HomeMy WebLinkAboutPASADENA STREET 18357_03-00000288 �� �� N
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s City of Labe Elsinore
130 South Main Stre
PERMIT
PERMIT NO : 03-00000288 DATE : 7/07/03
JOB ADDRESS . . . . . 18357 PASADENA ST
TENANT NBR, NAME . . BLD G
DESCRIPTION OF WORK NEW INDUSTRIAL BLDG
OWNER CONTRACTOR
PASADENA STREET INDUSTRIAL OWNER
512 CHANEY ST
LAKE ELSINORE CA 92530
A. P. # . • . . . 377-130-028 1 SQUARE FOOTAGE 7381
OCCUPANCY . . . OFFICE, RESTAURANTS, MISC GARAGE SQ FT 0
CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . 228 , 930 ZONE . . . . . . M-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 895 . 00
129 . 00 X 5 . 0000 VALUATION 645 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 1545 . 00 . 00 1545 . 00
OTHER FEES
PARK CIP FEE 738 . 10 . 00 738 . 10
PLANNING REVIEW FEE 308 . 00 . 00 308 . 00
PLAN RETENTION FEE 25 . 00 . 00 25 . 00
SEISMIC OTHER 48 . 08 . 00 48 . 08
PLAN CHECK FEE 577 . 50 . 00 577 . 50
TOTAL 3241 . 68 . 00 3241 . 68
Oper: (SUM Type: DF Draver: 1
Date: 7/07/03 07 Seceipt no: 142
2883 288
BP BUILDING PERMIT 1 =41.68
Trans number: 69675
MULTIPLE TEIm
Trans date: 7/07/03 Time: 13:29:47
Please Read and Initial
I}tll { :ic,`• I)I`•t 1, n 1 I am L!. ruder the proi,isions of Business and professional
Code Section , JO et seq and my license is in full force
11w,t in conspicuous place 2 1 as owner of the property or my employeesw/wages as their sole
compensation will do the work and the structure is not Intended or
011 the job offered for sale
3 1 as owner of the property am exfaustvely contracting with licensed
contractors to construct the project
iumi,h PI_PNII T V_ %IBER ,1rlJ the _ a 1hasea certificate ofconsenttoselOnsureora certificate ofWorkers
lo, :[1 re,pc [I% ' I11>Fle.i]0II Compensation insurance or a certified copy thereof
5 ]shall not employ any person in any manner so as to become subject
\ i ,n ill:ii` ii1UR he l I, h to Workers Coompensation Laws in the performance of the work for
,i ?li i1i11.� which this permit is issued
Vote Ifyou should become subject to Workers Compensation after
making this ceruficauon you must forthwith comply with such pro-
cisions or this permit shall be deemed m%oked
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0 Q ( OTHER DEPARTMENT RELEASES
L>z rs o Department Approval required pray to tie
P!Y Poa See Re- Fo—s /L I ( budding being released by tie City
pcc PDo.P_ a^ Pess Tes' f
PDC3 °'e G - e
Date Inspector
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Finance
PIX.5 P,e was e Engineering
? ? F a Po.;,Soe
Cityof Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO
BUILDING PERMIT (_(J(���{J
APPLICATION RECEIVED
DATE
VALUATION CALCULATIONS AP s By
1 st FLOOR � _SF ' BUILDING ADDRESS(
2nd FLOOR SF TRACT / BLOCK/PAGE LOT/PARCEL
3rd FLOOR SF
GARAGE SF NAME
STORAGE %r�-��/NSF Z MAILING 5 PHONE
DErK!t RALGQW4ES ''� (J(� SF o ADoaess
ctn STATE/ZIP
QIH ER Uv )/UL C
1 t'1k 14 R"t — r SF I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
1000)of Division 3 of the Business and Professions Code and my license is in full force
and effect
LICENSE# CITY BUSINESS
= AND CLASS TAX p
VA N: 4 0 NAME
04FEES ^ MAILING
T
ADDRESS
/ /� /—(�//]� S
BUIL P J � —y CITY Si ATE rZIP PHONE
CONTRACTOR S SIGNATURE DATE
PLAN CHEC ,
ADDITIONAL PLAN CHECK 0� NAME
u
W MAILINGYO -
-= ADDRESS C
V fff
LN
IOSI
�O/ ONEW OREPAIR CCGRP./ CONST.
�_p, DIVISION TYPE
MICROFILM ((JJC/ CADDITION OMOVE NUMBER OF NUMBER OF
1 �.2C;7— ^ OALTERATION ODEMOLISH STORIES BEDROOMS
COPIES XU /v OOTHER ZONE
OSINGLE FAMILY units HAZARD AREA? YES NO
IMPRO FEES ❑ SCHO FEES ❑ OAPARTMENTS units
OCONDOMINIUMS units SPRINKLERS REQUIRED YES NO
(,(^f ❑TOWNHOMES units PROPOSED USE OF BUILDING
❑COMMERCIAL ❑INDUSTRIAL
t PRESENT USE OF BUILDING.
PAID
DATE JOB CR
❑ I certify that I have read this application and state that the
above information is correct 1 agree to comply with all city
and county ordinances and state laws relating to building /
construction, and hereby authorize representatives of this !�
ci to enter upon t e above- tioned property for inspec- 6
do purpos s
•
SigIR
ure of Applica t or Agent Date
GENT ❑ CONTRACTOR ❑ OWNER
AGENT'S NAME
AGENT'S ADDRESS _
STREET CITY STATE ZIP REV DATE 11190
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