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Home My WebLink AboutMAIN STREET N 411_03-00001154 A `h' City of Lake Elsinore PERMIT 130 South Main Street PERMIT NO: 03-00001154 DATE : 6/18/03 JOB ADDRESS . . . . . 411 N MAIN ST DESCRIPTION OF WORK REROOF OWNER CONTRACTOR ATKINSON WILFRID OWNER ATKINSON DOLORES A. P. # . . . . . 374-063-0110" 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 14 . 00 X 3 . 0000 REROOF 42 . 00 FEE SU PLAORY CHARGES PAID DUE PERMIT FEES REROOF PERMIT 47 . 00 . 00 47 . 00 TOTAL 47 . 00 . 00 47 . 00 SPECIAL NOTES & CONTDITIONS 14 sq comp shingle over 1 layer same Oper: WI8W Date: 6/18/63 18 Receipt no: 5878 Total tendered 447.88 Total paysent $47.00 City Of Lake Elsinore Building Safety Division Please Read and Initial: 1. tam Licensed under the provisions of Business and Professional Code Section 7000 et seq.and my license Is in full force. . •• Post in conspicuous 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 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. 1 have acertiflcateofconsenttoselflnsureora certificate ofWorkers JOB ADDRESS for each respective inspection: Compensation insurance or a certified copy thereof. 5. 1 shall not employ any person to 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 ELOI Temp Elec Services PL01 Soil Pipe Underground EL02 Elec Conduit Underground BP01 Footings BP02 Steel Reinforcement BPO3 Grout BP04 Slab Grade PL01 Underground Water Pipe SS01 Rough Septic System SWO1 On Site Sewer BP05 Floor Joists Roof Frarnina Roof Sheathino Shear Wall&Pre-Lath h Electric-Conduit EL04 Rou h Electric-WiHng EL05 Rough Electric-T-Bar ME01 Rough Mechanical ME02 Ducts,Ventilating PL04 Rou h Gas Pipe-Test PI-02 Roof Drains Flashina BP12 Insulation BP13 Drywall Nailing BPI Lathing&Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 Final Building Z 3 Code Pool S Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES De .Inspector Department Approval required prior to the Pool Pool Steel Rein./Forms building being released by Itte City Po01 Pool Plumbing/Press.Test P003 Pre-Gunite EL06 Rough Pool Electric Date Ins ctor Planning Sub List Approval Landscape P004 Pool Fenci Access Finance P005 Pre-Plaster Engineering P009 Final POOL$ City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT APPLICATION RECEIVE DATE VALUATION CALCULATIONS AP 5 By BUILDING ADDRESS lst FLOOR SF 2nd FLOOR SF TRACT COCK/PAC LOT/PARCEL 3rd FLOOR SF Nam GARAGE SF STORAGE SF i DECK&BALCONIES SF o OTHER: SF I hereby affirm that I am licensed under Provisions Chapter 9(com ci menng wish Section MO)of Division 7 of the Bvsiness and Professions Code,and my license is in lull force and effect. IK.F CITY BUSINESS Z AND TA%r VALUATION: g NAME FEES rvuLING ADDRESS BUILDING PERMIT $ CITY TEIZI P ONE COtiTRACTOR'S SIGNATURE DATE PLAN CHECK ADDITIONAL PLAN CHECK NAME " sE a Z MARING Z ADDRESS v 0 < CITY E!ZIP PHONE ONEW OREPAIR OCC GRP./ CONST. DIVISION: TYPE: MICROFILM OADDITION ❑MOVE NUMBER OF NUMBER OF ❑ALTERATION ODEMOLISH STORIES: BEDROOMS: COPIES ❑OTHER ZONE: ❑SINGLE FAMILY units HAZARD AREA? YES NO IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units OCONDOMINIUMS units SPRINKLERS REQUIRED? YES NO OTOWNHOMES units PROPOSED USE OF BUILDING: OCOMiAMAL OINDUSTRIAL PAID PRESENT USE OF BUILDING: DATE O 1 certify that 1 have reed this application and state that the JOB DESCRIPTION i �lr above information is correct. 1 agree to comply with all city W/ and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city�a enter upon the above-mentioned property for inspec- io purposes. O V J 'h ,.� Signature of Applicant or Agent Dote l / / r r r5 -ri /-d IGENTFOR ❑ CONTRACTOR ❑ OWNER AGENT'S NAME AGENT'S ADDRESS STREET CITY STATE ZIP REV.DATE 11-1-90