HomeMy WebLinkAboutRIVERSIDE DRIVE 31733_04-00001422a
Citv of Lake Elsinore /P
PERMIT 130 South Main Street
PERMIT NO: 04- 00001422
JOB ADDRESS . . . . . 31733 RIVERSIDE DR
DESCRIPTION OF WORK REROOF
OWNER CONTRACTOR
BROOKSTONE LANDING INC
A.P.# . . . . . 379 -171 -085 3
OCCUPANCY . . .
CONSTRUCTION . .
VALUATION . . .
DATE: 5/25/04
PERFORMANCE ROOFING
P.O. BOX 11644
COSTA MESA,
949 - 645 -2382
LIC
REROOF PERMIT
QTY UNIT CHG
1.00 X 5.0000 PROFESSIONAL DEV FEE
16.00 X 3.0000 REROOF
CA 92627
EXP 0 /00 /00
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . NA
ITEM CHARGE
5.00
48.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
REROOF PERMIT 53.00 00 53.00
OTHER FEES
PLAN RETENTION FEE 1.00 00 1.00
TOTAL 54.00 00 54.00
SPECIAL NOTES & CONDITIONS
REMOVE EXISTING CAP SHEET ROOF APPLY
1/2 CDX OVER EXISTING 3/8" SHEETING.
APPLY 5 PLY HOT MOP ROOF ROCK) 16
SQUARES.
Date: 5/25/04 25 0ecaeipt no: 5833
2004 1422
ep BUILDING PETIT 1 954.80
Tram mmber:
CK tmn 11976 554,
Trans date: 5/25/04 Time: 13:57:11
I
Ilsf II1 1t111s1)ILMills 4111,1c '
IM 1111' I01)
l f t - -
II ,t' l it .4•
I'Ir ts,• Re act ant) Imo. +I
I I am I_ic, n,•d und, r the pn,twuns of Ilusm, ss and 1'ruh s tonal
Ccd, tirt Ltun 7000 cl svq and tm license is in full lur e
2 1 asownerol the prnlrnv or m% ernplovcrsw /wa9tsaslhetrvile
omp, n-inon wall c10 the work anti tht structure is not int( nded or
olltrvl lur
i I as own, r of ill, properiv am eac lusheh rnnirarung with lic ensed
contractors In r onstrucl the pmert
4 Ihi ractrtdiratrolconvnttosclhmurcorarcrttliralc ot`,4'orkers
Cornptn,aunn insuranct or a rerttti,•cl tol/1 lhereot
i I shall not , mplor any person In anv rnanner v,as loht•, nrnr sub)ect
to tkorkrrs Ccumix nsarlon [Aws to the perlormintt of the work fur
II-lcn this fu mitt is issued
Now It %ou shuuld 1w e umc suhicct to Wurkcrs CompN nsation alter
ri,kmr this ,<•r,trit aunn Nou must forthwith comph with sm h pm-
cisinns or Ihts nnit shall I,t (Ic ern, d m%okcd
I
I -
Cate s Sea = = +... s k c --a: _
OTHER DEPARTMENT RELEASES
777 -- '--- -
4ar;;ne.•nt Aoproval requ;red prior to the
a nC Cleared by the City,
I Iiicirw7
Da e Irsoeror
ir;a nCe
J
Enoweerino
I
C
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER:
O
SF
VALUATION:
FEES
BUILDING PERMIT
PLAN CHECK
ADDITIONAL PLAN CHECK
MICROFILM
COPIES
IMPRO FEES SCHOOL FEES
City of Lake Elsinore
PAID
DATE
1 certify that I have read this application and state that the
above Information is correct. I agree to comply with all city
and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this
city to enter upon the above- mentioned property for inspec-
tion
130 South Main Street
Signoty I Applicant or Agent dote '
AGENT
FORD [
CONTRA O OWNER
AGENT'S NAME I _D Z'
APPLICATION NO.
DZ4— l cIZZ
APPLICATIOy EQEIVE L /OI /
DATE
JL
C/CCI
l7
AP p By
TRACT BLOCK /PAGE LOT /PARCEL
NAM
O
1000) of Division 3 of the Business and Professions Code and my license is in full force
and effect
LICENSE # %1 CITY BUSINESS
Z ANDCLASS q TAX fIOO
OV N E _
MAILING
AD DRESS/ 60)4' 6(4
CSIq
ST ATEIZIP
c(a _7 PHOY L4 S _ Z
CONTRACTORS NATURE DATE
NAME
u
w MAILING
V
ADDRESS
KQ CITY STATE /ZIP PHONE
NEW REPAIR OCC GRP / CONST
DIVISION. TYPE
ADDITION MOVE NUMBER OF NUMBER OF
STORIES. 1 BEDROOMSALTERATION0DEMOLISH
OTHER ZONE
SINGLE FAMILY units
HAZARD AREA? YES NO
APARTMENTS units
OCONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
OTOWNHOMES units PROPOSED USE OF BUILDING
PRESENT USE OF BUILDING
COMMERCIAL INDUSTRIAL
JOB DESCRIPTION
i 3
x s — "
I S NAT of %Loc
I E7
AGENT'S ADDRESSPo_ ' Lt(,Ltq Ma-A CA q,.i{ gl
1 —1. 1 1 1 on
DOW