HomeMy WebLinkAbout31778 VIA VALDEZ_ (2)CITY OF i_AKE ELSINORE
BUILDING rJEPARTMENT
674-3125 B
MAIL
CONTRACT.7R ^--
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ADORE SS
CITY
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ARCHITECT OR"'-
ENG -NEER
ADORESS
CITY — —
iE4_:JO. STATE
A; N -
LOT
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OUILDIN.,S
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7.11
BUILDING
4 5 0 5 PERMIT - APPLICATION
BUILDING --
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JDRE5j1
NEAREST —L
CROSS . - T
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GROUP 7YK COHST.
20NZ
COICIAL _
CONDIT'ONS
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t!ROVIL 1
DATE
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AP!!ROVwC
HtALTH or
DIM
IRC OE T "'
NAME - APPROVALS
P Oi:gCAT17N LOG ATIONBRANCH
FORN f= ATtRI_t
A:iOREJS _-
JOlfi>< Q CI _'- 0[RS _
FI:RN4CE La•7DN V -
DESCRIPTION OF VWORR -- GAS Yarrr D rYx
A
I ALTER 1 I; lip OF - OLIST- _ :N•AIINO `
ti ( SPECIAL ! -OCCU. LATH oot GYPSt:- -N -
1 , PAN” eNI OR
S'Y[ SC r-, f •
o.
LATH
NO STOf.'CS -
NO. ROOMS !' ERTERIORj
Eu7. WALL :O !EKING I tN 1. WALL
1 COVERING ROOF COVER:N6
PROPOSED USE
Of STRUCTURE
OAT[ -
c
DATt
VALUATION
PLAN !'NECK
N USE NU
j /_ CORR`[CT A NCO Wi ^TED I - -
rte
C•RY7l1LLT READ API"
rti { y tom/ FINAAPPROVALTHEshIAi1DRCTRUE •NO CORRECT t6 ^YI<IY APrIII:AT- ANO lINO ~" • NO OwOINANces G.3Y:;RAIN.: I^P.OVIf/ON3 Jr THErlllpWIIH. fL "_OtNG CON:STauCT,oN IYlll ):t CCWSNOPERSONtv.til pr [//PI.OYED IR Y- alArtON ^I
c P.
LApOIIt CCO[ O[ YN[ fTA1[ 0I t. ''ORNIA. 1 AGRfR' N0'r _N or TIME R FKS ' ANY iv.I, AUT.OR+ WNER1 Op AUl s-=__ LhJ +L r[N,.L fuli0'N.: IufFgf.T IOJr 4Mn L[a FrY rNls r[wpyT ( HOR12£OI. ""'+. '.
L H•a SEEN RSC[IV[O I
y
AGENT
IIB IA t7 Rt IIdIn p
A RKS9_ f % d fULv wmes<• where peapsrlr fitt+irdi oi t, sigr,rod casd;raiindert,
bl rito - H1aWCtor's nosy ConWy _: f'tr P Pdref
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h ~ Purpsiztw I coo,
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SFal Cr,Ark.s
Application must be acco-,n,Pani-ed by one tet of plans and specifications.
Applicant agrees that all construction shall be in accordan - -e with the State and
ity Codes and Ordinances and all anendw.ents thereto.
Sign`d ` d gyp,,, ,J _ (Park Operator); Address
Signed _______ (Comt:.);_Add .ress
Agent - -- for (Contr.)—
Do not write belo;a this line
DateAFproved - by_
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QEFAR'1CttE M OF BUiLMNG & SAFETY
APPZ TION FOR. PE&xfi-.l TC (XINSTPU
Rar a&. ( ) Cabana ( ) CarporC ( Awning :,torage ?:oacn ( )
Contract Price
r ; _, Date
Park Name Park Owner
Address `, , _._... Locality{
Lease Site or Lot k.(i
Trailer:' 'Length
f
Width 0 -0 Bei.ght
Caba -na: Length Width _ BeiCght
Ramada: Length Width _ Height__
Carport: Length . —. Width ' -- - -- Height
A g:.ength_ oZ Wirlih ( - __- Height
Szorzge Room: : length;_______ --- Width _ Height
Tylae of:donstruction: • Woo _ metal _ Other
if other, explain)
Prefabr3-cated: Mak: ----- model
5!o be constructed by: .140!P- Owner > -r Le:asee ._ Contractor
Flace plat plan on reverse side showing the_ lot lines of the site and the lor_at.on
of the trailer and- cabana.or'structure with respect to any other structure or
trailer on adjacent sites.
Application must be acco-,n,Pani-ed by one tet of plans and specifications.
Applicant agrees that all construction shall be in accordan - -e with the State and
ity Codes and Ordinances and all anendw.ents thereto.
Sign`d ` d gyp,,, ,J _ (Park Operator); Address
Signed _______ (Comt:.);_Add .ress
Agent - -- for (Contr.)—
Do not write belo;a this line
DateAFproved - by_
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t , _ ,
y, 2'
yn,,.
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Ap lrovod 2;y
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approve of t;ais ati uct it H3VER .
c ordatnce xxt} mm
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CIIS'i0i lf:R. PLOT F "JIP.K FISR e
SPAcc Ito, S ?ACf' '--""""" P... ;A?r ......w..- ......
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I Motes:
s
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1. minima distance f m porch
to lot lire snail be 3`•4j'
except lot lines bond -iri ng
ri %arrays.
State of Laliforr.ir. ;
Department; of F1ouSiolg and
C ow pity Develops
Division of Codes and Standards__
Park Harr
Address
City Zip,_._... — i
Oviner
c .
4:
Address i `1 I V t G_ V EJA E-2401
f
C ty zip;
Applicant -. ...
Address..._,..,.....
City - zi Q...
Tel ep'none k i' -
AA proved _ —
vwner operato na4err/m
Permit Fee . $ .5. 00
Peraiit Issuance'Fee 5.00
T t l Fe $10 An
Street.,; 2, The total occ,pied A)plications s,tmitted with
area of a mobilehome deviations to the t4CD P4obi iehoc e
Fl T PLA lot shall not exceed Parch plan shall be subject, to a
75 percent of'_the lot ' minimum plan check fee, /or $10.00..
area.
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DEPARTMENT OF HOUSING AND OMMUNrrY DEVELOPMENT1rt.q .Yr w p-•t• •a.... t a•/..d a• /a•C• t•' tr••i•f%' C.vail 1w.71 Y'' :CC14t,t • Y71N
P aa w 7.a rr o„ ..ri w wa•d •• +w r..r Mt•sa(R
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CITY OF LAKE ELSINORE 3Z Q l C
BUILDING
67
D EPA3 TAAf i7 4 313 PERMIT -- APPLICATION, 6743425
01
BIJ LGrNCr /, ,/j
OWNER
11rr+yl
0 /F _ A•JRE55 _-- .I6bL- •'\_. -. _.
MAIL &CAREST
ADORES 3 C. Az -, 'R ^R T ,-
o..w`
i' "
rrrcgascs.
C KACTOR - ZONE "",::AL -
CdNOaY OV;9
FSS lc_> r
a --
V __ TEL. NO i+'J +. ,7 +W
STATE C17T BUS
L NWY .1*{LII: "AMC
ANE
T'
ARCHITECT OR
Eh1GINdfR _. pt - ...
slow
ff —!
ADDRESS
P L —
TESTATE - wn noVAL_ -- -
DATE;
LOT / V'_OCx TRACT __ HFALTN DEFT DATE
NO BLGGS
AFFPOVAL -
LOT SIZE - NOW ON LOT nR[ D[YT _ .__. DATE - — -
APPROVAL
USE OF Eu9si1NG _ — _- _ -_ I DATE - BUILOINC'i y
INSPECTOR SAdPRCVALS1DtTLCONSTRUCTlCfa iFTl it ltdFORMATIC#J _ Sa NATVR[
INAME FO A S MA[RIw LS
GRAN! =H Aolcrs o GIRDERS 1
ADDRESS FURNACE LC.c•T.ON
GAS VLNT. OJCTS _
DESCRIPTION OIL WORK FRwACIN. K
NEW ADD ALTER I RF °AIR } DEMOLISH I SPECIAL OCCV• LATH OR GT S I)r --
FANCY
INTERIOR
f __ eEXTERIOR
SIZE SO. FT. NO. ROOKS ` NO STORIES
EXT. WALL COVERING INT W.L.L. COVE -UNG
t
ROOF C OVERING
PROPOSED USE
OF STRUCTURE ai i ., le Al l
T D c
FLAN CHECK IMVSt NVM {[RVALUATION
Fcc Y CORR[CT NO POSTED
PERMIT ? Is _ FEC s 3 ' FINAL "APPROVAL
1 NA CARV VLL`• READ AND [[ANItltO THIS I /PLFCATION A.O PIED >
THE SAME TO {C TPU AND CORRECT All MR,:fvl{IOR{ OF THE LAWV
AND ORDINANCES DOYCAMIMG YUILDING fANiTRUCTION WILL {C CON
LID WITM No P[RSOM WILL BE [MPLOft* IN VIOLATION of TM[ SIGMATURF OF OWUKR.OR- AUTHORIZCO AGENT
LABOR CODC OF TM[ STATE OF CALIFtPKH'A I AORZE NOT TO OCCULT -
On ALLOW OCCUPAMCV OF aHV *VILOINf. AUTMORIZ[D ST THIS PERMIT -.
UN):L r1MA1. SUILDIPWO IMSPCCT/OY AM,wOVAt !IRS S[[N R4C[IY[O
This is a 8yjWh %g Pemlit wh*n ,praPiiy filled out, 34f0d Off4d V ilirkk t d.
A ,
moo Ch-ad[ Vw/ lhr+[N liw%F aNtl , ,
ti '
1, 1, ' — (t tpwotof "yy Crl»iYr fIrow!a a Coo &S"WO!, P.Fneitturs Copy (3oldlxxO4 '!"a'sGc &rrka ropy'
X >•1a
1I';71
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OF (BUILDING AND SAF
CITY OF LAKE EISINORE
WMICE TO APPLICAtrr
In conformity with the provisions of State of California WO, Labor C,n SectionSectioU, the applicant shall have on file or filed wit], the City of Lake Elsinore DepartjrentofBuildingandSafetyaCertificateasdesignatedinItemsZorIIbelow, orshallindicateItemIII, IV or V, whichever is applicable.
CvRTIFTCATE OF APPLICANT
Please mark the appropriate blocks -
ID I. Certificate of Consent to
Director of Industrial Relat
i'.
onz.
re issued by the
II. Certificate of Workers' Compensation Insurance issued byanadmittedinsurer.
Copy on file EJ Copy submitted
IZI. The Lost of the vmrk to be performed is ,'.IOU or less.
IV. Y certify that in the Performance of the work for •vni.chthispermitisissued, I shall not employ any person in
any manner so as to beccme subject to the Workers' Compensat? on laws of California. I further certify tit, III
in the event I become subject tx, the Workers' Compensation
provisions of the Labor Code that I will comply forthwithwiththepx•orisions of Labox Code Section 3700, et seq., and understand t-.at, if I do not comply, the permit shallbf. de,2m --d =evok_xi_
V. I certify as the owner (or the a ent of the owst.er g ' that i. the performance of the work for which this penti.t is issuedXhaveengaged
contractor. {Contractor must have on file, or sent -_`
certif Bate required by I qr 11 ab -ave. )
Applicant's 5ignaturc'' 1 '
Date ` --
Permit No.
Address and location where war): is to be performed
2 64 -1 Cl P.ov. 3/7II ;
4....
titer 7
r r tic'.W + { '^
J.0
PLAN CHECK "Ouse NUMS('ArVALUATIONO
fCL ( -- CORRLC7 AND POSTED
FIE, 1 .,0 FiNAI- //(APPROVAAL
AY( :AR(FUL:T pEAD AMO EFAb11N(D THfS APPtIGATIOM A710 IMO ±'
pR- ....r'w°
SAM[ TO Of 1RUL ANO CORRECT ALL PRO'IISION.S Cr THE LAWS
AMR ORDINAUG" GOVERNING IIU,LGING CONS"UCT•ON WILL WE CC $4 - -.--
PLI[D {IITII. NO PERSON WILL SC [MlloVlO 1N VIOLATION OF iN.^ gIGNATURE OF O NER OR AUTHORIZED AGENT
LABOR COOT of THE &TAIL Of CAL•rORNIA i \GREl NOY TO OCCUPT
Ot ALLOW OCCLIPANCT OF ANT MUILOING AUThOSIZEJ YT T141A PERMIT
UMTfI FINAL eViLDING INSPLCTION APPROVAL HAG DEEM R•C11YII ADDRESS_ ---_— -
is is a 6aiiding Permit .wiHm- praAmfy fiiilsd 00, signed and vatisiated.
llsrwit YelidtltleetMaR' Check M ileRiol
fJff! its =• Inspwal!s opY •Eonalb — Fi!Tann CGPY parmittws COPY. Wdwwod — Public Serv:co copv
Yj oL4i- ir.J .° V"E ,_t) sf A e & :,Riri. 3:ti1 9.uT i ,or:F!)a>,.
CITY OF LAKE ELSINORE BUILDING
BUILDING DEPARTMENT p
O 4265 ' PERMIT -APPLICATION
674 -3125
Louis Tomk-rison SID` EnsS 3177y, Via Valdez
OWNER , -_ _—
NEAREST _
MAIL Via Vajdez R TR
AOGRE5.3_ _. j
L
Lk Usinore MA. NC GROVI, TT PC Co"ST PROCESSED at,
CITY N
Conrad`s MIH% Service
CONTaACi K ouE aP(clwL
Glewno+l&
1=551 j#?ilt7lia
ADDRE39 }
CITY --EL- Na. 737_$27 J- 379- 272-OL•7
STATE CITY Bus vlto•NG NW sT[C7 "AMC
EXISTING
r/Jlo w. R
WIDTH
Ott
SETBACK --
JlR CNIT [CT
YIr
FRO
1
EfTGINE[R
A:J01iZSls —_ - •—.- — REAR 1
CITY TEL' HO. _ LAMMING DCP'I DATE
STATE
APPROVAL
ENGINEERING OlV DATE
APPROVAL _
LOT 17 CLOCK TRACT 61{Qf, N[ALTI+ DEPT DATE
NO SLOGS
APPROVAL
LOT § /'x:: : IOW ON L OT - -_ —__
TFIRCDEPTDAE
USs OF EXIST MG OATS
QUI DINGS s.
COMINCnOrl LMEA IWO>tA tAT1ON
APPROVALS OLTT
INSPECTon Y
S GNA7V RE
FOUNDAT•JN LOC ATIOM
NAMT..
BRANCH JOISIS 1 GIRCER`i -_ -_ -_
ADDRESS , -- --
r
FUNMACC LOCATION
GAS VwwT. DUCTS
DESCRIpT1ON Of WORK FAKING __i 1
NELV ' ADD ALTCA REPAIR ; DEMOLISH } 3fEC AL OCCU-
ANCT
LATH OR GYPSVM
IATER,OR —--
LATH
SIZE • SO
NO STORES . FY ( NO. R70MS
T
Ei *. wwtl COVSNIH INT WALL COVERING ROOF CO %EAING
J!—
G
PROPOSED USE Hobilehme installationOFSTRUCTURE
PLAN CHECK "Ouse NUMS('ArVALUATIONO
fCL ( -- CORRLC7 AND POSTED
FIE, 1 .,0 FiNAI- //(APPROVAAL
AY( :AR(FUL:T pEAD AMO EFAb11N(D THfS APPtIGATIOM A710 IMO ±'
pR- ....r'w°
SAM[ TO Of 1RUL ANO CORRECT ALL PRO'IISION.S Cr THE LAWS
AMR ORDINAUG" GOVERNING IIU,LGING CONS"UCT•ON WILL WE CC $4 - -.--
PLI[D {IITII. NO PERSON WILL SC [MlloVlO 1N VIOLATION OF iN.^ gIGNATURE OF O NER OR AUTHORIZED AGENT
LABOR COOT of THE &TAIL Of CAL•rORNIA i \GREl NOY TO OCCUPT
Ot ALLOW OCCLIPANCT OF ANT MUILOING AUThOSIZEJ YT T141A PERMIT
UMTfI FINAL eViLDING INSPLCTION APPROVAL HAG DEEM R•C11YII ADDRESS_ ---_— -
is is a 6aiiding Permit .wiHm- praAmfy fiiilsd 00, signed and vatisiated.
llsrwit YelidtltleetMaR' Check M ileRiol
fJff! its =• Inspwal!s opY •Eonalb — Fi!Tann CGPY parmittws COPY. Wdwwod — Public Serv:co copv
Yj oL4i- ir.J .° V"E ,_t) sf A e & :,Riri. 3:ti1 9.uT i ,or:F!)a>,.
ODEPARTMENT OF BUILDING AND SAFETY
e A, .
0 s ii areE
MOBILEHOME INSTALLATION APPLICATION
DISTRICT NQ___ --
TRAILER PARE
FINDIVIDUAL LOT
NAME OF PARK
TELEPHONE N0.
ADDRESS
OWNER/AGENT
E Z
SPACE 'IO.
ADDRESS 3/77 /l /• —
MOBILEiIOME Ili ALLER / i..fl+dDJ Al f -- -- —
AD>;RESSJ/ 'CSI
lax y.,,i 1 TELEPHONE. NO .;''Z 7
INSTALLERS CONTRACTOR'S LICENSE NO ,!
DATE JF YIANUFAC iURE OF MOBILE
WIDT1'ENGTH(LESS HIT, L
i3E'MT ' RELOCATE *
isy- IiFACTURER — . ---- --
STATE INSIGNIA
OR HUD LABEL: ;S =UNIT -
MODEL
R
ROOF LIVE LOAD h WIND LOAD l
SERIAL jDaM
APPLICANT E /
APPLICANT -
SIGNATURE)
PRINT NAME)
PARK %.NER /MANAGER
PARK OWNERMANAGER (
SIGNATURE} IPRZNTNAME) _n
ZONE .ASE NO
CWALTNITY
LEGAL DESCRIPTION
S
SETBACKS:
FRONT_
SIDE __ _
OF LAND USE OFFICIAL. ----- --~= —'
DATE
SIGNATURE -- -
Street or Driveway
v LDTii =
A
f
MOBILEHOME INSTALLATION INFORMAT1JK SHEET
A %
r
ELEVATION
i
i
I
E
1
t
MOBILE ROME
f )
t
tlGas
i
Drain inle
1'
minimum
t
x
H
Uz
wa
1
t
I
1
Site Utilir -v Ser,ice
Notes: (a) Utility connecriros shall be located
outside the rear,1/3 of the mobile —
home within 4 feet of the left wall.
b) Show relative elevations of each cov-
ner of lot or site.
1. Gas: natural
Riser size
2. Drain .inlet: size.
3. Electrical Equipment' `
a) ' jReceptac?a Zl Rating (amps) /10
b) Connection for power supply assembly _ji&
r
Circuit breaker rating (ampa).l
c) Equigm:ert rating (amps) 1p-7 .
Mobilehome Data
1. Size: lergth widthas0
2. Electrical: Power supply card
Ampere rating • OR
power supply assemb.ly-,L!_• Ampere
rating. Flexible conduit size^
3. Gas supply- inlet: Size
Gas connector, describer_
4. Water con::iector, describe:_
S. • Drain connector, cescribe: _'` 4( XF
6. Manufacturer-_ T-
Model: Serial No.:
State insignia numbers: X unit:
U unit:
Roof live load: --- $,f•
Wind load: .s.f.
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CONDITIONAL PERMIT
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