HomeMy WebLinkAboutPASADENA STREET 18309_03-00000282 s C-ity of Lake Elsinore ®r/
130 South Main Street
� PER�VIIT
PERMIT NO: 03-00000282 DATE : 7/07/03
JOB ADDRESS . . . . . 18309 PASADENA ST
TENANT NBR, NAME . . BLD A
DESCRIPTION OF WORK . NEW INDUSTRIAL BLDG
OWNER CONTRACTOR
PASADENA STREET INDUSTRIAL OWNER
512 CHANEY ST
LAKE ELSINORE CA 92530
A. P . # . . . . . 377-130-028 1 SQUARE FOOTAGE . 7381
OCCUPANCY . . . OFFICE, RESTAURANTS, MISC GARAGE SQ FT . . 0
CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR . .
VALUATION . . . 228 , 930 ZONE . . . . . . M-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 895 . 00
129 . 00 X 5 . 0000 VALUATION 645 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 1545 . 00 . 00 1545 . 00
OTHER FEES
PARK CIP FEE 738 . 10 . 00 738 . 10
PLANNING REVIEW FEE 308 . 00 . 00 308 . 00
PLAN RETENTION FEE 25 . 00 . 00 25 . 00
SEISMIC OTHER 48 . 08 . 00 48 . 08
PLAN CHECK FEE 1155 . 00 . 00 1155 . 00
TOTAL 3819 . 18 . 00 3819 . 18
SPECIAL NOTES & CONDITIONS
Industrial bldg, Tenant Improvement and
Trash Enclosure .
pper: CMM Type: DF Drawer: 1
Date: 7/67/03 67 Receipt no: 142
2603 282
BP BUILDI96 PERMIT 1 $3819.18
Trans amber: 69876
MULTIPLE TERDER
Trans date: 7/07/03 Time: 13:29:47
Please Read and Initial
I I am License der the pro%19io-,sf,)f Business and Professional
Code Section 7"et seq and my license ig 1n Full force
1111"t Ill 11 w picuous plack? 2 1 asov.•neroftheproperty ormy employeesw/wages as their sole
compensation will do the work and the structure is not Intended or
tin the job offered for sale
3 1 as owner of the property am exclusively contracting with licensed
contractors to construct the project
}i tl ,1iU i iViftl It Pk=R\111 \L%113F-'R and the _ 4 Ihasea certificate ofconsenttoselfinsureora certificate ofWorkers
JOB \DDK1 tiS i,`r el.h re-rc ii`e Compensation insurance or a certified copy thereof
5 [shall not employ any person In any manner so as to become subject
"1.111, mu-t Ne on It`h to µorkers Coompensation Laws in the performance of the work for
?11 v.-htch this permit is issued
Notes If you should become subject to Workers Compensation after
making this certification you must forthvnlh comply with such pro-
visions or this permit shall be deemed revoked
GDCe Azo•e•.as Da•e I-sc-e.C;o•
ELp' Te--:!E ec Se-.nes
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Coce Pam,,s Spa Aoc+o'.T-s Da e h^soe-:v OTHER DEPARTMENT RELEASES
Deparlt t Approval required pror to the
PI.'. Poo See Re-- Fo—s building being released by the City
D,zy,, Pao P--a--p-ess Tes;
P e G_-,e
Da,e Ins ctor
EL:fi Rz y^pac E ec'•c
P',a
Lanascape
'"X- Pc., F?-•., Access
Finance
Engineering
f�LLXO _JA
Cityof-Lake lsinore
.r
130 South Main Street
APPLICATION FOR APPLICATION NO
BUILDING PERMIT toq-f��
APPLICATI N RE V D
DATE _7
VALUATION CALCULATIONS 2/ +AP# ByI st FLOOR 3� �v 1 NG ADOREss fe�O 2nd FLOOR SF CT BLOCK/PAGE LOT/PARCEL
3rd FLOOR SF,
GARAGE SV NAME .
STORAGE SF z MAILING PHONE
DECK 8 BALCONIES SF tE/a� 1 ; Aooaess 5 (: L
o
a rr $rA rE/71P
OTHER:
r
r �JRp:�� EJ r V C4� SF 1 hereby affirm the'I am bcensed under proviswns of Chapter 9(commencing with Section
7000)of Drv_..9 of the Business and Professions Code and my license 4s rn lull force
/j y� and effect
1�f'j//{'sy (//J//�— LICENSE# city BUSINESS
Z AND CLASS TAX#
VALUATION• g NAME
FEES MAILING
� r\ ADDRESS
BUILDING PERMIT $ / w city STATEIZIP PI4ONE
011:3 , W CONTRACTOR S SIGNATURE DATE
PLAN CHEC
ADDITIONAL PLAN CHECK NAME C
u
iZu MAILING= ADDRESSYWI/o _ !/
� C
s T
:5%T /V
ONEW I ❑REPAIR CC GRP / CONST
DIVISION TYPE
MICROFILM v ❑ADDITION ❑MOVE NUMBER OF NUMBER OF
❑ALTERATION ❑DEMOLISH STORIES BEDROOMS
COPIES / XUU ❑OTHER ZONE
❑SINGLE FAMILY units HAZARD AREA? YES NO
IMPRO FEES ❑ SCHOOL F S ❑ OAPARTMENTS units
❑CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
OTOWNHOMES units PROPOSED USE OF BUILDING
❑COMMERCIAL ❑INDUSTRIAL
PAID PRESENT USE OF BUILDING
DATE t n In
VJJPSCRIPTION
❑ 1 certify that I have read this application and state that the
above information is correct.I agree to comply with all city S S
and county ordinances and state laws relating to building
construction. and hereby authorize representatives of this
cit to enter upon t e above- honed property for inspec-
tio purpos s
•
Sign lure of Appltca f or Agent Dale
N I
=ENT R ❑ CONTRACTOR ❑ OWNER
'S NAME
ODRESS
STREET CITY STATE ZIP HEV DATE I I 1 90
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