HomeMy WebLinkAbout16758 W LAKESHORE DR D_BLDG-2020-00077 CITY OF Anr,-MPERMIT NUMBER: BLDG-2020-00077
CITY OF
Issue Date: 01/16/2020 Expiration:06/15/2021
LADE LJ9LSIROU This permit will expire 365 days from the Issue Date or the date of the
��v DREAM EXTREME last completed inspection. It is the responsibility of the permittee to
1W" ensure this permit is finaled. Permits that expire will need to be pulled
WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable.
CITY OF LAKE ELSINORE
130 SOUTH MAIN STREET Permit Type: BUILDING
LAKE ELSINORE, CA 92530 Work Classification: CERTIFICATE OF OCCUPANCY
(951) 674-3124 Permit Status: FINAL
PROJECT ADDRESS PARCEL NUMBER: 378290015
16758 W LAKESHORE DR D Valuation: $0.00
LAKE ELSINORE, CA Total Sq Ft: 0
PERMIT CONTACTS ADDRESS PHONE CELL
OWNER
CHU YUN
OLD GLORY SMOKE SHOP APPLICANT
SAWSAN NISSAN
DESCRIPTION OF WORK TRACT: LOT: PLAN #:
OWNER NAME CHANGE "OLD GLORY SMOKE SHOP"
FEES TOTAL FEES: $216.00 AMOUNT DUE: $108.00
INSPECTION PROCESS FEE INSPECTION PROCESS FEE OCCUPANCY PERMIT
OCCUPANCY PERMIT PROFESSIONAL DEVELOPMENT FEE- PROFESSIONAL DEVELOPMENT FEE-
OCCUPANCY OCCUPANCY
PERMIT INSPECTION HISTORY REPORT (BLDG-2020-00077)
• ' TYLER TECHNOLOGIES
Permit Type BUILDING Application Date 01/16/2020 Owner: CHU YUN
Work Class: CERTIFICATE OF OCCUPANCY Issue Date: 01/16/2020 Parcel 378290015
Status: FINAL Expiration Date: 06/15/2021 Address 16758 W LAKESHORE DR D
LAKE ELSINORE,CA
IVR Number: 116767
Scheduled Actual Reinspection
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Required? Complete
O6/15/2020 FINAL FIRE NBF-045249-2020 PASSED(PERMIT) RONNIE MORALES No Complete
INSPECTION
09/01/2020 09/01/2020 SINGLE FAMILY IBLD-048017-2020 PASSED(PERMIT) Scott Bums No Complete
RESIDENCE FINAL
Checklist Item COMMENTS Approved
FINAL BUILDING Yes
May 15,2024 2160 Satelite Blvd NW Suite 300 Duluth,GA 30097 Page 1 of 1
PERMIT • ' (BLDG-2020-00077)
• ' TYLER TECHNOLOGIES
Permit Type BUILDING Project: App Date: 01/16/2020
Work Class: CERTIFICATE OF OCCUPANCY District: NA Issue Date: 01/16/2020
Status: FINAL Square Feet: 0.00 Exp Date: 06/15/2021
Description: OWNER NAME CHANGE"OLD GLORY Valuation: $0.00 Final Date: 09/01/2020
SMOKE SHOP"
Parcel: 378290015 Main Address: 16758 W Lakeshore Dr,D Main
Lake Elsinore,CA
APPLICANT OWNER
Old Glory Smoke Shop Chu Yun
Sawsan Nissan 16738 Lakeshore Dr
16758 Lakeshore Dr Lake Elsinore,CA 92530
Lake Elsinore,CA 92530 Home:
Home: Business:
Business: Mobile:
Mobile:
Invoice No. Fee Fee Amount Amount Paid
INV-00022284 OCCUPANCY PERMIT $30.00 $30.00
INSPECTION PROCESS FEE $73.00 $73.00
PROFESSIONAL DEVELOPMENT FEE-OCCUPANCY $5.00 $5.00
Total for InvoiceINV-00022284 $108.00 $108.00
NOT INVOICED INSPECTION PROCESS FEE $73.00 $0.00
OCCUPANCY PERMIT $30.00 $0.00
PROFESSIONAL DEVELOPMENT FEE-OCCUPANCY $5.00 $0.00
Total for Invoice NOT INVOICED $108.00 $0.00
Grand Total for Permit $216.00 $108.00
May 15,2024 2160 Satelite Blvd NW Suite 300 Duluth,GA 30097 Page 1 of 1