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Home My WebLink AboutULLA LN 3820_00-00001090 City of Lake Elsinore 130 South Main Street PERMIT PERMIT NO: 00-00001090 DATE : 10/30/00 JOB ADDRESS . . . . . 3820 ULLA LN DESCRIPTION OF WORK REROOF OWNER CONTRACTOR MATSON JOHN WOOTEN CONSTRUCTION MiATSON JANET 9445 BELLGRAVE AVE. 3820 ULLA LEI RIVERSIDE, CA 92509 LAKE ELSINORE CA 92530 909-361-3888 LIC EXP 0/00/00 A. P. ## . . . . . 379-020-021 8 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . ZONE . . . . . . NA BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 45 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 REROOF PERMIT QTY UNIT CHG ITEM CHARGE 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 39 . 00 X 3 . 0000 REROOF 117 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 50 . 00 . 00 50 . 00 REROOF PERMIT 122 . 00 . 00 122 . 00 OTHER FEES PLAN RETENTION FEE 1 . 00 . 00 1 . 00 SEISMIC GROUP R . 50 . 00 . 50 PLAN CHECK FEE 37 . 50 . 00 37 . 50 TOTAL 211 . 00 . 00 211 . 00 SPECIAL NOTES & CON'DITIONS RESHEET WITH 1/2 IN CDQ CALL FOR SHEATG INSPECTION.APPLY 39 SQ COMP SHINGLE, CLASS A. 2000 10% $211.001P Date: 10/30/00 30 Receipt: 00023% DECK 351 00000000000000 City of Lake Elsinore Ae Please Read and Initial: Building Safety Division 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 ccriEp1cua]S p1acxE� 2. 1,as owner of the property,or my employees w/wages as their sole y� compensation will do the work and the structure Is not intended or 7 Qb on the offered for sale. 3. 1,as owner of the property,am exclusively contracting with licensed You must furnish PERMIT NUMBER contractors to construct the project. and the JOB ADDRESS for each 4. 1 have a certificate ofconsenttoselfinsureora certificate ofWorkers respective Inspection: Compensation insurance or a certified copy thereof. Approved plans must be on job 5. 1 shall not employ any person In any manner so as to become subject at all times: to Workers Coompensation 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 pro- visions or this permit shall be deemed revoked. Code Approvals Date Inspector EL01 Temp Elec Services PL01 Soil Pipe Underground EL02 Elec Conduit Underground BP01 Footings BP02 Steel Reinforcement BP03 Grout BPo4 Slab Grade P1_01 Underground Water Pipe SS01 Rough Septic System SWOT On Site Sewer RP'05 Floor Joists BPQ6 Floor Sheathing t� a-off Electric-Conduit ELo4 Rough Electric-Wiring EL05 Rough Electric-T-Bar ME01 Rough Mechanical ME02 Ducts,Ventilating PL04 Rou h Gas Pipe-Test PL02 Roof Drains Framino&Flashing BP12 Insulation BP13 Drywall Nailing BPll Lathinq&Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 Final Building Code Pool&Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES Dep.Inspector Departtnent Approval required prior to the Pool Pool Steel Rein./Forms building being released by the City Pool Pool Plumbing/Press,Test P003 Pre-Gunite EL06 Rough Pool Electric Date Inspector Planning Sub List Approval Landsca P004 Pool Fencing/Access Finance P005 Pre-Plaster Engineering Poo9 Final PooUS City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. �O BUILDING PERMIT � - APPLICATION RECE ED DATE /() _CT VALUATION CALCULATIONS AP d — DT� _O By 1st FLOOR SF WILDING ADORES O 2nd FLOOR SF TRACT BOCK PAC LOT/PARCEL 3rd FLOOR SF GARAGE SF NAA!E S a STORAGE SF i fI�IG PHONE AQaRE1S _ 1 S-/ / / _ DECK&BALCONIES SF o �/ CITY STATE ZIP OTHER: x iv e_ Cam✓ G SF I hereby affirm:hot 1 am hce sed under Provisions of Chapter 9(commencing with Section GRADING CUT CY 7CW of Drvn•on]of the Business and Profess•ons Code.and my license is in full force erred effect es /� S� FILL CY = LCENSE+ CITY BUSINESS = AND CLASS �� TAX+ VALUATION: $ ANIO S O o7lc FEES ++A1 LNG ADDRESS</Q� v Di � P,!�— BUILDING PERMIT S C1 /«/B l v STATE ZIP /` PHONE" r TRACTOR S SIGNATURE DATE PLAN CHECK ADDITIONAL PLAN CHECK NA)SE LICENSE+ u Z )SAILING GRADING PLAN CHECK a ADDRESS < CITY STATE ZIP PHONE -NENV __REPAIR OCCGRP./ 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: __COft'AERC1AL ---INDUSTRIAL PAID PRESENT USE OF BUILDING: GATE JOB DESCRIPTION I certify that I have read this application and state that the V v CJ above information is correct. I agree to comply with all city S US/and county ordinances and stole laws relating to building construction. and hereby authorize representatives of this <::1-45S�A city to enter upon the above-mentioned property for inspec- tion pur es. r Signature of Applicant Or Date AGENT FOR CONTRACTOR = OWNER AGENT'S NAME AGENT'S ADDRESS STREET CITY STATE ZIP REV.DATE 11.1 90