HomeMy WebLinkAboutVISTA VIEW 15036_03-00000607 f
s r __ City of Lake Elsinore ' =
PERMIT 130 South Main Street
PERMIT NO : 03-00000607 DATE : 3/27/03
JOB ADDRESS . . . . . 15036 VISTA VIEW
DESCRIPTION OF WORK BLOCK WALL
OWNER CONTRACTOR
BAUM MANFRED OWNER
BAUM ANNETTE
15036 VISTA VIEW
LAKE ELSINORE CA 92530
A. P. # . . . . . 389-394-009 7 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 2 , 640 ZONE . . . . . . R-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63 . 00
1 . 00 X 12 . 5000 VALUATION 12 . 50
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 80 . 50 . 00 80 . 50
OTHER FEES
PLANNING REVIEW FEE 10 . 00 . 00 10 . 00
PLAN RETENTION FEE 1 . 00 . 00 1 . 00
SEISMIC GROUP R . 50 . 00 . 50
PLAN CHECK FEE 56 . 63 . 00 56 . 63
TOTAL 148 . 63 . 00 148 . 63
SPECIAL NOTES & CONDITIONS
6/ BLOCK WALL ON SIDE PROPERTY LINE
4446
peer: 0 � 27 nu: 414B.63
low tendered 814&63
total pal wat
flit`
I�V'lu 1" �'i [ �� `•I i,`it please Read and Initial
I I am lJcensed ender the provisions of Business and professional
Code Section 70(X)et seq and my license is In full for.e , r
E1o,,t in co n,;pIcuous pipet` 2 1 as ou-ner of the property ormy employeesw/wages as their sole
compensation will do the work and the structure is not Intended or
oh t�If Joh offered for sale
3 1 as owner of the property am exclusively contracting with licensed
contractors to construct the project
�,,Ti rlu- f fFRL}}T \1 %IBL-K ifwl ih,, _ 4 Iha%ea certLtcate of consent to selfinsure Ora eertifica to of Workers
[()I" Compensation insurance or a certifled copy thereof
5 ]shall not employ any person in any manner so as to become subject
1i r,":t I'}.'[l ttlll i C „Il it'h to Workers Coompensatton Laws in the performance of the work for
1t III tithe, which this permit is issued
Note: If you should become subject to Workers Compensation after
making this certification you must forthwith comply,with such pro-
%1sions or this permit shall be deemed revoked
Coae ADo• .a.s Da e Irs:e-:o
ELO Ter-D Elec Se-.-,:es
Pt0' Sod P oe U-ce w'D--c
EL02 E x Co,<- U-ce o_,c
BPO Foao s
BPp2 S ee-Re^'o ce-e•-,
BP3 G,o- 'i-?-3 "ie
BPS.• Sao ace
PLO' U-oe ;o_-c Wa e,P
SSO Ao_• -Seo c S,s e,-
SYWC' -S e Se++e•
a CYa-
P
:>
E C -
EL" - E e:
EL'5 Rc_ -Ea TBa
VE32 D c's ' - a'-:
PL„ R _--Gac a T es'
BP r _
--
BP 3 D-, s N=
BP• La'_r s Sc
Pt�Pg F-a c' -'
EL99 :^a E•ec .a
BP9? F-a Fr_c--c
Cooe Pc. s SD---AD-Dro.as Da e OTHER DEPARTMENT RELEASES
r6� ks - -
— Deparitr>znt Approval required poor to the
PIX 'w S,�' °e- _:,--s btAduig being released by the City
POO Poc -,^ ¢ems Tes
41Y-3 P e G_- e
Date Inspector
ELCc Roa_;-Po-o E-e-c
Pta^�,
S•_D L s- A a
Lana—
PGc= Poo Fe c v Access
Finance
P005 P•e P,as'e
Engineenn
P00Q F.^,a Poo.SD,-
City of Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO
BUILDING PERMIT -3 -6v
APPLICATION RECEIVE
DATE 3_ Z7 _3
VALUATION CALCULATIONS AP 15 —2 y - By /
I st FLOOR SF BUILDING ADDRESS O iJ I
2nd FLOOR SF TRACT BLOCK/PAGE \ '1C7 T-1l LOT/PARCEL
3rd FLOOR SF v / ,�
GARAGE SF NAME
ric .
STORAGE SF T MAILING PHONE
DECK 8 BALCONIES SF O ADDRESS 6 vfi�
CITY - STATE/ZIP
OTHER: ,,4, ' C 0,4 15-3 b
SF I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
70D0)of Division J of the Business and Professions Code and my license is in lull force
and effect z
/ZJ ENSE It CITY BUSINESS
Z A CLASS TAX r
VALUATION: g NAME
FEES MAILING
ADDRESS
BUILDING PERMIT $ CITY srAr IP HONE
CONTRACTOR S SIGNATURE DATE
PLAN CHECK
ADDITIONAL PLAN CHECK NAME LICENSEN
u
Z MAILING
= ADDRESS
v
a
Q CITY SrA rE ZIP PHONE
[-]NEW UREPAIR OCC GRP / CONST.
DIVISION TYPE
MICROFILM ❑ADDITION ❑MOVE NUMBER OF NUMBER OF
[]ALTERATION ❑DEMOLISH STORIES BEDROOMS
COPIES ❑OTHER ZONE
❑SINGLE FAMILY units HAZARD AREA*> YES NO
1MPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units
❑CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
❑TOWNHOMES units PROPOSED USE OF BUILDING
PAID
❑COMMERCIAL ❑INDUSTRIAL PRESENT USE OF BUILDING
DATE
JOB DESCRIPTION
❑ 1 certify that I have read this application and state that the / ,
above Information is correct. I agree to comply with all city
Ck
and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this
c to enter upon the above-mentioned property for Inspec-
t1 n purposes / '
TO
c� S?AN 2 1
tgnature of llcant or Agent Date
AGENT FOR ❑ CONTRACTOR ❑ OWNER
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP REV DATE f 1 1 90