HomeMy WebLinkAboutPOE STREET 107_03-00002328 ::
City of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 03-00002328 DATE : 12/04/03
JOB ADDRESS . . . . . 107 N POE ST
DESCRIPTION OF WORK ADD OR ALTER - RESIDENTIAL
OWNER CONTRACTOR
CORTES JOHN OWNER
CORTES MAVER
107 N POE ST
LAKE ELSINORE CA 92530
A. P. # . . . . . 374-153-014 8 SQUARE FOOTAGE 100
OCCUPANCY . . . DWELLINGS, LODGING HOUSES GARAGE SQ FT 0
CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . 800 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45 . 00
3 . 00 X 2 . 7500 VALUATION 8 . 25
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
4 . 00 X 1 . 0000 RECPT, OUTLET / 1ST 20 4 . 00
1 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 1 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
'BUILDING PERMIT 58 . 25 . 00 58 . 25
ELECTRICAL PERMIT 41 . 00 . 00 41 . 00
:OTHER FEES
PLANNING REVIEW FEE 10 . 65 . 00 10 . 65
PLAN RETENTION FEE 2 . 50 . 00 2 . 50
SEISMIC GROUP R . 50 . 00 . 50
PLAN CHECK FEE 39 . 94 . 00 39 12Tes
Date: gg442789
/83 04 Receipt no:ed 9168.88
TOTAL 152 . 84 . 00 TedttFl2pa�t $152.84
Change $7.16
SPECIAL NOTES & CONDITIONS
ADD PANELING, ELECTRICAL AND CHANGE OUT
WINDOW AND DOOR.
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Cip Lei I_.Ac Elmore
Please Read and Initial
13VII�iIn_ ti31.[ 1�1%t lt`t1 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 con,;picuous place � 2 1 as owner of the property or my employeesw/wages as their sole
compensation will do the work and the structure Is not Intended or
iin the JA offered for sale
3 1 as ownerof the property am exclushety contracting with licensed
contractors to construct the project
l,iU mU,[ tUrnl�h PFP\111 \L \1131-R .ind the _ 4 1ha�ea certificate of consent toseiflnsureora certificate ofWorkers
J( )f3 Compensation insurance or a certified copy thereof
\ i'1;f ill! i f lilt l h i 5 [shall not employ any person In any manner so as to become subject
t' to workers Coompensation Laws in the performance of the work for
ll [iftie which this permit is issued
Note- If Nou should become subject to Workers Compensation after
making this cerdficauon you must forthwith comply with such pro-
visions or this permit shall be deemed revoked
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Cooe Poo S Soa Asyo.es Da'e rsaec'o• OTHER DEPARTMENT RELEASES
De p s- 3 DeparVnenl Approval required prior to the
PDG Poop Ste-Re- Fo—s building being released by the City
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City of Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO
BUILDING PERMIT
3 2 3 z8
APPLICATION RECEIVED
DATE / `2 , 0 Lt_03
VALUATION CALCULATIONS AP# _ _ By ( If _ �r w
I St FLOOR SF BUILDING ADDRESS S/b7 j
2nd FLOOR SF TRACT BLOCK/PAGE LOT/PARCEL
3rd FLOOR SF
NAM
GARAGE SF ()(-�JU M Coie Tz�
STORAGE SF z MAILING
3 ADDRESY&7 N QC
DECK&BALCONIES SF o
CITY e� S1� �� O ZIP
OTHER: L � ('/7
SF I hereby offnm that I am licensed under provisions of Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code and my license is in full force
and effect
(,U(' � LICENSE p CITY BUSINESS
AND CLASS TAX A
VALUATION: o NAME
FEES MAILING
ADDRESS
BUILDING PERMIT $ CITY STATE/ZIP PHONE
CONTRACTOR S SIGNATURE DATE
PLAN CHECK
ADDITIONAL PLAN CHECK NAME LICENSE N
u
uZ, MAILING
= ADDRESS
V
Q CITY STATEIZIP PHONE
❑NEW ❑REPAIR OCC GRP./ CONST
DIVISION TYPE
MICROFILM ❑ADDITION ❑MOVE NUMBER OF NUMBER OF
❑ALTERATION ❑DEMOLISH STORIES BEDROOMS
COPIES ❑OTHER ZONE
❑SINGLE FAMILY units HAZARD AREA? YES NO
IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units
❑CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
❑TOWNHOMES units PROPOSED USE OF BUILDING
❑COMMERCIAL ❑INDUSTRIAL
PAID PRESENT USE OF BUILDING SS /
DATE A Db 1 / L �i� C, ��
JOB DESCRIPTION I
❑ I certify that 1 have read this application and state that the
above information is correct. 1 agree to comply with all city �® C D U1- kil/106
and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this
city to enter upon the above-mentioned property for inspec-
tion purposes
Signature of Applicant or Agent Date
AGENT FOR ❑ CONTRACTOR ❑ OWNER
AGENT'S NAME
AGENT'S ADDRESS