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Home My WebLink AboutMAIN ST S 144_00-00001267 r 144 S MAIN ST 00-00001267 1 OF 1 4 Citof MILie linore G—� PERT` 130 South Main Street PERMIT NO: 00-00001267 �i DATE: 12_/18/00 JOB ADDRESS . . . . . 144 S MAIN ST ]e DESCRIPTION OF WORK REROOF OWNER CONTRACTOR POTTER ROBERT AMERICAN CONSTRUCTION SERVICES P.O. Box 810 LAKE ELSIIvORE CA 92531 909-678-9678 LIC EXP 0/00/00 A.P.# . . . . . . 373-151-016 7 SQUARE FOOTAGE . . 0 OCCUPANCY . . . . GARAGE SQ FT . . . 0 CONSTRUCTION . . . FIRE SPRNKLR . . . VALUATION . . . . ZONE . . . . . . . C-1 REROOF PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 35.00 1.00 X 3.0000 REROOF 3 .00 FEE SUMMARY CHARGES PAID - DUE PERMIT FEES REROOF PERMIT 38.00 .00 38.00 TOTAL 38.00 .00 38.00 SPECIAL NOTES & CONDITIONS REMOVE OLD ROOF AND INSTAL?j 3 PLY BUILT UP ROOFING Operator: i"GtA1TER Vats: 12/18!00 ±6 Receipt: OM162 Total Payment $38.00 Amcurt Tendered $38.00 City of Lake Elsinore Please Read and Initial: Building Safety Division I I am Licensed under the provisirns of Ekisiness and Proksstonal Code Section 7000 et seq.and my license Is In full force. Post 1n crro is -- B place I —— 2. 1.as owner o!the property.or my employees w/wages as'heir sole compensation will do the work and the structure is not intended or for on the job 3. 1. dow era s. 1.as tnvrrer of the property.am exclushely contradingtHtl:IkrriFed YOU must furnish PERMIT NUMBER contractors to construct the project. and the JOB ADDRESS for each _ 4.1 have acemticaieofconsenttosellinsurr urn ceruHreteofWorkers respective inspection: Compensation Insurance or a certif!ed cop/thereof. Approved respective must b 5.1 shall not employ any person in any manner so as tobecome subject Pp pi to to Workers Coompensation lawn in the performance of the work for at all fines: , whicn this permit is is-sued. Note-. If You should becorke subject to Workers Compensation after making this certification..you must forthwith comply with such pro- visions or this permit shall be deemed revoked Code ovals Data Ins -tor ELM Temp Elec Services PLOT Soil Pipe ilrxierpround EL02 Ewc Conduit U-4orground GPM Footings &OW S:eet Rw!omemon! BP03 Grout BPO4 Say Grade PLO/ Jnder Dina Water P:x SS01 Rough Seouc S s:em swot On Site Sewer =.no ; RP07 Rod F--7im iL'21re yr.X ei Mack l �di\ M10 ►V e� �te i/..sk kS Y'jtVr t n= ELOc Rea: h F6,ct,:-W,.nng --- EL05 RcAigr.Coonc T-Bar ME01 Ftotgh htechan�ca! ME02 Ducts.Verbabn 04 Flivah Gas R TcSt i Qlt,= 01`10m-n E h.^ Wi2 lrgiulatlon 9P13 .Drywail Na-. 6?I I Lath 6 Sid•ng PL99 j Final Pumbng EL99 Fuiai Eiec!ricai ME99 Final Mechamca; BFW FinelBu.idng -Zti'• Code PooiS Spa Aaprovr�s Date kisoectN OTHER DEPARTMENT RELEASES Dop.inspector Depat'm�1t Approval rocrwx Poor to t11e P001 Pool Steel Ron,Forms bu"bcvlg rdcared by tltr City Pool Pool Plumb:ng;Press rest P003 Pre Gurnte —�— i:RtC_ InS tOr EL06 Rough Poo;Electric Plen:n _ Sub List Approval C -dsc. POOL Pool Fenc,rVikmess - Finan P005 Pre Plaster -- — En mcenn P009 I Final fiwi�p—m City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLtC?76NO. BUILDING PERMIT APPLICATION RECEIVE DATE ^() - � v VALUATION CALCULATIONS All 7 3 By 1 st FLOOR SF rtuuDINGADORCSS 2nd FLOOR SF TRACT apCK PAGE :OT'PARCEI 3rd FLOOR SF GARAGE SF L � � STORAGE SF DECK&BALCONIES _SF OTHER: SF t hr .0—thpt pen IKfn.ld Y or p.p.•s•o.s o!Chpytr.9(eatw...x.ne with SRetwn GRADING CUT CY Tom, D—i ce+J 0•ho 6�s,—xd P,04—cam.Ctd. O'd e*P lice...is in full IwC. FILLCY LICENSE' CITY6t1SMESS ANOC!ASS 39 TAX. VALUATION: 777 — �I¢ICA�i COC)CF 4 0 w SICA94 >T FEES DDRESs�.a IO BUILDING PERMIT $ CITY STAY ZIP oxorrr AKa RtSrn[o +�l�9ZSM 12-18-•00 CONTR,CTORiSIGNAi E DATE PLAN CHECK W. - 0J, ytO�++IS ADDiT10NAL PLAN CHECK >tAME VCENSER u _ W MA'ItNG -- GRADING PLAN CHECK x AMPiSS 5 A/n£ c aTr STATE 21a PHONE NEW REPAIR OCCGRP. CONST_ DIVISION: TYPE: _ MICROFILM _ ADDITION MOVE NUMBER OF NUMBER Or ALTERATION DEMOLISH STORIES: BEDROOMS: COPIES OTHER ZONE: SINGLE FAMILY units HAZARD AREA? YES NO IMPRO FEES ED SCHOOL FEES D APARTMENTS units _ CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO TOWNHOMES units PROPOSED USE OF BUILDING: CGWAERCIAL INDUSTRIAL PAID PRESENT USE OF BUILDING: DATE - I JOB DESCRIPTION CMo VIE p L-I> G I certify that I have rend this application an!}.tote that the "abo c information is correct. Itol agree s comply with balluilding city "Cris sR1-f- '`�R le, ant!courty ordinances and state lows relating to buildingt�--_ t •'`Yam_ /..+ r construction. and hereby authorize representatives of this O R r��`.r. Q0 city fo enter upon the obove•mentioned property for inspec• i7/' lion purposes. Signature of Applicant or Agent Date AGENT FOR M CONTRACTOR I i OWNER AGENT'S NAME AGENT'S ADDRESS__.—_—_— STP.EET CITY STATF ZIP REV.DATE 1!-1.90