HomeMy WebLinkAbout16810 LAKESHORE DR_
CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
r f ? ir' _ 0�77- Appocint rappropriatedeclarationsProj*t;I\dd rss +, rst 3E. 1i.+ _ to fill'ir,all sp_ayes exceo those within heady.corder lir.es and sign ail
AUssef<soi. Parcel No.
�I -,* � b�t��------ . -- PERMITT19• TRACT NO. L01 NO. UNIT NO. t�
Otvne:'s Name ..1�1a<,�,- _TP��-r- -ice+
TTPE 5i CST .ON J NEw AD, � ALTERATION REPAIR
Arch,Ei,fr- �4!0 fM wE��-ra .--.t,cers<tio _--- -�--- ce6ERSIVN DivLUSr 131hE _ ___-- --- A.P. ss tone
Address _ .}__� � � DESCR1P11AN OF�YORK;USE G'Gii!G __ - --- S: Main Buiidjgg: Accessory Building: Z
Contractor'-,Na ne-of�. _. -� ,A Phone - -- -------- - ---- E' - -
'�'�`"` - -- r T, Front
� � _ G� �fs�[F$� 'r TrrgnFP1MIT GRADMIG FCU,4D••itON XSTRU.TURAL __ -------I N
Address riss Ima1lingl J 1 1 - A~ -
--------_------- - - -` .' TEttdN?. -� ETEftjilC'� PL'J4.5ikG �MECs!k+91CAE Rear __--1
C(Iy License No. _ _ _ C, Right
LICENSED CONTRACTOR DECLARATION PRdfr,T OESCP,IPrhNr �y t: f ._D=c��a'c9 - K
P hcrtnv 1,1,rnl N,at 1 am hccnsed qnn prUv,Sill s of Chafer 9 (c,7r-!�'caan0 f/
With ucllcn 70CC) U' DiY'SiOn 3 of tnc• t3us,ne;;Intl P:a efs'Ons C^dC,and Gx Sth1Ci11Qrr (rLT 16ne Acres - 5 Left -�R
,ny ,tense,s,n run ro and cote:. S J/•�e -r7 � :re ___f-L�C�=-- L 3�� pang. Ref.= Parkins Ret1.:Provided --1�E
Llceniq Clap -- __-_ --�___ ._LI[^n5. Nn._�._-- __-- __ �._.- _ - _
Date ./_ IiCm[ifKS �t -- ---' r Planning Notes -�M
----- :l T
WORKERS'COMPENSA71ON 7ECCARATION "- - -' -- -- - - _-1
j t hesohy.t•'I,rm MINI I Piave a Certificate of content to self-ir,sure or a certificate -`- ---_-� _---_•�__ _ {S
0' Workers* Compensation In iU,dn Ce, nr a CCr t:liCd �0��' Ittf COr ($CCt:Un
Pit-
ar. C
P,,hcy No. ----
CCitified Cool,Is herehv furniShetl.
Crjftiatl,opy...s filed%R%)the City P nrl Division�%1,., ---
•Datr.L _i-'_---�---��wPPn-ant �.Cs�--...=�•�'tit��- ""' _ -- --
EXEMPTION F ROM WOdKFRS'COMPENSATION DECLARATION
(141;asecci(yn need not be COmplefed If the term,!is for one hunaced ISM)or
less), ^
i ss), I,,at In the per,orntance.if ,r(-:,ur1• I,, lh,cn tn,s perm:'s.sued•I t -- ACCT.V GRADING FEES
sr•'an not •:n,glUy any Person ,n any' manner so as to becorne sob;ect Tr Ine ' �_'- PLUMBING -�FEES ELECTRICAL _ FFFC MECHANICAL - FEES
-+--- t
Comptr,satior, Laws ar cal rornia. Alter, Re air - Gecerator 710.5KW FJ 5• vv ' i Boiler- Cllr_-._--Cu taros
roots _ _Signature `r- - - -..�
NOTICE:1',clue• niaF,ng this oecia al-n, (,.a st ot_: nr+ ;„a,eCt :r 'r c _A!I10 Wash — -1, Construction?nl•Sub. Duct-Under Ground ! Fill ._.___._.____--CU 0.11S
Y:orFert' C'r mpentatinn piny-sion: of :tic � ,t',nr ,:,'de, , ,: .-,..R f'.r ir'Yn:r' Duct•Strueturol _ ! - _-_
[nn,ply (vrth •'uU, Prnvisilrns rr this pMnl�t Snall fit.
•revbkcrl. SBCkfI04VPfEventer-__!_-_- Cop'+�,nyUmt ,--__-- - 336r)33/0 Plaa Check fee$
CONST RVC TION I.L NDING AGENCY Barkflow inn anon 1 Pnr,a LI tit -_-- -_FaD_Ven-- ing_ _-_-;_
_}__. _9 __ _- - 13L0.33j2 Pernet'+x 1 --_
nerel,v afhr•n 11131 1 lit rr_,s a r,nstr•,CI on I..r. 1 agrn(, '',r;Le tl�rforr:,,nc� - ••g-- Exhaust S stem Multi le
(•r nv vur6 for tvhrch this pC m.I 'SsuCe (Seth•• ?09� env C.1 CIaaI10r5 �._ Or-t?rS-C7aS !ElCettic - - -p Ma'F"s $ -_--.--
Lendw's Nlmc __ _. -__-___--____-__. - ,-
Dishwashilr _!_ _ FLn __--
Eva orative oo!er t
L, 1011',r.tllveSs - - - - - F A U. Heating SypV&Ducting
OWNER SLI LOER DECLARATION i_F_r;.,u_re iraps•aa.___ -�__,__'• - - --_^___ f^
I nercnv .,f',rm tear I ant exempt 11-1n, the Cnlirla(t• '; L'ease L.n•• I(' irle A - Fixtures C0 10u 00L1 BTU L'10f1,000 BTU '
f,•11(,Y,,h•: ,count•+.cti(,n 1o31.S F3us,ncst,rid P(ofess,,nai er,de: ;.;- �r ; Floor J.zms _—_-.-_-- +_- -_-�- -- -!-•-.---�-_ _ --�---- 33603312 Summary of Permit Fees
Quincy :Inlrrl n_uonl:t.1 pe,mlt tr-I Construct,alter.improve.de^-.,, ., •!'pa'' F:w)f Sinks I Outlets Hood or Canopy -
d1't L:rU here. pour in ,K,;tuanC.c, Ms,r.U,;nei tie APPIICa"' Suc"perm+i .._ __ _. _____.__} _--.•_--
r..1 hie l s1•I„'. sta,,I,,t :oat ne;sne ,s I,crlse4 P,. ', ^tie pr„Y's,nns of Gas Service `OIINCIS Switches
--� - Tempe-1Tvpt 11 I - bunaing $
t•:e C_.,nir.Il.l nr';LrrCn to Law(CtlaptCi n((rim r•,r^ .,r, :,,ih $C C:•`:' 1non):.. �.-{_. ..__-...____-_---_-1—_ '-"---___--_- --.�.. !
tr.'v'•„ c 'r+ u,c 3ns,ness ann profe;t:u,• :r: t ne7 s^c ,s •.c,„p1 Interne hors pre.-,-I'i1L Meter up To 100 amps- - Refrigeration System l -- Flur6li $
there?:nln .,nit :ne ra s,t rrr the ant_„c�emptf[.n. Any .:_wa„n r,: sgct n,I' p --(---`�- - f�Eter Jover i00 amps --.__-_ r�0.100000 BTU �_100000 BTU .
Mill." by ar.y arPu Can+ ,,.• Pcrm�l suhrcrts t+:r• .IaPllta:'; to a civil P-Tap _ - _-- -- - -- - Electrical -._L - S
nenalty ,f„-lI rn,re fn.,.. •_P?n„;,dren(J.oar: is:7r,0). --..Roof Drains .�---- t-- -`- - � S 1b ani!I _ -`- �FirepliFaet.Blt.ICBO *'� - --
at riv+ne• :I,C ProPcrly •-I nay Clnplri Y••CS Y„Ih :.a:[; d1 :I.Cn t�,l•: _ _ - �__._-- - - � --� __ - Mechanical -
1
,.nrnP•="••• :'nII rl(, rile .vr irk,dud IhC S!rurt Uri ,t n,n ,n:C Ced Lr gfrCmU Trailer Sewer �- __ __ --_--- y
M h I _
_ 'AI ration
• _ i� 15-50KW I , System Repair, to ,
i5,•ct,on 10,14. t3u,IItAS and P,•:)bttronal L''C•1. t"•c c�-mra(tr,r•s _.._ - Transformer Fire Dampers
Other S
reuse I.tw(tees m•r:[".ly t"an „vncr r•+a pr„peity :vr o[ s er IM01(rves 1 Sewer Cap- -�� -- C 50+KW 1 p __ - 7 /�
I .r,':-gi- ,t r ncr l,m, -- - - --! 110$34f SMIP $
t r,rcw 1, end wnu do,.:• •,ul-n a'Irt. nm.t?.r�hcrsQ r g o _
n,,i •olio;ec ., .-.ffe,en f•7, Sewer Connection•Bld kiotl rsr: 0.1 HP.Li1'/,•8 I Re ist.rs
Prn pl(,y Cc`s, prnvl(1r(; th.11 :,ith ImP'l,vr:ncn:•.are _. _ - .._.-_`�' �- -- ._�
sale. If, h.,vv,vrr, tnc t,,:,ld,n., "r ir,P'u.C,n,•nt Is s',i'l v.'tiun o::c ve-,r„I corn -r MCinP.fatOf site.
nave too nurnen M P7!rvmq hr,/tor d'd: •: Gu,lq nr im• Solar Cullectnrs -. Inc. Solar [-19.15 HP.Cl1G•15_I
i- --i---'- ---.---• - -- I --7 -
rirovQ flit tr,e n•.irp(sr or SW ! Solar Piping - , Singi Fam. Res. + <Miscue 3360-3370 Summary of Plan Check Fees
fr'1 II-V SY,ar rJvr I"W ly C'•t,t r.l('ul, :,,• ',S-:d Inn. ._ ._ _ _ .-_ — _ __ _
+r.ut,lrs rn r"nsnucr nu•o !,r-t (Sr•cunn !nas,t,-,vmes;and a!-,, s t c.,nQ: Solar Tank _ I Multi-Fam. Res._ ,-• __-- _- ------•-_.- ----- -•__---- - u
tl rr (_•r rra,.: u't ln[emc f.a v- duel nut apply to an I• o-o..c tv wn':, --t- -' - 1---- Syylrrlmxg Pool/Spa
h,r,l',t l,• .,I:nl,�vr. ti,c:r1.n.and Y,:,.• (,•htra(IS ftir ttt:r, p,,.,-WI :.,th a Ct,n. i Swirnmm Pool/S a I ---- -- - -- -------- un
tralS nr(s) In.r ntc GurSuant I" inn C.nnira[:or% I_Irc•lie I•JWr, , a•, a:n,rn thal ' Water Heater r Issue -_._-_..._ -.--..___ _--_._.... .-�..
prq„f •if tnr,r wrvkr•r't Cum;7r Pisa!Ibn Insurance Sttn.�11 :,'. p,'.':'dc�1 In I'll. -1 .._. -._.- ------ - - ^-- ---
PI hing $
Itc.6, pop
}_ -t
.i l.I!"e+.rnlr,t ,fnd h rr Sr Cun, -_ - B.Z P.C.:nr to is rQa Sin ,Water Service I1P(Ir t• I $
- _j Septic System _- pr i
U.lu f fY+riot ,- -- -1 - - DEVELOPMENT SERVICES REQUIREMENTS- r
Ina: I ,a+e '••a.. talc ,ipaliratlnn and fate that t,i, art, t Ml ._ _T_ - -------_ - - Gihe _
Intl",r1„shun I' ,'licit.'. I sill C(' f`I i•,rf,,)�y iNlin all f.ItY'Il.d l.'sf:•.v !,ruin,,Ili Ct 1 [kyxond By �'•-D�e
anrf state Pa�.$ Irinhng I,• binlaln'i c n'.'fuct,on,and 11"ref,:, alit' rive rowrl' -- BeiidingApproeedBy _ _v��- 336433i5 i"amm�g $
scntat,v,;t „I u„s ntY to ent0�+cpo rt the abnvo•ment,o nrq p„7perty for _.
I n,tpr.Ctu,n p,rrp(rtt - t - �. y - �` AppticationIssuedBy --�L�' �r "�-- -.--.-.__flue _L�L�._�- I l
"C,yn.h,re f-��.- v _rtI`,•' f .�<a�P TotalFeKihle $ ..I�•
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r,lr,veft' 1.1(r.nti•nr i$ N ' -_,,,__•._---_�•_ �lY,,
y "th,irBudding. GIQen Temporary FII if G''!rf!rro0 ArrnunUng~
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Oils Cehci�iCafe issued uhsuant to the he ttihn...-
p u fs o� 'geetion 207 n, rn
� Code eehti �en that t•t,-,� �� the �ni�Ohln �ut.�iding
��• g at the t..�e. o issuance this stnuefuhe was in corn eianee with the v `
�. .
oadinanees o6 the City hegueatin buiedin mis-t� „" �' anious
g g wucuCtion use. CJon the joe'lowing:
Use Classification, Bldg. =
Permit No.
" Grout, Type Construction
Building-,Owner of Buil - Zone
Building Address
Owners Address
Lot Block__Tract `"1�
�:.
State Zip
Ass
essors Parcel No.
Date,
Building Official"
a POST IN A CONSPICUOUS PLACE
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�' a +� �"� `�,�,✓yam �'f'� >�,fy`' `����✓,�, `����w fi��� i�,��'.� ��:,�✓` ft `.;3�{i ci�C, ty$
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1 CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
Proiect Add rAs
Ass"sor-s Parcel No.. 1(! �9G: f2���O - APP`Icant to fill in all spaces except those within heavy border lines a^4 sign ail appropriate declarations
r)vrrir.'s Za•++r _ G��`_'_/ �._• -JSF_C.-Phone PERMI N0. _ _ ;TRACT NO. LOT NO. : J- NIT NO. s
Arch Fog /�_. [/]� �` License d_- - ---- TYPE orCONSTRUCTIOTt NfW qn0
AlT_RitE.v; SEPAi?
Address __ - -- iAarEli_:QN PE'i+DlfSf+ JTHER -__
r.- -- --Y--- ----
JE%RIPTrn?NOr vii,Ry, A.P. ?#
+ Coolfa_:or'-Nam - -t,..L_ _�Jil� _---Phone ,L11 �.C;y U:c OF EtEDG. _ �-• _ Zone
address rma,hr. 1-_ / _ <;-.I �- n : - �-�=- --- _ _ $i fdain Building:
f 9 L-- C�.�_ ---� tg TTPEOFPn--:1 SC�R{r;NG 0U.-MilON STRLICTUfU41 E r-- -- j Accessory Building: y z
! T j Frant I
Cay License No. -_ = TENANT E-,EUQirJ! Pl(1MGfl!G MECNANICAi B� O
LICENSED CONTRACTOR DECLARATION OTHER _ A nT3i _ Ai N
( I h7o" affirm that I am Ircense4 unite, Dtc, isi .-•„r=Charter 9(core- PROIECi Or$CFtiPTf:jN $L >i -._ _ OCc,pany C RIg i - N
i1 wren sec on 7000) of D,v,s,on 3 _t ii.± Zusfress and Professions Cole•ann COrStrc.h n t
MY tense is Fri fWlatetce aria�!:<ct- ;.' �/r !J 0 1pe -- -- Zone A[rc --- $ Left
j �7- p
L-ctrse Cu- i---- -- --------`L,censgs�lD. ya':abc'+5------------- PCx pJJ
--�R
-- - -_ -- -- - - Ping. Ref. _ 1 Parking Req./Provided E
l oats_-�� -�� $,gnan.re -�'� _--- Remarks - - - _
WORKERS'COMPENSATION OECLARATION -- —_.-.. Planning Notes
I he•tp, a'f,rm that 1 nave a certificate of conSFn' :o self.nsure or a certi•,cz:e - - - _r M
of .Sr: e rl:-e,s� Contpnsatlo Insurance• or a Cc '.fled CODY thereof (Sect.on l �" I Y
i36". s a C. �`- -- - -�$
�CPO: . N_.Gc CemPany..a}�r'r✓
er:,•,ed COPY Is hereby furnished. -- ----- - - _ J -_'
( Cel'We(J-opy is tilCa with the oty Bu nq O',l_,on. -"-
i
Date o-S!1-��L�t'pPlrcaril
IEX:T:Sa�ON FROPs WORKERS'COMPENSATION DECLARATION
(This se C:Ibn need n,,t be Completer,if the permit ,s for nne hundred is100)or
less). _
I I celt,ly that in :ne b7fformanee of Inc�varL for winch this Perm•%is•Slued.;sra:1 no: ern ofoy any De son in any manner so AS to become subject tc :ne PLUMBING i FEES ELECTRICAL_ FEES _ _ _ I'E NAtrfCA1. FEES - - -
Wv,kers' Compensation Law,Of C3h'nrma. _
o3:e _ _S,gna:u,c Alter, Re air -� _ _ _ ' Boiler
- ` - AW n GRADING FEES
NOTICE:if,alter mak�ry ti.•s declarai:Orl, „/ s:.oui, -" ----� ,_ Generator CO-5KW F 5.15KW _
-- --.
y' 1 Cer„me sur.,CC: :o the '_Auto Wash W or•er 5' Cn mVensatieln Drnn;inns of tnC :.,b,r _r,ye• you must !r..:h wail - t Construction Pole Sub. _� t711.1-U---- -- --- - .....
~-•rider Ground- Cur - --- -- Cu yards
co .rrr i s..n pr,,vis,nr,s „r tilt: permit shah be decmea revr,:ed• t BaCkl!cv�Preveri r-- ---- �- - --- -- ` - - - -
CONSTRUCTION LENDING ASENCy 1- ---_--i 1 COokl�Unit - ----�--_-_ - Duct•Struclural
re•e:;r at •n,•Ivt •nett.,z a�,nitrurte,n!•;,.fin; igency fr,r the poff, rravice I Backflov.Irr,;.:io:a Pole Light _ - _ •V_nt ta_tir,. -------•-----
t,f :,.e Nar6 i,,r when tmi permit is Issued (Sett in 3091 r -"-"'�`"'-- - - -- - __-_ _-_.._ Fan a 33M)1U0 Plan Ch•:,4F:eS _ C. �/
Lender's Name `'v C') _ Clarifiers i _Dryers w7Gas :;Elects: '- r a- -'--- -
u-r• s nvcss - -- - - - -- - --- --- {-- - --- -- - - -- - ----- -} Exhau (stem --- -•-�- J.u03J 1 Permit Fee S
_ _ DEshwashe - Far, Eva oiative Cooler_ f /OWNER BUILDER DE''LARATION - - - "'-' - - •--- --- --_��_ p. lotai fees y l•.. ,�•_
Fixture Traps Pa: F.A.U. _ - ---- ---- -
i. :-a y a ea-,c •oat I exe ,p: +r, m :nc Cdn;ractnr's _censc .: ' • :n. +-- - _ I Heating System&Dur.ting
•..,.;-,n:n:, reason (Sect,.1•t 7031.`, Bus,.,.•s an7 n, ts;,Snat Code •,nv cyt•. ,. Floor Drains -___. Fixtures---- _-__--_co,•rt:y :,r.irn reuu,res 3.e,hnt to CLnftruC:,aliq.,unwo,c.itemul,s'� ,r ,cina,r i -- --.---- - ------ - --- -- ^'0-I00r000 R I Il i._i_10_0.000 BTU
any rr, F, Prior :n : •ss„a„•.•,ats, re 1, s tee ants can:I„r sac• pel,nit I Floor Sinks - __— Outlets Hcod nr Canopy • 33uu.(312 SummarydPermdifees n e a y„ens ten '•ut nr-s i is i, ,nsc pu su3n ••tilt'Dr ,s •ns t -I ---- - -- ----------
ice f_c. ..actor's L c ns. c_,r.;C'ap r / .nCnu• :.i:r rrc. n 30��) ,f _ Gas Service Oull�ts_- --__-. SvI, lcheS _ -_-- - - -
O,. Sion 3 ,f the Bi .i:e- - - --- f i
fFe li g
,mac P: slots t'�dC) .Sr :na: nc nc s c:.empt �-�---------- ' - } TYee 1 T
•he,tl,o,n ,Ind the hash ' • !r,c al.e,mod c,c ,..,-i n. An , Interce torn Meter! T) p (( I Refrigeration System
703:.5 :'Y an , Y p -_�_ -% u to 200 amps _ t
% e trial,,i f,r .i t n a„i( :ne 1ppncanl ;o a civil P-Tray - � - - Meier ( er 200 ar,ps _-- ^ -- I ;0•T 00 000 3TU l IITO 000 BTu ' Plumbing j aenany•,f n.,t store than f vc n;1r t I vS(cS 001. - _y- _ -
}-- --.- - __ ON j
Roof Drains
- 3s .ns net of th,. r'ronu:v „r cis c,• .anye:f :nth ;.ages as :• „ :o+C I Sub 2nel -.- .-_ i f fl"[IrlCdl
Cnmpe,sation, will on It,+• .c�-,.y,a.,b the siftiC:brc is nM intended nr�)"Fred _T_--erSe -P- el --- --- ._.-- - Firepi.Fict. Bli. ICBO # - --
,W sale %S,•,-t,nn 1044, B7s,,P•S ant, nr„f•r<s,nnal Cr,6F The Cnn;rac:,:f•s Trailer Bestir .-t-- C.l 15 5OKW -' : Systern Re pairiAlleration-
L'erce.• Law dogs not aDPIY;n,,n owner nt a morn:Itv rrho nu,lns oI ,mpinves c '--_-} - i Transhrmer ( ; 50+ �. ---�---- N�, ,
Frcr,, and who cries suU, wnr: h,nseit ncr toll r,r ;nrou�n ewer Cap f-
,.r,r.f rer ,wn ----------•--.__-_-- -+__---- KW i Fire.Daaipers
_ Other S
emp•ovecs,provided tha' such itnnrr.vemC•,;f T.rC nut ,ntonded rn O:'t rCq for SEVYer CC,nneCt1011 IjJd -}_-- _ - - _ -- - -- "" -' - -- --w- -�•--
Sale. 1'. nswever,the li-Min:) nr nnpr„vcr«.n;it s,ed within one Yri, ,t rnn1. -- 9 Motets f 1 q-1 HP( 1;i•g Registers -- - - -'- 110131 $AtIP h'es j
p'e:i.,n, the owner will have :tin burdtin nt nrnvin,;hc.Sf:E 01C rlpt b,:,ro ,r ,m• Solar Co'lecto.s 1, 'f•"-' -- --'••'-----
prove file par rise.,, __ Inc. Solar_C,3 15 HP -16 1.5+ _ -- -- �- - r- - _ j n saieJ. -1-- -._---�_ ;_- _ -� Incinerator 110/31 .M P Ccc
�wnc, or tr,t ri npCrly,an.exit is,xr,y r••.,'•ar'IrU tilt r, hrensec Cnn. 'Solar Pi:Inq j i Sing/Fam. Res. - -_�• - -_ _ - _1 r�l
ae:d.s.o ronstr„e: the urn,ert (Sr,•inn 7J::, sc
Buv.a ss asp Prates, n; coat: $n18r Tank t'- -�- ---- - —_. ._
The Conteacinr'S License I av, dues nri lop,y t„ an .,tuner C,f pro Pe,ty v.h r. I f:ir ultl-_Fate. Res. _ - -___-_ ..__._._--._-.__._.__ -. ._ 36D.13T summary f Pt]f1
-_ _-_..W�.- _- _
bu„df n, ,mpnivr.: there Tel,.,rid v.t,o Cb tfdrtt fell such Ot,ileet%w'L•r, a C,n. r 7 1. tek r
trar..1.(s) license ._.1•S mlmingPochSpa Swlmmin Pool/Spa _ ----." - ...--- •- -- ----- S a t
pw suns: FI tt•^ f.r.ntraCtG•'S IJCCrsC I.,v.l. 1 am e:.arc ;oar -- --- �-
0 o r
pro:, „f loco ylnrl.Cr's C,nns/,:ntatipn nsSurartCC Snu:,id be PmviderJ :d me. ' Water Neater - -
am exempt under Sect,rn, _ - i
-.�__,___-i_, _ IleI1a%. _. _.... _ .. B.2: [f.C.Inc IhiS Icatits Watef�QrvlCe - _. _ _. ._.- - ._ _ I 6•,. P)t spin,f f, Iri,:a!Date .._ rnef __ _ �.- ___._-_ ._ I$P•ptiC SYslem IIle,cnvcerify th.lt I hnvt Iratl till% a ILO/MENTSERVICESREQUIREMENTS:,nlnrinat,.m ,s tnrrefl- I agree 1 "nnpi•i pvoth it aryl start. that the an."Os -y, ,--_ --_-.vith Ell C,ty and County ordind+,r9t •`�"-"'anC %la;c iswz re.lalmq to nuiid,nq construc!i,.n,ar1U nert(,v autMa•i:r rtDi O. I _ - (Ap//OtQd eT ORIi,:fC+ t sC% I,• this City to entgr uprr the arove-mentlnncU ncr.ptrtyf.rr -. .- ---_.__ - ----m / insAQgtryttlB/ 36 331 IS,gn.,•u•r• : 4: •• /-3ci-_•i Issue ._.- ationissued9y > --- ) a " "3 5 P r m•IS' License nr .S p : -- --- - ---- ---- _-_ --Dal,
Whltaliu,iding. Green.emperary file Copy,Canary-Asse%;ov rI„a Appii_anl.Goldenrod Accounting
Tobl refs Dait _ -
7
CITY OF LAKE ELSINORE CONSTRUCTION PAW L F2
Project Address 5/c vLt.�.�� S/`e�� T✓3 1 / 1
---- -- - -- ---- --- .. l
As411,sessor s Porcal No. Appi cant to fill in all spaces except those within heavy border lines and sign all appropriate declarations
^ v/jti/ Ilrr
O_.nn's\dine -- PERMIT NO. ;TRACT N0. LOT N0. UNIT NO. `bf-=
t/J�C _l C _----Phone - -
IAddress
Arch End -_ ---_L:cerise Jo. - __— r?EGFCINSTRUCTIDM HEW ADO -. ALTEf�1T(Otl ' REPAik
!ThsERSION DEMOLISH OTHER __1,.%�;c ter' A.P. = - ,- S; Zc e
Ackiress rn 7ESCRiPTfOy OF WORN USE OF BLDG - y t18 Z L-_- s
-- �1- ---- �r -�"� E I Mar in Building:. (Accessory Building: ---- t
t;(lnlraciut-s hameJZ----y(��10(P���_ 7'OZ?''C� _ __ _ _ _ --
/(r f��0i ZA,vt'f'z- /Xu�/t�,tr.Gi TfPEOFPERMR GRA(iltif, FOJHD'+TIO!1—) SFRLhTURAI - T; Front
Address Imaihngi -_--- __ --
10
if'+;4T ELECTRICAL PLUMBING MECHAINICAL B' Rear N
C,:y License No - - -- - - -- ------ ---- r o A:- ---- ----
-LICENSED CONTRACTOR DECLARATION DiS _
F I'RO:ECT BESCRIPT10'i So Ft __ _ _ Oau a _ C Rignt `N
t 1 nereby a7hrm that 1 am I:rlr.Se�aide•pv,v,ti:,as 4f Charter 9(con met P',q -� --- -- D ! ----_�-._--_- - - -. _ __.�.__
w+:n sec inn ]000) •.t [;rvrs•on 3 of the Business and Professions Code,and :ype - 7 S —J •i -' I G
I Cc r-:'=' ----- live - - Arres --- g Left
my I,Cense's+n full fUrce na f! t.
L.unse C:as}_cam �"'I �_ lry,+r�,t- _�3•] .i'_3:--$____----.- --PC.' - -.__--- ---_-- _ _- _ Ping. Ref_= Parkin r�sq.ifsrovided E
! Date..? 'd_!__ srLna:ure "'_�1���-_o/ =-- Remarks Planning Notes _ (O
sJORKERS'COMPENSATION DECLARATION ---- -'�--- ------- - "'-" -_ ---"`-"-
I r:ercuy itf vi that 1 nave a Ce,4 o f.rate or Consent t Self,nsure or a Certificate IT
of s:'ur .ens' Cuntpenw,,,, Insurance, or a cerht,ed copy thereof (Section ------ s- - '-- -- - - �jS
.800, Lab.AA
ceft,f,rd copy is herCby furnished. ✓ - --- -_-_. _
Ceftrf I-. oprl�ITded vnih file c•:� fU Sr n '
to �� Appucant -- - _ -.- -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION
Jh;Stect,on need not be c4mpfeted d tnc Neifnit is for one hundred($100)or
less).
I frrt,fv lh9t ,n the perfgrr+tJnce,-'the '-of' for v.hirh this pe,r.+l+S itsuec',1 - -
snsb nit er:,G"ty anv pCr•:.rr in a y manner co as v,oecome subject to to<_ PLUMBING FEES ELECTRICAL FEES MECHANICAL __ FEES ACC!E GRADING FEES
YJ•r::er s' :-J n,ptnsa I'an Lawt of Ca'�ro,n,a. _
f Alter Re air , Generator GO-5KW C_ 5-15KW I tfoller
n.,ic 5•anJ:ur! -- - - - - -- -- p-- ---=-7-- - --- -1 - -------- Cut -- --�-.Cu rate's
1 NOVICE:11.dirt• ma;rM; ;n:i 7e0Jfat.0 1•yn I aho lla become subler_t :o •r.e Auto Plash , Construction Pole Sub. __r--__ I Duct-Under Ground - ' -
:Y„•i•crs' i wriven:atif;n orov,S,nrs ^f the t_a7r�r --ode. you must fr,rt^.r„tn r r - 7--- - -T--- - ---t Fol: -- -_�_CU yafdS
socl. ar•, %I IS >, tn•t cern,it sn.:n be Mcentea rcvu:•e J. Back.,ovr Preventer I_- Cookirty Unit -- _ _ Duct-Structural
1 CONSTRUCTION LENDING AGENCY - 33603.110 PI,nCCeckFe.$
BacJ/tow Irri anon Pole Li:ht Fan`Ventt+atin
I f etbV Affirm!hat Inere+s a ccnsf•uc h.�n!enainq agency fr;, the performan CC g_— _J.-.--_�--__ -- -- -9-.-_�.--
I of the •VJr4 Idf 'N :Cn :I',S cermi: ,t ,ssr,eu (,cct+or, 3097 �,v. c•) larifiers _ Dr ens Gas :Electric Exhaust stem _^__ __ - 33003312 Permr(Fee $
Ir.,nc,s NJ•r,c -- - ----- -- --- --------- ---_-- - —.- -y - -- -- y _ -���.! n „2.. 't ono, is _ -. _ -- - _ Oithwasher _— _ Fan- — - -- Evaporative Cooler _----� L Iota!Fees $
-------___--
01VNER BUILDER Ui_CLARATION _ Fivure apiea. r r ,
_I
_ y A.L`. _ -J _ - Heating System&Ducting 1
I nr y at,:rm the': I J,r1 eve •trim rile G+/nlrect•�r'; I_i,.ense Law fur:ne1
FloW Drains. �Y,a_� Fixtures - I _ 0 140 000 BTU C1100,000 BTU
• •,.nn rasnn (Set:tor 7 11.`, B+,s�+-css aria Pr:.fOrn�•,al cane: Any ate ,v _ . ----- --..-._ _ _.�.- - - '�. -
1 cr.,.,,ly�.vsry:n rC4u+rct A cer--„t:.- co-ar,Irt,aver,,r:,n:nve,Memnl,sn:,r •,::,ar• --- .-----.. 3300.3312 Summary of Permit fir,
Flsor Sinks _ t4 I Outlets Hood or Canopy
pr+or ,Sil:dcrc, ai5-•rCryuirC:toe.tppl,r dn: for Sup,ptrn+t (
StJ:r,+rv+�t trJt t'I, Snc ,S r,ccuied our:,,.In2 to tf,e pro-ions of -- /= -----
i Gasser ice rOattrts �L _ - Switches ! T e 1 - T e i[ (]
I it,Con:taciur•s sense La✓. iCr ap'u (r a':nC nr.mq vri:n Section '000'of - ---.�•----- .-r�i -..I ------_.y--:-- --a-. - ye.- _- --._.-.. Building $ _-_---
U�vraon a „f the us„es: and P,o:ctsldns�cuaef .,r tbat imisbe Interceptors -� , co I Meter _1 up to 200 amps ! [ Refrigeration,System
th 'eftnhi a:,e tree sit fo, :f,e .11'eged e•n••,rt:r.;:_ ally wolat,nn of sec:,-Ir. ----Q—h Ott)---- , .—..-.._. I Plumbing $
,;., fill any .,ppi, r , pl,n,+t suhfeclt trte applicant In a Civil P•Tiap Giet�r; over 200 amps 10.100 000 BTU f'100,000 BTU
v! !:unaraf dot Ars f5500 . '----�`.--'--
j Jenalty nt out more tnz , ) _R_09f Dtdltl5 _ _ N -----------
1, .,; r.✓.rt, if the pro rtv .•, my cn:I:lrryecs :,,th wa-les as toe,• s•,lc - -__ _-.- __0� ' Sub panel - _ - FirTpUFact. Blt. ICBD _ _-_-- --_.
mpensa:nn,, will 1c, the inu tnc st,nr.tfnc ,: n„t rnlended nr wlefec Trailer Sewer Ci 15 50KW System Repair/Alteration - - MPchatnGal S
•n, sale' (Sinctun, 7n.ld, Ersr,lt and Pr Jet',,r,nAl Code: rh, COn:ractn�-t _. --- —__ _ Transformer _.__ .____.---__, 3
i LrrCr+r• L,v,MOOS nol apply I`an� vner of a ri Operty who builds ar imprn„ct Sewer Ca _ _ _ c_f Dampers
--_ -^_--- __---- 'Other
!hereon, and who fines !.4%1, :r.t•. r�iclf,hcrsu It Or th"Itrnl, It's r„ hnr, .v r, ._-._ —__- --,fire
n rn plov'••s. Pr"vrdnd tna• sun r nil am vL�C+Cott Jre not �wonMM r orient.' f.,r ��Sower Cennectiorv_Bldg. ���;� �MOtOfS(! 0-1- HP(J17i•B I ReglStefS —_--_--^—� --_- 110231 $YIP RCS f
s::'c. If, nr'v,Cvcr, the h. t r. ,:r: :rn✓227.���,ens Is:..Id w U,In nnctr.;car. :rnm - j' -- '_-r 110239 $lAIP Corr, 1
pies„n, Ir a .o, have the riwCell of rl1vmq nn;gh( did nfrt n,:rl1,•r m Solar Collectors Inc. Solar f '3.15 HP,_7 i[3 15f` Inclrerator -T____.____•-__ _. _ -
7Mvb f',r tilt:i urprsr of :S,. \ Solar Piping I — n '- '-` I
I,f, owner n• t,¢ pr G.rt•r,a' rxr,,�•. ,:iy`�.� nitro-tut? .vttt Iloo: 1_Sin /Fain. Res. _ - Misc. ��_ w
" :•a,to,:t"I•Insfitc. trf•wfyert (S,wruph )Oy::.f3il mesand rr,+tess,,,,I (rlr - — -- -_ 369337 Summary of Check Fees
I { Sofar Tank _ - -- _N'Illi•Fam-Res. __ -._._. _---- -•_-- _
( Thn. C+nirs�tnr's Li!cnSv I:,:. '}f,et nut api)IV tb at+ •++inOf of �rnucrfy wnu _ -�•
. ..�_ _ _ _.____- S a .. _.-_.. ..
do tt r r unpr„vas thC.r• , a,:n :.•,, ro•,trara tnr !v.'� prnlrctt unto a Erin. Swimmin POOI�Spa !Sµ1nIm10 •PooiiS a f- _ f •� 0 Building
p S
trail n•(t; It!cnsC puriudn t•+ tfC Ln'ilr,t rf of's L,r.nnSr L,J v.). t am aware inat f � _ -' -t�^' 1�1 -
prr,�,i if their writ-r•'s C} ocnsAfiar: insurance sttoutd.pe provideo Id r,e. _..Water Heater __ ZSG' -'-_- ---•--•-_-_---.- -- ----- 1 fsuP. -- - -- •----- - ---- __-_-- PlumbinQ $
r I,Inn exeropt nndc, Se t-1, .. - - ___ .. p.t.P.`G.for tn,s,easu•t WotP.f SaryiCP. _.i L( $
nA f - ;,✓,•h:. - _ _.. cn 'C.o s Ern --- - -- Mechanical
,.Y,•- A S-L-
DEVELOPMENT SERVICtS REQUIREMENTS:
I non•:. rcrlJv filar I 1,4,E •<f(l ihii aJpb,.at it'll drift state lh,it tell 11)ove �;�($L„_.- —._�- .___ Otter i ,-`--
+nJnr,:,At twrJi. i lice t c .mrf.y vrttt Mil f ny and rriuniv Jrninances Zonin((Appfand9T _ ...Date .
_ and :'.,:r is✓.t rr,lat,nf Ii, ::u ldn'.r •.•r ,tr uti,unr.Inr; lif.rebv aull, f"C r^.pr!• __i.-__......_.._.__.._-___ _---_-.-_.-._.-_ .._.. _.-__..- .._ .^ 33603375 Planning $
ten:af net W this t -- .- Building APPrinsd 9l --_-_-.. _.. Aatt _ _ _
,ntprrt�„n py,emi / - ' r: u•r , file tonxc•mcnlinned �" � .(.T- --------- -.---_---'1 �,.Gb Application Issued By -.. - -- ----. -. - -----.Date
y pi:rfy-f t
Signe!'rr �t`^c- rIa•e ' Issue
_-..,» --� ,Y=-- / /� (_•--.
f.+rrsr•-. +:nit -r __ �.. ! —'--- ------ 1C( Total Fees Due $
/s W`I itr Budnm� Gfcet Frmp:nary Fdt DL anaff 131!ssor, In Apphrant.GoldeixN.Atcfwahne
o. i � j }} i ! I i � I � � ! 1 � I 1 i { t7 S I i i i i• 1A � j i I ; ? ; !
-! �. j i----�--#---�---�-- —t--f—�---�—� �-- I i { � I I N, � i � i j• 1 .f � �. :, ; i i
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t) J WI e U c I O �. �I Y 1 1 ."fD` dI Ri! v c If3c)
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ac > r' ° a '� Z 11- In d c I I �' �.,� I _ -0,1 a th 1 Q I r�! �, , l
f3. -� O ^ L L L ro ro m c l Z a'�
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F ow. o I ix c 6! c+ a,i rn o m ,i c r c c o j 1 ! l I I !
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E _ � o m O c o o a,o; d d a aI a s c> LL ac = 1D OC `
• _ CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
ProtK• dress ���/_U___ L�kE:,Sf�t/L'�—t-_�_ l V•' Assess:.,s Parcel No. Applicant to fil.in ali spaces except those within heavy border lines and sign all appropriate declarations
o••:rer, :q••r i ;,_-- 1:.G�u- _ - - pr.o^o----_- PERMIT NO. TRACT NO. , LOT N0. UNIT NO.
7 '_'
Arc- E •; Ltcerse No _ TYPE OFCONSMUCTION NEW ADD ALTERATION REPAIR
Ad4ir i WNvERSION r DEMOLISF __ OTHER
DESCRIPTION OF iNORR DOSE OF BLDG A.P. # Z I
-..._�__- »-Phone __ - --
_ Main Building: I Accessory Building. t
1 Address ---a •ny) TYPE OFPERMOE - GRADING __ FOUNDATION _ STRUCTURAL Tj Front _ Z
Gry L-e-sc%o _ _ _-___ / TENANT 3/ELECTRICAL PLUMBING MECHANICAL Ai Rear U
LICENSED CONTRACTOR DECLARATION OTHER N
r,e-ec. a•'•rrr. Ir,al 1 am I,cenv_d urteer wr-s,•.nsr? Char:e- 3(commencing PROJECT DESCRIPTION' $1) Ft _—Occu'an -- C Rightt_--
wain scc,.�r 7000) o• D,•ns,Dn 3 0} Lilo Busmcts artl Pr o'<'s:pris Cotle,and v -- -' K- - —_ _ _ N
(.onstrOih^n Ire Zone A • S Left ' Q G
ms ..:e^se n.n n,,I rorcc and eflcrt. -_--- Acres � - s' 41 ti
Li[e-Se C:ASS _ _.____ --�__L,c-nse NO 'ralu3ticn S_
- -- -- Ping.Ref.- Xr'a"v ded E
s,gnafa:e . ___-- -..__. Remarks �- - E
WORKERS'COMPENSATION DECLARATION Planning Notes
I rr•ra, a••.,-,MAT 1 nave a certificate of consent to setfyr,sire ar a rerto caLS M
f of >,�,v.,ri Compensation Insurance, or a certified copy the•eoir (5ectsor: "C •��!G - "' •"
t 3800, LJ, C.1 ��s' �9 y -
t p011Lh No --- ----------._ Company--- OE
S
L'
r-• Cer;,•,rd cops,ps,In f
CirI co siledw111 the city-B_-ur_ld_,_n.�q Di
vision.
Date ---- -- — APDncant zw-
•- - -�� Q
-
1 EXEMPTION FROM WORKERS"COMPENSATION DECLARATION —
1 (Th,f;r C,On need not De completed if the Peirn,t,s for ene oLnored(SIOO)Or
ICSS). -- -_
s cer•,', ;-q: ,n the oerfnrmance Of ln.r.v Or: fo•v:n,ch :his Perm•:,s issued
sr,a:, or, a-'�ftAa,3
ny crsnn :n any man r s. as to ever-.e sud.rct to he PLUMBING FEES ELEf.TRICAL _ FEES ME�HANICAL _ _ FEES
,l.rs e•s" C � t Cal,fo ACCT A GRADING FEES
! Alter, Re air ! _ o rDaQ tr a : c C�( �i L� .� ;G=nerator L,0-5KW___5.15KVI _1 __Eoiler --- - -NOTICE. this de[IJrarnm, •m,should• e-,:.r-e suo,rc: :o 'tie Auto Wash - ' -tu ta1d1
Clo,%eri' ::n-ne'+sation provisions if the 'La.••r Code, yo- r„s: •,,!h-th � i COnstructior.Pole Sub. t Dliet-Under Grounr; _� Cut ------
cC.-ply >.•:• sure D,r,,,a,,••,s ur m:: pef,nit snap he ne•t•metl revo ed. ' Baekflowr'reventer CooY,in ---•-- - - Fill cu aids
CONST Fl UC*ION LENDING AGENCV i _•-g Unit _ _ _'• Dfjuc!•Structu ral _ __ ~__ ----------- y
roof snot, s r.c•nstruct-m:.•Otis,,,.,go,r•, ;r.e ter•r,rmLnce BatkllOw trri lion �I POIe Li ht_- -�j �f (L Ea -,- - 33603370 Plan Coeck lee
f
permit is issued (sect,:;n u9' C,v_ C.) - g: •Ven iratiag__•r t r.; stir Ylilltr ;his ' Clarifiers 330U.J312 Perm:t Fee S
;_D_yers❑GasCElectric IExhsust,;yster _
r La-__, t r.-1^•.•:t _ - -- -----_ _ Dishwasher i_Far. ---- - --7------ ---------i------- -
OWNER BUILDER DECLARATION I ---' .U. EvjLraliye Cooler _-_ lowFW $ -
Fixture Traps ea. F.A.U. _ _
t ',errhy af'�,-n •hJ• , a-n C,emp; Ir„m Ihr r;nntr.,ch�••t Lc_•rse Lav, for ;nf -- � � ---.- -_ __ ���_{ I Heating System&Ducting
• - 'cos:n (S:-t,on 7031.:, 6,sw-is:nn•, l�r.-re.:,on.,i C:x A.",C-ti, ,r Floor Drains •' Fixtures G3 1 �'
reaw•as a permit to cr.,.t:rune.aner.,mP,n:e.:e-..-,r,s,• or rcpa�r i -----i- - �+- -- _ -'� _ =0.100,000 BTU Ci00 000 BTti_� /
]•,♦ S:"..•:::J'e, nri:)r 'r, as ,ssuan,c.also rea�n,r:the ;ppl ca^• '-r suer.per mrt ' Flnor Sirks Hood or Canopy 33003312 Summ: of Petmlt fen
C Outlets _ ?✓� _ 7
e a s+,sec state.ntnt loos nc•snc r,hctnie,:pwsuar. :',; pr,w,s,ons it -` -""-� -' 1
m,•C.^:rac;,,r's L,.cnu I�w(Chapter n(er,mn.enc nc ,:n Se,in in 7000, 1 Gas Serjiee Out �I Switches S /
-i --- , ___- -- �_ /, - 2:_ I Type T C T e II B ,Ire S
RLsrnes% a,:tl ProleSSIOnS Code) or tna, r.t.src is exempt -T- -y--
tnerr•, a^,: the .,as's for file alle r I c>,en, t,lm. interce tars _ - ' _ Ref:lgeratit►n System - �—
g i p Any ., ,r.. df sect, ,r, a__.- p l Meter p to 200 amps
703: r,, ar, anon, ,tnt for J prrm,t snnicctt the .IpD!c] t to a e,vt1 P•Trap _ Meter over�00 amps
- -- $
Penalty •r r: rno,e than five ounciren nolla•.(5600), - - - - _j-_-. p .../. t f70-100 000 BTU t_,i00 000 BTL' / --' ---
_-- at :r.0c, of ;he Lrtq Deity n, n,S Cm DR,ycet ,l0h :'alts as file., Solt, � Roof Drains � tSuh aflel ( L. —_ �.-.—.-�.. 1'ef i''cal S �(L "K/ l
011.IICBO # - -
C•),••,0ersat,..�•, a111 dr, the "� k,,Wd Inc t:ruct Uri ,5 nr'.t ,niC^7Crf rr.,ffemcl -_.} -t---
Trailer Sewer I Mr,anal $
. sa,e fSrc nn lost Business an-t Prn•.-IS,,, al Cr lie: 7rc C. n;ractn.'s i _ _ U 15.50KW System Repair/Alteration-- ,
L,R`"se i_J v:d:•cs no: aUPly In as.t,.vner of.I properly ;rn•+r,t.,CS qr imprnvet Sewer Cap Transformer rl .' .r sucn wars non:alf,ncrsclf ,, rnr.,:.;., •,•.r. ,cr „vrh _ 50+ Fire Dampers - - OtherS
r•r.
e, Ce t. `v,tl C+] 'l-It suet, ,mprr vr,n L•n:t ale „PT , ;,•r" J - „'fir n •ter _I_-__-_-__—__ �. _ - _ ___ _ - _-_ _ _ ___ _- _.. ^_ ...-•.__-_-_.
sat ,•.c.^r- tnc bu�,tl,ny nr _ .e r Sewer Connection•Bldr� Motors ] �}w B } !/ ,{C- r
nr pr •v;n,,.,�i ,s 11 v illy-, sno ry a.0 J Cr'n ---}- - - .-- .-_._ )' �` � Pr\'_ -I'• __ Registers 110231 .,NIP Re; $
_ _�_-�--- _
p^:- - e :.net •.•,'� nave t•+r u„rder,,,f Dr,.v,,,,,1 •�r C. �: n„�in -,m• , Solar Collectors ( Inc. Solar❑9.15 '♦P L;16 i5_ _. c G Incinerator 1)613: SNIP ton" -v -
p:Ove re r.+:•m se.of sv.). --f- ------ --- - - --- $
: e „ ,c p penis, a",e r ,,, Lr v ., t•a. •,� :. cc acn con. . Solar Piping_ I sing/Fam Res.-- - - _ _ --- -..-_ ---_-�
'•a_' ';s: uC' the pr crt (Serl,on lv .13...... S],.r: r'• :S 'n:'..0 7C Y_- - --___ -_-__ _ _ _-__!_ �.-�M150..-_--_ _-_.-.__.�.-- __ 7 e
rot �_ rac:,rs L'-tnie L.,v. dries n,,t aop,y !o at. . n"C' �, A-cUeof v.ro Solar Tank Multi•Fam. Res_ - - 3.603310 ummagof Plan Check Fits
p,, mpr •sic, • -C,r••n+,aOn s•.n, r,ntrarts rnr sucn pr.;see s von, a c0,. �Swimmin9POOIi$Pa` w
rat t) r 011 11Jr1! !., tilt: f.nnl,ac r,r's License. .JY+, am a.:are - Sw(rnml�P�ol�a
pror, ,r..,r s•.,,,.r,'s 4•rnpenSM,On usu•ancr• sho.,,t r.,. D ,vi,rtl to _ Water Heater ---•i- _.__-,- �-- _
i Jm ----_____ _-. .___-__.� _ _ _- _
root under ,_oils n U t. P.r h s-ftaSnn - f ISSUE T- ^----- P!s ntli n� $ _• ___
y Wate(Serv1tP. �_S � t
{ Date, _- ' ••v:,•er .__ _ _ .~ - __. - �l St? tic System -----� * - uer�anitai $ .-.
1 t,c'cDy :,:,t fy n,Jt I r,a•c ,cart u,u. appt:cation and Stale :rat Inc ar,,,ve �11G�_ _� DEVELOPMENT SERVICES REQUIREMENTS: $Mtn•^]t nn �t rr�,rocs t agrc t r.H 10 writ: dll r,Iy and r.,;,r:y 4nn nanref
ln❑ t:a'e �a.vs trial n.) to bn,':1•If rgnSh itLr.n,,I1"111,:r ZielM Olore/�
�se,�;a•,.es , ' :n's t to r:n N', au'n,r,,r rCPfC• _..._�_ --_� _y_ gAi T `, ._-_.-- -•- ---.�._.___ - - - - - CtFe• .�_..-_._ ._._-.•___•
y A upon n,e annvr•mcr.1)r,nd ,•r. rt for
_Dale
,ntpc •, .�urpnl��,. _� 8uildingl{pFiroeetlgT f_ _ Oale 3360.3315 1'x'�ne $
I: clll cr. d U.L�r� v lr�a Y I Issue gDDtia(ion Issued By --.-_.d t
4_,.c•s' crnsr•r s;-r --- t-- '-_ Total Fees Due f / i J[ 4' ..
Whge Ba 4 ng Green Temporary F+h Copy, ana y.•,rssa. Pink•AGDhcanl Goiaenrad Accounting INLAW
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Project Address _ 1_� !� _-_ CITY OF LAKE ELSINORE CONSTRICTION PERMIT
Assessor's Parcel No._ --__ _ _ Applicant to till in all spaces except those wit!tin heavy.border lines and sign all appropriate declarations
OSv III er-s Name�i;ram :,_ t t r_ nr ^cep pr�ar e_ PERMIT N0. �/y 1�7TRACT NO. I LOT N0. 7.T N0.
ArehiEnn._ _ -,—Licen%r No TYPE OF CONSTRUCTION . NEW ADD F_' ALTERATION ❑ REPAIR
Address r��ss�r� /n�S1A CONVERSION DE11i OTHER r
DESCRIPTION OFWORK1USE OF BLDG__Contractor's Name�a-4)1 .� 6,tr. _ o e_Lz_} '5E ing: ory Building:Addresslmarling) ; -?s4v-y l.lty�CS_;h' IYPEl1FPERMIT GRADING FOUNCATION - STRUCTURAL �� Z
TENANT ; ELECTRIC4L PL9rABINC MECIIANICAL `x�,- ice! rf - NGty License No. 2s� _LICENSED CONTRACTOR DECLARATION OTHER
iI
I hereby affirm that I am lit.en Sea antler ptovisr?')S of Charte• 9(commencing PROJECT DESCRIPTION. Sq Fr --_ Occupancy _. Kt Right _ N
with sec ion. 7000) Or Division 3 OI the Business anC Pr0!esS�^s Lode,and Construction Iype _ _— Iaae _ Acres — Is Left ---- --�•eLS_�Se G
My license is in lull wlst na crfec per
_ License Cla}s T.��•-_—L_�_� lr ns 45F��_ Valuations_ PC4 10
F+ oatc_a Clas- siynatur Rem9rks --
� � � _ - Ping. Ref, Par Ing eq. rovlded _�E
WORKERS'COMPENSATION DECLARATION ��qq _ Planning Notes Q
I hereby alhrrn that I have a certificate of comen:;e sel!tin;ure pr a CeriificatC
CI �Vafkers' Compensatr',n Insurance, Or a certtfre0 copy :.,l,eof (Section
ti 3i100• l ab. C.) -- - 5
�ticy No. �Z �CiL11,LKCru
any�•i.�Ct�c• `%�r.r�;i� _
rtifred copy is hereby furnished. _
Cer nf:g0 co is flied with the cityclin Drvi — v
DaIe
EXEMPTION FROM WORKERS'COM 6NSATION DECLARATION -
(Tif,ssee•:nn need not be completed if the net mit,s fcr one^rrarea Is100)or --•- --------- ----- - K/'� -
iess).
I certify that in the perrurri �ance of the :r for which:h per,-,-: is:ssuea,1
h - _
Sha not employ any Person in sny niar.nvr so as:rt beco•-,c su.-„crt to the PLUMBING t FEES ELECTRICAL FEES MECHANICAL SEES
Workers* Compensation Laws of Carifn,nia- --'- -- - ACCT If C:ADINGFEES
Date -___ _ S,gnaimc -- _ .- -_ ____-_-- _-__- ' Altar, Repair _ Generator 110•5KW D 5.15KW I Boiler
NOTICE:if,dicer maktna till:deciarati,n,you ;ho:,ia bet•-n-e s.o•ec: to r,e Auto Wash Crnstruetiun Pale Sub. P '—•�-• Cut-—•- _cu yard;
'7VOf it pis• Compensali-m p:r,v,s,ons nt the Lao,,, C•,ne, you -.-St Q-rlhw,tM1 i
-7-- { _ _ Duct-Under Ground _
rO NS with ;ben pr LENDING
or th per mtt 4na,: pe 8e^,EO rev:4 ec. I?aC,tfIOW Prevb.lter , Cookin Unit , F^l --___ —cu. ards
CONSTRUCTION LEkDING AGENCY ---F----•-------�---- --�_ DUCt-S1ri!C.UfaI _ � - y
I hero;.s a nrm u,at there is a o,nstr;, clan Icnfn ..aye cv!r. - •r!a,mance Backfinw lrriga!i0n _-! - P�;C Light -"_ Fan •Ventilarin �!i i' 3360 alit Plan Check Fee$
of nc v:ork for canton ir„s permit if •isued IS,
Ler.tlCr's Name cl ;r, _•_i Cir. C.) ClarlfiPre _ +Dr+ersOGas DEleetrie _ _ ExhaustSvstenl /,,�� 3300-3312 Permit Fee $
-
_._ ..-_
�Sithwsf:er 'Evaporative Cooler ---- t total fees
OWNER SUILDLIZ UECLARAI ION Fixture Trans Ca. - J _ F.A.U. c �—
hereby alf.':. that I an)exempt o,,,n, If-,: Cn,�;rec�+r•s �_. :•_,-.e t.a., rcr •-.e - - --P- —�--------- ---- Heating System&Ducting iFll •.'sC
fnIinv.,n3 teason (Sect,nn 7031.5 Business end f+, ,fesimr rCZ: ,,,y Cr'.y ar Floor Brains I _ __ Fixtures �0.1Q0,000 BTU OtQ0,000 B7UCL County v,hich re0 u:res a ne,mit;o r.Onst rt,,:t,a,ter,im,-,,•o:e.:e^:fps" Gr re0a�, —"--- ---
any structure, prior to its issuance,also reuuires the JpGri;J•'.: •-•Sur.,: permit Floor Sinks Outlets I ( 3300.3sl2 Summary of Permit Fees
to fiie s signed siatcnt.nt that hetstie is itcehsc•'1 pu•st,an: C :`e ar;v.Si.on$of - - -- - Yi'� r— - Hood or Canopy
the Contractor's Lirans�• Law(Chanter 9(c,,mmenun :,iu-� Sec' cn 10001 Gat S61vICP, DUllels Type I _O Type II CJ
li�v•s,or, 3 of the easiness and PrnressiOns C,.ce) .:,• Thar re s-e n exempt �! —" ~-�— --- --�• �- RudG:n,1 $ _
tnetefrum and the basis for the allCgr:a exemptinn. Any v ;rats,., o! Section , Interce 1Llnrs _ , Meter up to 200 amps Refrigeration System�c<-?la --�-'-------'-'•`
7031.5 by any applicant for a Poloist suolects the aoo;,rart t,; a Civil P•Tra - -- i phmbng S
p Meter ever 200 amps ,l
p^Wally rl not mot than five Honored annals($500). --t _ -_—{_._"_.____ - __- p_ 170-100 000 BTU D 100 0,_00 BTU F41•C --"-
1, as owner of the property ir rosy employees e.0h :.a5es as ;heir s.Ie Roof Drains -�_ ySL b.panCl_ , --"�-" Flec'mal S
_ Firypllfact.BI•.IC80 # 1
compensation,will an 1hC wort•,,ind the structure :s r+Gt ,n:en:c6 r„nffe,e0 f_— '- "- { '-
"_, Trailer Sewer ! -- t---- Mechanical $Liccns
for Sam (Section 7o4 p Business arts Professional a O'onal Cnac 're r.VaCt:ve _.._-^-- D 15 50KW System Repair/A(oration ---
mereoe Lav: does not apply in an manor O1 a prat;City car•` poi, Or inter{:vr•S I Sewer Ca Transformer - — _— $
tnCreJ n, aria who 4oCf such .vOr. In n;;Clfrner sC�! rcr ir„n,;;, -.,S•ir :�u- rrwn -,+-Vjer P _e O+KW _Fire E.•'tpefs Dtlier
_ ❑ 5 _
employees,prnvidf:a tf+al such improvements are not idler;e., -f!MeO ra. _Sw7er Connection• Bldg_ f Motors❑0.1 HP O1'/r-8 - R_e,:t( s_ I 110231 SMIP Re; S sale. If, nowe•,er, the hoildmo Or improeernent is SMrt V, Ihin]rc :ear r,f cr,rri• - - ---- --- I
plet+on, the :,caner will have the burden of provo+n I c.zne a C buaO nr M. war Collectors _� - Inc. Solar 1.70.15 HP❑16•f5+ lr is itor 1i0-232 SMIPCran T
prove for the purpose of sal;:). - - . - ---- -- ---- __--. _ _ - --
:,as owr,c• of the arnPC,ty,an, ^xuns,veiv e)nl•ari.n, :. cen;ca con• _~Solar Piping Si_ng.'Fa_m. Res. se _ -
lraCSart t0[Vr�%fr%iCt the P'rge C1 lSer Ur,n 7tnah,BuS,nC•i air a•..•,• _ •-_ _ . -.- _—•'— '•--'.---•�-- __
_ Mi.%.
ss:^ns Coca: i Solar Tank -fT --� 33603370 Summery of Plan Check Fees
The Contractor's L,cen;u Law due% not apply to a,, r.;rnc•, C: :,r C,}erty who ._ , Multi-tam. Res. I �•—r-�
bu,idS ur improve% ;hereon,and wno zoritrarts fr,r t.ich pn,{CG:% with a con. I SVVimmi!1 PooUS a Stvimmin PDDIIS a I r
tractors) licCnse pursuant to 11+e COnl,actor's 1_ifar,,. Le:.{. l 3m a.•.afv tr.at -t--- -- - 0.---�-- - _..._$-�_ Building $
pion, of th.t„ Wor.ef's Cnh,pC,Sat,On n+SurarlCC snnu1d hC r,t,u,ded to ,.e. Water Heater
—.�
- Issue
• _..-.------•-•-- B.bP.;^. !•,r this reason T - � _._•_-. �- _ � _ Plumbing �.i� I am Cxemnl antler Sa.GltOn _- --•-� g S _. •
_y Water Service - _ -� I Electrical $
Data. -` - _,__ Mechanical $
--• -- -._ owns .-- - - --------
1 re,eny cert,fv oral 1 nave rran ;his appheation and ,ta••. :rat the abnvo _-t�Nise._-_._-,_._______. _�_ DEMELOPRENT SERVICES REttUIREJENTi: S '-- ----
iMOrrnJt,.in it CnuOc.l. awee iv cornpw wilts all c,ty and r.,,,,-•, we.nances [ApprowdBy Other
aria state i:n•, relating In byi n construehun,_anrl Hereby au'•_nrc repro. 1 ""'^s•1'Yf _—_ .----
writatives/f this City Ig Upon 111E don+C•rnehllonCd ^ruPCHy for ��---� �----- --- __
insect: , •nurpru / ` IKpao"dBy pato 3360-3375 Plamm�C $
s,nnatu, E -- _ ate s Ct ________.--.• _ IbpfialionlssuedBy.�caCL.__._' ' �_� Issue
OLr,vers' L�ee,zc„r 55
! d -_•_ _.. - -- ---- Wal Fecs Due S
YAfte-Building. Green Trmporary File Cupy,?%nary Assessor, Pink Appf.-aril,Go
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��— -� Type of Sign City of Lake Elsinore
Proi¢ct AIIrlress LE �' t Electric
❑Non•electric SIGN PERMIT
Apptrcant's Mailing Address '\
i /
Owner's Name --__Phone Description f-� Progrnru
Address �Aju[E AS AB.� _— ❑ Canopy LJ Shopping Center'Integrateci dev.
Arcli•I III, WJ�}(N Fri+ ❑ Attraction Board ❑ By Ownerloe [--]by City t- c'- I'. t !►_- t r License No- ❑ Advertising Statuary
Aaaress _ Stoekton,CA r-i Date letter sz;st: -
_ Other --j4EN :: r' :I••_"=_
Contra,ltn's N:unp LID AR'!' phone 213)26 0 46tA�)'0 Tract Sign(Security&Right of C ;
U Variance _ _ D
Addresshnmhng) 5107 Telegraph Rd. =71 Him
LA, CA 90022 Entry Agreement _
City License No 8940 - C Special Event(Reouest form submi:tetl) ❑ Planned Signing property
— ❑ Change of Copy(amortization)
LICENSED CONTRACTOR DECLARATION * ram-vay-� A.P,No. -
I heret)y affirm Lriat I am licensed under � // Zoning
Proviness of Cnar;er 9(Commenting Ground t ,i �4-!'
with section 7000) of Division 3 ci the Business dntl Pror Illumination Sign Dist.. -
my license is in:oil furce end effect. essions Code,and Wall 2 —. Date Received
❑ Non-Illuminated
License Class C-LO—C�45 , L�_.i Roof Received by -
License No.ir.t.�n4-_ ❑ projecting �L1 interior Illumination(��•
❑ Street Trott_ Ex•arior Illumination tom:
•J WORKERS'COMPENS AXON DECLARATION Construction ,
11:creby affirm that that I haze a Certificate Of consent to self-,nsure or a Certificate ❑ 1
Convenience Front: 07' 9" Ft., S:7eet: ziAKESHC?RE DR.
At Workers' Componat.on Insurance, or a certified c0 --
3t)oo, Lao. vY therecr (5ectiofi ❑ Super Graphic
h 2 3 5 8 81 A r�3QfTt: Ft Street:
Policy No. CompanyINS. Co.CO. of. N.A.
Leh:
r ( Ft. Street:
�p•�CrliliCd copy IS hereby furnlShetl.
¢�•C¢rti ,Ct: yr. led•with the City - Ft. - --
b l Rear• Street:—
ELECTRICAL W ` ."•`
•��_n k` Y Builuing Division. / -.
dl¢._— •� St2 Applicant ✓ c � -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION
FEES INSPECTION APPROVALS Building set back fromultimateright•ofirtfey
(This section need not be cumpleted If the permit is for one hundred Fixtures ft. -
less)- (5100)or Sign Data
I Certify that in the performance of the work for which this permit is seed,I Sign Location
shall not employ any person in any manner so as to become suoiect to the Device Boxes - `
Workers'Compensatinn Laws of California. Underground Conduit Front X __ X �l r X
Date — - __- -. .-- Signature -----, Outlets Right.. .
NOTICE:If,after making this declaration,you should become subiect to the
Workers Compensation provisions of the Labor Ccrle, Switches „Sign Dassriptien _
comply wdti socn provisions or this e d must frevok o,
CONSTRUCTION LENDING Permit shah be deemed revoked- Sign Gimens(ons
AGENCY Sign Area LsttaNsiolitt
I hr.r he Mitt, that there rS a is permit
lending Foundations r/�O Of Urc wink for which this 9 agency for the performdr.ce _JJ - -
Pcrmrt is issued (Section 3097 Cry. C.) _ 11 Lender's Name - Standing Sections
Lender's Address ivJ z-'l ._...---- �2� �t x�r 6-'-�•c-'-�e�.,fr�n)
19.25 1
OWNER BUILDER DECLARATION
I hereby affirm that t am exempt from the Contractor's License Law for the Rough Wiring (2 H" X sq.ft.
f ollow,ng reason (Section 7037.5 Business and professiona, Cotle: Any city or _ - 3/8 s1 p county vrtoreuch rrior to a s rin,l5sua to COnS'ruCt,alter,,mpeOve,tlemOhfn Cr repair � w><443���6 9 V7/I6 30.98 �'�-i1011s -�
any siri.cl ore,poor to i!s,Ssudn CC,also requires the applicant for Such permit l — X a to hie a tigneo statement that he/she r5 IiCCnsed pursuant to the Vs`:S.v fq.ft.;,
the Contractor's License Law(Chapter 9(Commencing with provisions f I
Divis.no 3 Of the Business and Protess,ons Code) or that Section
s0exernpl ItemfOf tn(.+•- -
lfierefhln, Wirt the basis for the alleged exemption. Any violation of Section _ -....naTlOn: (1) 1 ,'f2) 2 131 V$-----ri�u$
7031.5 by an a Framing
Y pPhcant for d Permit subjects IhC applicant to a pull penalty of not more than live nundr£tl sonars($500), i Issue Fee �—•`-- Total for Activity 4
is owner of the property or my employees with wanes as tneir sole _cnmpensat,on, will do the work and the structure is not intenyetl ur offered t I Li Salr: (Set oe 704 p fair Sm art and Professional Code: The Cont tact improves
Valuation $ Copy Verbagle �12E L-_TACO BRT — fit ilR Nr* - J
License Lan. who
nor apply to an hire of a property woo gh his or improves 1 l�lJ _ Final Electric V
thereon, and vino onCS such work OvC a nHerren or through his or nee own Various �`-
emplOyCCs,pr Ovitl Cd InAI such nnprovCrflCnts are not intended or altered for � ,l•�•Sale, 11, however, the hwldrng or imp•ovement)S sold w,lh•n one year of com• p3300.3314 Pl:fi?:ti:ig YCC S _ '�' Cfi t• "F _�`�___
nrpvefon. the nv+ner will nave the 4urdCn of proving hC/She nitl not bu,a Or im• Building Fcc S
OrOVC for the purpose of sate).
: : 1,as own"' of rile Property,am exclusively Conti irt,ng with '�cz,ised con• EICC(rlCdl S � X-( '(.y.` 6 1 _
Ilactnra In constn.ct n,e prn,Cct (Section 70aa,Business a-nc: Professions Code: p3300.3312 Sub Total $ _ � -- Final Planning Ground Sign: Oval!�e( ht�r -16'x107
The Contractor's license Law dries not apply t, „ owner Of property woo Plan Check S 11L_/t�— 7t PlanlerArea
1:a,IdS or unprOVC: IhCrCon,and who r^^.:,acts for Such pro,ects with a con•1rd Cl pr(S) IiLCOSC 4l:rSUdn1 10 ttiC contractor's License Law). t am aware that /�^ $ '--3'•-Q�- Grou; Cltararta
Pit), Of their Worker's Compensatirrn insurance should be provided to me. #3300.3370 Sub Total $ _
l7 1 din ere .f k110.231` SMIPTolai S l�'{�— MENU 69" (a 'E. � �►
a:under Section--_ B.b P.C.for this reason
-— ---- -—-- - Tolai Fccs S !hz = T Final sign 14 5/$" GRG. P3)- CLEARAN iwoii Date ..- - - ---- Owner _ ----- -.
I ne et;y certify that I have read this a — /0 G Th is activity yyr en
U,l of it•a lion ,s correct. 1 agree 10 Comply with
all City State that the above -- ` ( >39 Total$lte,� -;
sentat and state laws felitrng In building construction,ad hereby authorr�e reores DEVELOPMENTS
n j
in'Pec .o nl Ihi city to CMCr upon the above mentioned property for ) i J7�NT$:, y� Notes:
inspection puyo�s. Planning A Srgnatarc C_.>✓�a4:•c::f71 �11�s --_.---- jig Approved Data
Date 7, I nuilding Approved By:
Drivers' License ro SS _._ .__ .._ T'-- _ Date
-- _-- - --------.._--- Application Issued By: .__------�_ _ Dan
White-Building:Conory•Appl icon 1:Pink•Assessor;Goldenrod•Acc,unting _ -- — -
70
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AS REVISED
City of Lake Elsinore
Building Dept,
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Danikel J. Calva
CONSTRUCTION CO., INC. �ij •"
4
2019 Benson Ave., Ontario, CPS 91761 R���,
(714) 983-6450 License $1511207
Sa
Gw' of
tehzuary 5, 1990
City of Lake Elsinore
130 S. Main
Lake Elsinore, Ca. 92330
Attn: Kevin Shear
Dear Sir: I
We are at this time requesting that the gas ureter and electric meter for the
Dal Taco Restaurant be released for test purposes only. The Health Dept. and
Fire Dept. inspections require both utilities in order to get final approvals.
We also need to test and calibrate our kitchen equipment prior to opening. We
will not open for business or any other form of operation witil the City of
Lake Elsinore Building and Safety has given all the necessary approvals and
issued a Certificate of Occup:..ncy.
If you have any questions please feel free to call our office.
Thank you,
DJC/mm Daniel J. Calva
MAR 20 ' Su 13:44 AD/ART INC. L. A. PAGE •01
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of the MWOOP Of Pa11ei
Plaooa call if you are not in raceiPt
22
PMARKS'
NEW-
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MAR 20 ' 90 i t�:d5 AU/ART I Nr.L. A. PAGE ..0
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AppROVED
cc
/7/��•(-h-.( �� � �'v�sE�• jam•'.�,;�
. 1c;ty of `..�Ixo El�Irora �
building
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John B. A_� 'Berl, Inc.Ins Civil Engineer g�neer Surveyor
140 !'. change St •Covina, CA 91723•(818) 915-7671
April 4, 1990
City of Iake Elsinore
130 S. Main Str^et
tale Elsinore, Cal. 92330
Attention: Building & Safety
reference: Del 2`aoo - Lakeshore Dr.
Iake Elsinore
J.N. 2-2710
Dear Sir:
Please be advised that the
e Final Grading has been completed
according to the approved C-ading Plan.
Yours very truly,
�p 4
cr �/
a NC 9070 1 ! John B. Abell
John B. Abell, Inc. Civil Engineer - Surveyor
140 W. Omnge St. •Covina, CA 91723•(818)915-7671
r
April 4, 1990
City of Lake Elsinore
130 S. Main Street
Iake Elsinore, Ca. 92330
Attentior,: Building 6 Safety
Reference: Del Taco - Lakeshore Dr.
Lake Elsinore
J.N. 2-2710
Dear Sir:
Please be advised that the off site curbs have been caTpleted
according to the approved Street irriprovement Plan and Encroachment Permit.
Very truly yours,
Ctl
i? John
� S. Abell
t.o �OTO i R.C.E. 9070
�'�OF c�ti�F° ,