HomeMy WebLinkAbout600 CENTRAL AVE_ (2)Pralycl Addrs,. ( (�1�f/r/Qac fes, DC7
Assessors PRr, oI No- -- ---
Overr's Na(::t• ���� �U - — �
Adtwes:
Arch/cog. �`-�-�•L�3� - -----
_ License NO.
Ad.lress —
Contractor's Name--� - ��� /� y
Phon
Address Imailingl �_ _�-Q��-�,�.�r
City License No. -Inee
LICENSED CONTRACTOR DECLARATION
I h"aby affirm that I am licensed under provisions of Charter 4 (Commenting
violin section 7000) of Division 3 Of the Business and Professions Code• ar.0
my hcenfe is in fryll force ane, effect.
Date
Clots ,�_� , __ ms7 NO.
Date $z�- S'gnatura '�-3�"` .7 _
WORKERS' COMPENSATION 6FCLARATION
1 rlereby afhrrn 1:1at I have a certificate of consent to self -insure or a certificate
01 Workers' `Ompensation Insurance, or a cera
3800hrtl copy thereof (Section
, La h,
Policy No.r�i._�—L..��LComPany
r tiloCtl COPY IS hereby furnished.
Certified CO I — APP hCant - —
EXEMPTION FROM WORKERS' C PENSATION DECLARATION
j lysis SC•Chan need not be comptarea if the permit . let One hundred (S100j or
� IES$).
I certify that in the performance of the work for whigh ;his permit rs ,ssueo• I
Shall not CmPlny any person in any manner SO as t0 become sub;eft to the
workers' Compensation Laws of California.
Date ____ ,Signature
NOTICE: 11, after rna4ing trios daclatatlOtt, yOJ Should become, subject to the
V wori.ys• Comoensatror. Prov,sians of the Labor Code, you moist forth -.In
Com, Iy Willi Such prows+Ors Or this permit Shad be •'
CONSTRUCTION LENDING AGENr:Y _cmttl revoked-
! herery affirm that there IS a construction fending ager Cy for the Performanre
Of the work for vdttco in-$ permit Is Issuetl
Lender's Name (Scctioi. 3097 Gv. C.)
Lende,'t
OWNER BUILDER DECLARATION
1 heresy affirm that 1 am evempt from ?ht Contractor-$ L,Cense Law for She
fonowinq ltd:on (Section 7031.5 Business and PrMassilinai Code: Any city Or
County `"!ch reUuifes a trermtf to Construct, alter, rmprnve. demolish nr repo..
any slruciWe, proof to ;Is issuance, 01sT. requires the apps Cdnt fur such permit
to foie a signetl slate Ment coos nt!she is Hccnsetl pursuant t� the provisions of
the Contractor's License law (Chapter 9 (commenr-ing wi:n Seci�on 7000) of
Divosu,n 3 of :h,¢ Lousiness and Profes,ons Coda) or foal roe/;roc is exempt
fhcrelrom and tltC haS,t far tht aIle�Cd BxCmptinr Any yoOlatipn Of S�Ct ion
7031.5 by env aPDhtan; far a DCrno,l subl¢its int aDPlicant to a civil
penalty of not ntorC roan five Hundred tl0ltars (6500).
1, at owner rot the proocrty ar my emPmyces worn .vages as lhmr sole
Cum pen ShclUn, will tln the w'lrk, ane, !riC tlru C7 ur0 . int inlCntletl Or r)IfC,a
for sale ($¢than 7044, BusjnESs and Prole Ssional Code: Tttc Can:ract Hr's
L is Cn SC La•.v tlOCs not apply t0 an owner OI d prOperfy vdt0 bwlds or imps vns
thereon, and who Ones SUCK Wnft•. nim;elf/herself Or 'nraugh ria of her Own
employees, Mov,dcd that Such Im PInvefhents are not "1 Ou-1, :S offered for
sale. I1, However, the builnmg of improvement IS sold within Fine year or com• —
RlGve f, the pill rill fav¢ :he burden Of proving he/she (lid not b;iild car im•
prGve for the par prose Of sale).
I, as owner of the property, am exclusively Contacting with incensed con•
toaclors to construct file Dr Oject (Section 7044, Business ani Professions Cone:
The Contractor's License Law fines not apply to an owner of ptuperly who
hwint Or Irnpr-nveS thereon, awl who contracts for such project$ wilh a con•
tractor(f) license pursu.,n: to the ContraCthr's L-cens¢ Law). I am aware tnat
Proof Oftheir WOrk.Cf's Cnmpen S.I to on nisurdree Should his prnvitled it, me.
(_1 I am exempt under rActlnr, .._
-_--- ---- --- _ _.— P. C. rm tn.s reason
Dale --Owner _— --- -.
I hereby rerhfy that I nave Tedd tri application ,,rod halt that the above
information is correct. I agree to r into!•: with fill city and tourty (ordinances
'and state laws relatmq 10 builoong Cnnslt lltltOn, and he authoNze repro•
sentatives of toss oil fo enter upon file above-mentioned phtperty for
InsPeCtion purpose
Signature _. t��% P"
Drivers' License or 55 !Ir _
Whitc•Bu,lding, Canary•Temporary File Co
CITY'OF LAKE ELSINORE CONSTRUCTION PERMIT
Applicant to fill in all spaces except those withir heavy border lines and. sign ail appropriate declarations
°F I NO ' TRACT NO. LOT Ne,.
3 I i UNIT Ne,.
TVPEOf tsm,21UCT1ON , . EW d- AM 7 ALTERATION
f- CONVERSION OFhtOLISti J_ pTHEF; P,EPAIR
DESCRIPTION Of WORA/USE OF BLDG -
TYPEOFPERMIT !') GRAD.NG FOUNDATION ;_; STRUUCMRAL
C TENANT ElECTRICAi Fol UM8IY, MECHANICAL
iiif-aHER
PROJECT DESCRIPTION Sia If Occupancy
type Int
Yal ration
$_- _ ,�j, / Acres
PC= � y9
c'
Remarks
E, M
TFRear
A
C
K
i Left --
Ping. Ref. #
Planning Notes
PLUMBING ; FEES
j A!ter, Repair
ELECTRICALFEES—
i
Generator C!0 5KW f 5.15Kt"/!-
-- MECHANICAL
! Auto Wash1
=Batkfeow Pr?venter I
Construction Pale. Sub.
Duct -Under around
_
I Backflovr Irrigation
Cookin knit
Pole Light
- Duct -Structural _
Clarifiers
r- - r
Dishwasher
-
Viers Q as OElectric
- "-
Fan •i/entilating
Exhaust S stem
y—
Fixture Traps ea.
Far,
? -
F.
*-- --
Evaporative Cooler
r_—Floor Drains +
` .11,- --
I Fixtures �—
Heating System ✓� Ducting
Floor Sinks
--
Outlets
�0-100,000 BTU ❑ 100 (
"-
Gas Service Outlet. I
----_
t; -i ---
1 stiltthes
1 Hood or Canopy
Interceptors
Meter G up to 200 amps
_ i Type 1 O �_� t
P -T ---rte-- --� "_-
MEter L over 200 amps --
i Refrigeration system
Roof Drains
Trailer Sewer
Sub ones ;
-
�J_0.100.000 BTU El 100.0
Fare 1/Fact. Blt. ICBO #
Sewer Cap '- }
Transformer O 15.50Y.N!
-�.�- --
System R air/Alteration
Sewer'Connection Bld . ;
9
50+Kyy!#_
Moran Cl 0.1 HP � 1% 8
-;re Dampers _ ____ ---
__
$Olaf f:011BC10fS i
_ I
.1
•
I
I Inc.!Solar 179 15 HP L�tg 15+
Renlsters
Solar Piping
Sing/Fain. Re;,
Incinerator
--
Solar Tank -
--__-�
- _
Multi -Fain. Res.
Mist.
--- —j __ ----
Swimmin P001%S aPool-
�P
SWimmin /S a j
----
Water Heater-
JVater Service_
1 Issue
!
l
Zone
Accessory Building:-------------------
�-
- lZ
---� N
- N
- G
�- ;Parkin R
9 R e9••rProvided E
a
---_-- -1 _ ��2�199t)i11g24 taPlif34. fit
_-- PLLftIN6 PMiT P-9834
DEVELOPMENT SERVICES REQIRREMlNTS: ---y
lalial Approwd
Beilfal Appfeeed Yy -. - -- Date
Application tis"il 6y i -- -Date _
F9
ACCT. it I GRADING FEES
Colt' .__CU yards
Tilt ct,. yards
3101 Plan Check Fee $ -
3225 PermitT-e 3 _ -
1 '.,tai Fees 3 -_---
sommuy of Plan check Fees
3101 Building $ -- ----'-
Plumbing $-
Bectnral S -
Mechanical S
3103 Other S - -
3112 Planning $ -
ff
Total FM Due S �l L ^�
Summary of Permit Fen
3720
Building
$
3111
Plumbing
$
3222
Electrical
$ — - -
3113
Mechanical
$
3221
Rvenilon
$ - y �-
2301
SMIP Res
S
2301
SMIPF.om
$
3125
Other
$
sommuy of Plan check Fees
3101 Building $ -- ----'-
Plumbing $-
Bectnral S -
Mechanical S
3103 Other S - -
3112 Planning $ -
ff
Total FM Due S �l L ^�
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P.n;etl Addross /s
4.NF/I/9 L CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
n border lines..nd sign Ansa sor's Pa: cot No. - - -
Appf ca r co
xcept thosei
fill :n all spaces ewithin h
i 0 ^a s Lein(sous gall appropriate declarations
PER
Address PERMIT_
Arch Err.-'_!_�t.tJE�, Silt _ v>2 F,fS 7 TR�t`CTLIQ LOT NO_ V.'iI"NU. f /
' Tl•Pi0FC0NStRUCT(ON
Address _ - few ADD ALTERATtf•S
--�Y�:i510M DEMOLISH E. REPAIR
m -
Contractor'- Nae 6�C/CrL ��'L� -- j�?,ajS-Y y: MOP•.'USE OCHOT
Addressfmanrngl_�J3 gar r� f--^I'one6T_S�tiK BLDG Ad) L3 _L-�� --� �`„- A.P.
!`'`.,__FC3rn.e� ttpE OF►EnTtts _- 5 Main Bu7ding: 1 'Orsi
Gtr License No. _ .� 22 GRADSKG f01J`rD„)(O>: i E - Actezory Building:
- I � STRIK. - --
t
LICENSEE) CONTRACTOR --- EL_CIRICAI ] - URU T' Front --
DECLARATION :-PLUMBING SlEGtAK:.�L _ - -- -
I ereby atnrm Ina: I Am t,censra ur _:o
w•th SeQ,nn 7r, •a) of Osron 3 otar.a ` s .,so, Coat
,nS . antl
loot Cna•ter 9 (comrnenc,nq PRO,: ear 0
_C -::y 6iP)f ---- - B R --- '----j - -- -�_-- -
n y hee•,u n m, force 1 alts ner, a-tl a.nfessruns t\ Sq Ft
�S ---_--- A. O
�rOCCUnartT C RicF,t ►1
m OCt an7ffeC ----_.------ H '---�---- -__ _---- -.
. 22 3 a! s' at:[• ief) N
S, q, hurt E- -- __ -
T ) - PC4 S
WORKE s• CISMPF_IySATi 3N CIECLARATION Remarks ----- '---- - -- - Ping. Ref.
1 I'ereby afl.rm trial I nave [trt,frcate a' LO:•S!'t• in f - --__ --"- ;Parkin Req./Provided . R
of workers• ComWnsti,on Insurance, r, yr S,.a or a ttr•:•ca:e --' -
a rer".eq COPY thereof f5tctloe PrarlOSOq Notes E
800. LaD_ C 1 -- --_ a--r�-=��•i- T O'-16-1�/ .3 5
6Pol,cy No. /-�_OSf� - J p - -- cr?�1�.t>r?,-(i;
j Cest,f,ea : r.):-tDany �.7t_:S!_��- yam. - - -- -- - .J../.4t-W.
'' 7 CC QD. rf herCLy IUrn,4htL'.—_-
erf r VFUA�14
ti/teWORK£
I IhasSeCS,' n!M ror RS' COGIPEN°ATION GECS_ARA?ION - ----��
It:t)_ 'lC [7^ r-er,a Ir :r;, ,.r. m,: rS for one hundrea ---- - �-
, certrr (5100) or -----_____ -
v tee t: o.r•,r�.n neer -
ShJtl riot c•'.:.. y :nv r : :,n I••e :.Or• ..• Lh :9rs nerm,; ,• _._.-_ ..•-�-
LYorkerS' - rr any ax: _s S!• LL�:o ht•C• , ,ss„ee, t -
�� 'L-na•:u--La.-; [_„r.,rr .,.. ]ntC sabot: to :he PLUti`BIPJG
.. - FEES EiECTRiCAL -- - —---------- _ - -
a.:rf
NOTrCE: If, at,er rrd. - ; t•, L t ,.:•, 1 Aster, Repair _ FEES hiECKANIC.7L - -- ---
cfnr:ers• Cr.mpen,ar j p. s -sr ns c• rc _o Lr= •:ne :uo'ect to cr.c --' ' -. _ Generator=O'SK':d 5•_1§l(W~- - - FEES
Tp: y' wr.• sin r viS s JC. , h , n•ust 'gYnw.tn -AU-J 4d2i71 _. _ �_BOrle. -
cP ” a aecmta r • , COnSfruClien P kcl tr GRADING FEES
CONSTRUCTION LENDING A .,,tri wr,:-[tl. - - Ole Sub. _ -
GENCy 62C�f_C,W PSC'y2nier __ DUCt•U1der tr:ound [;t(
�crcay ar,,.tn :na::rcrt s., _ a:ru"• ,n trip . 8: _ Cgok!n Unit
o• 1',r! wG'F /(,r wf1.C', .^•s ,•-YCnLY �r.t (t•,! '••r:�:fm Backf;f- -- � _
Lcnarrs
Name ne 'ss t5retr ,n 3097 �h IT )Ion _--�_. -_-- DUCI'S1fUClUr?•i ' --
- cr.. c.1 - -- - --POI( Lioht _ ht) -tu )2td:
-- -- +r-- _ Clarifr_rs -Fan •L'entitatinn __ 33603310 P) r
L.' ::.,•s Acc•r•ss ----- ----- ---- - -� _ Dr• 2rs - - ,'- a C rcir.eeS - -
OWNER BUILDE/+ f s - - Y Olshwas`.?r I -- �=-Gas ^Electric - Exhaust S stem _ T•�
1 a..1PAT:OIV ---- , Fan = y__ _ _ _ - - 3� 1.33i2 Permit fee s
•, "�w•n rcasrr •- f ,r'f 1_,censr F:xtuf Tr2aSea. e�`j t E9ZS'Snrah4'e Cooler - •� - _.
C•7,. r.j S B„s 5 z 'Yrf : -.n •: (_ort•:v t F• r- __t!!__ F -A.1,. y ( - _------ -.
C: r,
a'•v ii.,[ l a, it ^,S f r c.. -5. c Svc - _ "__ __--__-_. - ----_- Total fees
t .
.-,e a s.5: rr. sus _m . ; .. a rs:. ag;.r tinter.'%r;,;t pec �'r FIr Fixtures - - & Ducting-
. ac is L,ccnit : s<C'.-. ,r:uam :. •hC nrnvrsrnns or -'J ss' ---- ..-___ - Heating
SO TU i
$ a at
Lam le a7., Oatlets ,0 _ e X100 000 3TU (- A
.-. (-'r;e�.'•.,, v:;h 5cttrnn 7 --. Gas Se,v r - --•
tr,c `.1Wli, 14 a it c,• s ,nos 000) nv a �U,le(f - -" -- ~hood or Canopy- s3c03312 Summary ofPermilieK
tntre•r,•ra rt the nasrt ..,• ar . _ e i Cvfet .'. trio• hC'sr•c L evemn' Switches _- — --^- - -•- _ - �
7031 S by any Anoh, int - ar r, Any v.ura:,,.n „f %_ct,nr. � lnterie0tcrs --- - _Type_1
penalty of nr.., a "' s•:, r pts the .,aahcant `; Metes :110 10 200 amps - - - .' _
e Ina., frvr , rrrtrco r . (SS3gI. d C. P•Tfap - �. - _—_
as owner of :nc O'c t ti ,r , - - - _Meter :Oyer 200 amps -- !
c.,rnp nSJlrun wd, s:eCs wi;r, - __ - _ Refrigo;atinn $ysf `. 41dlnit S - ---
dn trt� -,s and n;,, .•,ones s tree sore ROr f Drain _ 1 =0-100,
!hr Sa rC (SctLOn 70-04 BuS•1 C. d n S; ruC.We r. nr,: ,-,:Cn CrC qr - - S _ --.--J -r - - -
000 BTU " ; itl0 000_ BTU t Plumbing s ��_ao
CC •.n Ls v. rS res not aopl. L:rOria C• C, rhe Cn::rJGt r. r'� a-,er Sevver ._ - "-' -'-- _ -
1... t 'n Jr :.rC y - nurlCi u. -_-__ -- _ _ _ _ __ _ _-- --__
Tr _Suh pane! _
f -
15-5 KW _ FireplrFaci. 81r, fC60 -� " Eter.(rstal S _
all! wr riots su ,v.r.. ,, r s erSCi' '^ " ''r,nr:r ei S2vref Cap ---'"- I Transformer System RepaiuAlteratton-
rn r cvices, r ,v rt.7
trial S�..ch �morr. e:.. n Are •njenrtorinnr ni•eerar�n:' - --- - - - .--• I _ _ _` •-- Mrchartael s ----
fare If, r,n.;r "v �01.me tru tai(•' nr �r.pr r Se WE( Conn - 50+_ Key - _ -- - - - -_-i.� -,
,v,ntr ;,nl .^.aro ht t ,roc C t S 7 v.6hm qrc Year COT• }- _ ___-eCTICn •Bldg. r • - -. - y Fire Oampets r — -- -
rn.st r• sa . ,: nn hr .,r C --�- 0.1 HP "- j . $ - - _ Other
f
grave 'rr ;hC p„r • ,• +
lie'.; le ora nr ,m• SOSaf Uf: i Motarf �r --
a, awnf. r r c ur. Ile an: arc , -. SCiOrS - - -- Inr.. Solar -_Registers - - - r ---
trr s •n c•�• str - - �.-actrnq wrn r�ccr:art can. Solar F �, .a _ - - VIP
C. ntb,Ct .r'L Lr(t•n ••c l av C :r^:S av1 P;ri•rSS�tr.L Cntln: _ ____�_-„- --_ _ - -
S ” Solaf Ia1K -'- -'_ _ _
_� Sino!Fam. ResO. 15
HPil16.15+' Res S
' InnneratOr ' �
"" r 111 iMIP ron 1
b t r r.�w',vcs incrcr *:. , .a ,•n•. y r,. ars (,wrier :,f a,npe,ly ,?I" _ _ - - - - MIfC_ - -
pro r�•�s� �r �SC•purt ua�,t :r•r f.r n• at ..•'s S_ �n shcn prn)ttts enth ., cnn. --- --_- _ - .-. - ._ - ._. --_.... - - - -
t Mu11, Fam. Res. - - ?i6033.
tsc Lev.) -Sam awJ,c snot Sw`mm:nOPooUS a _-- --__-. _ '0 SummagoflbnChcckF[
r^•'rr'S ( •mp..ncJi•ur , ,Lo:dnrr Sthr•, rf pC Pr:. vrtlCtl to •ria. t Water H2e';f �- , Swlmmin Poo►•'S a -
l. 1 dm c•rnta, unrSCr SC rh r, r. --.--. - -- _ _- - ..
. _' _- _• 8. S P. C. for ShK reason i - —
nate _ _ _Water r�i -- - - - _ - �.� ---- -- 8U !din
1
+ Issuo j - R S
�- Plurntink S
t r,cret,s <r,hry that r (rout r _' __....- -- -- ..�.Se tic�fiem - __-.--- -'- - - �---- - - -- - -- -
rnf.r.rT•al:nr: is Cn•rcr.t. 1 .1.1, C.I 1 , I";,� �?aP} ant 1tdIC fhdt fiiC abnW
arra stat( LINS relalmi : hu.,arnS f•,ns rw,:n a.l C'tY anci cnunty firu,nan,:"-•'��C---- 11 WL0►RENiSERVICESREQUIREMENTS:
sen:atrvtS �'''y� L rrty enter t .,[Sinn. ant; heret.y authtrr,re renre• --^� S(r,rn s --_ -
r•�sae<tinns.She abnva•manironed - _ IMMI(ApppNc�s ans:al -
�� � � a M CertY for ' �-- =_ p._.- _
�•;rgnat:hes 3 - _ %Wdlnt APPfaoed By _ - - _-. .,.--_, -Dalt f120Pr S •---_--_•.-.
3nvtrs' ,-(rents ,., SS --- ba:c (�/��j /�O ----��_-_-_ 6� -f. --•- - _ -"-'------
_ Issue ; .._ AWipHon lsswd By ._._ _--- - ---•-- - - Datte . :359 3s1
--._. ---�_ S Planning
- - R S _
WhrteBm!drnt Green Trmppraryr,l -- - -_- - - ---- -- - .Daft .�-�...
:,Soni. GC'd•rrod ACC4unGn�
- Ttfal Fees Dee f �3 •- �'O
s T a
! ! r 1 Y• w � a,l t t i : F - i F. � � _t r r I ! r
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-
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►EW*cf ikddrns __6�U �entrl_Avemle, Unit
Assessor'sPorciltfao. 377:�U0=0 79Owner'sNyrne Central Bus. Park Invest hon, 674-7823
Add,,,, P.O. _ Box 939, Lake Elsinerc, CA 92330
Arch!Eng. Konrad Rieger --
—__License No.
Address 17952 SkvPark Circie, Irvine —
COntra•:tar•s N.me $LOekstone_L3v. Inc. Phone 614-7823
Addresstmethrig, P.O. Rix 93y Lake _Elsinore,CA 92330
City :leen e, NO. 7418 _ -
LICENSED CONTRACTOR DECLARATION
I he•eby affirm trial 1 am licenser. u6.Yr pl es Kions of Charter 9 (c4^rnenc_q
with section 1000) of OrvrS,on 3 Of the (lusiness and Professions Code, and
my license is in rtill force an.2 effect_
License Crass — jp;1ice No_- —503$6
Date —�SJ2.}.pp_
WORKER <CO 6IENSATION DECLARATION
InereDy affirm :hat 1 have a Cerlrfi Cate of consent :n seif•insum Or a certificate
CI workers- COMPemalion Insurance, Or a certified COPY :hereof (S.Kttor.
3800, L.ab, C.)
FOl'cy No' --- 3403=90- Company -State Fund j
��....{{ Cer:died copy is hereof, furnished. -
`d Cej' y"is kited with the crly li
Date. La j_ — Anpl.-ant
'EXEMPTION FROM WORKERS
l_-rtl,On need not b'COMPENSATtON DE—L,�RAT[ON
esse CornWeted d the permit is liar Crc nun•IrEtl (slt)O) or
tSi)
1 "llrfy that io the pef!Wmance M:ne xUra far wfuCh this Derr". +. isitfeG.
Sha:I not employ any person ,n ,ny ena-,iier so as Ia bCCGme sir',iCC• " !h[
\7nrkers Compensation Laws of CahfOmu,
[late _Si:natu,c
NOTICE: C. a-fer r+a�mg :his de"'at,un, y, -u shouid be,. ung. ,'.bract :o ±ha
I we:Iers' Comae^.sal, n u:n S;,ir,s of the L.mnr rose• ro:, mall rorrna In
c._mDty
RW :1) 5uch : rov ir_'.s per:ni' Sham -
CONSTRUCTION '.ENDING AGENCY deerietl revoked.
1 Weser -y afhrfa Ilia- :her[ K a cO's:ruv•-+,n Ier.C.,.•i agency rnr the Derforn,ance
or lee wh
Ufk for a+crt Ir,s perr..• ,steed 1�[ctron 3097
Lenders Nam': civ. e.)
Lender'S Andres3
OWNER BUILDER CECLr 4TION —
I herehy afrnm th`: r eicr-.n' from :he r_,_ntrar-tnr's L+crnse Law to
Ina
1Ut10w,nq reason r .. ,. 7011.[ 3uSineSS and p,,eessvna, Code- Any to n•
C07ntY wrl,rl rc .•rt.') a permit I+. C:?ns;r uL!, alter, I - v
any siroclu• err t • In lis rSstranc�. atsr• reomres the aDphta t fp1 S"c or rnpa+r
Stich perm(•
•U 'r:e a fined S:alcmer' Ina' he she if license•] r•urs"Jelt 10 the OrOv,sions Of
the Cantr+cfnrs 4.ense i.aw (Granter 9 •comrrtnc,nq with Section J000) of
D v S.,,n 3 of enc 8us:aess sod r'ro:esvo^s Cole) or tnal he/she 7S cxcmpt
IhMr'n)m and the bas„ for the allegro e),: mp:,on. Arty v,(AAl is r- Of SQCtion
anv anwicant for a permit su�•rcti :lin aFP icer n: ;o a uvn
ftenalty n• not n:nre Than rove riundrer+ dollar, ti500),
-- 1, of owner OI the p'n Derry t r my enippnyoaS ,a,ln wages as their sole
con)oensa UUn, wd' as the w,)r',, and the structure is not intended or of, a
rile Sale (yGi,nn 7744, 8oS,ness and Protess,r,nat Cotle- 'rhe Contractor's
�•,cM Sir L w does n0: apply ;J aro owner of a property who b:rrltlf Or nn D rove,
Ier rCOn, .incl wn0 noes su Cn w... Limse!'jnG iCl: or th,ougl his or her rive
er?i atoyee., pfnwdcd !hat such ,ntprnvements are n0: ,111E ndI'd el! •,Irefcd for
rate. I'. h.rweve,, :he Dund•nJ of Improvement ,S sn,C within )ne year of Corr
P,et,On, the owner will na,t ;ne bullion of proving he/She d,d not nand nr im•
prove ror •roc puronse or Sa:e).
_, 1
Ir 714CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
$ _-1��70
Applicant to fill in all spaws except those within heavy barzfer lines and sign all a@propriate declarations
/
PE ITX_ /r -. TRACT tdD. ! LOT N0. UNIT y0_
$
Other
Saormary of Plan Check Fen
j
TTPEOFCONS IKrON t t ,lir f- ADD ALTERAT*N- REPAIR
U MERSION --' O[MO(ISH
Plumbing
$
OWER _
DESC"P1`ID110FWORK%tISEOF8EDG_1enanr Tern
fi ttce
A_P• #
Mechanical
_Q
Tnff_
PERIfR l•'RAOING _: FOL'NDAi[09 STRUCi7RR
E Main Building:
I zone
_ Accessory Building:
iENAN� Etf TP.ICAt PLUMBING MEt }fAAIfCtE
T Front
B
—; Z
_ OTKR
a
A Rear
`—_ -- U
PROJECT OESCRII T Sq ft _�!y_44e Occapanq --
C Right
N
t
Construct= hDe lc � ri' - A:res --- �
tiaiaataeo S X000 _ E'f� r 9� -
S I Left
i � N
G
!!
Ren3arks — -
4e
Fin -Ref• -
j Parkin Req_/Provi E
- — - -
Planning Notes
t]
D
- sec
`
_ -�7
—_ -----� s
Alter, Repair
:,s gash
low
Back
Preveriter
BackfiOW ifrulation
Clarifiers _
Dishwasher
F;xture Trots e7.
Floor Drains
Floor Sinks
Gas Service bullets
Interceptors
P -Trap
Roof Drains
Trailer Sefat:r
Sewer flap -
SewerrConnectinn - BI
L_..—.— _._-_—_
Solar Collectors
as u`vne: nr ir,e pr-pnr!y, am exclUsive,y contraction with 1,CCrtSntl GOA• 1 Jotar
Ifactors In construe: the pro, pct (�etf,nr. 7044, BU%,nos, and Prer,,C n S croon: Solar
The Contiictnr'S t.,cen Se Law floes not aPPIy to aro owner r r pr SID woe
bt„Ins or improvers lhe'ergn, an] vino [onfracit rnr such Prij,CIS vn:h a eon•
',actnr(st ncense purseant in tot Cnn'ractor•s License Law). arr aware trial
p, Uol n Iheu WN�eI'S Curzpe nsAl,dn insurance ShUuln pn prUwdo(] In Ine.
am erempl under SCCTtan _ - _ _
— — ----- --- - 8. b P. C. for Iris reason
Date Owner --- - -- --•—
I Ifarenv ca,rhfy ti.at I have read this appl,ration and state tog: the anove
Infr,fma'.,On is C -rect. 1 a9:ee tri ccrhPly v/,:h alt city and Lourty effdinantes
and stale laws relal,nq to bu,ld,na CnnStfuc,ion, and nerob,, aulh„rile ionic•
n spah,eS nr this city to onto' upon the above-mentioned op� or
mipech1e purport'562— 22
spry',-$' --__ 64-9 1 Dat
Illi vprf' LiCanfo or SS-
Whlte•lulitlnp. ('nary Femporarr rlk Witt. Pink-Asssua. Gddenrod•A,iglicant
Water Heater_
W41er Service _
els ELECTR:CAL i FEES
Generator ❑0 5K4'J ❑ 5.15KW
i Construction Pole Sub. !
Cookin Unit-'
Pole Li ht
Dryers ❑Gas ^Electric
Fan
i c'Z
-A.U.
fixtures
utlets
Switches _S�_
Meter up t 200 amps __ __-
r
es rj trier 200 amps `
panel
❑ 15.50KW +—
Transformer ❑ 5D+KW _
1-MotorsC; 0.1 HP ;-i 1%• 8
- Inc. Solar ! 19.15 HP 016-15f,
_ 'Sing/Fam. Res. -j
--Multi•Fam. Res.
Heating System & Ducting
0.100.000 BTU 0 100.000 Bl
Hood !fir Canopy
;ape 1; Type It -=—
Refrigeration System
LA 100,000 BTU ❑ JOG ,000 BT
ct.
Firepl/FaBlt, ICBG #
System Repair/Alteration
Fire Damper
Incinerator
M isc.
/I Issue
%/n
11ri -
AOCI a 1 GRADING FEES
Cut. _.-_cu. Yards
F-0 4 cU. lards
3401 Plan Check Fee S
3225 Permit Fee $ _
Total Fern $
3120
3221
3122
3213
3224
i30!
2307
3125
3401
-•_-_ CEY WMENTSWICES I Et4TS:•-
-- -- - 2atitl AFF( wd M/ - 3403
,- -- Bolding ItWootl y - -- Daft !� 3412
71;..-� AoNiulion I$Md ky - —
Stmma4ofPermit Fres n
Ru.klinQ j �jC . (�
P;umbiq S __W•j-G'
Electrical s _ 7 _-2-
Methamcal $
Retention
$ _-1��70
SMIP Res
$
SMTP Com.
$
Other
Saormary of Plan Check Fen
Building
$
Plumbing
$
Electrical
$
Mechanical
S _
Othcr
S
Planning
1941 Fm Dot f F41157--
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BUILDING DEPARTMENT
FEE RECEIPT
NAME:�, L y�i 174'9` US . PLAN CHECK #a
l
JOB ADDRESS : _(d 0,r,e
(3224)
100-3224-000
Plan Retention
$
(3412)
100-3412-000
Planning Division Review 10%
$0751
(3401)
100-3401-000
Building Plan Check
(3403)
100-3403-000
r'rading Plan Check
i
$
(v4031
100-3403-000
Overtime Plan Check
$
(3225)
100-3225-000
Special Inspection
$
(3220)
100-3220-000
Reinspection B
$
(3222)
100-3222-000
Reinspection E
$
(3223)
100-3223-000
Reinspection M
$
(3221)
100-3221-000
Reinspection P
$
(3821)
221-3821-000
-n
Park Capital Improvement
$
(3811)
211-3811-000
Storm Drain Capital Improvements
_
$
(3801)
201-3801-000
Street Capital Improvements
$
(3440)
100-3440-000
Sale of Maps and Copy Fees
$
(3461)
100-3461-000
Admin. Fee (including Lot Book)
$
(3831)
231-3831-000
Library Mitigation
$
Miscellaneous
$
TOTAL
$
02190/
. 5, RECEIUEG
.18 PM/S189.00
CITY OF
LAKE ELSINORE
8-4-89
02-O?2SSSRPARK:100-3401
2/CENTRAL BUSINEI NUESTRS
Project Address A
Assissor i Parcel No.
ArchlEng. License No.
Address � �� 0�4%
Con'factor's Nam Phon _
Address tmailing) _
City License Na.
LICENSED CONTRACTOR DECLARATION
1 hereby affirm that I am licensed under Provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my Iice.iSf IS in full t a'ji� e.:ect.
Uce h��as a !_ se N -
WOI*ER,rS � toTIONre
WO ER COMPENSATION DEC ARATION
1 hereby affirm that I have a Ctrtrlizate ul consent to self -Insure or a certificate
Of Workers' Compensation Insurance, or a certil,ed copy thereof (Section
3800, Lab, C) �r _
Pali,c..y�, No.-�+?3 j4 - Company
VC.-
Copy Is hereby furnished.
Cer tsp tiles write flit uty !3 i. Divis -
Date, 7+ Applicant
EX EM ION ROM 1NORKERS' COMPENSATION O CLARATION
(This: Ciion need not be completed if trio pe mit is for one hundred (5100) or
less) -
I Certify that .n in, performance of the work for which this permit is issued I
shall not employ any person in any manner so as to becor-te subject to the
Workers' Compensation Laws of California,
DateSignature
NOTICE: It, alter mak-ng this declaration, you Should become subject .0 the
Workers' Compensation provisions of the Labor Code, you mist forthwith
romply wild such, orovis.ons or this permit Shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hefeoy affirm that tnere is a construction lending agency for the Performance
of the work for which tats permit is issued (Section 3097 Civ_ C.)
Lender's Name
Lender's Address
OWNER BUILDER UECLARATiON
I hereny affirm that 1 am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any cl ty Pr
county winch requires a permit to construct, alter, improve, demolish or repair
anystructure, prior to its issuance, alio requires the applicant to. such permit
to fiie a sigrea statement that he-Sne is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) Of
Division 3 or the Business and Professions Code) or that he/she is exempt
therefrom and the hasis for the alleged exemption. Any violation of SejCtion
7031.5 by any applicant for a permit subjects tete applicant to a civil
penalty of not more than five hundred dollars ($500).
1, as owner of Me property or my employees with wages as their sole
compensation, will do the work, ant the structure is not intended or offered
for saie (Section 7044, Business and Professional Code: The Contractor
License Law does not apply to an owner of i property who build$ or improves
thereon, and who tloes Such work nimself/herself or through his or her own
employees, provided that Such improvements are not intended or offered for
SnIC. It, however, the building or improvement is sold within one year of corn•
pletion, the owner will have the burden of proving he/she diet not build or im•
prove for the purpose of sale).
;J I, as owner of the prooerty, am exclusively contracting with licensee con-
Iracloll In construct the project (Section 7044, Business arta Professions Code:
The Contractor's License Law does not apply to an owner of oruperty who
but IUs or ImproreS thereon, and who contracts for Stich projects with a con•
tractors) license pursuant to rhe Contractor's License Law). I am aware Inat
proof ) trio., Worker's Compensation insurance should be provided to me.
:.1 1 am exempt under Section B• & P. C., for this reason,
Date _—. —�—_ Owner ----
I hereby certify that I have read this application and state that the above
information is cGfrect. I agree Io comply with all city and county nrdinanCes
and $talo laws relay to burlchnq (cons ,tion, and hereby authorlze repre-
sentaLves os ilii to neer opo c abnvo-mentioned pr Doily for
vlspectron purpo
li Signature , Data
Drivers' License or SS yf
White -Building, Canary•TemFofary F111 wy. tsoluenroll-lipplicallf
CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
Applicant to fill in all spaces except those within heavy. border lines and sign all appropriate declarations
PERMIT ,!TRACT NO. LOT NO.
UNIT W0.
TYPE OFONSTRUCT10N 01 NEW ' ADD FI ALTERATION LJ REPAIR
CONVERSION C DEMOLISH � :: OTHER _ 1 - A P #J
DESCRIPTION OF WORT /USE OF BLDG. —
TTPE6"N11R r GRADING G FOUNDATION STRUCTURAL
Cv TENANT r ELECTRICAL ,- PLUMBING, "' MECHANICAL
I- OTHER
PROJECT DESCRIPTION: Sq. ft.. _ '--Occupancy
Construction type __ Ione Acres _
Valuation S / - I / � _PCN — ry �•
Remarks t, A#A �/7 7�
EMain Building: Accessory B
T Front
B
A near
_
C Right
S Left
Ping. Ref_ # — 1 Parking Rea
Planning Notes
08-24-1990•' 2;05 PM„t2;
Z
I
G
R
E
Q
M
T
PLFt4 REUIEW/IR-06. FEE
PLUMBING -_i
FEES ELECTRICAL FEES MECHANICAL FEES
Alter, Repair_
I
Generator ❑0.51(W ❑ 5.15KW
_ --� -
Boiler
ACCT. x
GRRDIN6 FEES
Cut --
cu. yards
Auto Wash
_ _
Construction Pole Sub.; Duct -Under Ground
_
Backflow Preventer
_ Cookin Unit —1
_�_
_
Duct Structural
FII) --
=u. yards
Backflow Irrigation
liers
I
pole Light _
—
D ers ❑Ges ❑Electrc
Fan-Ventilatinq_
Exhaust System
3401
Plan Check Fee
$
fCIz
Dishwasher _
Fixture Traps ea.
_
fan _ I
! F.A.U. — —� �—
Evaporative Cooler _
'
I
Total Fees
t
_
_
I Fixtures �—
- Heating System R Ducting
= P:11 00,000 BTU -) 100,00 6BT_U
®
Floor Drains T__
Summary o! Permit Fen
Floor Sinks .� ' Outlets —_-- �1- Hood or Canopy
Gas Service Outlets _
Interceptors
Switches ;; p
_ Meter Li up 200 amps
T e 1 ❑ Type 11 Q
—7f' YR
Refrigzration System
3220
,
Building
3 ;�!•(i
P -Trap
Roof Drains �—
_Meter_J _over 200 amps
_r—
Sub panel
BTU ❑100,000 BTU
; Flre UFact. Blt. ICBO #
22t
3111
Numbing
Electrical
_
$❑0.100,000
$ _ --2z, 5
Trailer Sewer
_
❑ 15.50KW----
3223
Merh3nical
iTranformer
Sewer Cap
Sewer Comteufon Bldg. ,• B�Id�g.tt,
❑ 50+KW
Motors O 0.1 HP ❑ 1'/2.8Rem
—
Fire Dampers
;stets �
3224
?301
Retention
SMIP Re
s
S
Solar Collectors
Solar Piping —�
Inc. Soiar ❑9.15 HP! -:16-
- -�I
Incinerator
—
1302
SMTP Com.
__
S_—
_P g —
Sing/Fain. Res. I
'�---
� Mise.
3225
Other
$
Solar Tank _
$wimm_in col/S�_
Multi•F.am. Res. _
.Res.
_ SW' IMSLI P00I/S a
�'-��
-- _ _,
`�- _--
3401
_
Sommt:yofPlan Check F Sfsy�-
Budding
Water Heater
—�”
_
issue
Plumbing
S
WL S¢lViCP� —_-�
- -
i - ----
= _
Septic S s1Y em
fktlncaf
S _
— _
� 7
DEVELOPMENT SERV((�ASR*IR(i4Fjf1'S:
i �
, j� '-
Mechanical
i —
being AWaed 3y C _
Date I ?
kilAngAQproledBy _ _. _l % /! Date — '_—f r✓- 7li
AppGcallan Issae/
3403
3412
Other
>'lanmri
$
S __ GTU
Issue _._ .�� �_
BT . -. --- ='f�
-- DaU �_� 7�' - u
I
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----- - - - --
Tela) Fees Due
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Archil=ng.
Address —.---
Contractor's Name Y lSp�� /%%ri t/ _Phone ��i�'lsW
Address (maifirig) 4'—P�
Qty Llrcnse 1V0. •�jC-L�1�a�___.-Y�_-
LICENSED CONTRPCTC id DECLARATION
I hereby affirm Ina: sr^ i Onsets under provisions ,.r Charter 9 (commencing
sloth section 7000) :: I .ior: 3 of the Buamess and Professions _ode, and
MY license is in':m ra:c .n,; effect.
LJcer.seB Class Cns _
Datc,J--e�1�--=,�-•:•_. •:,ynature
WORKE:2� COI1.14ENSATION DECLARATION
I hereby affirm that r have a _ertificate Of Consent to Self4nsure or a Certiftcate
of SYorkerS' Compensarron Insurance, or a c:ttified copy thereof (SeClon
3800 Lab.,C.)
FohtY No-Y't Company
I its ed Copy IS hereby furnished.Ce
/
7tCertified CO is tiled with the City 9u11 +=.�on/.{ • —
�-,�iAPP hcant-�O/►1/_ _�sa�s•
EXEMPTION FROM WORKERS'C MoENSR2';JN DECLARATION
(Tot, Sectio;. need not Ce Com Plated if the permit is `or one hundred (=300) or
Ices)
1 certify tri: n the Perfnrmance of the work for which this perm -t is issued, f
I shall m t a;-,r:•oy any person in my manner so as to become Su, to the
:Volker$' Cnnipensatiun Laws 3f California.
Date ---- _ _ _Signature
L, NOTIe$: n, atter rnar.rrq this declaration, yob should became sublet.: to the
�I
Woe*-ers' Cl•ntlens; tion prov,sicris o1 the Libor Code, you mus: f" If) t &
t co•np:y witty wch orovrs.ons or tars
CONSTRUCTION LENDING AGENCY perm•t snarl be deemed rovukeC.
I vereuy affirm that tittle is a constrvctinn leoding .19 ,,C),, fr.r ?he eerformance
., r,e work for -which -In,s permit 1s ;$sued (Section 3097 C,..
Lender's ?Jame
Lender's Addre,,-`__.___-`----'---
OWNER BUILDER DECLARATION' --
1 hereby affirm that I am erem Pt horn the Cnntrarrrr"S License Lav, for the
lnuowrng reason (S« -Mon 7031.5 Business and drofess•onal Coat: Ans rity or
LfiuMi, wnlch requires a cermit to Cnnitruct, af!er, Im Prove, eemo:W-, or repair
any structure, pow to its issuance, also regyrfes the aPOI,caat '01 suc+ permit
to lire a S,gneo Slatcn,e,ll that nc7$r, is licensed Pursuant t0 the or ov,sions of
i the Contrac:Or'S License. Law (Chep:cr 9 (commencing wi!h Sechrn 7000; of
Oeniurn R r, the Business and ,?r7fesstons Code) or that ne/$r,e •s •xempl
1 Ihn•e?rum and the basis for the alleged exemption. Airy v,otihOn u' Sgctrno
7111.5 by any applicant +or a permit subjects the applicant to a clwl
?:n„Ity of not more than five huncl ats dollars (5500).
1, aS Owner of the Prooerty or my eOtp:ayeeS with wages as tr•e,r Sole
I impensatlon, will do the renrk, .i td the structure rS not mtenled or offered
sale (Sectron 7644 Bu,mess and Profets,unal Cede: The Cer:racterb
Lice me Law does n0! apply In an owner of a property who ha;IdS Or rrn Prbv2S
:nerCo r• arts whO Coes Surts work no fusel f/herself Or through hr$ ,,, ^,e• r.•n;
P[OyOes, p'Ov;dcd trial such Improvements are not ,menders or Of'e•ed fur
Sale, It, however, the bli-linq or improvement ,s Sold within One ycar Of Corn•
171Cr,on, the owner wall neve ,he burden of Proving he/she did not buJC fir ,rn-
prOye for :he purpost at sale).
J !, as Owner of :fir Prop!rty, am exclusively contracting w4P l;_enstl ton-
traCin•%t0 Cohs:ruO the PIOicct (Section 70.14, Business artd Profess o'f$ COtl-
rhe Cnr.rrsClor's License Law dues not apply to an Owner of Property woo
4.
ry;��aS o• improve$ a,efe,r n, and writs cnntra:.ts for Such Proletls w,tn a Con•
I,
h-en;e pu•suanl to the Contractor's !_;Cense Law,. t ant J �•arC tha!
Proof o :neo 'Worker's Compensation Insurance Should be Prnv,Cer., tri nit.
am exempt tender Section -__ - _ - _..-._._ . El. & p. C. fr:r this reasnn
Uatr -
- Owner
I hvreby rerl,fy that I have r2ad Ihrs application and state loot tor• aUnva
mlOrnat,vfi is Correct. I agree If, comply vntn all City and county OfG;na ncgf
ane stale laws !elating IP burldns,r ronSLrucirnn, and hereby autrY,rite rcpre-
inspecStill ..as of this c,1 to enter upon to above. mentioned property for
Intnectron nurpnsts
Slgnatulr _ _ ° .�
Onwr$' License w 54 4y ...
Whrte•BI'l!u.g. angryfemllorary F°e , a znr pp Icant
— - — »v«cs■>ror^
CITY OF LAKE ELSINORE CONSTRLICTi
oject Address _ _�Q[Z +` ���C 1
I►:sossoYs Parcel No. Applicant to flit -n all spaces except those wittun heavy. border linea and sign all appropriate ppropriate deciarrtiors
ern, Ivan .s�'Sr��.`L� `Sd%A/� P� �-�%�-3 PERRR IT j)O, TRACT NO. LOT Na.w .......�.....�tT N�..,�
rnr, _ .1�a �
TYPEWCONSTTit�'TlON EW I•"D !ALTERATION :REPAIR
1- CONVERSION DEN IISH - G" ITR
DESCRIPTION OF WORK7USE OF B1DG._,�f
TYPEOFPERVIT '� GRADING
TENANT ?-'_F;TR'CAL
-ETHER
PROJECT DESCRI'TION- Sq.�,
Construction type
vatuabon
Remarks
�. 01INDATION C STRUCTURAL :
PLUMBING (- MECHANICAL
--__--Occupancy
-- lore _ Acro —
PLUMBING _-1 _F:ES
er, Repair l r
'o Wash —L
Wow Przv^neer _I _
kflow Ilr;i,at:on
r/xtyre iia SEa_.__
Floor Drains —
Flcor Sinks •_ •
Gas Service Otdtlels—
Interceptors
P-TraD --
Trailer Sewer —�—
Sewer Cap
Sewer Connectio;l _ Bldg.
-1-----__-- --
SDlar Coliector_s
i Solar Piping — -
Solar
1 Svrimmin Pao!/Spa
Water Heater
VYatEr Service --_— L
C)IN PERMIT
E •Main Building:
T Front
A[ Rear
C Right
K
Left —
Ping. Ref. #
Planninq Notea
ELECTP,ICGtL FEES MECHANICAL
Generator 00-5KY� _1 5.15KW _ oiler _ ---- "
Constructian_Pole Sub. _ 1 —"—
Duct•Under Ground
C�okin Unit — _4Curt-Structural _
Pole L.tght Fan-Ventilatinr3_�— —
�ers 0Gas IE 'ric 1 Exhaust S stem
F. A. U. _ _ _--
Fixtures
�Dtich,
SWITCI'ieS
Meter J up to 100 am c
I �;
meter t.7 over 200 an, `
f- :--
I b Anel _
Cl 15.50KW
� Transformer
C1 50+KW
Moturs 0 01 HPL i%: • 0
Inc. Solar 09.1;; HP ❑ 16.15 F
� S, -----
f SinglFam. Res. —`�_
Multi•Fam. Res.
Heating System & Ducting
1!0.100,000 BTU 0100,000 BTI
Hood or Canopy
Ty.o 1 r lI Typt: 11 c --
Refrigeration System
ao 100,000 BTU C-310-0000 BTU
Fire I/Faet. Bit. IC20 #
_ System Re air/Alteration__ _
_j Fire Dampers_ _`
Incinerator
Summary of Permit Fess
---"
I Mise` --- --
— - r
Plumbing $ _
3221
Electrical s _--
3213
Mechanical s --
— 1lssue—.____..—
Retenhan-
2301
�tr,cl!y �S , 6U DEMELOPMENTSEAYfCESAF.QIIfKEMENTS:
Zoning Ap(NIIse1 of _ — _ — ----- —WU
Il iffinEApprovsdBy —..-- - -Date - -� —
Appbcot)on Tsstnd eT _ _ ---
I Date �-�?"•�[ �
Building:
./Provided
RCPTt1: c2-le2.s7�E�I
- - l
ACCT. a i GRADING FEES
Cut- _ --cu. yards
S
FIJI: _ _---cu. yards
3401 f Plan Check Fees
3225 I Permlffee s —
Total Fees $ —
2
J:
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R
E
Summary of Permit Fess
3220
sanding ,e,
3221
Plumbing $ _
3221
Electrical s _--
3213
Mechanical s --
3224
Retenhan-
2301
SHIP Res $
2302
SW Com. $
3225 (
Other $ - - --- —
ISsmmary
of Plan Check Pea
3401
Ruuding $
�
Plumbing $
Elec(hcal s _
Mech3mcal T -__-
3401
Other S _-
3412
Piae4mg
Total sets Due s
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Project Andres -
�f� C'EA1Tie �- �CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
�
-"Assessor's Parcel No. —37_ -1 S()-ET76_.Q$L Applicant to fill in all sparis except those within heavy barrier lines and sign all appropriate declarations
Owners Nemo PERMIT
._�Ty, I TRACT N0. LOT NU. UNIT NO.
/
addresE �.il_ Iiox�39- Lak�E:�.sinOre��i�?330 L fid I 2 f
Arch/Eng. 114Dzsi�R:gF,er__^I_icenseNo. 08/66 TYPEOFMNSTp;ICTftltl X NEW ADD F= ALTERATION REPAIR
Address l�g8Z Skv Pk Cir_claIrvine, CA 92714 -' COWR;IQN - OfAIO.ISH i- OTHER
t)ESCRAIO 01` WOBK,'Iq Of BLDG. _ A P' # Zine
Contractor's :va nP lirooicstone Developmentpndne 674-1$23 _ flutrrptP T;1 t -1I-`- S Main 8uiidinr
Address (mailing) P.O. );ox 939, Lake Elsinore, fir V Ir. t—=== z i ,e E ___ Accessory Building:
CA 9233 TTPE.efFPERfiil " .G GRADING Ci FOUNDATION C STRUCTURAL �^ T Front
City License No. 7418 TEMNT J EiECTRICA1, PLUMBING -1 MECHANICAL 8 Rear - _ __. N
LICENSED CONTRACTOR DECLARATION - OTOER �'�q ___ A -
I hereby affirm that I am licensed under OfOVISldnlo of Charter 9 (cernmenc,nq PROJECT DE CRIPJION: Sq ft. 4.y_iStjr Occupanq - C�Right _� N
with StCHOn 70x10) 4f G•v,AOn 3 of the Business arJ DrcfesSrdns Code. dna CWLsbOcilOa /pt V jppe Cl•1 & 1`l� Alia f 7 4y,0�.Q S�� - K L@ft G
III license is •n full force and effect. `-+ �— --
_ yefyatiaOS �tr� "LC?' - — PC> z� s
License c s license No. - Ping. # Parking Req./Provided
E
Date stgnaturo ___--- Remarks ; ? - - O
WORK R ' COMPENSATION DECLARATION - Planning Notes -
ereby affirm that I have a certificate of consent to self -insure or a certificate - - - M
Workers' Compensation Insurance, or a certified copy thereof (Section - - - - T
i
600, tab. C.)
y 1003403 STATE y — _-_ _ - _ S
rrPoltc No. _ - Company._T_ '• -'t _ - - _� -
liQCertNied COP• IS hereby furnishc a. - - -- -• -- ,
cert I c s filed war, the city Bui!�r��y',sion_
Oast. ADP!icant-
EXEMj1rTICIf4 FROM WORKERS ,COMPENSATION DECLARATION
((Thissechon need not bs undred (5100) or
completed if the permit .s for one ht�
(ess). -
I certify that in the oertormance of tre work for wll;ch !his pOrm.i ,S issueU• I - --- .`
S
hall not ,mD!oy any person in any manner so as "come subject to me pit1MB1NG FEES ELECTRICAL FEES MECHANICAL ___ FEES
Workers' Co,- ation Laws of CaWc,nia• _ _ _ _ ACCT N 6RADIYGFEES
Elate Srnature Aster, Repair Generafor_C'0 5KW ❑ 5 15KW ' Boiler V
NOTICE: If,>'fte atirn this deci3Ons at+the vr•u sr�o�rld Decc•nle suDlect to :ne A. Auto Wash Cut __—Cu. yards
7rOrkP.tS' COmptnsatit:n prOr�S.Onf r• the t_annr Crde, "ou must formv.it,h 1 Construction Pole Sub. _Duct -Under Ground
cam«Is• wan %,jell i.rDv,tw,s or ;i.+s Permit shag tie deemed revnkeC.; BaekfloWPreventer �� Cdokin Unit Duct -Structural f'll:--- cu. yards
CONSTRUCTION LENDING AGENCY
I,"r'•ay athrn• :hat il,cre s construction tecdrrvy;,genty 1nr the Derf, r,rarce Backflow Irrigation Pole Light - - - FE 1 r 336D-3370 PIanC"eckfttf
nl the viak for wrt,re •nis ,0ermh is issued (Sect -nn _ - �e0ihatin0
Lender's �Iaml`( 3u9� c, c.; Clarrfiers I ;Df ers❑(las GElectrc x- _ Exhsu -start) — 3300.3311 Permit Fee $
_
Lender's Adores% .---- `- '-- —�` -- - - - -- .- --- Dishwashef -= �- Y -- -- - _—.
_ L-__ fan Eva�irative COUIer _—� Total fie; ;
OWNER :lUILOEH DECLARATION FnQUfe Tr?. S P.a. - i
1 hereby affirm ;hat I am enempt I'Wri the CO ntrac•ur t_rcer•se law fcr the -�- '._.Les-� ._. F.A.U. t / ,r;(! Wealing System& DllctinCs 1 _
r0nr,wrnq re,;ort (jCN,ior. 7x31.5 flusrness and nfesYunnl rode: Any c y n• Floor Drains rlxlUfeS � ]D 10D,i100 RTU CIf00,000 BTU ./�CO
county which teou,rcs a pe+mit W constiu.t, alter, improve, oemol+sn repa" -- 33004312 SasJmaryof Permit any sl.ructure, prior to rtS :ssuanca, 67sn (F es the applicant for sur, perm': � Floor Sinks' � � DUileis / �if00d of Canopy _
t3 hie a signed statement that r,ehric is lice-ised pursuant to the or ,v,s,rns of - +------
the Contractor's Ucenst Law {Cnaptcr (cammenc mg with Se:'.nn 7000) Of i Gas SerVICe Outlet , Switches y Type 1 ❑ Type ❑ I'
or -s -on 3 of the Business and H(ofessions Code) lir mat ne/sec is exempt -'� - _ Budding _ 9v STS -
efrtfrOnl and the basis for the allcpetl cxem;,tinn. Any violation nt scct,or : Interceptor: j Mete1 a U td ZOR am S - - g SC-
�_ Refrigeration System
031.5 by any app4ccnt +Gr a permit s.mlccts the applicaci in a civ'+ P-Tra --__�- Ptumb:ng j _ _ +,
penalty of not more than f,•+e nundrec, dr;lta,= ts,nci. G �______( Meter �-; over 200 amps _ I74100A00 BTU ❑100,000 BTU l
n 1, as owner Of the ,rOOerly or my en,pinyeef :nth sa.fgef as tneir S%c Roof Drains I __T , $_Ill) ar' Electrical $1o•3�---
_P._ — _• / . CG Fire I/Fact. Bit. )CBO #
COmptOsaNOri, will Cn !hC writ., and the 31rur,1WC is not iniendt•is nr ntterCd _t "—� r - --� Mc_nan;yl j _ _�.SL} -
for sale (Section 70.13, Bustness and Prc•feSS+Onal cndc: ncc 0,,�.t.actor•s _� Trailer Sewer _ _ t C7 15.50KW System Repair/Alteration
License law does not apply to an ,.vner 0r a property won burl3z o• it ,;rnwas ~$eyVer Cap- Transformer r -'--
tnclean, and who does so, . v+nn. h,msclf,rlc;Scif or throujh n Gr her r.rn -: ._ � ___ _ ❑ 50+KW Fire Dampers
Cmpinyeet, prOV,deo that suer, ,mprnvemcn;s are tic. inic:•dea or offered f..Sewer Connection • Bldg.( -
Sale. If, however, trio building L -r improvement k solo: within )ne year of rOm- -j--- _�„�cr� MO Ors XI HP ❑ 1 /i • $ _ RC if12tS I i0-23: SMTP Res f
glction,ovef rhe Owner will have tnc burUCn Cr Cr;:vrng nC.'she did not bu,Ir or im• Sour C,,Ilectors _ ! In_c. Solar 09-15 HP C3 16-15+ (.'C1 incinerator 110•I3? $MIP Com f �.� ^•U r
prose for frit purpose of sal�:I. Solar Piping --� - - -�--.� - SIn, -- -•� ---- --
1, aS :wntr OI ine property, am exclusively Cnr.V.l Cling vnlh iicen;ce eon- _ ___ _ T ]/Fam. Res. MisC.
tractors
10 co"
strurt the project TSectlhn 7 Dai, Bt+sir,eSS a::n i3voicew ln, Cone $Olaf Tank - if '-- - - - 33603370 Summary of PfanChatkFett
The l onuacl nils (_,cense La , docs not apply to an „sins of arot,erty will, _ ___ Multi -yam. Res.
but Or impfaves thereon, ants w'h) conlrncts Int sU'-h nrt;lecls with con- Swimming POO'!$ a _ _ — -
tractor(s) );cense pursuant to ;c(- r-lntractor s tirense t_ay,l. I a^+ ay.are that i- - g• -- --- Swimming PooUSpa BudJ rg $ proof nr their LYOr vet's Cn•+-t,vrsaLOn u,surr rrCC :nOuitl nc Drnvidatl to fna, 11 Water neater —--� --- r "
L� I am axe: r, untlei Sect •.n -_ .. ___. -- -- --- `=
tic I----
Plumh ngB TnisreasonterSer<_'re { (UC� v Electrical S
Gate Ov,•,tr -- I�;ic $atom"reny carlify trial I havb roan this aOnl,callnr• and state trial the aDovt iIEI QNiSEt?y Mtchanital $
information is correct. I agrec t, Cornpiy 40:11 an city and county ora,n3nces1��ard state laws relating in bu+ld,ng CVnslrllctr4n, and Ilertl,y autnofirc repic. 7anbgA.,...--pyo�-�stntatives rf n.s'Stoy 10 tntw , n top ar,cvc•ltientlnncd pili sty fpr*-!-`— - -� -
rnipeChon purp0 �, _ 3360.33)5 Planning S..
Signature _ . �`(ti- _ Dal c �� >�l issue --- - WiutimIswedBy — - Dab
Lelf+vices' License :)r SS ,t __ _ __ ----'! "- .._ _jj.✓ �/- ��
._ _. _ -. - Tow feet Dat S
WndcBwld,ng Greta Temporary r le Copy CanatpAs tr,u. Pmk!,ppbcant. Goldenrod Gccounling
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Project Address --. 0 %tI"1 1 1►r, q
Assessors Parcel Nu. 371-150-076-081 (�
t Owner'sNyme - nrr_? n_1B -' - --
Addrdss P_ ll` $O� 93R"NQ S--IRV90 iae 674-7873
' a•r:n/Eng. 1CflL11dCLinox-e-- 4 WD—
Ri Qer—_-- --License No.
Address -17982 SI-yJPk Circle Irvine, CA 82714
Contractor's Namr_-�roo_, IC$tone Deye_ lopme ___
67823
74-
Address Irlsarlulgl P.nTpron
O. Bo_x 939�Lake Elsinore,
City License No. 741$ CA 8233(
LICENSED COAITRICTOR DECLARATION
1 hereby affirm that I am licensed uncle, provisiuns of Charter
with section 7060) of Div:slon 3 of t1e Business and PrOfPSS onsomme. and
my license Is In full force and effect. Cotle, and
L:censr C
Dait /I —_...License No._
Slgrature 0 $ ---
WORK R 'COMPENSATION DECLARATION
ereby affirm that I have a certificatefconsset to self -insure or a certificate
ISI WOrkers' Compensation Insurance, or a certified copy thereof (Section
800• Lab. C.)
i Po!rcy No. 1003403 Company STATE
IC6rtitie CO Y rt hereby furnished.
I Cert f is flied with the city Date �� Y Buil n lsron.
I EXE — Applicant —
1 N FROM WORKERS' COMPENSATION DECLAF
(This octads need riot be completed )( the permit i5 for one DECLARATION
hundred ($10;) or
Ica).
I Certify that in the performance Of the work for which this Permit is issued 1
shah not o mpe any person f any manner so as to become subject to tree
Workers' Compensation taws of Calllornia.
Date _ Signature
NOTICE: If, alter making this (Jeclaration, you shot id becr,r,C subject to the
Workers, Compensation DIDdSionS Of the Labor Cr you must r.
comply with such provisions o, this permit span he dere-. Crthwrih
CONSTRUCTION LENDING AGENCY revoked.
I herepy affirm that there is a COrlStruCljon ICntlni.l C
o the work for which this germlr is rssuad genies f��r ;ne perfnrmdnCe
Lender's Name (Section 309; C.v. C.)
Lender's Address
OWNER dU1LDEI DECLARATION — - - —'
I hereDY affirm that I am exempt horn'the Confiactor•s License Lav, for the
1 111) In reason (SCc:ion 7031.5 Business and pintess,onal Code: Any c:r•r or
CoLet y which reuwres a permit Ea -Const, uc:, after, imprtive, demon n nr repay•
any structure• pn Or to Its rssulnce, .11Sn re,ju.r@5 the aPlove t for SUCK r
to hie a signed s:dtement ttlJt hCysflC is IiCCnSCd ptrr cant in Rte prove Per Of
the Contractor's 4cenu lJ v, Dermr
I.,sron and
Ili ter 3 (commencing will' Section 7000) of
3 of :he Business and RofesLons Gide) ur that nc/she 15 exemp}
ere from antl the basis for the anegetl exert,
31.5 by any applicant for a olion. Any v,ulatinn Of SgCt,on
penalty ofn ot rnore than five hu,.tl cd dollars f1-3). rnc .lp PliCdnt to a civil
-- 1, n owner Of the Pro pCr'y or n,Y en.pluYCCS .-,.in wages as their sore
CO RI sale (lett Xrll tlo . work, ally the structure IS not inlCntlrd Cr o!eCrCtl
for (Section 7034, Busrnc is and P,•uressiC.nal Code: The Contractor
Lrcalse1eLaw does not apply to ..n owner Of a property who builds or tract r
tnerepn and who does such work h msen;hctsetf I,, through III, Or nc• oven
employees, provided that srcn ,mproven:Cn!s are not ntcntico nr Orfarod t„
sate. 1., however, the building or ,mpr-ovanlent is sold w11nn"I one year o cnmr
PIe4iOn, the owner will have the burden Of proving 1" V"l did not Year
or M.
ArOVe for the purpose d. sale).
iJ 1, as r;w'1Cr Of the property , am excltlslvr.ly cont•arling w.:fl licensed Cnn•
'r%l Ors tJ Construct the project ($Cellon 704.1, Bl,siness and arofess�nns Coori '
The COntfa Ct Or's LICcn;C Law clpct not -�
Dullos nr immfCorfS therenn, and wile) �onlra Y' to an owner Of property who
lractnr(;) i;censv pursuant to file Contra LCIS for such projects with a co
n•
pr00' o then t dV ill's t.lcense Law), I am aw,fe ;hat
1'10•kC,'S Coln Oent.lt,nn rllturai7ce should L•n p/ovitlCtl to ha
an, exempt under Section ._
nie
— 8- P. C. for :his reason
--
---' —_--- .-- Owner --'. ----__
I heresy Cefhf •__. . .... • -_.._ .. i
,nrn•rnat,On ,t pat I have read tills lPn!ir.atlr)n -` -- --
an<' :'lie laws • ret. 1 agree In cnlrplY win, and state tnat thr .tbovC
wsiheta:c =V ro D"udrn I, city and county ordtnanccs i
sCri.1•�,ef O} a c r,,, fie .1n, and hereby authorize r@Pre• j
nsCett„lh aur to en %r l'•1 tri@ andve meminned
51nna1., rCfor •"
O vera License It ,S 11,
White-Balioing, Green Temparary Hie Co at ssessar, Pmk•AGDLcant. Go!denr �hng
..�
CITY OF LACE ELSINORE CONSTRUCTION PERMIT
Aariicant'ro.fill in all spacOs,except those within heavy border finds and sign all appropriate declarations
FPERMI�NoOT 1110.UNIT N0.
A'tEW� ADD F1 ALTERATION 7DEMOLISH - OTHER REPAIR
JOf WORK/OSpF BLOC
Concrete Ti t_U
TYPE
OF
n .GRADING —�"--" r`'. `= r l" S fain Building:
_; FOUNDATION �t STRUCTURAL E 9
TL7fANT 1 ELECTRIM PLUMBING 0 MT Front
OTh!F Et3iANICAL1— s
r3OlETT OESCR Tlry pp SV
- Uctu ane A Rear
nst6cfcc . D y C 9h
=--- Zane CM & Ml Right
YaluahOAS `� At125PC# _(Q,698 s K
Remarks .l "�—
Planning Notes
I
1,
P UAf,BING ' FEES ELECTRICAL -
tieroo 14e airy --- FEES
oto Wash Generator 00-5K- W 0 5.15KW
Construction Pole Sub.
Ickilow presenter
unntlers�-
` 1
Dishwasher • _
�Flxtur Tae r ps ea
t-------=--=dam
Ffiit)r Drains_
Floor Sinks
Gas Servic 0 j,GG
I'Morceptors
P•Trap-
I Roof Drains
I TrailerSewer------L'--
Sewer Cap
i
Sewer Conee_ction Bldy i —'e" C' Solar Collectors—r"'�--
So_lar Piping---'+----
Solar_Tank--`*"---
Swimml�PooUSpa _ �- -•
Water Neater 54
-'-
7.
Water Servicg �j, t:
mute LIQ!lt_
,I�Dryers pGaY_QEfetific
4. U. �' ^= 7s
Fixlares
Outlets _
Swlicnes
Meter V up to 200 amps �� c,
Meter r] over 200 amps`_g
Sub pane_ cC
Transformer 015.50KW
0 50+KW
Motors 0.1
Inc. Solar 09.15 HP 016.15+ �C
Sing/Fa M. Res.
DEVELOPMENTSER1
— -- Zor'hq Approved By -
"� B1117/ieg Appfovsd By
Issue Appllcstfon Issued By
rc+IrC t.aefer }
Heatfr', System &m Dp-
011-100,tton Btu [j,00.POO j
Hood or t,canopy
Type 1 � I t Voe if - C1Refrigeration System
00-100 000 BTU 0100 000 B
f11111!111111Fact, Bit ICBO #
System Repair/Alteration
Fire Dampers
Registers
Incinerator
i�
Accessory Building:
-- �� Z
O
N
- - -- G
Req./Provided R I
O
M
T
"- S
"ca ACCT. N GRADING FEES
Cut --cu yards
Rlf:._____—cu. yards
33603370 Plan Check Fee =
33003312 Permit Fee S _
Total Fees $
• 3300.3312 Saaimaq o(PermH Fres^yp��
— Building
S 4C 0. C0 '
b? nZT Plumbing
s 3"40Flect—
ical
S _ 1
Me-h
Meehamcal
-
$ �
011ier
S
110131 SNIP Res
- 110-231 SMIP Com.
33603370 Summary o1 PJan Check Fees
_mb
.Date
Buildrog S _..—•-._
Plumbing $
Electrical' -
Mechanical
Other -^-
3360.3315 Planning = --
rola) Fos Due S
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Project Address
Assessor's Parcel Parcel No. —317-LS0=076-081
3svners Name Central_Business Pk 1nveSI4Sene 674-7$2
Address, P.O. Box 939, Lake Elsinore CA 92330
Arch/Eng. Konrad :lieges _ License No. _C8766
r Address 17982 Sky Pk Circle, Irvine, CA 92714
Contractor's Name Brookstone DeveloQTnen'- . 674-7823
Address (mailingi_P•O. Box 939, Lake Elsinore, CA 9233
City License No. __7418
-- — ---
LICENSED CONT RACTOR DECLARATION
i hereby affirm that 1 am licensed •ender pro,i;,ons of Charter 9 (commencing
,with section 7000) o: Division 3 of the Business and Professioi:s Code, and
my license is in full force and effect. lt�f�,� /���'qopc�
Ucense CIa r L,ceose No. #504_].8L6__
Date ._af - Signature
WORK .S' OMPENSATION DECLARATION
ereby affirm that t have a certificate of consent ha self -ensure or a certificate
Workers' Compensation Insurance, or T. certified copy thereof (section
a00, tab. C.) nr���"
j rP–o�ucy No. �S[s[,ly� Company,-__—ST�.1,. --
L� Certifl d Co p Is hereby furnished.
�1 Cert;f is filed witr, the city Bu - ^ r son. —
Date APpticana —
EX£ 1 N FROM WORKERS' COMPENSATION DECLAFtAT1ON
(T n,ssection need not be completed if the permit is for one hunorer7 (5100) or
lass).
t certify that in the rerformance of the work for vlhtch this perm,t iS ,Ssued, 1
nail riot employ any person in any manner so as to become suhject to the
Wer kers' Compensation Laws of California.
Date . _Signature__
NOTICE: if, after making this declaration, you should necome subject to the
Workers' Compensation provisions of tl:d tabor Code, you must fo:th..iif:
comply with such provisions or Iters permit than be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihere'ay affirm that there is a co. sincn
�trn len Jing agency 'fir the perfo— once
of the Work fnr which rr
this .t)erk' is is;uafr (Section 3097 Civ. C.)
1 Lenatr's Name
Lender's Address
OWNER BUILDER DECLARATIQrI r
hereby affirm that f am eaenut trc)rn the .:n:dract.v's License Law tn, -it:oilovr,ng reason (S(ction 7031.5 PPusitless ann V ylrs)lohal Code: A .; aty or
Cunry which requires a Jetmit to coAstruc., alter, rnprovc, oemolisn r.r repair
1 ar.v itruCture. prior to its issuanF9, 3ts0 +aGw7cs the applicant for sect: oetrnr:
.0 rite a signed statement that ho;Sho i -c ,sc : pwsuant to the Provisions of
Met- Contractor's License Cavi (C:Sapt) cu.n v,r:h Section 7000) o:
vision 3 of the Business and Prot Jr.S Code) ur that he;shc i; exempt
refrom and file ryasis of the a:iaoca Any vh;lahn.: of Stict-ore
31.5 by any applicant for a oernnt sJb)Ccts the .sprilicint to a erri:
pehalty of not more than frve nunaretl dollar ($506).
Owner Of the prOoert'y .)r my ernp-c,yees 'r,.th wagrs as *,herr Sole
Compensation, wilt CIO the work, and enc ;!ruuurr_ is not mtendCO or nntrec
for Sale (Section 7044, Business and lirofess.unal cnae: The Contractor's
License taw does not apply to an owner of a ornpe::y who bursas e), improves
thereon, and who tln Ci such wort. nin,Sc:f; rerSc,' or tnruvnh h15 r,r i,C, or;n
employees, provided trial such ,mmo,ements are not mtendetl or .,!fee, .. for
sale. if, however, the building or improv^nun! i; s,)10 tim-r. one year of rem•
pletion, the owner will hive the burden Of pr,)villg he:She al", not butttl Of ,m•
prove for the purpose or sale).
trI, as Owner of the property, ate: exe�e;i�rly u,nlrachnq with I,•ensed con.
actors to construct the Droln-t (Section 70•:1, B:r.n ns aria Pr•,fessj ins Cone:
The Contrattnr's License Lav, does Wirt apPly to an rivi-ler of property who
D:nldS Or improvo% there On, and v,nn mmitic,.s Int such pr.alotit wit'. a ct,".
tractor(,) license pursuant t, int rbntrat:r,r'S Lirense Law). i am aware that
WOW of their Wn, uer'S Compr .sat:On insivanee ShOelrt Le Provided to n.e.
I am exempt under Sectinr. — ' .. B. S t`, G. for this reason
Date-
Iher eny cert y trial 1 navy r1.ti this iophr.atlon in') Sri-!,! that Int anotia
information .,t,chf,eci 1 ag, (:e , , t .a r.:p�; -.vi: l: a't y and a unty ,-i/(linap CCS
and ,tato la„s rooting to r..,nsirur.hnn, and hereby awn,)nre repre-
sen:auves of this c t to t, to, up re lok annv^•mrnUnned ora ty (
+nspeclino purposes.
1 �or
S,gnaturtt _ '4 / ran,
LDrivel%' License ,,, Ss y
li Virtile-Building, Greendemprrall Filo Copy naly., t:easar. in op baht, Goldenrod Accour,llna
CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
Applicant to fill In all ,odea: except tFuse within heavy border lines and sign all appropriate declarations
t PEHMII H0. Tfl4GT N0. LOT NO. UNiTAN0. 1 /
/ / ryr Z t+
TYPE oFGONSTRIICTI N KJ NEW ADD ALTERATION a REPAIR
LUN1'ERSION ' otlY tush OTHER A p Za le
2ESa!PTIO1.Of WORK/USE OF BLDG _
S blain Building__ Accessory Building: - `_ !
---I Z
1
TYPE DfPERMIT SRAD!NG fOtINDhTION STRUCTURAL T Frontz
'ENANT ! . ELECiRiCA1 I PLUMBING _2 MECHANICAL Ft Rear ----_--� ----- N
I ER _ A - -I I
FeROAV DESCRIPTION: Sp ft _ 5.092 ___p t,,anq __ C1 Right -�-- - -- N
Ca�s?ra:eon rytyp?e Zone — Aires 17,553 sf) S . Left --— -- - i c;
Ping. Ref. # I Parking Req./Provided E
Ren><rk` _— — —� % G• SS Planning Notes
S
—_ ----'T—
PiUMB!NG _FEES ELECTRICAL FEES MECHANICAL FEES ACCT.! GRADING FEES -
Alter, Repair t Generator --0.5KW 0 5-15KW Boiler
-7A—.tolfastt _ Construction Pa,� Subs Oust Under Ground Cut: —_cu yards
Backflow Preventer I/ ,Co Cooking Unit; ►tH•-----__ ___ __cu yards
i Light
Duet•Structun l 336033?; Plan Check r -.e $
Bal i flow Irri tion __Y ?ole Light _ f`;in :Yent6latin----- — --
�C(de'f'e`s Briers L_Gaf QCiectric orf Erhatrit S stent 3340-3312 Permit Fee
_ Rappirati ft CgotEr Total Fees $
' Fixture Traosea. - !/�J 04) F.A.U. —^! ,oD S ------- -
-_,. Haat' ayjtem R Ducting
Floor Drains _ �rlxh:res
— l �_.._ f+%r1 J6 t00,e0a Biu 0100 ,000 BTu 7�Q
Ftoo_rS•nks ` 3300.3312 Slllamaf ofPcrmitFas
Ooflets / L+ —f Hood or Canopy r
Gas Service_ Outlet-, Is Type 1 O Type 11 �i _ �7 E
anadlna $ J • J("
up 10 200 ams 5Cr Re"t' System `— —
P T�av _ _ i 'Meter river 200 amps � �1� 7�► Ptum6•ni $
_ F 2M -l00 000 6TU Q1J0 000 BTU �•
Roof Drains — co SuCpaitiel — /, tic' Fire I/Fact. Bit. IC60 # Electrical $
Trailer Sewer _ C 15 50KW System Re air/Alteration Mechanical $
— — -f -- — — 1 Transforrmr Mech $ —
Se%ver Cap r1 50+ KW Fire Dampers Olher-
;---- - - 1 lip _11 %- , • 8 1 Registers Sev+rer Connection •Bldg. ��F �p Motor; r"t 110231 SMTP Res $
_Solar Co!lectiors _ _ _�j Inc. _Srr13r 09.1-. _5 HP ;3 -15+ IC` Incinerator 1 io 232 SMTP Com ' ry
Solar Piping _T j ._ t Sing/Fara. Rees.-- —w__ Misc.
T _ a •.`%•
Solar Tank -' - -r+ - i-- 3360.331U Summary of Plan Check Fees
_ _ T� M) ulti_Fa.n. Res.
Swimming Pool/Spa i 1 Swimmi!IR PoWsDa �_ -- �- — Hwidlni 3 _.
7
Waller Heater o — _
1 I_S _. _ I issue
0 _ Plumbing $
V7atc:r Service Drs a - 54 _'-
_. Lt
_ SeFtic S. stern _�--_-_�_ / Mer.haalcal S -
DEVELOPMENT SERYICtS $E EME
1 1DnMiA4fuoredlD - 7Pr C Olher
-' Dab 3360.3375 Planrm
- - — 1 PuddingADproMBy _fS.:r _ -)are _ R $ _ -- -- -- -- .-
Issue --- -- -- d/, jp A ephtation lssnrd By
l.f--� --- ---- - - - Total fires Due
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_ _ _ CITY OF LA KF EL5I�VORE CONSTRUCTION PERMIT
Project Add: sss ( __ _ - �-'t-� e•w `rn (.- �� r • tt�_
Applicant to fill in all spaces except those within heavyborder i:nes end sign all appropriate declarations
Assessors parcel No.—
Q.y�` s N 'e ss�kS�2-1�. ��"tils1 - Phone -i��',kin PERMiT 610. TRACT Nil. I LOT NO. UNIT NO.
Address i b • l�„a
ArchiEng.Ar-* *A-a
r x••''11-
Ax$dress :'nca-�SY
_ r �irr_LS. 1�.,a:sr
C4ontracfor's Namet-4 r�w'� 's�,, P �D�tfo
_PhoneZL'�Z�'1
Add. ss Imailingl�s��.��lail
C,ty L cense No.�-_-.-
LICENSED CONTRACTOR DECLA .1110N
1 ^.ereDy arli-m that I am licensed u-. let provisions of Cl arlir 9 fcommen-
vn:n section 7000) of Division 3 of the Business and Professions Code. d
m. '.cense is in full ( rce and effect.
t.ice-.se lass ki'LQ — . k; erase No{�� C'
Ca:e �c).l_�15.— Siy::ature —
WURKERS' COMPENSPTION DECLARAT
I tieieov affum !hat I hate a certificate of consent to oaf -insure or a certificate
of Ao*.ler s' Compensaa -s Insurance, or a certrf,e . .oP. :hereof (Section
3500, Lab. C.)
Pollcy No. _ yyjj'Ff ��l7 dr % r Company/ ' L 51—
^. Certifier] copy is hereby (tern-:hed.
Ce itLCtl�SR p�Y IS filed with 'I.p Clt Building Divis•on, (�
^ate k!! C��= APPlrcant rir..{L_.'j r�•7
r: AEMPTION FROM WORKERS' COMPENSATICN DECLARATION
(Tn,ssectmo need not be completed it the pe,rnit ,s for one hundr:c 4$100) or
ltss I.
I ceri'-fy that in the performa.ice Of the work for WhlC:i this uerent-t is Issued. 1
sr,all hilt empi Cy any pr;rson in ae=y manner so as to become subject to the
vv: ri ors Compensation Laws of G,.:feernia.
Gaza ---- -------519oaturc
NOTICEt a, atter maker e; this aectaration, you shoule become st:b,ect to the
:Jofaers' t'omperesali re p:cv,sions o' the Labnr CoCe, you must forthwith
'r P'v wI'll such j:,ov,secis or ,..es permit shall be deemed invoked.
CONSTRUCTION LENDING AGENCY
• rern:.y affirm that there ,s a construction fa.urny agercy for the Pe: forma'ece
it- wvrf; Icr whicn trees ocrr,ht is ,ssueC rSertion 3097 Civ, C.)
Leaders Name ------- ------��.-------------
L, Ae•'s Address ------ -------- ---- ------------
OWNER BUIL.)ER DECLARATION
i hereby affirm teal i am •:xemot from the Contrac:nr•s :. ecense Law for the
reason Election 70,31.5 Business Ann P,,)fi;ss.onai Code, Any city or
Uiunty ,meta requires a permit to construe', atter, improve• demolish or repair
are n,uciure, pr.u, Ir, its issuarre, also requires ine apoh,-arel for s.ic,. permit
e a s:gncrl statement that hC;n
she es licensed pursuant tri the pw
r,-sions of
t`e Conllactor% l.eCensC law (Chapter 9 (corsmencing with Section .000) Of
D.. c,,.n 3 .)1 tiro ffo%iness ani Professions Code) or that he,sne is exempt
it•e•er-om and the bases for the mitogen exemption. Any violation of SCchurr
7r,31.5 by aoy arplec.mt for a perms stenrects the •ipplican: :o a civil
-,jna,ty of n.st more Inan rive nuodred dollars
i, as owner of the prnperty ar my emolo;;ees with '.%ages As t 'der sole.
ri,mciensation, (veil do the wary. Id the structure is nal intenac0 or offered
sate (St-cfi.in 704x, eusmess and Professional CnrJe. The Cnntractor's
ce-.se Law dries on, apply :o an Uwner 01 a nfopefty rho bu.:ds or Improves
C•eon, a:1d whq (II)CS su(trt w,)rk hnnsl':fiher;elr is t-hrocgh h„01 her own
erre oyte:, prnv,ded treat such lies rovements are not en:en.fed — offered fvr
sa!e. If, however, the building or ereprovomenl s sold hi:h.I) Unp year of Com•
—o,.io n, the owna:r well have the Oi:•dCh Of PrOvusq n0,/SNC did .ua Da.:ct or im•
prove 'of the purpose of sate).
1, as '.caner of the prnpeity, am exciu:.vely contracl,nq .ah i:rensed can
fratf.,rs to conslfucl the Drniect (ScGt,nn 7044, Biis'ness area P'.0ess,MK Code:
rte Contraciof's 1_,ccnse I-aw Ones mer apody to an nwner of p,nperiv wh"
r , ss or ,niprnve; thereon, and wn0 contracts for ;uch Dr01ccts +stn a eon-
. t•actor(s) license pursuant to the C•1nt(ACtof't License Law).. am aware treat
Prout Of lhet+ VJorker•s COr,i;)ensAhnn insurance should bi. oto -,idea to mo.
I am exempt ander Section ------------------- O. & P. C. f.,r this reason
j Dare _ owner ------ -- -- -------- ------
i merrecey cerl.ri that 1 have n•arj fhe, application and ,tate treat the above
mfnrmaseon is Correct. I agree Vi comply with all city a id county ornrnaoces
and state taws rotating to huticim.1 Construction, and of retzy autnnnze repro•
ser.Ntives of thus city enter upon tile. acove•mer tinned ors,perty 1,-.rnispecr,on ""A"osos. I
SIcl"t urC 4L —t lam 11..rn sl-
-
White BmWmg. CanarpTernpof try File Copy. Pink Assessor. Gokfentod Applicant
—mak
TYPE Oe 001lsiTA'r m 1-1 NEW i •, ADD
E CONVERSION DEMOLISH Cl OTHER _
DESCRIPTION OF WORK/USE OF BLDG --
:1 ALTERATION O REPAIR
TYPE Of PERMIT RADING L: FOUNOATION STRUCTURAL
fE1tAkT FLECYNCAL --1 PLIIJMBING 1.- MECHANICAL
C OTHER
PROJECTDESCRiPTtON. Sq F. Occupancy —_---
Construction type . _- Ione - _ Ates
Remarks
_ PLUMBING
Alter, Repair
Auto Wash___
Backflow Preventer
Backflow Irrigation
Dishwasher
Fixturz Traps ea.
1 Floor Drains
Fingr Sinks
Interceptors --
_�P_Tla�l---_---
J Roof Drains
Trailer Sewer
Seri .r Cap
Sevier Connection - Blu9.
ter__—..—.--_--
SOlar Co5ectors
Solar Piping —
Solar Tank _
rS�_vnm_mingPool/S a
I W31er Heater
Water SeN7l'E
System
---
Issue
E' Man Building:
T Front
A P.aar
C Right
S Lett
Ping. Ref. #
Plannino Notes
' A-'pssory Building: - ----�
- -- ---I 0
JA
Parking Req.iProvided E
U
T
--T'Sf-189G�11=23 144//51 90
:• s?Cr•TiYt etc 1�212r_ i�,.£� 1�'"+E�GI �G
ELECTRIL'AL PERMIT £_:382$
_ ELECTRICAL 1 FEES MECHANICAL FEES ACCT -a GUMNCfFES
Generator G0.5KW u 5-15KW I Boiler _
Construction Pole Sus;. Duct -Under Ground _- -- Cut. _ ri. yards
Cuokin Unit Duct -Structural FII _ ---cu. yards
-�--- - - -�� - 3401 I Plar r heck fee S _
Poled might __ _ I Fan •Ventilating =_ i --
Pryers 171 t GElcctric _ I_- I Exhaust System _ - - 3225 Permit Fee S
Fan i Evaporative Cooler Total Fees S - --
F.A.U�- i Heating System & Ducting
Fixtures _ - ��L Q0-100,GOO BTU L1100.000 STU_f---_ sdmmagofPermit Fees
OutLsts _-_-_-- _�/ z� Hood or Canopy
Switches _ _ _ C" -a2 Type 1 O Type II =. 3220 dui ing $—
Meter C up to 200 amps Refrigeration System I 312) �i'•mbicZ $
Meter D over 200 amps _I _ 00.100 000 BTU D 100,000 BTU I 3222 r :Ytticai $
- r-- ----
Sub enol _ Fire I/Fact. BI;. ICBO
p - -- --}-• p -- ---- } -- 3223 Mechartic3l S _
Transformer '� 15.5OkW System HepairiAlteratton 1_` - -�--
322.4 Retention S _
Ci- 50+KW Fire Dampers -- I -- --�
tors
01 HP 1'h • 8 - Re inters --_--� -' _A 2301 SMTP Res $
Inc. Solar 09_15 HP 016.15+ Incinerator ----__---V- - 2302 SMIPCan 1
Sing/Fam_. Res. Mise, 3215 Other S
fAulti•Fam.Res. _ _ - Summary ofPbachock rees
Swirrmin Pool/Su, - -- 3401 Building S __
Plumbing $ - -- _-- -�
r t.
s , Electrical $
M.echaaieal j
DEVELOPMENT SERVICE' 3403 Other $ _.
ZbeiapAp9fflln!'- - .-. _ __ _--�-- ._ .-_ __ _ Oate - - -
_ 3412 Planning j -
Rlldffial;Alapfeseaay _ —_WU -- -----
AppTicatiop Isswd Qy -..-�� - ^
feal Fees Ore j!r .`._ .
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n L tai r�je I sr CITY OF LAKE ELSINORE CONSTRUCTION PERMI)
Project Address
Assessor's Parcel No. -_ 377-150-Q76-08' APGlicant to fill in all spao except those withip heavy border lines and sign all appropriate declarations
Owner •s Name _-. Central Business Pk In)y��� b /4— 8Z PERMIT NO. C�<� i- TRACT NO. LOT NO. UNIT NO.
Add.,ess P.Q. 130x_9_Lake F.lsi-nore, CA 923V;::,
,��1, 1 7 IE
Arc'- Eng. _.KQlllUd__Ueg i'--Lrcensn No. TYPEQFCONSTRUMDN :V NEA ADD L1 ALTERATION 0 REPAIR
Address X 17 8Z_.Sk3 Pk Circle. Irvine. CA EZUL. �!PTIONMN t USE OF BL OTHER
QESCRsP110N0EWORr;iUSEGfBLOG
Contractor'sNamt•-B rank srrnn P_Devel_(QPMP_n Nhone X1823=r----CIDDICB, T>�TSIa `:
Address fma,ting) -P-0._ E4X_g3S s_1 ake-Els-ip_D_TE;~SeA__91r330 TYPE Of P.iRMIT`, ,}'GRADING FOUNDATION = STRUCTURAL
City License No. 7 s '� '_� CNA51" ,-I EETCTRICAL - PLUMEING -7 MECHANICAL -
4--- -
LICENSED CONTRACTOR DECLARATION - ~,i i' WHER
I hereby affirm that I am licensed under prov,s,onsof Charter 9 (com-ner)e!ng �PROIfC(DESCRIPTION SQ. Ft _ --Occupancy
with Section 7000) 01 Divsrrn 3 of Ine Businessand profesirons Code; and OonstnicImr, type V Case CI -1 & M1 Acres
my fieenw is in full force and effect.
license t s E � .cense Nc•.— X504386 � Vaivatfas S �C�:GOC�---- PC++
Date �r T __ Sn)rature _ --- - Remar s Z, & C_ S
WORKERS' COMPENSATION DECLARATION
creby affirm that I have a critificate u' consent to stir-:ncure or a cett,tkt ate r'
Workers' Compensation Insurance, or a certified copy thereof (Sefypryf`•i
o, Lib. C.) �
Poiicy No. --1003403 Company STATE
Certified Copy is hereby furnibhed_ ' -
Cer'Iffe Op stilled with the city Buil vis,On.
Dale r� _-- Applicant
-3, IOWFROM WORKERS' COMPENSATION DECLARATION �s
i
1pun iii � ,anion (Y_CtiOr. IC. .5.13us+ItCSS a, .,j :'gore ss•�r::� ('GPC: Any city or ; Floor Drains
county r• Icn reciwie, a ue:m+t to construct, airer, cr v-o.e. Cernrnl,i-. ')i ,eparr
any st r.�.•vre, pour 1., its rssuante, a1S,i reri. • eS me apDhC int 'r r suc! P-nast _ YiQOr C:nKi
to we a s.gr,ed staicmen: Inst ne;n.e is free nscC ,u'suan! :� ire rr.. v..s,nns of
ihe Crr- ractur'S LicenseAas L(CnaPter ^ (coninaul,crnc e.i:'i GeCt �n 70nn) o/ Ga3_Jerv.•.d „Outlets_ L'C,
on 3 r,! :hC Business ono pr„tess,ons CoJ,!) lir ins: tlsnc ,s exompl IniP,fCeptOfS�
ekiri, r• and t::c iasis for the allr_7co exc,-, t::, .+.. Any y,. )sat.%.n of !.ipcC, i, - ----
i 5 r.y any apph[ant fir a rierrmt tut.cr!s :nC aeolican: :o a ui,i: P•Tra - -
nalty mt more tha-. hvc h„n ^_rC:f dolls .(_',rant. - --p---
1, as ',i'ncr of the plcmerfv ,nv cri;::rrvCCS .,tt• :.j;es as ;bei, se,c Roof Drains__
cnmpent"fr-,n, will do the %+,k, and the s!•uctu,e ,s ,nut ,nlC']a_ or offered - -_ we
.or sale. (%conn 7044, l3us,nets and Pr„'ess+Gnal C,,Ce: -,.ie Ccn:ra[tor'� Trailer Sewer
License !.a n does not apply !n an owner r,f : p„..pvrty ..i , nu,s,: or -1--roves I
Sewer Cap
thcr P.O•,, 4r.0 who doCi Suih .: nr: h,nae:f ce, SCI: lir :r,.;u :n f, %r nCr own
emalnyr!t. prnv,dCn that suer ire nn; ntcndec .,!rered for / , SP.wPr Connection Bldg.
safe. I!, ..,,never, the hu,lcf.Gr .mpt UYO:,.::,,: iL •1,In -'r1 n ,inC !"oaf of Com-
plc: oa. '•e owner ,nn have the r.u,den of ::-Ariq hC ,nq n,ci n C build or rm• ,Solar CQIIPLIors
prove',• !fie purpose of sale). -_ _ _. _ _
a: , r,e, cf the Cr! a cxc,„tr,r, v,l,acn+ v,:r ,c¢nscd cr.n• Solar Piping --�
prf,D Y. a a- - ---
vauo•; • ; r ,',struct lfm -:r„rct (5^r,'lnn 7 1:•:, El:,siness ar,d P, ,'eS,, .,& Ccde.I Sola Ta
I The C .' !rl.c'vr'S License _s, Coes not arlwy Y, a,. , ,ner of o•c„c,ty who -1_- Solar
nu,: ^.:r, fhercnn, )nj r.n, r -,,n -acts to, Sur.h prr,sec's wW. a con• SYJlmmin Pool%8ne.
t i,:.,.: •,•'t •,.nic PurSua+,; fv tiV. ('nniraCtnr's i_i..cnSe Lay.). 1 am aeafe that - -' -
pro,•' ,� c•c„ Workm's Comsensatrno uuwance sno+nd re provide;l to me. Water Heater iG
Li 1 an, e.empi c•nser Seetrrn __..- _ ._..» ....._.._ �. x P. C. fry ;hii rCasnn [.�
1 Water OL)
I hf!feby ce'l,f,, Ihat-I have ,r a;. :t,,% app!.cat:r,n snit state the' :nc ah„vr
N11SL.__---_—_._-- --
:LECTRiCAL
3tor E10 -51(W 0
uction Pole Sub_
n_g._tinit.
LiG� OElecui.
e$ /
s
les 7
=up`to 200 ami
L Over 200 ames
i -EES ss
iKW E
Transformer E] 15.50KW
_ C: 50+KW _
Motor 0.1 lip 01i • 8 _
Inc Solar 09.15 HP 16.15+
S)nglfam.Res,
I Multi_Fam_Res.
n n,rrar,or. ,t ((erect. l ayree to r xnp:y win at, city .nd corm-., ordinances
ai�nktdAppoyedBy_ r”
and state laws rrsating to bnocfn.) runilr NC:,4q, do:1 nirelly a<'t^,,tire !epre• - _
scntat,ves '!f in+s c to C. un the arwir.mentillnn_d prr cit for -' `- —” BeimillApptoeed4
,ntpec —1 o urpose5 2�•� } _ _ _ _
ut,•e ria Issue SC Applicationfssaed8l (�
-Gr. vers' L,fense
`Whie Bu,l; ng. Green Tempwvj li)e ✓.ri CaT'aryk Vtso, Pink Apolrant GtPdea:a; Accuuntmp
•• �
Main Building:
(This section need not be completed if the permit ,s for nne hun•!'^_d (Sl o0) or
'- '---'--- -
T Front
fessl.
10Z
13
A Rear
1 cert,ty that in the perf0rrnance of the wCrk for wn,ch ih,S ; erm•• ,i iSShcf! i
snail na emDlOy any person ,n any manner so as to 5eceme suo,ect trifle-"
P1UhiBING' fEE$
C I Right
—
Workers' Compensation taws ,f ranfornia'
Date --- -- _Signalwe --- --- -- _ -- -_-. _-_ __-
NOTICE: if. After making this decfa.atron, you sho,,ld ^ecs•-c s..b,ec: to the
YJori.ers' Ccmpensa[ion prOv,iiOns 01 the 1_ehpr (; 6c, yGu m_ft fOr:hwi!h
comply w.:n iucn provis:uns or tors permit ;hail he . 2i_ le- revokej./
Altar. Rd air -- -
_ P
I Auto Wash --__ ---' —' C
--
Backflow Preventet •x.00 ' C
Ping. Ref. #
CONSTRUCTION LENDING AGENCY
1 heresy a•fi-ni that tne,e ,s a Lt, nstructlnn sencloi, _;rn:y r. -.r tr= Lerto•mai
Gf tie ,r.o•k for which this Perm is ,ssutid 3u47 Civ. C.)
I Backflow irr� Vion
Clarifiers
O;F.er
Lender's Namt
Lender's Address _ _
f5ishwasher -
M 23i
OVVNEP BUILDER DECLARA'CION-
- -
h r,3"l-ret that I tin exemlay fgarb the els Lay. f0, 'he
I Fix UreTrapsea. -r.D� • F
i
1pun iii � ,anion (Y_CtiOr. IC. .5.13us+ItCSS a, .,j :'gore ss•�r::� ('GPC: Any city or ; Floor Drains
county r• Icn reciwie, a ue:m+t to construct, airer, cr v-o.e. Cernrnl,i-. ')i ,eparr
any st r.�.•vre, pour 1., its rssuante, a1S,i reri. • eS me apDhC int 'r r suc! P-nast _ YiQOr C:nKi
to we a s.gr,ed staicmen: Inst ne;n.e is free nscC ,u'suan! :� ire rr.. v..s,nns of
ihe Crr- ractur'S LicenseAas L(CnaPter ^ (coninaul,crnc e.i:'i GeCt �n 70nn) o/ Ga3_Jerv.•.d „Outlets_ L'C,
on 3 r,! :hC Business ono pr„tess,ons CoJ,!) lir ins: tlsnc ,s exompl IniP,fCeptOfS�
ekiri, r• and t::c iasis for the allr_7co exc,-, t::, .+.. Any y,. )sat.%.n of !.ipcC, i, - ----
i 5 r.y any apph[ant fir a rierrmt tut.cr!s :nC aeolican: :o a ui,i: P•Tra - -
nalty mt more tha-. hvc h„n ^_rC:f dolls .(_',rant. - --p---
1, as ',i'ncr of the plcmerfv ,nv cri;::rrvCCS .,tt• :.j;es as ;bei, se,c Roof Drains__
cnmpent"fr-,n, will do the %+,k, and the s!•uctu,e ,s ,nut ,nlC']a_ or offered - -_ we
.or sale. (%conn 7044, l3us,nets and Pr„'ess+Gnal C,,Ce: -,.ie Ccn:ra[tor'� Trailer Sewer
License !.a n does not apply !n an owner r,f : p„..pvrty ..i , nu,s,: or -1--roves I
Sewer Cap
thcr P.O•,, 4r.0 who doCi Suih .: nr: h,nae:f ce, SCI: lir :r,.;u :n f, %r nCr own
emalnyr!t. prnv,dCn that suer ire nn; ntcndec .,!rered for / , SP.wPr Connection Bldg.
safe. I!, ..,,never, the hu,lcf.Gr .mpt UYO:,.::,,: iL •1,In -'r1 n ,inC !"oaf of Com-
plc: oa. '•e owner ,nn have the r.u,den of ::-Ariq hC ,nq n,ci n C build or rm• ,Solar CQIIPLIors
prove',• !fie purpose of sale). -_ _ _. _ _
a: , r,e, cf the Cr! a cxc,„tr,r, v,l,acn+ v,:r ,c¢nscd cr.n• Solar Piping --�
prf,D Y. a a- - ---
vauo•; • ; r ,',struct lfm -:r„rct (5^r,'lnn 7 1:•:, El:,siness ar,d P, ,'eS,, .,& Ccde.I Sola Ta
I The C .' !rl.c'vr'S License _s, Coes not arlwy Y, a,. , ,ner of o•c„c,ty who -1_- Solar
nu,: ^.:r, fhercnn, )nj r.n, r -,,n -acts to, Sur.h prr,sec's wW. a con• SYJlmmin Pool%8ne.
t i,:.,.: •,•'t •,.nic PurSua+,; fv tiV. ('nniraCtnr's i_i..cnSe Lay.). 1 am aeafe that - -' -
pro,•' ,� c•c„ Workm's Comsensatrno uuwance sno+nd re provide;l to me. Water Heater iG
Li 1 an, e.empi c•nser Seetrrn __..- _ ._..» ....._.._ �. x P. C. fry ;hii rCasnn [.�
1 Water OL)
I hf!feby ce'l,f,, Ihat-I have ,r a;. :t,,% app!.cat:r,n snit state the' :nc ah„vr
N11SL.__---_—_._-- --
:LECTRiCAL
3tor E10 -51(W 0
uction Pole Sub_
n_g._tinit.
LiG� OElecui.
e$ /
s
les 7
=up`to 200 ami
L Over 200 ames
i -EES ss
iKW E
Transformer E] 15.50KW
_ C: 50+KW _
Motor 0.1 lip 01i • 8 _
Inc Solar 09.15 HP 16.15+
S)nglfam.Res,
I Multi_Fam_Res.
n n,rrar,or. ,t ((erect. l ayree to r xnp:y win at, city .nd corm-., ordinances
ai�nktdAppoyedBy_ r”
and state laws rrsating to bnocfn.) runilr NC:,4q, do:1 nirelly a<'t^,,tire !epre• - _
scntat,ves '!f in+s c to C. un the arwir.mentillnn_d prr cit for -' `- —” BeimillApptoeed4
,ntpec —1 o urpose5 2�•� } _ _ _ _
ut,•e ria Issue SC Applicationfssaed8l (�
-Gr. vers' L,fense
`Whie Bu,l; ng. Green Tempwvj li)e ✓.ri CaT'aryk Vtso, Pink Apolrant GtPdea:a; Accuuntmp
•• �
Main Building:
! cone -
Accessary Building:
$
T Front
-
10Z
13
A Rear
mecha•rcal S ,..-
N
i N
C I Right
—
N
g _ Left
- c
Ping. Ref. #
R
Parking Req./Provided E
Planning Notes
Q
M
T
O;F.er
- S
-
M 23i
SNIP Res
- $
110232
7,ck Heating System & Dycting
�1f30,0 0 BTU 11100 000 BTU �� M
1•0 - Hocdy
?( Canop
•✓'T 7{ T e T Ti�ll_U
S� lef�r ation System
Z [TO -100.000 BTU 0100.000 BTU r 4, CZ'
ystem Re air/Alteration
ire Dampers
Incinerator
y_sf^
ACCT. If GRADING FEES
Cat cu yards
Fill __"____Cu yards
3360-3310 Plan:'ck cee $ --_
3300.3312 Petmitfee i -
Total fees $__--
3300-3312 1 Summary of Perait Fm
I
3360-3370 1 Summary of Plan Check Fees
80mriT
$
Plumbfag $
Elech,cal $--_--
mecha•rcal S ,..-
Elecvu!
$
_-Z /G --
mecha•.Ical
$-
Total tees Due
O;F.er
f
----_ -
M 23i
SNIP Res
- $
110232
SYIPCwi
S
3360-3370 1 Summary of Plan Check Fees
Build ri. $
Plumbfag $
Elech,cal $--_--
mecha•rcal S ,..-
Otho^
3360.33?5
' hnnIag $
7 Y�
Total tees Due
IA
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