HomeMy WebLinkAboutBIRCH STREET 535_16-00000415 ..CITY OF
. . . LAKE LSII`�OR E BIJILDING & SAFETY
�=� D REAM EXT RE M E TM 130 South Main Street
Lake Elsinore Ca. 92530
PENT
PERMIT NO: 16-00000415 DATE:' 2/25/16
JOB ADDRESS . . . . . 535 BIRCH ST
DESCRIPTION OF WORK OCCUPANCY PERMIT
OWNER CONTRACTOR
SIMMONS, BARBARA OWNER
A. P.## . . . . . 377-150-022 0 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION FIRE SPRNKLR .
VALUATION . . . ZONE . . . . . . NA
OCCUPANCY PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
OCCUPANCY PERMIT 30 . 00 30 . 00
OTHER FEES
PROF.DEV. FEE 1 TRADE 5 . 00 : 00 5 . 00
TOTAL 35 . 00 . 00 35 . 00
SPECIAL NOTES & CONDITIONS
OCCUPANCY PERMIT FOR ATM SPECIALTY
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City of Lake Elsinore Please read and initial
Building Safety Division 1.I am Licensed under the provisions of Business and professional Code Section 7000 et seq.and
my license is in full force.
Post in conspicuous place 2.I,as owner of the property,or my employees w/wages as their sole compensation will do the work
on the job and the structure is not intended or offered for sale.
3.I,as owner of the property,am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the project.
JOB ADDRESS for each respective inspection: 4.I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
Approved plans must be on job or a certified copy thereof.
at all times: 5.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 making this certification,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
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
SWO 1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 Roof Sheathing
BP09 Shear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 lRough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric/ T-Bar
ME01 Rough Mechanical
ME02 Ducts,Ventilating
PL04 Rough Gas Pipe/Test
PL02 Roof Drains
BP I O Framing&Flashing
BP 12 Insulation
BP 13 Drywall Nailing
BP 11 Lathing&Siding
PL99 *Final Plumbing
EL99 *Final Electrical
ME99 *Final Mechanical
BP99 *Final Building
*Final Signatures are Certificate of Occupancy for Single Family Residence
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
SPO 1 Electric Conduit UG Department Approval required prior to the
SP02 UG Gas Piping building being released by the City
SP03 Pool Steel Rein./Forms Date Inspector
SP04 Pool Plmb./Pressure Test Fire
SP05 Pre-Gunite Approval EVMWD
SP06 Rough Pool Electric Finance
SP07 Pool Fence/Gates/Alarms Engineering
SP08 Pre-Plaster Approval TUMF
SP99 Final Pool/Spa Planning/Landscape
--C I r-Y OF
LADE LS I TYKE
DREAM EXTREME,. 130 South Main Street
APPLICATION FOR APP `CATIO N .I
BUILDING PERMIT APPLICA N I /
Fgl D j
DATE ���JJ
VALUATION CALCULATIONS AP# BY C
BUILDING ADDRESS 1st FLOOR SF -5 7 f
TRACT BLOMPAGE v LOT/PARCEL
2nd FLOOR SF
NAME
3rd FLOOR SF O
W
GARAGE SF N
E
STORAGE SF R
I hereby Wimthat I am licensed under provisions of chapter 9(commencin
DECK&BALCONIES SF with section 7000)of division 3 of the business and professions code,and
C my license is in full force and effect.
OTHER: . SF O LICENSE# CITY BUSINESS
N AND CLASS TAX#
T NAME
VALUATION: R
A MAILING
C ADDRESS
FEES T CITY STATE/ZIP PHONE
O
BUILDING PERMIT $ R CONTRACTOR'S SIGNATURE 0"Ai
PLAN CHECK NAME LICENSE#
A
PLAN REVIEW R MAILING
C ADDRESS
SEISMIC H CITY STATE/ZIP PHONE
PLAN RETENTION ❑NEW OCC GRP./ CONST.
❑ADDITION DIVISION: TYPE:
❑ALTERATION NUMBER OF NUMBER OF
OTHER STORIES: BEDROOMS:
❑SINGLE FAMILY ZONE:
❑APARTMENTS
❑I certify that I have read this application and state that the ❑CONDOMINIUMS HAZARD YES
above information is correct.I agree to comply with all city ❑TOWN HOMES AREA? NO
and county ordinances and state laws relating to building ❑COMMERCIAL SPRINKLERS YES
construction,and hereby authorize representatives of this ❑INDUSTRIAL REQUIRED? NO
city to enter upon the above-mentioned property for insp- ❑REPAIR PROPOSED USE OF BLDG:
tion purposes. ❑DEMOLISH PRESENT USE OF BLDG:
JOB DESCRIPTION
�_ r
Signature of Applicant or Agent Date k7M �� � �✓`�
Agent for ❑ contractor ❑ owner
Agents Name
Agents Address