HomeMy WebLinkAbout29231 CENTRAL AVE_ 06-00002937C City of Lake Elsinore
PERMIT
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JOB ADDRESS . . . . . 29231 CENTRAL AVE
DESCRIPTION OF WORK OCCUPANCY PERMIT
OWNER CONTRACTOR
Bed Bath & Beyond OWNER
29231 Central Ave
LAKE ELSINORE CA 92532
A.P.# . . . . . 377- 040 -027 2
OCCUPANCY . . .
CONSTRUCTION
VALUATION
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
Occupancy Permit
130 South Main Street
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . NA
ITEM CHARGE
45.00
5.00
Oper: COUNTER Type: DF Drawer: 1
Date: 7/25/OE 25 Receipt na: 544
200*, 2937
BP BUILDING PERMIT 1 $50.78
Trans nur:.ber: 103035
CK,.ZHECR 1009 $285.28
Trans date: 7%25/06= Tide: 13:55:43
CHARGES PAID DUE
50.00 00 50.00
78 00 78
50.78 00 50.78
Oper: COUNTER Type: DF Drawer: 1
Date: 7/25/OE 25 Receipt na: 544
200*, 2937
BP BUILDING PERMIT 1 $50.78
Trans nur:.ber: 103035
CK,.ZHECR 1009 $285.28
Trans date: 7%25/06= Tide: 13:55:43
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
1.1 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. l 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 malting 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 I Soml Pipe Underground
EL02 Electric Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO1 Underground Water Pipe
SSO 1 Rough Septic System
S W O 1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 I Roof Framing
BP08 JRoof Sheathing
BP09 I Shear Wall & Pre -Lam
PL03 lRough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 lRough Electric/ T -Bar
ME01 Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP 1 O I Framing & Flashing
BP 12 Ilasulation
BP13 IDrywall Nailing
BP 11 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector
Department Approval required prior to the
buildinp, ing released by the CityPOOIPoolSteelRein. / Forms
P001 Pool Plumbing / Pressure Test
P003 Pre- Gunite Approval Date Inspector
EL06 Rough Pool Electric
Sub List Approval kEngineeringiP004PoolFencing / Gates / Alarms
P005 Pre Plaster Approval
P009 Final Pool / Spa
ice,
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK 3 BALCONIES SF
OTHER: SF
VALUATION:
FEES
BUILDING PERMIT $
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
p 1 certify that I have read this appikabon and state that the
above information is correct. I agree to comply with al city
and county ordinances and state tours relaWV to building
construction, and hereby authoize representatives of this
city to enter upon rimboned property for irup-
tion purposes.
7,
natufW of Applicant or
Agent for p contractor owner
Agents Name
Agents Address
Street city state Zip
City of Lake Elsinore
130 South Main Street
APPLICAT ON NO.
3
APPLICATION RECEIVED
DATE — 7-
ADDRESSBUILDING
LOT/PARCEL
0
W
N ADDRESS
R L Oslk
C
O
N
Inei y at I am licensed under provislools orthapter commencing
with section 7000) of dMsion 3 of the business and professions code,and my
dense is in full force and effect.
LICENSE d CITY BUSINESS
AND CLASS TAX #
T
R
NAME
A
C
MAILING
ADDRESS
T
O
CITY STATE/ZIP PHONE
R S SIGNATURE DATE
A
NAME LICENSET-
R
C
MAILING
ADDRESS
H CITY STATEIZIP PHONE
D NEW OCC GRP.I
DIVISION:
CONST.
TYPE: O ADDITION
O ALTERATION NUMBER OF
STORIES:
NUMBER OF
BEDROOMS: O OTHER
D SINGLE FAMILY ZONE:
O APARTMENTS
O CONDOMINIUMS HAZARD
AREA?
YES
NOOTOWNHOMES
O COMMERCIAL SPRINKLERS
REQUIRED ?
YES
NOOINDUSTRIAL
O REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG: O DEMOLISH
JOB DESCRIPTION
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PERMIT
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JOB ADDRESS . . . . . 29231 CENTRAL AVE
DESCRIPTION OF WORK OCCUPANCY PERMIT
OWNER CONTRACTOR
Bed Bath & Beyond OWNER
29231 Central Ave
LAKE ELSINORE CA 92532
A.P.# . . . . 377 - 040 -027 2
OCCUPANCY . . . .
CONSTRUCTION . . .
VALUATION . . . .
BUILDING PERMIT
QTY UNIT CHG
BASE FEE
1.00 X 5.0000 PROFESSIONAL DEV FE -E
130 South Main Street
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKLR
ZONE . . . . . . NA
ITEM CHARGE
45.00
5.00
Occupancy Permit
FEE SLTKMkARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 50.00 50.00 00
OTHER FEES
PLAN RETENTION FEE 78 78 00
TOTAL 50.78 50.78 00
SPECIAL NOTES & CONDITIONS
Occupancy Permit
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
1.1 am Licensed under the provisions of Business and professional Code Section 7000 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 wil l 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.
4.1 have a certificate of consent to selfinsure or a certificate of Workers compensation Insurance
or a certified copy thereof
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,
you most forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
ELO 1 Temporary Electric Service
PLO 1 Soil Pipe Underground
EL02 Electric Conduit Underground
BP01 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO 1 Underground Water Pipe
SSO 1 Rough Septic System
S W O 1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPOS 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 Roof Drains
BP 10 Framing & Flashing
BP 12 Insulation
BP13 I Drywall Nailing
BP 1 l Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building being released by the CityP001PoolSteelRein. / Forms
P001 Pool Plumbing / Pressure Test
P003 Pre- Gunite approval Date Inspector
EL06 lRough Pool Electric Planning
Sub List Approval: Landscape
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre - Plaster Approval Engineering
P009 Finial Pool / Spa TUMF
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