HomeMy WebLinkAboutBAKER ST 17428_02-00000688 (2) (\\AA f�
City of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 02--00000688 DATE : 10/24/02
JOB ADDRESS . . . . . 17428 BAKER ST
DESCRIPTION OF WORK ADD OR ALTER - RESIDENTIAL
OWNER CONTRACTOR
SYMMONDS JAMES OWNER
SYMMONDS DELORES
17428 BAKER ST
LAKE ELSINORE CA 92530
A. P. # 378-020-040 8 SQUARE FOOTAGE 249
OCCUPANCY . . . DWELLINGS, LODGING HOUSES GARAGE SQ FT 0
CONSTRUCTION . . . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . 18, 426 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63 . 00
17 . 00 X 12 . 5000 VALUATION 212 . 50
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 1 . 0000 SWITCHES / 1ST 20 1 . 00
4 . 00 X 1 . 0000 RECPT, OUTLET / 1ST 20 4 . 00
1 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 1 . 00
1 . 00 X 16 . 2500 MISC. WHERE NO OTHER FEE 16 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 275 . 50 . 00 275 . 50
ELECTRICAL PERMIT 57 . 25 . 00 57 .25
OTHER FEES
PLANNING REVIEW FEE 55 . 10 55 . 10 . 00
PLAN CHECK FEE 206 . 63 206 . 63 - . 00
TOTAL 594 .48 261 . 73 332 . 75
Oper: COUR BR
Date: 19/24/62 24 beeipt no: 2240
Total tendered $333.80
Total paywnt $332.75
Change 9.25
City Of lake Elsinore Please Read and Initial: y
Building Safety Division 1. 1 am Ucensed 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 F
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 certificate of consent to selfinsure or a certificate of Workers
JOB ADDRESS for each respective inspection: '^ Compensation insurance or a certified copy thereof.
5. 1 shall not employ any person In any manner so as to become subject
Approved plans must be on job to Workers Coompensation Laws 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 A royals Date Inspector
EL01 Temp Elec Services
PL01 Soil Pipe Underground
EL02 Elec Conduit Underground
BP01 Footings $ G
BP02 Steel Reinforcement
BP03 Grout
BPO4 Slab Grade
PLOT Underground Water Pipe
SS01 Rough Septic System
SW01 On Site Sewer
Floor Sheathing Nvig jeA2
Roof Frami= �-� Eoc-
I4J JC f}
EL04 Rou h Electric-Wiri
EL05 Rou h Electric-T-Bar
ME01 Rough Mechanical
ME02 Ducts Ventilating
PL04 I Rough Gem Pi -Test
y
P12 Insulation
SP13 Drvwall Nailing
BP11 Lathin &Siding___
PL99 Final Rumbing
EL99 Final Electrical ?�p Q
ME99 Final Mechanical
BP99 Final Bulldln }�
Code Pool&Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES
Dep.Inspector Departrnent Approval required prior to d*
P001 Pool Steel Rein./Forms building being released by the City
P001 Pool Plumbing/Press.Test
P003 Pre-Gunite
Date lnse2ctor
EL06 Rough Pool Electric
Planning
Sub List Approval
Landscam
P004 Pool Fenci Access
Finance
P005 Pre-Plaster
Engineering
P009 Final Pool/Spa
City of Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT 62
APPLICATION RECEIVED
DATE
VALUATION CALCULATIONS AP# Z22 By
BUILDING ADDRESS
1st FLOOR SF
2nd FLOOR SF TRACT BLOC AGE L PARCEL
3rd FLOOR SF
GARAGE SF NAME
STORAGE SF = MAILING PHONE
DECK&BALCONIES SF y . ADDRESS Y �� t�,2 7
OTHE CITY llce— D r STATE/ZIP
~/
+ SF I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
7000)of Division 3 of the Business and Professions Code,and my license is In full farce
and effect.
s LICENSE 0 CITY BUSINESS
!�kZ AND CLASS TAX#
VALUATION: g NAME
FEES MAILING
ADDRESS
BUILDING PER T $ CITY STATE/ZIP PHONE
/t/ f � _.,,/�/ ' /� CGNTRACTOR'S SIGNATURE pg7E
PLAN CHEC (r/¢//„/ (f�'l� Lf:/
3
ADDITIONAL PLAN CHECK J NAME LICENSE#
u
uZi MAILING
2 ADDRESS
V
a
Q CITV STATE/YIP PHONE
rEIADDITION
I.]REPAIR OCCGRP./ CONST.
DIVISION: TYPE:
MICROFILM ❑MOVE NUMBER OF NUMBER OF
ATION ❑DEMOLISH STORIES: BEDROOMS:
COPIES CIOTHER ZONE:
❑SINGLE FAMILY units HAZARD AREA? YES NO
IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units
F-ICONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
❑TOWNHOM- units PROPOSED USE OF BUILDING:
❑COMMERCIAL C,IINDUSTRIAL
PAID
PRESENT USE OF BUILDING:
DATE /
JOB DESCRIPTION
ElI 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 o enter upon the above-mentioned property for inspec-
tion p oses.
nature of A is r Agent Date
Operator: COIXTER
AGENT FOR ❑ CONTRACTOR ❑ OWNER Total Payaent 0261.73
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP REV.DATE 11.1.90
City of Lake Elsinore
130 South Main Street
APPLICATION NO.
APPLICATION FOR o 2_. c k cp
ELECTRICAL APPLICATION RECEIVED
PLUMBING PERMIT DATE ,�/ �142 Z
MECHANICAL AP 3 � �—�zG ,� y� By
C. I certify that I have read this application and state that the BUILDING ADDRESS Z
above information is correct. I agree to comply with all city f LCt 7, Lq l�cv L-"Z / C Iz
and county ordinances and state laws relating to building TRACT BLOCK/PAGE LOT/PARCEL
construction, and hereby authorize representatives of this
city to enter upon the above-mentioned property for inspec- V NAME �f
tion purposes. , Jiq'A"cl' /Dr yiw r►, 6, /� �
Y MAILING [ PHON
ADDRESS 7L/ Z 0r AlCC 2 S
/'�'S,• ra CIT _ STATE/ZIP
30
Signature icpnt or Agent Date 1 herebyaffirm that I am licensed under provisions of chapter 9 p p (commencing with Section
� 7000)of Division 3 of the Business and Professions Code,and my license is in full force
and effect-
AGENT FOR CJ CONTRACTOR OWNER LICENSE CITY BUSINESS
ANDCLASS TAX#
Q AGENT'S NAME NAME
MAILING
ADDRESS
AGENT'S ADDRESS
CITY STATE/ZIP PHONE
STREET CITY STATE ZIP
CONTRACTOR'S SIGNATURE DATE
BUILDING PERMIT NO.
ELECTRICAL Quan PLUMBING Quart MECHANICAL Quart
New Residential Multi Family Fixture or Trap Furnace up to 100,000 BTU's
New Residential Single Family Building Sewer Furnace Over 100,000 BTU's
Private Swimming Pools Rain Water Sys per Drain Floor Furnace/Vent
Switches/1 st 20 Private Septic System Unit Heater/Wall Heater
Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent
Recpt.Outlet/1 st 20 y Gas Piping System 1-4 Outlets Ventilating Fan
Recpt.Outlet/Over 20 Gas Piping 5 or More Outlets Exhaust Hood
Lighting Fixtures/1st 20 Dishwasher Fireplace
Res.Fixed Appliance/Outlet Solar Tank Commercial Incinerator
Nan-Res.Appliance/Outlet Solar Collector per Panel Air Handler ill- 10,000 CFM
100-200 Amp Service■600V Grease Trap/(Interceptor) Air Handler■ 10,000CFM
200.1000 Amp Service 19 600V Install,Alter or Repair System Fire Dampers
Service Over 1000 Amp or 600V Lawn Sprinkler System Registers
Misc Apparatus,Conduits,ETC Backflow Device Smaller than 2" Boiler/Compressor to 3 H.P.
Signs Backflow Device Larger than 2" Boiler/Compressor 3-15 H.P.
Sign Branch Circuit Floor Drain Boiler/Compressor 15-30 H.P.
Buswoys/EA 100 ft Floor Sink Boiler/Compressor 30-50 H.P.
Temporary Power Service Water Service Boiler/Compressor► 50 H.P.
Temp.Power Distribution Sys, Alter or Repair Drain or Vent Repair/Alter Misc.HVAC Equip.
MOTORS/TRANSFORMERS Fire Sprinklers per Building
Motors up to 1 H.P. SWIMMING POOL
Motors/Transformers 1-10 H.P. Swimming Pool/Public
Motors/Transformers 10-50 H.P. Swimming Pool/Private
Motors/Transformers 50.100 H.P. Water Heater/Vent
Motors/Transformers■ 100 H,P, Replace Piping
Replace Filter
Misc.Replace
Gas Piping
REV,DATE 11-1-90