HomeMy WebLinkAboutBROMLEY AVE 17480 (2) 5
CITY OF
LA E LSII10 E BUILDING & SAFETY
DREAM EXTP EM.ETM
130 South Main Street
PERMIT
PERMIT NO : 08 - 00001377 DATE : 11/26/08
JOB ADDRESS . 17480 BROMLEY AVE
DESCRIPTION OF WORK STRUCTURE INSPECTION
OWNER CONTRACTOR
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A. P . # . . . . . 378 -132 -001 9 SQUARE FOOTAGE 0
OCCUPANCY GARAGE SQ FT 0
CONSTRUCTION FIRE SPRNKLR
VALUATION . . . ZONE . . . . . . R-3
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STRUCTURE INSPECTION
QTY UNIT CHG ITEM CHARGE
BASE 125 . 00
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FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
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STRUCTURE INSPECTION 125 . 00 . 00 125 . 00
OTHER FEES
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PLAN RETENTION FEE . 50 . 00 . 50
TOTAL 125 . 50 . 00 125 . 50
SPECIAL NOTES & CONDITIONS
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STRUCTURE INSPECTION OF FIRE DAMAGE
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Oper: n0li-4TER2 Type: DE Drawer: 1
Pate: 11/36/09 7h Pe�eipt no: 3'lI9
2006 13'7
PIP g1.11LDING PERM I aI�5.5R
ru rHrru slz-mo
Total ter;d�-red $125.50
Total payment $125.5v
City of Lake Elsinore Please read and initial
Building Safety Division 1.1 am Licensed under the provisions of Business and professional Code Section 7000 et seq.and
my license is in full force.
Post in conspicuous place 2.I,as owner of the property,or my employees w/wages as their sole compensation will do the work
on the job 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
You must furnish PERMIT NUMBER and the project.
JOB ADDRESS for each respective inspection: 4.1 have a certificate of consent to selfinsure or a certificate of Workers Compensation insurance
Approved plans must be on job or a certified copy thereof.
at all times: 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,
Code Approvals Date Inspector 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 Uderground
BPO1 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO1 Underground Water Pipe
SSOI Rough Septic System
SWOT on Site sewer
BPO5 Floorloists
BP06 Floor Sheathing
BP07 Roof Framing
BP0S Roof Sheathing
BP09 Shear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 JFough Electric Conduit
EL04 Rough Electric Wiring
EL,05 Rough Electric/ T-Bar
NIEO1 Rough Mechanical
ME02 Ducts,Ventilating
PL04 Rough Gas Pipe/Test
PL02 lRoof Drains
BP t 0 Framing&Flashing
BP 12 Insulation
BP13 Drywall Nailing
BP 1 1 Lathing&Siding
PL99 I Final Plumbing
EL99 Final Electrical
Nffi99 Final Mechanical
BP99 Final Building
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
POO1 Pool Steel Rein./Forms building being released by the City
POO 1 Pool Plumbing/Pressure Test
P003 I Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing/Gates/Alarms Finance
P005 Pre-Plaster Approval Engineering
P009 Final Pool/Spa
CITY OF
LADE L,S I tiOP E
D KEA.M. EXTREME ,. 130 South Main Street
APPLICATION FOR APPLIC N1 D.I 7-7
BUILDING PERMIT APPLICATION RECEIVED
DATE ZZo—' ,
by
VALUATION CALCULATIONS
I I ps;
BUIL
tst FLOOR SF
C A E L
2nd FLOOR 5F
3rd FLOOR SF
W MAILI G (
E ully
ere y a um t o a icense under provisions of chapter 9 commenc n
DECK&BALCONIES SF with section 7000)of division 3 of the business and professions code,and
C my license is In full force and effect.
OTHER: SF 0 LICENSE# CITY BUSINESS
N AND CLASS TAX#
T NAME
VALUATION: R
A MA L
C ADDRESS
FEES T CITY STATElZIP PHONE
0
BUILDING PERMIT $ R CONTRACT SIGNATURE E
PLAN CHECK NAME
Li EN
A
PLAN REVIEW R MAILING
C ADDRESS
SEISMIC _ H CITY P NE
PLAN RETENTION []NEW OCC GRP./ CONST.
❑ADDITION DIVISION: TYPE:
❑ALTERATION NUMBER OF NUMBER OF
[]OTHER STORIES: BEDROOMS:
❑SINGLE FAMILY ZONE:
❑APARTMENTS
p I certify that I have read this application and stale that the ❑CONDOMINIUM HAZARD YES
above information is Correct.I agree to comply with all city TOWN HOMES AREA? NO
and county ordinances and state laws relating to bui{ding EI COMMERCIAL SPRINKLERS YES
construction,and hereby authorize representatives of this ❑INDUSTRIAL REQUIRED? NO
city to enter upon the above-mentioned property for insp- ❑REPAIR IPROPOSED USE OF BLDG:
tion purposes. p DEMOLISH PRESENT USE OF BLDG:
JOB DESCRIPTION
✓� G v 2Li ��?�L f--�
Signa ure of Applicant or Agent ate
Agent for Q contractor ❑ owner
Agents Name
Agents Address
�,Az3s10
Street City State Zip