access door conforming to existing structure
FEES TOTAL FEES: $299.01 AMOUNT DUE: $0.00
BASE BUILDING PERMIT FEE GREEN BUILDING FEE MISCELLANEOUS APPARATUS,
CONDUITS&CONDUCTORS
PERMIT ISSUANCE FEE PLAN CHECK FEE PROFESSIONAL DEVELOPMENT FEE
RECORDS RETENTION-SMALL SHEET
PERMIT DETAILED REPORT I>I 1 ' ' •
Permit Type BUILDING Project: App Date: 07/13/2020
Work Class: ADDITION-OTC District: NA Issue Date: 07/13/2020
Status: FINAL Square Feet: 338.00 Exp Date: 12/09/2021
Description: addition 13'x 26'x 8'and access door Valuation: $8,000.00 Final Date: 08/18/2021
conforming to existing structure
Parcel: 375205003 Main Address: W 1604 Lakeshore Dr Main Zone: RH(HILLSIDE SINGLE FAMILY RESIDEN-
Lake Elsinore,CA 92530
APPLICANT CONTRACTOR
Jack Martin Derek Carmichael
1604 W Lakeshore Dr17451 1604 Lakeshore Dr
Ryan Ave W Dr Lake Elsinore, CA 92530
Lake Elsinore, CA 92530 Home:
Home: Business: 9512456500
Business: Mobile:
Mobile:
Invoice No. Fee Fee Amount Amount Paid
INV-00024658 PROFESSIONAL DEVELOPMENT FEE $10.00 $10.00
PLAN CHECK FEE $103.50 $103.50
PERMIT ISSUANCE FEE $30.00 $30.00
MISCELLANEOUS APPARATUS,CONDUITS&CONDUCTORS $16.25 $16.25
GREEN BUILDING FEE $1.00 $1.00
BASE BUILDING PERMIT FEE $138.00 $138.00
RECORDS RETENTION-SMALL SHEET $0.26 $0.26
Total for Invoice INV-00024658
Grand Total for Permit $299.01 $299.01
November 16, 2021 Page 1 of 1
C PERMIT NUMBER: PBLDG-2020-0944
ITY OF i�
Issue Date: 09/03/2020 Expiration: 03/04/2021
LADE LSI"OkE ill expire days from the Issue Date or the date of the
This permit will e p e 365 ay o
v DREAM EXTREME last completed inspection. It is the responsibility of the permittee to
` ensure this permit is finaled. Permits that expire will need to be pulled
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: PORTAL BUILDING PERMITS
LAKE ELSINORE, CA 92530 Work Classification: PORTAL BUILDING PERMIT
(951) 674-3124 Permit Status: EXPIRED
PROJECT ADDRESS PARCEL NUMBER: 375350007
1604 W LAKESHORE DR Valuation: $0.00
LAKE ELSINORE, Total Scl Ft: 0
PERMIT CONTACTS ADDRESS PHONE CELL
APPLICANT (
jack martin
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
1604 W. Lakeshore ATTACHED 28X32 DECK W/SOLID PATIO OVER
FEES TOTAL FEES: AMOUNT DUE:
PERMIT DETAILED REPORT (PBLDG-2020-0944)
Permit Type PORTAL BUILDING PERMITS Project: App Date: 09/02/2020
Work Class: PORTAL BUILDING PERMIT District: NA Issue Date: 09/03/2020
Status: EXPIRED Square Feet: 0.00 Exp Date: 03/04/2021
Description: 1604 W.Lakeshore ATTACHED 28X32 DECK W Valuation: $0.00 Final Date: NOT FINALED
SOLID PATIO OVER
Parcel: 375350007 Main Address: W 1604 Lakeshore Dr Main
Lake Elsinore,
APPLICANT
Jack Martin
1604 W Lakeshore Dr17451
Ryan Ave W Dr
Lake Elsinore,CA 92530
Home:
Business:
Mobile: �
Type of Hold Created By Date Created Comments Active
Expired Permit Hold EnerGov Service 3/15/2021 2:06:07AM Hold has been added by the IAA Yes
to ensure the expired permit
cannot have any further work
conducted until the expiration is
extended.
Invoice No. Fee Fee Amount Amount Paid
$0.00
Total for Invoice
Grand Total for Permit $0.00
November 16,2021 Page 1 of 1
CITY OF PERMIT NUMBER: BLDG-2021-00926
i�
T' Issue Date: 07/27/2021 Expiration: 07/27/2022
LAf�E LS1N 1 10�L it from the Issue Date or the date of the
This permit will expire 365 days o e ss
DREAM EXTREME last completed inspection. It is the responsibility of the permittee to
` ensure this permit is finaled. Permits that expire will need to he stilled
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: BUILDING
LAKE ELSINORE, CA 92530 Work Classification: ELECTRICAL
(951) 674-3124 Permit Status: ISSUED
PROJECT ADDRESS PARCEL NUMBER: 375350039
1604 W LAKESHORE DR Valuation: $0.00
LAKE ELSINORE, CA 92530 Total Scl Ft: 0
PERMIT CONTACTS ADDRESS PHONE CELL
Meineke&Sons's Elec CONTRACTOR 29859 Aspen PI, 29859,Aspen PI (951)232-9248
Brian Meineke Canyon Lake, CA 92587
JACK'S BBQ SHACK OWNER
DEREK CARMICHAEL
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
New electric service, new wire of patio and rewire. ADDING 50 AMP LOAD CENTER
FEES
TOTAL FEES: $77.25 AMOUNT DUE: $0.00
LIGHTING FIXTURES,SOCKETS OR MISCELLANEOUS APPARATUS, PERMIT ISSUANCE FEE
OTHER(BLDG) CONDUITS&CONDUCTORS
PROFESSIONAL DEVELOPMENT FEE RECEPTACLE(BLDG) SWITCHES(BLDG)
PERMIT DETAILED REPORT (BLDG1 1 1 .
Permit Type BUILDING Project: App Date: 05/11/2021
Work Class: ELECTRICAL District: NA Issue Date: 07/27/2021
Status: ISSUED Square Feet: 0.00 Exp Date: 07/27/2022
Description: New electric service, new wire of patio and Valuation: $0.00 Final Date: NOT FINALED
rewire.ADDING 50 AMP LOAD CENTER
Parcel: 375350039 Main Address: W 1604 Lakeshore Dr
Lake Elsinore, CA 92530
1604 Lakeshore Dr Main
Lake Elsinore,CA
OWNER CONTRACTOR
Derek Carmichael Brian Meineke
1604 Lakeshore Dr 29859 Aspen PI
Lake Elsinore,CA 92530 Suite:29859 ,Aspen PI
Home: Canyon Lake, CA 92587
Business: 11101�11
Home:
Mobile: 41001111111111111, Business: 9512329248
Mobile:
Note Created By Date and Time Created
1. EMAILED DEREK FOR PLANS. Crissy Mirabella May 11, 2021 3:59 pm
2. PER BILL:Will need type of lights to be installed.Title 24 for Crissy Mirabella May 13, 2021 12:48 pm
energy calcs and plans need to be on 11.5 x 18 min and
stamped by an electrical engineer. I EMAILED DEREK TO LET H
KNOW.
3. SENT A FOLLOW UP EMAIL. Crissy Mirabella May 18,2021 10:56 am
4. SENT A FOLLOW UP EMAIL TO DEREK TO SEE IF THEY HAVI Crissy Mirabella May 28,2021 8:59 am
EVERYTHING TO SUBMIT.
5. SENT DEREK A FOLLOW UP EMAIL. Crissy Mirabella July 19,2021 10:46 am
6. THE ELECTRICIAN CAME IN TO SUBMIT AND NEEDS TO Crissy Mirabella July 26,2021 2:30 pm
PROVIDE MORE INFORMATION.
Invoice No. Fee Fee Amount Amount Paid
INV-00030511 LIGHTING FIXTURES, SOCKETS OR OTHER(BLDG) $10.00 $10.00
PROFESSIONAL DEVELOPMENT FEE $5.00 $5.00
RECEPTACLE(BLDG) $10.00 $10.00
PERMIT ISSUANCE FEE $30.00 $30.00
MISCELLANEOUS APPARATUS, CONDUITS&CONDUCTORS $16.25 $16.25
SWITCHES(BLDG) $6.00 $6.00
Total for Invoice INV-00030511
Grand Total for Permit $77.25 $77.25
November 16,2021 Pagel of 1
PERMIT NUMBER: BLDG-2021-01691
CITY OF ��
Cj
Issue Date: 08/17/2021 Expiration: 08/17/2022
KELA LSINORE This permit will expire 365 days from the Issue Date or the date of the
. DRenti EXTREME last completed inspection. It is the responsibility of the permittee to
`" ensure this permit is finaled. Permits that expire will need to be pulled
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: BUILDING
LAKE ELSINORE, CA 92530 Work Classification: MECHANICAL
(951) 674-3124 Permit Status: FINAL
PROJECT ADDRESS PARCEL NUMBER:
1604 LAKESHORE DR Valuation: $0.00
LAKE ELSINORE, CA 92530
Total Sq Ft: 0
PERMIT CONTACTS ADDRESS PHONE CELL
JACK'S BBQ SHACK OWNER (
DEREK CARMICHAEL
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
(2) NEW FAU & (2) 5 TON AC UNITS ON ROOF OF DECK
FEES TOTAL FEES: $286.00 AMOUNT DUE: $0.00
BOILER/COMPRESSOR(3-15 HP) FAU/FURNACE/DUCTS/VENTS(<100K INSTALL,ALTER OR REPAIR OF WATER
BTU) PIPING/TREATING
MISCELLANEOUS APPARATUS, PERMIT ISSUANCE FEE PROFESSIONAL DEVELOPMENT FEE
CONDUITS& CONDUCTORS
REGISTERS
PERMIT DETAILED REPORT (BLDG1 1 . •
Permit Type BUILDING Project: App Date: 08/17/2021
Work Class: MECHANICAL District: NA Issue Date: 08/17/2021
Status: FINAL Square Feet: 0.00 Exp Date: 08/17/2022
Description: (2)NEW FAU&(2)5 TON AC UNITS ON ROOF Valuation: $0.00 Final Date: 08/18/2021
OF DECK
Address: 1604 Lakeshore Dr Main
Lake Elsinore, CA 92530
OWNER
Derek Carmichael
1604 Lakeshore Dr
Lake Elsinore,CA 92530
Home:
Business: 00391005M
Mobile:
Invoice No. Fee Fee Amount Amount Paid
INV-00030813 FAU/FURNACE/DUCTS/VENTS(<100K BTU) $26.50 $26.50
REGISTERS $65.00 $65.00
INSTALL,ALTER OR REPAIR OF WATER PIPING/TREATING $8.50 $8.50
BOILER/COMPRESSOR(3- 15 HP) $48.50 $48.50
PERMIT ISSUANCE FEE $90.00 $90.00
MISCELLANEOUS APPARATUS,CONDUITS&CONDUCTORS $32.50 $32.50
PROFESSIONAL DEVELOPMENT FEE $15.00 _ $15.00
Total for Invoice INV-00030813 $286.00
Grand Total for Permit $286.00 $286.00
November 16,2021 Page 1 of 1
CITY OF PERMIT NUMBER: BLDG-2018-01571
��
LAKE r T N Issue Date: 06/26/2018 Expiration: 12/23/2018
L` 1`�L C
LS11 OkE This permit will expire 365 days from the Issue Date or the date of the
DRFAM EXTREMI, last completed inspection. It is the responsibility of the permittee to
` ensure this permit is finaled. Permits that expire will need to be pulled
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: BUILDING
LAKE ELSINORE, CA 92530 Work Classification: ELECTRICAL
(951) 674-3124 Permit Status: EXPIRED
PROJECT ADDRESS PARCEL NUMBER: 375350039
1604 W LAKESHORE DR Valuation: $0.00
LAKE ELSINORE, CA 92530 Total Scl Ft: 0
PERMIT CONTACTS ADDRESS PHONE CELL
JACK'S BBQ SHACK APPLICANT 1604 LAKESHORE DRY
DEREK CARMICHAEL LAKE ELSINORE, CA 92530
OWNER
TIMOTHY NIELSEN
L
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
(1) EXTERNAL WALK-IN COOLER (10X12X8)
FEES
TOTAL FEES: $97.78 AMOUNT DUE: $0.00
BOILER/COMPRESSOR(<3 HP) EVAPORATIVE COOLER/SYSTEM FIXED NON-RESIDENTIAL APPLIANCES
PERMIT ISSUANCE FEE PROFESSIONAL DEVELOPMENT FEE RECORDS RETENTION-SMALL SHEET
PERMIT DETAILED REPORT 1 1
Permit Type BUILDING Project: App Date: 06/26/2018
Work class: ELECTRICAL District: NA Issue Date: 06/26/2018
Status: EXPIRED Square Feet: 0.00 Exp Date: 12/23/2018
Description: (1)EXTERNAL WALK-IN COOLER(10X12X8) Valuation: $0.00 Final Date: NOT FINALED
Parcel: 375350039 Main Address: W 1604 Lakeshore Dr Main
Lake Elsinore,CA 92530
APPLICANT OWNER
Derek Carmichael Timothy Nielsen
1604 Lakeshore Dr W 1604 Lakeshore Dr
Lake Elsinore,CA 92530 Lake Elsinore,CA 92530
Home: Home:
Business: 90=11111111111111P Business:
Mobile: � Mobile:
Type of Hold Created By Date Created Comments Active
Expired Permit Hold EnerGov Service 1/15/2020 7:01:48AM Hold has been added by the IAA Yes
to ensure the expired permit
cannot have any further work
conducted until the expiration is
extended.
Invoice No. Fee Fee Amount Amount Paid
INV-00014063 FIXED NON-RESIDENTIAL APPLIANCES $4.25 $4.25
BOILER/COMPRESSOR(<3 HP) $13.25 $13.25
PERMIT ISSUANCE FEE $60.00 $60.00
RECORDS RETENTION-SMALL SHEET $0.78 $0.78
PROFESSIONAL DEVELOPMENT FEE $10.00 $10.00
EVAPORATIVE COOLER/SYSTEM $9.50 $9.50
Total for Invoice INV-00014063 $97.78 $97.78
Grand Total for Permit $97.78 $97.78
November 16,2021 Page 1 of 1
CITY OF PERMIT NUMBER: BLDG-2017-00829
i�
T T' N This permit will ire Issue Date: 04/17/2017 Expiration: 10/14/2017
LAKE L
� p p days ORE T i ex 365 da s from the Issue Date or the date of the
�
DREAM EXTREME last completed inspection. It is the responsibility of the permittee to
` ensure this permit is finaled. Permits that expire will need to be pulled
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: BUILDING
LAKE ELSINORE, CA 92530 Work Classification: ROOF
(951) 674-3124 Permit Status: EXPIRED
PROJECT ADDRESS PARCEL NUMBER: 375350039
1604 LAKESHORE DR Valuation: $0.00
Lake Elsinore, CA 92531 Total Scl Ft: 5
PERMIT CONTACTS ADDRESS PHONE CELL
OWNER
RODNEY NIELSEN
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
TEAR OFF 5 SQ
FEES
TOTAL FEES: $40.52 AMOUNT DUE: $0.00
PLAN RETENTION FEE -SMALL PROFESSIONAL DEVELOPMENT FEE REROOF PERMIT
PERMIT DETAILED • ' 1 1 1
Permit Type BUILDING Project: App Date: 04/17/2017
Work Class: ROOF District: NA Issue Date: 04/17/2017
Status: EXPIRED Square Feet: 5.00 Exp Date: 10/14/2017
Description: TEAR OFF 5 SQ Valuation: $0.00 Final Date: NOT FINALED
Parcel: 375350039 Main Address: 1604 Lakeshore Dr Main
Lake Elsinore,CA 92531
OWNER
Rodney Nielsen
Home:
Business:
Mobile:
Invoice No. Fee Fee Amount Amount Paid
INV-00004834 PLAN RETENTION FEE-SMALL $0.52 $0.52
PROFESSIONAL DEVELOPMENT FEE $5.00 $5.00
REROOF PERMIT $35.00 $35.00
Total for lnvoireINV-00004834 $40.52
Grand Total for Permit $40.52 $40.62
November 16,2021 Page 1 of 1