HomeMy WebLinkAbout25381 RAILROAD CANYON RD_ 06-00003248C Ci
PERMIT
a - .
JOB ADDRESS . . . . . 25381 RAILROAD CANYON RD
DESCRIPTION OF WORK OCCUPANCY PERMIT
OWNER CONTRACTOR
CANYON TAILOR OWNER
25381 RAILROAD CANYON RD
SUITE 11 -01
LAKE ELSINORE CA 92532
A.P.# . . . . 363- 210 -003 5 SQUARE FOOTAGE 0
OCCUPANCY . . GARAGE SQ FT 0
CONSTRUCTION FIRE SPRNKLR
VALUATION ZONE . R -1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 50.00 00 50.00
OTHER FEES
PLAN RETENTION FEE 78 00 78
TOTAL 50.78 00 50.78
SPECIAL NOTES & CONDITIONS
OCCUPANCY PERMIT TAILOR BUSINESS
pper: COUNTER _ ...
Date: 7!!1!05 11 Receipt no: 1
Total to tiered _ $50•
Total payment $50•
City of Lake Elsinore
Building S
I
afety Division
Post ill 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
1.1 am Licensed under the provisions of Business and professional Code Section 7000 et seq. and
my license is in full force.
2. I,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. l,as owner of the property,am exclusively contracting with licensed contractors to ..Act the
project.
4.1 have a certificate of consent to selfinsure 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 most forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
ELO 1 Temporary Electric Service
PLO 1 Soil Pipe Underground
EL02 Electric Conduit Underground
BPOI Footings j
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO 1 Underground Water Pipe
SSO 1 Rough Septic System
SWOT On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof 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
WO Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP 10 Framing & Flashing
BP12 Insulation j
BP13 Drywall Nailing
BPI 1 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 lFinal Building 1 /-4-&
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building b ing released by the CityPOOIPoolSteelRein. / Forms
POO I Pool Plumbing / PressurelTest
P003 Pre.Gunite Approval I Date Inspector
EL06 Rough Pool Electric I Planning
Sub List Approval Landscape
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre-Plaster Approval Engineering
P009 Final Pool /Spa TUMF
APPLICATION FOR
BUILDING PERMIT
VAL
1st FLOOR
2nd FLOW
3rd FLOOF
GARAGE
STORAGE
DECK & BI
OTHER:
VALUATIO
FEES
BUILDING PERMIT $
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION o 7
City of Lake Elsinore
130 South Main Street
PI certify that I have read this appikafion and state that the
above information is correct- 1 agree to comply with all city
and camty ordinances and state laws rctatitrg to building
construction, and hereby augwrize representatives of this
city to enter upon the above - mentioned property for ins p-
tior purposes-
7 /# 14L
Signature of Applicant or Agent Date
Agent for contractor owner
Agents Name
Agents Address
Street City State Zip
0
APPLICA ON NO.
3z 8
APPLICATION RECEIVED
DATE — G
AP#
7
13Y
ILDING
253s/
r,..t
W0aN 94 P4/If I10
TRACT P
NAME
W
N
C
O
N
hereby affirm that I amlicensed under provisions of chapter commencing
with section 7000) of division 3 of the business and professions code,and my
license is in full force and effect.
LICENSE S CITY BUSINESS
AND CLASS TAX #
T
R
NAME
A
C
MAILING
ADDRESS
T
O
CITY STATE/ZIP PHONE
R CONTRACTORS SI A RE DXTE
A
NAME LICENSE #
R
C
MAILING
ADDRESS
H CITY STATEMIP PHONE
O NEW OCC GRP. / CONST.
DIVISION: TYPE: O ADDITION
0 ALTERATION NUMBER OF NUMBER OF
STORIES: BEDROOMS: OTHER
O SINGLE FAMILY ZONE:
O APARTMENTS
D CONDOMINIUMS HAZARD YES
AREA? NOpTOWNHOMES
COMMERCIAL SPRINKLERS YES
REQUIRED ? NOINDUSTRIAL
p REPAIR
PRESENT
PROPOSED USE OF BLDG:
USE OF BLDG: DEMOLISH
JOB DESCRIPTION S1:;-P!/ /e,S
a m
ZY
0
TENANT DISCLOSURES
t
INTENDED USE .,
DUSINESS NAME : C',1 N y D%% . %} /L_ O'P- .
SUITE NUMBER:
OCCUPANCY GROUP
SQUARE FOOTAGE:.
TYPE OF CONSTRUCTION: v
IS THE BUILDING- EQUIPPED WITHT .IRE SPRINKL• ERS ?.
NUMBER OF EMPLOYEES :.
NUMBER AND LOCATION OF •RESTROOM'FACILITIES:..
LIST. ANY CHEMICALS USED OR ST RED AND QUANTITIES a!D
ARE' YOU MAKING ANY - IMPROVEMENTS TO THE SUITE OR OUILDING OTHER
THAN PAINTING,'PAPERING;'FLOOR COVERING, MOVABLE -CASES,
COUNTERS OR PARTITIONS NOT OVER;S'FEET 9:INCIMS'HIGH? !O
ARE YOU A NF- W-TENANT ?
ARE YOU -THE FIRST TENANT ?
PLANS REQUIRED
Ifyou are not doing any work that requires .a -gerinit,plesse.piovide four copies of a plot
plan and-a floor -plan.
If you arc- making other improvements, pleas" tee the Ti iant Improvcmecit Plan
uiremetits-handout
SI - PRINTNAUfE
CIRCLE O : TEN,- OWNER- / CON3'RACTOR / AR_CHIT.ECT. /::I NGWEP -R
3/99
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