HomeMy WebLinkAboutRIVERSIDE DR 32900_00-0000124932900 RIVERSIDE DR, #58 00- 00001249 1 OF 1
Cit r of Lake Elsinore
MRMT 130 South Main Street
PERI-1IT NO: 00-- 00001249 DATE: 12 /11/00
JOB ADDRESS . . . . . : 32900 R= V2?,S1DE DR
TENANT NBR, NAME . . : SP58 BUr.1"ERFIELD D`,II PARK
DESCRIPTION OF WORK : MOBIL ii0:4E
OWNER CONTRACTOR
EL MORO INVESTMENT CO COASTLINE CONSTRUCTION
8811 COAST HWY 5742 RESEARCH DRIVE
I.IAGUNA 'BEACH: CA 92651 HLT:dTINGTON BEACH, CA 92649
714 - 891 -5798
LIC EX° 0/00/00
A.P.# . . . . . . 379 - 060 -001 4
OCCUPANCY _ _ .
CONSTRUCTION
VALUATION 1, 0 G fi
BUILDING PERMIT
2'='Y UNIT CIIG
BASE FEE
1.00 x 5.0000 PROFESSIONAL- DEV FEE
FEE SU -MA_RY
PERMIT FEES
PUILDING PERMIT
OTHER FEES
PLAN RETENTION FEE
S;ZSMIC GROUP R
TOTAL
SPECIAL NOTES & CONDITIONS
MOBILE HOME SET CEP
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE S PRNS -MR
ZONE . . . . . . NeX
ITEM Cl.lziRGE
12i. C0
5.00
CHARGES PAID DUE
130.00 00 130.G0
3.00 0C 3.00
50 00 50
133.50 00 33.50
fwrator: GOilf0
Date: U111100 11 Receipt: 00M5
wtal 1 av t f133.Yj
Acuot i endp^ecf $133.50
City of lake Elsinore
Building safety Division
Past sl-, cm9pia us place
on she job
You must furnish PERWT NUMBER
and the J" ADDRESS for each
respective irsped;on:
Approved plans must be cn job
at an times:
Caft ova& oau
apt Terrp Etec Serrces
PLOt Sc- ePAa U de% m+'d
EL02 EFa Coved 22gt o 2g
SP}! f
OPW SLaa! PA6- WM -pert
am Carat
8PC4 94--Grade
a nt tr—A w.r- P— t
Ficam Read and lnkisti +
1. 1 am ljoenwd under the pmrlslons of Busbm= and Ptofeaaional
Cam Section 7000 rt seq. and my licerrae is in full force.
2 1. as owner of the pro xrty. or my employees -/wages as their sole
rxnprnsarlon wlv do the work and tLw sbvovre in not intended or
olfe-ed for sdr.
3. 1. as oamer of the property. am excluaN-@y eontraetx* with hem wd
cootractecs to corwruct the pr -,.WL
4 thank ctn2iatedeonsentto$CVkM e0r&certili7teoiWCAM
Cw.,pensatit.n insurance or a cettrand copy then of-
5- 1 shat! rwt employ any person to any manner so as to becane vabject
to Wodwm Counpenation taws in the performance of the work for
which this pe mi: is issued.
Note. uyou should bmane subject to Worlrers Co rper13adon after
ma}-IM this czrp8ca:tom ycu must 6rthwith comply with such pro-
v. .s or thi, permit shaei be deemed rrvcled.
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APPLICATIONION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
Ts: FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STGfjVGE S.=
DECK & SALCORiES SF
OTHER-
City of Lake Elsinore'
130 South ?Main Street
SF
GRADING __CUT CY
FILL CY
VALUAT ION:
FEES
OU!LDING PERIIEIT S
PLAN 04ECK —
ADDITIONAL PLAN COiCK - --
GRADING PLAN CHECK —
MICROFILM
COPIES —.
IMPRO FEES L XFOOL FEtS t
PAID
DATE
1 c*::ar that i bare : ar: !'_is 0,-p; .cr.r^ G-4 s +o:e
above --Jvfna•iw is c(,r:*ct. ; ogre* to ccny'f wel? au :'..
and cony o &-san es cxr 5!010 lcw-5 Warr r ra tw.i j na
cOnstrvchor . and h*reF.T r*;::*sr ^.+c!: Z% C! '-s
city :0 en4f span the chr-w•e•-- *ngored 9.•:ye:ty f,:• .r.sprc-
tiprt iwrp*"s.
Srgna!Vre.rf Apy-hcor'M Ager:r Dare
AGENT FOR `A CONTRACTOR OWNER
AGENI-SN'S,ME t :.tppick
S') Y
AGENT'S ADDRESS YlS
STREET
APPiEICATtC`t NC- y
APKICA11ON RECEivE
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