HomeMy WebLinkAbout15057 DANIELLE WY_l
City of
PERMIT 130 South Main Street
PERMIT NO: 91- 00000014 DATE: 1/11/91
JOB ADDRESS . . . . . : 15057 DANIELLE WAY
DESCRIPTION OF WORK . : DECK, WALKING
OWNER CONTRACTOR
r
VITALE JOSEPH OWNER
V I`1 "ALE TRUDY
15057 DANIELLE WAY
LAKE ELSINORE, CA 92330
A.P.# . . . . . . 379 - 453 -011 SQUARE FOOTAGE 0
OCCUPANCY . . . . DWELLINGS, LODGING HOUSES GARAGE SQ FT . . 0
CONSTRUCTION TYPE V- NON RATED FIRE SPRNKLR .
VALUATION . . . 4,220 ZONE . . . . . NA
BUILDING PERMIT
QTY UNIT CHG
BASE FEE
3.00 X 9.0000 VALUATION
FEE SUMMARY
PERMIT FEES
BUILDING PERMIL'
OTHER FEES
PLANNING REVIEW FEE
PLAN RETENTION FEE
SEISMIC GROUP R
PLAN CHECK FEE
TOTAL
ITEM CHARGE
45.00
27.00
CHARGES PAID DUE
72.00 00 72.00
14.41 00 14.40
1.60 00 1.60
50 00 50
46.80 00 46.80
135.30 .00 135.30
RCPT101
REV. DATE 11.1 -90
City of Lake Elsinore
Building Safety Division
Post in conspicuous place
on the job
You must furnish PERMIT NUMBER
and the JOB ADDRESS for each
respective inspection:
Approved plans must be on job
at all times:
Code Approvals Date Inspector
ELOI Temp Elec Setvices
PLOT Soil Pipe Underground
EL02 Elec Conduit Underground
SP01 Footings
OP02 Steel Reinforcement
BP03 Grout
BPO/ Slab Grade
PLOI Underground Water Pipe
3501 Rough Septic Systism
SWOT On Site Sewer
PL03 Rough Plumbing
EL03 Rough Electric- Conduit
EL04 Rough Electric-Wtiring
EL05 Rough Electric -T -Bar
ME01 Rough Mechanical
ME02 Ducis. Ver.tiloting
PLOA Rough Gas Pipe -Test
PL02 Roof Drains
SP05 Floor Joists
BP06 Floor Sheathing
SP07 Roof Framing
SP08 Roof Sheathing
SP09 Shear Wall 8 Pre -Lath
BP10 Froming 8 Flashing
BPI Lathing B Siding
BP12 Insulation
BP13 Drywall Nailing
PL90 Final Plumbing
EL" Final Electrical
ME" Final Mechanical
BP" I Canal Building
IPool 8 Spa Approvals Date Inspector
Pool Steel Rein. %forms
Pool Plumbing /Press. Test
Pre- Gunite
Pool Fencing /Access
Pre- Plastor
Rough Pool Electric
Final Pool'Spa
Final Solar
Sub Est Approvol
Please Read and Initial:
1. 1 am licensed under the provisions of Business and Professional
Code Section 7000 et seq. and my license is in full force.
6_ 2. I, 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 offered for sale.
3. I, as owner of the property, am excl.rsively contracting with
licensed contractors to construct the project.
A. I have a certificate of consent to satfinsure or a certificate
of Workers Compensation insurance or a certified copy thereof.
5. ! shall not employ any parson In any manner sc as to become
subject to Workers Compens -Aron Laws in the performance of the
work for which this permit is lasued.
Note: If you should become subject to Workers Compensotion
after making this certification, you must forthwith comply with
such provisions or this permit shall be deemed revoked.
rol6+ r AddirleSS
Assiador's Parcel file.
7 Owners Name
Address
Arch /Eng, _ `-- - -- -
Address - - - -- 'cerise ND.
Contractor's
Address (malting) - _ _ -T - -- - -
Phone
City License No -
LICENSED CON7 1-
aacraRVherebyarhrm
triv
DECLARRT,C+
With section 70m 8c _ 'c' pr, ;v•srOOZ or
nv gcense Is in I Div ion > n, Charter 9 (GO encirqe ..ftrct.' the Business and ProfessionLicenseClass _ COde. and
Date -_ - - - LrC^nSV N
sYORKERS• COTION DEIherebyaffirml- C P,ATIOra
Or Workers' se a certified of consent
3800. Coricon Insura e t sr•t. insure d; a GIaG. C.) pr _er , I r'O ertirica le
opy thereofirrdlts' 7Jn. _ (Section
Cert.hed CoincoatbYfuishert
ry
CcrtfloCoDY w. Dlle. the cir
AOLIi t
Bu'
EQEMP'i CON FROM WORKEThrsse_rion need nut be cofWWeted .f
t9EN
AT {ON OFes.. [
is f -
Ceflify that in th¢ per rman
r P
onr hundred .d eC $100) orShannotemployanceo&. Yro :t t
vurkers' Carll ensJ Y ersdn in 9ny manner 5 as t0
or IS iSSs IDatePonlawsOfCazornta. Deco
uhject to the
NUT,C --- SlgnJrurettrrhrrE: It, it r makm9 this detldr.;tion, - _ s• < :o IPrnsition 1 u sr,nu
CO 1p,y 'vr". such Provision, i °or rJr the La4Gr _o btY me Subje ! t0 theNST .,CTION this Derr,.} snail Y -U M. orthwitn
r,or • , LENDING AGENCY e °
evoked. f U afflrru that there IS a COI)Str uctir, e work for which thi n tantlin: agency inn theLdaresNamespermitisIssuer) (Section Pelformance
finder 3097 Civ, C.) s Atltlrvt5 _ _ --
O'''YER BUILDER D ~'--
I .1e_ ECL, RATION -' - -- - __
thY df /um that tam exempt fro!" (hE COn:rdttor• t0'+:wing reason ( Section 7031.5 Business anrf n, z !•'Grose Law for therdotewhichrequiresapertoconstrut}, fir ofess,onar COde: Any city oran.•
le
r:
sore, "•
I Or tO its issuance, , a e' improve, tO f'C J frgnrtl ,ld Cement loaf he /she is 1 ten5r f tit D °ve, tlCln Oli ?N n: reedir
the Contractor's 1 ;Cerise Law e applicant for such pernitDIs,On IGhapter 9 °Durst -ant to the provisions of3nrlhr, Business and Professions
Cm
de) n, with Section 7 , mere from and the oasis tOr IBC alleged
Code 000, 4f7031.y 1 or trial he /she is exemptbyanyapplicantforaegetlexempllon. Any vi Ola"on offire -Wally of not more than five hundred "Ir 9btects the a SCCtion
JS Vinji it
Chi PrOparty Or 5500), pplicant to d Civil
1G, $ " (em ll' WIII d0 the WOrit, n1Y employees with °'
sate (Section )044 and •Ile structcre is not intended or offeredc@q taw does not aPPIBy fC
JO1
a
owner Pro feis,Ona, Code: Tf•r Contract cc's
mpl -, and wbn noes such W
n
h, er or 'I DrOlfOmPrpPrulf rty WrO rIh h Or improve: Yves, provided that suer, im P(O VC•)len °' nrOUrhSale. If, however, the ribllaI c Cr
IPt
ve is are no: Int r i1:s or her own
ptei pa, the own , vrmen' i S I enaed Or °ffeea foraveofOve'or the
pue0oseI
OI sale). Ihv Darr -en of provi;l9 heifShe Ifid root Yedr of tom• as owner or the build or im•
v J{t GIs ru ._ property, am vxrlu; ivelY '•)nt.•aCt1nOOflra:Gi the prOleCf (S4chon 7044, (:iusr -ess antl PIDieLf OM Code:
The c;or.t :
mp'.s Lrrensr Law dots not apply io an owner ofbUlitlforImprOy4SmereOn, and Who of ap ly for Su Cntlactor(s) Iicens,t Pro PertY whoDr °O. 0 their Pursuant to the Cnnlracfor's p"I"Cls with a con- WO•ker'S COMOI!rlsaUbn inZrfanLicense LdWI_ I am aware teatjIam (Rempl under SCC Y.On
1C6siIspriC:IOn
menlfonOff PrnpertY for
Dnvils_Icense x SS _ Dato
Whde-Bulldtns, Caaar •Tem orar FIIYpY e CUpy, Plni- Assessor; Goidaerad-App4cant -`
Applicant to fill in all CITY OF LAKE ELSINORE CONSTRUCTION PERMITspacesexceptthosewithinhpETNnavyborderfirmandsignallappropriatedeclarat5WTRACTN0. LOT No. '
TITEDFtplr ` i UNIT NO.
t i METy Fi AM l
COH rERSIOH OEA;OLISN pTHE ' AI TERAiION 1 REPAIRCMYPTIONOFWORK/ltCCnr R
I _ _ `-
n.,. $
f SIT :7 GRADING FOUNDATION
7i;;
E Main BuiltELECTRICALGPLUMBINGOTHERTFront
PP,OIEtT DESCRIPTION: B RearConstruct,oa type _ - -- - -_ A
Yaps -
Zone K RightPCMSLeftRemarks
Ping. Ref. #
Planning Notes
rl-
Floor Sinks Fixtures _ ` -' Heating System R, pact ;gg
0.100 000 BTU 0100 000 BTUGasServiceOutlets - Outlets"- '- -- --- --
Interc -ors SLvitches
1 "' Hood 0" Canopy
p Trap -j Meter u tPDZ00amps — Tye? 1 C1 Tyne is
Roof Draihs Meter 0 Over 200 amps }-_ Refrigeration System j
Trailer Seeder - --'1 Sub ane! _ - ,-30.10000 00 BTU 0 100 000 BTUSewerCap - 35.5UKW F7TQ t /Fact. Bit. ICBO t' Transformer System Repair /AlterationjSeverConnection _ Bldg. 0 50+KW
Solar Collectors - I Motors.- 0•t -1 11P - -- Fire Gamper- S - ' - --
Solar Piping Inc. Solar c Registers -- - CJ9.15 HP 016.15 +
Sing /Fain, Res. Incinerator `- -- SinaiTank - _- -
iT- - - -
Res- -
f Swimmin Pool /S a Multi•Fam. Res. Misc, --
iNale_ r Heater _ Swiromfn /Spy - - -
WterService _
i -- Issue - -_ - - -- --_ -_ I
entic S tstem - I-_- -___i-
sc"' `- -
DEVEWOMENTSERVICES NEgtpNEMENTS:
i
Ianhil Aopr&md {l .
BuildialApp alvd
APpkstkn Issued - --- - _ • - _ - - ---
Y,_Daia •y --
Building: -
L
P
ACCT. K GRADING FEES
Cut:
Fill
3401 Plan Checi FeP S _ - -
cu. Yards
15 Permit ree $ - ---_
Total fees $
r Summary of Permit ffles
3220 Bu,ldinq 3 t-
3121 Plumbing s _
J ,
3212 Electrical S
3123 -Mechanical $ -- --"-
3124 Retention -
2301 SMIP Res
2302 SMIP Cor: ~
3215 Other s ' --
Summary of Plan ChaCk _ --
3401 Building $ _ %S
Plumbing =
Electrical = ,-
Mechanical
3403 Other $ --. . - -.--_ -
3411 Planning
r
natal Feas Dud _ ,r+C tj Q •
2
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CITY OF LMM ELSINORE
BUILDING DIVISION
O k N l: R - B U I L D E R V E R I F I C A T I O N
A .city or county, which is required to give notice p ursuant to
Section 19630, shall attach to such notice, and, as a condition precedent
to issuing a building permit, require the completion and require the return
of an owner - builder verification.
Attention Property owner:
An "owner - builder" building permit has been applied for in your name
and bearing your signature. 12 building permit will DR IMMIA until this
ve i cation is ece v
1. I personally plan to provide the major I3bor and materials
for construction of the proposed property improvement.
yes No
2. I (have /have not) V — signed an application for a
building permit for the proposed work.
3. I have contracted with the following person (firm) to
provide the proposed construction:
Name
Address -
Phone ( ) _ Contractors—Ell—c—. 4
4. plan to provide portions of the work, but I have hired the
following person to coordinate, supervise, and provide the
major work:
Name
Address
Phone (714) ontractor's Lie.
5. I will provide some of the work but I have contracted
hired) the following persons to provide the work indicated:
ame AddreLa phone TYPE 21 Work
I hereby affirm that I have received a copy of the information set
forth in Section 19630 of the State of California Health and Safety Code
and have complete the above information to the best of my personal
knowledge, in pQmpliance with this State Law.
Sic;,ied: ; _-—
Date: f
Name: /•lo P
Printed or Typed)
Drivers Lic. w or Soc. Sec. A - - _%, ,._
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