HomeMy WebLinkAboutLAKESHORE DRIVE 16738_15-00002569CITY OF
LADE 5LSIN.OR BUILDING & SAFETY
130 South Main Street
Lake Elsinore Ca. 92530
DREAM EXTREME rM
PERMIT
YNK1r111 N17: 1b-UVUU2bby DATE: 9/11/15
JOB ADDRESS • 16738 LAKESHORE DR SUITE C
DESCRIPTION OF WORK . : OCCUPANCY PERMIT
OWNER CONTRACTOR
YUN CHU
YUN—HYE -----
OWNER
A.P.# . . . . . . 378-290-018 SQUARE FOOTAGE . .
OCCUPANCY . . . . GARAGE SQ FT . . .
CONSTRUCTION . . . FIRE SPRNKLR . . .
VALUATION . . . : ZONE • UN
0
0
OCCUPANCY PERMIT
QTY UNIT CHG - ITEM CHARGE
BASE FEE 30.00
FEE SUMMARY
PERMIT FEES
OCCUPANCY PERMIT
OTHER FEES
PROF.DEV.FEE 1 TRADE
TOTAL
CHARGES PAID DUE
30.00 .00 30.00
5.00 .00 5.00
35.00 .00 35.00
SPECIAL NOTES & CONDITIONS
OCCUPANCY PERMIT FOR NON LA(VIETNAMESE
RESTAURANT)OWNER IS UY TRINH
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City of Lake Elsinore
Building Safety Division
Please read and initial
I. I am Licensed under the provisions of Business and professional Code Section 7000 et seq. amu
Post in conspicuous place
my license is in full force.
2. I as owner of the property,or my employees w/wages as their sole compensation will do the work
on the job and the structure is not intended or offered fir sale.
3. I as owner of the property,am exclusively contracting with licensed contractors to construct the
You must furnish PERMIT NUMBER and the
JOB ADDRESS for each respective inspection:
project.
4. I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
Approved plans must be on job
at all times:
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 shouId become subject to Workers Compensation after making this certification,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
ELOI Temporary Electric Service
PLOI Soil Pipe Underground
EL02 Electric Conduit Underground
BP01 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO] Underground Water Pipe
SSOI Rough Septic System
S W01 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BPO7 Roof Framing
BP08 Roof Sheathing
BP09 Shear Wall & Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric / T-Bar
ME01 Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PLO2 Roof Drains
BPI 0 Framing& Flashing
BP 12 Insulation
BPI3 Drywall Nailing
BP 11 Lathing & Siding
P1.99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building su.lg
Final Signatures are Certificate of Occupancy for Single Family Residence
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
SPOI Electric Conduit UG Department Approval required prior to the
SPO2 UG Gas Piping building being released by the City
S P03 Pool Steel Rein./Forms Date Inspector
SP04 Pool Plmb./Pressure Test Fire
SP05 Pre-Gunite Approval EVMWD
SPO6 Rough Pool Electric Finance
SP07 Pool Fence/Gates/Alarms Engineering
SPO8 Pre-Plaster Approval TUMF
SP99 Final Pool / Spa Planning/Landscape
CITY OF
t' LAKE ,3,LSII`O1-E
DREAM EXTREMETM
lir
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR
2nd FLOOR
3rd FLOOR
GARAGE
STORAGE
DECK & BALCONIES
SF
SF
SF
SF
OTHER:
VALUATION:
FEES
SF
SF
SF
BUILDING PERMIT $
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
I certify that I have read this application and state 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 insp-
tion purposes.
61I 11 I20 5
Signature f Applicant or Agent Date
Agent for contractor owner
Agents Name
Agents Address
130 South Main Street
T
APPLICATION NO.
APPLICATION RECEIVED
DATE
AP* BY
BUILDING ADDRESS
1 C 7 3 1,-a6eslvre o
TRACT BLOCK/PAGE LOT/PARCEL
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NAMEq CARAA
MAILIN PHONE
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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.
LICENSE # CITY BUSINESS
AND CLASS TAX #
NAME
MAILING
ADDRESS
CITY STATE/ZIP PHONE
CONTRACTOR'S SIGNATURE Otte 5
A
R
C
H
NAME LICENSE #
MAILING
ADDRESS
CITY STATE/ZIP PHONE
NEW OCC GRP. / CONST.
DIVISION: TYPE: 0 ADDITION
ALTERATION NUMBER OF NUMBER OF
STORIES: BEDROOMS: o OTHER
o SINGLE FAMILY ZONE:
0 APARTMENTS
CONDOMINIUMS HAZARD YES
AREA ? NOTOWNHOMES
0 COMMERCIAL SPRINKLERS YES
REQUIRED ? NOINDUSTRIAL
o REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG: DEMOLISH
JOB DESCRIPTION
CZVII CF CCC—0 PicaNC_
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