HomeMy WebLinkAboutKELLOGG ST 104 S_05-00001046 (2) jk -City of Lake Elsinore)
130 South Main Street
— 1 4
PERMIT
JOB ADDRESS . . . . . 104 S KELLOGG ST
DESCRIPTION OF WORK REROOF
OWNER CONTRACTOR
CRUSADE FOR CALVARY OWNER
23177 CONTINENTAL DR
CANYON LAKE CA 92587
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
18 . 00 X 3 . 0000 REROOF 54 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
REROOF PERMIT 59 . 00 . 00 59 . 00
OTHER FEES
PLAN RETENTION FEE 1 . 00 . 00 1 . 00
TOTAL 60 . 00 . 00 60 . 00
SPECIAL NOTES & CONDITIONS
18 SQUARE REROOF
Date: 3/23/05 23 Receipt no: 4857
Total tendered $60.00
Total payment $60.00
City of Lake Elsinore Please read and initial
Building Safety Division 1.1 am Licensed under the provisions ofBusutess and professional Code Section 7000 et seq and
my license is in full force.
Post in conspicuous place �2.l,as owner of the property,or my employees w/wages as their sole compensation will do the work
on the job and the structure is not intended or offered for sale.
3.I,as owner ofthe property am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the project.
JOB ADDRESS for each respective inspection: 4.1 have a certificate ofconsent to selfinsure or a certificate of Workers Compensation Insurance
Approved plans must be on job or a certified copy thereof
at all times: I 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,
Code Approvals Date Inspector you most forthwith comply with such provisions or this permit shall be deemed revoked.
ELO 1 Temporary Electric Service
PLO 1 Soii Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO 1 Underground Water Pipe
SSO1 Rough Septic System
S WO1 on Site Sewer
BPOS Floor Joists
BP06 Floor Sheathing
BP07 lRoofFraming
BP08 Roof Sheathing - -
BP09 Shear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 lRough Electric Wiring
ELOS Rough Electric/ T-Bar
ME01 Rough Mechanical
ME02 Ducts,ventilating
PL04 Rough Gas Pipe/Test
PL02 Roof Drains
BP10 Framing&Flashing
BP 12 Insulation
BP13 Drywall Nailing ,
BPI 1 Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
P001 Pool Steel Rein_/Forms building ing released by the City
POO I Pool Plumbing/Pressure Test
P003 Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing/Gates/Alarms Finance
PO05 Pre Plaster Approval I Engineering
P009 Final Pool/Spa
t City of Lake Elsinore
130 South Nain Street
APPLICATION LICA 1. ION FOR APPLICATION NO.
&P !/ /O `�
BUILDING PERMIT APPLICATION RECEIVED
DATE
VALUATION CALCULATIONS
BUILDINGADDRESS tst FLOOR SF a L 6—
TRACT BLOCKIP GE LOTIPARCEL
2nd FLOOR SF
c--
3rd FLOOR SF O NAME
L JNokE C R S
W tAltl lr
d 1 PL QE
GARAGE SF N ADDRESS
E CITY TATLIZiP j
STORAGE SF R L S Q C J
I hereby affirm that 1 am licensed under provisi s o chapter 9(commencing
DECK&BALCONIES SF with section 7000)of division 3 of the business and professions code,and my
C license is in full force and effect.
OTHER: SF O LICENSE tr CITY BUSINESS
N AND CLASS TAX#
T NAME' � —
VALUATION: R
A hlAILIN
C ADDRESS S
FEES T CITY S ATEIZIP PHONE
O
BUILDING PERMIT S R CONTRACTOR'S SIGNATURE DATE.
PLAN CHECK NAME LICENSE#
A
PLAN REVIEW R MAILING
C ADDRESS
SEISMIC H ITY TATEIZIP PHONE
PLAN RETENTION 0 NEW OCC GRP.I CONST.
❑ADDITION DIVISION: TYPE: - '
❑ALTERATION NUMBER OF NUMBER OF
❑OTHER STORIES: BEDROOMS:
0 SINGLE FAMILY ZONE:
O APARTMENTS
' I certify that 1 have read this application and state that the ❑CONDOMINIUM HAZARD YES
- �ove information is correct.l agree to cornply with ag city p TOWN HOMES AREA? NO
and county ordinances and sty Iavn relating to budding p COM)AERCIAL SPRINKLERS YES
construction,and hereby authorize representatives of this 0 INDUSTRIAL REQUIRED? NO
city to enter upon the above-mentioned property for insp- ❑REPAIR PROPOSED USE OF BLDG:
tion purposes. 0 DEMOLISH PRESENT USE OF BLDG:
JOB DESCRIPTION `
and
Signature of ApplicantQent Dad
_
Agent for ❑ contractor owner
Agents Name L —
Agents Address
LS/N b R�, - CA-q�.
Street City State Zip