HomeMy WebLinkAboutLARSON RD 15049_01-00000194r r
Citv of Lake Elsinore
PERMIT 130 South Main Stre
PERMIT NO: 01- 00000194 DATE: 3/20/01
JOB ADDRESS . . . . . 15049 LARSON RD
DESCRIPTION OF WORK NEW GARAGE OR CARPORT RESIDENTIAL
OWNER CONTRACTOR
COTTET FRANCOIS OWNER
COTTET
15049 LARSON RD
LAKE ELSINORE
A.P # . . . .
OCCUPANCY . .
CONSTRUCTION
VALUATION .
LAURA
CA 92530
379- 080 -022 5
30,400
SQUARE FOOTAGE
GARAGE SQ FT
FIRE SPRNKLR
ZONE . . . . .
1600
0
R -1
BUILDING PERMIT
406.00 00
QTY
00
UNIT CHG
81.20
ITEM CHARGE
00
3.05 00
BASE FEE 352.00
6.00 X 9.0000 VALUATION 54.00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
2.00 X 1.0000 SWITCHES / 1ST 20 2.00
2.00 X 1.0000 RECPT,OUTLET / 1ST 20 2.00
2.00 X 1.0000 LIGHTING FIXTURES /1ST 20 2.00
1.00 X 27.2500 100- 200AMP SERVICE <600VLT 27.25
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
ELECTRICAL PERMIT
ETHER FEES
PLANNING REVIEW FEE
PLAN RETENTION FEE
SEISMIC GROUP R
PLAN CHECK FEE
TOTAL
CHARGES PAID
406.00 00
68.25 00
81.21 81.20
17.50 00
3.05 00
304.50 304.50
880.51 385.70
DUE
406.00
68.25
01
17.50
3.05
00
WSW:a]
2001 194 $494.81 BP
Date: 3/20/01 20 Receipt: 0004639
CHECK 6932
20100003801000
Cii of laic Elsinnrc '
Please Read and Initial
Building Slfcty Division r--- I I am Lia nsed under the provisions of Business and Professional
x' C0c11- Sec non 7000 et st -q and my license is in full force ° P
D= l n place- 2 1 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
on the 7Q!,, offered for sale
3 1 as owner of the property am exclush'efv contracting with licensed
Ou must turnisn PERMIT NUMBER contractors to constrict the project
afh" the JOB ADDRESS for ewer, 4 1has eacertificaicof consent toselfinsureoracertificateofWorkers
respective Inspection Compensation insurance or a certified copy thereof
ApOrOVed plans must be On p0 5 I shall not cmplosanv person inany manner soastober -omesubject
at all Mmes
to'Aorkers Coomptnsation Laws in the performance of the work for
which this permit 15 issued
Note It sou should become subject to Workers Compensation afler
making this certlficauon you must forthwith oomph, with such pro
s-isions or this permit shall be (it emed m%oked
Coce x °:a5 Dae N;
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OTHER DEPARTMENT RELEASES
eo 1 -s -?: 3 Aaoroval required prKx to fhe
uifcinC r:,nC relcased by the CiyPry;, oao S -ee =_ -:
Prn.3 PeG -- e
Dp,e Inspector
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188'3
City of Lake Elsinore
1'In Qnntlh AAn;n Qtr,-at
V APPLIC N NO
APPLICATION FOR T /
ELECTRICAL
APPLICATION RECEIVEDQ
PLUMBING PERMIT DATE _
MECHANICAL AP a ^ / By
I certify that I have read this application and state that the BunDlrv
above Information Is correct I agree to comply with all city
and county ordI nances and state laws relating to building TRACT BLOCK, PAGE LOT PARCEL
construction and hereby authorize representatives of this
city to enter upon the above - mentioned property for inspec- J
NA M
I—q iic0t O IC / Lion purpose
Z MAILING / / ,, J
L!/ 'KXJ
CIfY /
C VfG I C
STATT ,Z
Q
Signature of Applicant or Agent Date
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Secnon
J of D...smn 3 of the Business and Prolesstons Code and my license is In full force
AGENT FOR CONTRACTOR OWNER LICENSE.
de
CI YBUSIN
Z AND CLA55 T %q
0 NAME
AGENT'S NAME
MAILING
ADDRESS
AGENT'S ADDRESS
STREET CITY
CITY
STATE ZIP
STATE 'ZIP PHONE
CONTRACTOR S SIGNATURE DALE
BUILDING PERMIT NO
ELECTRICAL Quan PLUMBING Quan MECHANICAL Quan
New Residential Multi Family Fixture or Trap Furnace up to 100,000 BTU's
New Residential Single Family Building Sewer Furnace Over 100,000 BTU's
Private Swimming Pools Rain Water Sys per Drain Floor Furnace / Vent
Switches / 1st 20 C>j Private Septic System Unit Heater / Wall Heater
Switches / Over 20 Water Heater / Vent Install / Relocate / Replace Vent
Recpt Outlet / 1st 20 Gas Piping System 1 -4 Outlets Ventilating Fan
Recpt Outlet / Over 20 Gas Piping 5 or.More Outlets Exhaust Hood
Lighting Fixtures , 1 st 20 Dishwasher Fireplace
Res Fixed Appliance / Outlet Solar Tank Commercial Incinerator
Non -Res Appliance / Outlet Solar Collector per Panel Air Handler 10,000 CFM
100 -200 Amp Service -4 600V Grease Trap ' (Interceptor) Air Handler -0 10,000CFM
200 -1000 Amp Service -4 600V Install, Alter or Repair System Fire Dampers
Service Over 1000.Amp or 600V Lawn Sprinkler System Registers
Misc Apparatus, Conduits, ETC Backflow Device Smaller than 2' Boiler / Compressor to 3 H P
Slgn's Backflow Device Larger than 2' Boiler /Compressor 3 -15 H P
Sign Branch Circuit Floor Drain Boiler / Compressor 15 -30 H P
Busw6ys / EA 100 ft Floor Sink Boiler/ Compressor 30 -50 H P
Temporary Power Service Water Service Boiler / Compressor 50 H P
Temp Power Distribution Sys Alter or Repair Drain or Vent Repair / Alter Misc HVAC Equip
MOTORS / TRANSFORMERS Fire Sprinklers per Building
Motors up to 1 H P SWIMMING POOL
Motors - Transformers 1 -10 H P Swimming Pool / Public
Motors ' Transformers 10 -50 H P Swimming Pool / Private
Motors : Transformers 50 -100 H P Water Heater Vent
Motors ; Transformers 100 H P Replace Piping
Replace Filter
Misc Replace
Gas Piping
REV DATE I I 1 90
n
f
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
t
City of Lake Elsinore I
1 st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK 8 BALCONIES SF
OTHTb Wfor
SF
GRADING CUT CY
MAILING
ADDRESS
1,_FILL CY
VALUATION
RAJ
FEES
u
BUILDING PERMIT
x--71
PLAN CHECK K, d v
Q
r
ADDITIONAL PLAN CHECK 1
GRADING PLAN CHECK
MICROFILM
COPIES
IMPRO FEES SCHOOL FEES
PAID
DATE
G 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 th me ed property for inspec-
tion
2 7/100 I
V
Signature of Applicant or Agent Date
AGENT FOR CONTRACTOR OWNER
AGENT'S NAME
130 South Main Street
APPLICATI O /
APPLICATION RECEI
DATE /
AP 61
6 By
BUILDING ADDRESS SaJ
TRACT BLOCK PAGE LOT /PARCEL
rc
NAME
L //1
3 MAILINGnM ADDRESS N OE
CITY STATE ZIP
I hereby affirm that 1 am Lcensed under provnwm of Chapter 9lcommanung with Section
70001 of D ,,on 3 of the Business and Professions Code and my license is .n lull force
and effect
ICENSE s CITY BUSINESS
A Ass TAX„
0 NAME
MAILING
ADDRESS
CITY TE ZIP PHONE
CONTRACTOR S SIGNATURE D TE
u
NAME LICENSE 0
Z
MAILING
ADDRESS
Q CITY STATE ZIP PHONE
NEW REPAIR OCC GRP / CONST
DIVISION TYPE
ADDITION ;—.MOVE NUMBER OF NUMBER OF
STORIES BEDROOMSL .'ALTERATION '-DEMOLISH--- DEMOLISH
OTHER ZONE
LISINGLE FAMILY units
HAZARD AREA? YES NO
APARTMENTS units
SPRINKLERS REOUIRED'' YES NOCONDOMINIUMSunits
S units PROPOSED USE OF BUILDING
PRESENT USE OF BUILDING
INDUSTRIALkDE>RffiTlON
L JZL r— t./
Operator: COUNTER
Ps 21271011 27 Receipts WA10.9
Total Payment $385.70
AGENT'S ADDRESS
STREET CITY STATE ZIP REV DATE 11190
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