HomeMy WebLinkAboutLINDSAY ST 110_01-00000646 C t _
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Cityof Lake1"Nsin
ore
4l PERMIT 130 South Main Street
PERMIT NO: 01-00000646 DATE : 7/18/01
JOB ADDRESS . . . . . 110 N LINDSAY ST
DESCRIPTION OF WORK NEW GARAGE OR CARPORT RESIDENTIAL
OWNER CONTRACTOR
CORTEZ ANTONIO OWNER
CORTEZ SHARON
110 N LINDSAY ST
LAKE ELSINORE CA 92530
A. P. # . . . . . 374 -153-007 2 SQUARE FOOTAGE 480
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 9, 120 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63 . 00
8 . 00 X 12 . 5000 VALUATION 100 . 00
FEE SUMMARY CHARGES PAI DUE
PERMIT FEES
BUILDING PERMIT 163 . 00 . 00 163 . 00
OTHER FEES
PLANNING REVIEW FEE 32 . 60 32 . 6 . 00
PLAN RETEitTTION FEE 7 . 50 . 0 7 . 50
SEISMIC GROUP R . 60 . 0 . 60
PLAN CHECK FEE 122 . 25 122 . 2 . 00
TOTAL 325 . 95 154 . 8 171 . 10
SPECIAL NOTES & CONDITIONS
GARAGE
1
Operator: COUNTER
Date: 7/18/01 18 Receipt: 0OMM
Total Payment $171.10
City of Lake Elsinore Please Read and Initial:
Building Safety Division 1. 1 am Licensed under the provisions of Business and Professlonal
Code Section 7000 et seq.and my license Is in full force.
Po
't In l ]S p1�Oe 2. 1.as owner of the property.or my employees w/wages as their sole
y� compensation will do the work and the structure is not Intended or
Oil t11e A.!C offered for sale
3. 1.as owner of the property.am exclusively contracting with licensed
You must furnish PERMIT NUMBER contractors to construct the project.
and the JOB ADDRESS for each 4. 1 have a certificate of consent to selfinsure or a certificate of Workers
respective Inspection: Compensation Insurance or a certified copy thereof.
Approved laps must ti : b S. I shall not employ any person in any manner so as to become subject
p 10 to Workers Ccompensation Laws in the performance of the work for
at all times: which this permit is tasted.
Note If you should become subject to Workers Compensation after
making this certification.you must forthwith comply with such pro-
visions or this permit shall be deemed revoked.
Code Awrovals Date Inspector
EL01 Tern Elec Services
PL01 Soil Pipe Underground
EL02 Elec Conduit Underground
BP01 Footi -7--1 7E✓t`' l�'� v : �� v o e n 1 e 4 4 i
BP02 Steel Reinforcement v ep C v v o r^, IL
BP03 Grout
81204 Slab Grade o h-vCL C- t'o✓ a�
PL01 Underground Water Pipe
SSOi Rouch Septic System
SW01 On Site Sewn
8P05 Floor Joists
BPOS Roof Sheathing
-Z3-ol
Pt 03 Rough Plumbiall
_ELM_ Rough Electric-Conduot
h G k L
EL04 Rouah Electria-Win'noN c C a
ELOS Rouah Electric-T-Bar
ME01 Rough Mechanical N a`, v
ME02 Ducts Venfilating
Pipe-Test,ELQ2_ Roof Drains
n uk.�
BP13 DrywallNeili N aL,v
BA1 Lathing&Siding
PL99 Final Sumbi 9'u-,0 4.�
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building 9'r(-of
Code Pool a Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES
Inspector Department Approval required prior to 0-
P001 Pool Steel Reirt/Forms building being released by the City
Pall Pool Plumbi ess.Test
P003 Pre-Gunite
Date Inspector
EL0S Rough Pool Electric
Plannirig
Sub List Approval
Landscape
P004 Pool Fencing/Access C
y f rice
Pre-Plaster Engineering
P009 Final Poo
4
YLake
I
Cit of Elsinore
130 South Main Street
APPLICATION FOR / APPLICATI N NO.
BUILDING PERMIT
APPLICATION RECEIVE
DATE 0 - U
VALUATION CALCULATIONS AP#
1 st FLOOR SF etmDlNc ADOREss/
2nd FLOOR SF TRACT ISLOCK'PAGE LOT/PARCEL
3rd FLOOR SF
GARAGE �SF N pt,r 2
s
STORAGE SF
DECK&BALCONIES SF AEtaaEss
CITY STATE.LIP
OTHER: � f4 C�„Z -
SF 1 hwo*affirm that arrm licensed under provisions of Chapter 9(commKncing with Suction
GRADING CUT CY 7=1 of Division the Evsiress and Professions Core.ord my Iicen"is in full force
and effect.
/—! FILL CY s AND; CITY BUSINESS
u � ANp CEASS T
VALUATIO ►fA,AE
20
FEES
ADDRESS
BUILDING PERMIT $ CITY SLATE�1111PHONE
10.,W COWTRACTORS S*HATU PLAN CHECK 7 CQ
ADDITIONAL PLAN CHECK ' 2� NAME LICENSE
W /AAlttliL
GRADING PLAN CHECK ADDREu I7- A-/AJ
f < CrtY STATE.IIP
9Z _ PHONE
U (a�1!JLK (6
EW OREPAIR OCC GRP./ CONST.
�--7 DIVISION: TYPE:
MICROFILM / ::ADDITION JMOVE NUMBER OF NUMBER OF
DALTERATION !:DEMOI ISM STORIES: BEDROOMS:
COPIES 'OTHER ZONE:
CSINGLE FAMILY inits HAZARD AREA? YES NO
IMPRO FEES 0 SCHOOL FEES D %APARTMENTS nits
:::CONDOMINIUMS inits SPRINKLERS REQUIRED? YES NO
..TOWNHOAIIES nits PROPOSED USE OF BUILDING:
L:COkVittfAl :INDUS RIAL
PAID PRESENT USE OF BUILDING:
DATE
JOB DESCRIPTION �Qr
O 1 certify that 1 have read this application and state that the 7�
above information is correct.1 agree to comply with all city
and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this
sty to enter upon the above-mentioned property for inspec-
tion purposes.
kSignature pplicanl or Agent Dole
A ENT FOR 0 CONTRACTOR tt k WNER Ooerator: CIRINTER
AGENT'S NAME Total Payment $154.85
AGENT'S ADDRESS
STREET CITY STATE ZIP REV.DATEII.1-90