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
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L,OITI /PARCEL
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F.9AlUN PH NE
ADDRESS 2-6 S_ ` zit_
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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
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NAME
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ADDRESS . L2
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CITY- STATE/Z1 PHONE,
R CONTRACTOR•S:SI NATURE O TE
NAME' LICENSE 0
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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
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BUILDING DIVISION
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APPROVED
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