HomeMy WebLinkAboutKELLOGG ST S 104_07-00002759PERMIT NO:.07 -00002
JOB ADDRESS . . . .
DESCRIPTION OF WORK
City of Lake Elsinore'
PERMIT
104 S KELLOGG ST C
REROOF
Elsinore christian Center
104 S. Kellogg St.
LAKE ELSINORE CA 92531
951- 674 -0747
A.P.# . . . . . 374 - 242 -004 4
OCCUPANCY . . . .
CONSTRUCTION
VALUATION
130 South Main Street
E: 9/14/0
CONTRACTOR
DAN'S ROOFING
32295 -8 MISSION TR 4307
LAKE ELSINORE CA 92530
951 - 698 -8119
LIC EXP 0/00/ DO
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR -
ZONE . . . . . NA
REROOF PERMIT
QTY UNIT CHG
BASE FEE
1.00 X 5.0000 PROFESSIONAL DEV FEE
19.00 X 3.0000 REROOF
FEE SUMMARY CHARGES
PERMIT FEES
REROOF PERMIT 97.00
OTHER FEES
PLAN RETENTION FEE .50
TOTAL 97.50
SPECIAL _NOTES & CONDITIONS
remove comp- install 301b felt install
30year coomp. 19 squares, office
building.
ITEM CHARGE
35.00
5.00
57.00
PAID
00
00
00
DUE
97.00
50
97.50
DfTte: aivvcJ7 14 RtceiPt nu:
I c ]
I 11673
City of Lake Elsinore
Building Safety Division
Post in Conspicuous place
on the Job
You must furnish PERMIT NUMBER and the
77
JOB ADDRESS for each respective inspection:
Approved plans must be on job
at all times:
Please read and initial
1. I am Licensed under the provisions of Business and professional Code Section 7000 et seq. and
my liccuse is in full force.
2. Las 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- 03 owner of the property,am exclusively contracting with licensed contractors to construct the
project
4. I have a certificate ofconsent to selfinsure or a certificate of Workers Compensation Insurance
or a certified copy thereof
5. 1 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 must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
ELOI Temporary Electric Service
PLO I Sod Pipe Underground
EL02 Electric Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BP03 lGrout
BP04 Slab Grade
PLO Underground Water Pipe
SSOI Rough Septic System
SWOT On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPOS Roof Sheathing U% At
BP09 Shcar Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Elect c/ T -Bar
MEO I Rough Mechanical
ME02 I Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BPIO Framing & Flashing
BP12 Insulation
BP13 Drywall Nailing
BPII Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool &Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building being released by the CityP001PoolSteelRein. / Forms
POO 1 Pool Plumbing / Pressure Test
P003 Pre- Gunite Approval Date Inspector
EL06 Rough Pool Electric Planting
Sub List Approval Landscape
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre- Plaster Approval En ineerin
P009 Final Pool / Spa
aa
INI11e.
i
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK S BALCONIES SF
OTHER: SF
VALUATION:
FEES
BUILDING PERMIT
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
I certify that I have read this application and state that the
above information is correct. I agree to comply with all city
and county ordinances and state laws relating to building
construction, and her by authorize representatives of this
C n a roperty for lnsp-
lion aurodses.
Signature of Applicantsi Agent Date
Agent for contractor owner
Agents Name
Agents Address__
Street City State Zip
City of Labe Elsinore
13U South Main Street
APPLICATION NO._
APPLICATION RECEIVED
DATE
B ILD D SS
L
TR CT OC P G OTIPARCEL
A E
0
W MrAILINU p
N ADDRESS "
E
R
CIT 'TATEfZIP
fVt
are y e Irm that em icensed under provi5 ons o crispier g (commencingwithsecllon7000) of division 3 of the business andC professions cade,and mylicenseIsinfullforceandeffect.
O
N
LICENSE # CITY BUSINESS
AND CLASS 1EY 8'" '
T
TAX #
A E
R S 1
A MAIL
C ff,, ADDRESS q t1 ATET
0
CITY STA IZIP P ONE
CAq— t oC`g
R'CONT CTO SI AT _ ATE
A
A - _ ICENS #
R MAL G
C ADDRESS
H TATEIZIP P E
NEW CCC GRP. / CONST.
DIVISION: TYPE: Q'ADDITION
ALTERATION NUMBER OF NUMBER OF
STORIES: BEDROOMS:
OTHER
SINGLE FAMILY ZONE:
APARTMENTS
CONDOMINIUMS HAZARD YES
TOWN HOMES AREA? NO
COMMERCIAL SPRINKLERS YES
INDUSTRIAL REQUIRED? NO
REPAIR PROPOSED USE OF BLDG:
DEMOLISH PRESENT USE OF BLDG:
JOB DESCRIPTION
po cLg
1CC IL'O1-