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HomeMy WebLinkAboutLAKESHORE DRIVE 16401_14-00002579 CV C I TY O F /�, L,AKY I_,SIIJOI,E BUILDING & SAFETY DREAM E,XT R E M.E w 130 South Main Street Lake Elsinore Ca. 92530 PERMIT PERMIT NO: 14-00002579 DATE : 12/31/14 JOB ADDRESS . . . . . 16401 LAKESHORE DR DESCRIPTION OF WORK CELLULAR ANTENNA OWNER CONTRACTOR PEBLEY, GARY W METROCELL CONSTRUCTION 4711 CHINO AVE CHINO, CA 91710 909-627-1502 LIC EXP 0/00/00 A. P . # . . . . . 379-250-045 1 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . 9, 000 ZONE . . . . . . NA BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 63 . 00 7 . 00 X 12 . 5000 VALUATION 87 . 50 ELECTRICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 16 . 2500 MISC. WHERE NO OTHER FEE 16 . 25 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 150 . 50 150 . 50 . 00 ELECTRICAL PERMIT 46 . 25 . 00 46 . 25 OTHER FEES PROF.DEV. FEE 2 TRADES 10 . 00 . 00 10 . 00 PLANNING REVIEW FEE 30 . 10 . 00 30 . 10 PLAN RETENTION FEE 17 . 97 17 . 97 . 00 GREEN BUILDING FEE 1 1 . 00 1 . 00 . 00 PLAN CHECK FEES 112 . 88 112 . 88 . 00 TOTAL 368 . 70 282 . 35 86 . 35 SPECIAL NOTES & CONDITIONS VERIZON CHANGING OUT ANTENNAS AND EQUIPMENT RACKS AT EXISTING CELL TOWER n R,,, 11 City of Lake Elsinore Please read and initial Building Safety Division I.I am Licensed under the provisions of Business and professional Code Sectiori 7000 cr seq.an:: my license is in full force. Post in conspicuous place 2.I,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.[,as owner of the property,am exclusively contracting with licensed contractors to construct the You must furnish PERMIT NUMBER and the project. JOB ADDRESS for each respective inspection: Z P4.I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance Approved plans must be on job or a certified copy thereof. at all times: 5.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 must forthwith comply with such provisions or this permit shall be deemed revoked. RI.�1 Temnnrani Flartrin Crniiry ���� _ �� PLO I Soil Pipe Underground EL02 Electric Conduit Underground BPO1 Footings _ BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO 1 Underground Water Pipe SSO 1 Rough Septic System SWO1 10n Site Sewer BP05 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BP08 Roof Sheathing BP09 IShear Wall&Pre-Lath PL03 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric/ T-Bar ME01 Rough Mechanical ME02 Ducts,Ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP 1 O Framing&Flashing BP 12 Insulation BP13 IDrywall Nailing BP I I Lathing&Siding PL99 *Final Plumbing EL99 *Final Electrical o ME99 *Final Mechanical BP99 *Final Building *Final Signatures are Certificate of Occupancy for Single Family Residence Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES SPO 1 Electric Conduit UG Department Approval required prior to the SP02 UG Gas Piping _ building being released by the City SP03 Pool Steel Rein./Forms Date Inspector SP04 Pool Plmb./Pressure Test Fire SP05 Pre-Gunite Approval EVMWD _ SP06 Rough Pool Electric Finance SP07 Pool Fence/Gates/Alarms Engineering SP08 Pre-Plaster Approval TUMF SP99 Final Pool/Spa Planning/Landscape r O F LAKE LSHAORK _. DkEAM EXTREME ,M 130 South Main Street APPLICATION FOR APPLICATIO APPLI ATI1 RE E ECR BUILDING PERMIT DATEAP# By � VALUATION CALCULATIONS 3'1 R-25# BUI D N DDRESS 1st FLOOR SF '1 L-�11CF-MOIQF DID• LAk Rr �Z 3D TRACT BLOCK/P E LOT/PARCEL 2nd FLOOR SF 3 NAME ®_ D per /� �r AA 3rd FLOOR SF O GA^y W• • �17�E I MACff4�O Sp"( W MAILING @@ 'r g -gQNE ,/ N ADDRESS l b 'LU ( LA-1-afQF- q� Y c- E CITY STATE/ZIP �� --(o-ly_1 bot R LAKE Et.SiNORE � 2s30 I hereby affirm that I am licensed under provisions dt chapter 9(commencing ( I� with section 7000)of division 3 of the business and professions code,and n_'" e,J(,{((.�tJ J_ � n C my license is in full force and effect. O LICENSE# CITY BUSINESS N AND CLASS TAX# J T NAME A MAILING f C ADDRESS �-- lq ,2s���.__ T CITY STATE/ZIP PHONE 7 O R CONTRACTOR'S SIGNATURE ur'WIE _ NAME LICENSE# �GjrlCcC� - &1q 04Si0 A u -1I N 'loom C+-7 C1 8 S R M (LING i/ C ADDRESS 3J1°1 M1G(I LSCaN PeS6d T T H CITY TATE/ZIP PHONE _f_-MR.ViNE CA 012612 qyA _ZZq_'7.6?91 C7 "� I NEW OCC GRP./ CONST.jqI RELL:SS � - IADDITION DIVISION: TYPE: 'I`;I;LEtOM 0 C C c (ALTERATION NUMBER OF NUMBER OF j tt (OTHER STORIES: K/A BEDROOMS: 11/A SINGLE FAMILY ZONE: 1APARTMENTS C'vMM6'kjA1 - ( / (�a'/ &I certify that I have read this application and state that the ❑CONDOMINIUM HAZARD (5EE above information is correct. I agree to comply with all city []TOWN HOMES AREA? NO and county ordinances and state laws relating to building WCOMMERCIAL SPRINKLERS YES construction,and hereby authorize representatives of this ❑INDUSTRIAL REQUIRED? NO city to enter upon the above-mentioned property for insp- ❑REPAIR PROPOSED USE OF BLDG: f GjV 1 514 tion purposes. ❑DEMOLISH PRESENT USE OF BLDG: �iMO&O11I 01 JOB DESCRIPTION Signature of lican r Agent Date 112y1 lq Agent for Contractor ❑ owner Agents Name Aq�Ael Ll'i1.vldS211, 44l Alz Qn Agents Address 31( 1 M,lidiELsoO —Wt _DF� IRVIN E Cat a2•(�R_I500 -