HomeMy WebLinkAbout29229 CENTRAL AVE_ 06-00003558ity of L
PERMIT
PERMIT NO: 06- 00003558
JOB ADDRESS . . . . . 29229 CENTRAL AVE "B"
DESCRIPTION OF WORK OCCUPANCY PERMIT
OWNER CONTRACTOR
KI RKLAINDS
P.O. BOX 7222
A.P.## . . . . . . 377 - 040 -027 2
OCCUPANCY . . . .
CONSTRUCTION . . .
VALUATION . . . .
130 South Main Street
DATE: 8/16/06
BUILD RETAIL, INC
122 -A EAST MAIN ST
JAMESTOWN NC 27282
LIC EXP 0 /00 /00
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG
BASE FEE
1.00 X 5.0000 PROFESSIONAL DEV FEE
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
OTHER FEES
PLAN RETENTION FEE
TOTAL
SPECIAL NOTES & CONDITIONS
OCCUP PERMIT
ITEM CHARGE
45.00
5.00
riper: COUNTER Tj,pe: 11F Drawer: 1
Date: 8/16/06 16 Receipt no: 1111'
90(. 355A
BP BUILDING PERMIT 1 $50.78
Trans number: 103877
CA CASH X101.00
Trans date: 8/16/06 Time: 12:48:48
CHARGES PAID DUE
50.00 00 50.00
78 00 78
50.78 00 50.78
riper: COUNTER Tj,pe: 11F Drawer: 1
Date: 8/16/06 16 Receipt no: 1111'
90(. 355A
BP BUILDING PERMIT 1 $50.78
Trans number: 103877
CA CASH X101.00
Trans date: 8/16/06 Time: 12:48:48
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:
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 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. I,as 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 most forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
EL01 Temporary Electric Service
PLO 1 Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 I Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO 1 Underground Water Pipe
SSO I Rough septic system
S W O 1 On Site Sewer
BP05 Floor joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 I Roof Sheathing
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric / T -Bar
MEO 1 Rough Mechanical
ME02 Ducts, ventilating
PL04 Rough Gas Pipe / Test
PL02 I Roof Drains
BP 1 O Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BP 11 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code I Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building ing released by the CityPOOIPoolSteelRein. / Forms
POO 1 Pool Plumbing/ Pressure Test
P003 Pre- Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub Lest Approval Landscape
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre-Plaster Approval Engineering
P009 Final Pool / Spa
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
1 certify that 1 have read this applicabon and state that the
above information is correct. 1 agree to comply wriih 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.
City of Lake Elsinore
130 South Main Street
,/
Signature of Applicant or Agent Date
Agent for
t1Z
contractor owner
Agents Name
Agents Address
Street city State zip
APPLICATION NO.
APPLICA40N CEI
DATE
AP 9 By
BUILDING ADDRESS
TRACT L PA P C
O
NAME `
C r C c.S
N
PHONE
ADDRESS Q , sir 11Z7-
E
R 4L,GSd` \ JV 6 tS- iZZ
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0
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hereby sifun triat I am licensed under provisions apter commencing
with section 71300) of division 3 of the business and professions code,and my
license is in full force and effect
LICENSE a CITY BUSINESS
AND CLASS TAX #
TvR
A
C
MAILING
ADDRESS
T
0
Crr STATE2IP PHONE
c,..l owr. Q T1 -L
R SIGNATURE
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 ZONE:
APARTMENTS
CONDOMINIUMS HAZARD YES
AREA? NpOWNHOMES
COMMERCIAL SPRINKLERS YES
REQUIRED ? OINDUSTRIAL
0 REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG: DEMOLISH
JOB DESCRIPTION
INTENDED USE
BUSINESS NA?vfl
SUITE NLQABER:
TE-NANT'DISCLOSURIES
OCCUPANCY GROUP:
6 SQUARE FOOTAGE:—
TYPE OF CONSTRUCTION:.
IS THE BUILDING-EQUIPPED W1THT.ITttSPR1NKLERS
NUMBER OF EMPLOYEES :
NUMBER AND LOCATION OF RESTROOKFACILIT
LIST ANY CHEMICALS USED OR STORED -AND QUANTITIE
ARE YOU MAKING ANY-IN V- ROVEMENTS.TO-TRE SUITE OR BUILDING OTHER
THAN PAINTING, PIAPERINGI-TLOOk COVERING, MOVABLE.-WES,
COUNTERS OR PARTITIONS NOT OVER-,5'VkPjT 9jNCHF.S.--H1G_H ?
ARE YOU -A NEW-TENANT ?
ARE YOU -THE FIRST TENANT -?_
PLANS REQUIRED.:
1 fyou are not doing any work that requires.v-pic pImsep.dowde four copies of I plot
plan and-'a floor plan.
If you are making other improvements, plea;'c =6 the Ti6mt Improve nerit Plan
Requirements handout-
0(0
fvffi
tN MCIRCLEONE: TENANT /OWNER/ V AIPUTECT ONE.
3/99
JU_ 11 '01 09:44 PAGE. 01
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