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HomeMy WebLinkAboutBAKER STREET 17428_03-00002152 n� City of Lake Elsinore -F PERMIT 130 South Main Street PERMIT NO: 03-00002152 DATE: .11/03/03 JOB ADDRESS . . . . . 17428 BAKER ST DESCRIPTION OF WORK PATIO OWNER CONTRACTOR SYMMONDS JAMES OWNER SYMMONDS DELORES 17428 BAKER ST LAKE ELSINORE CA 92530 A. P. # . . . . . . 378-020-040 8 SQUARE FOOTAGE 360 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION FIRE SPRNKLR VALUATION . . . 2 , 520 ZONE . . . . . . NA BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 63 . 00 1 . 00 X 12 . 5000 VALUATION 12 . 50 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 80 . 50 . 00 80 . 50 OTHER FEES PLANNING REVIEW FEE 15 . 10 . 00 15 . 10 PLAN RETENTION FEE 2 . 50 . 00 2 . 50 SEISMIC GROUP R . 50 . 00 . 50 PLAN CHECK FEE 56 . 63 . 00 56 . 63 TOTAL 155 . 23 . 00 155 .23 SPECIAL NOTES & CONDITIONS PATIO (20 'X181 ) - LIGHT WEIGHT. coulm total liter13 bae3pt A°' 2312 total payaent 0155.x+ 615&23 City Of Lake Elsinore Building Safety Division Please Read and initial: 1. 1 am Licensed under the provisions of Business and Prufeeslatlal Code Section 7000 et seq.and my license is in full force,. Post in conspicuous place K/l�LL"� 2. 1.as owner of the property,or my employees w/wages as their sole compensation wilt 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 tosellinsureora certificate ofWorkers JOB ADDRESS for each respective inspection: Compensation Insurance or a certified copy thereof. Approved plans must be on job 5. 1 shall not employ any person in any manner so as to become subject to Workers Coompeneation Laws In the performance of the work for at all titres: 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 Approvals Date Inspector EL01 Temp Elec Services PLo1 Soil Pipe Underground EL02 Elec Conduit Underground SPol Footings BP02 Steel Reinforcement BPW Grout 8PO4 Slab Grade PLo1 Underground Water Pipe SS01 Rough Septic System SWol On Site Sewer BeQ5 Floor Joists PLga Rough Plumbing EL03 Rough Electric-Candutt EL04 Rough Electric-Wiri EL05 Rou h Electric-T-Bar ME01 Rough Mechanical ME02 Ducts Ventilating PL04 Rough -T PLO2 Roof Drains SE10 Framing&Flashing OPig jnsulation BP13 Drywall Nailing BP11 Lathin &Siding PL99 Final Plumbin EL99 Final Electrical ME99 Final Mechanical BP99 Final Buildingt Code Pool&Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES Dep.Inspector Department Approval required prior to the Pool Pool Steel Resin./Forms building being released by the City pool Pool Plumbing/Press.Test P003 Pre-Gunite EL06 Rough Pool Electric Date Inspector Planni Sub List Approval Landscape P004 Pool Fenci /Access FinangR P005 Pre-Plaster Engineering P009 Final Pool/spa City f . o Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO- BUILDING PERMIT 3 - 2-f S_ 2--- APPLICATION RECEIVED DATE ,� D b VALUATION CALCULATIONS AP# By •I$t FLOOR SF BUILDING ADDRESS !ram fi V /7y,? 2nd FLOOR SF TRACT BLOCK/PAGE LOT/PARCEL 3rd FLOOR SF w GARAGE SF NAME��q -� STORAGE SF z MAILING PHONE DECK&BALCONIES SF , o ADDRESS 7YZ r 4A kk-a S Z ��� CITY � STATE/ZIP OTHER: rQ r1'r S'���rzi. C'A_ 9 7 S� SF I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z)al Division 7 of the Business and Professions Code,and my license is in full force and effect. LICENSE N CITY BUSINESS AND CLASS TAX# VALUATION: 5- t o NAME FEES MAILING ADDRESS BUILDING PERMIT $ CITY STATE/ZIP PHONE CONTRACTOR'S SIGNATURE DATE PLAN CHECK ADDITIONAL PLAN CHECK NAME LICENSE v Z MAILING • - z ADDRESS u e Q CITY STATE/ZIP PHONE ❑NEW ❑REPAIR OCCGRP,/ CONST- DIVISION: TYPE: MICROFILM CADDITION ❑MOVE NUMBER OF NUMBER OF ❑ALTERATION ❑DEMOLISH STORIES: BEDROOMS: COPIES ❑OTHER ZONE: ❑SINGLE FAMILY units HAZARD AREA? YES NO IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units ❑CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO ❑TOWNHOMES units PROPOSED USE OF BUILDING: ❑COMMERCIAL ❑INDUSTRIAL PAID PRESENT USE OF BUILDING: DATE JOB DESCRIPTION © I 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 f A cant or Agent Date AGENT FOR ❑ CONTRACTOR ❑ OWNER AGENT'S NAME AGENT'S ADDRESS STREET CITY STATE ZIP REV-DATE 11-1-90