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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