HomeMy WebLinkAboutCENTRAL AVE 570_02-00001290City of Lake Elsinore
PERMIT
130 South Main Street
PERMIT NO: 02- 00001290
JOB ADDRESS . . . . . 570 CENTRAL AVE I -2
DESCRIPTION OF WORK MISCELLANIOUS
OWNER CONTRACTOR
WIELAND CHARLES LEWIS OWNER
WIELAND MARGUUERITE E
DATE: 6/19/02
A.P.# . . . . . 377- 150 -080 9 SQUARE FOOTAGE
OCCUPANCY . . . GARAGE SQ FT
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 500 ZONE . . . . . .
BUILDING PERiMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 50.00 .00 50.00
TOTAL 50.00 .00 50.00
SPECIAL NOTES & CONDITIONS
REPAIR HOLE IN CONCRETE SLAB FROM DYNO
ROLLER. SUBJECT TO FIELD INSPECTION.
NA
Operator: COIM
Date: 6/19/02 19 Receipt:
Total Paywat
958.06AmmtTenbred
I
City Of Lake Elsinore
BUildino Safety Division
Post in conspicuous place
on the job
You must furnish PERMIT NUMBER and the
JOB ADDRESS for each respective inspection:
Approved plans must be on job
at all times:
Please Read and Initial:
1. 1 am Licensed under the provisions of Business and Professional
Code Section 7000 et seq. and my license is in full force.
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
offered for sale.
3. 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project.
4. 1 have a certificateofconsent to selfinsure ora certificate ofWorkers
Compensation insurance or a certified copy thereof.
5. [shall not employ any person In any manner so as to become subject
to Workers Coompensation Caws 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, you must forthwith comply with such pro-
visions or this permit shall be deemed revoked.
Code Approvals Date Inspector
EL01 Temp Elec Services
P1_01 Soil Pipe Underground
EL02 Elec Conduit Underground
BP01 Footings
SP02 Steel Reinforcement
BPO3 Grout
BPO4 Slab Grade p
PLOt Underground Water Pipe
SS01 Rough Septic System
SWO1 On Site Sever
BPO5 Floor Joists
PI 03 Rough Plumb6ng
h Electric-Conduit
ELD4 Rou h Electric-Wiring
EL05 Rough Electric -T -Bar
ME01 Rough Mechanical
ME02 Ducts, Ventilating
P1_04 Rough Gas Pipe-Test
PL02 Roof Drains
BPIO Framing & Flashing
BP12 Insulation
BP13 Drywall Nailing
BP11 Lathinq & Siding
PL99 Final Plumbin
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building y—
Code Pool & Spa Approvals Date Inspector
OTHER DEPARTMENT RELEASES
De p. Inspector
Department Approval required prior to the
building being released by theCityPoolPoolSteelRein. /Forms
Pool Pool Plumbing/Press. Test
P003 Pre - Gunite
Date Inspector
EL06 Rough Pool Electric
Planning
Sub List Approval
Landsca
P004 Pool Fencing/Access
Finance
P005 Pre - Plaster
En ineerin
P009 Final PooVSpa
If
C
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
City of Lake Elsinore
130 South Main Street
1 st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER:
Z
I hereby affirm the 1 am licensed under provisions of Chapter 9 (commencing with Section
7000) .1 O+vtsion 3 01 the Basin-, and Profession% Cod., and my license n in full force
and .Hatt.
LICENSE s CITY BUSINESS
AND MSS TAX
SF
J /.. Y/V/ VALUATION: l
FEES
BUILDING PERMIT S
u
PLAN CHECK
Z++
i
v
ADDITIONAL PLAN CHECK
a
MICROFILM
NEW REPAIR
COPIES
ADDITION =MOVE
IMPRO FEES SCHOOL FEES L.
ALTERATION 1— DEMOLISH
PAID
DATE
C I certify that 1 have read this application and state that the
above information is correct_ 1 agree to comply with all city
and county ordinances and state lows reloting to building
construction. and hereby authorize representatives of this
city to enter upon the above-mentioned property for inspec-
tion purposes.
Sig ure of Applicon: or Agent Dote
AGENT FOR —.CONTRACTOR --OWNER
AGENT'S NAME
AGENT'S ADDRESS
S"Ful CITY STATE ZIP r.T'! r:.'r , c