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