HomeMy WebLinkAboutLANGSTAFF STREET 108_04-00003244 City of Lake Elsinore ]
PERMIT 130 South Main Street
PERMIT NO: 04-00003244 DATE : 12 13 04
JOB ADDRESS . . . . . 108 N LANGSTAFF ST
DESCRIPTION OF WORK REROOF
OWNER CONTRACTOR
SCHULMAN LAURA DAN ' S ROOFING
108 N LANGSTAFF ST 41851 KALMIA
LAKE ELSINORE CA 9 530 MURRIETA CA 92562
01
U >> 909-698-8119
LIC EXP 0/00/00
A. P. # . . • • . 374-171-008 9 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . . . . . . NA
REROOF PERMIT
QTY UNIT CHG ITEM CHARGE
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
29 . 00 X 3 . 0000 REROOF 87 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
REROOF PERMIT 92 . 00 . 00 92 . 00
TOTAL 92 . 00 . 00 92 . 00
SPECIAL NOTES & CONDITIONS
'tear off old roof and call for roof
sheathing inspection. Install 29 sq
(;omp shingle
Late: 12/13/04 13 }bxipt rn: 2959
2004 3244
EP QTI D G FER 11T 1 $32,c x-)
QX CYECK 7 $92.00
Total tam $92.0D
Total $92.CXi
T1.TE cote: 12/13/04 T1ffe: 13:34.53
In of i ake Ekinore Plea-ee read and initial
lilllldIIl DI%iS;wn _ I I am I acmcd under the prosr,rons o I'll uane.s and pro tc�mnaI Code Section 7000 et seq acid
mN li vi se i,in full fierce
Post in conspicuous place i a,ocsrwT of the proprrn or me emploNLe, a:rgcti a;their vile compensation Ail[do the µork
on the job and the nu Lure is txa intended Of ofTcred for ale
1 I s�IMM-T of ifx pnrpt'IN am c-,clusrrcly contracting µrih ircensed contractors to conttrucl the
'i ou nmt furnt�h PER%ll I ~,LAMER and the Fol"Ct
)(M WDRI S�, tOr each respecw e inspection _4 1 h2%e 3 ccrtifiLwe of consent to scifinsure or a certificate ot'WorkersConri nsition Insurance
\ppro,,ed plans nm-;t be oil job or a:emficd op% dwrcQl
at all t I nl es J 1 !WI met emplo% an. pervon in am manner uo a;to beconu,subject to Worl.t rs Compensation
I a,;,in the Tvi-formarite of the µors, for µhrch this pernut i,issued
Note If rou should become subject to Workers Compensation after making this certification,
Cade 1ppror als Date Inspector rou must forthwith comply Aith such provisions or this permit shall be deemed revoked.
L 1 01 1 enirp rrarn i to tnc ice
PLO I k,il Pipe I-n&-Tu,und
Ei,O'_ Clc ncCc•nduitI nder round
BPO i f cxuinc
BPO? inforccnx-ni
B['(I, 0rout
BP0 4 ;Ian brad:
PLO 1 l ri&reround\t 3tc7 Pipe
CSOI Rough septic ti�,rcni
�,�'O 1 11n Crlc It%keT
BI'0 1-4 Jr,ut`
BPUb 1 lr.rr ,heazhine
BP07 K.,of I ramirrz — G (J F'
BPOS Kr,,ftihralhin_
B1109 I~hear\\all ti PTe-Lath
PL03 Koueh t lumbin2
ELO3 Rauch 1 Ict-tnc i-niuii
EI.0 4 Koueh Uccinc\1 utn,-
ELOS Kouehl.1,ciric 1-Par
M EO i Koueh Mcchamc-f
Al E0? f:Rrct_: \entilanng
PL04 Rough(-a,Pipe Tel
PI 02 Rcof1hairt
BP 1 U I ranun._& l la,him_
BP I-) Irutilaircm
13P 1 3 ,�aihne
BP i i l athine\ Srdint
PI 99 1 mil 1'lumhrne
E1-99 anal I_le vital
ME99 final \icchamcal
BPaQ Firul ftuddine
Code Pool A Spa 4ppro%sk Date Inspector OTHER DIVISION RELEASES
Deput, Inspector Department Approval required prior to the
POO I K-A lied Kern Fomt, building been£ released by the City
POO I f-,l Plumbing 14r>,,urc rcil
P(lO3 I rc-Ciunue kpprocal Date Inspector
1-1.06 Knuzfr Pcxrl I larrtc Planning
',ublist %pprural I lndsc.lpe
P004 PctilFencmY traits \lamb 1Imuice
POOH 1're-Pla ter \mc,%al Enuincennv-
POUQ 11 inal 1'r�d spa
City of Lake Elsinore
`r
V 130 South Main Street
APPLICATION FOR
APPLICA O Nt �
BUILDING PERMIT APPLICATION RECEIVEII�
2 �'y�� DATE Z — /��
VALUATION CALCULATIONS ✓ 7� ^l�-CJ
BUIMIN A DR S
1st FLOOR SF
TRACT BLOCK/PA LOT/PARCEL
2ndFLOOR SF
NAME
3rd FLOOR SF O
W MAILNG PH N
GARAGE SF N ADDRESS ?
E -Cl T—) T TE/ZI
STORAGE SF R
1 he y a it ha am licensed r provisions of chapter 9(commencing
DECK&BALCONIES SF with section 7000)of division 3 of the business and professions code,apd my
C license is in full force and effect
OTHER- SF O LICENSE# CITY BUSINESS
N AND CLASS TAX#
T NAM
kV
R G2
A MAILING
C ADDRESS
FEES T CITY STATE/ZIP PHONE
O
BUILDING PERMIT $ R CONTRACTOR'S SIGNATURE DATE
PLAN CHECK NAME LICENSE#
A
PLAN REVIEW I R MAILING
C IIDDRESS
SEISMIC H ITYSTATE/ZIP PH NE
PLAN RETENTION ❑ NEW OCC GRP / CONST
❑ADDITION DIVISION TYPE
❑ALTERATION NUMBER OF NUMBER OF
[]OTHER STORIES BEDROOMS
❑SINGLE FAMILY ZONE
❑APARTMENTS
❑1 certify that I have read this application and state that the ❑CONDOMINIUMS HAZARD YES
above information is correct I agree to comply with all city ❑TOWN HOMES AREA? NO
and county ordinances and state laws relating to building ❑COMMERCIAL SPRINKLERS YES
construction,and hereby authonze representatives of this ❑ INDUSTRIAL REQUIRED? NO
city to enter upon the above-menboned property for rasp- ❑ REPAIR PROPOSED USE OF BLDG
tion urposes ❑DEMOLISH PRESENT USE OF BLDG
JOB DESCRIPTIONd
cA L� ,6 sff�i'� 6
Sign ture of Applicant or Agent Date
Agent for ❑ contractor ❑ owner
Agents Name
Agents Address
Street City State Zip