HomeMy WebLinkAboutSUNNY SLOPE AVE 17555_02-00001546 E-:,
s t __ City of Lake Elsinore]
I\r PERMIT 130 South Main Street
PERMIT NO: 02-00001546 DATE : 4/03/03
JOB ADDRESS . . . . . 17555 SUNNYSLOPE AVE
DESCRIPTION OF WORK SINGLE FAMILY RESIDENCE
OWNER CONTRACTOR
JACOBS, JUDY AND GARY OWNER
i
A. P. # . . . . . 375-181-037 3 SQUARE FOOTAGE 2379
OCCUPANCY . . . DWELLINGS, LODGING HOUSES GARAGE SQ FT 768
CONSTRUCTION TYPE V- NON RATED FIRE SPRNKLR
VALUATION 210 , 206 ZONE . . . . . . R-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 895 . 00
111 . 00 X 5 . 0000 VALUATION 555 . 00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
2379 . 00 X . 0500 NEW RES . SINGLE FAM /SQFT 118 . 95
2 . 00 X 1 . 0000 SWITCHES / 1ST 20 2 . 00
5 . 00 X 1 . 0000 RECPT, OUTLET / 1ST 20 5 . 00
10 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 2.0 10 . 00
2 . 00 X 4 . 2500 RES . FIXED APPL.OR OUTLET 8 . 50
1 . 00 X 27 . 2500 100-200AMP SERVICE<600VLT 27 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
' MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 13 . 2500 FAU/FURNACE/DUCTS/VENTS 13 . 25
1 . 00 X 6 . 5000 VENTILATING FAN 6 . 50
1 . 00 X 9 . 5000 EXHAUST HOOD 9 . 50
X 16 . 2500 FIREPLACE 16 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
PLUMBING PERMITS
QTY UNIT CHG I T1,p�,: DF Drater: 1
BASE FEE Date:3ftGE
03 Receipt no: 4324
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 2W. 00 1546
12 . 00 X 8 . 7500 FIXTURE OR TRAP 8P 1"� PF33dn 1 44
1 . 00 X 75 . 0000 PRIVATE SEPTIC SYSTEM (a(r�rd 1482 $3M47
*** CONTINUED ON NEXT PAGE **lDrans date: 4/03/03 Time: 11:13:33
Cilt Of Lake Elsinore
BLIlldmg Satet, Di,ision Please Read and Initial
I I am Ucensed under the provisions of Business and Professional
Code Section 7000 et seq and my license is in full force
Yost in conspicuous place 2 1.asowner ofthe property.or my employees w/wagesas their sole
compensation will do the work and the structure is not intended or
on the job offered for sale.
3 1 as owner of the property am exclusively contracting with licensed
contractors to construct the project
lets MU;-t furnish PERMIT NUMBER and the 4 1 have acertifleateofconsenttoselfinsureora certificate ofWorkers
JOB ADDRESS for each recpeC 11%C in�peclion � Compensation Insurance or a certified copy thereof
5 1 shall not employ any person in any manner so as to become subject
�ppro�ed plans must On IOh to Workers Coompensatwn Laws in the performance of the work for
at all time; 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
Cote ADo+ovaJs Date Insoecror
EL01 Ternp Elec Sere+ces
PLO! Sod Foe Unowgrouro
ELo2 Elec Coneu,t Unoergrounc
BPO: F000ngs
BP02 Sieea Rein orce*ner:
BPO3 Grout
BPOa SiaD Grace
PL01 Unoe ouro Wa'e'Pace
SSO1 Roy n Seoac S stern
SW01 On S'te Sewn
nea
'F
o
EL 04 Ro_ n E�ec-x Wnrq
ELD5 Ro• n E;ft;,c T Bar
i!
MEO1 Ro r Mecrarr-al
ME02 Duc's Ve,t*apN
PLOa r.Gas P' Test
^.c
P7 F T FI
BP12 hsutaaor
BBP13 a Na,E
8P 1 t La�r<3 S.d,r
PL99 FrgU Rumong
EL99 Fate)Electncal
ME99 Fataj Mecnartca!
BP99 Fatal DjOcing
Cooe Poo+B SoaADaovals Da'e Irs=-�. OTHER DEPARTMENT RELEASES
h ,o• Department Approval required poor to the
PO01 Pool Stee+ReroForms budding being released by the City
P00% PooIPlu„ PPess Tes'
P003 Pre Gar to
Date Inspector
EL06 Rough Pooi E:ec7,c
Ptanrdng
Sub List A=oval
Landsca pe
POGe Pool Fer+a Access
Finance
P005 Pre-FMste- Engineering
P009 R-rdl Poovsca
-A �
s City of Lake Elsinore
�-,
130 South Main Street
PERMIT
PERMIT NO : 02-00001546 DATE : 4/03/03
** PAGE 2
JOB ADDRESS . . . . . 17555 SUNNYSLOPE AVE
DESCRIPTION OF WORK . SINGLE FAMILY RESIDENCE
1 . 00 X 11 . 0000 WATER HEATER OR VENT 11 . 00
1 . 00 X 11 . 0000 GAS PIPING SYS 1-4 OUTLET 11 . 00
1 . 00 X 4 . 2500 DISHWASHER 4 . 25
1 . 00 X 13 . 2500 LAWN SPRINKLER SYSTEM 13 . 25
1 . 00 X 8 . 7500 WATER SERVICE 8 . 75
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 1450 . 00 . 00 1450 . 00
ELECTRICAL PERMIT 206 . 70 . 00 206 . 70
MECHANICAL PERMIT 80 . 50 . 00 80 . 50
PLUMBING PERMITS 263 . 25 . 00 263 . 25
OTHER FEES
LIBRARY MITIGATION 150 . 00 . 00 150 . 00
PARK CIP FEE 1600 . 00 . 00 1600 . 00
PLANNING REVIEW FEE 290 . 00 290 . 00 . 00
PLAN RETENTION FEE 25 . 00 . 00 25 . 00
SEISMIC GROUP R 21 . 02 . 00 21 . 02
PLAN CHECK FEE 1087 . 50 1087 . 50 . 00
TOTAL 5173 . 97 1377 . 50 3796 . 47
SPECIAL NOTES & CONDITIONS
sfr
Cit% Of Lake El�,morc
Butidm_ Sate(\ Dig iston Please Read and Initial
1 I am Incensed under the provisions of Business and ProfessioAal
^ Code Section 7000 et seq and my license is In full force
Post in conspicuous place 2 I,as owner of the property or my employeesw/wages as their sole
compensation will do the work and the structure is not Intended or
on the job offered for sale-
3 1 as owner of the property am exclusively contracting with licensed
contractors to construct the project
)ou mint furnish PERMIT NUMBER and the _ 4 1 have a certificate ofconsenttoselMsureora certificate ofWorkers
JOB -ADDRESS for each resp cti%e 1ncpectton Compensation insurance or a certified copy thereof
5 1 shall not empk-}•any person in any manner so as to become subject
�p�ro�ed plan; mU>[ On IOh to Workers Coompensation Laws in the performance of the work for
at all times 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 Aoorovals Date Irsoector
ELOt Temp Elec Ser.nces pp ) t7-2 -O 3 C -
ot--1 S L ,FmC-
PLOt Sad P,oe UrWefground lOf7fl I`'x }" YRI, Q STj�
EL02 Eiec Conduit Underground A 53S -2
8P01 Foots.ngs t= i►+r' T 5� ca ^l �c c i n -
BP02 Steel Re riarcer+ent
BP03 Gros
RP04 Sian Grade
PLOt Ur-oegrounc Wa•e•Ptoe
SSOi Ro- n Seoec S ster
SWOt Cn S••e Sewe•
„ t _ z f S K — L of b 1A--1
M 1 - ,•
ELCz Ro, E-ecr:W�,N
EL05 Ro•- E ec�-c T Be- II
►AE01, Ro Ve .a ica �l l
ME02 Ducs Ve-ya l
PLC4 Ro n Gas P Test
BPI 0 F Fl c"Lnc
BPt 2 1 s;:la*,o-,
BP.3 Dywa INe,t,
BP r t Lan S Sc.,Sc,,g
PL99 F,nal RumDrg �1-
EL99 Fv,,al Eiecr.ai KL �� ►lt t f- $`-� ��C_
ME99 Fev!V*oc rtcal )� G
BP99 Fvtal Buetdnc )
Code Pool s Soa Aocrova±s Da'e r s:-v.Y OTHER DEPARTMENT RELEASES
Dep ,o• Department Approval required prior to the
P00t Pool Steed Re--vForms budding being released by the City
Poo Pool Pt 'Pecs Test
POW P:e-GLvte
Date Inspector
EL06 Rougn Pool Electnc
P>ianrvrkg
S•.,o List ADoroval
Landscape
POCe Pool Fenong,Access
Finance
P005 Pre Ptas e
Engineering
P009 Final Poo:'Soa
City of Lake Elsinore
130 South Main Street
,APPLICATION FOR APPLICATION NO
BUILDING PERMIT
APPLICATION RECEIVED
GATE
-OZ
VALUATION CALCULATIONS AP p 3 By
1st FLOOR SF I�`/' Er BUILDING ADDRESS / 75_'5_S_ ::570
2nd FLOOR SF / TRACT BLOCK/PAGE LOT/PARCEL
3rd FLOOR SF
GARAGE �SF 14 G NAME�A-n C e S
STORAGE SF NAMING '
o
DECK&BALCONIES SF ADDRESS
/-A / c7vf
J' ^ \ STATE/ZIP
OTHER: T' � ( K-e �I S�� 1�3
SF SS I hereby affirm that I am licensed under pro+ts.ons of Chapter 9(commencing with Section
7000)of O..is,on 3 of the Business and Professions Code and my license is infull force
��O �� and effect
LICEN CITY BUSINESS
Z AND CLAS TAX
VALUATION: g NAME Y
MAILING
ADDRESS
B LDING P M:5;7
$ h CITY T P PHONE
1 ^ E71CGNTRACTOR S SIGNATURE GATE
PL CHE / ��((�J
9� t
ADDITIO K NAME LICENSE tl
MAILING
J (�� ADDRESS
v
Q 7I7Y STATE ZIP PHONE
'\ ,NEW _REPAIR OCCGRP / CONST O'\ DIVISION TYPE
MICROFILM V L:ADDITION MOVE NUMBER OF NUMBER OF
❑ALTERATION DEMOLISH STORIES BEDROOMS
COPIES ❑OTHER ZONE
OSINGLE FAMILY units HAZARD AREA? YES NO
IMPRO FEES ❑ SCHOOL FEES ❑ (_'APARTMENTS units
.CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
TOWNHOMES units PROPOSED USE OF BUILDING
.COMMERCIAL INDUSTRIAL PAID PRESENT USE OF BUILDING
DATE
JOB DESCRIPTION
❑ I certify that I hove read this application and state that the
above tlhformatton is correct I agree to comply with all city
nd county ordinances and state laws relating to building
onstruction, and hereby authorize representatives of this
tty to enter upon the above-mentioned property for Inspec
n pu oses
3 U 2 • CONTER Type: OF Draeer: 1
Signature o p cant or Agent Date Date: ��
202 1546
A ENT FOR ❑ CONTRACTOR OWNER 9P 61825
Trans number: 1241 23
AGENT'S NAME Trafte dat@4 Time: 13:59:15 /
AGENT'S ADDRESS
STPFFT C17- S14TF ZIP "
City of Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT
tl)Z--1�69
APPLICATION RECEIVED
DATE
VALUATION CALCULATIONS AP# �— _ By
1st FLOOR SF BUILDING ADDRESS
L.�
2nd FLOOR SF TRACT BLOCK PAGE LOTIPARCEL
3rd FLOOR SF
GARAGE SF NAME �
STORAGE SF MAILING / '
DECK&BALCONIES SF ADDRESS
C Y �e ^ tiATF•'21P
OTHER: i (�S_r r
� SF I hereby affim that tam licensed under piwwons of Choplei v{roinnlenrinp.,m,Soctwn
GRADING f� CUT CY 70001 of Dewition 7 of theBwtness and Professions Cede and my IKf.. .a In call force
and effect
LICENSE s CITY BUSINESS
FILL CY F ANDCLASS TAX
VALUATION: C/� OOOf� NAME
FEES MAILING
ADDRESS
BUICN CITY STATE ZIP PHONE
�jT `I CONTRACTOR S SIGNATURE DATE
} !LA J�AD NAME LICENSE If
u
= MAKING
GRADING PLAN CHECK ADDRESS
< CITY STATE ZIP PHONE
"ANEW IJREPAIR OCC GRP./ CONST.
DIVISION TYPE.
MICROFILM .ADDITION UMOVE NUMBER OF NUMBER OF
]ALTERATION !:DEMOLISH STORIES BEDROOMS
COPIES "OTHER ZONE
SINGLE FAMILY units HAZARD AREAS YES NO
IMPRO FEES ❑ SCHOOL FEES ❑ -APARTMENTS units
CONDOMINIUMS units SPRINKLERS REOUIRED9 YES NO
.TOWNHOMES units PROPOSED USE OF BUILDING
PAID COMMERCIAL I INDUSTRIAL PRESENT USE OF BUILDING
DATE
JOB DESCRIPTION — dI VP T-0
D {certify that I have read this application and state thot the ' I CJ
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 Inspec-
tion p pose
SIg t e of Applicant or Agent Date Oper: COUNTER Type: DF Draver: 1 in
wat.rAGEN OR D CONTRACTOR DOWNER �2802 1569
47L 73
Trans number: 61826
AGENT'S NAME _
AGENT'S ADDRESS Trans date: 7/30/02 Tice: 13:59:15
STREET CITY STATE ZIP REV DATE 11.1 90
City of Lake Elsinore
130 South Main Street
APPLICATION NO
APPLICATION FOR rc;2_/9%
ELECTRICAL APPLICATION RECEIV D
PLUMBING PERMIT DATE 2
ME;HANICAL AP a^2S /ff/
,137 3 By
1 certify that I have read this application and state that the BUILDING ADDRESS (� /V
above information is correct 1 agree to comply with oil city
and county ordinances and state laws relating to building TRACT BLOCK/PAGE LOT/PARCEL
construction, and hereby authorize representatives of this
city to enter upon the above-mentioned property for inspec- ❑ NAME —3-0 ��� C
tion purposes 43 1
= MAILING
ADDRESS
O
CITY r STATE/ZIP
Signature of Applicant or Agent Date I hereby offirm 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
AGENT FOR ❑ CONTRACTOR ❑ OWNER LICE and effect CITY BUSINESS
Z AND CLASS TAXr
OV NAME
AGENT'S NAME
MAILING
ADDRESS
AGENT'S ADDRESS CITY STAT IP PHONE
STREET CITY STATE ZIP
CONTRACTOR S SIGNATURE DATE
BUILDING PERMIT NO. _
ELECTRICAL Quan PLUMBING Quan MECHANICAL Quan
New Residential Multi Family Fixture or Trap Furnace up to 100,000 BTU's
New Residential Single Family Building Sewer Furnace Over 100,000 BTU's
Private Swimming Pools Rain Water Sys per Drain Floor Furnace/Vent
Switches/1st 20 Private Septic System Unit Heater/Wall Heater
Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent
Recpt Outlet/1st 20 Gas Piping System 1-4 Outlets Ventilating Fan /
Recpt Outlet/Over 20 Gas Piping 5 or More Outlets Exhaust Hood
Lighting Fixtures/1 st 20 It> Dishwasher Fireplace
Res.Fixed Appliance/Outlet Solar Tank Commercial Incinerator
Non-Res.Appliance/Outlet Solar Collector per Panel Air Handler► 10,000 CFM
100-200 Amp Service-4 600V Grease Trap/(Interceptor) Air Handler-4 10,000CFM
200.1000 Amp Service-4 600V Install,Alter or Repair System Fire Dampers
Service Over 1000 Amp or 600V Lawn Sprinkler System Registers
Misc Apparatus,Conduits,ETC Backflow Device Smaller than 2" Boiler/Compressor to 3 H P
Signs Backflow Device Larger than 2" Boiler/Compressor 3.15 H P.
Sign Branch Circuit Floor Drain Boiler/Compressor 15-30 H.P
Busways/EA 100 ft Floor Sink Boiler/Compressor 30.50 H.P.
Temporary Power Service Water Service Boiler/Compressor► 50 H P.
Temp Power Distribution Sys Alter or Repair Drain or Vent Repair/Alter Misc HVAC Equip.
MOTORS/TRANSFORMERS Fire Sprinklers per Building
Motors up to 1 H.P. SWIMMING POOL
Motors/Transformers 1-10 H P Swimming Pool/Public
Motors/Transformers 10-50 H P Swimming Pool/Private
Motors/Transformers 50-100 H.P Water Heater/Vent
Motors/Transformers► 100 H P Replace Piping
Replace Filter
r Misc Replace
Gas Piping
REV DATE 11 1 90
AI.ATORRF.&ASSOCIA I ES
CIVIL&STRUCTURAL ENGINEERING
1520 SAN JACINTO AVE.,SUITE 1
SAN JACI NTO,CA 92583-51.52
FAX:(909)654-8681 PHONE:(909)487-1722
May 24, 2004
RE: Termination and end of services of Mr. Alejandro Alatorre RE; RCE # 32761 as
Engineer of Record for Mr. & Mrs. Gary Jacobs
To whom it may concern:
At the request of Mr. & Mrs. Gary Jacobs, I am voluntarily concluding and terminating
any and all involvement with Mr. & Mrs. Jacobs residence as the Engineer of Record due
to the fact that the construction of the structure to this point, was not in substantial
conformance with the plans and calculations prepared by me for submittal to the City of
Lake Elsinore and approved as such.
The residence at the time of signing this document is unfinished. It remains the sole
responsibility of Mr. & Mrs. Jacobs to secure and retain the services of a qualified
Engineer to continue with the project. It remains the sole responsibility of Mr. & Mrs.
Jacobs and their new Engineer to achieve a sound structure; furthermore by means of this
termination Mr. and Mrs. Jacobs together with their new engineer assume all responsibility
arising from, or inherited in, the construction of their residence subject of this letter.
All financial responsibilities incurred by Mr. and Mrs. Jacobs concerning my fees have
been met. Any additional costs, expenditures, fees, and an all monies arising form this
project in addition to those fees paid to me for my professional services only, are and
remain the sole responsibility of Mr. & Mrs. Gary Jacobs.
Q�p,OFESS10
o J <2
Respectfully, co LU C-32761 � rn
/ Q EXP 6/30/06rn
CIVIL
Alelan ro J. Alatorre. P.E. TFpF CAO
RCE #32761
ALATORRE&ASSOCKYES
C IVIL&S I'RI K-I I IRAL ENGINEERING
1520 SAN JACINI'O AVE.,SUITE 1
SAN.IACL\TO,CA 92583-5152
FAX:(909)654-8681 PHONE:(909)487-1722
June 17, 2004
RE Termination and end of services of Mr Alejandro Alatorre P E, RCE # 32761 as
Engineer of Record for Mr & Mrs Gary Jacobs Addendum .41 lti /tapes
To whom it may concern
At the request of Mr & Mrs Gary Jacobs, I am voluntarily concluding and terminating
any and all involvement with Mr & Mrs Jacobs residence as the Engineer of Record due
to the fact that the construction of the structure to this point, was not in substantial
conformance with the plans and calculations prepared by me for submittal to the City of
Lake Elsinore and approved as such
The residence at the time of signing this document is unfinished It remains the sole
responsibility of Mr & Mrs Jacobs to secure and retain the services of a qualified
Engineer to continue with the project It remains the sole responsibility of Mr & Mrs
Jacobs and their new Engineer to achieve a sound structure, furthermore by means of this
termination Mr and Mrs Jacobs together with their new engineer assume all responsibility
arising from, or inherited in, the construction of their residence subject of this letter At
the t/nie of the preparal/oii of this letter, and based oli my field obvervailon, the .slruc•lure
as c•olistrucled at the lime of my visit /nchided the basemen/phis the second stoly phis the
roof The roof as constructed was retected diri'tiig a roiitlne in.spectloti performed by the
Clly,of Lake Elsinore Buildnig& Safety Deparllnent. 1 he porlloll of/he slruclure
accepied by the City c f Lake Elsinore Building d' Safely Departmelii up to the pond of
my fleld 1,/.S//and relectloli b C/y the /v relnaln.s wider my professional care and
re.lpon.siblhty, provided that the chalige.s and modif/catlons liow effec•ied bvMr Jacob
amd hl.s new FUR do not adversely affect the portion of the structure llluler niv
re.spoasib/lity
All financial responsibilities incurred by Mr and Mrs Jacobs concerning my fees have
been met Any additional costs, expenditures, fees, and an all monies arising form this
project in addition to those fees paid to me for my professional services only, are and
remain the sole responsibility of Mr & Mrs Gary Jacobs
Respectfully, Q�pFESS/N�
Fco
w C-32761 0 m
Alejandro J Alatorre P E * ExP 6/30/06 m
RCE #32761 spa C1V1\-
TF�F C AO
KONICKI ENGINEERING
Manisha Konicki
Professional Engineer
31791 Sandhill Lane
Temecula, Ca 92591
June 26, 2004
Ph : (909)-676-0842
Subject: Jacobs Residence, 17555 Sunnyslope Ave., Lake Elsinore, CA.
To Whom It May Concern :
At the request of Mr. and Mrs. Gary Jacobs, I am assuming the role of Engineer of
Record for the new residence located at the above address. In assuming the role of
Engineer of Record, I will be responsible for the portion of the structure under
construction from this date forward. The scope of my responsibilities includes any portion
of the structure that has previously failed City inspection (specifically the revised roof
framing) and any ensuing construction required to complete the job.
Sincerely yours, ,� 01
0
��i����/Gt%/l/u � 4Q`�' 9�►�' G
Manisha Konicki, P.E. W N0. C b0035/?`
oc _ ,pEpEw.L 0 fo
OF
C