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HomeMy WebLinkAboutILLINOIS ST 31183_01-00000650 } City of Lake ' Elsinore } 130 South Main Street PERMIT PERMIT NO: 01-00000650 DATE : r,,6/28/01 JOB ADDRESS . . . . . 31183 ILLINOIS ST DESCRIPTION OF WORK NEW GARAGE OR CARPORT RESIDENTIAL OWNER CONTRACTOR RASCOL GABRIEL OWNER A. P. # . . . . . 379-202-014 4 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . 2 , 800 ZONE . . . . . . NA BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 63 . 00 1 . 00 X 12 . 5000 VALUATION 12 . 50 PLUMBING PERMITS ' QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 1 . 00 X 11 . 0000 WATER HEATER OR VENT 11 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 75 . 50 . 00 75 . 50 PLUMBING PERMITS 46 . 00 . 00 46 . 00 TOTAL 121 . 50 . 00 121 . 50 SPECIAL NOTES & CONDITIONS REMOVE ADDITION, ENCLOSE CARPORT AND EN- CLOSE WATER HEATER PER PLAN 2001 650 $121.50 BP Date: 6/28/01 28 Receipt: 0006363 CASH 00000000000000 raft R City of Lake Elsinore Please Read and Initial: Building Safety Division 1. 1 am Licensed under the provisions of Business and Professional Code Section 7000 et seq.and my license is in full fora. in amspiaic s rA ace 2. 1.as owner of the property.or my employees w/wages as their sole y� compensation will do the work and the structure is not intended or e on the offered for sale. Jc8✓ 3. 1,as owner of the property,am exclusively contracting with licensed You must furnish PERMIT NUMBER contractors to construct the project. and the JOB ADDRESS for each 4. 1 have a certificate ofconsenttoseifinsureora certificate ofWorkers respective if1SP8Ction: Compensation insurance or a certified copy thereof. Approved tans must be : b 5. 1 shall not employ any person In any manner so as to become subject P job to Workers Coompensation Laws in the performance of the work for at all times: which"a permit is issued. Note: If you should become subject to Workers Compensation after making this eertifimtkon.you must forthwith comply with such pro- visions or this permit shall be deemed revoked. Code Approvals Date Inspector EL01 Temp Elee Services PL01 Soil Pipe underground EL02 Elec Conduit Under wound BPOI Footinos BP02 Steel Reinforcement 81303 Grout BP04 Slab Grade PL01 Underground Water Pipe SS01 Rough Septic System SWOT On Site Sewer Root Fnirniag Roof Sheathino Shear Wall A Pre-1 nth 'd EL04 Rough Electric-Wirina EL05 Rough Electric-T-Ber ME01 Rouah Mechanical a ME02 Ducts Ventilating h Gas PJ21tTest E lation 11 NadiLathing&Siding PL99 Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 Final Buildi2a Code Pool r!Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES Inspector Departrnerit Approval required prior to the Pool Pool Steel Rein./Forms building being released by the City Pool Pool PlumbingtPress.Test P003 Pre-Gunite Date Ins r EL06 Rough Pool Electric planning _ Sub List Approval Landscape P004 Pool Fenci Access Finance P005 Pre-Plaster Erigineen*ng P009 Final PooltSpa Jf —� City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT APPLICATION R 0 DATE VALUATION CALCULATIONS JAP 7 _ By I st FLOOR SF `s`G AaoREss 3` r Q 2nd FLOOR SFT IROCK-PAGELOT/PARCEL 3rd FLOOR SF GARAGE SFtAA.sE Q/�L iZ�S C O L STORAGE SF DECK&BALCONIES SF OTHER: SF 1/war cffir ttwt t am ker wd v+dN p.o%isionf of Chepw tt(to�+wlp with swtion GRADING CUT CY7=1 of D.tww-S of Ow lusin.ss and P"t"mm Cede.end�"vn"Is ti IA t°"' FILL CYANaawu /if/,�/� CITY BUSINESS TAX• VALUATION NAr+f FEES ADOREu BUILDING PERMIT $ CITY STATE ZIP tMtONE CONTRACTOR'S SIGNATURE DATE PLAN CHECK ADDITIONAL PLAN CHECK NAME tKENSE` A1ArtrgG GRADING PLAN CHECK E Ctir STATE.ZIP PHONE ANEW UREPAIR OCC GRP./ CONST. DIVISION: TYPE: MICROFILM DADDITION UMOVE NUMBER OF NUMBER OF DALTERATION !"DEMOLISH STORIES: BEDROOMS: COPIES , OTHER ZONE: i:SINGLE FAMILY units HAZARD AREA? YES NO IMPRO FEES D SCHOOL FEES D _APARTMENTS units ._:CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO ..TOWNHOMES units PROPOSED USE OF BUILDING: :COMAAHtC1Al i :INDUSTRIAL PAID PRESENT USE OF BUILDING: DATE JOB DESCRIPTION D 1 certify that I have reed this application and state that the /D21 above information is correci.1 agree to comply with all city and county ordinances and state laws r•loting to building construction, and hereby authorize representatiras of this ci to ente upon the above-mention raperty for inspec- ti n NV Signature of Applicant or Agent Dote GENT FOR D CONTRACTOR D OWNER AGENT'S NAME AGENT'S ADDRESS STREET CITY STATE ZIP REV.DATE 11•1•90 r City of Lake Elsinore l 130 South Main Street PERMIT PERMIT NO: 01-00000650 DATE: 6/28/01 JOB ADDRESS . . . . . : 31183 ILLINOIS ST DESCRIPTION OF WORK NEW GARAGE OR CARPORT RESIDENTIAL OWNER CONTRACTOR RASCOL GABRIEL OWNER A. P. # 379-202-014 4 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . 2 , 800 ZONE . . . . . . NA BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 63 . 00 1 . 00 X 12 . 5000 VALUATION 12 . 50 PLUMBING PERMITS QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 1 . 00 X 11 . 0000 WATER HEATER OR VENT 11 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 75 . 50 . 00 75 . 50 PLUMBING PERMITS 46 . 00 . 00 46 . 00 TOTAL 121 . 50 . 00 121 . 50 SPECIAL NOTES & CONDITIONS REMOVE ADDITION, ENCLOSE CARPORT AND EN- CLOSE WATER HEATER PER PLAN LPN �a 2001 650 f121.50 BP Date: 6/28/01 28 Receiat: 0DOM CRSN 00000000000000