HomeMy WebLinkAboutLARSON RD 15049_02-000017841 r•
City of Lake Elsinore
PERMIT
130 South Main Street
PERMIT NO: 02- 00001784 DATE: 9/0 2
JOB ADDRESS . . . . . 15049 LARSON RD
DESCRIPTION OF WORK NEW GARAGE OR CARPORT RESIDENTIAL
OWNER CONTRACTOR %'
COTTET FRANCOIS OWNER o
COTTET LAURA
15049 LARSON RD C 0e- X01
LAKE ELSINORE CA 92530
1
A.P.#
OCCUPANCY
CONSTRUCTION
VALUATION .
379- 080 -022 5
30,400
SQUARE FOOTAGE 1600
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . R-3
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 352.00
6.00 X 9.0000 VALUATION 54.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 1.0000 SWITCHES / 1ST 20 1.00
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
OTHER FEES
SEISMIC GROUP R
TOTAL
SPECIAL NOTES & CONDITIONS
CHARGES
411.00
67.25
3.05
481.30
THIS PERMIT TO REPLACE EXPIRED PERMIT
01 -194. ALL PRIOR APPROVALS AND PLANS
STILL IN EFFECT.
PAID
00
00
00
00
DUE
411.00
67.25
3.05
481.30
opera COUNTER
Date: 9/04102 04 Receipt no: 1396
Total tendered $481.30
Total payment 5481.30
Cit. tit L ike Ekinore
Buildmm_ tiaict% [Di% i,ion
Post in conspicuous place
on the job
OLI iru,t furnish PI.RMIT NL MBER and the
JOB \D DRL, tior each re,pLCcn%e ln he-.Iwn
ppr, -,%,d ^l: n mu,t he on wh
1t 31I it le
Please Read and Initial
t 1 am ticensed under the provisions of 9usiness and Professional
Code Sectwn 7000 et seq and my license is In full force
2 1 as owner of the property. ormy employeesw /wages as their sole
compensation will do the work and the structure Is not intended or
offered for sale
3 1 as owner of the property am exclusively contracting with licensed
contractors to construct the project
4 Ihavea certificate ofconsenttoselfinsure oracertiflca toofWorkers
Compensation insurance or a certified copy thereof
5 [shall not emplov any person In any manner so as to become subject
to Workers Coompensanon laws m 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 must forthwith comply with such pro-
vlsions or this permit shall be deemed reaoked
Cooe A"ovais Dale Inspector
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BP99 F ra B_ •c -c
cone Pool s Sca A,ororas Da e rs sec a OTHER DEPARTMENT RELEASES
De H. •o• Departrnent Approval required pnor to the
buad&ng beutg released by the CityPOOLPoolSteeRe,- ,,Fo>-ns
POO [ Poo) Pr r Yr Pess Tes
P"r 3 P•e -G - -, e
Dale Inspector
EL06 Ro. -gr Pool E cc, -.c
Pta n ro
Sto L, s, 6, Dcro•. a
Lancsca pe
P004 Pool Fed-c; Access
Finance
P005 P•e P%as'e
En Ineenn
PCrO9 F'-.1 Pool SDP-
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER:
SF
GRADING CUT CY
FILL CY
VALUATION:
FEES
BUILDING PERMIT
PLAN CHECK
ADDITIONAL PLAN CHECK
GRADING PLAN CHECK
Citv of Lake Elsinore
MICROFILM
COPIES
IMPRO FEES SCHOOL FEES
PAID
DATE
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 lows relating to building
construction, and hereby authorize representatives of this
city to enter upon the obove•menttoned property for inspec-
tion purposes.
Signature of Applicant of Agent Dote
AGENT FOR CONTRACTOR OWNER
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP
130 South Main Street
APPLICATION RECEIVED
q pT
1jDATE 'Z 1—
AP# 37 (V 0ZZ 5
By
BUILDING ADDRESS
TRACT MOC E OTT L
MAILING /
foecC,
Y Z City of Lake Elsinore I
1 21) C.,,, fl, AAo;n 4Z*rAat
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V ~vM - ~vv
APPLICATION NO
APPLICATION FOR
ELECTRICAL
APPLICATION RECEIVED
PLUMBING PERMIT DATE
MECHANICAL AP # By
I certify that I have read this application and state that the BUILDING ADDRESS / q L4 s O 1 6'2'!l( (
above Information is correct I agree to comply with all city
and County Ordinances and state laws relating to building TRACT BLOCK'PAGE LOT /PARCEL
construction, and hereby authorize representatives of this
Z MAILING
q La l D y-) i/' -ad
PHONE
3 ADDRE SS1 v V O /
STATE,Z
q L 1.orc Z a
Signature of Applicant or Agent
QDale
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
AGENT FOR CONTRACTOR
and effect
OWNER LICENSE# CITY BUSINESS
Z AND CLASS TAX #
0 NAME
AGENT'S NAME
MAILING
ADDRESS
AGENT'S ADDRESS
STREET CITY
CITY
STATE ZIP
STATE /ZIP PHONE
CONTRACTOR S SIGNATURE DATE
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 Private Septic System Unit Heater / Wall Heater
Switches / Over 20 Water Heater / Vent Install / Relocate / Replace Vent
Recpt Outlet / 1 st 20 Z Gas Piping System 1.4 Outlets Ventilating Fan
Recpt Outlet /Over 20 Gas Piping 5 or More Outlets Exhaust Hood
Lighting Fixtures / 1st 20 Z 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 -4 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" Boller / Compressor to 3 H P
Signs Backflow Device Larger than 2" Boiler/ Compressor 3.15 H P
Sign Branch Circuit Floor Drain Boller / Compressor 15 -30 H P
Busways / 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 11 1 90