HomeMy WebLinkAbout200 GRAHAM AVE_ 99-00000022200 W GRAHAM AVE 99- 00000022 1 OF 1
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City of Lake Elsinore
PE T 13C South Main Stret!
PERMIT NO: 99-00000022 DATE: 1/14/99
JOB ADDRESS . . . . . : 200 W GRAHAM AVE
DESCRIPTION OF WORK . : DEMOLISH ALL OTHERS
OWNER CONTRACTOR
SEYEDGAUADI ALI OWNER
SEYEDGAVADI MAHBOUBEH
A.P.# 374- 261 -002 1 SQUARE FOOTAGE .
OCCUPANCY GARAGE SQ FT .
CONSTRUCTION . . . FIRE SPR_NKLR .
VALUATION . . . ZONE . . . . . . NA
DEMOLITION PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
DEMOLITION PERMIT.' 30.00 .00 30.00
TOTAL 30.00 .00 30.00
SPECIATj NOTES & CONDITIONS
DEMO K :')STS: --
99 22 $30.00 8P
Date: 1/14/9914 Receipt: 0003284
000 05624
000000000
City of Lake Elsinore
Building Safety Division
in aC ispicw —us xi1c3(
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 Initla4 ,
1. 1 am Ucensed under the provisions of Business and Prore&
amll
Code Section 7000 et seq. and my license to In full force. .
2. 1. as owner of the property. or my emir layers w /wages as their sole
compensation will do the work and the structure is not intended oc
offered for sale.
3. 1. as owner of the property, am exclusively contracting with licensed
contractors to construct the project,
4. 1haveacertl0cateofconsenttoselflnsureoramtlflcateofWorkem
1 Compensation Insurance or a certified copy thereof.
J' _ 5. l "1 not employ any person in any manner Boas tobecome subject
to Workers Coompenaatlon 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 compb,/ with such pro-
visions or this permit shall be deemed revoked.
Code Aowovals Date In for
EL01 7 amp Elec Services
PL01 Soil Pipe Undwamund
EL02 Eloc Conduit Underground
BP01 Foolingis
OP02 Steel Reinforcement
BP03 Grout
BPOR Slab Grade
P1.01 Underground Water Pipe
SSOt Pough Sapic System
SW01 On Site Sewer
M5 FloorJilistc --
BM Floor Sheathing
W07 Root Frarrliog
fL Rou h Electric-Wiring
Ro h Elect ric -T -Bar
B2 at Mechanical
ME02 Ducts, Veriblatina
Rough Gas Ape-Test
PI-02 Roof We nt
SP12 radon
8P13 o-all Na hn
BP11 I athj g y Sdin
PL99 Firg r umlH
EL99 rmal Electrical
ME9d Final Mechanical
Final BurloogRM
Cade Pool A Spa Approvals Date Inspector
OTHER DEPARTMENT RELEASES
for
POOL Pool Steel Ran. /Forms
Department Approval required prior to the
building beutg released by the City
Po0l Pool PlumbingtPress. Test
P003 I Pre- Gunita
EL06 Rough Pool Electric Date nscntor
Sub list A wet
Penni
ccess
rdd a
E Fi
Final POOVSDS
En ineenn
w i
r
pity of Lake Elsino
130 South Main Street
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1 st FLOOR
2nd FLOOR
3rd FLOOR
GARAGE
STORAGE
DECK & BALCONIES
OTHER:
GRADING
VALUATION: _
FEES
BUILDING PERMIT
PLAN CHECK
ADDITIONAL PLAN CHECK
GRADING PLAN CHECK
MICROFILM
s
COPIES
IMPRO FEES SCHOOL FEES
SF
SF
SF
SF
SF
SF
SF
CUT CY
FILL CY
PAID
DATE
O I certify that I have read this application and state that the
above information is correct. I agree to comply with all city
and county ordinances and state laws reloting to building
construction, and hereby authorise representatives of this
city to enter upon the above mentioned property for inspec•
tion purposes.
Sign a of plicont or Agent Dote
AGENT FOR CONTRACTOR OWNER
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP
APPLICATION NO.
Io- ?-Z-
APPLICATION RECEIVED
DATE f —1.I _1516
L
REV. DATE 11.1.90