HomeMy WebLinkAboutRIVERSIDE DR 31737 #B_13-00001245CITY OF
L1141U aLS I NORE BUILDING & SAFETY
D REAM EXT RE ME T.
PERMIT
130 South Main Street
PERMIT NO: 13-00001245
JOB ADDRESS - 31737 RIVERSIDE DR no
DESCRIPTION OF WORK . : OCCUPANCY PERMIT
OWNER
BROOKSTONE LANDINGINC
A.P.# .. ... : 379-171-083 1
OCCUPANCY . .
CONSTRUCTION .
VALUATION . .
CONTRACTOR
OWNER
DATE: 5/15/13
SQUARE FOOTAGE . 0
GARAGE SQ FT . 0
FIRE SPRNKLR . .
ZONE - NA
OCCUPANCY PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
FEE SUMMARY
PERMIT FEES
OCCUPANCY PERMIT
OTHER. FEES
PROF.DEV.FEE 1 TRADE
TOTAL
CHARGES PAID DUE
30.00 .00 30.00
5.00 .00 5.00
35.00 .00 35.00
SPECIAL NOTES & CONDITIONS
OCC PERMIT FOR KAHALED EISSA DDS. INC\
qW:ttirr loglr
Date: 545/13 15 Receipt no:
a013 12'6
EUILDIN3 PERM 1
Trans nuiter:
IC MUM OM
Trans date: 5/15/13 The: 1616:55
n
5113
35.40
16E41
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 ,.
I. 1 am Licensed under the provisions of Business and Code Section 7000 etprofessional seq. and
my license is in full force.
2.1 as owner of the property,or my employees w /wages as their sole compensation do thewill work
and the structure is not intended or offered for sale.
3. 1,as owner of the property,am exclusively contracting with licensed tocontractors construct the
project.
4. 1 have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
or a certified copy thereof
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.
EL01 Temporary Electric Service
PLOT Soil Pipe Underground
ELO2 Electric Conduit Underground
BP01 Footings
BP02 Steel Reinforcement
BPO3 Grout
BP04 Slab Grade
PL01 Underground Water Pipe
SS01 Rough Septic System
S W O 1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BPO7 Roof Framing
BPO8 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PLO3 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric / T -Bar
ME01 Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PLO2 Roof Drains
BP10 Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BP1 1 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building VW/
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building being released by the CityP001PoolSteelRein. / Forms
P001 Pool Plumbing / Pressure Test
P003 Pre - Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing / Gates / Alarms Finance
IP005 Pre- Plaster Approval Engineering
1 P009 Final Pool / Spa 1
CITY OF
LAKE LSINO.RE
DREAM EXTREME
TM
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
Buildin
130 Soy
Lake El
951) 6
1ST FLOOR SF %
2ND FLOOR SF
3RD FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER: SF
VALUATION
FEES
BUILDING PERMIT
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
I certify that I have read this application and state that the above
information is correct. I agree to comply with all city and county
inspection purposes.
S nature of Applicant or Agent Date
Agent for
Agents Name
Address
City
Contractor Owner
State Zip
j Division
ith Main Street
inore, CA 92530
4 -3124
Application /Permit No
i ' — 1245
Application Received Date
AP #
BUILDINsiA
t,17i1 ( ( 1/6j
TRACT LOCK /PAGE LOT /PARCEL
OWNER
NAME !
MAILING ADDRESS PHONE
r 33? kivirsfSe- T ». stf.6
CITY STATE /ZIP
L Izi. efte CA / q 2S3a
CONTRACTOR
I 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:
CONTRACTORS LICENSE # AND CLASS CITY BUSINESS LICENSE
MAILING
ADDRESS
CITY STATE /ZIP PHONE
CONTRACTOR'S SIGNATURE /DATE
NEW OCC GRP/ CONST
DIVISION TYPE
ADDITION
NUMBER OF NUMBER OF
STORIES BEDROOMSALTERATION
OTHER
ZONE
SINGLE FAMILY
APARTMENTS
HAZARD YES
AREA NOCONDOMINIUM
TOWN HOME
SPRINKLERS YES
REQUIRED? NOCOMMERCIAL
INDUSTRIAL
PRESENT USE OF BLDG
PROPOSED USE OF BLDG
REPAIR
DEMOLISH
JOB DESCRIPTION
e,.