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Home My WebLink AboutSUMNER AVE W 295 (2)C I -lk 01"F' LAKE LSIIYORE BUILDING & SAFETY V[t G!\1Vl Llll2tLIVlL TM PERMIT PERMIT NO: 12- 00000071 JOB ADDRESS . . . . . 295 W SUMNER AVE REC BLDG DESCRIPTION OF WORK . MISCELLANIOUS OWNER Pottery Court Housing Assoc., L.P., Ca Limited Partnership 345 Spear St, Suite 700 SAN FRANCISCO, CA 94105 A.P.# . . . . . 374 - 071 -008 0 OCCUPANCY . . . . CONSTRUCTION . . . VALUATION . . . 22,750 BUILDING PERMIT QTY UNIT CHG BASE FEE 21.00 X 12.5000 VALUATION CONTRACTOR OWNER 130 South Main Street DATE: 1/31/12 SQUARE FOOTAGE GARAGE SQ FT . FIRE SPRNKLR . ZONE . . . . . ITEM CHARGE 63.00 262.50 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 325.50 00 325.50 OTHER FEES PROF.DEV.FEE 1 TRADE 5.00 00 5.00 PLAN RETENTION FEE 52 00 52 SEISMIC OTHER 4.40 00 4.40 GREEN BUILDING FEE 1 1.00 00 1.00 TOTAL 336.42 00 336.42 SPECIAL NOTES L CONDITIONS 35 LIGHT STANDARDS 0 0 R -3 Ope•: CaNff3i2 Type: IF -Dr: 1 Dale: 1/31 /12 31 F emipt no: 29DO E012 71 EF- - aDIDM PBRM I U%.q2 W VISA CM 05.42 TfTMI twdbrvH CM 4? Total pDAwnt Tune d - I ff/ T:-1 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: Please read and initial V I. 1 am Licensed under the provisions of Business and professional Code Section 7000 et seq. and my license is in full force. 2. Las owner of the property,or my employees w /wages as their sole compensation will do the work and the structure is not intended or offered for sale. 3. I,as owner of the property,am exclusively contracting with licensed contractors to construct the project. 4. 1 have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance or a certified copy thereof. 5. 1 shall not employ any person in any manner so as to become subject to Workers Compensation Laws in the performance of the work for which this permit is issued. Note. If you should become subject to Workers Compensation after making this certification, you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector ELL) 1 Temporary Electric Service PLO Soil Pipe Underground EL02 Electric Conduit Underground BP01 Footings 1 it na tntEity 6fIde ElsiNN AL. u...0 440301325880 QsloEi FEaIFf " CITY OF LAKE ELSINORE Qom': UNT131P Type: 1F Dra er: 1 130 S. PLAIN STREET LAKE ELSIN, CA 92530 Date. 1/31/12 31 I eQ1pt 110. M (951)614 -3124 TERMINAL I.D.: 1325BBOf Description aLaltlty Anoint 2012 71 VISA XXXXXXXXXXXX3945 :K SALE 1.00 sa.42 BATCH: 000171 INV: 2 DATE: JAIL 31, 12 TINE: 13:11:40 F AUTH N0: 075334 Taxes- 1Ctw ai1 PO HUMBER: 1271 C VISA M $H•2 AUS: 345 94105 CE V T pmimt $ 33&q2 TOTAL $336.42 Trans date: 1/31/12 Time: 12:4156 K----------------------------------------- I AGREE-10 PAY ABOVE TOTAL AMOUNT THIS IS YUY fEJ[3T**" ACCORDING TO CARD ISSUER AGREEMENT MERCHANT AGREEMENT IF CREDIT VOUCHER) CUSTOMER COPV:K * BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLOT Underground Water Pipe SS01 Rough Septic System SW01 On Site Sewer BP05 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BP08 Root Sheathing BP09 Shear Wall & Pre -Lath PI-03 Rough Plumbing EL03 Rough Electric Conduit EI -04 Rough Electric Wiring EL05 Rough Electric/ T -Bar ME01 Rough Mechanical ME02 Ducts, Ventilating PL04 Rough Gas Pipe /Test PI-02 Roof Drains BP 10 Framing & Flashing B P l2 Insulation BP 13 lDrywall Nailing BPI I Lathing & Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 Final Building r Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the building being released by the CityP001PoolSteelRein. / Forms P001 Pool Plumbing / Pressure Test P003 Pre - Gunite Approval Date Inspector EL06 Rough Pool Electric Planning Sub List Approval I Landscape P004 Pool Fencing / Gates / Alarms Finance P005 Pre- Plaster Approval Engineering P009 Final Pool / Spa CITY OF rr LAKE >LSINOIJE CREAM E;.(TRE ME rM APPLICATION FOR BUILDING PERMIT VALUATION CALCULATIONS tsl FLOOR SF 2nd FLOOR — SF 3rd FLOOR SF GARAGE SF STORAGE SF DECK s BALCONIES SF OTHER: SF J q J VALUATION: !N /ems FEES / BUILDING PERMIT_ PLAN CHECK PLAN REVIEW SEISMIC PLAN RETENTION Qi I .Mdy that I have read this application and slate that the above inf0rm860n Is correct I agree to comply with all city and county ordinances and stale laws relating to building construction. and hereby authorize representatives or pHs City to enter upon the above - mentioned property for Insp- don purposes. Signature of Applicant or Agent Date Agent for D contractor WY owner Agents Name Podery Court Housing Associates, LP Agents Address. 2202 3(r Street AP# BY Ban rdagn CA 921n4 Street City State Zlp 130 South Main Street I APPLICATION NO. APPLIC ON RECEFVED DATE AP# BY BUILDING A 2 5 W. Sumner AVG, Lake EsinonaLl,.A 92 J TRACT 35193 B KAPA L TIPARCE NAME Pottery Court Houaing Associates, LP 0 W tree[ PHONE 619.816 -1285 N ADDRESS E CITY San Diego STATEfZ P CAJ92104 R 1 hereby affirm that I am licensed under provisions of chapter 9 (commencing wth section 7000) of division 3 of the business and profeasiOPS code,and C my license is in full farce and effect 0 LICENSE# 733553 CITY BUSINESS N AND CLASS C TAW/ T NAME Wormers Mu t am ly orporat oIn RA MAILING $120 Shoreharn Place #150 C ADDRESS T CITY&nCkXp STATEIZIPCYU= PHONE 858 -623 -0961 0R N RA 'S SIGNATURE DATE EN EN AR MAILING C ADDR H JU11TIA&B 6 A E PGA38 PHONE 949-221-6260 O NEW OCC GRP. 1 CONST O ADDITION DIVISION: TYPE: O ALTERATION NUMBER OF NUMBER OF DOTHER STORIES: BEDROOMS: O SINGLE FAMILY ZONE: D APARTMENTS O CONDOMINIUMI: HAZARD YES O TOWN HOMES . AREA? NO O COMMERCIAL SPRINKLERS YES O INDUSTRIAL REQUIRED? NO O REPAIR PROPOSED USE OF BLDG: D DEMOLISH , PRESENT USE OF BLDG: JOB DESCRIPTION Number of light standards= 3S- Value of light standards = 6 (,SO X 35 A s aa; T50 Oper: I WER Type: IF Dr -der: 1 Date: 1/31 /12 31 Receipt no: M 2012 71 13' HJILDN PRI 1 $3 .92 T VI54 M $3-6.42 Total tendered $336.42 Total pay rent sa.42 4403013Z5880 CITY OF LAKE ELSIHORE 130 S. MAUI STREET LAKE ELSIH, CA 92530 951)674-3124 TERMI1IAL I.D.: 13258801 ty ,,t J E ElIIOISIAIGi `r W..LLIHC LI $1ll@Ee U S A 1JS I'NLD [QTIQr *M* .... XXHXXHXHXXXXX3945 * aNm! TypL: ff Dra,Er: 1 .. O SALE Date: 1/31/1231 Remipt no: 2300 BATCH: 000171 IHU: 2' DATE: JAII 31, 12 TIME: 13:1140 AUTH NO: 075334 PO HUPMER: 1271 D.mriptiOn awtity Amunt CE 2012 71 ADS: 345 94105 V 1p BUILD11 i PRU TOTAL $336.42 1.00 5336.42 .. Tends detai 1 x---- W VISA CW s%16.'i2 PAY ABODE AL APKIUIITIARD1116 Total tendered 5TER 42 MERCHND? IIAGREEMEII IFSCREDITRVOUCHER) Total payment 06.42 CUSTOMER COPY * ** Tram date: 1/31/12 Tine: 12:41:56 MS IS YU,R fE11171 *' f n1 /art /2n}7 MnN 1F: d1 PAY 051 A71 DIM Cii+v of 7,akP Rlainnra Mnn1 /nn1 fCITY OF LAKE ELSINORE CREDIT CARD CHARGE CUSTOMER APPROVAL TODAY'S DATE \- 3vvt NAME ON CARD CREDIT CARD NUMBER. CREDIT CARD TYPE Master Card, Visa, Discover, or American Express) CREDIT CARD EXPIRATION DATE (MO/YR) o BILLING ADDRESS NUMBER Building or house number) BILLING ZIP CODE DESCRIPTION OF PURCHASE CITY DEPARTMENT CONTACT CARD HOLDER'S SIGNATURE Summit this completed and signed form to The City of Lake Elsinore, Finance Division: Fax: (951) 471 -0052 Email: Nancy Lassey, Senior Accountant nlassev — lake- elsinore oro Mail: 130 S. Main St, Lake Elsinore, CA 92530