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HomeMy WebLinkAboutCENTRAL AVE 570_02-00001290 s CitV of Lake Elsinore 1 V0, PERMIT130 South Main Street PERMIT NO: 02-00001290 DATE: 6/19/02 JOB ADDRESS . . . . . 570 CENTRAL AVE I-2 DESCRIPTION OF WORK MISCELLANIOUS OWNER CONTRACTOR WIELAND CHARLES LEWIS OWNER WIELAND MARGUUERITE E A. P. # . . . . . 377-150-080 9 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . 500 ZONE . . . . . . NA BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 45 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 50 . 00 . 00 50 . 00 TOTAL 50 . 00 . 00 50 . 00 SPECIAL NOTES & CONDITIONS REPAIR HOLE IN CONCRETE SLAB FROM DYNO ROLLER. SUBJECT TO FIELD INSPECTION. Operator: COIM Date: 6/19/02 19 Receipt: O 82 Total Paywat $58.06 Ammt Tenbred City Of Lake Elsinore Building Safety Division Please Read and Initial: 1. 1 am Licensed under the provisions of Business and Professional Code Section 7000 et seq.and my license is in full force. Post in conspicuous place 2. 1,as owner of the property,or my employees w/wages as their sole compensation will do the work and the structure is not intended or on the job offered for sale. 3. 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project. You must furnish PERMIT NUMBER and the _ 4. 1 have a certificateofconsent to selfinsure ora certificate ofWorkers JOB ADDRESS for each respective inspection: Compensation insurance or a certified copy thereof. 5. [shall not employ any person In any manner so as to become subject Approved plans must be on job to Workers Coompensation Caws in the performance of the work for at all times: 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- visions or this permit shall be deemed revoked. Code Approvals Date Inspector EL01 Temp Elec Services P1_01 Soil Pipe Underground EL02 Elec Conduit Underground BP01 Footings SP02 Steel Reinforcement BPO3 Grout BPO4 Slab Grade p PLOt Underground Water Pipe SS01 Rough Septic System SWO1 On Site Sever BPO5 Floor Joists PI 03 Rough Plumb6ng h Electric-Conduit ELD4 Rou h Electric-Wiring EL05 Rough Electric-T-Bar ME01 Rough Mechanical ME02 Ducts,Ventilating P1_04 Rough Gas Pipe-Test PL02 Roof Drains BPIO Framing&Flashing BP12 Insulation BP13 Drywall Nailing BP11 Lathinq&Siding PL99 Final Plumbin EL99 Final Electrical ME99 Final Mechanical BP99 Final Building y— Code Pool&Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES Dep.Inspector Department Approval required prior to the Pool Pool Steel Rein./Forms building being released by the City Pool Pool Plumbing/Press.Test P003 Pre-Gunite EL06 Rough Pool ElectricDate Inspector Planning Sub List Approval Landscape P004 Pool Fencing/Access Finance P005 Pre-Plaster En ineerin P009 Final PooVSpa z City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT 02 -) 2q0 APPLICATION RECEIVED DATE �j.-) I RE —C)2- VALUATION CALCULATIONS AP# 337 I EO --o80 9 By K C- I st FLOOR SF B NG ADORESs � f O�� - 7� .1 J7-Z 2nd FLOOR SF TRACT SIOCK%PAGE LOWPARCEL 3rd FLOOR SF NAME GARAGE SF1J STORAGE SF i DECK&BALCONIES SF o Of OTHER: SF I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of O. ion 3 o1 the Basines%and Profession%Code,and my license is in full force and effect. LICENSE s CITY BUSINESS AND MSS TAX e VALUATION: l/ Y/V/ 0 NAIAf FEES .uIEINc ADDRESS BUILDING PERMIT S CITY STATE ZIP PHONE CCd+iRACTOP.*5 SIGNATURE DATE PLAN CHECK ADDITIONAL PLAN CHECK NAME LICENSE u tZ++ MAILING i ADDRESS v a < CITY STATE%ZIP PHONE =NEW REPAIR OCCGRP./ CONST. DIVISION: TYPE: MICROFILM .ADDITION --MOVE NUMBER OF NUMBER OF ALTERATION 1—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 TOWNHOMES units PROPOSED USE OF BUILDING: COMMERCIAL . INDUSTRIAL PAID PRESENT USE OF BUILDING: DATE JOB DESCRIPTION O I certify that I have read this application and state that the above information is correct_I agree to comply with all city and county ordinances and state lows reloting to building construction• and hereby authorize representatives of this A f city to enter upon the above-mentioned property for inspec- tion purposes. Sig ure of Applicont or Agent Dote AGENT FOR CONTRACTOR OWNER AGENT'S NAME AGENT'S ADDRESS S'Ful CITY STATE ZIP :T• r:. r • ,c