HomeMy WebLinkAboutQUAIL DRIVE 815_04-00001452 a
City of Lake Elsinore
130 South Main Street
PERMIT
PERMIT NO: 04-00001452 DATE : 5/27/04
JOB ADDRESS . . . . . 815 QUAIL DR
DESCRIPTION OF WORK REROOF
OWNER CONTRACTOR
AGUILAR MARIO OWNER
A. P. # . . . . . 379-173-049 7 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . . . . . . R-1
REROOF PERMIT
QTY UNIT CHG ITEM CHARGE
19 . 00 X 3 . 0000 REROOF 57 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
REROOF PERMIT 57 . 00 . 00 57 . 00
OTHER FEES
PLAN RETENTION FEE 2 . 00 . 00 2 . 00
TOTAL 59 . 00 . 00 59 . 00
SPECIAL NOTES & CONDITIONS
REMOVE EXISTING WOOD SHAKES, INSTALL
PLYWOOD SHEETING IF NECESSARY, INSTALL
FELT AND NEW ASPHALT SHINGLES (1900SF)
Date: 5/27/04 27 Receipt no: 5883
Total tendered Tn.@@
Total payment VA.N
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I'Ie ise IL-ad and Inmal
' 1 I am l.ut nsc d undo r the provisions of 13usmess and I'nilrssumal
Code 5t lion 7C G t t v y and m%,he e rl c 1.to full fare e
�rlls( Ill l t l llspicllllll" placc /i (- I as ownt r of the pmpem or m% cmplov,vvs w/wekt s as lht•tr u>h•
compensation call do she, work and the, slru(lun• is not infcnded or
1111 l lll' 11)b oil,rL f for salt
-i 1 a+owner nl ihe•propertt am t xrIusnt N amtraeungwih he t ns,�
com aeturs to censlru,t the prolcr t
Y Iha%eac-trtifirateolconv ill lo,,ellinsumorarcrltlirdirnfWorktrs
CoIm n u e•hcsaon insuranc or a r_crtifi<d cols thcmol
^5 shall not rrnplo%am pa rson In any manner tin as toht•e omc subject
to Norktrs Ctnrnpensation [aws in the pt rformance of ihf work for
•chic h lnis G.=it is issuc-d
Note II%ou should lxcnme sublet t to`,Porkers Compt•nsaunn alter
rnenin:this c<rlificnoon tou must forthwith cornph with sueh pro-
or this I•rrnit shill he de e rned n•%oked
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ace ' _~--`"`�` V 5`e-- OTHER DEPARTMENT RELEASES
C-rai-u-nee-•nt A;:o oval required prior to tee
ouilcinp ceing ideased ny the City
Dr e rsc or
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City of Fake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT
Oil�l - 1452
DATEAPPL ATI�7aCEI ���
DATE
VALUATION CALCULATIONS AP# 3_7(!�j —1-7 2 —0 9 By
l st FLOOR SF BUILDING ADDRESS r-}' �{``j
2nd FLOOR SF TRACT BLOCK/PAGE LOT/PARCEL
3rd FLOOR SF
GARAGE SF NA E (2,10 CA a-`o S Af V
STORAGE SF T
DECK&BALCONIES SF o
OTHE �L Z(fin
•�� / V ` SF I hereby oflum that 1 am licensed under prov-ons of Chapter 9(commencing with Section
1000)of Division 3 of the Business and Professions Code,and my license is in full force
and effect
iz LICENSE# CITY BUSINESS
Z AND CLASS TAX#
VALUATION: g NAME
FEES MAILING
ADDRESS
BUILDING PERMIT $ CITY STATE-ZIP PHONE
CONTRACTOR'S SIGNATURE DATE
PLAN CHECK
ADDITIONAL PLAN CHECK NAME LICENSE#
u
Z MAILING
S ADDRESS
U
Q CITY SLATE/ZIP PHONE
El NEW ❑REPAIR 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
IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units
❑CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
OTOWNHOMES units PROPOSED USE OF BUILDING
❑COMMERCIAL ❑INDUSTRIAL PRESENT USE OF BUILDING
PAID
DATE
JOB DESCRIPTION
❑ I certify that 1 have read this application and state that the
above information is correct. I agree to comply with all city '�g emd ve l i,) C S
and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this C 1 9 S 4 G f S J J A l(-r
city to enter upon the above-mentioned property for inspec-
tion purposes
Signature of Applicant or k9ent Date
AGENT FOR ❑ CONTRACTOR ❑ OWNER
AGENT'S NAME
AGENT'S ADDRESS
—T... 1 on