HomeMy WebLinkAboutKELLOGG ST N 412_01-00000233 City of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 01-00000233 DATE : 3/12/01
JOB ADDRESS . . . . . 412 N KELLOGG ST
TENANT NTBR, NAME . . MAIN OFFICE BUILDING
DESCRIPTION OF WORK REROOF
OWNER CONTRACTOR
JOINTER CHARLES DAN' S ROOFING
JOINER KATHLEEN 41851 KALMIA
MURRIETA CA 92562
909-698-8119
LIC EXP 0/00/00
A. P. # . . . . . 374 -042-019 0 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 3 , 000 ZONE . . . . . . NA
REROOF PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 35 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
39 . 30 X 3 . 0000 REROOF 117 . 90
FEE SUMIRMARY CHARGES PAID DUE
PERiMIT FEES
OTHER FEES
REROOF PERMIT 157 . 90 . 00 157 . 90
TOTAL 157 . 90 . 00 157 . 90
SPECIAL NOTES & CONDITIONS
REROOF 51 SQ COMP SHINGLE
City of Lake Elsinore
Please Read and Initial:
Building Safety Division 1. 1 am Licensed under the provisions of Business and Professional
Code Section 7000 et seq.and my license is in full force. -
Post 1n omspiaicus place 2. I,as owner of the property,or my employees w/wages as their sole
^y
compensation will do the work and the structure is not Intended or
on the job offered for sale.
7 3. 1,as owner of the property,am exclusively contracting with licensed
You must furnish PERMIT NUMBER contractors to construct the project.
and the JOB ADDRESS for each _ 4. 1 have a certificate of consent toselfinsureora certificate ofWorker§
respective inspection: Compensation insurance or a certified copy thereof.
5. 1 shall not employ any person in any manner so as to become subject
Approved plans must be on job
to Workers Coompensation Laws in the performance of the work for
at all times: which this permit is issued.
Note: If you should become subject to Workers Compensation after
making this certification,you must forthwith comply with such pro-
visions or this permit shall be deemed revoked.
Code Approvals Date Inspector
EL01 Temp Elec Services
P1.01 Soil Pipe Underground
EL02 Elec Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BP03 Grout
BPO4 Slab Grade
PL01 Underground Water Pipe
SS01 Rough Septic System
SW01 On Site Sewer
RP05 Floor Joists
QPQ6 Floor Sheathing
Roof Sheathina
RouchElectric-
EL04 Rough Electric-Wiri
EL05 Rough Electric-T-Bar
M
Rou h Mechanical
Ducts,VentilatinRou h Gas P -Test
Roof Drains
Framina&Flashina
BP12 Insulation
BP13 Drywall Nailing
BP11 Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building -D�
Code Pool&Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES
De .Inspector Department Approval required prior to the
Po01 Pool Steel Rein./Forms building being released by the City
P001 Pool Plumbing/Press.Test
P003 Pre-Gunite
Date Inspector
EL06 Rough Pool Electric
Planning
Sub List Approval
Landsca
P004 Pool Fencing/Access
Finance
P005 Pre-Plaster
Engineering
P009 Final Pool/Spa
+, r11'k Cityof Lake Elsinore
i
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT
0 l- 23�
APPLICATION RECEIVED
DATE
VALUATION CALCULATIONS AP a 51 L[-,n(ZID� �C2 By �
1st FLOOR SF ButtDINGADDRESs ',,2, /t/o4TN ke//o
2nd FLOOR SF TRACT BLOCK PAGE LOT/PARCEL
3rd FLOOR SF
GARAGE SF NAME
STORAGE SF Z MAILING PHONE
3 ADDRESS
DECK& BALCONIES SF
0
CITY STATE/ZIP
OTHER:
SF I hereby oftirm that 1 am licensed under provisions of Chapter 9(commencing with Section
70001 of Division 3 of the Business and Professions Code,and my license is in full force
GRADING CUT CY
and effect.
FILL CY Z LA DCtASS N9)YJ8 C-.3J tax
CITY BUSINESS
VALUATION: g NAME
DAnl S /ZaoA^J_
FEES MAILING
ADDRESS C//cj3 S/ /.(c,/,-t7/q
BUILDING PERMIT 5 CITY t STATE ZIP PHONE
/�'�. � a CA . 92S6 z 698.13//
CONTRACTOR'S SIGNATURE DATE
PLAN CHECK
0,/ -0
ADDITIONAL PLAN CHECK NAME LICENSE
_ u
Z MAKING
GRADING PLAN CHECK W ADDRESS
< CNY STATE.21P PHONE
DNEW :_REPAIR OCC GRP./ CONST.
DIVISION: TYPE:
MICROFILM :ADDITION _:MOVE NUMBER OF NUMBER OF
._.'ALTERATION '-DEMOLISH STORIES: BEDROOMS:
COPIES :OTHER ZONE:
SINGLE FAMILY units HAZARD AREA? YES NO
IMPRO FEES ❑ SCHOOL FEES 0 _APARTMENTS units
CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
.TO WNHOMES units PROPOSED USE OF BUILDING:
.CaMAERCIAL 'INDUSTRIAL PRESENT USE OF BUILDING:
PAID IoY�
GATE
JOB DESCRIPTION
C I certify that I hove read this application and state that the
above information is correct_ I agree to comply with oil city )2e—lLpO L 20 I_ C&✓l'` S%ho^
and county ordinances and state lows relating to building
construction. and hereby authorize representatives of this �,u f OS' Az- i in /PJ
city to enter upon the above-mentioned property for inspec-
tion purposes.
O
Signature of Applicant or Agent Dale
AGENT FOR 0 CONTRACTOR ❑ OWNER 1P!rator: CGUNTER
Receipt: 00044
AGENT'S NAME
Total Payment $ �
AGENT'S ADDRESS
STREET CITY STATE ZIP REV.DATE t t T-90