HomeMy WebLinkAboutMAIN STREET N 411_03-00001154ity of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 03- 00001154
JOB ADDRESS . . . . . 411 N MAIN ST
DESCRIPTION OF WORK REROOF
OWNER
ATKINSON WILFRID
ATKINSON DOLORES
A.P.# . . . . . . 374 - 063 -012 8
OCCUPANCY .
CONSTRUCTION
VALUATION .
CONTRACTOR
OWNER
REROOF PERMIT
QTY UNIT CHG
1.00 X 5.0000 PROFESSIONAL DEV FEE
14.00 X 3.0000 REROOF
FEE SU PLAORY CHARGES
PERMIT FEES
REROOF PERMIT 47.00
TOTAL 47.00
SPECIAL NOTES & CONDITIONS
14 sq comp shingle over 1 layer same
1
DATE: 6/18/03
SQUARE FOOTAGE
GARAGE SQ FT
FIRE SPRNKLR
ZONE . . . . .
ITEM CHARGE
5.00
42.00
PAID DUE
00 47.00
00 47.00
NA
8
Oper: WI8W
Date: 6/18/63 18 Receipt no: 5878
Total tendered 447.16
Total paysent 447.16
City Of Lake Elsinore
Building Safety Division
Please Read and Initial:
1. 1 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. 1, as owner of the property, or my employees w /wages as their sole
on the job
compensation will do the work and the structure is not intended or
offered for sale.
3. 1, as owner of the property, am exclusively contracting with licensed
You must furnish PERMIT NUMBER and the
contractors to construct the project.
4. 1 have acertiflcateofconsenttoselflnsure ora certificate ofWorkers
JOB ADDRESS for each respective inspection:
Approved plans must be on job
Compensation insurance or a certified copy thereof.
5. 1 shall not employ any person to any manner so as to become subject
to Workers Coompensation Laws in the performance of the work for
at all times: which this permit is issued.
Note: If you should become subject to Workers Compensation after
making this certification, you must forthwith comply with such pro-
visions or this permit shall be deemed revoked.
Code Approvals Date Inspector
ELOt Temp Elec Services
PL01 Soil Pipe Underground
EL02 Elec Conduit Underground
BP01 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PI-01 Underground Water Pipe
SS01 Rough Septic System
SW01 On Site Sewer
RP05 Floor Joists
h Electric-Conduit
EL04 Rou h Electric-WiHng
EL05 Rough Electric -T -Bar
ME01 Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rou h Gas Pipe-Test
PI-02 Roof Drains
Flashina
BP12 Insulation
BP13 Drywall Nailing
BPI Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building Z 3
Code Pool S Spa Approvals Date Inspector
OTHER DEPARTMENT RELEASES
De Q. Inspector Department Approval required prior to the
Pool Pool Steel Rein. /Forms building being released by Itte City
Pool Pool Plumbing/Press. Test
P003 Pre- Gunite
EL06 Rough Pool Electric
Date Ins ctor
Planning
Sub List Approval
Landscape
P004 Pool Fenci Access
Finance
P005 Pre - Plaster
En ineerin
P009 Final POOi/$
i
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
City of Lake Elsinore
130 South Main Street
lst FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER:
Z
I hereby affirm that I am licensed under provisions oTChapter 9 (commencing with Section
MO) of Division 7 of the Business and Professions Co". and my license is in full force
and effect.
IK.E CITY BUSINESS
AND TA %r
SF
VALUATION:
FEES
BUILDING PERMIT $
PLAN CHECK
ADDITIONAL PLAN CHECK
MICROFILM
COPIES
IMPRO FEES SCHOOL FEES
PAID
DATE
O 1 certify that 1 have read this application and state that the
above information is correct. 1 agree to comply with all city
and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this
city enter upon the above- mentioned property for inspec-
io , purposes.
Signature of Applicant or Agent Date
GENT FOR CONTRACTOR OWNEF
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP REV. DATE 11 -1.90
tL ES4iE
APPLICATION NO.
APPLICATION RECEIVE
DATE
AP 5 By
8UaVNG ADDRESS /
TRACT COCK /PAG LOT /PARCEL
NAME /
i /LS 4 6:11t rS _ 4,
p
Z
I hereby affirm that I am licensed under provisions oTChapter 9 (commencing with Section
MO) of Division 7 of the Business and Professions Co". and my license is in full force
and effect.
IK.E CITY BUSINESS
AND TA %r
0 NAME
MAtuNG
ADDRESS
CITY TE!ZI P ONE
CONTRACTOR'S SIGNATURE DATE
u
NAME LI SE
Z
Z
v
MAKING
ADDRESS
0
CITY E!ZIP PHONE
ONEW OREPAIR OCC GRP./ CONST.
DIVISION: TYPE:
OADDITION MOVE NUMBER OF NUMBER OF
STORIES: BEDROOMS: OALTERATION ODEMOLISH
ZONE:
OSINGLE FAMILY units
HAZARD AREA? YES NO
1OOTHER
OAPARTMENTS units
SPRINKLERS REQUIRED? YES NOOCONDOMINIUMSunits
0TOWNHOMiS units PROPOSED USE OF BUILDING:
PRESENT USE OF BUILDING:
OCO&MAERCIAL OINDUSTRIAL
JOB DESCRIPTION
i
RX)r- .
C
1
ryt: V J p l
i , ` 5 -ri d
REV. DATE 11 -1.90
tL ES4iE