HomeMy WebLinkAboutLAKESHORE DRIVE 16401_03-00001420 2 5`
Citvof Lake Elsinofrejl!�
130 South Main Street
PERMIT
PERMIT NO: 03-00001420 DATE: 6/23/04
JOB ADDRESS . . . . . : 16401 LAKESHORE DR
TENANT NBR, NAME . . . BLDG A
DESCRIPTION OF WORK . : STORAGE SHED
OWNER CONTRACTOR
PEBLEY GARY OWNER
PEBLEY TERRI
mmmm
A.P.# . . . . . . 379-250-024 2 SQUARE FOOTAGE 0
OCCUPANCY . . . . MOD HAZARD STORAGE GARAGE SQ FT 0
CONSTRUCTION . . . FIRE SPRNKLR .
VALUATION . . . . 84, 500 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 580 . 00
35.00 X 6.2500 VALUATION 218 . 75
1 . 00 X 5. 0000 PROFESSIONAL DEV FEE 5 . 00
• FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 803 . 75 . 00 803 . 75
OTHER FEES
PARK CIP FEE 650.00 . 00 650 . 00
PLANNING REVIEW FEE 159.75 159. 75 . 00
PLAN RETENTION FEE 25.00 .00 25 . 00
SEISMIC OTHER 17. 75 . 00 17 . 75
PLAN CHECK FEE 599.06 599. 06 . 00
TOTAL 2255 . 31 758 .81 1496 . 50
SPECIAL NOTES & CONDITIONS
storage bldg A ^ a
[ JUN_2 3 2004
s
City Of Lake Elsinore _
Building Safety Division Pkase Read and Initial
' 1. 1 am Incensed under the provisions of Business and Professional
Code Section 7000 et seq.and my license Is In full fonx.
Post in conspicuous place z. ►,as owner of the property,or my employees w/wages as their sok
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.
You must furnish PERMIT NUMBER and the 4. 1haveacertificateofconsenttoselfinsureoracertificateofWorkers
JOB ADDRESS for each respective inspection: CompensationCompensationInsurance or a certified copy arereoE
_
iv
S. 1 shall not employ any person in any manner so as to become subject
Approved plans must be on job to Workers Coompensatkm 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 Awrovals Date Inspector
EL01 Ternp Else Services
PLO1 Soil Pipe Underground
EL02 Elec Conduit Underground
I11301 Footings ' ARW
B1302 Steel Reinforcement
B1303 Grout ,p
B1304 Slab Grade [�
PLO1 Underground Water Pipe
SS01 Bough SWtic System
SWOt On Site Sewer
PI-03 Rauch Plumbing
_fUM5_ Floor Joists
;R.
EL04 Rouah Electric-Wiring
EL05 Rouph Electric-T-Ber
i
ME01 Rough Mechanical
ME02 Ducts.Ventilating
PLG4 RoLmh Gas PiwTest
PI 02 Roof Drains
SP12 Insulation
BP13 I Drywall Nailina
B1311 Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
81299 Final Btildina
Code Pool a "°vela Dace OTHER DEPARTMENT RELEASES
Departirmn Approval requved prior to the
P001 Pool S"ReiriJForms released Me
�9�t9 by City
PO01 Pool Test
P003 I Pre-Gunite Dab Inspector
EL06 Rougfr Pooi Electric a
planning
Sub List Approval
LandscaDe
P004 Pool Fend Access
Finance
POOr ter,
. Engineering
13009 Frei