HomeMy WebLinkAboutLAKESHORE DR 16746_01-00001274City of Lake Elsifi-a'ed
PERMIT 130 South Main
PERMIT NO: 01- 00001274 DATE: 12/05/01
JOB ADDRESS . . . . . 16746 W LAKESHORE DR
DESCRIPTION OF WORK REROOF
OWNER CONTRACTOR
ALPINE INV LTD DIAMOND ROOFING
TEPPER ROBERT 345 S. LEMON AV.
P O BOX 280219 WALNUT, CA 91789
NORTHRIDGE CA 91328 909 -595 -7574
213 - 634 -8022 LIC EXP 0 /00 /00
A.P.# . . . . . 378- 290 -017 3 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . . . . . . NA
REROOF PERMIT
QTY UNIT CHG
1.00 X 5.0000 PROFESSIONAL DEV FEE
100.00 X 3.0000 REROOF
FEE SUKvL RY CHARGES
PERMIT FEES
REROOF PERMIT 305.00
OTHER FEES
PLAN RETENTION FEE 1.00
TOTAL 306.00
SPECIAL NOTES & CONDITIONS
100 SQ HOT MOP ROOF OVER 1 LAYER SAME
ITEM CHARGE
5.00
300.00
PAID DUE
00 305.00
00 1.00
00 306.00
2001 1274 8306.00 BP
Date: 12/05/01 05 Receipt: 0002811
CHECK 57
0000iK;:0000000
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:
Please Read and Initial:
1. 1 am Licensed under the provisions of Business ancirProfessional
Code Section 7000 et seq. and my license is in full'force.
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
offered for sale.
3. 1, as owner of the property, am exclusively contracting with licensed
4. ]have
to construct the project.
y 4. av a certificate of consentt oselflnsure ora certificate o(Workers
Compensation insurance or a certified copy thereof.
5. [shall not employ any person in any manner so as to become subject
to Workers Coompensation Laws in the performance of the work for
which this permit is issued.
Note: !(you should become subject to Workers Compensation after
making this certification, you must forthwith comply with such pro-
visions or this permit shalt be deemed revoked.
Code Approvals Date Ins for
EL01 Temp Elec Services
PL01 Soil Pipe Underground
EL02 Elec Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO1 Underground Water Pipe
SS01 Rough Septic System
SW01 On Site Sewer
Floor Joists
RP06 Floor Sheathing
Roof Sheath+no
HP09 Shear Wall & Pre-1 alb
PI 03 Rouch Plumbinc
h Electric-Conduit
EL04 Rough Electric-Wiring
EL05 Rough Electric -T -Bar
ME01 Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe-Test
121-02 Roof Drains
Framing Flashino
y}
BP12 Insulation
i
a
BP13 Drywall Nailing Q
BP11 Lathing 8 Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool & Spa Approvals Date Inspector
OTHER DEPARTMENT RELEASES
De p. Inspector Department Approval required prior to the
building being released by the CityPoolPoolSteelRein. /Forms
P00l Pool Plumbing/Press. Test
P003 Pre- Gunite
Date Inspector
EL06 Rough Pool Electric
Planning
Sub List Approval
Landscape
P004 Pool Fencing/Access
Finance
P005 Pre - Plaster
En ineerin
P009 Final Pool/Spa
j O
yi
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1 si FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER:
CITY STATE /ZIP
SF
WA
VALUATION: 4F 0 2
FEES
BUILDING PERMIT $
PLAN CHECK
ADDITIONAL PLAN CHECK
MICROFILM
COPIES
IMPRO FEES ® SCHOOL FEES d
PAID
City of Lake Elsinore
1 certify that I have read this application and state that the
above information is correct. 1 agree to comply with all city
and county ordinances and state lows relating to building
construction. and hereby authorize representatives of this
city to enter upon the above - mentioned property for inspec-
q6n purposes.
tSigfial re of Applicant or Agent Date
AGEN FOR CONTRACTOR OWNER
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP
130 South Main Street
APPLICATION NO.
I-IA74
APPLICATION RECEIVED
DATE ,Z
APY/ U
By
BUILDING ADDRESS
Lam'
TRACT Bl K /PAGE LOT /PARCEL
NAME
Z
O
MAILINC
ADDRESS
PHONE
CITY STATE /ZIP
I hereby affirm that 1 am licensed under provisions 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.
LICENSE a /' CITY BUSINESS
b TAX RANDCLASSC-
0NAME
C>C> r
MAILING
ADDRESS 5 -74-, o L—
Ctir S1ATE ZIP I/ PHONE
U 71-;2
CONTRACTOR'S SIG AT ATE i
u
NAME LICENSE R
Z
U
MAILING
ADDRESS
a
CITY STATE /ZIP PHONE
CNEW REPAIR OCC GRP./ CONST.
DIVISION: TYPE:
OMOVE NUMBER OF NUMBER OF
STORIES: BEDROOMS: CALTERATION CIDEMOLISH
IADDITION
OTHER ZONE:
SINGLE FAMILY units
HAZARD AREA? YES
ZAPARTMENTS units
ZXONDOMINIUMS units SPRINKLERS REQUIRED? YES
TOWNHOMES units PROPOSED USE OF BUILDING:
PRESENT USE OF BUILDING:
X.COVIMERCIAL --INDUSTRIAL
JOB DESCRIPTION S
t
REV. DATE 11.1 -90
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