HomeMy WebLinkAboutFLANNERY STREET 951_04-00002496C City of Lake Elsinore
PERMIT
PERMIT NO: 04- 00002496
JOB ADDRESS . . . . 951 FLANNERY STREET
DESCRIPTION OF WORK . REROOF
OWNER
STEADFAST LSA
20320 SW BIRCH ST STE 300
NEWPORT BEACH, CA 92660
A.P.# . . . . . 379 -111 -016 5
OCCUPANCY . . .
CONSTRUCTION . .
VALUATION .
130 South Main Street
DATE: 9/20/04
CONTRACTOR
ROYAL ROOFING
150 NETTLETON RD
VISTA, CA 92083
760 - 806 -1100
LIC EXP 0 /00 /00
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . R -3
REROOF PERMIT
QTY UNIT CHG ITEM CHARGE
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
75.00 X 3.0000 REROOF 225.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
REROOF PERMIT 230.00 00 230.00
OTHER FEES
SEISMIC OTHER 52 00 52
TOTAL 230.52 00 230.52
SPECIAL NOTES & CONDITIONS
75 sq comp shingle over one layer same
DE3t : 9/20/01 20 Pboaipt m: 1570
2004 2496
EP HJaDD G FERIIT 1 $230.52
TrwB nuTbar: 9,046
a< o-EG< 9001 $2005.70
Trans date: 9/20/01 Terre: 9:47:17
fj l!ivlt7 L' ti: 1 I f i t t•'1
Post in conspicuous place
on the Job
ll'U fUrm,h PnR\111' \I- \113LR ,ind thc
JOR Tor c,t,hrc,rcc tl%cin>pc.tt,,n
Pii . j l: tl illtt (he it li'h
t .111 11171:,
Please Read and Initial
1 I am Licensed under the provisions of Business and Professional
Code Section 7000 et seq and my license is in full force
2 1 as owner of the property or my employeesw /wages as their sole
compensation wall do the work and the structure is not intended or
oflered for sale
3 1 as owner of the property am exclush,ely contracting with licensed
contractors to construct the project
4 1 have a certificate of consenttoselMsure ora certificate ol-Workers
Compensation insurance or a certified copy thereof
5 [shall not employ any person In any manner so as to become subject
to Workers Coompensatton 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 cerdficauon you must forthwith comply with such pro -
visions or this permit shall be deemed revoked
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OTHER DEPARTMENT RELEASES
Dep t^s •o• Dep,artrrient Approval required prior to the
ouilding being released by the Citypoh; a-u' S,ee oe- 1:0-5
PCC, aaa P; - -c.- Faess Tes
POC3 P e G_ -. e
Da,e Ins ctor
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Finance
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Enqineenn
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APPLICAT'I ®N FOR
BUILDING PERMIT
VALUATION CALCULATIONS
APPLICATI O.
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR _SF
MAILING PH t1E
ADDRESS r , , - / . '/ /-) „7GARAGESF
STORAGE SF
DECK & BALCONIES SF
OTHER: SF
VALUATION._
FEES
BUILDING PERMIT $
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
1 certify that I have read this application and state that the
above information is Correct 1 agree to comply with all cdy
and county ordinance; and state laws relating to budding
construction, and hereby authorize representatives of this
city to enter upon the above - mentioned property for insp-
tion purposes
Signature of Applicant or Agent Date
City of Lake Elsinore
130 South Main Street
Anent for M- contractor owner
Agents Name >/j ?. i L C• ::
Agents Address
Street City State Zip
G
APPLICATI O.
APPLICAT N RE 12
DATE
AP
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BUII DJN (- ArinPEr
TRACT BLOCICr. 7Gt LOT/PAR EL
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NAME
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MAILING PH t1E
ADDRESS r , , - / . '/ /-) „7
E STA1 EIZIP
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I hereby affirm that I am licensed under provisions of chapter 9 (commencing
with section 7000) of division 3 of the business and professions code,and my
license is in full force and effect
LICENSE 9 CITY BUSINESS
AND CLASS ` TAX #
T
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NAME
A
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MAILING
ADDRESS
T
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CITY STATE/ZIP PHONE
R CONTRA T R'S I NATPIRE DATE
A
NAME UCENS a
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MAILING
ADDRESS
H NCITYSTAFEJZIPPHONE
NEW OCC GRP ! CONST
DIVISION TYPEADDITION
ALTERATION NUMBED OF NUMBER OF
STORIES BEDROOMSOTHER
SINGLE FAMILY Zr)NE
0 APARTMENTS
CONDOMINIUMS HAZARD YES
AREA? NOTOWNHOMES
COMMERCIAL SPRINKLERS YES
REQUIRED ? NOINDUSTRIAL
REPAIR PROPOSED USE OF BLDG-
1PRESENT USE OF BLDGC1DEMOLISH
JOB DESCRIPTION
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