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Home My WebLink AboutLAKESHORE DR 16738_02-00000122Y tx - City of Lake Elsinore PERMIT NO: 02- 00000122 JOB ADDRESS . . . . . DESCRIPTION OF WORK OWNER PERMIT 130 South Main DATE: 1/14/02 16738 LAKESHORE DR REROOF TRAN KHANH HUYNI H JACKLYN A.P.# . . . . . 378- 290 -018 4 OCCUPANCY . . . 396.00 CONSTRUCTION . . VALUATION . . . 1,000 CONTRACTOR ROYAL ROOFING 219 S. ANDREASEN ESCONDIDO, CA 92026 760 -291 -0368 LIC EXP 0 /00 /00 SQUARE FOOTAGE 0 GARAGE SQ FT 0 FIRE SPRNKLR ZONE . . . . . . NA REROOF PERMIT QTY UNIT CHG 1.00 X 5.0000 PROFESSIONAL DEV FEE 130.00 X 3.0000 REROOF FEE SUMMARY CHARGES PERMIT FEES 395.00REROOFPERMIT395.00 OTHER FEES 396.00 PLAN RETENTION FEE 1.00 TOTAL 396.00 SPECIAL NOTES & CONDITIONS 130 SQ $LT UP ROOF CALL FOR ROOF SHEATHING INSP ITEM CHARGE 5.00 390.00 PAID DUE 00 395.00 00 1.00 00 396.00 2002 122 $396.00 BP Date: 1/14/02 14 Receipt: 000322752CHECK moommoom City of Lake Elsinore Building Safety Division 7 , t ] n 1Q.S plaae on the job7 You must furnish PERMIT NUMBER and the JOB ADDRESS for each respective Inspection: Approved plans must be on b10 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. 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 sae- 3.1. as owner of the property, am exclusively contracting with licensed contractors to construct the project. 4. 1 have a certificate of consent to sclfinsure ore 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 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 EL01 Temp Elec Services PLO1 Soil Pipe Underground EL02 Elec Conduit Underground BP0i Footings SP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PL01 Underground Water Pipe SS01 Ro2gh Septic System SW01 On Site Sewer BPOS Floor Joists Roof Frartling Roof Sheathqag 11 A Pra-I nth EL04 Rough Electric-Wiri EL05 Rough Electric•T -Bar ME01 Rough Mechanical r ME02 Ducts ventilating ELIH Rough Gas Rpe-Test n II NadirLathiESidin Final Plumbing Final Electrical Final Mechanical Fine! Bui PJ Code Pool a Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES r Depamiertt Approval required prior to the bu ldrtg being released by the CityPoolPoolSteelRein./Forms P001 Pool PlumbinigPress. Test P003 Pre•Gunite Date Inspector ELOG Rough Pool Electric planning Sub List Approval andscape P004 Pool Fencing/Access. Finance PM Pre- Plaster Emineenng PM Final P.V PPLICATION FOR BUILDING PERMIT VALUATION CALCULATIONS tat FLOOR SF 2nd FLOOR Sf 3rd FLOOR SF GARAGE SF STORAGE SF DECK 6 BALCONIES SF OTHER: SF GRADING CUT CY FILL CY VALUATION: FEES BUILDING PERMIT S PLAN CHECK ADDITIONAL PLAN CHECK GRADING PLAN CHECK MICROFILM COPIES tMPRO FEES O SCHOOL FEES O City of Lake Elsinore I PAID DATE O I certify that I have read this application and state that tfte above information is correct. 1 agree to campy with all city end county ordinances and state laws stating to building construction. and hereby culhort2e ropresentaliv" of this city to enter upon the above- mentioned property for i %W- tlion purposes. Signature of Applicant or Agent Dote AGENT FOR O CONTRACTOR O OWNER AGENT'S NAME AGENT'S ADDRESS STREET Cm STATE ZIP 130 South Main Street APPLICAnON NO. / 2 APPLICATION RECE DATE — / — O API Ry ss 3 t ES I tZt= v — tttAn ttsoot *A" sov Akm c-ATTIF W Scot-J D I DO et att *w 1 rr tsr d Ww Tat7Dt at a rYim 2 of M bahmm W edwMw Crs. W wq U=M Y M M ern 01,111 oa.as 289 ZZZ "t L,r) City Co.RSAtTOSS WOMATUtt DAT2 twrt COW 0 04 Aooctss Crir SIA11•21P "$am UNEW URiPAIR OCCGRP./ CONST. DIVISION: WIPE: ADDITION LIINOVE NUMBER OF NUMBER OF STORIES: SEDROOMS: ALTERATION ! :DEMOLISH ZONE: OTHER S NGLE FAMILY units HAZARD AREA? YES No APARTMENTS units CONDOMMUMS units SPRINKLERS REQUIRED? YES NO TOWNKOMES tWtits PROPOSED USE OF IULLOM: PRESENT USE OF SURVING: CaNMERCAI i :l#fDUSTRtAt JO! DESUt*TICi m F— AN I FL- Rom C= FLT = U P REV. DATE tt•sao 5 LOCATIONS TO WWW.ROYALROOF.COM IN BUSINESS SEFVVE Y09 SINCE 1938 CONTRACT St. License 9 Fully Insured C- 39#289222 Royal Roofing Company 219 S. ANDREASEN DR. • SAN DIEGO COUNTY • 92029 TOLL-FREE SAN DIEGO- CENTRAL NORTH COUNTY COASTAL FAX 800. 400.7692 619- 232.5352 760. 348.5352 858 - 292 -5452 800 - 310-7022 Januarn° I Vh. 2001 To Whom It tMay Concern Donald iMason has my permission to conduct all city business on behalf of my contractor's license (259222) in the city of Lake Elsinore. All business to include building permits and city licenses If you have any questions, please call me at 1- 800 -400 -7692 Thank You Si - ely