HomeMy WebLinkAboutGRAHAM AVE W 200_00-00000330200 W GRAHAM AVE 00- 00000330 1 OF 1
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City of Lake Elsinore
PERMIT 130 SouLi Main Street
PERMIT NO: 00- 00000330
JOB ADDRESS . . . . . : 200 W GRAHAM AVE
TENANT NBR, NAME . . . ARCO AMPM
DESCRIPTION OF WORK . : ELECTRICAL
OWNER _
SEYEDGAUADI ALI
SEYEDGAVADI MAHBOUBEH
A.P.# . . . . . 374 - 261 -002 1
OCCUPANCY . . . .
CONSTRUCTION . . .
VALUATION . . . 1,500
CONTRACTOR
OWNER
DATE: 4/19/00
SQUARE FOOTAGE .
GARAGE SQ FT .
FIRE SPRNKLR .
ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45.00
10.00 X 2.7500 VALUATION 27.50
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
5.00 X 1.0000 LIGHTING FIXTURES /7.ST 20 5.00
11.:. Qui•u•uuci CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 77.50 00 77.50
ELECTRICAL PERMIT 35.00 00 35.00
OTHER FEES
PLAN RETENTION FEE 1.00 00 1.00
SEISMIC OTHER 50 00 50
PLAN CHECK FEE 54.38 00 54.38
TOTAL 168.38 00 168.38
SPECIAL NOTES & CONDITIONS
LIGHT STANDARDS PER APPROVED PLANS
19 Receipt:
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City of lake Eistnore
Bu'-lding Safety Division
Post inomspiCiLSplace
on the Jcb
You must furnish PERMIT NUMBER
and the JOB ADDRESS for each
respective Inspection:
Approved plans must be o `jab
at all times:
Please. Read and Initial:
t. 1 am Ucenwd under tine provisions of Business and Professional
Code Section 7010 et seq. and my license is In full force.
r 2. I. as owner of the property. or my employeesw /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 certificate ofconsenttosclfinsureora certificate ofWurkers
Compensation Insurance or a certified copy thereoL
5. 1 shall not employ any person in any manner seas tobecome subject
to Workers Coompensation laws in the perfortnancr of the work for
which this permit Is issued.
Notin Ifyou 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 Ins for
EL01 Te.2 Elec Services
111.01 Soil Roe Undergmund
EL02 Else Conduit Under ovnd
BPOI Foon s Y C.
BP02 Steel Reinforcement y.S
BF03 Grout
BP04 Slab Grade
PL01 Under ound Water Pipe
SS01 Rough Septic S stem
SW01 On Site Sewer
Floor JQists
2M Floor 5heathing
p! M Rough Fjumbfna
EL 94 Rough Electnc -Wiri
EL05 Rough Elech-c -T -Bar
ME01 I Rough Mechanicei
ME02 Duets. Ventilating
04 I Rough Gas ADe-Test
PIM Roof Grains
1 n lion
BP13 ll Nailing
BPI i I Lathing & Siding
PL99 Final Plurnbmg
EL99 Final Electrical
ME99 Final Mechoncal
BP99 Final Building
Cede Pool a Spa Approvals Date Inspector
OTHER DEPARTMENT RELEASES
Irspecto, Department Approval required prior to the
builfing being released by the City
Pool Pool Steel Rem./Forms
Po0l Pool Plumb 6ss. Test
P003 Pre•Gunile
D6te In• for
EL06 Rough Pool ElechSc
Plannng
Sub List Appovel
LsMscype
P004 Pool FencinWAccess
Fi
POOS Pr -P ver
E inelrring
Pt:09 I Fire) PooVS
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1TEa4L AN Me) us TwMC.a r _ _ ____ _ _________________.____.___.....
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APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1 st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER:
SF
GRADING I_CUT CY
Flll CY
VALUATiO
MAILING --
ADDRESS
FEES
BUILDING PERMIT $
PLAN CHECK
ADDITIONAL PLAN CHECK
GRADING PLAN CHECK
MICROFILM
COPIES
IMPRO FEES EJ SCHOOL FEES El
PAID
DATE
C4
City of Lake Elsinore
130 South Main Street
G 1 certify that I have read this application and state that the
above information Is correct. I agree h comply with all city
and county ordinances and state Im•s relating to building
onstruction, and hereby author representatives of this
city to enter upon the above- mentioned property for inspec-
lion purposes.
Z Siro?a"t Appli(ant cr Agent Date
AGENT FOR 0 CONTRACTOR Cj OWNER
AGENT'S NAME
AGENT'S ADDRESS —__
STREET CITY STATE ZIP
r
11
REV DATE 11 .190
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APPLICATION NO
1;6)
APPLICATION EIVE
DATE
AP K
7 —06 By VA
fUtl01NO ADDRESS t
TRACT BLOCK PAGE COT, PARCEL
NAME ^ / J L/ eye "o vaep'li _
Z
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MA1l11JG ^ PNONE
ADDRESS
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iZIP J J
CITY STATE
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I hereby o }firm ehor I om hconsed under provwons of Ct+opter 9lcommencine wish Section
70001 of D—von 7 ut the Bu,mes% and Professions Code. ood my license is in Ut force
and sft-t
LICEN
AND CLA
NAME
MAILING --
ADDRESS
CITY TATE E
CONTRACTORS SIGNATURE DATE
u
NAME LICENSE e
r MAILING ` — —_ -- —_ — ADDRESS
CITY STATE LIP PHONE
NEW REPAIR OCC GRP., CONST.
DIVISION_: TYPE:
ADDITION MOVE NUMBER OF NUMBER OF
STORIES: BEDROOMS: ALTERATION DEMOLISH
OTHER ZONE:
SINGLE FAMILY units
HAZARD AREA? YES NO
APARTMENTS units
CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
TOWNHOM.ES units PROPOSED USE OF BUILDING:
PRESENT USE OF BUILDING:
COMMERCIAL INCUSTRIAL
P10BDESCRIPTION
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e)7 ' fY / '/
REV DATE 11 .190
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