HomeMy WebLinkAboutSHORELINE DRIVE 33142_03-00001060 r {
s Ci iy
of Lake Elsinore
130 South Main Street
PE IT
PERMIT NO: 03-00001060 DATE : 6/09/03
JOB ADDRESS . . . . . 33142 SH RELINE DR
TENANT NBR, NAME . . LO 13
DESCRIPTION OF WORK RETAININ WALL
OWNER CONTRACTOR
LKE HOMES, LLC PACIFIC COMMUNITIES BUILDER
1000 DOVE ST 100 1000 DOVE STREET, SUITE 100
NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660
949-660-8988
LIC EXP 0/00/00
A. P. # . . . . . 381-353 -001 6 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 3 , 360 ZONE . . . . . . R-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63 . 00
2 . 00 X 12 . 5000 VALUATION 25 . 00
FEE SUMMARY C RGES PAID DUE
PERMIT FEES
BUILDING PERMIT 8 . 00 . 00 88 . 00
OTHER FEES
PLANNING REVIEW FEE 7 . 60 . 00 17 . 60
PLAN RETENTION FEE 1 . 00 . 00 1 . 00
SEISMIC GROUP R . 50 . 00 . 50
PLAN CHECK FEE 66 . 00 . 00 66 . 00
TOTAL 1 3 . 10 . 00 173 . 10
Oper: COUNTER Type: DF Drawer: 1
Date: 6/09/03 69 Receipt no: 5633
2003 low
BP BUILDING PERMIT 1 $173.10
Trans number: 6834.2
CK CHECK 1916 $2432.76
Trans date: 6/09/03 Time: 13:01:58
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Please Read and Initial
n I I am Llcv-nsrd under the provisions of BusuO--ss and Professional
Code Section 7000 et seq and my license Is in full forte.
ho,t In contiplcuou,; place 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
on the job offered for Sale
3 1 as ow•rier of the property,am exclushely contracting with licensed
contractors to construct the project
R\11 } M \1BEP .inn the _ q IhaNeacenificateofconsenttoselflnsureoracertiflcateofWorkers
IOF3 \�)1)hl lJ ]i c'.}7 1 C hc.11 c II) �C;lli`i1 Compensation insurance or a certified copy thereof
5 1 shall not emploN,any person to any manner so as to become subject
^hl.i' c�] t`},thy R1L7�[ it iiil Ii'h to Workers Coompensation Laws in the performance of the work for
ir 11 tin)" which this permit is issued
Note If%ou should become subject to Workers Compensation after
making this certification you must forthwith comply with such pro-
visions or this permit shall be deemed revoked
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OTHER DEPARTMENT RELEASES
De- t spec o Department Approval required prior to lie
PJO' Poo S'ee'Fe- Fo---s / 3 building being released by the City
P;Yll aaC P'_—.1--P•ess Tes `/
((( Date Inspector
CLOG Fagg Pay E�•i
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City of Lake Elsinore
4
WV 130 South Main Street
APPLICATION FOR APPLICATION NO
BUILDING PERMIT � "��
APPLICATI N RECEIVED
DATE
VALUATION CALCULATIONS AP p By
1st FLOOR SF BUILDING ADDRESS
33,1 2
2nd FLOOR SF TRACT ^ _ SLOCK.PAGE LOT/PARCEI
3rd FLOOR SF I q 1,3
GARAGE SF NAME L�, E HL)vAes , LLC
6
SF MAILING PHONE _,�•t/
DEOCK&BALCONIES SF O ADDRESS tacc be V4, St, -Z (cc C-& s�7�.
CITY STATEIZIP
OTHER: �_( ;r C Y L GA q2 L-L-c'
SF 1 heritity affirm that I am licensed under provisions of Chapter 9(commencing with Section
7000)of Division 7 of the Business and Professions Code and my license is to full force
33�?o and effect
o: LICENSE 0 ''�L Q/�''T}/� �J / CITY BUSINESS +I C
= AND CLASS �^ �O_`C7 rl I�•+ TAXr �� C9 7'J
VALUATION: D NA
u
ct;.i �L Comm rfi w5 tu�cl�f' ) <%•
FEES MAILING
ADDRESS yt •�- q C O
BUILDING PERMIT $ aryl ,C + STATE'ZIP�A 1 "o PHONE
D CONTRACT R S SIGNATURE �T DATE
PLAN CHECK ,
S/141 /
ADDITIONAL PLAN CHECK NAME LICENSE
o
W MAILING _
v ADDRESS J�f j Ym 5• - C
s
Q CITY STA TEi Z1e PHONE
iI rvJy) CA �2�14 µ 9r _6c' J Z2
OCC GRP / CONST.
/�/1 NEW ❑REPAIR DIVISION TYPE
MICROFILM ((//((JJ ❑ADDITION ❑MOVE NUMBER OF NUMBER OF
r/V -]ALTERATION ❑DEMOLISH STORIES- BEDROOMS
COPIES (� ❑OTHER ZONE
Z� ❑SINGLE FAMILY units HAZARD AREA) YES NO
IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units
❑CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
❑TOWNHOMES units PROPOSED USE OF BUILDING
000M1,AERCIAL ❑INDUSTRIAL PAID PRESENT USE OF BUILDING
DATE
JOB DESCRIPTION
a
❑ I certify that I have read this application and state that the
above information is correct 1 agree to comply with all city C
and county ordinances and state laws relating to building uy1 f C 1 Z. 'G`rr� IZ L?i/1) b1 a r1'�
construction, and hereby authorize representatives of this 420.3 l
city to enter upon the above-mentioned property for inspec- k
tion purposes
Sigma ure of A licant or Agent 17 Date
AGENT FOR ❑ CONTRACTOR XOWNER
AGENT'S NAME 7 p a�� � n �� U �t��S
AGENT'S ADDRESSy�
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