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POTTERY STREET 1212 W_05-00001299
s Cityof Lake Elsinore 130 South Main Street PERMIT PERMIT NO: 05—UUUU1299 DATE: 4/12/05 JOB ADDRESS . . . . - . : 1212 W POTTERY ST DESCRIPTION OF WORK BLOCK WALL OWNER CONTRACTOR HAGEN INVESTMENTS INC. HAGAN INVESTMENTS 280 WALNUT HILLS DRIVE 280 WALNUT HILLS DR SAN MARCOS CA 92078 SAN MARCOS CA 92078 76-724-0992 760-724-0992 LIC EXP 0/00/00 A. P. # . . . . . . 374-092-001 8 SQUARE FOOTAGE 0 OCCUPANCY . . . . GARAGE SQ FT . 0 CONSTRUCTION . . . FIRE SPRNKLR ' . VALUATION . . . . 2, 860 ZONE . . . . . . R-1 BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 63 . 00 5 . 00 X 12 . 5000 VALUATION 62 . 50 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 130 . 50 . 00 130 . 50 OTHER FEES PLANNING REVIEW FEE 25 . 10 . 00 25 . 10 PLAN RETENTION FEE . 52 . 00 . 52 SEISMIC GROUP R . 50 . 00 . 50 TOTAL 156 . 62 . 00 156 . 62 SPECIAL NOTES & CONDITIONS BLOCK WALL Oper: COUNTER Type: DE Dcawer: 1 Date: 4/12/05 12 Receipt no: 5348 2005 1299 BP - BU?LDING PERMIT 1 $156.62 Trans number: 85978 CK CHECK -1024- $Z2743.44 Trans date: 4/12/05 Time: 14:20:29 City of Lake Elsinore Please read and initial Building Safety Division 1.I 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 .I,as owner of the property,or my employees w/wages as their sole compensation will do the work on the job and the structure is not intended or offered for sale. 3 I as owner of the property,am exclusively contracting with licensed contractors to construct the You must furnish PERMIT NUMBER and the project. JOB ADDRESS for each respective inspection: 4.1 have a certificate of consent to selfinsure or a certificate of workers Compensation Insurance Approved plans must be on job or a certified copy thereof at all times: I shall not employ any person in any manner so as to become subject to Workers Compensation Laws in the performance of the work for which this permit is issued Note:If you should become subject to Workers Compensation after making this certification, Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked. ELO 1 Temporary Electric Service PLO I Soil Pipe Underground EL02 Electric Conduit Undergroundlet fAA BPO1 lFootings BP02 Steel Reinforcement BP03 Grout �/� 'r ' BP04 Slab Grade PLO 1 Underground Water Pipe SSO 1 Rough Septic System SWO1 On Site Sewer BP05 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BPOS Roof Sheathing BP09 Shear Wall&Pre-Lath PLO3 Rough Plumbing EL03 lRough Electric Conduit EL04 I Rough Electric Wiring EL05 lRough Electric/ T-Bar ME01 JRQugh Mechanical ME02 Ducts,ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP 10 Framing&Flashing BPI 2 Insulation BP13 Drywall Nailing BPI 1 Lathing&Siding PL99 Final Plumbing EL99 Final Electrical ME99 JFinal Mechanical BP99 117=1 Building Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the POOI Pool Steel Rein /Forms building b ing released by the City POO I Pool Plumbing/Pressure Test P003 Pre-Gunite Approval Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landscape P004 Pool Fencing/Gates/Alarms Finance P005 Pre-Plaster Approval Engineering P009 lFinal Pool/Spa = Cityof Lake Elsino 130 South'Main Street APPLICATION FOR APPLIC�TSI¢N/ BUILDING PERMIT DATE�C/ATION RECEIVED DATE VALUATION CALCULATIONS 3 7 BU LDING ADDRESS 1st FLOOR SF TRA T BLOCKIPAGE LOT/PARCEL 2nd FLOOR SF NAM 3rd FLOOR SF 0 I\f r W MAILING .. / I-P N GARAGE SF N ADDRESS gj I S STORAGE SF R CITY � TAMP 1 hereby affirm that 1 am licensed under provisions of chapter 9(commencing DECK&BALCONIES SF with section 7000)of division 3 of the business and professions code,and my _ C license is in full force and effect OTHER: SF 0 LICENSE 1 � (�'�7 CITY BUSINESS N AND CLASS TAX# �Orn/� �n T E VALUATION. R © V 0 A AD AIUNG C ADDRESS FEES ' �� T CITY STATEIZIP PHONE J 0 BUILDING PERMIT 5 R CONTRACTOR'S SIGNATURE DATE -- PLAN CHECK NAME LICENSE# A _ PLAN REVIEW . I R C JADDRESS SEISMIC --3 C2 H ICITY STATOZIP PHONE PLAN RETENTION - -S Z ❑NEW OCC GRP./ CONST D ADDITION DIVISION: TYPE- - 0 ALTERATION NUMBER OF NUMBER OF p OTHER STORIES: BEDROOMS 0 SINGLE FAMILY ZONE: ❑APARTMENTS Q 1 certify ttuil 1 haw read dds applicalm mid state that the 0 CONDOMINIUMS HAZARD YES above information is correct.I agree to comply with all city p TOWN HOMES AREA? NO and county ordinances and state laws relating to buffing ❑COMMERCIAL SPRINKLERS YES construction,and hereby authorize representatives of this 0 INDUSTRIAL REQUIRED? NO city to enter upon the abm4e-mentioned pmperty for insp- ❑REPAIR PROPOSED USE OF BLDG: lion purposes. ❑DEMOLISH PRESENT USE OF BLDG: JOB DESCRIPTION Signature of Appli or Agent Date Rom- �j (� �,V Agent for Q contractor ❑ owner ' Agents Name Agents Address Street City State Zip r - - C .h �C 201 4 39 FL { FUTURE DE 5.00' If1334—— 40.0 TV 44.0 TOP RE 323 FCC '� it 29.00" 39.0 TOP FTC 00 C n .5 f L+ �39.6 39.8 FL f i\ . z. ,V CURB 'n . 1 ' 39.9 FL 39.2 rL r. n � m1 r RAISED B (1328 r��C--it,; `. F, DATION B � RAISED FOUN� 201� `t ` 0.4Fi �' '�'��_ , DRAIN PER DETtt .� 3�3 TW � W i326}-30_ \ ���� \\\ �� ! 6-FQ DTIVEWAY 1 25.25 2S.7F FG + M , \\ \25.96 G; DR IVE�V1/AY 04 tl V XI324Y__�R 27.5`FF Z iko�'�r�G n �� 14010 27.0 PAD i IN E 00, i\\\B D N!V 010- I n, I 'ERMIT�# t n i 1 31.0 TOP RET Wi APP OVED 27.0 TOP FTG . . 2, (Z— RAISED EXISTING GROUND FOUNDATION STAIRS ter;,,,! ;3•_ .4'�:"'_= r �- 'y i STAIRS40. .. \\ \ � Y•.s -4324 Liz,