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HomeMy WebLinkAboutLAKESHORE DRIVE 16474 (2) CITY OF LAIXE LSIT' �I�E BUILDING & SAFETY DREAM EXT'REMETM 130 South Main Street PERMIT PERMIT NO : 08 - 00001436 DATE : 12/24/08 JOB ADDRESS . . . . . 16474 LAKESHORE DR DESCRIPTION OF WORK ALTER COMMERCIAL/INDUSTRIAL OWNER CONTRACTOR --------------------------------- ----------------------- - knapp , Richard OWNER A. P . # 378 -301 - 021 9 SQUARE FOOTAGE OCCUPANCY GARAGE SQ FT CONSTRUCTION FIRE SPRNKLR VALUATION . . 5 , 000 ZONE . . . . . . NA ----------------------------------------------------------------- BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 63 . 00 3 . 00 X 12 . 5000 VALUATION 37 . 50 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 - ------------------------------------------------------------------ -- ELECTRICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 1 . 0000 SWITCHES / 1ST 20 1 . 00 1 . 00 X 1 . 0000 RECPT, OUTLET / 1ST 20 1 . 00 1 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 1 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 ---------- ---------------------------------- ------------------------ PLUMBING PERMITS QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 2 . 00 X 8 . 7500 FIXTURE OR TRAP 17 . 50 ------------------------------------------------------------------ -- FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT-- 105 . 50 . 00 105 . 50 ELECTRICAL PERMIT 38 . 00 . 00 38 . 00 PLUMBING PERMITS 52 . 50 . 00 52 . 50 OTHER FEES PLAN RETENTION FEE 2 . 18 Oper:oFOMITFR2 2y,g83F Drawer: 1 SEISMIC OTHER . 50 Dat-UUdAE/09 06 Re�r8t6 no: 3B92 PLAN CHECK FEES 79 . 13 . 6CO16 143C79 . 13 OF BJl1 DI1lC PFR11 l V77.0ul TOTAL 277 . 81 Tpgg-nmber: 277 . 81 129989 „ C, rr', ;rr 01)17� o Tram date: f06/09 Tim: 15:56:33 City of Lake Elsinore Please read and initial Building Safety Division I.I am Licensed under the provisions of Business and professional Code Section,7000 et seq.and my license is in full force. Post in conspicuous place 2.I,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.i,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 selfinsure or a certificate of Workers Compensation Insurance Approved plans must be on job or a certified copy thereof at all times: S.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 W 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 PLO I Soil Pipe Underground EL02 Electric Conduit Underground BPO1 IFootings. BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO] Underground Water Pipe SS01 Rough Septic System SW01 Ion Site Sewer BP05 I Floor Joists BPO6 Floor Sheathing BP07 Roof Framing BPO8 Roof Sheathing BP09 Shear Wall&Pre-Lath PL03 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric/ T-Bar MEO1 Rough Mechanical A4E02 Ducts,Ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP10 Framing&Flashing BPI 2 1 Insulation BP 13 Drywall Nailing BPI] lathing&Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 I Final Building Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the P001 Pool Steel Rein./Forms building being released by the City P001 Pool Plumbing/Pressure Test P003 Pro-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 Final Pool/Spa CITY OF LADE' ULS 11-iORE BUILDING & SAFETY DREAM EXTREME,. 130 South Main Street PERMIT PERMIT NO : 08-00001436 DATE : 12/24/08 ** PAGE 2 JOB ADDRESS . 16474 LAKESHORE DR DESCRIPTION OF WORK . ALTER COMMERCIAL/INDUSTRIAL SPECIAL_NOTES—&_CONDITIONS _ ------- -- - - -- - - SPECIAL NOTES & CONDITIONS (CONTINUED) Adding ADA Restroom and Van Accessible Parking Space . Previous permits obtained for this project (elect . & reroof ) will be honored-RKC 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 seq.and my license is in full force. Post in conspicuous place 2.[,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.I,as owner of the propetty,am exclusively contracting with licensed contractors to construct the You must furnish PERMIT NUMBER and the project. JOB ADDRESS for each respective inspection: 4.1 have a certificate of consent to selfinsure 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 PLO 1 Soil Pipe Underground EL02 Electric Conduit Underground BPO1 IFootings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO1 Underground Water Pipe SS01 I Rough Septic System SWO1 On Site Sewer BP05 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BPO8 Roof Sheathing BP09 Shear Wall&Pre-Lath PL03 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring M6 EL05 Rough Electric/ T-Bar ME01 Rough Mechanical ME02 Ducts,Ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BPI 0 Framing&Flashing BP 12 linsulation BPI 1 Drywall Nailing BPI] Lathing&Siding PL99 Final Plumbing <� EL99 Final Electrical 1 G ME99 Final Mechanical BP99 Final Building ILI Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the P001 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 I Engineering P009 Final Pool/Spa CITY OF LAKE ''` K �� LSI1-1oP,,,E DREAM EXT R.E M E rM 130 South Main Street APPLICATION FOR APPLICATION N _ 2 BUILDING PERMIT APPLICATION RECEIVED DATE VALUATION CALCULATIONS 37 9 3 a) - D2) 1stFLOOR (-20 �SF BUILDIN ADDR — -7 9 L A9 ✓ 5 0 ospC �>JZ- TRA T BLO K/PAGE R EL 2nd FLOOR SF 3rd FLOOR SF O NAME '( W MAILING PHONE GARAGE SF N ADDRESS E MTY STATE/ZIP STORAGE SF R I hereby affirm that I am licensed under provisions of chapter 9(commencing DECK$BALCONIES SF with section 7000)of division 3 of the business and professions code,and C my license is in full force and effect. OTHER: SF O LICENSE# CITY BUSINESS N AND CLASS TAX# T NAME VALUATION: _ ,Dvl� R A MAILING C ADDRESS FEES T CITY STATE/ZIP PHONE O BUILDING PERMIT 3 R CONTRACTOR'S SIGNATURE u 197 PLAN CHECK NAME LICENSE# A PLAN REVIEW R MAILING C ADDRESS SEISMIC H ICITYI H NE PLAN RETENTION 0 NEW OCC GRP./ CONST. ❑ADDITION DIVISION: TYPE: FIRE SERVICES 0 ALTERATION NUMBER OF NUMBER OF []OTHER STORIES: BEDROOMS: SINGLE FAMILY ZONE: ❑APARTMENTS 0 1 certify that I have read this application and state that the p CONDOMINIUMS HAZARD YES above information is correct.I agree to comply with all city 0 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? NO city to enter upon the above-mentioned property for insp- ❑REPAIR PROPOSED USE OF,BLDG: tion purposes. ❑DEMOLISH PRESENT USE OF'BLDG: JOB DESCRIPTION f} S AtiJ V n) CCESSS(3LF— A� G Signature of Applicant or Agent Date C5 Agent for ❑ contractor ❑ owner Agents Name Agents Address CITY 'OF .� LA- E LSI AO E C DREAM. EX-FRE,ME TM 130 South Main Street AI'PL[CA'1' N M D �193(C�> APPLICATION FOR PERMIT APPLICATION DATE: �2 Z� bg' ELECTRICAL/PLUMBING/MECHANICAL AP# 37&"3 6� — ©Z ) BY. iz K C_ BUILDING ADDRESS //�� 1 ^ �/�.y� ��.t{/�] `.--. t7�J I hereby Certify dim I Have read this application and state that the )1J�7 y L1 D<L 5 1 J`�sC r r above information is correct,I agree to comply with all city and cotutty TRACT B 1.00UP—AG E 1-00PARCEL ordinances and state laws relating to building construction,and hereby — authotire representatives of this city to enter upon the above-mwnioned 0 NAME 1[ p properly for inspection purposes. W �cr�d`--D N MAILING.ING PHONE E ADDRESS R CITY STATEfZlP Signature of Applicant or Abcnt Date 1 hereby affirm that Jam licensed toiler the Ixovisions of Chapter 9(commencing C with Section 7000)of Division 3 of the Business and Professions Code,and my (circle one) 0 license is in full force and effect. AGENT FOR: CONTRACTOR OWNER N LICENSE# CITY BUSINFSS T AND CLASS TAX# AGENTS NAME R NAME AGENTS ADl)RfSS ---- -----.--_-- C MAILING street city sl;nc zip T ADDRESS 0 CITY STATE/ZIP PHONE R CONTRACTOR'S SIGNATURE ELECTRICAL Qttan PLUMBING Quan MECHANICAL Quail New Res.Multi Family/SQ.FT, Fixtw-c 01 Trap F.A.U./Furnace/Ducts/Vents New Res, Single Family/SQ.1 I`. Building Sewer 'L F.A.U.I Furnace/Misc.I> 100000 Pool Electric System, Privatc Rain Water System per Drain Floor Furnacc/Vcnt Switches/ 1st 20 Private Septic System Unit Heater/Wall Heater Switches/Over 20 Water Heater/Vent Install/Relocate I Replace Vent Receptacle Outlet/ Ist 20 Gas Piping System I -4 Outlets Ventilating hall Receptacle Outlet I Over 20 Gas Piping 5 or More Outlets Evaporative Cooler Lighting Fixtures/Ist 20 Dishwasher Ventilating System Lighting Fixtures/Over 20 Solar Tank Exaust Hood Residential Fixed Appliance/Outlet Isolar Collector per Panel Fireplace Nan-Residential Appliance/Outlet GteasoTrap/(Interceptor) Commercial Incinerntor 100-200 Amp Service<600V Instal 1,Alter or Repair System Air Handler> 10000 CFM 200- 1000 Amp Service<600V Lawn Sprinkler System Air Handler< 10000 CFM Misc. Apparatus,Conduits,Etc. BackHow Device Smaller than 2" Fire Dampers Signs Backilow Device Larger than 2" Registers Sign Branch Circuit I Moor Drain Compressor/I-lcatpump-3 1-I.P. Bus ways/EA 100 F1' Floor Sink Compressor I l4catpunip 3- 15 II,P. Temporary Power Service Water Service Compressor/Heat u inp 15-30 H.P. Temporary Power Distribution System Alter or Repair Drain or Vent Compressor/l-Ieatpump 30-50 H.P. Motors/Transformers Fire Sprinklers per Building Repair/Alter Misc.HVAC Motors up to 1 ILP. Swinuning Pool Compressor/Hcatpump Over 50 H.P. Motors/Transformers I - 10 li.P. Swimming Pool/Public Motors 1 Transformers 10-50 H.P. 18wilillning Pool/Private Motors I Transformers 50- 100 H.P. lWater Heater/Vent Motors/Transformem> 100 H.P. Replace Piping Replace Filter Misc.Replace Gas Piping CITY OF LAKE ELSINORE BUILD INGAND SAFETY DIVISION Date: NOTICE ❑ Stop Work Correct Work Job Address Permit Number � L IN -�-�I.� . Division Inspector Cityof Lake Elsinore] 130 South Main Street PERMIT PERMIT NO : 07 - 00003187 DATE : 12/0b/07 JOB ADDRESS . . . . . 16474 LAKESHORE DR DESCRIPTION OF WORK ELECTRICAL OWNER CONTRACTOR — ---------- -------------=— --------__--------------------- knapp, Richard OWNER •A. P . # 378 -301- 021 9 SQUARE FOOTAGE 0 OCCUPANCY GARAGE SQ FT 0 CONSTRUCTION FIRE SPRNKLR VALUATION ZONE . . . . . . NA ------------------------------------------------------------ ---- ELECTRICAL PERMIT QTY UNIT. CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 27 . 2500 100-200AMP SERVICE<600VLT 27 . 25 1 . 00 K 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 -------------------------------------------------------------------- --- FEE SUMMARY CHARGES PAID DUE PERMIT FEES ELECTRICAL PERMIT— _ 62 . 25 . 00 62 . 25 OTHER FEES PLAN RETENTION FEE . 50 . 00 . 50 TOTAL 62 . 75 . 00 62 . 75 SPECIAL NOTES & CONDITIONS --------------------------- panel upgrade ��,_'.L�J1LUl1�U�UY•LL�[..�.l --..., ....._� _'T --•a/iY. j51.c. T—� Jam.`••:1 4/Y rM•wf f_ _ . .� ._.-. City of Lake Elsinore Please read and initial Building Safety Division 1.1 am Licensed under the provisions of Business and professional Code Section 7000 et spq and my license is in full force. I Post in conspicuous place 2.[,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. 3.1 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: 4.1 have a certificate of consent to selfinsure 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. (Vote:If you should become subject to Workers Compensation after making this certification, Code Approvals Date Inspector you most forthwith comply with such provisions or this permit shall be deemed revoked EL01 Temporary Electric Service PLO l Soil Pipe Underground EL02 Electric Conduit Underground BPO1 Footings BP02 Steel Reinforcement BPO3 Grout BP04 Slab Grade PLO I Underground Water Pipe SSO I Rough Septic System SWO1 On Site Sewer BPOS Floor Joists BP06 Floor sheathing BP07 lRoofFramWg r Roof Sheathing Shear Wall&Pre-Lath Rough Plumbing Rough Electric Conduit Rough Electric Wiring ELOS lReugh Electric/ T-Bar ME01 Rough Mechanical MEE02 Duce Ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP 10 Framing&Flashing BP 12 Insulation BP 13 Drywall Nailing BPI I Lathing&Siding PL99 Final Plumbing EL99 lFinal Electrical ME99 I Final Mechanical BP99 lFinal Building i Code Pool&Spa Approvals Date Inspector OTHER DWISION RELEASES Deputy Inspector Department Approval required prior to the POO1 Pool Steel Rein_/Forms building b ing released by the City POO 1 Pool Plumbing/Pressure Test P003 Pre-Gunite Approval Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landscape P004 Pool Fencing/Crates/Alarms Finance P005 Pre Plaster Approval Engmeerin P009 lFinal Pool/Spa City of Lake . Elsinore '30 South Main Street PERMIT PERMIT NO : 07 - 00003198 DATE : 12/07/07 JOB ADDRESS 16474 LAKESHORE DR DESCRIPTION OF WORK REROOF OWNER CONTRACTOR ----------------------------=— ----------------------------- knapp, Richard OWNER A. P . # . . . . . 378 -301 - 021 9 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION FIRE SPRNKLR VALUATION ZONE . . . . . _ NA ---------------------------- -------------------------------------- REROOF PERMIT — QTY UNIT. CHG ITEM CHARGE 1 . 00 X 5 . 0000 PROFESSIONAL. DEV FEE 5 . 00 9 . 00 X 3 . 0000 REROOF 27 . 00 --------------- -- --------------------------------------------- --- FEE SUMMARY CHARGES PAID DUE PERMIT FEES REROOF PERMIT 32 . 0,0 . 00 32 . 00 OTHER FEES BUILDING DEVELOPER FEE-- 5 . 00 . 00 5 . 00 PLAN RETENTION FEE . 50 . 00 . 50 TOTAL 37 . 50 . 00 37 . 50 SPECIAL NOTES & CONDITIONS --------------------------- reroof-using 30yr comp shingle . mME2 Type•'i --➢ram,: 1 Vie:'Y?�OTI{TT UT' Eipt:ra: 2W7 3rff,:. 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 seq.and my license is in full force. Post in conspicuous place ✓ 2.I,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.[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.t have a certificate of consent to selfinsure or a certificate of workers Compensation Insurance Approved plans must be on job or;&certified copy thereof at all times: �V� 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, Code Approvals Date Inspector you must fortbwith comply with such provisions or this permit shall be deemed revoked. ELO I Temporary Electric Service PLO l Soil Pipe Underground EL02 Electric Conduit Underground BPO1 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO 1 Underground Water Pipe SSOI Rough Septic System SWOI On Site Sewer BP05 Floor Joists BP06 Floor Sheathing BP07 Roof Framing bRoofSheathing Shear Wall&Pre4,ath Rough Plumbing Rough Electric Conduit Rough Electric Wiring Rough Electric/ T-Bar 1v�0I Rough Mechanical ME02 Ducts,ventilating PL04 Rough Gas Pipe/Test PL02 RoofDrains BP 10 Framing&Flashing BP 12 Insulation BP13 Drywall Nailing BPI] 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 POOI Pool Steel Rein./Forms building b ing released by the City POO l Pool Plumbing/Pressure Test P003 Pre-GuniteApproval Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landscape P004 Pool Fencing/Gates/Alarms Finance P005 Pre-Plaster Approval Engineering P009 Final Pool/Spa Cityof Fake Elsinore 130 South Main Street APPLICATI 4 APPLICATION FOR PERMIT APPLICAT DATF�_ 7 j 7 BY: ELECTRICAL/PLUM BING/MECHANICAL A"v (/ rU BUILDING ADDRESS I hereby certify that I have read this application and state that the / above information is correct.I agree to comply with all city and county. TRACT BLOCK/PAGE LOT/PARCEL ord' and state laws relating to building construction,and hereby au representativ of this city to enter upon the ab ove-mei ntioned N Mj Pro for ins o urpores. 4y A {��LGyZ 4-,47J N R Signature ofApplicddt ent Date I a un er to provisions o Cr commencing C write Section 7000}otDivision 3 ofthe Business and Professions Code,and my (circle one) O license is in full force and effect. AGENT FOR: CONTRACTOR OWNER N' LICENSE# CITY BUSINESS AGENTS NAME �u�Z A2� �' ��� ©e� � R ACLASS TA]C1l '��.,� NAME AGENTSAD7RESSU C MAILING street city state yip T ADDRESS O CITY STATE/ZIP PHONE R ONTRACTO1tS SIGNATURE ELECTRICAL Quart PI,UMMING Quan MF,CHANICAL Quan New Res.Multi Family/SQ.FT. Fixture or Trap F-A-U./Fumace%Ducts/Vents few lees.Single Family./SQ:PT. Buildin Sewer F.A_U_/Furnace!Misc./>104000 PQoI 11a tic S Sear,Private Rant Water System r Drain filoor.Furnace Switches/I st 20 Private$c tie System Unit Heater 1 WaII Heater - Switches/Over 20' Witter Heater/Vent - Install%Relocate/Replace Vent. Receptacle Outlet/Ist 20 Gas Piping System I-4 Outlets Ventilating Fan Receptacle Outlet/Over 20 Gas Pi ing 5 or More Outlets a Evaporative Cooler Lighting F xtures 1:-Ist.20 Dishwasher Ventilating System Li ting Fixtures/Over 20 Solar Tattle Exaust Hood . Resideatial Fixed Appliance L Outlet Solar Collector per Panel Fireplace Non-Residential pliance/Outlet Grease Trap 1 gn(oreeptor) Commercial Incinerat4. 100-200 Amp Service<600V j Install,Alter or Repair System Air Handler>10000 CFM, 200-I000 Amp Service<60oV Lawn Sprinkler System Air.Handfer<10000 CFM Misc.Apparatus,Conduits,Eta Back#low' Device Smaller than 2" Fire.Dam rs Signs BackBow Device Larger than 2" Registers. Sigt Branch Circuit Floor Dn ire Compressor/Hen elite -3 UP.'. Busways/CA 100 IT Floor Sink Compressor/Heal temp 3-15 UP- IST22rary Power Service Water Service Compressor/Heatpumr,15-30 H.P., Temporary Power Distribution System Altelr or Re' air Dhairi or Vent Compressor/Heatp6mp30 Motors/Transformers Fire Sprinklers per Building Repair/Alter Misc.HVAC Motors up to l UP. Swimmin Tool Compressor/He. tern Over 50 H.P. Motors 1 Transformers L-10 H.P. Swimming Pool/Public Motors/Transformers 10.-50 H.P. $wir t n .Pool I Private Motors/Trausformers SO-100 H.P. Water Heater/.Vent { Motors/Transformers>100 H.P. lace Piping Replace Filter Misc.Replace Gas.Pipng . City_ of Lake Elsinore 130 South Main Strcef &PPLICATION FOR APPLIA,OI�N .B BUILDING PERMIT APPDAtc- UCAI'IONRECEIVED - AP VALUATION CALCULATIONS ILDIN�ADDRESS st FLOORsr= Fi(iRAC BLOT. FAGS LOT L nd FLOOR NAME rd FLOOR 5f O ZLYi>��+� 7ARAGE L- _SF PTO RAG E SF 1 here y a um that 1 am Gcensrxi and -prvnsrons o chapter 9(cemmencinq IECK&BALCONIES SF with section?QN)of division 3 a{the business am proff—ssioms ccAc.aad my C license is in tuts force and efferf. ITNER: SF O LIGENSE I CITY BUSINESS N AND-CLASS TAX 9 (ALUATION: R A MAHJO• c, AobRESS. FEES T CITY, STATEMP PHONE WILOING PERMIT' t.'• R, C U NTRACTOR' I N URE DATE 'LAN CHECK KAfAE LICENSE9 'LAN R!wWO).• .'Ff. Ap.C�RRSS . r iEISFAIC H'': PITY STATUZIP H E 'L•ANRETENT(0f(.:.• Q•NEW OCCGRP.I CONST. ❑ADDITION DMSION: .,, - TYPE: ❑ . %RA)rION: NUMBER OF NUMBER OF 3d7HEi STORIES: QEOROOMS: 0..4!IYGt.E3FAMILY ZONE:" J c2Hily rh •I Id�!e.rea(d this applibaGgn and state Thal )CONpOMIN1UliAs I1A711(tQ ' '' YES above infoimafon is eQrrect:.l.sigree to comp7yirriBi.atl sity. Q'1OVYri.tibMEP ' AREA?.. NO and.tou�ty arQidarirsrs dnitsilte laws relating to building- p'•GOlAKIERC(AL'•.•.SPRINKLERS YES ctmstructiaa;:shd-W-eby aadwrtze representati*2s of this WNOUSTWAC. REQUIRE[))• NO city to erA rupori th above-menlioMd ptoperty.forinsp= r r,1 AIR'. PROPOSED USE OF BLDG: lion prlrposes• Q otmo.•ISH PRZSENT USE OF BLDG: i JOB 01E CRIPTICIN 67 S ignata io 14i�tcaflt.oc Agetit l]aIe a. ' rAgent'Fbr. ;[] contractor O otiirner AgeR .Atfdr+es1k, 1-7 •street. . . '.. stare: zip