HomeMy WebLinkAboutCENTRAL AVE 29225_04-00003150tj
Ci ty of Lake Elsinore
130 South Main Street
PERMIT
JOB ADDRESS 29225 CENTRAL AVE "C"
5772.70
TENANT NBR, NAME . . STAPLES
00
DESCRIPTION OF WORK . NEW RETAIL STORES & CUSTOMER SERV.
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
10.00 X 8.7500 FIXTURE OR TRAP 87.50
1.00 X 22.0000 BUILDING SEWER 22.00
4.00 X 8.7500 RAIN WATER SYSTEM 35.00
1.00 X 11.0000 WATER HEATER OR VENT 11.00
4.00 X 11.0000 GAS PIPING SYS 1 -4 OUTLET 44.00
6.00 X 2.0000 GAS PIPING 5 OR MORE 12.00
1.00 X 11.0000 BACKFLOW DEVICW < 2" 11.00
4.00 X 8.7500 FLOOR DRAIN 35.00-
1.00 X 8.7500 WATER SERVICE 8.75
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
ELECTRICAL PERMIT
MECHANICAL PERMIT
PLUMBING PERMITS
OTHER FEES
DAG FEE, DEH LLC
PARK CIP FEE -
PLANNING REVIEW FEE
PLAN RETENTION_ FEE
SEISMIC OTHER
PLAN CHECK FEE
CHARGES PAID DUE
5772.70 00 5772.70
888.50 00 888.50
412.75 00 412.75
301.25 00 301.25
2000.00 00 2000.00
2043.40 00 2043.40
1153.54 1153 -.54 00
125.00 00 125.00
273.04 00 273.04
4325.78 4325.78 00
TOTAL 17295.96 5479.32 11816.64
SPECIAL NOTES & CONDITIONS
Concrete tilt -up for retail use, tenant
improvement and 2 trash enclosures.
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PAGE 2
City of Lake Elsinore
Building Safety Division 0
Post in conspicuous place
on the job
You must furnish PERMIT NUMBER and the
JOB ADDRESS for each respective inspection:
Approved plans must be on job
at all times:
Please nd initial
1.1 am Licensed under the provisions ,rsiness and pro essional Code Section 7000 et seq. and
my license is in full force
2, i,as owner ofthe property,or my employees w /wages as their sole compensation will do the work
and the structure is not intended or offered for sale.
3 l as owner ofthe property am exclusively contracting with licensed contractors to construct the
project
4. t have a certificate ofconsent to selfinsure or a certificate of workers Compensation Insurance
or a certified copy thereof.
r—'5 i shah not employ any person in any manner so as to become subject to Workers Compensation
Laws in the performance ofthe work for which this permit is issued
Note: If yon should become subject to Workers Compensation after making this certification,
you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
ELO 1 Temporary Electric Service t4Vw 5 111-1 &a L--
PLO 1 Sod Pipe Undergr and a '
EL02 Electric Conduit erground
BPO1 Footings
BP02 Steel Reinforcement r -- ,
BP03 Grout
BP04 Slab Grade 5 L. •,,,c, ,
LLPLOUndergroundWaterPipe
SS01 Rough Septic System
SWO1 On Site Sewer q. p•,_
BP05 Floor joists 05
BP06 Floor Sheathing
BP07 Roof Framing 7• S
BPOS Roof$heathing qfV to, (o• DS 6 • b5
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing` I0• S 1 / D . b
EL03 Rough Electric Conduit
EL04 Rough Electric Wring 3l o ao • S
EL05 Rough Electric/ T -Bar
MBOI Rough Mechanical
ME02 Ducts, Ventilating a • . S
PL04 Rough Gas Pipe / Test
PL02 RoofDrains D 'J al
BP10 Framing & Flashing
BP 12 linsulation 8-
BP13 Drywall Nailing
BP I I Lathing & Siding
PL99 Final Plumbing dcv
EL99 Final Electricals u •7' 04 ,,.._ --- 11 YJ o
N M99 I Final Mechanical
BP99 IFinal Building
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building ing released by the CityPOOIPoolSteelRein. / Forms
P001 Pool Plumbing/ Pressure Test
P003 I Pre- Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre-Plaster Approval En 'veering
P009 Final Pool/ Spa
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APPLICATION FOR
BUILDING PERMIT
City of La--!Pe Elsinore
130 South Main Street
VALUATION CALCULATIONS
ist FLOOR l1 SF I,V t
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK 8 BALCONIES SF
I h'
OTHER: -r- _r i f v 4, SF r
02 IRAs k S,pV cooo
VALUATIO '
FEES
BUILDING PERMIT S 57772C,+%
O
PLAN GHE 5q ly J30 'tI
PLAN REVIEW'S [ J .
5t
SEISMIC O
PLAN RETENTION 17-6-.6v
FN 65.,, J04 _3 `f 0
La
Q 1 certify that I have read this apVtication and state that the
above information is correct. l agree to comply with all city
and camty ordinances and state lam relating to building
construction. and hereby authorize represehtatives of this
city to enter upon the above - mentioned property for emsp-
tion purposes.
Signature of Applicant or Agent Date
Agent for contractor 0 owner
Agents Name
Agents Address
Street City State Zip
APPLIC T N
SO
APPLICA ION RECEIV D
DATE — J —
dyL ;a
BUILDING ADDRESS n '
PTRACTLALO R
0
NAM
W
N
MARIUMN9
ADDRESS
E
R
CITY STATE/ZIP
C
0
N
hereby affirm that I am licensed under provisions of chapter 9 commencing
with section 7000) of division 3 of the business and professions code,and my
license is in full tbrce and effect -
LICENSE # CITY BUSINESS
AND CLASS _ _ TAX #
T
R
ME-
A
C
MAILING
ADDRESS
T
O
CITY STATE/ZIP PHONE
R CONTRACTOR' SIGNATURE DATE
A
NAME L CE S
R
C
MAILI G
ADDRESS
H CITY STATEJZIP E
O NEW OCC GRP.
DIVISION: '
A ) CONST- V_ /v
TYPE: D ADDITION
0 ALTERATION NUMBER OF
STORIES:
NUMBER OF
BEDROOMS. p OTHER
SINGLE FAMILY ZONE:
APARTMENTS
O CONDOMINIUMS HAZARD
AREA?
YES
O TOWN HOMES
O COMMERCIAL SPRINKLERS
REQUIRED ?
E
NOINDUSTRIAL
0 REPAIR PROPOSED USE OF BLDG:
DG: O DEMOLISH
JOB DESCRIPTION LkAUE
t'K T- D
2004 3150
Tram rnmix r': 8114
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City of LITIce Elsinore
130 South atn treet
APPLICATIO
APPLICATION FOR PERMIT APPLICATION DATE:
APB - BY-
ELECTRICAL / PLUMBING / MECHANICAL -3qq - D 10 - D2-
BUILDING ADDRESS " <l
I hasty certify that l have read this application and state that the `a9 C t VA L- ST - 5
above information is correct. I agree to cmmply with all city and county TRACT BLOCK/PAGE LOT/PARCEL
ord¢ranom and st= wsrelptaigtDbailding construction. and hereby
authorize.quiet to rata upon the abo%v- mentioned O NAME C n
property far inspection w J r
N MAILING PHONE
E ADDRESS
R CITY STATEMP
of or Agar D&tt
1 hereby affurn that 1 am lid under the provisions of Chapter 9 (commencing
C with Section 7000) of Division 3 of the Business and Professions Code, and my
circle one) O license is in full force and effect
AGENT FOR. CONTRACTOR OWNER N LICENSE B CITY BUSINESS
T AND CLASS TAX#
AGENT'S NAME R NAME
A
AGENTS ADDRESS C MAILING
street city state tip T ADDRESS
O CITY STATEMP PHONE
R
1CONTRACTORS SIGNATURE
ELECMCAL Quan PLUMBING Quan MECHANICAL Quan
New Res. Multi Family/ SQ. FT. Fixture or Trap FAU. / Furnace / Ducts / Vents
New Res. Single Family / SQ. FT. Building Server - F.A.U. / Furnace / Misc. / > 100000
Pool Electric System, Private Rain Water System per Drain Floor Furnace / Vent
Switches / I st 20 Private Septic System Unit Heater / Wall Heater
Switdtes / Over 20 Water Heater / Vent Iftistall / Relocate / Replace Vent
Receptacle Outlet/ Ist 20 Gas Piping System I - 4 Outlets lVentilating Fan
Receptacle Outlet / Over 20 IM Gas Piping 5 or More Outlets Evaporative Cooler
lighting Fixtures / 1st 20 Dish%tiasher lVentilating System
Lighting Fixtures / Over 20 3L Solar Tank lExaust Hood
Residential Fixed Appliance / Outlet Solar Collector per Panel lFireplace
Non-Residential Appliance/ Outlet Grease Trap / (Interceptor) Commercial Incinerator
100 - 200 Amp Service < 600V ' Install, Alter or Repair System Air Handler > 10000 CFM
200 - 1000 Amp Service < 600V Lawn S rinkler System Air Handler < 10000 CFM
Misc. Apparatus, Conduits, Etc. Bac flow Device Smaller than 2" Fire Dampers
Signs Back-flow Device Larger than 2" egrsters
Sign Branch Circuit Floor Drain Compressor / Hea um - 3 H.P.
Busways / EA 100 FT Floor Sink Compressor / Healpum 3 - 15 H.P.
Temporary Power Service Water Service 1 Compressor / Heatpum 15 - 30 H.P.
Temporary Power Distribution System Alter or Repair Drain or Vent Compressor / Heatpumtp 30 - 50 H.P.
Motors / Transformers Fire Sprinitlers per Building Repair / Alter Misc. HVAC
Motors up to 1 H.P. SWhnMi]3g Pool Compressor / Heatpump Over 50 H.P.
Motors/ Transformers I - 10 H.P. Swimming Pool / Public
Motors / Transformers 10 - 50 H.P. 01 Swimming Pool / Private
Motors / Transformers 50 - 100 H.P. Water Heater / Vent
Motors / Transformers > 100 H.P. Replace Piping
Replace Filter
Misc Replace
Gas Piping
q (0-' ?
4-
UL J
PERMIT
L.j
130 South Main Street
VEMIT NO: - .
JOB ADDRESS . . . 29225 CENTRAL AVE "C"
TENANT NBR, NAME . . STAPLES
DESCRIPTION OF WORK NEW RETAIL STORES & CUSTOMER SERV.
OWNER CONTRACTOR
LOWES HIW INC OWNER
P O BOX 111
A.P.# . . . . . 377- 040 -027 2 SQUARE FOOTAGE 20434
OCCUPANCY . . . DISPLAY /SALE MERCHANDISE GARAGE SQ FT .0
CONSTRUCTION . . -. TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . 1,300,188 ZONE . . . . . . NA
BUILDING
QTY
301.00
1.00
PERMIT
UNIT CHG
X 2.7000
X 5.0000
BASE FEE
VALUATION
PROFESSIONAL DEV FEE
ITEM CHARGE
4955.00
812.70
5.00
QTY
ELECTRICAL PERMIT
ITEM CHARGE
QTY UNIT CHG
30.00
ITEM CHARGE
X 13.2500 FAU /FURNACE /DUCTS /VENTS 13.25
BASE FEE 30.00
16.2500
20.00 X 1.0000 SWITCHES / 1ST 20 20.00
COMPRESS /HEATPUMP 3 -15 HP
82.00 X 6500 SWITCHES / OVER 20 53.30
5.00
20.00 X 1.0000 RECPT,OUTLET / 1ST 20 20.00
PLUMBING
216.00 X 4500 RECPT,OUTLET / OVER 20 97.20
UNIT CHG
1.00 X 55.5000 200- 1000AMP SERV <600 VLT 55.50
BASE FEE
22.00 X 16.2500 MISC. WHERE NO OTHER FEE 357.50
Tray 86575
8.00 X 6.5000 BUSWAYS/ EA 100 FT 52.00
9.00 X 22.0000 MOTORS /TRANSFMER 10 -50 HP 198.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 13.2500 FAU /FURNACE /DUCTS /VENTS 13.25
9.00 X 16.2500 AIR HANDLER > 10000 CFM 146.25
9.00 X 24.2500 COMPRESS /HEATPUMP 3 -15 HP 218.25
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
Dp y -- I7rau r tC4l,
21/0PLUMBINGPERMITSe: tDate: 4/21/Q5 :.1 Receipt no: 5556
QTY UNIT CHG ITkFM rhtu'% BASE FEE iGiVERMIT 1 $11816.64
Tray 86575
MULTIPLE TENDER
CONTINUED ON NEXT PAGE
Trans date: 4/21/05 Time: 12:50:34
City of Lake Elsinore
Building Safety Division •
Post in conspicuous place
on the job
You must furnish PERMIT NUMBER and the
JOB ADDRESS for each respective inspection:
Approved plans must be on job
at all times:
Please nd initial
1.1 am Licensed under the provisions ahL-iness and pro:essional Code Section 7000 et seq and
my license is in full force.
2. I,as owner ofthe property,or my employees w/wages as their sole compensation will do the work
and the structure is not intended or offered for sale.
3 I,as owner of the property,am exclusively contracting with licensed contractors to construct the
project.
4.1 have a certificate ofconsent to selfinsure or a certificate of workers Compensation Insurance
or a certified copy thereof
5 1 shall not employ arty person in any manner so as to become subject to Workers Compensation
Laws in the performance of the work for which this permit is issued
Note: If you should become subject to Workers Compensation after making this certification,
you mast forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
ELO 1 Temporary Electric Service
PLO 1 Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 ISteel Reinforcement
BP03 1Gout
BP04 I Slab Grade
PLO 1 Underground Water Pipe
SSO I Rough Septic System
SWO1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 IRoofsheathmg
BP09 I Shear Wall & Pre -Lath
PL03 lRough Plumbing
EL03 lRough Electric Conduit
EL04 IRough Electric Wiring
EL05 I Rough Electric / T -Bar
MEO1 I Rough Mechanical
ME02 IDucts, Ventilating
PL04 I Rough Gas Pipe / Test
PL02 IRoofDi,.
BPI O I Framing & Flashing
BP 12 linsulation
BP13 IDrywall Nailing
BPI 1 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
InspectorCodePool & Spa Approvals Date OTHER DIVISION RELEASES
Deputy Inspector
Department Approval required prior to the
building b ing released by the CityPOOIPoolSteelRem. / Forms
POO 1 Pool Plumbing / Pressure Test
P003 Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing/ Gates/ Alarms Finance
P005 Pre - Plaster Approval Engineerin
P009 Final Pool / Spa
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