HomeMy WebLinkAbout200 GRAHAM AVE_ 99-00000882200 W GRAHAM AVE 99- 00000882 1 OF 1
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City of Lake Elsinore,
PERMT 130 South Main
PERMIT NO: 99- 00000882 DATE: 6%28/99
JOB ADDRESS . . . . . : 200 W GRAHAM AVE
TENANT NBR, NAME . . . ARCO AM -PM
DESCRIPTION OF WORK . : DEMOLISH ALL OTHERS
OWNER CONTRACTOR
SEYEDGAUADI ALI OWNER
SEYEDGAVADI MAHBOUBEH
A.P.# . . . . . 374 - 261 -002 1
OCCUPANCY
CONSTRUCTION .
VALUATION 1,000
DEMOLITION PERMIT
QTY UNIT CHG
1.00 X 30.0000 DEMO PERMIT PER UNIT
1.00 X 5.0000 PROFESSIONAL DEV FEE
kltt; Summmy CHARGES PAID
PERMIT FEES
DEMOLITION PERMIT 35.00 .00
TOTAL 35.00 .00
SPECIAL NOTES & CONDITIONS
DEMO CAR WASH STRUCTURE
SQUARE FOOTAGE .
GARAGE SQ FT .
FIRE SPRNKLR .
ZONE . . . . . . NA
ITEM CHARGE
30.00
5.00
DUE
35.00
35.00
Operator: CDXTER
Date: 6128/99 28 Receipts 0005956
Total Payoent SM,00
Amount Tendered $35.00
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City of Lake Elsinore
Building Safety Division
Poste In oamp1QX" ].S plaaa
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: .
I am Ucrnsed under the provtebna of Business and p lanai
Code Section 7000 et seq. and my license to in full force. - A
2.1. as owner of the property. or my employees w /wages, as their sok
compensation will do the work and the structure Is not Intended or
offered for sak
3. 1. as owner of the property. am exclusively contracting with licensed
contractors to constrict the project.
4. 1 have a certNcateof consent to melfinsure or a certificate ofWorkers
Compensation Insurance or a certified copy thereof.
N_LLr L 5. 1 shall not employ any person In any manner so as to become subject
I —L'— to Workers Coompensation fawn In the performance of the work for
which this permit is Issued.
Note: If you should become subject to Workers Compenawtion after
making this certification. you must forthwith comply with such pro-
visions or this permit shall be deemed revoked.
Code Approvals Osle In or
ELOI Ynp Else Services
PL01 soil Pips Underr.ound
EL02 Else Conduit Underground
BP01 FoobrVb
SP62 Steel Reinforcement
BPM Grout
81204 Slab Grade
PL01 Underground Water Pipe
SS01 Bough septic System
SW01 On Site Sawer
JIM_ Floor Joists
c
EL04 Rouah Electm-Wirina
ELOS Rough Electric -T -Ber
ME01 I Rough Mechanical
ME02 Ducts. Venfilatina
Rouoh 9w Ripe-Test
PLO? Roof DrAins
10 Fraffino & Flash
OP!L- Insulation
BP19 Drywall Nailing
BP11 Lathing a Sidra
PL99 I Final Plumbing
EL99 Final Electrical
Y
ME94 Final Mechanical
RP99 Fine, Building
Code Pool 6 Spa Approvals Date Inspector
OTHER DEPARTMENT RELEASES
tun
Department Approval requirod prim to the
btaldirtg being released by 01e City
P001 Pool Steel Rein./Forms
Pr.A1 Pool Plumbm Press Test
P003 Pre•Gunrte
Date InspectorE106RoughPoolElectric
planning
Sub List A oval
LandsopePOWPoolFens,: Access
Finance
Pre Pta ter
En ineerin
P009 FumlPoovS
APPLICATION FOR
BUILDING PERMIT
City of Lake Elsinore
VALUATION CALCULATIONS
APPLICATI N NO.
i
1 st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER:
SF
GRADING CUT CY
MAILING
ADDRESS
FILL CY
VALUATION:
FEES
ON i_MOVE
BUILDING PERMIT $ _
PLAN CHECK
ADDITIONAL PLAN CHECK
HAZARD AREA? YES NO
GRADING PLAN CHECK
SPRINKLERS REQUIRED? YES NO
MICROFILM
HOMES units
COPIES
ERCIAL :INDUSTRIAL
IMPRO FEES SCHOOL FEES C
CRIPTION /
l w! f 5)j S/ Roo
130 South Main Street
PAID
DATE
C I certify that I have read this application and state they the
above information is correct. I agree to comply with all city
and county ordinances and state laws reloting to building
construction, and hereby authorize epresentatives of this
city to enter upon the above mentioned property for inspec•
on rposes.
r_
8i ure of plicant or Agent Dote
AGENT FOR C CONTRACTOR C OWNER
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP REV. DATE 11.1.90
APPLICATI N NO.
i
APPLICATION RECEIVED
DATE Z ('
APN BY
BUILDING ADDRESS
l'
TRACT 1LOCKPAGE tOT' ARC"
NAME V a /
0
MAILING
w v vmADDRESS ( (
CITY STATEIZIP
I hereby of:irm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 0 of the Business and Professions Cale. and my license is in full force
and effect.
Q SE I CITY BUSINESS
CLASS TAXI
0 NAM
MAILING
ADDRESS
CITY STATE 21P
CONTRACTORS SIGNATURE ` DATE
u
NAME LICENSE II
MAILING
ADDRESS
STATE 21P PHONE
REPAIR
OCCGRP./ CONST.
DIVISION: TYPE:
ON i_MOVE NUMBER OF NUMBER OF
STORIES: BEDROOMS:
ATION C DEMOLISH
ZONE:
FAMILY units HAZARD AREA? YES NO
NE
MENTS units
SPRINKLERS REQUIRED? YES NOOMINIUMSunits
HOMES units PROPOSED USE OF BUILDING:
PRESENT USE OF BUILDING:
ERCIAL :INDUSTRIAL
CRIPTION /
l w! f 5)j S/ Roo
REV. DATE 11.1.90