HomeMy WebLinkAboutLAKESHORE DRIVE 16738 HCITY OF
LAKE LSI OE BUILDING & SAFETY
DREAM EXTPE&4ETM
130 South Main Street
PERMIT
1.3
JOB ADDRESS . . . . . 16738 LAKESHORE DR SUITE H
DESCRIPTION OF WORK OCCUPANCY PERMIT
OWNER CONTRACTOR
YUN CHU OWNER
YUN HYE
A.P# . . . . . 378- 290 -018
OCCUPANCY . . .
CONSTRUCTION . .
VALUATION . . .
OCCUPANCY PERMIT
QTY UNIT CHG
BASE FEE
FEE SUMMARY
PERMIT FEES
OCCUPANCY PERMIT
OTHER FEES _
PROF.DEV.FEE 1 TRADE
TOTAL
SPECIAL NOTES & CONDITIONS
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . NA
ITEM CHARGE
30.00
CHARGES PAID DUE
30.00 00 30.00
5.00 00 5.00
35.00 00 35.00
NEW OWNER FOR POSTAL PLUS OCCUPANCY
PERMIT
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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. I,as owner of the property,am exclusively contracting with licensed contractors to construct the
project.
4.1 have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
or a certified copy thereof.
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,
you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
ELO1 Temporary Electric Service
PLOI Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO1 Underground Water Pipe
SSO1 Rough Septic System
SWO1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPO8 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PLO3 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric / T -Bar
MEOI Rough Mechanical
ME02 Ducts, Ventilating
PLO4 Rough Gas Pipe / Test
PL02 Roof Drains
BP10 Framing & Flashing
BP 12 Insulation
BP _Drywall Nailing
BPI 1 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
OTHER DIVISION RELEASES
Department Approval required prior to the
building being released by the City
Date Inspector
Planning
Landscape
Finance
FnbainPPrinrtb
Code Pool & Spa Approvals Date Inspector
Deputy Inspector
P001 Pool Steel Rein. / Forms
P001 Pool Plumbing / Pressure Test
P003 Pre - Gunite Approval
EL06 Rough Pool Electric
Sub List Approval
P004 Pool Fencing / Gates / Alarms
P005' Pre - Plaster Approval
P009 Final Pool/ Spa
CITY OF
LAK, F LSII`iOP
DREAM EXTREME
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1 ST FLOOR
2ND FLOOR
3RD FLOOR
GARAGE
STORAGE
DECK & BALCONIES
OTHER:
VALUATION
FEES
BUILDING PERMIT
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
I certify that I have read this
information is correct. I
agf, ordinances and stateherebyauthorizere
above mentioned
Agent for
Agents Name
Address
City
SF
SF
SF
SF
SF
SF
SF
pplication and state that the above
to comply with all city and county
Ming to building construction, and
ves of this city to enter upon the
inspection purposes.
orngent Date
Contractor 01 Owner
State Zip
Buildin<
130 Sou
Lake Els
951) 67
Division
th Main Street
nore, CA 92530
4 -3124
Application /Permit No
1 y
Application eiv d Da e ,
AP #
BUILDING ADDRESS
TRACT BLOCK/PAGE LOT /PARCEL
OWNER t
NAME (
MAILING ADDRESS PHONE
ZIPCITYSTATES
I hereby affirm that I 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:
CONTRACTORS LICENSE # AND CLASS CITY BUSINESS LICENSE
MAILING
ADDRESS
CITY STATE /ZIP PHONE
CONTRACTOR'S SIGNATURE /DATE
NEW OCC GRP/ CONST
DIVISION TYPE
ADDITION
NUMBER OF NUMBER OF
STORIES BEDROOMSALTERATION
OTHER
ZONE
SINGLE FAMILY
APARTMENTS
HAZARD YES
AREA NOCONDOMINIUM
TOWN HOME
SPRINKLERS YES
REQUIRED? NOCOMMERCIAL
INDUSTRIAL
PRESENT USE OF BLDG
PROPOSED USE OF BLDG
REPAIR
DEMOLISH
JOB DESCRIPTION
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