HomeMy WebLinkAboutLAKESHORE DRIVE 16738_14-00003345C 1 TY oF
LAKT, coLSilACH-CE BUILDING & SAFETY
DREAM EXTR IMF TM 130 South Main Street
Lake Elsinore Ca. 92530
PERMIT
PERMIT NO: 14-00003345 DATE: 12/15/14
JOB ADDRESS • 16758 LAKESHORE DR
DESCRIPTION OF WORK . : OCCUPANCY PERMIT
OWNER CONTRACTOR
YUN, CHU H OWNER
A.P.# ..... : 378-290-015 1 SQUARE FOOTAGE
OCCUPANCY . . : GARAGE SQ FT
CONSTRUCTION . . : FIRE SPRNKLR
VALUATION . . . : ZONE • NA
0
0
OCCUPANCY PERMIT
QTY UNIT CHG
BASE FEE
ITEM CHARGE
30.00
FEE SUMMARY
PERMIT FEES
OCCUPANCY PERMIT
OTHER FEES
PROF.DEV.FEE 1 TRADE
TOTAL
SPECIAL NOTES & CONDITIONS
OCCUPANCY PERMIT FOR SMOKE SHOP
CHARGES PAID DUE
30.00 .00 30.00
5.00 .00 5.00
35.00 .00 35.00
licv:R1,11
1,U0
VC. VISO HP.J.)
17:19 7.2.
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:
1. I am Licensed
my license
2. [,as owner
Please read and initial
under the provisions of Business and professional Code Section RV segJand
is in full force.
of the property,or my employees w /wages as their sole compensation will do the work
is not intended or offered for sale.
of the property,am exclusively contracting with licensed contractors to construct the
of consent to selfinsurc or a certificate of Workers Compensation Insurance
copy thereof
employ any person in any manner so as to become subject to Workers
Laws in the performance of the work for which this permit is issued.
should become subject to Workers Compensation after making this certification,
comply with such provisions or this permit shall be deemed revoked.
and the structure
3. 1 as owner
project.
4. I have a certificate
or a certified
5. I shall not
Compensation
Note: If you
you must forthwithCodeApprovalsDateInspector
ELO 1 Temporary Electric Service
PLO1 Soil Pipe Underground
EL02 Electric Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO1 Underground Water Pipe
SSO1 Rough Septic System
SW01 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
13P07 Roof Framing
BP08 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PLO3 Rough Plumbing
EL03 Rough Electric Conduit
El.,04 Rough Electric Wiring
ELO5 Rough Electric / T -Bar
ME01 Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PLO2 Roof Drains
BP 10 raining & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BPI( Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building dr 7, 77
Final Signatures are Certificate of Occupancy for Single Family Residence
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
SPO 1 Electric Conduit uG Department Approval required prior to the
released by the CitySPO2UGGasPipingbuildingbeing
SPO3 Pool Steel Rein /Forms Date Inspector
SPO4 Pool Plmb. /Pressure Test Fire
SPO5 Pre - Gunite Approval EVMWD
SPO6 Rough Pool Electric Finance
SPO7 Pool Fence /Gates /Alarms Engineering
SPOS Pre - Plaster Approval FUME
SP99 Final Pool / Spa Planning/Landscape
CITY OF fib
DREAM EXTREME TM 130 South Main Street
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR
2nd FLOOR
3rd FLOOR
GARAGE
STORAGE
DECK & BALCONIES
OTHER:
VALUATION:
SF
SF
SF
SF
SF
SF
SF
FEES
BUILDING PERMIT $
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
FIRE SERVICES
I certify that I have read this application and state that the
above information is correct. I agree to comply with all city
and .unty 0 'finances and state laws relating to building
con traction, a d hereby authorize representatives of this
cit o enter u -on the above - mentioned property for insp-
i_li.
i, ature of Applicant or Agent Date
Agent for ntractor owner
Agents Name
Agents Address
utiLfisciocifif (A-53b
AP7LI.C9IION tyD, -.)
k-'' ..`
C % `)'-
APPLICATION B)ECEI) /ED, 7
DATE„ /
f7". ', / :-7 -`/
L
AP # BY
nA
BUILDING ADDRESS VAS3olocate
7 A BLO P E LOT PARCEL
o3zwce
NAME
N el) u H HYs`
MA LI G
C
O
N
T
R
A
C
T
0
R
I hereby affirm that I am licensed under provisions of chapter 9 (commencing
with section 7000) of division 3 of the ,.jiness and professions code,and
my license is in full force and effect.
LICENSE # CITY BUSINESS
AND CLASS TAX #
NAME
MAILING
ADDRESS
CITY STATE /ZIP PHONE
CONTRACTOR'S SIGNATURE u'7ci E
A
R
C
H
NAME LICENSE
MAILING
ADDRESS
CITY STATE /ZIP PHONE
NEW OCC GRP. / CONST.
DIVISION: TYPE.: ADDITION
ALTERATION NUMBER OF NUMBER OF
STORIES: BEDROOMS: OTHER
0 SINGLE FAMILY ZONE:
APARTMENTS
CONDOMINIUMS HAZARD YES
AREA? NOTOWNHOMES
COMMERCIAL SPRINKLERS YES
REQUIRED ? NOINDUSTRIAL
REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG: DEMOLISH
JOB DESCRIPTION
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