HomeMy WebLinkAboutMAIN STREET N 133_16-00001558CITY OFArd
LAKE LSII`OI E BUILDING &SAFETYU
DREAM EXTRE ME TM 130 South Main Street
Lake Elsinore Ca. 92530
PERMIT
PERMIT NO: 16-00001558
JOB ADDRESS ... . . . : 133 N MAIN ST..
DESCRIPTION OF WORK . : OCCUPANCY PERMIT
OWNER
HUANG, SHIAO BO
A.P.# . . . . . 374-174-003 3
OCCUPANCY
CONSTRUCTION
VALUATION . . .
OCCUPANCY PERMIT
QTY UNIT CHG
BASE FEE
CONTRACTOR
OWNER
FEE SUMMARY CHARGES
PERMIT FEES
OCCUPANCY PERMIT 30.00
OTHER FEES
PROF.DEV.FEE 1 TRADE 5.00
TOTAL 35.00
SPECIAL NOTES & CONDITIONS
OCCUPANCY PERMIT FOR BIRDS COSTUME
CONNECTION AKA: 133 N MAIN ST UNIT A
DATE: 6/13/16
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . NA
ITEM CHARGE
30.00
PAID DUE
00 30.00
00 5.00
00 35.00
m -am
vr
X V
r0 01
b u
0 Cl
T1 9v 44 x 11 7•: T
mN C' 1 11 Mm7,
H e4 01 rl II •
j C4 0 to a .•
tir 1••) 4:1
l C
X 70 i Z I( C4
raj T• 4 ".A t II 11
x (71 r. r_n 17)
xc c8,b n m x
mm a -m'•
r r 07+ II U',
i 11 •• r5
r-• f_i7 r+ 11 in
C H r -d to II F-'•
CID cl r_n It
ru 11
I'DIlu
to 11 P
11
C-4 II yt.
Fs II • rt•
It r.
11 R
II •
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
I. I am Licensed under the provisions of Business an(f professional Code Section Mod et seq'and
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
and the structure is not intended or offered for sale.
3. [,as owner of the property,am exclusively contracting with licensed contractors to construct the
project.
4. I 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.
ELO 1 Temporary Electric Service
PLO1 Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcement
BP03 Grout a
BP04 Slab Grade
PLO 1 Underground Water Pipe
SS01 Rough Septic System
SWOT On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 lRoofFraming
BPO8 Roof Sheathing
BP09 Shear Wall & Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 lRough Electric Wiring
EL05 Rough Electric / T-Bar
MEO1 Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP 10 Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BP 11 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME9.9 *Final Mechanical
BP99 Final BuildingFj •((b
Final Signatures are Certificate of Occupancy for Single Family Residence
Code Pool & Spa Approvals Date 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 Rein./Forms Date Inspector
SP04 Pool Plmb./Pressure Test Fire
SP05 Pre-Gunite Approval EVMWD
SP06 Rough Pool Electric Finance
SP07 Pool Fence/Gates/Alarms Engineering
SP08 Pre-Plaster Approval TUMF
LLP11J Final Pool / Spa Planning/Landscape
IY CSF l
C',
DR.EAM EXTREME res
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
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.
Signature of Applicant or Agent Date
Agent for contractor owner
Agents Name
Agents Address
Street City State Zip
130 South Main Street
i
APPLICATI VNO.
APPL CA O RCE D
DATE
BY
BUILDING ADDRESS
f .? k = re
TRACT BLOCK/PAG LOT/PARCEL
O
NAM /
W
N
MAILINGPHONE
C
O
N
I hereby affirm that I am licensed under provisions of chapter 9.(jgmmencing
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
NAME
A
C
MAILING
ADDRESS
T
O
CITY STATE/ZIP PHONE
R CONTRACTOR'S SIGNATURE DATE
A
NAME_ LICENSE #
R
C
MAILING
ADDRESS
H CITY STATE/ZIP PHONE
NEW OCC GRP. / CONST.
DIVISION: TYPE: ADDITION
ALTERATION NUMBER OF NUMBER OF
STORIES: BEDROOMS: OTHER
SINGLE FAMILY
APARTMENTS
ZONE:
CONDOMINIUM HAZARD YES
AREA ? NOTOWNHOMES
COMMERCIAL SPRINKLERS YES
REQUIRED ? NOINDUSTRIAL
REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG: DEMOLISH
JOB DESCRIPTION
h r of
i