HomeMy WebLinkAboutLINE ST 308 (3) CITY OF ,
Lf94 E LSINO E BUILDING & SAFELY
K.
DREAM EX-YREMET-
130 South Main Street
PERMIT
PERMIT NO: 11-00000008 DATE: 1/04/11
JOB ADDRESS . . . . . 308 LINE ST
DESCRIPTION OF WORK ALTER - RESIDENTIAL
OWNER CONTRACTOR
JOZO ROTIM OWNER
CA 92630
A. P. 4 . . . . . 373-161-004 7 SQUARE FOOTAGE 0
OCCUPANCY . . . DWELLINGS, LODGING HOUSES GARAGE SQ FT 0
CONSTRUCTION . . TYPE V 1 HOUR FIRE SPRNKLR
VALUATION . . . 5 , 000 ZONE . . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63 . 00
3 . 00 X 12 . 5000 VALUATION 37 . 50
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 100 . 50 . 00 100 . 50
OTHER FEES
PROF.DEV. FEE 1 TRADE 5 . 00 . 00 5 . 00
PLAN RETENTION FEE . 52 . 00 . 52
GREEN BUILDING FEE 1 1 . 00 . 00 1 . 00
PLAN CHECK FEES 75 . 38 . 00 75 . 38
TOTAL 182 . 40 . 00 182 . 40
SPECIAL NOTES & CONDITIONS
BRING UNITS TO CODE
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City of Lake Elsinore Please read and initial
Building Safety Division 1.1 am Licensed under the provisions of Business and professional Code Siction 7000 et seq.and
my license is in full force.
Post in conspicuous place �� 2.],as owner of the property,or my employees w/wages as their sole compensation will do the work
on the job and the structure is not intended or offered for sale.
3.I,as owner of the property,am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the project.
JOB ADDRESS for each respective inspection: 4.I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
Approved plans must be on job or a certified copy thereof.
at all times: 5.I shall not employ any person in any manner so as to become subject to Workers Compensation
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 certification,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
ELO 1 Temporary Electric Service
PLO1 Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 IFootings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO1 Underground Water Pipe
SSOI Rough Septic System
SWOI On site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 JRoof Framing
BPO8 Roof Sheathing
BP09 Shear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 lRough Electric Wiring
EL05 Rough Electric/ T-Bar
MEOI Rough Mechanical
ME02 Ducts,Ventilating
PL04 Rough Gas Pipe/Test
PL02 Roof Drains
BP16 Framing&Flashing
BP 12 Insulation
BP 13 Drywall Nailing
BPI I Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
W99 Final Mechanical
BP99 IFinal Building
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
POOI Pool Steel Rein./Forms building being released by the City
POO 1 Pool Plumbing/Pressure'rest
P003 Pre-Gumte Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing/Gates/Alarms Finance
P005 Pre-Plaster Approval Engineering
P009 Final Pool/Spa
C: l T Y 6 F
L A.I-E .,tz: L S I`I O ICE
D R.F A M EXT R.F M F , 130 South Main Street
�- - APPLICATION FOR - --- APPLICATI -=o.� - -
- --- - _____AP_P-L-1GA710N-RECEIVED-�—_------- _�-�
BUILDIN, PERMIT-- --. __.. == ==_.---=-.�_- - y�
OATS
VALUATION CALCULATIONS 37 �ll��` +°/U I?✓
B ADDRESS7
1st FLOOR SF
TRACT BLOC PAGELOT/PARCEL
2nd FLOOR SF
NAM ,
3rd FLOOR SF 0 b Zco
W
GARAGE SF N Mherey
ESTORAGE SF RNamnse under Nprovisions o chapter 9 commencing
DECK&BALCONIES SF with section 7000)of division 3 of the business and professions code,and
C my license is in full force and effect.
OTHER: SF 0 LICENSE# CITY BUSINESS
N AND CLASS TAX#
coo
T NAM
VALUATION: 5 c o R
A MAILING
C ADDRESS
FEES T CITY STATE/ZIP PHONE
O
BUILDING PERMIT $ R NTRACTOR'S SIGNATURE DATE
PLAN CHECK NAME LICENSE#
A
PLAN REVIEW R MAILING
C ADDRESS
SEISMIC H CITY STATE/ZIP PHONE
PLAN RETENTION ❑ NEW OCC GRP.! CONST.
❑ ADDITION DIVISION: TYPE:
❑ALTERATION NUMBER OF NUMBER OF
❑ OTHER- - - - STORIES: BEDROOMS:
❑ SINGLE FAMILY ZONE;
❑ APARTMENTS
❑ I 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 authorize representatives of this ❑ INDUSTRIAL REQUIRED? NO
city to enter upon the above-mentioned property for insp- ❑ REPAIR PROPOSED USE OF BLDG.
tion purposes. ❑ DEMOLISH PRESENT USE OF BLDG.
JOB DESCRIPTION
K) T-S TO
Signature of Applicant or Agent Date D e
Agent for ❑ contractor owner
Agents Name
Agents Address
Street City State Zip