HomeMy WebLinkAboutLAKESHORE DR 1604 (5) CITY OF061'
LADE LSI11DI�E BUILDING & SAFETY
DREAM EXTREME,-
130 South Main Street
PERMIT
PERMIT NO: 10-00000500 DATE: 5/19/10
JOB ADDRESS . . . . . 1604 LAKESHORE DR
DESCRIPTION OF WORK MISCELLANIOUS
OWNER CONTRACTOR
NIELSEN RODNEY A OWNER
NIELSEN ELAINE E
A. P.# 375-350-039 7 SQUARE FOOTAGE 0
OCCUPANCY . . . . GARAGE SQ FT 0
CONSTRUCTION . . . FIRE SPRNKLR
VALUATION . . . . 1, 000 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 90 . 00
5 . 00 X 2 . 7500 VALUATION 13 . 75
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 16 . 2500 MISC. WHERE NO OTHER FEE 16 . 25
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 103 . 75 . 00 103 . 75
ELECTRICAL PERMIT 46 . 25 . 00 46 . 25
OTHER FEES
PROF.DEV. FEE 2 TRADES 10 . 00 . 00 10 . 00
PLANNING REVIEW FEE 10 . 00 . 00 10 . 00
PLAN RETENTION FEE . 52 . 00 . 52
SEISMIC GROUP R . 50 . 00 . 50
GREEN BUILDING FEE 1 1 . 00 . 00 1 . 00
TOTAL 172 . 02 . 00 172 . 02
SPECIAL NOTES & CONDITIONS
added a 10x10 cover to existing deck
subject to field inspection, w/
wrought iron and misc elec not to be
used for -out door seating per planning
4e-:-axNffe Type:IF Drawer: 1
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City of Lake Elsinore Please read and initial ,
Building Safety Division 1.I am Licensed under the provisions of Business and professional Code Section 7000 et se*1 and
my license is in full force.
Post in conspicuous place 2.l,as owner of the property,or my employees w/wages as their sole compensation will do the work
on the job and the structure is not intended or offered for sale.
3.l,as owner of the property,am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the project.
JOB ADDRESS for each respective inspection: 4.I have a certificate of consent to selfmsure or a certificate of Workers Compensation Insurance
Approved plans must be on job or a certified copy thereof.
at all times: 5.1 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,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
EL01 Temporary Electric Service
PLOI Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 I Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO 1 Underground Water Pipe
SSO1 Rough Septic System
SWO1 0n Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPO8 Roof Sheathing
BP09 I Shear Wall&Pre-Lath
PL03 I Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric/ T-Bar
ME01 Rough Mechanical
ME02 I Ducts,Ventilating
PL04 Rough Gas Pipe/Test
PL02 Roof Drains
BP 10 Framing&Flashing
BP 12 Insulation
BP13 Drywall Nailing
BPI 1 1 Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
POO I Pool Steel Rein./Forms building being released by the City
P001 Pool Plumbing/Pressure Test
P003 Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing/Gates/Alarms Finance
P005 Pre-Plaster Approval Engineering
P009 lFinal Pool/Spa
F
C,,,LrI'Y OF
LADE LSII`iOI�E
D REAM E XT RE M E TM 130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT APPLICATION RECEIVED
DATE
APO BY
VALUATION CALCULATIONS
BUILDING ADDRESS
9st FLOOR SF
TRA T BLOCK/PAGE LOT! AR EL
2nd FLOOR SF
3rd FLOOR SF 0 ME(7�D /UC
W
GARAGE SF N
E
STORAGE SF R
1 i ense OR er p visions o c ap erg commencin
DECK&BALCONIES SF with section 7000)of division 3 of the bu ness and professions code,and
C my license is in full force and effect.
OTHER: SF O LICENSE# USI ESS
N AND CLASS #
T NAME
VALUATION: R
A MAILIN
C ADDRESS
FEES T CITY AT IP PHONE
O
BUILDING PERMIT $ R CONTRACTOR'S SIGNATURE UIA i
PLAN CHECK NAME LICE SE
A
PLAN REVIEW R MA IN
C ADDRESS
SEISMIC H CITY STATEJZIP H NE
PLAN RETENTION []NEW OCC GRP.! CONST.
❑ADDITION DIVISION: TYPE:
FIRE SERVICES ❑ALTERATION NUMBER OF NUMBER OF
❑OTHER STORIES: BEDROOMS:
SINGLE FAMILY ZONE:
❑APARTMENTS
❑I certify that I have read this application and state that the ❑CONDOMINIUMS HAZARD YES
above information is correct.I agree to comply with all city TOWN HOMES AREA? NO
and county ordinances and state laws relating to building COMMERCIAL SPRINKLERS YES
construction,and hereby authorize representatives of this ❑INDUSTRIAL REQUIRED 7 NO
city to enter upon the above-mentioned property for insp- ❑REPAIR PROPOSED USE OF BLDG:
lion purposes. ❑DEMOLISH PRESENT USE OF BLDG:
JOB DESCRIPTION
Signature of Applicant or Agent Date
Agent for ❑ contractor ❑ owner
Agents Name
Agents Address
_ P
*41
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