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Home My WebLink AboutKELLOGG ST 104 S_05-00001046C City of Lake Elsinore PERMIT 130 South Main Street bMiT NO: Ub-UU00104b DA=- JOB ADDRESS . . . . . 104 S KELLOGG ST DESCRIPTION OF WORK REROOF OWNER CONTRACTOR CRUSADE FOR CALVARY OWNER 23177 CONTINENTAL DR CANYON LAKE CA 92587 A.P.# . . • • . . 374- 242 -004 4 SQUARE FOOTAGE 0 OCCUPANCY . . . . GARAGE SQ FT 0 CONSTRUCTION FIRE SPRNKLR VALUATION ZONE . . . . . . NA REROOF PERMIT QTY UNIT CHG ITEM CHARGE 1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00 18.00 X 3.0000 REROOF 54.00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES REROOF PERMIT 59.00 00 59.00 OTHER FEES PLAN RETENTION FEE 1.00 00 1.00 TOTAL 60.00 00 60.00 SPECIAL NOTES & CONDITIONS 18 SQUARE REROOF Date: 3/23/05 23 Receipt no: 9857 Total tendered $60.00 Total payment $60.00 r- City of Lake Elsinore Building Safety Division Post in conspicuous place on the job You must furnish PERMIT NUMBER and the JOB ADDRESS for each respective inspection: Approved plans must be on job at all times: 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. 2. l,as owner of the property,or my employees w/wages as their sole compensation will do the work and the structure is not intended or offered for sale. 3. I,as owner of the property am exclusively contracting with licensed contractors to construct the project. 4.1 have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance or a certified copy thereof I 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, you most forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector ELO 1 Temporary Electric Service PLO l Soii Pipe Underground EL02 Electric Conduit Underground BPO1 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO 1 Underground Water Pipe SSO1 Rough Septic System S WO1 on Site Sewer BPOS Floor Joists BP06 Floor Sheathing BP07 lRoof Framing BP08 Roof Sheathing BP09 Shear Wall & Pre -Lath PL03 Rough Plumbing EL03 Rough Electric Conduit EL04 lRough Electric Wiring ELOS Rough Electric / T -Bar ME01 Rough Mechanical ME02 Ducts, ventilating PL04 Rough Gas Pipe / Test PL02 Roof Drains BP10 Framing & Flashing BP 12 Insulation BP13 Drywall Nailing BPI 1 Lathing & Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 Final Building I Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the building ing released by the CityP001PoolSteelRein_ / Forms POO 1 Pool Plumbing / Pressure Test P003 Pre- Gunite Approval Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landscape P004 Pool Fencing / Gates / Alarms Finance PO05 Pre Plaster Approval Engineering P009 Final Pool / Spa APPLICATION FOR BUILDING PERMIT VALUATION CALCULATIONS tst FLOOR SF 2nd FLOOR SF 3rd FLOOR SF GARAGE SF STORAGE SF DECK & BALCONIES SF OTHER: SF VALUATION: FEES BUILDING PERMIT S PLAN CHECK PLAN REVIEW SEISMIC PLAN RETENTION C ity of Lake Elsinore j I certify that 1 have read this application and state that the ove information is correct. l agree to comply wfth ag city and county ordinances and sty iavn relating to b uMing construction, and hereby authorize representatives of this city to enter upon the above - mentioned property for ins p- tion purposes - J--' 30Jj ) I a a Signature of Applicant Qent Oat 130 South Main Street Agent for contractor owner Agents Name L Agents Address l: q e -T R L r- 9 F Street city State Zip APPLICATION NO. P ! (4` APPLICATION RECEIVED DATE 7j - 7— —0'-S7- BUILDING ADDRESSd r TRACT BLOCKIP GE LOTIPARGEL O MENA [> c O n ccV W N WLl P NE . ADDRESS a y S L o ER CITY L r TACTErziP O C O N I hereby affirm that I am licensed under provisi s o chapter 9 (commencing with section 7000) of division 3 of the business and professions code,and my license is in full !lace and effect. LICENSE tr CITY BUSINESS AND CLASS TAX # T R NAME ' A C U ILIN ADDRESS S A T1 T O CITY S ATEIZIP PHONE R CONTRACTOR'S SIGNATURE DATE A NAME LICENSE # R C MAILING ADDRESS H JZ5TY TATEIZIP PHONE 0 NEW OCC GRP. I CONST. DIVISION: TYPE: - ' ADDITION ALTERATION NUMBER OF NUMBER OF STORIES: BEDROOMS: OTHER 0 SINGLE FAMILY ZONE: O APARTMENTS CONDOMINIUMS HAZARD YES AREA? NO0TOWNNOISES C] COWJAERC1AL SPRINKLERS YES REQUIRED ? NOpINDUSTRIAL REPAIR PROPOSED USE OF BLDG: PRESENT USE OF BLDG: 0 DEMOLISH JOB DESCRIPTION