HomeMy WebLinkAboutMAIN STREET 183_04-00003139PERMIT
130 South Main Street
PERMIT NO: 04- 00003139 DATE: 11/30/04
JOB ADDRESS . 183 N MAIN ST
DESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL
OWNER CONTRACTOR
CITY OF LAKE ELSINORE REDEVELO SERVICE ONE SERVICES
130 S MAIN ST P.O. BOX 1485
LAKE ELSINORE CA 92530 LAKE ELSINORE CA 92531
909 - 678 -3620
LIC EXP 0 /00 /00
A.P.# . . . . 374- 173 -005 2 SQUARE FOOTAGE 1000
OCCUPANCY . . OFFICE, RESTAURANTS, MISC GARAGE SQ FT 0
CONSTRUCTION . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . 1,000 ZONE . . . . . NA
BUILDING PERMIT
QTY UNIT CHG
BASE FEE
ITEM CHARGE
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
50.00 X RECPT,OUTLET / 1ST 20
9.00 X LIGHTING FIXTURES /1ST 20
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
5.00 X VENTILATING FAN
PERMIT FEES
BUILDING PERMIT
ELECTRICAL PERMIT
MECHANICAL PERMIT
COIL0.T-e1 ' : o
NO CHARGE FOR PERMIT
NO CHARGE FOR PERMIT
NO CHARGE FOR PERMIT
TOTAL .00 .00
SPECIAL NOTES & CONDITIONS
add ventilation, electrical, minor
framing in basement and plaster walls.
DUE
91
City of Lake Elsinore
Building Safety Division
Post in conspicuous place
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:
Inspection request (909) 674 -3124 ext. 239
before 5:00 P.M. on prior workday.
Please read and iniew.
1. I am Licensed under the provisions of Business and professional Code Section 7000 et seq. and
my lioen9e is in full force.
2. Ix owner oftbe property or my employees w/wages as their sole compeosatioo will do the work
and the structure is not maendW or offered for sale.
3. I,as owner of the propertyAm exclusively contracting with licensed contractors to construct the
project.
4.1 have a certificate of consent to selfiasrue or a cati6cate 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 perfxamwe 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 deented revoked. Code Appravals Date . Inspector
ELO 1 Temporary Electric service
PLO Soil Pipe
EL02 Electric Conduit underground
BPOI Footings
BP02 Isted Rainforoanaht
BP03 Grout
BP04 slab Grade
PL01 umiewound water Pipe
SSOI RouSh Septic System
SWO1 on site Sewer
BP05 Floor joie
BP06 Floor sheathing
BP07 RoofF '
BP08 Roofs
BP09 shear wan & Pro-Latb
PL03 Rough Plumbing
EL03 Rough Electric conduit
EL04 Rough Electric wiring
EL05 IRougb Pectric / T-Bar
ME01 Rough Mechanical
ME02 Ducts, v
PL04 Rough Gas Pipe / Test
PL02 Roof Drams
BP 10 Framing & Flashing
BP12 insulation
BP13 Drywall Nailing
BP 11 Lathing & siding
PL" Final Plumbing
EL99 Final Electrical
ME99 Final Me*micak
BP99 Final Building 2-ZZ JeX-4C,
OTHER DIVISION RELEASES
Division Approvals required prior to the
building being released for occupancy the City
Date Inspector
Platuti
Landscape
Finance I -
Engineeringl
Code Pool & Spa Apprm ab Date Inspector
Deputy Inspector
P001 Pool steel Rein. /Form
P001 Pool Plumbing / Pressure Test
P003 Pro•ounite Approval
EL06 Pool &!fume
SubUstApproval
P004 Pool F / Gates / Alarms
P005 I Pro-Plaster Approval
P009 JFioal Pool / Spa
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APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
APPLICA, j iD N
TJ N
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER: SF
VALUATION:
FEES
BUILDING PERMIT i
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
O 1 cefi7y that 1 have read this app5cation and state that the
above inimmation Is correct 1 agree to conq* with d city
and county ordinances and state taws relaft to bu&ft
wnstruW n. and hereby authorke representatives of this
city to ado upon the above - nartioned property for insp-
don purposes.
Signature of Applicant or Agent Date
Agent for contractor owner
Agents Name
Agents Address
Street City State Zip
City of Lake Elsinore
130 South Main Street
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APPLICA, j iD N
TJ NAPPLICA R D
DATE
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hereby offin. that I am GBens undet provisions of chapter commencing
with section 7000) of division 3 of the business and professions code,and my
license is in hull force and effect.
LICENSE i p0 I T X 0BUSINESS !
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NEW OCC GRP. I CONST.
DIVISION: TYPE: ADDITION
EMLTERATION NUMBER OF NUMBER OF
STORIES: BEDROOMS: OTHER
SINGLE FAMILY ZONE:
O APARTMENTS
O CONDOMINIUMS HAZARD YES
AREA? NOOTOWNHOMES
O COMMERCIAL SPRINKLERS YES
REOUIRED ? NOINDUSTRIAL
O REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG: O DEMOLISH
JOB DESCRIPTION % o / L ec—fw r',Q G
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