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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. 4x -T 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 woe A ,ovals Da,e Irsoec'o• ELO' Te—o Eec Se-aces PLG' SJii P'oe UrOe'Sro�nc ELG2 `r.ec Core ,U--oegrounc BPO, Foo s BP02 Stee Re-o•ce—erg BPC�j G"o_ BP,-, Sac Gace PL3' U- e ^•a_-c Wa e•P ce SSC Ro_-^Seo'c Sy s e- Sw^ O-S,e Se..e- a c. qa-- rI-.. EI EL Rc E,e--ti w- IS ELLS Rc_r E e_•._ T Ba ME:.' Rc_ -itcti--a ca uE:2 D_c s Ve- a -- Gas P-e T=s p r I F C C-- BP 1 L^c_a c- BP 3 D^.re Na -,' BP'• La*-•-r S S.c^r PL33 F-.a P- -n EL99 F-a E ec••ca Lr r ME39 F.^a,Mec^a^.ca. 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 PG^ Poi P,_-,5- P•ess Tes �IX3 P•e G_-,e Date Ins ctor EL"ti Ra_;^Pa: Ems;rc Pla^ti S_a L s'Aovc.a s-caoe PX= Poo Fero Access Finance P005 e Pias'e Enaineenn P0,13 Pa; SDE r — L 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