HomeMy WebLinkAboutFICUS STREET 15043_03-00001563 City of Lake Elsinore
� PERMIT 130 South Main Street�
PERMIT NO: 03-00001563 DATE: 8/21/03
JOB ADDRESS . . . . . 15043 FICUS ST.
DESCRIPTION OF WORK PRIVATE SWIMMING POOL/SPA
OWNER CONTRACTOR
FORECAST HOMES SUN UP POOLS
10670 CIVIC CENTER DRIVE 750 N. ARCHIBALD STE I
RANCHO CUCAMONGA ONTARIO, CA 91764
RANCHO CUCAMONGA, CA 91730 909-481-6464
909-987-7788 LIC EXP 0/00/00
A. P . # . . . . . 387-513-005 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 14 , 400 ZONE . . . . . . R-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63 . 00
13 . 00 X 12 . 5000 VALUATION 162 . 50
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 44 . 2500 POOL ELEC SYSTEM, PRIVATE 44 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
SWIMMING POOL SPA PLUMBING
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
1 . 00 X 54 . 2500 PRIVATE SWIMMING POOL 54 . 25
, FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 230 . 50 . 00 230 . 50
:ELECTRICAL PERMIT 79 . 25 . 00 79 . 25
SWIMMING POOL/SPA PLUMBING 89 . 25 . 00 89 . 25
OTHER FEES
PLANNING REVIEW FEE 45 . 10 . 00 45 . 10
PLAN RETENTION FEE 3 . 50 . 00 3 . 50
SEISMIC GROUP R 1 . 44 . 00 1 . 44
PLAN CHECK FEE 169 . 13 . 00 00J
Bite: 8/21/03 21 Receipt no: 1848
TOTAL 618 . 17 . 00 T te*rw %IL 17
MIL 17
SPECIAL NOTES & CONDITIONS �0Ll
vl L�
C it% Cii 1 Ac Ekinure I
Building �.110rt )71\I,I�in �[ 1 �� 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
Post in conspicuous place 2 1 as owner of the property or my employees w/wages as their sole
compensation will do the work and the structure Is not intended or
on the job offered for sale
3 1 as owner of the property am exclusively contracting with licensed
contractors to construct the project
)ou n1u,t ;urni,h PER\il r \L MBER .and the _ 4 1 have a certificate ofconsenttoselMsureora certificate ofWorkers
JOB \DDRI-SSti`re.a,:hre.;pecn%c In<po.tliin /1Compensation insurance ora certified copy thereof
�l 5 1 shall not employ any person in any manner so as to become subject
`ppr,i`ed pi in, n1u,( lk on lob - to Workers Coompensalon laws in the performance of the work for
a( all 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-
vtsbns or this permit shall be deemed revoked
Cooe Anc ovals Date Ir.specto•
ELO'. Te-,p Dec Se roes
PLDI SOA R:)e U cr6.rou,na
ELC2 F-ec Co,-c_,'U-oegrounc 1 r L ` i_ i L
BPO' Foos s
BP02 See Fie-^to'cer+en'
BPO3 G o_
BP^A San Gaoe
PLO', Uror-o ^c Wa-el Pipe
SS-01 Roc^^Seo c Sys'e—
SWO' O^&,e Sewe•
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BP'2 rS_a G-
BP'3 D-r a Na ^r
BP La-- S Sc-�
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11E33 F,a ve -a-.Ca
BP% F-.a B_c^c
Cone Poc.s Spa ADpro.-ais Da a trsoec'o• OTHER DEPARTMENT RELEASES
Deo r - Department Approval required prior to the
pc>: pW S:ee --e•^ Fo—s budduig being released by the City
r�t
P^rC Ica Tes;
P003 o•e G_-,'e
ELC6 4o_cg-Px ELa:�.c Date inspector
Pia n ro rg
S_o L,s•Aooro-.a'
Lanascape
PCIC-1 Pw'Fe•-c-r Access l��-
Finance
P`_+05 °,e Pas'e• 1`` Engineering
PON F,rai Poo.Soe 1
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City of Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT 3
DATE ATIOtJ8F/�E4Y�D/
DATE
VALUATION CALCULATIONS Ara — By
1st FLOOR SF BUILDING ADD ESS
—Tr.
2nd FLOOR SF TRACT BLOCK/PAGE LOTiPARCEI
3rd FLOOR SF
NAME
GARAGE SF
STORAGE - ; MAILING rHONE
ADDRESS
DECK&BALCONIES SF 0
H \, CITY i (1 (/CJ �IK, I Yl lCC stf7fir
X F I hecehy ofli,m ihol lam hemmed uod-p,o�n s M Chorie,Y Icommenung wHh Section
1000)of Dwnion 3.1 she Business and Professions Codc ood my Intense n m full Imce
and effect
/ LICENSEM CITVBUSIIJESS
ANDC
Z AND CLASS O7 _vQ' TAX IF
VALUATIO g NAME
FEES MAILING
ADORES
BUILDING PERMIT $ cITY T A zlr /�f nlytpNE
CONTRACTOR SIGNAIUR l UG DATE
PLAN CHECK
ADDITIONAL PLAN CHECK J - NAME t10ENSE1
u
Z MAILING
= ADDRESS
V
Q CITY STATE,ZIP PHONE
❑NEW OREPAIR OCC GRP / CONST
DIVISION TYPE
MICROFILM ❑ADDITION ❑MOVE NUMBER OF NUMBER OF
❑ALTERATION ❑DEMOLISH STORIES BEDROOMS:
COPIES OOTHER ZONE
❑SINGLE FAMILY units HAZARD AREA? YES NO
IMPRO FEES ❑ SCHOOL FEES ❑ OAPARTMENTS units
❑CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
OTOWNHOMES units PROPOSED USE OF BUILDING-
OCOMMERCIAL OINDUSTRIAL
PAID PRESENT USE OF BUILDING
DATE
JOB DESCRIPTION
I certify that I have read this application and state that the Tat W
above information is correct. I agree to comply with all city
and county ordinances and state laws relating to building ^
construction, and hereby authorize representatives of this U
city to enter upon the above-mentioned property for inspec-
tion purpose
I
Signature of ppppllcont or Agent Date
AGENT FOR (I,�CONTRACTOR ❑ OWNER
AGENT'S NAME`
AGENT'S ADDRESS
______ . 11 1.r.., ,eA
-
' ^
. .
Der- 10 03 l 1 ; 55a * .p' 5
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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
~no'Ec, =M^ C,2taS_ /"sp,so��'4^*s �Ric�)"u��7___
^`^,ca �5043 F.�s§ir,cL ns,,c TOR succ`"c"o
lz ' .`secrvnSs.cx^runE
ps"N11r°u,ara ..��.�� or`mon,/c°,.oxwuxvEp
CAST DATA IATTACH DATA SHEET AVAILABLE)
CAST DATE DESCRIPTION C"mwe �S' I-,, Is'r -mm GUNI'-E
CONC SUPPLIER TOTAL YUS PLACED 'N.A SLUMP
Test spet;irrens-.,.,ere 3-1-1 x 3-in x 3-ir. --jbe Samples Cps'using vwe gies-,(no mold used)
COMPRESSIVE STRENGTH DATA
SPECOOEN AGEAT TEST TEST SPECIMEN D1*..ENSIO1JS-IN AREA LOA:) F'c BREAK
C008436A 28 11,127.,013[ 2 40prn I 1 51 152 6,409 1 d
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10 0OPkzneor8ou�vo�_ �Su/hcG ' S � 40670 ^ �(5d2�08'0032 Fax (562)903'3534 ,
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