HomeMy WebLinkAboutCENTRAL AVE 29315_04-00003024 (2)C
PERMIT
130 South Main Street
PERMIT NO: 04-00003024 DATE:
JOB ADDRESS . . . . . 29315 CENTRAL AVE "B"
TENANT NBR, NAME . . ELSINORE MARKET PLACE
DESCRIPTION OF WORK . RETAINING WALL
OWNER CONTRACTOR
HALL WILLIAIM
HALL ROSELYN
P O BOX 56524
RIVERSIDE, CA 92517
A.P.# . . . . . 377- 040 -027 2
OCCUPANCY . . .
CONSTRUCTION . . -.
VALUATION . . . 38,952
BERGMAN COMPANIES
13745 SEMINOLE DR.
CHINO, CA 91710
909 - 627 -3651
LIC EXP 0 /00 /00
SQUARE FOOTAGE 0
GARAGE SQ FT .0
FIRE SPRNKLR
ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG
BASE FEE
14.00 X 9.0000 VALUATION
1.00 X 5.0000 PROFESSIONAL DEV FEE
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
OTHER FEES
PLANNING REVIEW FEE
PLAN RETENTION FEE
SEISMIC OTHER
PLAN CHECK FEE
TOTAL
SPECIAL NOTES & CONDITIONS
Engineered retaining wall.
ITEM CHARGE
352.00
126.00
5.00
CHARGES PAID DUE
483.00 00 483.00
95.60 00 95.60
15.00 00 15.00
8.18 00 8.18
358.50 00 358.50
960.28 .00 960.28
DAe: 12./23/04 23 Famipt m: 3L%
2004 3024
Fp am = FERST 1 $960.28
Tr s nxb2r: 82692
CK CHEK 1014 $2662.63
Tress date: 12/23/04 Tire: 10:22:13
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 90,iness
nd initial
fVVrn. I am Licensed under the provisions and professional Code Section 7000 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 will do the work
and the structure is not intended or offered for sale.
3. l as owner of the property,am exclusively contracting with licensed contractors to construct the
project
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
ELO 1 Temporary Electric Service
PLO I Soil Pipe Underground
EL02 Electric Conduit Underground
BPOI Footings
r
en. 11
BP02 I Steel Reinforcement
BP03 Grout A) SAS2A--eA&
BP04 Slab Grade ff t f k r t A S
PLO 1 Underground Water Pipe 9 - /7--5-
SSO 1 Rough Septic System
SWOT On Site Sewer
L6' /PiAa cw i.6/ BP05 Floorloists
BP06 Floor Sheathing
BP07 Roof Framing D 1 .Z - 5
BPOS IRoofSheathing Z
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric / T -Bar
MEOI Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BPI O 11raming & Flashing
BP 12 linsulation
BP13 Drywall Nailing
BPI I Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
j
t
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building b ing released by the CityPOOIPoolSteelRein. /Forms
POO I Pool Plumbing/ Pressure Test
P003 I Pre- Gunite Approval Date Inspector
EL06 lRough Pool Electric Planning
Sub list Approval Landscape
P004 Pool Fencing/ Gates/ Alarms Finance
P005 Pre - Plaster Approval Engineering
P009 Final Pool / Spa
P
C of" Lake lsinoxety
130 South Mail) Sirret:t
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
IstFLOOR SF
2nd FLOOR SF
3rd FLOOR Sf
GARAGE SF
STORAGE SF
DECK 6 BALCQXlES SF
OTHER:
q L 32- SFI
DEMOLISH
J08 DESCRIPTION
VALUATIDIL
FEES
Q, /y
WiL6WG PERMIT $
3C50-5
4 C 3 . LXLJ
PLAN CHECK
PEAK REVIEW `5 •
PLAN RETENTION ' W
49 r
certify that 1 h read ft 4VGcs5w and stile W the
abae irtiorrroTian is corned I agm to sampywlih d dty
and county aridaranaes and state tays rebdit to but dirV
oonsbuegm. artd hereby autlwm nepmwtafAm of firs
achy to enter npon the atwve - meat]oned property for tnsp-
tion Pr+posm
tI/W
Signature k Appffcant or Agent Date
Agent for contractor )roomer
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Agents Adtft+essr;eer
Stmet city, slats . zip
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vlM sew TIM) of dh: stat 3 of the business and professions oWe.and my
C license is in ful face an 1 effect.
0 LKENSE t CITY BUSINESS
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A MAILIN
C IADDFZESS
T CITY STATWIP PHONE
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ALTERATMN NUMBER OF
SINGLE FAMlI Y ZONE:
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CONDO&OW WS HAZAR)
AREA?
YES
NOTOWNitMM-1
COKY.ERCWL SI'RENI, LERS
REQUIFfD 7
YES
NOINDUSTRYAL
REPAIR PROPO SED USE OF BLDG:
PRESEiIT USE OF BLDG' DEMOLISH
J08 DESCRIPTION
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