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
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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
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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