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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 �� �