The URL can be used to link to this page

Home My WebLink AboutGRAHAM AVE W 201_02-00001062 -City of Lake Elsinor PERMIT 130 South Main Street PERMIT NO: 02-00001062 DATE: 5/21/02 JOB ADDRESS . . . . . 201 W GRAHAM AVE DESCRIPTION OF WORK ELECTRICAL OWNER CONTRACTOR LAMBERT, ED & KATHLEEN OWNER A. P . # . . . . . 374-172-013 6 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR VALUATION . . . ZONE . . . . . . NA ELECTRICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 27 . 2500 100-200AMP SERVICE<600VLT 27 . 25 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 MECHANICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 13 . 2500 FAU/FURNACE/DUCTS/VENTS 13 . 25 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 REROOF PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 35 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 20 . 00 X 3 . 0000 REROOF 60 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES ELECTRICAL PERMIT 62 . 25 . 00 62 . 25 MECHANICAL PERMIT 48 . 25 . 00 48 . 25 REROOF PERMIT 100 . 00 . 00 100 . 00 OTHER FEES PLAN RETENTION FEE 1 . 00 . 00 1 . 00 SEISMIC GROUP R . 50 . 00 . 50 TOTAL 212 . 00 . 00 212 Q 0L jhl'i_r, SPECIAL NOTES & CONDITIONS Nuo::iit renjer ea RERF 20 SQ COMP SHINGLE - CALL FOR RF *** CONTINUED ON NEXT PAGE C li. 01 L ',c Ekinorc Please Read and Initial I I am Licensed under the provisions of Business and Prolessional Code Section 7000 et seq and my license is In full force Pn,t in cl)n,,pieul)us place 2 1 asow'neroftheproperty ormy employeesw/wages as their sole compensation will do the work and the structure is not intended or II tilt' o1) offered for sale 3 1 as o%kmer of the property am exclustvely contracting with licensed contractors to construct the project 'i-' i PLR\11I M \113LR 'nil iflc _ 4 Iha%eacertiticateofconsenttoselfinsureora certificate ofWorkers It 11; \DDR1_ti� i.'1 -1�11 Compensation insurance or a certified copy thereof 5 1 shall not employ any person In any manner sods to become subject to Workers Coompensatron taws in the performance of the work for •i :II uiil�, which this permit is issued Note- If you should become subject to Workers Compensation after making this ertificauon you must forthwith comply with such pro visions or this permit shall be deemed rc%oked Cooe A;o•o'.a s Da e I-soccv' ELC Te—o E ec Se,:ces PL0' So,'P De U^ce•;ro_•,c EL32 E x Co c_ U-ce vo_-c BPG' =ao s BP 2 See-Re,-'o'ce—er BF'a3 U•a_ BPG' SaD G•ace PL" U-•oe g -C Wa er Pee S S:,' RO_ ^Seo ti S's e- S'::0 O-S e Se»e• P = w nP.x C- - ^ - �a FL„5 E P - T Ba ME-2 D_=s - a PL=: P4--- aas v Toe Di ^ =P - BO i-5 - B' 3 D-:.a `J a Ba La f 6 Sc--o Pl4+ EL?a ME?; F-a Vew:-a :,a BP4e F-a B_c-c Coce Poo,S Soa AaDro.-as Da e Irsc--, OTHER DEPARTMENT RELEASES ra- t^s- Departmzrit Approval required prior to the :>x oa, See Fe- '=o-- binding being released by the City yX Dace its C:Ca,3 D'e ii_- e Date Inspector ELOE Ra_,^°c-o E ec'-c Pip nror S_o L s aaYo.a Lancsca- PIX.: goo Fe- -t.Access Finance JOS P•e Pas e Engineering POIN F a Pao S:�p 1, Cilyof Lake Elsinore �'y V� 130 South Main Street PERMIT PERMIT NO: 02-00001062 DATE : 5/21/02 ** PAGE 2 JOB ADDRESS . . . . . 201 W GRAHAM AVE DESCRIPTION OF WORK . ELECTRICAL SPECIAL NOTES & CONDITIONS (CONTINUED) SHEATHING INSP . REPLACE ELECTRIC SERVICE AND FAU }; t l n= ti:ic c• 1), i t, li Picric Read and Initial I I am Licensed under the provisions of Business and Professional Code Section 7000 et seq and my license is In full force Pot t in conspicuous place 2 1 asow•nerof the property or my employeesw/wages as their sole compensation will do the work and the structure is not Intended or I n the job offered for sale 3 1 as owner of the property am exclusively contracting with licensed contractors to construct the project „— ,Pt ,l''ii -h P P\\H ) \} VRER ?fid 01C 4 Iha%eacertiftcateofconsenttoselffnsureoracertiflcatco(Workers Ittf; FCIPC,tl�C pensation Insurance or a certified copy thereof /C�� 5 1 shall not employ am person in any manner so as to become subject tom' ,i\I'^ •` ..I ''' ,11U,. tn 1,11 to Workers Cmmpensation laws in the performance of the work for '!I which this permit is issued Note_ If tou should become subject to Workers Compe-nsation after making this certification you must forthwith comply with such pro- t-is,ons or this permit shall be deemed revoked Gooe Azxyo•,a s Da a EL0 Tee-o E ec Se-:ces Pt0' 5.:, Poe U-ce•;•o_'�c EL;2 E-ec Grc_ BP0 F oo s BP02 See Pe r'o ce—e— BPC3 G,1- BPC,4 San.G ace PL0 U-.o,•-.o_-c Wa ee P'ae S-_-_ Rw-c-seo,c S.s e— S:vO O-S e Se,-e, Y � C o F>:E :H S-teaa—.- �S^ � c S E_ C- A F W S F F-VLQF L — c, E ec _ , y, VE.P D_ - a --c aP - Bp 3 .+a Na BP a— i S•_ MlE93 F-a lie•:-a-,ca 7- -Q BF'? F-.a &_c 7-7 Gone Pao 3 S,-.a Aocro:es Da e rstie y OTHER DEPARTMENT RELEASES U''- i-spe,C Department Approval required prior to the -'w ooc s ee pe- F3—s betiding being released by the City FIX aIoo P_—:,--yea Tes- 0OC3 I p•e G_--e Date Inspector EL2 Po- r 000'E ec,rc PIanrvrig S.oLs Av o.a Lancscape PIX- Pic, Fe-._ c Access Finance P005 P•e Pas e En ,neenn PJ113 F•a Poo Sze City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO BUILDING PERMIT APPLICATION RECEIVED DATE VALUATION CALCULATIONS AP s By 1stFLOOR SF BUILDING ADDRESS 2nd FLOOR SF TRACT BLOCK,PAGE LITIPARtEl. 3rd FLOOR SF GARAGE SF NAME STORAGE SF Z MAILIN DECK& BALCONIES SF 0 ADORES CITY OTHER: SF I hereby affirm that I am licensed under provestons of Chapter 9(commencing with Section 10001 of Division 0 of the Business and Professions Code and my license is in full force and effect ENSE n CITY BUSINESS Z A LASS TAX 4 VALUATION: 0 NAME FEES MAILING ADDRESS BUILDING PERMIT $ clTr STATE'ZIP PHONE CONTRACTOR 5 SIGNATURE DATE PLAN CHECK ADDITIONAL PLAN CHECK NAME LICENSEq u Z MAILING = ADDRESS V Q CITY STATE,21P PHONE ❑NEW OREPAIR OCCGRP / CONST DIVISION TYPE MICROFILM ❑ADDITION ❑MOVE NUMBER OF NUMBER OF ❑ALTERATION ❑DEMOLISH STORIES BEDROOMS COPIES ❑OTHER ZONE ❑SINGLE FAMILY units HAZARD AREA? YES NO IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units ❑CONDOMINIUMS units SPRINKLERS REQUIRED9 YES NO OTOWNHOMES units PROPOSED USE OF BUILDING ❑COMMERCIAL ❑INDUSTRIAL PAID PRESENT USE OF BUILDING DATE I IvC� JOB DESCRIPTION ❑ 1 certify that I have read this application and state that the above Information Is correct 1 agree to comply with all city f and county ordinances and state laws relating to building construction, and hereby authorize representatives of this ZO ��/}� S city to enter upon the above-mentioned property for inspec- _ N tfo purposes S:,2f.-0Z Signature of Applicant or Agent Date AGENT FOR ❑ CONTRACTOR ❑ OWNER AGENT'S NAME AGENT'S ADDRESS STREET CITY STATE ZIP REV DATE Al 1-90