HomeMy WebLinkAboutGRAHAM AVE W 506_14-00002139CITY OF
LAKE 6LSJNORJ BUILDING & SAFETY
DREAM EXTREMETM
PERMIT
130 South Main Street
PERM1'1 NU: 14- UUUU213y
JOB ADDRESS 506 W GRAHAM AVE
DESCRIPTION OF WORK . : OCCUPANCY PERMIT
OWNER
BULEN & BLACKMORE
A.P.# . . . . . . 374 -251 -014 1
OCCUPANCY . . . .
CONSTRUCTION . . .
VALUATION . . . .
CONTRACTOR
13/1q
OWNER
SQUARE FOOTAGE . .
GARAGE SQ FT . . .
FIRE SPRNKLR . .
ZONE NA
0
0
OCCUPANCY PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
FEE SUMMARY
PERMIT FEES
OCCUPANCY PERMIT
OTHER FEES
CHARGES PAID DUE
30.00 .00 30.00
PROF.DEV.FEE 1 TRADE 5.00 .00 5.00
TOTAL 35.00 .00 35.00
SPECIAL NOTES & CONDITIONS
OCCUPANCY PERMIT FOR ROSE'S TAX SERVICE
Dates fl; 1:3
Buj DING PERMIT
t
V; VISA CARD
USA
j r,r, ,
City of Lake Elsinore
Building Safety Division
Post in conspicuous place
on the job
1
I You must furnish PERMIT NUMBER and the
IJOB 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 Code Section 7000professional et seq. and
my license is in full force.
2. I as owner of the property,or my employees w /wages as their sole compensation dowill 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.
a t have a certificate of consent to „ice....._ - .._ _ s ,,,,, , a certificate of v orkers Compensation insurance
or a certified copy thereof.
5. 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.
9 ____............ Note: If von should become subject to S lor'k rs f nrr.pp,:C-.^.ti n53 .fter rnr.I., ;nn time certifica'.i..,,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
EL01 Temporary Electric Service
PLO i vun Pipe Underground
EL02 Electric Conduit Underground
P BP01 Footings
TTnnDP02 Steel Reinforcement
RP03 Grout
BP04 Slab Grade
PLO! Underground Water Pipe
SSOI Rough Septic System
SWOT On Site Sewer
BP05 Floor Joists
BP06 'Floor Sheathing
BPQ7 Roof Framing
BP08 Roof Sheathing
BPO9 Shear Wall & Pre -Lath
PLO3 Rough Plumbing
ELO3 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric / T_Bar
ME0 1 Rough Mechanical
MEO2 Ducts, Ventilating
PLO4 Rough Gas Pipe / Test
PLO2 Roof Drains
BP1O Framing & Flashing
BP12 Insulation
BP13 Drywall Nailing
BP11 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
t BP99 Final Building l
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building being released by the CityP001PoolSteelRein. !Forms
P001 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
P005 Pre- Plaster Approval Engineering
P009
r
Final Pool / Spa
L
CT"TY OF
LAKE 5LSII1_ORE
DREAM EXTREME TM
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR
2nd FLOOR
3rd FLOOR
GARAGE
STORAGE
DECK & BALCONIES
OTHER:
VALUATION:
SF
SF
SF
SF
SF
SF
SF
FEES
BUILDING PERMIT $
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
FIRE SERVICES
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 hereby authorize representatives of this
city to enter upon the above - mentioned property for insp-
tion purposes.
883 /
Signature of Applicant or Agent Date
Agent for 0 contractor owner
Agents Name
Agents Address
7/
130 South Main Street
AP7IIONN 3 pl
APPLICAT+pN RECfiIVE9 ( I
DATE / `r
AP # BY
BUILDING ADDRESS
fib( w , G12A,k6 e-L/Ave ft.` : 4-i.ke givore
TRACT BLOCK/PAGE LOT /PAR EL
O
W
N
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S" ¢- t,wrI5 l
C
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I hereby affirm 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.
LICENSE # CITY BUSINESS
AND CLASS TAX #
NAME
MAILING
ADDRESS
CITY STATE /ZIP PHONE
CONTRACTORS SIGNATURE LTA iE
A
R
C
H
NAME LICENSE #
MAILING
ADDRESS
CITY STATE /ZIP PHONE
NEW OCC GRP. / CONST.
DIVISION: TYPE: ADDITION
ALTERATION NUMBER OF NUMBER OF
STORIES: BEDROOMS: OTHER
SINGLE FAMILY ZONE:
APARTMENTS
CONDOMINIUMS HAZARD YES
AREA ? NOTOWNHOMES
COMMERCIAL SPRINKLERS YES
REQUIRED ? NOINDUSTRIAL
REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG: DEMOLISH
JOB DESCRIPTION
K
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