HomeMy WebLinkAboutLAKESHORE DRIVE 16401_14-00002579C 1 TY OF ice,
LSIN,ORJ BUILDING & SAFETY
DREAM. EXTREM.ETM
ler
PERMIT
130 South Main Street
Lake Elsinore Ca. 92530
PERMIT NO: 14- 00002579 DATE: 12/31/14
JOB ADDRESS • 16401 LAKESHORE DR
DESCRIPTION OF WORK . : CELLULAR ANTENNA
OWNER
PEBLEY, GARY W
CONTRACTOR
METROCELL CONSTRUCTION
4711 CHINO AVE
CHINO, CA 91710
909 - 627 -1502
LIC EXP 0 /00 /00
A.P.# . . . . . . 379 - 250 -045 1 SQUARE FOOTAGE . : 0
OCCUPANCY . . . . GARAGE SQ FT . . : 0
CONSTRUCTION . . : FIRE SPRNKLR . . .
VALUATION . . . : 9,000 ZONE NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63.00
7.00 X 12.5000 VALUATION 87.50
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 16.2500 MISC. WHERE NO OTHER FEE 16.25
FEE SUMMARY CHARGES PAID
PERMIT FEES
BUILDING PERMIT 150.50 150.50
ELECTRICAL PERMIT 46.25 .00
OTHER FEES
PROF.DEV.FEE 2 TRADES 10.00 .00
PLANNING REVIEW FEE 30.10 .00
PLAN RETENTION FEE 17.97 17.97
GREEN BUILDING FEE 1 1.00 1.00
PLAN CHECK FEES 112.88 112.88
TOTAL 368.70 282.35
SPECIAL NOTES & CONDITIONS
VERIZON CHANGING OUT ANTENNAS AND
EQUIPMENT RACKS AT EXISTING CELL TOWER
DUE
00
46.25
10.00
30.10
00
00
00
86.35
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:
I am Licensed
Please
under the provisions of Business
is in full force.
of the property,or my employees
is not intended or offered
of the property,am exclusively
of consent to selfinsure
copy thereof
employ any person in any manner
Laws in the performance
should become subject to Workers
comply with such provisions
read and initial
and professional Code Section 7000 et seq. an.:
w /wages as their sole compensation will do the work
for sale.
contracting with licensed contractors to construct the
or a certificate of Workers Compensation Insurance
so as to become subject to Workers
of the work for which this permit is issued.
Compensation after making this certification,
or this permit shall be deemed revoked.
1.
my license
2. I,as owner
and the structure
3. l,as owner
project.
de P4. I have a certificate
or a certified
5. I shall not
Compensation
Note: If you
Code
El 01
Approvals
Tempnrany Flartrir Qenniry
D ate Inspector you must forthwith
PLO I Soil Pipe Underground
EL02 Electric Conduit Underground
BP01 Footings
BP02 Steel Reinforcement
BP 03 Grout
BP 04 Slab Grade
PLO1 Underground Water Pipe
SSO1 Rough Septic System
SW01 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 Roof Sheathing
BP09 Shear Wall & Pre -Lath
1 Rough Plumbing
1 Rough Electric Conduit
1 Rough Electric Wiring
1 Rough Electric / T -Bar
ME01 Rough Mechanical
1 Ducts, Ventilating
PLO' Rough Gas Pipe /Test
1 Roof Drains
Framing &Flashing
BP12 Insulation
BP 13 Drywall Nailing
BP11 Lathing &Siding
PL99 Final Plumbing
EL99 i . j
Final Mechanical
i ' • Final Building y L
Final Signatures are Certificate of Occupancy for Single Family Residence
Code Pool &Spa Approvals Date Inspector OTHER DIVISION RELEASES
SPO1 Electric Conduit UG De )at Intent A. •royal re.uired .rior to the
SPO2 UG Gas Piping buildin_ bein_ released b the Ci
SPO3 Pool Steel Rein. /Forms Date Inspector
SPO4 Fire
SPO5 Fre- Gunite Approval EVMWD
SPO6 Rough Pool Electric Finance
SPOT Pool Fence /Gates /Alarms Engineering
SPO8 Pre - Plaster Approval TUMF
SP99 Final Pool / Spa Planning /Landscape
OF
E c2LSMORIG,
DREAM EXTREME rM
ler
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR
2nd FLOOR
3rd FLOOR
SF
SF
SF
Berl- ejc((oD .3 CrJ nogg (-- :ii&
Cl S)'Lj f 9 C7 butt -the sicii us-
4
130 South Main Street
APPLICATIO
APPLIG"ATIIN RE E
DATE
AP#
37 40
BUI D N DDRESSq1L +4Ki s,<1oIR D,r ice_
TRACT BLOCK /P CAE LOT /PARCEL
13/ 377 l 0
O A RY vy • P 31E - M Acff400 SDMGE
NAME
W MAILING @@ "0NADDRESSlb
E
R
R" gz530
C
0
N
T
r _)f l 4 . Lakes ho'e P
ailtcccfi &19- c) -8.S10
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toHH \Ac'
C1 %9 ('-/ Cle
xi 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.
Signature of
Agent for
Agents Name eagh e1 ikkvidsaf, u4):04:6, on haft
Agents Address 31(o I MICHELSON) WtF.I
1Y .tVF, IRVINE CA q24 R1 4500
r Agent Date 1125119
Contractor owner
T
R
IAA- ka3ff0Hkr oei V'E
CITY STATE /ZIP .
y_fb0' AKE ELSiNORE CA q2S 30
I hereby affirm that I am licensed under provisions df 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
CONTRACTOR SIGNATURE
A
R
C
H
NAME LICENSE #
4`fVN4 rs N YocM C-71 Ssy
MAILING
ADDRESS 3(61 MICt-1;ELSc• DR, I4°
CITY • STATE/ZIP
CA 126I2
NEW
I ADDITION
OCC GRP. /
DIVISION:
PHONE
get - 21.4-76 I
CONST. NI REL£ss
TYPE: TELE taw\
ALTERATION
OTHER
NUMBER OF
STORIES:
NUMBER OF /
ABEDROOMS:
SINGLE FAMILY
IAPARTMENTS
ZONE:
e v M M e-Re, 1/- Cc 2)
CONDOMINIUMS
TOWN HOMES
HAZARD
AREA ? NO
OMMERCIAL
INDUSTRIAL
REPAIR
DEMOLISH
SPRINKLERS YES
REQUIRED ? NO
PROPOSED USE OF BLDG: 6.6w p 5Han {
PRESENT USE OF BLDG: riviijo P r AI
JOB DESCRIPTION
1i4:':
257 ".
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