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Home My WebLink AboutMAIN STREET S 109_16-00001023 "CITY OF LADE LSII` ORE BUILD-ING -& SAFETY DREAM E�CTREME TM 130 South Main Street Lake Elsinore Ca..92530 PERMIT PERMIT NO: 16-00001023 DATE: 4/22/16 JOB ADDRESS . . . . . 109 S MAIN ST DESCRIPTION OF WORK OCCUPANCY PERMIT OWNER CONTRACTOR OWNER A.P.# . . . . . . 374-262-006 8 SQUARE FOOTAGE 0 OCCUPANCY . . GARAGE SQ FT 0 CONSTRUCTION . . . FIRE SPRNKLR VALUATION . . ZONE . . . NA OCCUPANCY PERMIT �.- QTY UNIT CHG __ ___._..__. ITEM CHARGE BASE FEE _. 30 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES OCCUPANCY PERMIT 30 . 00 . 00 30 . 00 OTHER FEES PROF.DEV. FEE 1 TRADE 5 . 00 . 00 5 . 00 TOTAL 35 . 00 . 00 35 . 00 SPECIAL NOTES & CONDITIONS OCCUPANCY PERMIT FOR GRACIE BARRA JIU JITSU STUDIO , , - :p,m _0 , *� r n -1 ,z, -I o , ,'", z II I I -r..• =I I ,-•, a �-.1 r,-, 'Dr (10 01,Fri I I fTl A r- I 1 I II :i- 0 ' I i fed i'•.j' II � ,�, •.. i_i II ' 41 -n .. i—i I 1,i f_i:,. ..I. .. .... .I I � .-F 1'•. r "D .. 0 r 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.I 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 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 SWO1 On Site Sewer BP05 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BP08 Roof Sheathing BP09 Shear Wall&Pre-Lath PL03 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric/ T-Bar ME01 Rough Mechanical ME02 Ducts,Ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP 10 Framing&Flashing BP 12 Insulation BP13 Drywall Nailing BPI I Lathing&Siding PL99 *Final Plumbing EL99 *Final Electrical ME99 *Final Mechanical BP99 *Final Buildingrj.q. *Final Signatures are Certificate of Occupancy for Single Family Residence Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES SP01 Electric Conduit UG Department Appt•oval required prior to the SP02 UG Gas Piping building being released by the City SP03 Pool Steel Rein./Forms _r Date Inspector SP04 Pool Plmb./Pressure Test Fire SP05 Pre-Gunite Approval I EVMWD SP06 Rough Pool Electric —'� Finance SP07 Pool Fence/Gates/Alarms T� Engineering SP08 Pre-Plaster Approval TUMF SP99 Final Pool/Spa Platuting/La�ldscape 'CITY OF LA KE SI LhIC�I�E DREAM EXTREME TM 130 South Main Street APPLICATION FOR APPLI 10"` BUILDING PERMIT DAPLICA ' I(v DATE AP# BY VALUATION CALCULATIONS BUILDING ADDRE 1st FLOOR SF /O /A-1 TRACT BLOCK/PAGE LOT/PARCEL 2nd FLOOR SF • NAME .3rd FLOOR SF O W MAILINGD PHONE GARAGE SF N ADDRESS !v/ ��J� J'!IZ e7i X� �O® E ITYSTATE/ZIP 2 STORAGE SF R e4,e6' all dIO.?� !/4 907✓40/ I hereby affirm that I am licensed under provisions of chapter 9(commencing 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 O LICENSE# CITY BUSINESS N AND CLASS TAX# T NAME VALUATION: R A MAILING C ADDRESS FEES T CITY STATEIZIP PHONE O BUILDING PERMIT $ R CONTRACTOR'S SI NA U D-Ai1E PLAN CHECK NAME LICENSE# A PLAN REVIEW, R MAILING C ADDRESS SEISMIC H CITY STATE/ZIP PHONE PLAN RETENTION ❑NEW OCC GRP./ CONST. ❑ADDITION DIVISION: TYPE: ❑ALTERATION NUMBER OF NUMBER OF ❑OTHER STORIES: BEDROOMS: ❑SINGLE FAMILY ZONE: ❑APARTMENTS ❑1 certify that I have read this application and state 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 building ❑COMMERCIAL SPRINKLERS YES construction,and hereby authorize representatives of this ❑INDUSTRIAL REQUIRED? NO city to enter upon the above-mentioned property for insp- ❑REPAIR PROPOSED USE OF BLDG: tion purposes. ❑DEMOLISH PRESENT USE OF BLDG: JOB DESCRIPTION y Signature of Applicant or Agent Date Agent for ❑ contractor ❑ owner Agents Name Agents Address a.a.coa —y