HomeMy WebLinkAbout29261 CENTRAL AVE_ 06-00000953City of L
PERMIT
PERMIT NO: 06- 00000953
JOB ADDRESS . . . . . 29261 CENTRAL AVE SUITE #E
DESCRIPTION OF WORK OCCUPANCY PERMIT
OWNER CONTRACTOR
CAMBERN & CENTRAL INVESTOR LLC OWNER
265 SANTA HELENTDA SUITE125
SOLANA BEACH
SOLANA BEACH, CA 92075
A.P.# . . . . . 377- 040 -027 2
OCCUPANCY . . .
CONSTRUCTION
VALUATION . . . 500
BUILDING PERMIT
QTY UNIT CHG
BASE FEE
1.00 X 5.0000 PROFESSIONAL DEV FEE
130 South Main Street
DATE: 3/21/06
SQUARE FOOTAGE 0
GARAGE SQ FT 0
FIRE SPRNKL'R
ZONE . . . . . . NA
ITEM CHARGE
45.00
5.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 50.00 .00 50.00
TOTAL 50.00 .00 50.00
SPECIAL NOTES & CONDITIONS
occupancy permit for Juice It Up
Oper: COUITEP, Type: DC Drawer: 1
Date: 3/21/06 21 F.e{e.ipt na: 5375
2005 953
BP BUILDIP,'G PERMIT 1 $50.00
Trans number: 97711
VC. VISA CARD _ . $50.00
Trans Date: 3/21 /05 Time: 14:52:30
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 read and 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. I,as owner of the property am exclusively contracting with licensed contractors to construct the
project.
4.1 have a certificate of consent to selSnsure 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 making this certification,
you most 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
SWOT On Site Sewer
BPO5 Floor Joists
BP06 Floor sheathing
BP07 Roof Framing
BPO8 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric/ T-Bar
ME01 Rough Mechanical
ME02 Ducts, ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drams
BP 10 Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BPI 1 1 Lathing & Siding
PL99 lFinal Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP" Final Building ZZ-pl.
Code I Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building b ing released by the CityPOO] Pool Steel Rein. /Forms
POO 1 Pool Plumbing/ Pressure Test
P003 PreGuniteApproval Date Inspector
EL06 lRough Pool Electric ELandSubListApproval
P004 Pool Fencing/ Gates/ Alarms Finance
P005 Pre - Plaster Approval dP009FinalPool / Spa
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
APPLICATIOFO
I
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER: SF
VALUATION:
FEES
BUILDING PERMIT E
PLAN CHECK
PLAN RE4?EW
SEISMIC
PLAN RETENTION
01 certify that I have read this appficabon and state that the
above infonnatm is correct- I agree to comgiy with all city
and county a*iances and.state Lrws -rda&V to tackling
criastaictia t.and hereby authorize rcrzsenta6ves of this -
to enter upon the above - men%reed property for
purposes-
Cietv of Lake Elsinore
S3 t pb
ignatur Alot t or.-Agent_ Date
Agent for .Q contractor owner
Agents -Name
Agents Address = _
Street City State
5
Zip
130 South Main Street
APPLICATIOFO
I
DATE
AT jN RF IVE,D
GATE _7 Lam/
BUILDING ADDRESS r
TRACT BLO AGE LOT/PARCEL
i
p
NAME c r
W
N •
PHON
ADDRESS QADAlOk S
Q. 0. A a ;
TE2 -
2—
C
O
N
1 hereby that 1 am licensed under provisions of chapter 9 (commencing
with section 7000) of diiRsion 3'of the business and professions code,and my
kense is in full force and eHed.
LICENSE s CITY BUSINESS
AND CLASS TAX If
T
R
NAME
A
C
MAILIN
ADDRESS
T
O•
CfTY. STATE/ZIP PHONE
R CONTRACTOR'S SIGNATURE DATE
A:'
NA!JE LICENSE R
R .
0
t. .
AO_D_ RESS -
H STATE/ZIP PHONE
O NEW OCC GRP. f
DIVISION: - . -
CONST.
TYPE: I] ADDITION
O ALTERATION- . NUMBER OF
STORIES: -
NUMBER OF
BEDROOMS: 0 -OTHER
SINGLE FA CLY ZONE '
0 APARTMENTS _
CONDOMMUMS HAZARD '
AREA ? _-
YES
NOTOWN140#AES- -
0 COMMERCIAL -
INDUSTRIAL -
SPRINKLERS
REQUIRED ?
YES
NO
0 REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG: 0 Dbv.QUSH -
JOB DESCRIPTION 1'l 17—
CD
Q
3
co
O
n
O
O
Z
D
n
O
Z
n
c
O
c
D
nm
m D n 0 0 0 C
Q
O cND
D
N O m n
N
O
ni
O
0
N
N D
aft
s
t4
N
CL C n
B D a.
CI j O
3
Z
a co
O
Ln
R1
t')
v Cr
cD m
a
3
u
n
O
CD A
C
J
c 1C
w
n
a
N
r1m NEW-
cl
Q N
L
D
n
aft
r1m NEW-
O n
osz -
Q
co-
c-y-
C7— rte•
M—.
S `
65
Co _ co
n
i-y- e-
CO
cca
CQ
Q
Q
rT-
a
ca
S
LO
CID
T VJ --
O Lo
s (+-
O = C-,
Vr^ J
sa o
o
O
O O
4
CO
CD
s
Q
OQ
S
C
s
s
co C.j
4 r
f- PL
5
4o C
s
G
W
ONO
V
eLWEL;
tz
rl -
n
Q N
n 0
s
t4
N
4' O rn
Ck O
Ili n
w
9
R1
O n
osz -
Q
co-
c-y-
C7— rte•
M—.
S `
65
Co _ co
n
i-y- e-
CO
cca
CQ
Q
Q
rT-
a
ca
S
LO
CID
T VJ --
O Lo
s (+-
O = C-,
Vr^ J
sa o
o
O
O O
4
CO
CD
s
Q
OQ
S
C
s
s
co C.j
4 r
f- PL
5
4o C
s
G
W
ONO
V
eLWEL;
tz
rl -
n
0
Z
D
n
O
2
N
nC
O
C
D --
nm
i
D_-? O O 0
j
roo..
O
coc
ta
lr•y
n_
0
Z
D
n
O
2
N
nC
O
C
D --
nm
i
oD_-? O O 0
O
ta
n_ N
T=
4m
0
V
W
c n
co n
T S 0
o s
Q
s
CO
D4
co
s fit N
r
C
k
co-
t
Cl)
O
02
N d
a
Ila 3
in Z
ell, N
O
ON
o n CO
O
ta
T=
4m
V
co n
T S 0
o s
Q
s
CO
C co
r
C
co-
ta
4m
V