HomeMy WebLinkAboutSHORELINE DRIVE 33125_03-00000830 1
- City of Lake Elsinore
T PERMIT 130 South Main Street
PERMIT NO: 03-00000830 DATE : 5/28/03
JOB ADDRESS . . . . . 33125 SHORELINE DR
TENANT NBR, NAME . . LT 7 PLAN 2 TR # 19358
DESCRIPTION OF WORK SINGLE FAMILY RESIDENCE
OWNER CONTRACTOR
LKE HOMES LLC PACIFIC COMMUNITIES BUILDER
1000 DOVE ST 100 1000 DOVE STREET, SUITE 100
NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660
949-660-8988
LIC EXP 0/00/00
A. P. # . . . . . 381-352-007 9 SQUARE FOOTAGE 2197
OCCUPANCY . . . DWELLINGS, LODGING HOUSES GARAGE SQ FT 438
CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . 171, 230 ZONE . . . . . . R-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 895 . 00
72 . 00 X 5 . 0000 VALUATION 360 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
2197 . 00 X . 0500 NEW RES . SINGLE FAM /SQFT 109 . 85
2 . 00 X 1 . 0000 SWITCHES / 1ST 20 2 . 00
3 . 00 X 1 . 0000 RECPT, OUTLET / 1ST 20 3 . 00
3 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 3 . 00
1 . 00 X 27 . 2500 100-200AMP SERVICE<600VLT 27 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 13 . 2500 FAU/FURNACE/DUCTS/VENTS Oper:2QUilk§ Type: DF Draaer: 1
1 . 00 X 6 . 5000 VENTILATING FAN Date: 6/2T03 29 Receipt no: 5460
1 . 00 X 9 . 5000 EXHAUST HOOD 834
830
1 . 00 X 16 . 2500 FIREPLACE BP72b PERMIT i $4417.27
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE BP HOLL®IOG PERMIT 1 $4211.85
2W3 832
PLUMBING PERMITS 2093 835
QTY UNIT CHG I'AM Mg.�;KRRMMIT 1 $4417.27
BASE FEE BP Vl&iG PERMIT 1 $4417.27
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 2CU00 831
11 . 00 X 8 . 7500 FIXTURE OR TRAP BP 9%IIUIWG PERMIT 1 $4211.85
*** CONTINUED ON NEXT PAGE ***
P
Please Read and Initial
I I am Lia•n�vd under the provisions of Business and Professional
Code Section 7000 et seq and my license is in full force
Pol,t in con,, )icuo us place 2 1 as owner of the property or my employeesw/wages as their sole
compensation udll do the work and the structure is not Intended or
(1I1 tilejot) offered for sale
3 1 as owner of the property am exclushely contracting with licensed
contractors to construct the project
4 1ha�eacertificateofconsenttoselflnsureora certificate ofWorkers
It Compensation insurance or aceruf7edcopy thereof
5 I shall not employ any person in any manner so as to become subject
i , tt1 IiIU I i Ii I,,k to Workers Coompensation laws in the performance of the work for
.11 Iilii •, 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 p,rmit%hall be deemed revoked
C Dce 4co C.a s Da e I^s-*0
:L_ Te•—J E e-_Se-.ces
F L So 'oe U-ce•,•o_-c
F!J? F ev:CL^-cam
BP" Fac
cPI-2 qe- :e—+
EY Sn- :]-ace
PL, U-or - ::a e•P ze
SS-.; %-:; Sri S.c e—
S, D-S e S�E-e-
P jrc -
-
n-a -
C
a, oTes
+I _
PP a -
❑P 2 i
PP 3 --a Na
3P LP ---3 S-c"
PI- o - —- -
EIS F Ee.;
ME_c F-a Yec-a".ca
3F199 F--a =_ c-C
Coce s S:,a a.a s Da e h-sce J• OTHER DEPARTMENT RELEASES
Dt'Q3fVT1E'nt Q1Qpf('Ni3l required pr10(f0 If12
u P;rJ See 2e- Fc--s budding being released by the City
Pam- PJc P — "c c`ess Tes
�,Jv3 P e l
Date Inspector
ELx Po_;- Paz E e:
Pia n n,
Lanciscaoe
7•�`� P:ti Fri- 'cess
Finance
Fui j P��e
Enaineenn
E:j
Ci,ty of Lake Elsinore
y PERMIT130 South Main Street
PERMIT NO: 03-00000830 DATE: 5/28/03
** PAGE 2
JOB ADDRESS . . . . . 33125 SHORELINE DR
TENANT NBR, NAME . . LT 7 PLAN 2 TR # 19358
DESCRIPTION OF WORK . SINGLE FAMILY RESIDENCE
1 . 00 X 22 . 0000 BUILDING SEWER 22 . 00
1 . 00 X 11 . 0000 WATER HEATER OR VENT 11 . 00
1 . 00 X 11 . 0000 GAS PIPING SYS 1-4 OUTLET 11 . 00
1 . 00 X 4 . 2500 DISHWASHER 4 . 25
1 . 00 X 13 . 2500 LAWN SPRINKLER SYSTEM 13 . 25
1 . 00 X 8 . 7500 WATER SERVICE 8 . 75
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 1260 . 00 . 00 1260 . 00
ELECTRICAL PERMIT 180 . 10 . 00 180 . 10
MECHANICAL PERMIT 80 . 50 . 00 80 . 50
PLUMBING PERMITS 201 . 50 . 00 201 . 50
OTHER FEES
LIBRARY MITIGATION 150 . 00 . 00 150 . 00
PARK CIP FEE 1600 . 00 . 00 1600 . 00
PLANNING REVIEW FEE 251 . 00 . 00 251 . 00
PLAN RETENTION FEE 1 . 00 . 00 1 . 00
SEISMIC GROUP R 17 . 12 . 00 17 . 12
PLAN CHECK FEE 470 . 63 . 00 470 . 63
TOTAL 4211 . 85 . 00 4211 . 85
SPECIAL NOTES & CONDITIONS
SFR
Oper: COUNTER Type: DF Drawer: 1
Date: 5/29/03 29 Receipt no: 5460
2003 830
BP BUILDING PERMIT 1 $4211.85
Trans number: 68869
CK CHECK 1835 $30510.05
Trans date: 5/29/03 Time: 8:55:24
s '- d
Please Head and Imlwl
I I am Llcens_d under the provisions of Business and Professional
Code Section 7000 et seq and my license is In full force
I'n,t In LunNpicutluc place
2 1 as owmer 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 joh offered for safe
3 1 as owner of the property am ex(IusNely contracting with licensed
contractors to construct the project
\1111-R I'd Th _ 4 Ihasea certificate ofconsenttoselfinsureora certificate ofWorkers
11%c I i'e�il,'1 Compensation Insurance or a certified copy thereof
5 1 shall not employ anv person to any manner sods to become subject
h, L:II iilU f I< i'Il Ii`i to Workers Coompensation Laws in the performance of the work for
11 i I lilt� which this permit is issued
Note If you should become subject to Workers Compensation after
making this certlficanon you must forthwith comply with such pro-
visions or this permit shall he deemed revoked
C_ce A t.as Da•e I-soec,o•
Ter-'-=r_ Sr-,ces
aL _?U-ce
EL32 E YG_
BPC I) b C,Y.na
cP�-' Sire I.e-G .e—er
PL U-w-c a--C:.'a e,P c?
SS aC_-- S-FG C S,s a—
S';- S e Se++r
a P
G
EL
F1 35 ^G_-- F x T 5�
�L_ -- Zas I'Z?
nP
3P 9 i-s
ga 3 D- .-a Na
5-1'' La- SC
L
EL?; -a Ee, ca
E'3� --a S- c-c
-cce P-D s S aro.as Da e irsee, Y OTHER DEPARTMENT RELEASES
::eG t-s- -- 1' Department Approval required prior to fte
Poc S re �:Zr- FG--s �0 1 building being released by the City
P, P--a--P•ess Tes
FID a _- e -
Date Inspector
EL:c no--S-Poc c __
Ptanni
S-GLs'A .:.,.a
Landsca-
rJ•.� nrrJ Fe-c-i,Access
Finance
PIN 5 ' Engineering
o3-a - ,a Par. Sae
L
t
City of Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION N
BUILDING PERMIT
APPLICATION RECEIVED
C� DATE —�
VALUATION CALCULATIONS AP# 3g S 1 By
1st FLOOR
BUILDING ADDRESS
SF
2nd FLOOR r SF TRACT/ �1 �-y�j BLOCK/PAGE LOT/ CEL
3rd FLOOR SF LI/ UX
GARAGE SF � NAME�,/-AZ ,z , k' J
STORAGE SF Z MAILING / I PHONE ��
DECK& BALCONIES SF ADDRESS�QpCi V 6� (/J\
CITY STATE/ZIP
OTHER {r/J Q CI
I.D 3 SF I hereby ofhrm that I am licensed under provisions of Chapter 9(commencing with Section
7000)of Dtvtsion 3 of the Business and Professions Code and my license is in full force
and effect
a LICENSE At /f/ "� TIITYBUSINESS
/ /C]L AND CLASS (� (p�7lie
VALUATION: 1 L (�) lJ O� NAME/,
FEES MAILING
ADDRESS
BUILDING PERMIT $ CITY S
TATE-ZIP PHONE
CONTRACTOR S SIGNATURE DATE
PLAN CHECK
ADDITIONAL PLAN CHECK V NAME �y �� LICENSE
MAILING
v ADDRESS
C/�j I I/l.�• �(.( f QJ ///
`C M� ", �I TE/ZIP oz �� HONE
EW []REPAIR OCCGRP./ CONST
DIVISION TYPE
MICROFILM ADDITION ❑MOVE NUMBER OF NUMBER OF
❑ALTERATION ❑DEMOLISH STORIES. BEDROOMS
COPIES ❑OTHER ZONE
SINGLE FAMILY units HAZARD AREA? YES NO /
1MPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units
❑CONDOMINIUMS units SPRINKLERS REQUIRED9 YES NO
❑TOWNHOMES units PROPOSED USE OF BUILDING
❑COMMERCIAL ❑INDUSTRIAL
PAID PRESENT USE OF BUILDING'
DATE
JOB DESCRIPTION
❑ 1 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 laws relating to building
construction, and hereby authorize representatives of this
city to enter upon the above-mentioned property for inspec-
tion purposes
Signature of Ap cant or6 ent Dote
AGENT FOR CONTRACTOR ❑ OWNER
E
AGENT'S NAME c n
AGENT'S ADDRESS ��AV ,Cs �� �