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Home My WebLink AboutGRAHAM AVE W 200_14-00000047C I i IN' OF LAKE "\ CDI LSIHORE BUILDING &SAFETY DREAM EXTREME, - 130 South Main Street PERMIT PERMIT NO: 14-00000047 JOB ADDRESS . . . . . 200 W GRAHAM AVE DESCRIPTION OF WORK REROOF OWNER SEYEDGAVADI MAHBOUBEH A.P.# . . . . . 374-261-002 1 OCCUPANCY . . . CONSTRUCTION . . VALUATION . . . REROOF PERMIT QTY UNIT CHG BASE FEE 13.00 X 3.0000 REROOF FEE SUMMARY PERMIT FEES REROOF PERMIT OTHER FEES PROF.DEV.FEE 1 TRADE PLAN RETENTION FEE SEISMIC GROUP R GREEN BUILDING FEE 1. TOTAL SPECIAL NOTES & CONDITIONS REROOF TEAR OFF EXISTING 13 SQ CONTRACTOR JARCO ROOFING 20221 PEAR CIRCLE PERRIS CA 92570 951-943-3344 LIC EXP 0/00/00 SQUARE FOOTAGE 0 GARAGE SQ'FT 0 FIRE SPRNKLR ZONE . . . . . . ITEM CHARGE 35.00 39.00 CHARGES PAID DUE 74,00 00 74.00 5.00 00 5.00 52 00 52 50 00 50 1.00 00 1.00 81.02 .00 81.02 Tatill taxlww sm.02 TOW PeAmt $81.02 City of Lake Elsinore Building Safety Division u. ,;, vn3pi%ui uj Nraie 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. I,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. I,as owner of the property,am exclusively contracting with licensed contractors to construct the 11 pia;— 4. I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance or a certified copy thereof. 5. 1 shall not employ any person in any manner so as to become subject to Workers Compensation 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 provisions or this permit shall be deemed revoked. Code Approvals Date Inspector ELOi Temporary Electric Service PLO1 Soil Pipe Underground EL02 Electric Conduit Underground BP01 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO1 Underground Water Pipe SSO1 Rough Septic System SWO1 On Site Sewer BP05 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BP08 Roof Sheathing P09 Shear Wall & Pre -Lath P1,03 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric / T -Bar ME01 Rough Mechanical ME02 Ducts, Ventilating P1,04 Rough Gas Pipe / Test PL 02 lRoo, Drains BP10 Framing & Flashing BPI! Insulation BP13 Drywall Nailing BPI Lathing & Siding PL99 Final Plumbing EL99 Final Electrical NM99 Final Mechanical BP99 Final Building t OTHER DIVISION RELEASES Department Approval required prior to the building be in released by the City Date Inspector Planning Landscape Finance 1 Engineering Code Pool & Spa Approvals Date Inspector Deputy Inspector P001 Pool Steel Rein. / Forms P001 Pool Plumbing / Pressure Test P003 Pre - Gunite Approval EL06 Rough Pool Electric Sub List Approval P004 Pool Fencing / Gates / Alarms P005 Pre- Plaster Approval P009 I Final Pool / Spa C 1 T Y 0 K r{ ..,. - X3.1 L S .q. N t.J PE DREARY EXTE-1 EME .h APPLICATION FOR BUILDING PERMIT VALUATION CALCULATIONS 1st FLOOR SF 2nd FLOOR SF 3rd FLOOR SF GARAGE SF STORAGE SF DECK & BALCONIES SF OTHER: __ SF VALUATION: _ FEES BUILDING PERMIT PLAN CHECK PLAN REVIEW SEISMIC PLAN RETENTION 1 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 laws relating to building construction, and hereby authorize representatives of this city to enter upon the above - mentioned property for insp- tion purposes. t Sig a of Applicant or Agent Date Agent for F] contractor owner Agents Name Agents Address Street City State Zip 130 South Main Street APPLICATION NO. / 7 APPLICATION R EIVED DATE 6- IBUILDINGADDRESS 2- -9 - let TRACT BLOCK/ AGE LOT /PARCEL O NAME C. ' lr a W N MAILING PHONE ADDRESS E R CITY STATE /ZIP C N I hereby affirm that I am licensed under provisions of chapter 9 (commencing with section 7000) of division 3 of the business and professions code,and my license is in full force and effect. CITY BUSINESS AIND CLASS ® TAX # T R NAME t7 A C MAILING ADDRESS"Z - T O CITY STATE /ZIP PHONE R CONT SIGNAURE DATE, 1112 A NAME,,- LICENSE # R C MAILING ADDRESS H CITY STATE /ZIP PHONE NEW OCC GRP. ! CONST. DIVISION: TYPE: ADDITION ALTERATION NUMBER OF NUMBER OF STORIES: BEDROOMS: OTHER SINGLE FAMILY APARTMENTS ZONE: CONDOMINIUM HAZARD YES AREA? NOTOWNHOMES COMMERCIAL SPRINKLERS YES REQUIRED ? NOINDUSTRIAL REPAIR PROPOSED USE OF BLDG: JPRESENT USE OF BLDG: DEMOLISH JOB DESCRIPTION F'7 C '' mot, /' '