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HomeMy WebLinkAboutLAKESHORE DR 16758_13-00002837 CITY OF LAK-E L.,SITAORE BUILDING & SAFETY DREAM EXTREME,- 130 South Main Street PERMIT PERMIT NO: 13-00002837 JOB ADDRESS . . . . . 16758 LAKESHORE DR DESCRIPTION OF WORK OCCUPANCY PERMIT OWNER CONTRACTOR KIM TAE KOOK OWNER A. P.# . . . . . 378-290-015 1 ' ;,SQUARE FOOTAGE 0 OCCUPANCY GARAGE SQ FT 0 CONSTRUCTION �ARE SPRNKLR VALUATION ZONE . . . . . . NA OCCUPANCY PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES OCCUPANCY PERMIT 30 . 00 . 00 30 . 00 OTHER FEES PROF.DEV. FEE 1 TRADE 5 . 00 . 00 5 . 00 TOTAL 35 . 00 . 00 35 . 00 SPECIAL NOTES & CONDITIONS OCCUPANCY FOR TOBACCO STORE Cis . ice Tom: IF 3/17/13 17 f ipt ro: 1 13 M37 1p BMW FERW 1.00 Try 1 Tram dffw. 9/17/13 Tine.* 93a 59 City of Lake Elsinore Building Safety DivisionT Please read and initial 1.1 am Licensed under the provisions of Business and professional Code Section 7000 et seq.and my license is in full force. Post in conspicuous place 2.I,as owner of the property,or my employees w/wages as their sole compensation will do thel v. on the job and the structure is not intended or offered for sale, i 3.],as owner of the property,am exclusively contracting with licensed contractors to construct the You must furnish PERMIT NUMBER and the I project, p f GCB/�llllKESJ for each respective inspection: or a certifiedei is co thereof. Approved plans must be on job copy Insurance P 4.I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insura at all times: 5.I 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, Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revolved. ELOI Temporary Electric Service 4-1-1 t5n ­1P A n � • j dam' YLU1 Soil Pipe Underground e EL02 Electric Conduit Underground BP01 Footings BP02 Steel Reinforcement B1`03 Gantt �^ BP04 Slab Grade PLOI Underground Water Pipe SS01 Rough Septic System SWOT On Site Sewer _ BP05 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BP08 Roof Sheathing _ BP09 Shear Wall&Pre-Lath PL03 Rough Plumbing EL03 Rough Electric Conduit ELO4 Rough Electric Wiring E05 Rough Electric/ T-Bar MEOI Rough Mechanical ME02 Ducts,Ventilating. PL04 Rough Gas Pipe/Test PL02 Roof Drains BP10 Framing&Flashing — --- BP 12 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 Deputy Inspector OTHER DIVISION RELEASES .- P001 Pool Steel Rein./Forms �l 25®�? Department Approval required prior to the ( buildin bein released b the Cit P001 Pool PlumbintEL06 /Pressure Test nne Approval Pool Electric Date Inspector Planning List ApprovalLandscape ncing/Gates/Alarmsceter ApprovalEngineering o]/Spa V CITY OFF ` Building Division Application/Permit No LA ICE LS I 1`iO p"E 130 South Main Street Lake Elsinore,CA 92530 DREAM EXTREME (951)674-3124 Applicati Rec edDate `tM AP# APPLICATION FOR BUILDING ADDRESS BUILDING PERMIT TRACT BLOCK/PAGE LOT/PARCEL VALUATION CALCULATIONS OWNER4, F 1 ST FLOOR SF NAME,.� \,�-,J lib L, Fe r 1, 2ND FLOOR SF MAILING ADDRESS Y L Cp1/ PHONE 3RD FLOOR SF CITY STATE/ZIP GARAGE SF A— 2- GONTRACit?R STORAGE 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 force and effect: DECK&BALCONIES SF CONTRACTORS LICENSE#AND CLASS CITY BUSINESS LICENSE OTHER: SF MAILING ADDRESS VALUATION CITY STATE/ZIP PHONE CONTRACTOR'S SIGNATURE/DATE FEES BUILDING PERMIT NEW OCC GRP/ CONST ❑ PLAN CHECK DIVISION TYPE ❑ ADDITION NUMBER OF NUMBER OF PLAN REVIEW ❑ ALTERATION STORIES BEDROOMS SEISMIC ❑ OTHER ZONE ❑ SINGLE FAMILY PLAN RETENTION ❑ APARTMENTS HAZARD YES I certify that I have read this application and state that the above ❑ CONDOMINIUM AREA NO information is correct. I agree to comply with all city and county ❑ TOWN HOME ordinances and state laws relating to building construction,and SPRINKLERS YES hereby authorize representatives of this city to enter upon the ❑ COMMERCIAL REQUIRED? NO above mentioned property for inspection purposes. (� ❑ INDUSTRIAL PRESENT USE OF BLDG r REPAIR ` ignatureofApplicantorAgent Date ❑ PROPOSED USE OF BLDG ❑ DEMOLISH Agent for ❑ Contractor ❑ Owner JOB DESCRIPTION Agents Name Address City State Zip