HomeMy WebLinkAboutDAWES STREET 1361_04-00000545 s - ��- � � C ity of Lake Elsinore
�� s�V� PERMIT 130 South Main Street
PERMIT NO : 04-00000545 DATE : 3/30/04
JOB ADDRESS . . . . . 1361 DAWES ST
TENANT NBR, NAME . . LOT 17 PEPPER GROVE TRACT
DESCRIPTION OF WORK BLOCK WALL
OWNER CONTRACTOR
ASSOCIATED BUILDING ASSOCIATED BUILDING
1151 POMONA RD STE G 1157 E. ARROW HWY STE 46
CORONA CA 92880 GLENDORA, CA 91740
LIC EXP 0/00/00
A. P. # . . . . . 373-203-015 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 500 ZONE . . . . . . R-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 50 . 00 . 00 50 . 00
OTHER FEES
PLANNING REVIEW FEE 10 . 00 . 00 10 . 00
PLAN RETENTION FEE 1 . 00 . 00 1 . 00
SEISMIC GROUP R . 50 . 00 . 50
TOTAL 61 . 50 . 00 61 . 50
SPECIAL NOTES & CONDITIONS
GARDEN BLOCK WALL 5-15 FEET HIGH.
Date: 4/01/04 81 Receipt no: 4727
BP BUILDING PE RNIT 1 $61.58
Trans number: 75317
CB CHECK 22788 $172908.00
Trans date: 4/01/04 Time: 8:57:41
Read and Initial
1 I am 1 iccnscd under the pm%i,.3ns of Ilusmrss and ProlessumaI
Code Swcuon 7(x)Cl t I scq and my Itc erise is in full force
Post In conspicuous place 2 1 as owner of the property orm� employees w/waKevasthcirsole
compensation will do the work and IN sinx tore is not Intended or
on the jo h offered for sale
3 1 1%ownerol the proprrtti amexrlusnrlvrontracung,,with licensed
contractors to Construct the pmj<rt
��•�1 �l it �i iV Ii �(1 }'} i��}} } �I �•}}�} }� lil.' '}� _ 4 Ihd%( acerlfie ete of consi nl to se lfinsurt ora certificate ofWorkers
e 1,fi i.'f'.'.i ' . lil ;'c.il, Compensanon insuranre or a certified copy ihrrt-of
5 1 shall not vmplrn an%person In anv manner so as tuber ome sub}ec t
0, t'il I ''' to llorke rs C(omlx nsation laws in the perlorniance of the work for
,it t, 1-,, which this permit is issued
Note 11 iou should hecome subjec I to Workers Compensation after
mdkmg this n ruhcanon %ou must forthwith cumpK with su(h pro-
visions or flits Ix rirm shall he de e ford rt yoked
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CJCB .D s Spa +:.-as =sae Irs=-'- : OTHER DEPARTMENT RELEASES
r'- -= parrK•nt Apfxoval rc-quired pr"to the
- � ::xjdcinc:r,nG releasca ey the Cary
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Encineerinq
City of Lake Elsinore ]
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT �� !�46
APPLICATI N ECEIVED
DATE U
VALUATION CALCULATIONS AP a�� -- C B
1st FLOOR _SF BLII DIrg AgD;Ess r i
2nd FLOOR _SF cr ��c, BLOCK/PAGE LOT/PARCEL
3rd FLOOR SF
GARAGE _SF NAME V r v
STORAGE _SF i MAILING r PHONE n
DECK&BALCONIES _SF ADDRESS
R)AAAMA W.
70
ITY ,SjATE/ZIP
OTHER: /�f��(/ (prD
_SF I hereby otftrm that I am licensed under provisions of Chapter 9(commencing with Section
1000)of Div soon 3 of the Business and Professions Code and my license is to lull force
and effect
LICENSER .-7 ,�7/t� CITY BUSINESS
O AND CLASS TAX N.
VALUATION: o NA E
FEES MAILING s
ADDRESS
BUILDING PERMIT $ c1T • STAT zIP PyQN�
CON ACT E DATE
PLAN CHECK
u
w MAILING
= ADDRESS
� T s'I� Tr"1t srsu
-k CIT • ST TE/ZIP
ONEW OREPAIR OCC GRP / CONST
DIVISION TYPE. _
MICROFILM CADDITION OMOVE NUMBER OF NUMBER OF
OALTERATION ODEMOLISH STORIES- BEDROOMS
COPIES ❑OTHER ZONE
0SINGLE FAMILY units HAZARD AREAS YES NO
IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units
❑CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
OTOWNHOMES units PROPOSED USE OF BUILDING-
OCOMMERCIAL ❑INDUSTRIAL
PAID PRESENT USE OF BUILDING
DATE
JOB DESCRIPTION
O I certifythat I have read this application state that the info ��/1 ` •N ���
above information is correct. 1 agree to comply
y with all city ^
and count ordinances and state laws relaltng to building
constr lion, and h eby authorize representatives of this
city o ent up n t above-mentioned property for Inspec-
as �!( 0 f
nature Appllcont or Agent Date
AGENT FOR CONTRACTOR \�OW—.NER
AGENT'S NAME !!!!!! ��_��v" t"�
AGENT'S ADDRESS
......
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