HomeMy WebLinkAboutSPRING ST N 504 (2)CITY OF i,
i,AK_E ,LSIIYORX BUILDING & SAFETY
ii DREAM EXTREME,.
PERMIT
PERMIT NO: 12- 00001790
JOB ADDRESS . . . . . 504 N SPRING ST
DESCRIPTION OF WORK . OCCUPANCY PERMIT
7 ^1 1D17
COHEN CLEMENT & ESTHER
A.P.# . . . . . 377- 242 -023 2
OCCUPANCY . . . .
CONSTRUCTION . . .
VALUATION . . . .
OCCUPANCY PERMIT
QTY UNIT CHG
BASE FEE
CONTRACTOR
OWNER
FEE SUMMARY CHARGES
PERMIT FEES
OCCUPANCY PERMIT 30.00
OTHER FEES
PROF.DEV.FEE 1 TRADE 5.00
TOTAL 35.00
SPECIAL NOTES & CONDITIONS
OCCUPANCY FOR 5STARSCOOTER@COMLLC
130 South Main Street
DATE: 12/12/12
SQUARE FOOTAGE
GARAGE SQ FT .
FIRE SPRNKLR .
ZONE . . . . .
ITEM CHARGE
30.00
PAID
00 30.00
00 5.00
00 35.00
NA
0
0
W. CWEFe Type: IF 1A-aW. 1
I& 12(012 12 R Wipt M: 2970
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EK CHU 10M . MUD
Trass date: 12/012 TiW. 15:911:22
City of Lake Elsinore
Building Safety Division
Post in conspicuous place
on the job
You must furnish PERMIT NUMBER and the
JOB ADDRESS for each respective inspection:
Approved plans must be on job
at all times:
Please read and initial
L I am Licensed under the provisions of Business and professional Code Section 7000 et sea. and
1 14
my license is in full force.
2. l,as owner of the property,or my employees w /wages as their sole compensation will do the work
and the structure is not intended or offered for sale.
3. Las owner of the property,am exclusively contracting with licensed contractors to construct the
project.
4. I have a certificate of consent to selfinsum or a certificate of Workers Compensation Insurance
or a certified copy thereof.
5. 1 shall not employ any person in any manner so as to become subject to Workers Compensation
Laws in the performance of the work for which this permit is issued.
Note: If you should become subject to Workers Compensation after making this certification,
you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
EL01 Temporary Electric Service
PLOT Soil Pipe Underground
EL02 Electric Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BP03 1 Grout
BP04 Slab Grade
PLOT Underground Water Pipe
SSO1 Rough Septic System
SWOT On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 lRoof Framing
BPO8 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric / T -Bar
MEOI Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP 10 Framing & Flashing
BP12 Insulation
BP13 Drywall Nailing
BPI I Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building being released by the CityPOOLPoolSteelRein. / Forms
POOL Pool Plumbing / Pressure Test
P003 Pre- Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval I Landscape
P004 Pool Fencing / Gates / Alarms Finanee
P005 Pre -Pia ter Approval Engineering
P009 JFinal Pool / Spa
L7'T`C OF
LADE LSINORE
D DREAM EXTRFMF,N.
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1 st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK 8 BALCONIES SF
OTHER: SF
VALUATION:
FEES
BUILDING PERMIT $
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
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 insp-
tion purposes.
Signature of Applicant or Agent Date
Agent for contractor owner
Agents Name
Agents Address
Street City State Zip
130 South Main Street
APPLICATION NO
APPLICATION RECEIVED
DATE
BUILDING
TRACT A AR
o a crt f- l K4 C 615
N
T
C
O
N hereby affirm that 1 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 force and
effect. LICENSE It CITY
BUSINESS AND CLASS TAX
ft
T
R
NAME
A
C
L
ADDRESS
T
O CITY STATE /ZIP
PHONE R N SIGNAFURE
DATE
A E LICENSE
If
R
C
MAILING
ADDRESS H CITY A /l P
PHONE NEW OCC
GRP !
DIVISION
CONSTTYPE
ADDITION ALTERATION NUMBER
OF
STORIES. NUMBER
OFBEDROOMS
OTHER SINGLE FAMILY
ZONE
APARTMENTS CONDOMINIUME
HAZARD
AREA?
YESNOTOWN
HOMES COMMERCIAL
SPRINKLERS REQUIRED
7
YESNO
INDUSTRIAL REPAIR PROPOSED USE OF
BLDG: PRESENT USE OFBLDG
DEMOLISH JOB
DESCRIPTION --
L