HomeMy WebLinkAboutLAKESHORE DRIVE 16738_16-00001043CITY OF
OF
LADE q?LSIIAOP.,-E BUILDING & SAFETY
DREAM EXTP EME TM 130 South Main Street`
Lake Elsinore Ca. 92530
PERMIT
PERMIT NO: 16-00001043 DATE:_ 4/25/16
JOB ADDRESS . . . . . 16738 LAKESHORE DR
DESCRIPTION OF WORK OCCUPANCY PERMIT
OWNER CONTRACTOR
YUN, CHU H OWNER
A.P.# . . . . . 378-290-018 4 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . . . NA
OCCUPANCY PERMIT
QTY UNIT CHG __ ITEM CHARGE
BASE FEE 30.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
OCCUPANCY PERMIT 30.00 00 30.00
OTHER FEES
PROF.DEV.FEE 1 TRADE 5.00 00 5.00
TOTAL 35.00 00 35.00
SPECIAL NOTES & CONDITIONS
OCCUPANCY PERMIT FOR LA MICHOACANA AT
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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:
Code Approvals Date Inspector
Please read and initial
1. I 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 propery,or my employees w/wages as their sole compensation will do the work
and the structure is not intended or offered for sale.
3. Los 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. 1 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.
ELOI Temporary Electric Service
PLOI Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO Underground Water Pipe
SSO1 Rough Septic System
S WO I On Site Sewer
BPO5 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PLO3 Rough Plumbing
EL03 Rough Electric Conduit
EI.04 Rough Electric Wiring
FL05 Rough Electric/ T -Bar
MEOI Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP 10 Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BP I 1 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 *Final Mechanical
BP99 Final Building • 46
Final Signatures are Certificate of Occupancy for Single Family Residence
Code Poul & Spa Approvals Date I Inspector OTHER DIVISION RELEASES
SPO1 Electric Conduit UG Department Approval required prior to the
SP02 UG Gas Piping building being released by the City
SP03 Pool Steel Real /Forms Date 11ruspector
SP04 Pool Plob./Pressure Test Fire
SP05 Pre-Gunite Approval I EVIAWD
SP06 Rough Pool Electric Finance
SP07 Pool Fence/Gates/Alarms Engineering
SP08 Pre -Plaster Approval TUMF
SP99 Final Poo[ /Spa Planning/Landscape
CITY OF
LADE LSINORT
DREAM EXT P E ME rM 130 South Main Street
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER: SF
VALUATION:
FEES
BUILDING PERMIT
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
p 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 stale laws relating to building
construction, and hereby authorize representatives of this
city to enter upon the above - mentioned property for insp-
tion purposes.
Signature of Applicant or Agent Date
Agent for contractor owner
Agents Name
Agents Address
APP ATIfh NO
APPLICATION RECEIVED
DATE
BUILDIN ADDRE
I (P l.A e
TRAC I LOTWARKCEL
O NAMjA_ea4e0P rn CO
W
N
MAILIN VH()NE
Imencin
C
O
N
I hereby a irm trial amatI licensed under provisions o chapter g
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 #
T
R
NAM
A
C
MAILING
ADDRESS
T
O
CITY STATE/ZIP PHONE
RCONTRACTOR'S I U — ON iE
A
NAME LT(7ENSE #
R
C
MAILING
ADDRESS
H CITY STATE/ZiPPHONE
NEW OCC GRP. / CONST.
DIVISION. TYPE: ADDITION
ALTERATION INUMBER OF NUMBER OF
STORIES: BEDROOMS: OTHER
SINGLE FAMILY
APARTMENTS
ZONE:
CONDOMINIUMHAZARD YES
AREA? NOTOWNHOMES
COMMERCIAL SPRINKLERS YES
REQUIRED? NOFAINDUSTRIAL
REPAIR I PROPOSED USE OF BLDG:
IPRESENT USE OF BLDG: DEMOLISH
JOB DESCRIPTION
V 1C,v. Ye rri 14