HomeMy WebLinkAboutLAKESHORE DR 16758_13-00002837CITY OF
LAK-E L.,SITAORE BUILDING & SAFETY
DREAM EXTREME,-
130 South Main Street
PERMIT
PERMIT NO: 13-00002837
JOB ADDRESS . . . . . 16758 LAKESHORE DR
DESCRIPTION OF WORK OCCUPANCY PERMIT
OWNER CONTRACTOR
KIM TAE KOOK OWNER
A. P.# . . . . . 378-290-015 1 SQUARE FOOTAGE 0
OCCUPANCY GARAGE SQ FT 0
CONSTRUCTION ARE 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 FOR TOBACCO STORE
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City of Lake Elsinore
Building Safety DivisionT 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.Post in conspicuous place 2.I,as owner of the property,or my employees w/wages as their sole compensation will do thel v.on the job and the structure is not intended or offered for sale,i
3.],as owner of the property,am exclusively contracting with licensed contractors to construct theYoumustfurnishPERMITNUMBERandtheIproject,
p f
GCB/llllKESJ for each respective inspection:
or a certifiedei is
co thereof.
Approved plans must be on job
copy
Insurance
P 4.I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insura
at all times:
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,Code Approvals Date Inspector
you must forthwith comply with such provisions or this permit shall be deemed revolved.ELOI Temporary Electric Service
4-1-1 t5n -1P A n • j
dam'YLU1 Soil Pipe Underground e
EL02 Electric Conduit Underground
BP01 Footings
BP02 Steel Reinforcement
B1`03 Gantt
BP04 Slab Grade
PLOI Underground Water Pipe
SS01 Rough Septic System
SWOT On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 Roof Sheathing
BP09 Shear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
ELO4 Rough Electric Wiring
E05 Rough Electric/ T-Bar
MEOI Rough Mechanical
ME02 Ducts,Ventilating.
PL04 Rough Gas Pipe/Test
PL02 Roof Drains
BP10 Framing&Flashing
BP 12 Insulation
BP13 Drywall Nailing
BPI I Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool&Spa Approvals Date Inspector
Deputy Inspector OTHER DIVISION RELEASES
P001 Pool Steel Rein./Forms l 25®? Department Approval required prior to the
buildin bein released b the CitP001Pool
PlumbintEL06
Pressure Test
nne Approval
Pool Electric
Date Inspector
PlanningListApprovalLandscape
ncing/Gates/
AlarmsceterApprovalEngineeringo]/Spa V
CITY OFF
Building Division Application/Permit No
LA ICE LS I 1`iO p"E 130 South Main Street
Lake Elsinore,CA 92530
DREAM EXTREME (951)674-3124
Applicati Rec edDate
tM
AP#
APPLICATION FOR
BUILDING ADDRESS
BUILDING PERMIT TRACT BLOCK/PAGE LOT/PARCEL
VALUATION CALCULATIONS
OWNER4, F
1 ST FLOOR SF
NAME,.
J lib L, Fe r 1,
2ND FLOOR SF MAILING ADDRESS
Y L Cp1/
PHONE
3RD FLOOR SF
CITY STATE/ZIP
GARAGE SF A— 2-
GONTRACit?R
STORAGE SF 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:
DECK&BALCONIES SF CONTRACTORS LICENSE#AND CLASS CITY BUSINESS LICENSE
OTHER:SF MAILING
ADDRESS
VALUATION CITY STATE/ZIP PHONE
CONTRACTOR'S SIGNATURE/DATE
FEES
BUILDING PERMIT
NEW OCC GRP/CONST
PLAN CHECK DIVISION TYPE
ADDITION
NUMBER OF NUMBER OF
PLAN REVIEW ALTERATION STORIES BEDROOMS
SEISMIC OTHER
ZONE
SINGLE FAMILY
PLAN RETENTION
APARTMENTS
HAZARD YES
I certify that I have read this application and state that the above
CONDOMINIUM AREA NO
information is correct. I agree to comply with all city and county TOWN HOME
ordinances and state laws relating to building construction,and SPRINKLERS YES
hereby authorize representatives of this city to enter upon the COMMERCIAL REQUIRED?NO
above mentioned property for inspection purposes.
INDUSTRIAL
PRESENT USE OF BLDGr
REPAIR
ignatureofApplicantorAgent Date PROPOSED USE OF BLDG
DEMOLISH
Agent for Contractor Owner JOB DESCRIPTION
Agents Name
Address
City State Zip