HomeMy WebLinkAboutLAKESHORE DR 16738_00-00000370Al fir
City of Lake Elsinore rr,-1
PERMIT NO: 00- 00000370
JOB ADDRESS . . . . .
DESCRIPTION OF WORK
OWNER
PERMIT 130 South Main Street
16738 LAKESHORE DR
ADD OR ALTER - RESIDENTIAL
CONTRACTOR
TRAN KHANH OWNER
HUYNH JACKLYN
DATE: 6/13/00
A.P.# . . . . 378- 290 -018 4 SQUARE FOOTAGE 0
OCCUPANCY . . OFFICE, RESTAURANTS, MISC GARAGE SQ FT 0
CONSTRUCTION . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . 500 ZONE . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
OTHER FEES
SEISMIC GROUP R
PLAN CHECK FEE
CHARGES
50.00
50
37.50
TOTAL 88.00
SPECIAL NOTES & CONDITIONS
REMODEL WATER STORE, ADD NEW WALL, MOVE
EQUI PMEWi
PAID DUE
00 50.00
00 50
37.50 00
37.50 50.50
Operator:, COLWER
Date: 6/13/00 13 Receipt: 0005690
Total Payment $50.50
City of Lake Elsinore
Building Safety Division
Post in cuispicuc s p1 ace
y
7 Qbonthe
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
y Code Section 7000 et seq. and my license is in full force.
2. 1. 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. 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project.
4. 1 have acertificateofconsenttoselfinsureora certificate ofWorkers
Compensation Insurance or a certified copy thereof.
5. 1 shall not employ any person in any manner so as to become subject
to Workers Coompensation 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, you must forthwith comply with such pro-
visions or this permit shall be deemed revoked.
Code Approvals Date Inspector
ELOI Temp Elec Services
PLol Soil Pipe Underground
EL02 Elec Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BPO3 Grout
BP04 Slab Grade
PLOT Underground Water Pipe
SS01 Rou h tic S stem
SWO1 On Site Sewer
BM5 Floor Joists
Roof Sheathino
Shear Wall P, Pre-[ ath
Pt fn Rouoh Plumbino
EL 0 iriRoughElectric-W iring
EL05 Rough Electric -T -Bar
ME01 Rough Mechanical
ME02 Ducts, ventilating
PLO4 tRouhGasPipe-Test
P1_02 Roof Drains
1 0 Framino & Flashino
BP12 Insulation
BP13 Drywall Nailing
BP11 Lathing d Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Buildin
Code Pool &spa approvals Date Inspector
OTHER DEPARTMENT RELEASES
De p. Inspector Department Approval required prior t1D the
building being released by the CityPo01PoolSteelRein./Forms
P001 Pool Plumbing/Press. Test
P003 Pre - Gunite
Date Inspector
EL06 Rough Pool Electric
Planning
Sub List Approval
Landscape
P004 Pool Fenci Access
Finance
P005 Pre - Plaster
EngineeringP009IFinalPool/Spa
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
I st FLOOR 1;1 CO SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER:
J,
C ity of Lake Elsinore
130 South Main Street
SF
GRADING CUT CY
FILL C
VALUATION:
FEES
BUILDING PERMIT
PLAN CHECK
ADDITIONAL PLAN CHECK
GRADING PLAN CHECK
MICROFILM
COPIES
IMPRO FEES SCHOOL FEES F
PAID
DATE
C I certify that I have read this application and stole 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 purposes.
nn nn
v Signature of Applicant gfMent Dotb
AGENT FOR __ CONTRACTOR N' OWNER
AGENT'S NAME N1Ps
AGENT'S ADDRESS
REV. DATE 11 1 90