HomeMy WebLinkAboutCANYON ESTATES DRIVE 31555_04-00002552 OPEN
CIAi of Lake Elsinore
�\' I �Z 130 South Main Street
v PERM
PERMIT NO: 04-00002552 DATE : 9/27/04
JOB ADDRESS . . . . . 31555 CANYON ESTATES DR
DESCRIPTION OF WORK BLOCK WALL
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 . . . 3 , 840 ZONE . . . . . . C-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63 . 00
2 . 00 X 12 . 5000 VALUATION 25 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 93 . 00 . 00 93 . 00
OTHER FEES
PLANNING REVIEW FEE 17 . 60 . 00 17 . 60
PLAN RETENTION FEE 2 . 50 . 00 2 . 50
SEISMIC GROUP R . 50 . 00 . 50
PLAN CHECK FEE 69 . 75 . 00 69 . 75
TOTAL 183 . 35 . 00 183 . 35
SPECIAL NOTES & CONDITIONS
350LF OF WROUGHT IRON WITH APPROVED
PILASTERS .
Cate: 9/27/04 27 Paceipt ray: lid
Total terda-ed $183.35
Total pa�rra'1t $183.35
iWill
Please Wad and Initial '
I I am Ircensvd under the provisions of Business and Professional
Ccxk-Section 7000 cl seq and my license is In full force
Po"I 111 (on picuotls pistol:' 2 1 aso,4mcrofthcproperty ormy employeesw/wagesasthcirsolc
compensation will do the work and the strut turc is not intended or
oll the job oflerrd for sale
3 1 as Lm-m rot the proprriN am exe lusnety vontractingw-ith licensed
cont_cactrirs to construa t the p%ect
\iiii K il.i Jh _ 4 Iha%eacenificateofconsenttoselfinsurcoracertfirateofWorkers
li Ii >I 11i i I, Compensation insuranCIL or a certified cope thereof
5 1 shall not emploi am portion in any manner so as to become subject
l e to porker~Cmmlr•nsanon laws in the perfonnance,of the work for
Al which this permit is issued
Note If%ou should become subje<t to Workers Compensation after
making this cerufication %ou must forthwith comply with such pro-
vi,ions or this pe nnit shall be deemed rmoked
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C.oce _c s Sx ,__r=.as Da OTHER DEPARTMENT RELEASES
:•=xk3�^kilt Approval required error to the
P== =t = nullo,rng oerx,released by tie City
Qes: Tes
Da e Inspector
E L_C FJ_;-PJo E e-,-c
S_0 I c y_r Y.a
La-C4.'-:x'
Finance
Encineenn
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City of Lake Elsinore
130 South Main Street
APPLICATION FOR APPJ�IN N �
BUILDING PERMIT APP(LICA N Y7E
XPT— BY
DATE /�
VALUATION CALCULATIONS tom'' 1
8UILDING ADDRESS
Ist FLOOR _ SF X 3 S e 4 Yt n•1 cyst DR
TRACT BLOCKJPAGE LOT/PARCEL
2nd FLOOR SF
3rd FLOOR SF NAME O A n 34*s/ 3 1 O 3 Z 6 —907 7
W MAILING PHONE
GARAGE SF N ADDRESS S11 1,',CQA/!GG
E CITY STATE/ZIP
STORAGE — SF R 6, e-k C D2? 7^3 4/1
I hereby affirm that I am licensed under provisions of chapter commencing
DECK&BALCONIES _ SF with section 7000)of division 3 of the business and professions code,and my
C license is in full force and effect.
OTHER: SF O LICENSE# CITY BUSINESS
N AND CLASS TAX#
T NAME
VALUATION: R
A MAILING
C ADDRESS
FEES T CITY STATE/ZIP PHONE
O
BUILDING PERMIT $ R CONTRACTOR'S SI RE DATE
PLAN CHECK _ MLICENSE
A
PLAN REVIEW _ R MAILING
C ADDRESS
SEISMIC H IT STATE/ZIP PHONE
PLAN RETENTION ❑ NEW OCC GRP / CONST
❑ADDITION DIVISION- TYPE.
❑ALTERATION NUMBER OF NUMBER OF
❑OTHER STORIES_ BEDROOMS.
❑SINGLE FAMILY ZONE:
❑APARTMENTS
❑I certify that I have read this application and stale that the ❑CONDOMINIUMS HAZARD YES
above information is correct.I agree to comply with all city ❑TOWN HOMES AREA? NO
and county ordinances and state laws relating to building ❑COMMERCIAL SPRINKLERS YES
construction,and hereby authorize representatives of this ❑INDUSTRIAL REQUIRED? NO
city to enter upon the above-mentioned property for insp- ❑REPAIR PROPOSED USE OF BLDG
tion purposes. ❑DEMOLISH PRESENT USE OF BLDG
JOB DESCRIPTION
Sig ure o plicant or Agent Date
eA
Agent for p contractor *j owner
Agents Name
Agents Address
Street City State Zip