HomeMy WebLinkAbout29261 CENTRAL AVE_ 05-00003869A sv:
1
IT NO: 05-
City of Lake Elsinore
PERMIT
130 South Main Street
JOB ADDRESS . . . . . 29261 CENTRAL AVE SUITE B
TENANT NBR, NAME BLDGN SUITE B
DESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL
OWNER CONTRACTOR
MAUREEN KACZMARSKI SRW, INC.
714- 890 -5215
LIC EXP 0 /00 /00
A.P.# . . . . . . 377- 040 -027 2 SQUARE FOOTAGE 1273
OCCUPANCY . . . . OFFICE, RESTAURANTS, MISC GARAGE SQ FT .0
CONSTRUCTION . . . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . . 19,095 ZONE . . . . . . C -2
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63.00
18.00 X 12.5000 VALUATION 225.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
13.00 X 1.0000 SWITCHES / 1ST 20 13.00
20.00 X 1•.0000 RECPT,OUTLET / 1ST 20 20.00
2.00 X 4500 RECPT,OUTLET / OVER 20 90
20.00 X 1.0000 LIGHTING FIXTURES /1ST 20 20.00
25.00 X 6500 LIGHTING FIXTURES /OVER 20 16.25
3.00 X 4.2500 NON RES. APPLIANCE 12.75
2.00 X 4.2500 SIGN BRANCH CIRCUIT 8.50
5.00 X 4.2500 MOTORS UP TO 1 HP 21.25
6.00 X 11.0000 MOTORS /TRANSFMER 1 - 10 66.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
MECHANICAL PERMIT
QTY UNIT CHG_ ITEM CHARGE
BASE FEE 30.00
11.00 X 13.2500 FAU /FURNACE /DUCTS /VENTS 145.75
3.00 X 6.5000 VENTILATING FAN 19.50
1.00 X 13.2500 COMPRESSOR /HEATPUMP -3 HP 13.25
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
FEE SUMMARY CHARGES PAID DUE
CONTINUED ON NEXT PAGE * **
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 od initia:
1 I am Licensed under the provisions ofBusmess and professional Code Section 7000 et seq. and
my license is in fill force.
2. l,as owner of the 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 of the propertyam exclusively contracting with licensed contractors to construct the
project.
4.1 have a certificate of consent to selfinsure or a certificate of workers Compensation Insurance
or a certified copy thereof
5 1 shall not employ any 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 malting 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 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO 1 Underground Water Pipe
SSO 1 Rough Septic System
SWO1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPOS Roof Sheathing
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 lRough Electric Wiring
EL05 lRough Electric / T -Bar
MEO 1 Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP 1 O Framing & Flashing
BP 12 Insulation
BP13 DrywaiiNailmg
BP 11 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building ing released by the CityP001PoolSteelRein / Forms
POO 1 Pool Plumbing / Pressure Test
P003 Pre - Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub Last Approval Landscape
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre - Plaster Approval Engineerin
P009 IFinal Pool / Spa
I of L
PERMIT
PERMIT NO: 05- 00003869 DATE: 12/13705
PAGE 2
JOB ADDRESS . . . . . 29261 CENTRAL AVE SUITE B
TENANT NBR, NAME . . BLDGN SUITE B
DESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL
PERMIT FEES
BUILDING PERMIT 293.00- 00 293.00
ELECTRICAL PERMIT 213.65 00 213.65
MECHANICAL PERMIT 213.50 00 213.50
OTHER FEES
PLAN RETENTION FEE 15.00 00 15.00
SEISMIC OTHER 4.00 00 4.00
PLAN CHECK FEE 216.00 216.00 00
TOTAL 955.15 216.00 739.15
SPECIAL NOTES & CONDITIONS
T.I. 1273 SF COLD STONE
Oper: COUNTER Type: DF Drawer: 1
Date: 12/13/05 13 Receipt no: 3380
2005 3BG9
BP BUILDING PERMIT 1 $739.15
Trans number: 0460?
CK CHECK 3955 $739A5
Trans date: 1211-3105 Time: 13:46:13
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 Wnd initial
1 1 am Licensed under the provisions of Business and professional Code Section 7000 et seq. and
my license is in full force.
2. I,as owner of the property,or my employees w /wages as their sole compensation will do the work
and the structure is not intended or offered for sale.
3.1,as owner of the property,am exclusively contracting with licensed contractors to construct the
project.
4. I have a certificate of consent to selfinsure or a certificate of workers Compensation Insurance
or a certified copy thereof
5. I shall not employ any 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 must 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 kit S
BPO1 Footings
BP02 I Steel Reinforcement
BP03 IGot
BP04 JSlabGrade
PLOT Underground Water Pipe
SSO 1 Rough Septic System
SWO1 On Site Sewer
BP05 Floor Joists
BP06 Floor sheathing
BP07 Roof Framing
BP08 lRoof Sheathmg
BP09 ISh. Wall & Pre -Lath
PL03 lRoughPiumbing 224•
EL03 I Rough Electric Conduit
EL04 I Rough Electric Wiring L
EL05 I Rough Electric / T -Bar
ME01 Rqugh Mechanical
ME02 I Ducts, Ventilating
PL04 I Rough Gas Pipe / Test
PL02 Roof Drams
BP10 Framing & Flashing i-L 52
BP 12 Insulation
BP13 Drywall Nailing
BP 11 Lathing & Siding
PL99 IFinal Plumbing y
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
2C! ?i2 Code I Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Deparhnent Approval required prior to the
building b ing released by the CityP001PoolSteelRein. / Forms
P001 Pool Plumbing/ Pressure Test
P003 PreGunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre - Plaster Approval Engineering
P009 Final Pool / Spa
APPLICATION FOR
BUILDING PER -MIT
CttyofLake Isinore'l
130 South Main Street
VALUATION CALCULATIONS
st FLOOR SF
nd FLOOR SF
rd FLOOR SF
ARAGE SF
TORAGE - SF
rECK ti BALCOWES SF -
jTHER: - SF
ALUATION:
wks
IUIL'OING PER#MT t=
f
I AN CHECK
EiS- Mit:.
tAN RETEIMOti_.-
j 1 betfdt d%& I.hNe 6Sd this app&ca&on and stateftA ttw
above kdaiaia5ort is ooarecl 9" to CWT iY aflscity.
and county, Of}0 ids and_st4te ?rebawlo bufifi4- -
COfh5trhlGflOrt$fd tleretry aKrChcnze d titers`: - - -
city to entef upari;w above, muted A(opeglor insp=- _
twn purposes.• . - - _ - - - -
Sigaaturse ofAgfAibint -,6 _Date- =
Agent toe aoiltraicto p ii isff>Ier _
Agefi#s -d 1'
ice: • . • -
3tiee# city-.
APPLICATION NO
APPLICATION RECEI[VEO
DATE
BUILDING AQUR'(
T
TRACT BL AGE COTIPARCEL
N -
C.
O-
N
I ,that 1 am licensed under ovisions of chapter 9 (commencing,
w t h section 7100) of division 3-of the business and professions code•and my
Scene is in futi force and effed.
Uti1SE>R CITY BUSINESS
AND CLASS I -lLl't TAX t
r E
r
A
C
MAtU
ADDRESS_ 12C
T ' CITY. = STATEIZIP
4i = CONIRACTOR'SSIG U DATE
ENS 0
R t Aii3NG'
TATS/ (P PH NE
NFYU OCC GRP_ I CONST_
DIVISION: • - - = TYPE: 13 ADDIITION. _ : _
Cl RA : NUMBER OF NUMBER OF
STORIES: BEDROOMS: R ":= a _
tFASAILY' ZONE -
4Nt t{A7A(tt) YES -
NOEAREAlGdA(**. Ef2'_ _ SPRENKl.ERS_ YES
NO
IR . PgOPOSED -USE OF BLDG:
PRESENT USE4F BLDG: _ ilSFI
X013 OESCRiPi -ION - t,/1,1'li{rL -
City of e Elsingre.
PP-LICATION FOR
BUILDING PER MIT
130 South Nfain Street
VALUQ_ T(ON CALCULATIONS
ist FLOOR TSF
nd FLOOR SF
Ird FLOOR SF
3ARAGE
TORAGE
f
SF
ECK & BALCOWES. - 1 SF
THER. - SF
ALUATION:
wa
FEES
Q
3UICQI'M -G PERt[TT
Apo
LAN CH CK
111N RETEtti'(OK._- cs. CO - .
a Cfq ftkj.tsmiead ffhisapp6ca&in acid statedhat Ihe--
i torhaaf On s celtTee27.agfee A eort y iv h a tatl(.
d tourety ocrfeianoe end she t uis- reta6raj io btalding --
eiorestnrcToii; aiid[ti aiitfhoiize tegf of ais -
city to enIii apart tie above r iTherhSorie Coperf)%.for i<hs
bon parpbaes,
ignafure -i ican>~oi:s erti
Agent -br. b; sontiaicto - otivtter
Street. _ Siei ' zip
rZS"
1
D
3
City of 11_2ke Elsinore
Planning Division
130 S. 11an Street
Lake Elsinore. CA 92530
909) 674 -31 14
909) 471 -1419 fu
PROPERTY ADDRESS
Community Development
Building Division
PLAN CHECK SUBMITTALS
Z%Zelo,/
Contact Person: y-e' ` obi 4-5 TEL. No.
2- 5
Permit Application No_
Date 1 st Submittal: / O ?"(nitial_ Plan Checker /Date Submit
Date returned from Plan Check: w '-2 5 > Status: L
Date notify Applicant: lU Z ^ Date Pick -up: &0— Z nitiaL
Applicant
Date 2nd Submittal: Initial Plan Checker /Date Submit
Date returned from Plan Check: l oT Status. -
Date notify Applicant: i/ o6 r Date Pick -up: Initial:
Applicant
Date 3rd Submittal: Initial
Date returned from Plan Chedc: —1
Date notify Applicant: Z_ l Date Pick-up-
Plan Checker /Date Submit
Status: 14T
Initial:
Applicant
Planning Approval: I DATE Sent: DATE APPROVED:_
En in Approval. - DATE Sent: DATE APPROVED:_
Fire Dept-(If )uired) Approval:, DATE: f 3 0
l
SF):
ate Permit Issued:
To be attached to when required Plan Check
10/06/2005 11:09 9092455946
Elsinore Valley Municipal Water
October 6, 2005
Mr. Muneer Uddin
The Bergman Co.
Fax: (909) 62725
Re: Conditional Oil/Grease bterceptor Waiver
Cold Stone Creamery #257 - Lake Elsinore Mar
29261 Central Ave.
Lake Elsinore, CA 92532
Dear Mr. Uddin:
This letter is to serve as confirmation that a Conditional
been approved by Elsinore Valley Municipal Water
establishment.
EVK4D OPERATIONS
Be advised that this waiver is based upon the information 1
Municipal Water District on the wastewater discharge sure
by you or your representative. If at a later date this informati
your conditional waiver shall become invalid, and you will
days of written notice to install an interceptor and/or
sufficient size to be acceptable to the Elsinore Valley Munic
Lastly, the above referenced establishment will be
Compliance Review Fee, which -will be billed to the g
If you have any questions regarding this matter, please do
674 -3146 extension 8326.
74 V1 AA -
Keith Martinez
Pretreatment Program Coordinator
Cc: Riverside County Department of Health Services
City of Jake Elsinore
File
951.674.3146
Fax 951.674.9572
SENT VIA FAX
e -- N-2
ie Interceptor Waiver has
for the above reference
rided to the Elsinore Valley
ipplieation forms submitted
has for any reason changed,
required within ninety (90)
iple monitoring station of
Water District
a $210.00 Environmental
water /sewer account.
besitate to call me at (95 1)
location: 31315 Chaney Street Maifrng: P.O. Box 3000
Lake Elsinore, C . 92530
PAGE 06/06
Board of Directors
President
Kristine M. Anderson
vice President
Phil Williams
Treasurer
W. Ben Wicke
Members
Christine Hyland
Harvey R. Ryan
General Manager
Ronald E. Young
Board Secretary
Terese Quintanar
I-ega Counsel
Best Best & Krieger
www.evmwd.com
11/2212005 09:18 7146640066
f , 4
FREDRICK ROBERT ASSOCIATES, INC.
ARCHITECTURE AND PLANNING
555 NORTH PARKCENTER DRIVE, SUITE 100
SANTA ANA, CALIFORNIA 92705 -3521
714) 664 -Doss
FAX (714) 664-0066
wxw., .FRA- INC_corr
FACSIMILE -COVER SHEET
Date: = November 22, 2005
Number of Pages: 2
pnclueirg Cover Street)
Attention: Ray
Company: City of Lake Elsinore
Phone Number: (951) 647 -3124
Fax Number. (951) 471 -1418
RAI1, - PAGE 01/02
From: Fred Crooks x25
Subject. Cold Stone Creamery-Lake Elsinore #257
05435
Confidentlal. Yes
This fax (including any attachments) contains confrdentiat information intended for a specific individual and purpose,
and is protected by law. if you are not the intended recipient, you should destroy this fax and are hereby notified that
any disclosure, copying, or distribution of this fax, or the taking of any action based on t, is strictly prohibited.
Remarks:
Ray;
Attached find transmittal to Scott Fazekas & Associates, Inc. Please call if you
have any questions or need anything else. .
Plan Check # 05 -3869
If there are any problems with this transmission, please call. Thank you.
Copy: File
MOU 22 105 09=32
5 F/I
7146640066 PAGE.01
11/22/2005 09:18 7146640066 FRAINC PAGE 02/02
f
1
REDRICK ROilERT ASSOCIATES, INC.
ARCHITECTURE AND PLANNING
555 NORTH PA.AKC rfrER DRIVE- SUITE 100
SAATA A,VA C4 9-2705-3521 -
714) 564.0055 FAX (714) 654-OM
DNS1.FRA4NC C0!A
LETTER OF TRANSMITTAL
TO: Scott Fazekas & Associates, Inc.
9 Corporate Park, Suite 200
Irvine, CA -92606
ATTENnoN: Brett Archibald
949) 475 -2901
DATE; 1112212005 VVE ARE SENDING YOU.' O ATTACHED O SEPARATE
PROJECT NO.: 05835 0 CALCULATIONS 0 SAMPLES
REGARDING: Cold Stone Creamery #257 0 LETTER L CHANGE ORDER
29261 Central Avenue, Suite N2 0 PR(NTSIREPRODUCIBLES O SPECIFICATIONS
Lake Elsinore, CA 92532 0 SHOP DRAlMNGS 0 PRODUCT LITERATURE
0 DISK 0 OTHER
SENT VIA_ O MAIL O PICK -UP e DIRECT O 3 HOUR O 5 HOUR O OVERNIGHT O OTHER
DESCRIPTIOM
2 signed 2nd plan check resubmittal sets
Plan Check # 05 -3869
THESE ARE T-AAJSMITTED AS CHECKED BELOW.
L0, FOR APPROVAL 0 ACTION INDICATED ON 0 RESUBMIT _ COPIES FOR APPROVAL -
0 FOR YOUR USE 0 ITEM TRANSMITTED 0 SUBMIT COPIES FOR DISTRIBUTION
0- AS REQUESTED IJ FOR REVIEW AND COMMENT 0 RETURN _ CORRECTED PRINTS
0 OTHER
REMARKS-
COPIES TO:
BY: Fred Crooks x25
NOU 22 '05 09=32 ?146640066 PAGE.02
DEC -13 -2005 TUE 01:31 PM RIV CO FIRE ME FAX N0. 951 955 4886 P. 01 /01
R rvs D co
FIRE DEPARTMhM
ln-c Sratiolrwith the
Califomia Depwiment of Forestry and Fin Prow4ion
Fire Pro#eation hMunIng and Enatnsering 8ervIcas
AQA- man 51reet. 2- Floor • Riverside, Catifomia 8=1 • (e®) 8554777 a Fax (W9) 855-4566
Tom Ttsaate
r "Ire Crhlef
Proudly saving the
unincorparsted
w= of Ri ovrvWc
County and the
Cities of
l3anning
g
Beaumont
Calitne t
S
Canyon L.a%e
Cauchclt8
Desert I lot Springs
Indian Wcus
Indio
fit
Cale @isirtorc
b
Lo Quinta
Man-no V411%:y
Paitn D=n
S
N-rris
v
Rancho Mirage.
San Jacinto
4
I'cm=ula
hoard nl'
TO:
RATE:
t
SURVEYOR'S OFFICE
a -rl(Q1 Sitno` BUILDING AND SAFETY
TRACT/PARCEL MAP NUMBER:
PERMIT NUMBER cyr #: t-_S' .3 C Cp
JOB SITE ADDRESS: 01°t caZ Cp (
Itch ItuSIa. IF YOU SHOULD HAVE ANY
FIRE DEPARTMENT, PLANK'
All Ta.aaliunv.
D Dais 2 1
Jim '4nah1
1*864 .t
I
00Y Wilhtul.
Pi-giK 4 II- t4- fll /emm
Tom M1111M.
1*,ir t 5
FINAL FOR RECORDATION
RELEASE FOR BUILDING PERMITS
SHELL FINAL ONLY (NO TENANT)
FINAL. FOR OCCUPANCY
F[NAL OCCUR TEE. EXPIRATION DATE
13PTLD PLAN CHECK FEES PAID
WTIOATION FUS PAPA
MITIGATION FEES NOT PAM
FEES NOT REQUIRED
ESTIONS, PLEASE CALL. THE RIVERSIDE COUNTY
SECTION AT THE ABOVE NUMBER.
NK KAWASAKI, BATTALION CHIEF
EASED BY:_
i
I
City of Lie Elsinore
treet
APPLICATION N
APPLICATION FOR PERMIT APPLICATION DATE:
An BY:
ELECTRICAL / PLUMBING / MECHANICAL
B,
I hereby certify that I have read phis appl'=tm and sute d at the
above i ffmmutioa is eonca t agree to compty with ail city and county TRACT BL1OCCKIPAIG,E LOT/PARCEL
ordiaanees and scare hws ' to butlefmg com.1 udiDa and b=by
authorim fives Gf4 any to enter upon the above' —m oned O N
t r
property fix W t. l'_PrV Vl1.l_-
N
I t er 5r af5rm that I am lkx=M under the provisions of Chapter 9 (commencing
C with Soctiou 7000) of Division 3 of the Business and Professions Code, and my
role Otte) O license is in fill Corot and effect
AGENT FOR-- OOC A OWNER N LICENSE N
T AND CLASS
J CITY BUSINESS
TAXM 062- 12,&S9l'e NAME
rtte\J-`.
AGENT'S NA IL R
f_
I-
t
C 1 "
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A _'-
AGENT'S ADDRESS C MAMMGjsuwcitggagripTADDRESS
R AT
i CZf64L O -5as-
CO R'S S N
FAT,C[gttMCAL- _ Quhn P- UM 11NG CA.L- Quart
New Res, Multi Family /-SQ. 17. FQxture, or Tiap- FAU. / Fumace % Ducts / Vents
New Res. S e_ Family; / SQ: f?C 13uit4i4 SFwer F.A.U. / Furnap,I Kisc, /> t00000
9e11rltxtric. _ Private': Raih Water'Systcm mjDraiq - _ Ffoor•.Fttmace 1 Vc;nt.,. '-
Switches F ist 20 Pti e- . c System _ fjiut Heater / Wail Heater -
Switdtes / Over 20" - Wd4w ffeater /Vent install I Relocate / Replace Vent
L10 e Outlet /'1st 20 Gas Piping $ysteln I - 4 Outlets Ve n ilatitt 'Fan
c Ottlex /Over -20 - Gas ing 5 or More Outlets Evaporative Cooler -
L,jghting.Fixtt= /_ 1st 20 Qi washer - Ventilating System
ghting F / Qyet 20 • : Wa Tank Exatist Hobd .
Fated Apoiaftcc, lOuticr SolarCollaxor- pex'Pattel F'trelitace
dmtial Ftsnoa t Quad Ctt case T /(left ) Cotntneraal Incineratoi-
100 - ZOQ Ainp SiMct <600V instal f; Altea• or- Repair System Ait 1•Tandler > 10000 CFM• -
1000 Amp Service < 600V- - Lawn Sprin1der System Air.Haitdler < 10000 CFM
tsc G"tduits, Etc. Ba"oiv_ Device Smaller than 2`• Fire.Dampers
Sigh's : Badklow Device rmger dun 2 -- Registers
Sign Branch Cir+atit Floor Drain ' Cora sor / Heatpymp - 31LP.: .
Busways I FA 100 FT Floor Sink Compressor / l4ea4iai1np 3 - 15 kP.
Tcmporary Power Service _ Water Service HeatpttmP, lS - 30 H P.
Power D Li;:, btttio t Sys tet or R r Drsiri or Veat • Coaiprecsar / Heatpiunp 30 - -50 ,I-I.P.
Motors / Transforms _ _ jELrcSpAMc-rsp,crBtdtding Alter Misc. HVAC -
Motors up to •t H.P. ' h . Swimmia '7Ppol fRalptano Over 50 I-LP. .
Mom / TranAcrm= !_- IO.KP: Swimming Poo(f Pubtic
Transfuimets !0- SO KP. witnmingPool_ /Private
Motors / Traitsf&mcis 50 - 100 H-P. _ Walri Heater / Vent
moton / Transformers > -100 F.P.' Repta& Piping.
lLgtlaui Filter
lvtisc. R- rant
Cray Pip'ipg
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