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Home My WebLink AboutLAKESHORE DR W 16746 CITY OF icy �� AIIE LSII-i� E BUILDING & SAFETY & DREAM EXTREMETM 130 South Main Street PERMIT PERMIT NO: 12-00001713 DATE : 12/03/12 JOB ADDRESS . . . . . 16746 W LAKESHORE DR B & C DESCRIPTION OF WORK OCCUPANCY PERMIT OWNER CONTRACTOR DOAN TAMMY T OWNER NGUYEN LINDA TAI 378-290-017 3 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . ZONE . . . . . . NA OCCUPANCY PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES OCCUPANCY PERMIT 30 . 00 . 00 30 . 00 OTHER FEES PROF. DEV. FEE 1 TRADE 5 . 00 . 00 5 . 00 TOTAL 35 . 00 . 00 35 . 00 SPECIAL NOTES & CONDITIONS OCCUPANCY PERMIT FOR JOURNEY MARTIAL ARTS Qper: MNtH Type: IF Dra+ar: 1 DAEC 12/03112 U Rimipt ha: 236q r . 1 2Q12 1713 HIc HWING PER I I sm:QO Total t 3xb-ed $35.00 . Total..peflmt moo City of Lake Elsinore Please read and initial Building Safety Division 1.I am Licensed under the provisions of Business and professional Code Section 70004!t seq.and .. c my license is in full force. v 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.I,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: 4.1 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 com ly wiih such provisions or this permit shall be deemed revoked. EL01 Temporary Electric Service PLOI Soil Pipe Underground EL02 Electric Conduit Underground BP01 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO1 Underground Water Pipe SS01 Rough Septic System SWO 11 On Site Sewer BP05 FloorJoists BP06 F]oor Sheathing BP07 Roof Framing BPO8 Roof Sheathing BP09 Shear 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 BP10 lFraming&Flashing BP 12 Insulation BP13 Drywali Nailing BP11 Lathing&Siding PL99 Final Plumbing EL99 I Final Electrical W99 IFinal Mechanical BP99 Final Building �ep E, Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the P001 Pool Steel Rein./Forms building being released by the City P001 Pool Plumbing/Pressure Test P003 Pre-Gunite Approval Date inspector EL06 Rough Pool Electric Planning Sub List Approval Landscape P004 Pool Fencing/Gates/Alarms Finance P005 Pre-Plaster Approval EL! P009 Final Pool/Spa C I T Y- F LADE LSII`��I�E `— D R.F A M. EXT R F M F ,M 130 South Main Street APPLICATION FOR APPLICATION NO. DATE VALUATION BUILDING PERMIT DATE VALUATION CALCULATIONS / 6 lL \\ 1st FLOOR SF ! q Oaf ,6f, V-C TRACT s BLOMPAGE LOTIPARCEL 2nd FLOOR SF l?I-tze- R - t- 3rd FLOOR SF 0 Jo�r�f�. 11t/rstu�:. 1vt. �}�/� W MATING I GARAGE SF N ADDRESS / 7 4 e ' e. I E STMIPR STORAGE SF R a Ca �� e o ere y affirm that I am licensed under provisions 61 chapter 9(commencing DECK&BALCONIES SF with section 7000)of division 3 of the business and professions code,and C my license is in full force and effect. OTHER: SF 0 LICENSE fk CITY BUSINESS N AND CLASS TAX ft T NAME VALUATION: R A "UNG C ADDRESS FEES T CITY STATE/ZIP PHONE O BUILDING PERMIT $ R OR'S SIGNATURE DATE PLAN CHECK NAME LICENSE# A PLAN REVIEW R MAILING C ADDRESS SEISMIC H CITY STATE/71PPHONE PLAN RETENTION ❑ NEW OCC GRP 1 CONST ❑ ADDITION DIVISION: TYPE. ❑ ALTERATION NUMBER OF NUMBER OF ❑ OTHER STORIES: BEDROOMS. ❑ SINGLE FAMILY ZONE ❑APARTMENTS ❑ 1 certify that I have read this application and state that the ❑CONDOMINIUW HAZARD YES above information is correct.I agree to comply with all city CI TOWN HOMES AREA? NO and county ordinances and state laws relating to building ❑COMMERCIAL 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: tion purposes. ❑ DEMOLISH PRESENT USE OF SLOG. ) JOB DESCRIPTION tL Signature of A lic nt or Agent Date Agent for ❑ contractor 0 owner 1-0 ✓He a✓�a-�. Agents Name Agents Address Street City State Zip