HomeMy WebLinkAbout200 GRAHAM AVE_ 98-00000907200 W GRAHAM AVE 98- 00000907 1 OF 1
Cily of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 98- 00000907
JOE ADDRESS . . . . . : 200 W GRAHAM AVE
DESCRIPTION OF WORK MISCELLANIOUS
OWNER
SEYEDGAUADI ALI
SEYEDGAVADI MAHBOUBEH
A.P.# . . . . . 374 -261 -002 1
OCCUPANCY
CONSTRUCTION .
VALUATION . . . .
TANK REMOVAL
QTY UNIT CHG
BASE FEE
CONTRACTOR
OWNER
FEE SUMMARY CHARGES PAID
PERMIT FEES
TANK REMOVAL 25.00 .00
T, . AL 25.00 .00
SPECIAL NOTES & CONDITIONS
REMOVE 12000 GALLON GAS TANK AND REPLACE
W/ 2 20000 GALLON TANKS. ADD VAPOR
RECOVERY SYSTEM TO EXISTING ISLANDS.
DATE: 10/26/98
SQUARE FOOTAGE .
GARAGE SQ FT .
FIRE SPRNKLR .
ZONE . . . . . . NA
ITEM CHARGE
25.00
DUE
25.00
25.00
98 907 $25.00 8P
Date: 10/6/98 26 ReceiGt: 0002080
Ui[LK
0000000000 W0
ii
City of Lake Elsinore
Building Safety Division
inPostn owlspiaxxiS place
on the job
You must furnish PERMIT NUMBER
and the JOB ADDRESS for each
respective inspection:
Approved plans must be on lob
at all times:
Please head and Initial:
1. 1 am licensed under the provisions of Business and Professional ,
I Code Section 7010 et seq. and my license Is In full force. S
2. I, as owner of the property. or my emp ogees w /wages as their sole
compensation will do the work and Or.- 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. ]have a certificate of consent toedflnsur ^or& certificate of'Workers
Compensation Insurance or a certified copy thereof.
S. I shall not eanploy any person in any manner so as to become subject
to Workers Coompeneation 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, you must forthwith comply with such pro-
visions or this permit shall be deemed revoked.
Code Approvals Date I. r
ELOI Te np Elac Services
PLOT Soil Pipe underground
EL02 Elec Conduit Under ound
BPO: Foobngs
81302 Steel Reinforcement
SP03 Grout
BPO4 Slab Grade
PLO1 underground Water Pipe
SS01 h f2ew System
SW01 On Site Sewer
111205 FIQQr Jo sts
Roof Framog
4 - a id ffLi!W IKKE
RPM
4 2r C /F/V Cwou i S IV
G uf7FieS =
EL04 Rounh Electnc-Winna
ELOS Rough Electnc -T -Bar
ME01 I Ro . Mechanical
ME02 Ducts. Ventilating
Rough r R -Te t t i U fiH Af KS /%% aC-710
ELQ2_ Roof DEW Lu
1 h n
BP13 Dreall Nalina
SP11 Lathing d Sidon
PL99 Final'lumb
EL99 Fina+E;ecincal
ME99 Fir3e Mechanca
FIP19 Final13.,di C(% ellgA
Code Pool A Spa Approvals Date Inspector
OTHER DEPARTMENT RELEASES
or _
Department Approval required prior to the
hAdr+g being released by the City
1`001 Pool Steel Ran.rorms
1`001 Pool PlurnWn ess. Test
POW Pre- Gunits
Date Inspector
E1.06 Rough Poo! Ebetnc
Planrhmg
Sub List Approval
LyxIscape
P004 Pool Farxi Aeceas
Pwplssw
En ineeti
1`009 Final PoouS
s:
APPLICATION FOR
BUILDING PEItMIrT
City of sake Elsinore
VALUATION CALCULATIONS
l!C;NSE F
I st FLOOR SF
2nd FLOOR
SF
3rd FLOOR
SF
GARAGE _
SF
STORAGE SF
DECK & BALCONIES SF
OTHER:
ADDITION MOVE NUMBER OF NUMBER OF
BEDROOMS:
SF
GRADING _ CUT CY
ZONE:
FILL CY
VALUATION:
APARTMENTS units
FEES
BUILDING PERMIT $ — - --
PLAN CHECK
ADDITIONAL PLAN CHECK
GRADING PLAN CHECK
MICROFILM
COPIES —
IMPRO FEES O SCHOOL FEES G
130 South Main Street
r T 90-7:_
APPLICRTIONRECEIVED '
a,
Q
DATE
By
tX %W v"' G
r
BUILDINGAWFESS
w- L
TRACT GLO:K PAGE LO FARCEL
11AIlING —
PHONE
ADDRESS
O STATE21F
CITY
It I hrr•by oi'um rhor ! om 6cr_ed ands pron-ons oT C1wpNr 991 omminmg w,Ih SKtion
70001 of Dwmm 0 of -he S.W. ss and Professions Cod—
end effect
CITY BUSINESS
LICENSE- TAKr
Y AND CLASS --- --
0
PAID
DATE
1 certify that 1 have read this application and state that the
above informotion is correct. I agree to comply with all city
and county ordinances and state laws relating to building
construction, and hereby authorize reoresentotives of this
city to enter upon the above mentioned property for inspec-
tion purposes.
bt.r4.Aflico -'gent Dote
AGENT FOR U CONTRACTOR D OWNER
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP
CITY
STATE ZIP
DATE
Cam' is i AMS
REV. DATE 11.1.90
l!C;NSE F
NAME
WMAII&G
ADDRFSS
CITY 5 ?A14 21P - -- PRONE
OCC GRP. CONST.
NEW REPAIR DIVISION: TYPE:
ADDITION MOVE NUMBER OF NUMBER OF
BEDROOMS:
ALTERATION DEMOLISH
STORIES:
OTHER —
ZONE:
SINGLE FAMILY us-its HAZARD AREA? YES NO
APARTMENTS units
CONDOMINIUMS units SPRINT' ;ERS REQUIRED? YES _ NO
w
TOWNHOMES units PROPOSED USE OF BUILDING:
COMMERCIAL_ INDUSTRIAL PRESENT USE OF BUILDING:
JOSDESCRIPTION_%iV IZICI00 6AL T r Xk_
Cam' is i AMS
REV. DATE 11.1.90
edy of -fat 9t,&W%L
73a s;outA 41arn Jt d i lads aw.4 e4 aia 9z33o ! 94#16r.g 9o9-67#-3u4 f gac 9o9- 674-=34=
Plan Check Acknowledgment
if•
fy
st••!
I
ffffffflfl!•• lf• •lliffiffofffffllffilffffff!!f•
Como p() p() -s FOR OFFICE ZTSE ONLY
I'R%WT Nv ItBER _ r n t,
ilffflfff!!f!f!lflilffliflilf!l lilt •fiifiiilifffffffffffiffflif
1
fDrVx
Aw C o elyIr w bl f/11
at
company name) (address)
telephone number)
hereby state that I am submitting this Plan Check for 13 U 1 Y Q U
of approval)
and I understand that the project has not received
I further understand that any changes /additions required as a result of the approval process may
require me to resubmit these Plans for corrections and I will be subject to an additional fee.
applicant's si e)
date)
Form LE 2012 No Ched Admmdodpmd • i d t