HomeMy WebLinkAboutCOLLIER AVE 17995_13-00002309 c.'ry OF
LAKE � LSIHORX BUILDING & SAFETY
DREAM EXTREME,-
130 South Main Street
PERMIT
JOB ADDRESS . . . . . 17995 COLLIER AVE
DESCRIPTION OF WORK OCCUP" PERMIT
OWNER CONTRACTOR
CROSSTREES PERRIS RANCH OWNER
A. P. # . . . . . 378-031-001 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 . 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 TRI-COM
CORPORATION
Mtn Type: I : I
7/W13 22 %mipt no: 412
2013
ip B JIL IKU Fri 1
Trans a 1i1
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Trans datL-e 7 13 TiwP: 10:1 ll
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City of Lake Elsinore Please read and initial
Building Safety Division 1.1 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.],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
Annrmiarl nlnnc mnct kP nn ;� k
rr •-•--r=�=•I �� .,, J, or a ceruned 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.
ELO1 Temporary Electric Service
PL01 Soil Pipe Underground
EL02 Electric Conduit Underground
BP01 Footings
BP02 Steel Reinforcement
1 BP03 lGrout I 1
BP04 Slab Grade
PLOT Underground Water Pipe
SSO1 Rough Septic System
SWO1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 I Roof Sheathing
BP09 IShear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric/ T-Bar
ME01 Rough Mechanical
ME02 Ducts,Ventilating
PLO4 Rough Gas Pipe/Test
PL02 Roof Drains
BP 10 Framing&Flashing
BP 12 Insulation
BP13 Drywall Nailing
BPI Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 IFinal Building
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
P001 Pool Steel Rein./Forms building be in released by the City
P001 Pool Plumbing/Pressure Test
P003 Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
PW4 Pool Fencing/Gates/Ala<<ns Finance
P005 Pre-Plaster Approval Engineering
P009 I Final Pool/Spa I
___
CITY OF
L I
LAKE T`�O E
� S R�
DREAM EXTREME TM 130 South Main Street
APPLICATION FOR APPLICATI N NO�30
BUILDING PERMIT APPLICATIDJ REC�
/ D/�
DATE
VALUATION CALCULATIONS
BUILD41G4RDRE
1st FLOOR SF Q2, Ai1 ic t_ f "'f _
TRA T BLOCK/PAGE LOT/PARCEL
2nd FLOOR SF
NA
3rd FLOOR SF O
W MAILING PHONE
GARAGE SF N ADDRESS
E I A E/ZIP
STORAGE SF R _ CA q` i'3 '
hereby a irm that I am licensed under provisions ot chapter 9(commencing
DECK&BALCONIES SF with section 7000)of division 3 of the business and professions code,and
C my license fullOTHER: SF O LICENSE#s infprfd effect. CITY BUSINESS
N AND CLASS t i TAX#
T NAME
VALUATION: R
A MAILING
C ADDRESS
FEES T CITY STATE/ZIP PHONE
O
BUILDING PERMIT $ R CONTRACTOR'S SI NA E DA i E
PLAN CHECK NAME LICENSE#
A
PLAN REVIEW R MAILING
C ADDRESS
SEISMIC H CITYSTATE/ZIP PHONE
PLAN RETENTION ❑NEW OCC GRP./ CONST.
❑ADDITION DIVISION: TYPE:
FIRE SERVICES ❑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 purpeses,, ❑DEMOLISH i PRESENT USE OF BLDG:
JOB DESCRIPTION
Signaturb of Applicant or Agent Date
Agent for ❑ contractor ❑ owner
Agents Name
Agents Address
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