HomeMy WebLinkAboutCANYON ESTATES DRIVE 31555_04-00000403 CitV of Lake Elsinore
130 South Main Street
PERMIT
t)
PERMIT NO: 04-00000403 DATE : 2/05/04
JOB ADDRESS . . . . . 31555 CANYON ESTATES DR
DESCRIPTION OF WORK MISCELLANIOUS
OWNER CONTRACTOR
ANASTASI DEVELOPEMENT CO LLC OWNER
1200 AVIATION BLVD 4100
REDONDO BEACH, CA 90278
31-376-8077
A. P. # . . . . . 363-550-005 7 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 1, 500 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45 . 00
10 . 00 X 2 . 7500 VALUATION 27 . 50
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 77 . 50 . 00 77 . 50
OTHER FEES
PLAN CHECK FEE 54 . 38 . 00 54 . 38
TOTAL 131 . 88 . 00 131 . 88
SPECIAL NOTES & CONDITIONS
one trash enclosure
Date: 2/g5/6, e5
gP 20! !83 �aeipt no:
3744
Tra� 's PLAIT 1
CK 9131.gg
leas
data. 8131.ae
l i.,t, •
�, \•, ``• i 1,• I'Irasc Itt ad and Initial
I I am t_ie •n�e rider lhr provisions of Ilusmess and Prolessional
Cc{ie Set Uon 7CMlCl vt se y and nip hernse•is in lull tort v
�'ll,j IIl l'llll��)Illllllls �)�llll' ONM!t =' 1 asow-rwrolihrproperl) orm% tniploveesw/w•agt-sasthcirsole
Lornpe-ns fion w-tll rin thr work and the struclun• is riot mended or
tlil jfll' joh uffered for sa't
3 1 as owner of ihr propem am vxf lushch,c•onti-arunk with hren"
contractors to Construt I the project
,• I-�\I� �� \ll;l f: '�1,1 _ _ -i Iha%vacertdiratcofconst_nlloseltinsun•oravertdlralrul Work(rs
1( \�1i i �l �� }7 .,r'._I1 Compensanon insurance or a certified copN the Mot
5 I shall not employ an%l)erson in am manner sn ds ro become sublt� t
u to or4 ers Ctumprnsarion Laws in the perforrnanct of the•work for
which this permit is issued
%otr If%ou should lx-come subject In Workers Compvnsation At r
making this etirulicdunn you must forthwith cnmph with sue h pro-
visions or itw;pe rmit shall be dt erne(I retoked
Coco -c F,a e
14
l�
:3 S�
S`- S. _
)- S e STs.r
,,._ �_� s S a -.rr_.a s e t-._
OTHER DEPARTMENT RELEASES
C-up 3rurienl Acprrn•al rcquu-e-d poor to the
= 1 nuilcina ot:aina released by the City
.es
Ernameenna
L.a moo-= S-o.
City of Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT
APPLICATION RECEIVED
DATE
VALUATION CALCULATIONS AP s By
I st FLOOR _SF BUILDING ADDRESS
2nd FLOOR _SF TRACT BLOCK/PAGE LOT/PARCEL
3rd FLOOR _SF
NAME
GARAGE SF fq
STORAGE _SF Z MAILING PHONE
DECK&BALCONIES _SF 3 ADDRESS 0 I2Cr,,0 3to
CITY STATE/ZIP
OTHER: P_4r_jo u Qxl Z7
_SF I hereby affirm that I am licensed under provisions of Chapter 9(commeming with Section
I 1000)of Division 3 of the Business and Professions Code and my license is in full force
�6_
and eflect
LICENSE M CITY BUSINESS
AND CLASS IAXp
VALUATION: _ V NAME
FEES MAILING
ADDRESS
BUILDING PERMIT $ CITY STATE'ZIP PHONE
CONTRACTOR S SIGNATURE DATE
PLAN CHECK
ADDITIONAL PLAN CHECK NAME LICENSE#
u
w MAILING
= ADDRESS
V
a
Q CITY STATE,ZIP PHONE
❑NEW ❑REPAIR OCC GRP / CONST
DIVISION TYPE
MICROFILM CADDITION ❑MOVE NUMBER OF NUMBER OF
❑ALTERATION CDEMOLISH 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
❑COMMERCIAL ❑INDUSTRIAL
PAID PRESENT USE OF BUILDING
DATE �y
JOB DESCRIPTION
❑ 1 certify that I have read this application and state that the 111
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 propel ty for inspec-
tion purposes
2
SignV re of Appl nt or Agent Date
AGENT FOR ❑ CONTRACTOR ❑ OWNER
AGENT'S NAME
AGENT'S ADDRESS