HomeMy WebLinkAbout31778 VIA VALDEZ_CITY OF LIKE ELSINORE CONSTRUCTION PERMIT
Applicant to fill in all spaces except those within. heavy. border linos and sign all appropriate declarations
project Andress APP
TRACT N0. LOT NO• UNIT N0.
Assessor's Parcel No. - // P MIT NO
Phone4f- "
Ownter's 'dame
ieD Z_ Q d a.wf a _—
Address$—`-
license No-
Arch/Eng. .,.._ --
Address _ Phone SQl J-C x-/•
Contractor's Nam
Address Imailing)
City License No.
LICENSED CONTRACTOR DECLARATI N
1 hereby affirm that I am licensed under Provines
s of Charter 9 (commencing
with Section 7'100) of Division 3 of the Business and Prole. s Sn Cotl1
and
my license is In tul force and
effect. —
UL -
fir -•
License Crass _ --
Date 12= ILi Si3nat
WORKERS• COINPENSATI irate of consent t tt- insure or a certificate
I Hereby affirm that I have e
of Worker:'
Compensation Insurance, q: a certified copy thereo! (section
3600, Lab- C.)
Company
P -aIiCJ Nu.
CCr Ltretl copy i9 hereby furnished. _ - -- CCrtlfled Copy is filed with the City BUiltlia9 Division.
pppitcant _.
DateEXEASPT ION FROM :YORKERS' COMPENSATION QECLARATIOTheSscctionneednotbecompletedifthepermitisfororehurrtlred (5100) or
less).
I ecrlily that rn t1iC performance n anYhmanner
In,
50 as t0 Oct.
OP ¢r SUbteCt StO tli hework
shall riot employ any P
YJpr kris' Cur p lion L: WS Of CA - -_
5i9rratur
.
NOTICE: If. after making this do 'the Labor Cotl .You mutt rortnµith WOrkrrS'
Conlper'Satior Pro"STO ComplyWithsu.:h provisions or this Permit Shall be deemea revoke CONSTRUCTICSNLENDINGAGENCYI
nerer.y affirm that forthere
whith5
than Permit
His issued agency
section
t
3097rf
Civ.
a
CA
of
the work — Lender'
S Name Len.
1tI.S Add r0SS - OWNER
BUILDER t)ECLARATION n Crry or I
rlereby a /him that ction 7031 9I Businests and Pmtessin ver
Code:
lish Of repair Imfollowing
reason (SC any
structure, poor to its issuance, also squires the APpiicant for sucn permit countywhichrequiresapermittoconstruct, alter, Imp to
file a signed SW1Cment that ne /she IS tiCCn Sod Purjl Will
lit,
S
etio
7000)
mPt
the
Contractor's License Lau+ (C"Ptef 9 (commencing v :iln 5,& /she is exe of
D,
v,sion 3 cf the Busiress and Proles: ions Code) 7
therefrom
by
any the
ePoasis
l
for
it a
llDerm texemption.
su
jectsthe yaPol cant of
o
acciv 1 penalty
of not more than five hundred dollars
with
wager as their sole JS
owner 0 the Property of my coon
do
Inc Rosiness and Professional COtle: The Contractor's CoripCnShcibn, will do S work, and the StruCl V/e i5 nonun'ulids or improves for
sale (se I to an owner Of a ptoperly LicenselawdoesnotaPPYontcntletl or offered for tnercon,
and who d teat such
cn
mD,,, rnents are through
nos o• r.ee ow rmplOyCCS,
p Sale .
foC
nwr,
trig
building havelncrbudrnv ;I p oving he /Sheltaid noty131WO Of n Provo
for inn pt.foose of sale). asowneroftheProPertY. am exclusively contracting with SSIOnetl con• lG
an owner Gf Property who tractorstoconstructIIWprIOctI (Section 7044, 1c, art .,n,'
Prors
with c Code:
The
Contractor's License 1_aw does not tract bthldsOrimprovesIhe(COn. And rho contracts
for Sl L
w)I a With
a con- lrarlor(
SI IiCCO50 pursuant to the Contract Or'S LiCCf`te Law). 1 am aware that proof
a their Worker's Compensation insurance
Should flCC,lovitlhtl
reason
L7
I am exempt under section -• -- -_- - -- Date
owner
I
hereby certify that I have rcatl Ihis 1pDlitatlon and State that Inc above informationisenriect. 1 agree In Comely with all city and count•/ Ordinances riluton
and
slate laws totaling to bullolnq Constr hcl0bovo •!ilCntifinetlutP rorperly Pre•
senbUves
oil this city to ent upon '
Fit
utoinspect
ton P' eS. + Date Whlte•
Buib:ng-. CanaryTempaary File Uwy Remarks
P
LUA981NC FEEe ELECTRICAL 1-tta Generator
00.5KW O 5 -15KW Q
pAIERATION TYPE
OFCDNSTRtICTWNeNEIN C
AD Li
REPAIR A-
P. # p
CONVERSION r] DEMOLISH C OTHER r
S
Main Building: DESCRIPTION
Of WORK/USE Of BLDG. I (
AX T Front TYPEOFFERMIT
0 GRADING 1j FOUNDATION :- STRUCTURAL A
Rear TENANT-
TC'RICAL L PLUMBING MECHANICAL Right
OTHER _
d /'
OctuvalK7 _ ---- PROJECT
DESCRIPTION: 51 ft. Acres S Left Construction
type _- ---- -- Zone
Ping.
Ref. # valuation $. -
LL--12— PC7F —
Planning
Notes_ Remarks
P
LUA981NC FEEe ELECTRICAL 1-tta Generator
00.5KW O 5 -15KW Boiler
Alter
Repair _ Electrical
Construction
Pale Sub. Duct -
Under Ground Auto—
Cookin Unit purl
Structural Backflow
Preventer fan - Ventilating _ Backflow
Irri tion Clarifiers
Pole
Light D
eI ryrspGas Electric__ Exhaust
S stem Cooler
Dishwa`
she r f
Fan— F
A{- --U Evanorative
I
Heating System & 011cting 0
100.0 FixtureTrasea. Floor
Drains Fixtures _ I '
00-
10 .000 BTU Hood
or Canopy Floor
Sinks _— f Outlets T pe 1 r_ Type e11 f Gas
Service Outlets r Switches Meter
L1 up to 200 am s I —
Refrigeration
System 0.
10( 000 BTU O10Q( Intercotors — Meter over 2;70 amps B It. I /pact. Blt. ICBO #, P -Tra --- • -'• - -- Roof
Drains Trailer
Sewer_ _ n
Subanel15
50KW Transformer
56 *
KW i--- System
Re alrlAlterationy — ---- Fire
Sewer
Cap Renist'rs Sewer
Connection . Bldg. Motors 0 -1 HP 1Y: 8 Inc
Solar '39.15 HP 016.15+ r - -•. --- -
nrlro'atar Solar
Collectors g/Fam. R_ SitMist..
Solar
Piping Au {
ti Tam. Res. SolarTankS ,,vimrrlin Pool/Spa SwimminPool /S a Issue B
TQ ;
1CccestanC E DEVELo
MENT SERVICES REQUIREMENTS' Date ZoinRAY
lined Ry —y' _ `^ _ Data /t qtr Building
kpptnved By • —• -- / ` ' f = -- Date - Application
Ismil By ACCT
N 3401
3225
3220
3221
3222
3223
3224
2301
2302
3225
3401
3403
3412
N
G
tt
rpvided
E
a
A4
S
GRADING
FEES Cut:
cu. yards FIII.
cu. yards Plan
Check Fee T Permit
fee S Total
Fees f summary
of Permit Flu Building
Plumbing
1 Electrical
J
r J-- Mechanical
Retention
S
SMIP
Res SM1PCom.
Other
Summary
of Plan Chalk Fees r Building
S _ -- I
Plumbing Electrical
Mechanical
S -- Other
Planning
TfIW
Fens Due S
It
c
U i
I.uj
Q,
Z
W
a
G
f
cl
OJ
Z'
i
i
Yj LL
i LL I
I
O
CL
Z
LU
N
J
Z
w
W
ui
i
W
LU
I I I' I I I Ili
I
I
O J
a d
O
C
E
Qw
aci
U
o
c
C
o
m
I ca
I
E
a
U
O_
Q
O
ov
z p~'-
d
G, J
OL LL
O, m I +
J, m
d >
O , oa
U)
A
C
ii
0
U-
E
Q
d
Q
fr
Q
w
W
N
Q
F'
w
p
w
Gp
T
a
o
S
a°
R
u
a
n
a
I
i-
CO
N
J
Q
z=
cr
w
C
V
LUnN'V
Z
I
I
f 1
i
I
I
a a
rq
o
LL
U
tcs 0:1
a
Q
v
w
n
a 3¢
C7 an +
3 d
a a
Q CO, S
ai i
i
Go
c
a
a",
w o
N
c
v
LL
I
a
d
ti
J¢
00
a
U.
te
a
O
L
O
v
O
in
0
0
X
U.
a
01
cnni
S cif
I 1
z'
i
lL
I )
I
I
I
II,lI
t I
s
I
7
Iii,
I!!
I
q
o I
I
i
I
c 1
dr I
I
v!
2 I
z
a
z
a
t
C
a I I
0j
I
L)
ZOf
I
I o
c
c!
2
Oc`
I
I~
L
IW
Z
f
I
LL I
rn
a
f
i
I(
I
t I Z
1 ' _'
J
roi
I 0'
J
J
d!
h O I
a
Q a I
W
o
C.
E
c
O-
0.
J
4
c
v
u
E
c
d o nl
rn
C I
6
a
a
w' I
U I
J
yi
a) y( ci
OI ' O
2j ; o
O O
E I
a
x
c
c°i
d
w
C
c
Z
15
y
w
L
m
t
a
W
t
v{
c
S
t
cw
u
c
rom
N I
E i
LL
v
a
L
col
cN
o
c I
j
c
LL
a
ro
d
E
m
c'
j
rnC
z
rof3
O I
w
rn! H
g)
rol a
F-
N 0
3 Z
T
I
l
a l
a,
W
u
v'
C
iv
Z
1i
I I
F- f n
0-.
V O
O
rn
Q
R
iL
jI
I I mi w
d g'
w' +I Q UIs ' - Z D
n a` —
LL ¢
Z o 31 3I al 0 ca
Q ' U' _ J
t
l f
U.
C7
Z
z
Q
31 I
m
m i
I y
U I
V Q pN W CV
0..
LL a
O Oa O O O ro IC7 LL G O
0. I••' W roJ NC) O I Q
d c
W E
cl
LL
C O
LL S
C
LL
UI UI C Z
p, ro ro'
1 (n a m J, N w L3. lU l (.7 i