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Home My WebLink AboutKELLOGG ST 104 S_00-00001265 Cityof Lake Elsinore 130 South Main Stre t PERMIT PERMIT NO: 00-00001265 DATE: 12/14/00 JOB ADDRESS . . . . . 104 S KELLOGG ST TENANT NBR, BLAME . . HORIZON CHURCH DESCRIPTION OF WORK . REROOF OWNER CONTRACTOR FAITH TABERNACLE OWNER A. P. # . • . . . 374-242-004 4 SQUARE FOOTAGE . 0 OCCUPANCY . . . GARAGE SQ FT . . 0 CONSTRUCTION . . FIRE SPRNKLR . . VALUATION . . . ZONE . . . . . . NA REROOF PERMIT QTY UNIT CHG ITEM CHARGE 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 6 . 00 X 6 . 0000 REROOF 36 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES REROOF PERMIT 41 . 00 . 00 41 . 00 OTHER FEES PLAN RETENTION FEE 1 . 00 . 00 1 . 00 SEISMiIC GROUP R . 50 . 00 . 50 TOTAL 42 . 50 . 00 42 . 50 SPECIAL NOTES & CONDITIONS PARTIAL RERF 6 SQ COMP SHINGLE TO MATCH EXISTING. REMOVE OLD ROOF 2000 1265 02.50 BP Date: 12/14/00 14 Receipt: 0003139 CHECK 11569 00000� NN00000 00 City of Lake Elsinore Please Read and Initial: Building Safety Division 1. 1 am IJcensed under the provisions of Business and Professional Code Section 7000 et seq.and my license is in full force. Past 1n con--plc Lms place 2. 1,as owner of the property,or my employees w/wages as their sole compensation will do the work and the structure is not Intended or on the ob offered for sale. 7 3. 1,as owner of the property,am exclusively contracting with licensed You must furnish PERMIT NUMBER contractors to construct the project. and the JOB ADDRESS for each _ 4. 1 have a certificate ofconsent to selfinsure ora certificate ofWorkers respective Inspection: Compensation insurance or a certified copy thereof. 5. ]shall not employ any person in any manner so as to become subject Approved plans must be on job 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 Approvals Date Inspector EL01 Temp Elec Services PL01 Soil Pipe Underground EL02 Else Conduit Underground BP01 Footi ngs BP02 Steel Reinforcement B 003 Grout BP04 Slab Grade PL01 Underground Water Pipe SS01 Rough tic System SW01 On Site Sewer FloorFloor Joists RP09 Shear Wall&Pre-Lath h Electric-Conduit EL04 Rough Electric-Wiring EL05 Rough Electric-T-Bar ME01 Rough Mechanical ME02 Ducts,ventilating PL04 Rough Gas P -Test _PL02 Roof Drains BP10 FraminoFlashino BP12 Insulation 8P13 Drywall Nailin BP11 Lathing&Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 Final Building Code Pool&Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES Dep.tns for Departinent Approval required prior to the P001 Pool Steel Rein./Forms building being released by dte City Pool Pool Plumbing/Press.Test P003 Pre-Gunrte Date Ins EL06 Rough Pool Electric for Planning Sub List Approval Landsca P004 Pool Fencing/Access Finance P005 Pre-Plaster Engineering P009 Final Pool/Spa Cityof Lake Elsinore 130 South Main Street APPLICATION FOR APPLICA_TJ,0N NO. BUILDING PERMIT KIT A APPLICATION R�CE_IVED DATE VALUATION CALCULATIONS AP d By BUILDING ADDRESS t st FLOOR SF 2nd FLOOR SF TRACT BLOCK PAGE LOT/PARCEL 3rd FLOOR SF NAA:E GARAGE SF oL�c � or Vssr*— STORAGE SF Z MAILING PHONE DECK&BALCONIES SF ; ADDRESSID 0 CITY STATE,ZIP OTHER: L'II—_ �Z�S t C-) S (� SF1 hweby Dili—that I.-licensed under provisions of Chapter 9(commencing with Section 10001 of Dwiston 3 of the Business and Professions Code,and my license is in full force GRADING CUT CY and of f ec t FILL CY a ItCENSEs CITY BUSINESS Z ND CLASS TAXs VALUATION: ° N- FEES RAILING ADDRESS BUILDING PERMIT S CITY STATE IP PHONE <ONTRACTOR S SIGNATURE DAT PLAN CHECK ADDITIONAL PLAN CHECK NM:E ucE E u Z M.AILING GRADING PLAN CHECK ADDRESS Y Q CITY STATE ZIP PHONE —NEW :REPAIR OCC GRP./ CONST. DIVISION: TYPE: MICROFILM —ADDITION MOVE NUMBER OF NUMBER OF ALTERATION :'DEMOLISH STORIES: BEDROOMS: (;' COPIES -OTHER ZONE: SINGLE FAMILY units HAZARD AREA? YES NO IMPRO FEES SCHOOL FEES C APARTMENTS units --CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO _TOWNHOMES units PROPOSED USE OF BUILDING:( COMMERCIAL -INDUSTRIAL PAID PRESENT USE OF BUILDING: DATE JOB DESCRIPTION N 4�F Z] I certify that I have read this application and stole that the / above information is correct- I agree to comply with all city LA and county ordinances and state lows relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspec- t' n purposes. Z pet Signature of Applicant or Agent AGENT FOR CONTRACTOR - OWNER AGENT'S NAME AGENT'S ADDRESS STREET CITY STATE ZIP REV.DATE 11-1-90 4lo u-) 5, �L.ft�S t2o�F I'► 16 ry�-C4 tL-- c-►3 S3S