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HomeMy WebLinkAboutLAKESHORE DRIVE 16474_15-00001975 CITY OF �=*4 LADE '. LSIl` ORI BUILDING & SAFETY DREAM EXTREME,. 130 South Main Street Lake]Elsinore Ca. 92530 PERMIT JOB ADDRESS . . . . . : 16474 LAKESHORE DR DESCRIPTION OF WORK OCCUPANCY PERMIT OWNER CONTRACTOR KNAPP, RICHARD L OWNER A. P.# . . . . 378-301-021 9 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION FIRE SPRNKLR . VALUATION . . . ZONE . . . . . . NA OCCUPANCY PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES OCCUPANCY PERMIT 30 . 00 . 00 30 . 00 OTHER FEES PROF.DEV. FEE 1 TRADE 5 . 00 . 00 5 . 00 TOTAL 35 . 00 . 00 35 . 00 SPECIAL NOTES & CONDITIONS OCCUPANCY PERMIT FOR NEW BUSINESS $4 . 99 CUTS . OWNER IS RICHARD KNAPP Ift AM W14% _ JUL 2 2 2015 LA110,0JI%opm Z City of Lake Elsinore Please read and initial Building&Safety Division .I am Licensed under the provisions of Business and professional Code Section 7000 et seq.1nd Post in conspicuous place on the Job my license is in full force. Permit expires in 180 days front issue date 2.I,as owner of the property,or my employees w/wages as their sole compensation will do the work Or last inspection.Allowed one extension. and the structure is not intended or offered for sale. You must furnish PERMIT NUMBER and the 3.I,as owner of the property,am exclusively contracting with licensed contractors to construct the JOB ADDRESS for each respective inspection project. Approved plans must be on the job at all times 4.I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance Inspection request(951)674-3124 ext.239 �or a certified copy thereof. before 5:00 P.M. on prior workday. 5. 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. ELO 1 Temporary Electric Service PLO 1 Soil Pipe Underground EL02 Electric Conduit Underground BPO1 lFootings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO 1 Underground Water Pipe SS0I IRough Septic System SWO 1 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 EL05 Rough Electric/ T-Bar ME01 Rough Mechanical ME02 Ducts,Ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP 10 Framing&Flashing BP12 Insulation BP13 Drywall Nailing BP1 I Lathing&Siding PL99 *Final Plumbing EL99 *Final Electrical ME99 *Final Mechanical _ BP99 *Final Building * Final Signatures are Certificate of Occupancy for Single Family Residence Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES SPO1 Electric Conduit UG Division Approvals required prior to the Building Final SP02 UG Gas Piping Date Inspector SP03 Pool Steel Rein./Forms Landscape SP04 Pool Plmb./Pressure Test Fire SP05 Pre-Gunite Approval EVMWD SP06 Rough Pool Electric Finance SP07 Pool Fence/Gates/Alarms Engineering SP08 Pre-Plaster Approval Tumf SP99 Final Pool/Spa Planning CITY OF "LAIUE LSIriOR E L DREAM E XT RE M E TM 130 South Main Street APPLICATION FOR APPL N NO. BAPPLICATION dD BUILDING PERMIT � DATE jJ VALUATION CALCULATIONS BUILDINC7 ADDR S 1st FLOOR SF �p TRACT BLOCK/PAGE LOT/PA 2nd FLOOR SF NAME ' 3rd FLOOR SF O W GARAGE SF N E 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: R A MAILING C ADDRESS FEES T CITY STATE/ZIP PHONE O BUILDING PERMIT $ R CONTRACTOR'S SIGNATURE U`'Ai1E PLAN CHECK NAME LICENSE# A PLAN REVIEW R MAILING C ADDRESS SEISMIC H CITY STATE/ZIP PHONE PLAN RETENTION ❑NEW OCC GRP./ CONST. ❑ADDITION DIVISION: TYPE: ❑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? NO nrgnature above-mentioned property for insp- ❑REPAIR PROPOSED USE OF BLDG: ❑DEMOLISH PRESENT USE OF BLDG: JOB DESCRIPTION f Applicant or Agent Date Agent for ❑ contractor ❑ owner Agents Name j - Drry Agents Address —y Administrative Services-Licensing 130 South Main Street i� CITY or- Lake Elsinore,CA9253O BUSINESS LICENSE NO: r LADE LSIlYORE PH 951.674.3124x 213 or302 EXP DATE --``u DREAM EXTREME FAX951.471.0052 TOTAL FEES PAID www.lake-elsinore.org CASH CHECK CHARGE BUSINESS LICENSE APPLICATION -COMMERCIAL (Business Compliance Application must be approved priorto the issuance of your license). BUSINESS NAME: BUSINESS PHONE: CORPORATE NAME(If applicable) BUSINESS START DATE: Z( LOCATION ADDRESS: LA ZIP: EMAIL ADDRESS: &", ,WEBSITE: NATURE OF.BUSINESS(check all that apply):❑Retail Sales ❑ Wholesale ❑ Distributor❑Lawn&Garden ❑Auto Repair ❑Recycling❑Scrap Salvage Wservice❑ Professional ❑ Manufacturer List Product/Service Here: ADDRESS CITY �,dh'l..e.- Q `� ..J..,..�. STATE Gr5 ZIP: ❑ CORPORATION SOLE PROPRIETOR ❑ PARTNERSHIP ❑ TRUST ❑ NON-PROFIT ❑ CORP-LTD LIABILITY ❑ OTHER / Standard Industrial,Classfication (SIC)Code: BUSINESS INFORMATION FEDERALTAX ID: OR EIN# STATE CONTRACTORS LICENSE: TYPE: EXR PLEASE ATTACH COPIES OF THE FOLLOWING IF APPLICABLE: ❑ FICTITIOUS NAME STATEMENT ❑SELLERS PERMIT/RESALE NUMBER ❑ HEALTH PERMIT ❑ ABC LICENSE ❑ TOBACCO LICENSE ❑BUREAU OF AUTO REPAIR ❑ COSMETOLOGY LICENSE ❑ CAMTC LICENSE ❑ OTHER: OWNER 1 NAME: v—As v OWNER 1 NAME: HOME ADDRESS: HOME ADDRESS: CITY,STATE,ZIP CITY,STATE,ZIP PHONE: PHONE: *State Mandated Disability Access Fee(SB 1186-$1.00 fee effective 1-01-13) Under federal and state law,compliance with disability access laws is a serious and significant responsibility that applies to all California building owners and tenants with buildings open to thVpbl+c.You.Tay pbVa p gJormaUn e,E oo(6Igpl obligptiopr s and how to comply with disability access laws at the following agencies:The Division of State Architect at w&ds.Q ds /ftsaxi la nit o iehabillta qn 1; i �._, r`- I �� c, I ,-- 1 0 - 11 -: ?7 - www.rehab.cahwnet.00v;and The California Commission on Disability Access at www.ccda.ca.gov. , �, , ,, ,,, .i, r_; ;, 11 .. .„ �'I I 7n rT1 I -•J n� t� ; t..ti II I rn V. 1 r_:a'=` M 11 ,-) ;�a i 3�ww�w��w ,,o��� w���•�vwv���wwavauwwNaw,u�w�aa��a avta��wvavv�u�vw l'1 I 1=1 � I C I �--'• �:1'.� I I 4!j 71 ... LICENSE FEE SCHEDULE I declare under penalty of perjury that the statemerjts made inihisapfcatior1rulackrTwledgA GENERAL- $72.00YEAR understand that the Business License Certificate is$ued by the;City of[`dke El ipcA iia r deibf evidencing ;_ PROFESSIONAL. $94.00YEAR ' 1 " '' u CONTRACTORS- A&B$108.00YEAR thatlhavepaidtheCityofLakeElsinoreBusinessLicenseTaximposedrmderSectioB.08otthe7:akeEl9more .� :•a I Municipal Code for the period indicated. lssuanc of the ceriificatekes not eMiftpe ttZarry qfi the * rA C&D $ 65.o0YEAR business withoutcomplyingwithallother ' ngorc ance�ahc llotherap'OicabW[aws. 10 LICENSE FEES DUE _ n I I r_� iii J II 0 License fee A Signature/Date 1 r I — y 0, *State CASp fee $1.00 Applicant Si n g.ature - 11 1A Employees over 5 License A ��r I ►1 n x$6.50 ea Approval/Date Units over 3 (ElReceipt Validation 11 � , x$6.50 f Total Due f►,��� , 0 ,_, , it