HomeMy WebLinkAboutSPRING STREET 137_04-00000471 City of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO : 04-00000471 DATE : 4/22/04
JOB ADDRESS . . . . . 137 S SPRING ST
DESCRIPTION OF WORK ADD OR ALTER - RESIDENTIAL
OWNER CONTRACTOR
TRYON CARLA OWNER
HUGHES DIANA
137 S SPRING ST
LAKE ELSINORE CA 92530
A. P. # . . . . . 374-261-008 7 SQUARE FOOTAGE 572
OCCUPANCY . . . DWELLINGS, LODGING HOUSES GARAGE SQ FT 0
CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . 8 , 970 ZONE . . . . . . R-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63 . 00
7 . 00 X 12 . 5000 VALUATION 87 . 50
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
4 . 00 X 1 . 0000 SWITCHES / 1ST 20 4 . 00
5 . 00 X 1 . 0000 RECPT,OUTLET / 1ST 20 5 . 00
2 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 2 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 6 . 5000 REGISTERS 6 . 50
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 155 . 50 . 00 155 . 50
ELECTRICAL PERMIT 46 . 00 . 00 46 . 00
MECHANICAL PERMIT 41 . 50 . 00 41 . 50
OTHER FEES Date: 4/ 04 22 Receipt no: 5173
PLANNING REVIEW FEE 30 . 10 30 . 10 471
PLAN RETENTION FEE 1 . 00 . 00 8P 3B1ICENG PWIT 1 $245.40
SEISMIC GROUP R 1 . 40 . 00 Tr at��r: 75910
PLAN CHECK FEE 112 . 88 112 . 88 � 0 6883 9245'48
Trans date: 4/22/04 Time: 10.58:08
*** CONTINUED ON NEXT PAGE ***
Please Rcad and Initial
fi l.; r•_ I
- 1 I atn Lia•nvd under the protrsu>ns of l3uslnell and}'rolrsnional
Code Setri,)n 7(k�e t se•q and mN license is in full force
E�lllt ill ct n"piCtlow; )lace I 2 1 a sowneroftheproperty ornn vniplovecsw/wagvsas their%of(,
compensation will do the•work and 1he stru(fury is nor infe ndrd or
till the Jtih ontrrd for sale
3 1 as ow-ne r of the propertN am exclust%cfv'roniracting%kith lic ensLd
contractors to consiruri the pro)ect
�e�ll Il?l.�• ��! �r' I)} ri\}f } �l \lfif.� ,� i_' l _ ; 1ha%eacertlf-divrifconsenitoselfinsureoracertificate•of'Workers
I1 1}', \f)}1}�;_�l � i'� f,'� u`•. W."", ill CI Compensation Insuranct or a ccrtificd Lola thereof
5 1 shall not employ any person in anti manner so as to become subject
to µorkers Coompcnsauon laws in the performance of the work for
„ which this permit is issued
lore It%ou should become subject to Workers Compensation after
making this rcruficauon you must forthwith oomph'with sue pro-
visions or this Ix•rtmt .hall he de-erne•d rt,%oked
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Coce Pcc s S3a c+c.a e Da e t-s-- _ OTHER DEPARTMENT RELEASES
Cam- i^sueZ. �.:•.iart;k-n[Approval rFquired prior to bee
PC. Poo See -e- F3—s budding being released by the City
PC": Poo Tes
Date Inspector
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Finance
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Cityof Lake Elsinore
130 South Main Street
PERMIT
PERMIT NO: 04-00000471 DATE : 4/22/04
** PAGE 2
JOB ADDRESS . . . . . 137 S SPRING ST
DESCRIPTION OF WORK ADD OR ALTER - RESIDENTIAL
FEES : (CONTINUED)
TOTAL 388 . 38 142 . 98 245 .40
SPECIAL NOTES & CONDITIONS
Room addition on existing porch.
Exterior color and material to match
existing.
Please Redd and Initial
I I am Lcensetd under the provisions of Business and Professional
CrKit•Set nun 7CN10 et ,eq and my Itcenu is in full force
jil)tit Ill con"pictioll., )lace 2 1 as owner ofihe prop,_rt) or in), emploveesw/wakes as their sole
compensation %kill do the work and the structun• is not intended or
till tilt'joh otlerro for sale
3 1 asow•ntroftheproperty amexrlushehcnntra(tingw•ithhernsed
contractors to construct the project
}�`'•Il I V, \1}��.iZ )J tl'. _ 4 1ha%eacenihcateofconsenitoselfinsureoraceruficatcofWorkers
Compensation insurance or a ce.rufird copy thereof
5 1 shall not ernplo%ans person in any manner soas to bee nme suhfect
•ll'�'Ii'' \� i'l '� I7V" ii: i'u I�`i� to workers Coumpensation Laws in the periormante of the work for
which this permit is issued
Note If%ou should become subjff l to Workers Compensation after
making this certification �uu must forthwith oomph with sue h pro-
or this permit shell be deemed rv%okvd
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OTHER DEPARTMENT RELEASES
Depa;,r�nl Ap (oa:al required pna to the
a0 Aso S re Fs' vo�< buiieino tieing released by the City
FIX P_— Ae>s Tes
Da,e Inspector
S_oLs Ao-Ksa
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Engineering
Pyy? F a Poe S'e
City of Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT 04—Al
APPLICATION CEIVE%
2 �
DATE �% ((JJ�
VALUATION CALCULATIONS AP a By
1 sf FLOOR SF BwL DRE /
2nd FLOOR SF TRACT BLOCK/PAGE LOT/PARCEL
3rd FLOOR SF
NAME
GARAGE SF C)1,4 -- 17W".,j
STORAGE SF i MAILING
I S t G 5
DECK&BALCONIES SF 3 ADDRESS
OTHER: CITY �I I �� $rnr
SFI hereby affirm that II_am licensed under provtstons of Chapter 9(commencing with Seciton
7DOO)of Division 3 of the Business and Professions Code and my license is in full force
Qand effect j
LICENSE It CITY BUSINESS f
AND CLASS lAX It
VALUATION: o NAME m **9 S41
ni..!
FEES MAILING
ADDRESS �/►
BUILDING PERMIT $ CITY SLATE/ZIP PHj4E
CONTRACTOR SSIGNAIURF 4LTE B..
PLAN CHE K I ('
ADDITIONAL PLAN CHECK �D v NAME LICENSEN -41
u to tr -4
W MAILING s fV
= ADDRESS
V
Q CITY SLATE-ZIP PH E y
\ Will 4�
❑NEW ❑REPAIR OCCGRP / CONST
DIVISION TYPE Oi
MICROFILM ❑ADDITION ❑MOVE NUMBER OF NUMB O 8�+,
❑ALTERATION ❑DEMOLISH STORIES BEDR M
COPIES ❑OTHER ZONE
❑SINGLE FAMILY units HAZARD AREA? YES NO
IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units
❑CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
❑TOWNHOMES units PROPOSED USE OF BUILDING
❑COMMERCIAL ❑INDUSTRIAL
PAID DATE PRESENT USE OF BUILDING
JOB DESCRIPTION
❑ 1 certify that I have read this application and state that the
above information is correct 1 agree to comply with all city
and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this
city to enter upon the above-mentiorAd property for inspec-
tion purposes ,Q�s1
Signature of Applicant or OVA
g t Dat I
AGENT FOR ❑ CONTRACTOR OWNER D
AGENT'S NA
AGENT'S ADDRESS l7' l ^��'��� ��� r►`iJ� G+� nr" ^^
rc. .on
City of Lake Elsinore
130 South Main Street
APPLICATION NO
APPLICATION FOR Oq -4 7/
ELECTRICAL APPLICATION RECEIVED
PLUMBING PERMIT DATE
MECHANICAL AP# By
certify that I have read this application and state that the BUILDING ADDRESS
above Information is correct I agree to comply with all city
and county ordinances and state laws relating to building TRACT BLOCK/PAGE LOT/PARCEL
construction and hereby authorize representatives of this
city to enter upon the above-mentioned property for inspec- J NAME
tion purposes
2 MAILING PHONE
O ADDRESS CO
&ZAf�7 CITY / %TArE.ZIP
/ �. E EtS/ o 6
Signature of Applicant or ent D to 1 hereby oIf,,-ihai I—I.censed wrier prw.s. of Chop.er 9(commenc"9—0,Seciwn
7000)of Own 3 0l the Bui.neas and Prolesi.ons Code and my I---k.n loll 1.—
and eft«I
AGENT FOR ❑ CONTRACTOR ❑ OWNER ucENSEr CITYBuSINESS
Z AND CLASS TAX r
0 NAME
AGENT'S NAME
MAILING
ADDRESS
AGENT'S ADDRESS
CITY STATE:ZIP PHONE-
STREET CITY STATE ZIP
CONTRACTOR S SIGNATURE DATE
BUILDING PERMIT NO.
ELECTRICAL Quan PLUMBING Quon MECHANICAL Quan
New Residential Multi Family . Fixture or Trap Furnace up to 100.000 BTU's
New Residential Single Family Building Sewer Furnace Over iiru,000 BTU's
Private Swimming Pools Rain Water Sys per Drain Floor Furnace/Vent
Switches/1st 20 Private Septic System Unit Heater/Wall Heater
Switches/Over 20 Water Heater /Vent Install/Relocate/Replace Vent
Recpt.Outlet/1st 20 Gas Piping System 1 4 Outlets Ventilating Fan
Recpt.Outlet/Over 20 Gas Piping 5 or More Outlets Exhaust Hood
Lighting Fixtures/1st 20 Dishwasher Fireplace
Res.Fixed Appliance/Outlet Solar Tank Commercial Incinerator
Non-Res.Appliance/Outlet Solar Collector per Panel Air Handler► 10,000 CFM
100-200 Amp Service-4 600V Grease Trap/(Interceptor) Air Handler-4 I0,000CFM
200-1000 Amp Service -4 600V Install,Alter or Repair System Fire Dampers
Service Over 1000 Amp or 600V Lawn Sprinkler System Registers
Misc Apparatus,Conduits,ETC Backflow Device Smaller than 2" Boiler/Compressor to 3 H.P
Signs Backflow Device Larger than 2" Boiler/Compressor 3.15 H.P_
Sign Branch Circuit Floor Drain Boiler/Compressor 15-30 H.P.
Buswoys/EA 100 ft Floor Sink Boiler/Compressor 30-50 H P.
Temporary Power Service Water Service Boiler/Compressor► 50 H.P
Temp.Power Distribution Sys. Alter or Repair Drain or Vent Repair/Alter Misc.HVAC Equip
MOTORS/TRANSFORMERS Fire Sprinklers per Building
Motors up to 1 H.P. SWIMMING POOL
Motors/Transformers I-10 H.P. Swimming Pool/Public
Motors/Transformers 10-50 H P. Swimming Pool/Private
Motors/Transformers SO-100 H.P. Water Heater/Vent
Motors/Transformers► 100 H P. Replace Piping
Replace Filter
Misc Replace
Gas Piping
HEV DATE I I 1 90