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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