HomeMy WebLinkAbout16738 LAKESHORE DR_ 06-00002386I'.
PERMIT
130 South Main Street
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PERMIT NO: "06- 00002386 DATE: 6/05/06
JOB ADDRESS . . . . 16738 LAKESHORE DR
DESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL
ITEM CHARGE
OWNER CONTRACTOR
DOMINO'S PIZZAGS
63.00
ORANCO DEVELOPMENT
1.00
16738 LAKESHORE DR. SUITE K 3190 "D" AIRPORT LOOP DR
VALUATION
LAKE ELSINORE CA 92530 COSTA MESA, CA 92626
5.0000 PROFESSIONAL DEV FEE
714 - 432 -1199
ELECTRICAL PERMIT
LIC EXP 0 /00 /00
A.P.# . . . . . 378- 290 -018 4 SQUARE FOOTAGE 1
OCCUPANCY . . . OFFICE, RESTAURANTS, MISC GARAGE SQ FT 0
CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR
30.00
VALUATION . . . 3,000 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63.00
1.00 X 12.5000 VALUATION 12.50
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
5.00 X 1.0000 LIGHTING FIXTURES /1ST 20 5.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
ELECTRICAL PERMIT
OTHER FEES
PLAN RETENTION FEE
SEISMIC OTHER
PLAN CHECK FEES
CHARGES
80.50
40.00
6.00
50
56.63
TOTAL 183.63
SPECIAL NOTES & CONDITIONS
NEW COUNTER *LIGHTS *replace existing
t -bar =
PAID
00
00
00
00
00
W1Z(
DUE
80.50
40.00
6.00
50
56.63
183.63
Oper: COUNTER Type: C<< 0rawer: 1
Date: 6/05/06 05 Receipt no: 7210
2006 23 °6_..
BP BUILDING PERMIT 1 5183.63
Trans number: 100856
cK CHEN 33u69 $275.63
Trans date: 6/05/06 Tine: 10:22:22
W
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
1.1 am Licensed under the provisions of Business and professional Code Section 7000 et seq. and
my license is in full force.
2. l,as owner of the property,or my employees w /wages as their sole compensation will do the work
and the structure is not intended or offered for sale.
3. l,as owner of the property am exclusively contracting with licensed contractors to construct the
project. J4. l have a certificate of consent to se finsure or a certificate of workers compensation Insurance
or a certified copy thereof
5.1 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 maldmg this certification,
you most forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
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
S W 01 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPO8 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric/ T -Bar
MEO 1 Rough Mechanical
ME02 Ducts, Ventilating
PL04 I Rough Gas Pipe /Test
PL02 Roof Drains
BP 10 Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BPI I Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
MB99 Final Mechanical
BP99 Final Building
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
buildiniz ing released by the CityPOOIPoolSteelRein_ / Forms
POO 1 Pool Plumbing / Pressure Test
P003 Pre- Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing / Gates / Alarms nce
P005 Pre-Plaster Approval EEngineeringi
P009 IFinal Pool / Spa
C
APPLICATION FOR
13UILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER: SF
2 0 0
E
VALUATION:
TATEIZIP
FEES
BUILDING PERMIT
h
PLAN CHECK
PLAN REVIEW
SEISMIC -
PLAN RETENTION
D /-% 56 -"
r
O.O
0 4 certify that 1 have read this application and statethat the
above information is co."ecL_t agree to comply with afl city
and county ordinances wW. state laws'relating to budding
canstrucfan'; -arid hereby autfiarize representatives of this -
city to enter upon the above - mentioned property for insp-
I
City of Lake Elsinore
130 South Main Street
Agent for ;.p contractor O owner
Agen&.Wrne
Agents Andress
Street City State - Zip
I
APPLICATION NO.
Z3,
APPLICATION RECEIVED
DATE —
je —
AP
BUILDING ADDRESS
14 - / S
TRAOT BLOCKTAGE LOTfP RCEL
NAM
W
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MAIL.IN
ADDRESS 16'23j!
PHONE
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I hereby affirm that 1 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.
LICENSE F 3 SQ% CITY_ BUSINESS
AND CLASS TAX -#
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MAILING: /
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ADDRESS_ _?14)0
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CITY_ STATE/ZIP
Cos Tn A6:Y C
POONE
7X6,26 . / - -
R CONT AT D TE
NAfd LICENSE #
C ADDRESS . _
H CITY STATE/ZIP PHONE
0 NEW OCC GRP. /
DIVISION: - _
CONST.
TYPE: 0 ADDITION
0 ALTERATION- . NUMBER OF - NUMBER OF
BEDROOMS: O_OTF{ER ':_ • , .'STORIES:.
0 SINGLE- FANCILY_ ZONE:_ `
Q •At?ARTINENTS -
C CONDONNIUW • HAZARD '
QREA ? .. • ' -:
YES
NO . 0 TOWN.ROMES- '
j3•COMMERC(AL- . SPRINKLERS
REQUIRED ?
YES
NO.' INDUSTRIAL :
0 REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG:. 0 DEMOU! Ik ::
JOB DESCRIPTION -
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