HomeMy WebLinkAboutCOTTONWOOD CIRCLE 4121_06-00003908Citv of Lake Elsinore
PERMIT
130 South Main Street
JOB ADDRESS . . . . . 4121 COTTONWOOD CIRCLE LT 96
TENANT NBR, NAME . . LT 96 TR 28214 -3
DESCRIPTION OF WORK . BLOCK WALL
OWNER
CASTLE COOKE ALBERHILL
17600 COLLIER AVE STE C120
LAKE ELSINORE CA 92530
A.P.#
OCCUPANCY
CONSTRUCTION
VALUATION .
389 - 020 -034 3
550
CONTRACTOR
BUILDING PERMIT
QTY UNIT CHG
BASE FEE
1.00 X 2.7500 VALUATION
1.00 X 5.0000 PROFESSIONAL DEV FEE
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
OTHER FEES
PLANNING REVIEW FEE
PLAN RETENTION FEE
SEISMIC GROUP R
TOTAL
SPECIAL NOTES & CONDITIONS
6 FT BLOCK WALL 25 LF
SQUARE FOOTAGE
GARAGE SQ FT .
FIRE SPRNKLR .
ZONE
ITEM CHARGE
45.00
2.75
5.00
CHARGES PAID DUE
52.75 00 52.75
10.55 00 10.55
50 00 50
50 00 50
64.30 00 64.30
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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:
7/ Picax eid initial
1. I am Licensed under Ole 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.
1 Las owner of the property,am exclusively contracting with licensed contractors to construct the
project.
A 4. 1 haves cerlificalcofcongent toselfinsure or a certificate of Workers Compensation Insurance
or a certified copy thereof
5.1 shalt 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 revokedCodeApprovalsDateInspector
ELOI Temporary Electric Service
PLO Suit Pipe Underground
EL02 Electric Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 ISlab Gone
PLO 1 Underground Water Pipe
SSO 1 Rough Septic System
S W O l On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 RoofFmming
BPO8 Roof Sheathing
BP09 I Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric/ T -Bar
MEOI Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PLRoof Drains
Fram ng &Flash ng
mutation
Drywall Nailing
Lathing &Siding
Final Plumbing
Final Electrical
W99 Final Mechanical
BP99 Final Building
b
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building being released by the CityPOOIPoolSteelRein. / Forms
POO I Pool Plumbing/ Pre merest
P003 Pre- GuniteApproval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre - Plaster Approval En ineen
P009 Final Pool / Spa TUMF
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR
SF
2nd FLOOR
SF
3rd FLOOR
SF
GARAGE
SF
STORAGE
SF
DECK 8 BALCONIES
SF
OTHER:
SF
VALUATION:
6o
FEES
BUILDING PERMIT
PLAN CHECK
PLAN REVIEWr/>
SEISMIC
20
PLAN RETENTION
I certify that 1 have read this application and state that the
above information is correct. I agree to comply with all city
and county ordinances and state laws relating to building
construction, and hereby authorize representalives Of this
city to enter upon the above - mentioned property for insp-
lion purposes-
Signature of Applicant or Agent Date
Agent for contractor owner
Agents Name
Agents Address
Street city State Zip
City of Lake Elsinore
130 South Main Street
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eby affirm that I am licensed under provivons of chapter 9 (Commencing
section 7000) of division 3 of the business and professions code and my
se is in full tbrce and effect.
NSE # 1,
CITY BUSINESS DI •7
i CLASS $54417 TAX if IDL
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OCC GRPDIVISION:
N NUMBER OF
STORIES:
SINGLE FAMILY IZONE
TOWN HOMES
COMMERCIAL
INDUSTRIAL
REPAIR
HAZARD
AREA ?
DESCRIPTION G
CI05
f60
CONST"
TYPE:
NUMBER OF
BEDROOMS:
RS YES
t NO
O USE OF BLDG:
USE OF BLDG:
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