HomeMy WebLinkAboutSHORELINE DRIVE 33142_03-00001759 Cityof Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 03-00001759 DATE : 9/30/03
JOB ADDRESS . . . . . 33142 SHORELINE DR
TENANT NBR, NAME . . LT 13
DESCRIPTION OF WORK DECK, WALKING
OWNER CONTRACTOR
LKE HOMES PACIFIC COMMUNITIES BUILDER
1000 DOVE ST NO 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 . . . 1 , 152 ZONE . . . . . . R-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45 . 00
7 . 00 X 2 . 7500 VALUATION 19 . 25
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
1 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 1 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 69 . 25 . 00 69 . 25
ELECTRICAL PERMIT 37 . 00 . 00 37 . 00
OTHER FEES
PLANNING REVIEW FEE 12 . 85 . 00 12 . 85
PLAN RETENTION FEE 1 . 00 . 00 1 . 00
SEISMIC GROUP R . 50 . 00 . 50
PLAN CHECK FEE 24 . 10 . 00 24 . 10
TOTAL 144 . 70 . 00 144 . 70
SPECIAL NOTES & CONDITIONS Oper: COUNTER Type: W Drawer: 1
optional walking deck ��:2803 117759 Receipt no: 1693
BP BUILDING PEHNIT 1 $144.70
Trans amber: 7898;i
CI CHECK 1953 $1157.60
Tram date: 9/36/03 Time: 11:68.51
n% lli LAc Elmore
/ lease Read and Initial
- I I am licensed under the provisions of Busin�ess ao Professional
Code Section 70DO et seq and my license is In full force
Iloct 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
on the job offered for sale
3 1 as owner of the property•am exclusively contracting with licensed
contractorsto construct the protect
1„u ntu�I turni'h PERMIT \L`\1BEh and the / 44 1haveve a certificate ofconsenttoselfinsureora certificate ofWorkers
1013 %DDRI-SS Jt,r c.ii,h re�rCL11%C in,11«tion Compensation Insurance or a certified copy thereof
5 1 shall not employ any person in any manner so as to become subject
\I Pr Ctj 1�1.1n must fk r rn l th to�4orkers Coompensanon laws in the performance of the work for
.Li .ill 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-
visions or this permit shall be deemed revoked
Coae Aco o•ais Da,e Icsoe to•
EL01 Te-,o Elec Se-vices
PLO; Sail Poe
EL02 Dec Co-a-, U-cegroina
BPO: Foosrqs
BP02 S:ee Re-`o•ce—en,
BPI�3 I Gro_
BP^e Sac Gace
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BP 3 D-,-Aa Na -q
BP- La 3 Sa-
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E L 39 F^a E rc ICK
ME-39 F, a Me--a-,ca
BP39 F,-.a &-,c-[
Cooe Pool S Soa ADDFOYa!s Da a rsoec'o, OTHER DEPARTMENT RELEASES
Cie rs o• Department Approval required prior to Ille
POC Pool S,ae'Pe- 'Po^-s /1 building being released by the City
P00' Pool P_^a- P ess Tes;
P003 P•e-G--,-e
Date inspector
EL06 Romig.,Poo'Etec`-c
Pta n n
Sao l,s:ADyova
Lancsca
P004 Poo,Fe-C',e Access
Finance
D005 ?Pas e Engineering
PON F,-e,Pao Sae
SE,P-29-2003 12:20 P.05
W
'g of La a Elsinore
City
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT �� 1759
APPLICATION RECEIVED
041 5 DATE
VALUATION CALCULATIONS A If By
1 st FLOOR SF BUILDING ADDRESS
2nd FLOOR SF TRACT_ — BLOCK/PAGE LO/P fEI
3rd FLOOR SF
GARAGE SF NAME
STORAGE SF :oaFsi U dT-
DECK 8 BALCONIES SF
CI1Y STA f/I +
OTHER: 6>
SF i MnEY aNlrm IAar I am IN.n..d uMn proo.lon.oL[ DINE(ca+awAndrq�Ith S.rua+
TOM)of 0..41ae 7 of+h•Eelnn+.mod P.alenpn.Cad. p d I y 1-rvtl Fora
and 04cr
a LICENSE M CITY SuSINESS
rZ AND CLASS TAR f
VALUATION: $ NAME
0�
FEES MAKING
ADDRESS
BUILDING PERMIT $ CITY STATE/ZIP ►NONE
CONTRACTOR S SIGNATURF DATE
PLAN CHECK \ L
ADDITIONAL PLAN CHECK NAME IICENSt1
u
MAKING
3
ADDRESS /
Gt SAT U NE
UNEW CIREPAIR Occ GRP CONST.
OIVISI N' ' TYPE.
MICROFILM CADOMON CJMOVE NUMBER OF NUMBER OF
❑ALTERATION CIDEMOLISH STORIES, BEDROOMS-
COMES OOTHER ZONE.
OSINGLE FAMILY vnits HAZARD AREA? YES NO
IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS vt++ts
❑CONDOMINIUMS vA+ts SPRINKLERS REQUIRED? YES NO
OtOWNHOMES unllE PROPOSEDUSEOFBUILDING-
❑COMMERCIAL IIINOUSTRIAL
PAID PRESENT USE OF BUILDING,
DATE
JOB DESCRIPTION
❑ 1 certify that 1 hove read this application and stole that the
above Information is correct.1 agree to comply with all city
and county ordinances and state laws reloring to building
construction, and hereby oulhor+:e representatives of this
City to enter upon the above-mentioned property For 7nspec• a
flon purposes.
Slgnoture of Appllcont or Agent Dale
AGENT FOR O CONTRACTOR O OWNER
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP oc+i n.Te++,+an