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HomeMy WebLinkAboutKANSAS ST 30752_02-00000946 .r; s City of Lake Elsinore PERMIT130 South Main Street � PERMIT NO: 02-00000946 DATE : 5/06/02 JOB ADDRESS . . . . . 30752 KANSAS ST DESCRIPTION OF WORK REROOF OWNER CONTRACTOR SA.LGADO JOHN OWNER A. P. # . . . . . 378-284-014 1 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . 1 , 000 ZONE . . . . . . NA REROOF PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 35 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 10 . 30 X 3 . 0000 REROOF 30 . 90 FEE SUMMARY CHARGES PAID DUE PERMIT FEES REROOF PERMIT 70 . 90 . 00 70 . 90 TOTAL 70 . 90 . 00 70 . 90 SPECIAL NOTES & CONDITIONS REROOF 22 SQUARE COMP SHINGLES OVER ONE LAYER CLASS A Operator: COUNTER Date: 5/06/02 06 Receipt: 02Z4923 Total Paycent 970.90 Aeount Tendered $70.93 City Of Lake Elsinore Building Safety Division Please Read and Initial: 1. 1 am Licensed under the provisions of Business and Professionak Code Section 7000 et seq.and my license is in full force. + Post in conspicuous 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 job offered for We. 3. 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project. You must furnish PERMIT NUMBER and the 4. 1 have a certificate of consent to selfinsure or a certificate of Workers JOB ADDRESS for each respective inspection: Compensation insurance or a certified copy thereof. 5. 1 shall not employ any person in any manner so as to become subject Approved plans must be on job to Workers Coompensation Laws in the performance of the work for at all times: 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. Code Approvals Date Inspector EL01 TeMD Elec Services PL01 Soil Pipe Underground EL02 Elec Conduit Underground BPOI Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLOT Underground Water Pipe SSo1 Rough Septic System SW01 On Site Sewer Floor Joists PLO3 Rouoh Plumb no Electric-Conduit EL04 Rough Electric-Wiri EL05 Rough Electric-T-Bar ME01 Rou h Mechanical ME02 Ducts,Ventilating PL04 Rough Gas Pipe-Test Fromino&Flashino BP12 Insulation BP13 Drywall Nailinil BPtt Lathing&Siding PL99 Final Rumbin EL99 Final Electrical ME99 Final Mechanical 13P99 I Final Buildingp Code Pool&Spa Approvals Date inspector OTHER DEPARTMENT RELEASES Dep.Inspector Department Approval required prior to the Pool Pool Steel Rein./Forms building being released by the City Pool Pool Plumbing/Press.Test P003 Pre-Gunite EL06 Rough Pool Electric Planning Date Inspector Sub List Approval Landscape P004 Pool Fencing/Access Finance P005 I Pre-Plaster En ineerin P009 I Final PooVSpa City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT 2 - 6 APPLICATION RECEIVY DATE 5 b iv VALUATION CALCULATIONS AP g > �` 1� \O/ By Ist FLOOR SF Bull DING ADORE O' 7 7 741 2nd FLOOR SF TRACT BLOCK/PAGE LOT/PARCEL 3rd FLOOR SF GARAGE SF NAME a To tl ti 5� at a STORAGE SF Z MA41 ADORE DECK&BALCONIES SF O _CI aTY OTHER: SF 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. LICENSE t CITY BUSINESS Z AND CLASS TAX r VALUATION: g NAALE FEES ADDRESS ADDRESS � I J BUILDING PERMIT $ CITY SIATE•ZIP PHONE CONTRACTOR'S SIGNATURE DATE PLAN CHECK ADDITIONAL PLAN CHECK NAME LICENSE z = AUIDNG = ADDRESS v s < CITY STATE/ZIP PHONE `-'NEW +fREPA1R OCCGRP./ CONST. DIVISION: TYPE: MICROFILM ADDITION OMOVE NUMBER OF NUMBER OF ALTERATION _^,DEMOLISH STORIES: BEDROOMS: COPIES :::OTHER ZONE: SINGLE FAMILY units HAZARD AREA? YES NO IMPRO FEES ❑' SCHOOL FEES C) APARTMENTS units ZXONDO INIUMS units SPRINKLERS REQUIRED? YES NO zTOWNHOMES units PROPOSED USE OF BUILDING: '�COtNWIRC1Al INDUSTRIAL PAID PRESENT USE OF BUILDING: DATE JOB DESCRIPTION Q O © I certify that I hove read this application and state that the above information is correct. I agree to comply with all city G Q and county ordinances and state lows relating to building construction. and hereby authorize representatives of this city to enter upo he above- en'oned property for inspec- tion purposes. Z C Ci 1 l/ Si azure of A plic t or Agent Date AGENT FOR CONTRACTOR ❑ OWNER AGENT'S NAME AGENT'S ADDRESS STREET CITY STATE ZIP REV.DATE 11-1-90