HomeMy WebLinkAboutLAKESHORE DRIVE 16401_14-00002579 CV
C I TY O F /�,
L,AKY I_,SIIJOI,E BUILDING & SAFETY
DREAM E,XT R E M.E w 130 South Main Street
Lake Elsinore Ca. 92530
PERMIT
PERMIT NO: 14-00002579 DATE : 12/31/14
JOB ADDRESS . . . . . 16401 LAKESHORE DR
DESCRIPTION OF WORK CELLULAR ANTENNA
OWNER CONTRACTOR
PEBLEY, GARY W METROCELL CONSTRUCTION
4711 CHINO AVE
CHINO, CA 91710
909-627-1502
LIC EXP 0/00/00
A. P . # . . . . . 379-250-045 1 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 9, 000 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63 . 00
7 . 00 X 12 . 5000 VALUATION 87 . 50
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 16 . 2500 MISC. WHERE NO OTHER FEE 16 . 25
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 150 . 50 150 . 50 . 00
ELECTRICAL PERMIT 46 . 25 . 00 46 . 25
OTHER FEES
PROF.DEV. FEE 2 TRADES 10 . 00 . 00 10 . 00
PLANNING REVIEW FEE 30 . 10 . 00 30 . 10
PLAN RETENTION FEE 17 . 97 17 . 97 . 00
GREEN BUILDING FEE 1 1 . 00 1 . 00 . 00
PLAN CHECK FEES 112 . 88 112 . 88 . 00
TOTAL 368 . 70 282 . 35 86 . 35
SPECIAL NOTES & CONDITIONS
VERIZON CHANGING OUT ANTENNAS AND
EQUIPMENT RACKS AT EXISTING CELL TOWER
n
R,,,
11
City of Lake Elsinore Please read and initial
Building Safety Division I.I am Licensed under the provisions of Business and professional Code Sectiori 7000 cr seq.an::
my license is in full force.
Post in conspicuous place 2.I,as owner of the property,or my employees w/wages as their sole compensation will do the work
on the job and the structure is not intended or offered for sale.
3.[,as owner of the property,am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the project.
JOB ADDRESS for each respective inspection: Z P4.I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
Approved plans must be on job or a certified copy thereof.
at all times: 5.I 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,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
RI.�1 Temnnrani Flartrin Crniiry ���� _ ��
PLO I Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings _
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO 1 Underground Water Pipe
SSO 1 Rough Septic System
SWO1 10n Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 Roof Sheathing
BP09 IShear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric/ T-Bar
ME01 Rough Mechanical
ME02 Ducts,Ventilating
PL04 Rough Gas Pipe/Test
PL02 Roof Drains
BP 1 O Framing&Flashing
BP 12 Insulation
BP13 IDrywall Nailing
BP I I Lathing&Siding
PL99 *Final Plumbing
EL99 *Final Electrical o
ME99 *Final Mechanical
BP99 *Final Building
*Final Signatures are Certificate of Occupancy for Single Family Residence
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
SPO 1 Electric Conduit UG Department Approval required prior to the
SP02 UG Gas Piping _ building being released by the City
SP03 Pool Steel Rein./Forms Date Inspector
SP04 Pool Plmb./Pressure Test Fire
SP05 Pre-Gunite Approval EVMWD _
SP06 Rough Pool Electric Finance
SP07 Pool Fence/Gates/Alarms Engineering
SP08 Pre-Plaster Approval TUMF
SP99 Final Pool/Spa Planning/Landscape
r O F
LAKE LSHAORK
_. DkEAM EXTREME ,M 130 South Main Street
APPLICATION FOR APPLICATIO
APPLI ATI1 RE E ECR
BUILDING PERMIT DATEAP# By
�
VALUATION CALCULATIONS 3'1 R-25#
BUI D N DDRESS
1st FLOOR SF '1 L-�11CF-MOIQF DID• LAk Rr �Z 3D
TRACT BLOCK/P E LOT/PARCEL
2nd FLOOR SF 3
NAME ®_ D per /� �r AA
3rd FLOOR SF O GA^y W• • �17�E I MACff4�O Sp"(
W MAILING @@ 'r g -gQNE ,/
N ADDRESS l b 'LU ( LA-1-afQF- q� Y c-
E CITY STATE/ZIP �� --(o-ly_1 bot
R LAKE Et.SiNORE � 2s30
I hereby affirm that I am licensed under provisions dt chapter 9(commencing
(
I� with section 7000)of division 3 of the business and professions code,and
n_'" e,J(,{((.�tJ J_ � n C my license is in full force and effect.
O LICENSE# CITY BUSINESS
N AND CLASS TAX#
J T NAME
A MAILING
f C ADDRESS
�-- lq ,2s���.__ T CITY STATE/ZIP PHONE
7 O
R CONTRACTOR'S SIGNATURE ur'WIE
_ NAME LICENSE#
�GjrlCcC� - &1q 04Si0 A u -1I N 'loom C+-7 C1 8 S
R M (LING
i/ C ADDRESS 3J1°1 M1G(I LSCaN PeS6d
T T H CITY TATE/ZIP PHONE
_f_-MR.ViNE CA 012612 qyA _ZZq_'7.6?91
C7 "� I NEW OCC GRP./ CONST.jqI RELL:SS
� - IADDITION DIVISION: TYPE: 'I`;I;LEtOM
0 C C c (ALTERATION NUMBER OF NUMBER OF
j tt (OTHER STORIES: K/A BEDROOMS: 11/A
SINGLE FAMILY ZONE:
1APARTMENTS C'vMM6'kjA1 - ( / (�a'/
&I certify that I have read this application and state that the ❑CONDOMINIUM HAZARD (5EE
above information is correct. I agree to comply with all city []TOWN HOMES AREA? NO
and county ordinances and state laws relating to building WCOMMERCIAL SPRINKLERS YES
construction,and hereby authorize representatives of this ❑INDUSTRIAL REQUIRED? NO
city to enter upon the above-mentioned property for insp- ❑REPAIR PROPOSED USE OF BLDG: f GjV 1 514
tion purposes. ❑DEMOLISH PRESENT USE OF BLDG: �iMO&O11I
01 JOB DESCRIPTION
Signature of lican r Agent Date 112y1 lq
Agent for Contractor ❑ owner
Agents Name Aq�Ael Ll'i1.vldS211, 44l Alz Qn
Agents Address 31( 1 M,lidiELsoO —Wt
_DF� IRVIN E Cat a2•(�R_I500
-