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Home My WebLink AboutWOODLAKE STREET 134_03-00000236 I\,A� s Ci of Lake Elsinor 130 South Main Street PERMIT PERMIT NO: 03-00000236 DATE: 2/12/03 JOB ADDRESS . . . . . 134 N WOODLAKE ST DESCRIPTION OF WORK . REROOF OWNER CONTRACTOR WORTH RAYMOND OWNER WORTH CYNTHIA 134 N WOODLAKE ST LAKE ELSINORE CA 92530 A. P. # . • . . . 389-280-009 5 SQUARE FOOTAGE . 0 OCCUPANCY . . . GARAGE SQ FT . . 0 CONSTRUCTION . . FIRE SPRNKLR . . VALUATION . . . ZONE . . . . . . R-1 REROOF PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 35 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 1 . 00 X 3 . 0000 REROOF 3 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES REROOF PERMIT 43 . 00 . 00 43 . 00 TOTAL 43 . 00 . 00 43 . 00 SPECIAL NOTES & CONDITIONS reroof 16 sq. asphalt shingles Oper: COUNTER Date: 2/12/03 12 Receipt no: 3748 Total tendered $43.N Total paysent $43.N City Of Lake Elrinorc ' Bwldln Safety Dig i nm Please Read and Initial 1 I am Ucensed under the provisions of Business and Professional Code Secdon 7000 et seq and my license is In full force Post in conspicuous place z 1 as owner of the property,or my employeesw/wages as their sole• compensation will do the work and the structure Is not Intended or on the job offered for sale 3 I as owner of the property am exclusively contracting with licensed contractors to construct the project lou niu�i iurni-;h PERMIT NUMBER .ind the _ 4 1 have a certificate ofconsenttoselflnsureoracertlAcateofWorkers JOB \DDRESS for each respecw-e inspection i Compensation Insurance or a certified copy thereof r J 5 1 shall not npkry any person In any manner so as to become subject Appm�ed plans nlu�t be on lob to Workers Coompensation laws in the performance of the work for at all nrne-� which this permit is issued Note If you should become subject to Workers Compensation after making this certification you must forthwith comply with such pro- visions or this permit shall be deemed revoked Code Apcx ovais Date Iruoecto• ELO', Tenp Elec Se-vxes PLO! Sod Prpe Unaergrouno EL02 Elec Concur Undo ouna BPO' FootiNs BP02 Steee'P--nforcement BP03 Grou' BPO4 Sao Grade PILO! Unoar ok;•+a Water Ppe SSO! Ro• n Seotic System SWO! On Ste Sewe• F P -W ELG4 Ro, r E•ec,-c YrLr ELC5 Ro- -E ec:-c T Bar MEO! Ro, ,Me- a-r,-A' ME02 Dvccs Ve--Ia' PLC< Ro• n Gas P Tes' P',0 F - Fi Wrc BP l 2 Ir sc_to no BPI D-ivan Na.— BP! La mN 6 S-cr PL99 Fu,a)Pu^or EL99 Fnai Eiectncai M E99 F nall Mecnan a 1. .�� 1; �� , y /� > C C C r` .5 S 1 CJ l l e BP98 ❑'al B�nlc Cooe Pool&Spa Anoro-+als Da e ! OTHER DEPARTMENT RELEASES Dep •o- Department Approval required prior to the POO! Pool Steel Reti,Fo. s budding being released by the City POOL Fool Rur-it> Press Test POC3 P,e-Guvte Date Inspector EL06 Ro�gr,Pool E'-ectr.c Ptanrn S,Jo bsi Aporoval Lanciscape P004 Pooi Fer%orcj Access Finance P005 Pre Pave En ineenn P009 Frnal Poot'Soe City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT APPLICATION RECEIVED DATE VALUATION CALCULATIONS AP# l By I st FLOOR SF BUILDING ADDRESS 2nd FLOOR SF TRACT BL K/PAGE LOT/PARCEL 3rd FLOOR SF GARAGE SF NAME a tYJ STORAGE SF W MAILING PHONE DECK&BALCONIES SF ADDRESS woo p c Kcr CITY STATE/ZIP OTHER: + cL$iNo t2x CA- 1 2-"- SF i hereby affirm that I am IKensed under provisions of Chapter 9(conimenarp with Sedion 7000)of Division 3 of the Business and Professions Code and my license is to Lull force and effect LICENSE# CITY BUSINESS Z ANO CLASS TAX# VALUATION: $ NAME FEES MAILING ADDRESS BUILDING PERMIT $ CITY STATE,ZIP PHONE CCiNTRACTOR S SIGNATURE DATE PLAN CHECK ADDITIONAL PLAN CHECK NAME LICENSE# 0 W MAILING i ADDRESS V < CITY STATE/ZIP PHONE ❑NEW [REPAIR OCCGRP./ _ CONST. DIVISION TYPE: MICROFILM CADDITION ❑MOVE NUMBER OF NUMBE ❑ALTERATION ❑DEMOLISH STORIES BEDROOMS- COPIES ❑OTHER ZONE ❑SINGLE FAMILY units HAZARD AREA? YES NO IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units ❑CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO ❑TOWNHOMES units PROPOSED USE OF BUILDING: / ❑COMMERCIAL ❑INDUSTRIAL PAID PRESENT USE OF BUILDING: DATE JOB DESCRIPTION ❑ 1 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 inspec- r tion purposes. Z—/2-03 Signat a of Applicant or Agent Dote AGENT FOR ❑ CONTRACTOR -OWNER AGENT'S NAME AGENT'S ADDRESS STREET CITY STATE ZIP REV DATE I I-1 90