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HomeMy WebLinkAbout265 SAN JACINTO RD _ 06-000027480-496 City of L PERMIT JOB ADDRESS . . . . . 265 SAN JACINTO RD STE E DESCRIPTION OF WORK DEMOLISH ALL OTHERS OWNER CONTRACTOR CALIF. REO MNGMT CORP. OWNER 130 South Main Street A.P.# . • . . . 363- 140 -069 8 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . 500 ZONE . C -O DEMOLITION PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30.00 1.00 X 30.0000 DEMO PERMIT PER UNI -T 30.00 1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES DEMOLITION PERMIT 65.00 00 65.00 OTHER FEES PLAN RETENTION FEE 26 00 26 TOTAL 65.26 00 65.26 SPECIAL NOTES & CONDITIONS DEMOLITION OF NON - BEARING WALLS FOR FUTURE T.I.AS NOTED ON FLOOR PLAN. Oper: COUNTER Date: 6/19.06 19 Receipt no: 7610 Total tendered `65.26 Total payment $65.26 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: Please read and initial am Licensed under the provisions of Business and professional Code Section 7000 et seq. and license is in full force. 2 ,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. ],as owner of the property,am exclusively contracting with licensed contractors to construct the project. or a certified copy thereofj) 4, I have a certificate ofconsent to selfinsure or a certificate of Workers Compensation Insurance I shall not employ any person in any manner so as to become subject to Workers Compensation Laws in the performance of the work for which this permit is issued. Note: If you should become subject to Workers Compensation after mating this certification, you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector ELO 1 Temporary Electric Service PLO 1 Soil Pipe Underground EL02 Electric Conduit Underground BPO1 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO 1 Underground Water Pipe SSO 1 Rough Septic System S WOl on Site Sewer BP05 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BP08 Roof Sheathing BP09 Shear Wall & Pre -Lath PL03 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric / T -Bar MEO I Rough Mechanical ME02 Ducts, Ventilating PL04 Rough Gas Pipe /Test PL02 Roof Drains BP 10 Framing & Flashing BP 12 Insulation BP 13 Drywall Nailing BPI 1 Lathing & Siding PL99 Final Plumbing EL99 Final Electrical W99 Final Mechanical BP99 Final Building Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the building ing released by the CityP001PoolSteelRein. / Forms POO 1 Pool Plumbing / Pressure Test P003 I Pre- Gunite Approval Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landscape P004 Pool Fencing / Gates / Alarms Finance P005 Pre - Plaster Approval Engineering P009 I Final Pool /Spa City of Lake Elsinore 130 South Main Street APPLICATION FOR BUILDING- PERMIT VALUATION CALCULATIONS tst FLOOR SF 2nd FLOOR SF 3rd FLOOR SF GARAGE SF STORAGE SF DECK & BALCONIES SF OTHER: SF j ALUATION:5- -/`- R FEES BUILDING PERKIT .S -' PLAN CHECK PLAN REVIEW - PLAN RETENTION'. 81/cetfrfjr tha11 tsave lead this apps and statethat tfie above - irtf&WI$dn is correct _t.Vee to comply w h City and county ordinances and :slate laivs•n atirtg to bui ufg: constru>;tian;•aird t ereby authar¢e representaTwes of this " = = (96112,10 b igt atg4e:6f Appiicant-or- Agerit•. Oafe Agent for : contractor ,-D' owner A96 (§*.Name - Agents Address " Street City State •• : Zip APPLICATION NO 0&_12199 APPLICATION RECEIVED DATE AP 3<03- )yo K <c BUILDING ADDRESS S TRA T BLOCK/PAGE O L,OITI /PARCEL W N - F.9AlUN PH NE ADDRESS 2-6 S_ ` zit_ R L-- o ILdIN C'A— TCA- C. N 1 hereby affum that 1 am licensed under provisions of chapter '9 (commencing with section 40M) of division 3"of the business and professions code,and my license is in full force and effect. LICENSE _ CITY_ BUSINESS ANP-06AND-06 S TAX 9 T R NAME A C MAIUN = - ADDRESS . L2 T O.. CITY- STATE/Z1 PHONE, R CONTRACTOR•S:SI NATURE O TE NAME' LICENSE 0 R " C moA[UtiG • - ADDRESS I# PITY " ST7rTEIZIP PONE NEW OCC GRP. I DIVISION:... CONST. TYPE: 0 ADDITION ALTERA%lON- ; " NUMBER OF ' TORIES: NUMBER OF BEDROOMS: UTHte.•'_• • p'S114611FAMLY ZONE:_' Q APARTAIeffs- CONDZHNtN1UWi HAZAIRD QREA7 :_- - -:. YES No. p-TOWI*A0kES-; 3 t:C{lIf2 ERCiAL•. • 01604STRk.. SPRINKLERS REQUIRED? YES NO' d REPAIR' - PROPOSED USE OF BLDG: PRESJ =NT USE-OF BLDG: " DEiMOLI -Si _ JOB- DESCRIPTION LAKESHORE ORAL & MAXILLOFACIAL SURGERY PETER ADAM KRAKOWIAK DMD FRCD(C) FADSA FICOI DENTO FACIAL IMPLANTOLOGY Building Permit Department REGENERATIVE City of Lake Elsinore JAW SURGERY RE: Ritz Garden Plaza 265 San Jacinto River Road Suite 101 and 102 Lake Elsinore, CA DENTOALVEOLAR SURGERY June 19, 2006 CRANIOFACIAL To whom it may concern: TRAUMA CARE GENERAL As requested by your staff we are providing a brief narrative, which will address and ORTHOGNATHIC clarify items necessary for issuance of a demolition permit for the above listed property. SURGERY er PROVIDER am Krakowiak DMD FRCD(C) FADSA FICOI DIPLOMATE: President Lakeshore Oral & Maxillofacial Surgery ABOMS NBDA Diplomate American Board of Oral & Maxillofacial Surgery Professor USC School of Dentistry FELLOW: AAOMS RCD(C) ICO1 CALAOMS ADSA SCAOP MEMBER: ADA CDA CDSBC ACONIS RITZ GARDEN PLAZA • 265 SAN JACINTO RIVER ROAD SUITE 101 • LAKE ELSINORE, CA 92530 TEL: (951) 471 -3334 • TEL:(951) 471 -3350 • FAX: (951) 471 -3347 J I& A-- 0 PHx z G*)` r I A D Y co z rn rnrn C m D r Un —r °ter mice E4,91 ORE BUILDING DIVISION PERMIT# °G Z7yg APPROVED CJMAJ Y v %J 0 1