HomeMy WebLinkAboutCENTRAL AVE 29261_05-00002387KC-
c
PERMIT NO: 05 -00002
JOB ADDRESS . . . .
DESCRIPTION OF WORK
OWNER
City of L
130 South Main Street
PERMIT
DATE: 1/19
29261 CENTRAL AVE
ADD OR ALTER NON RESIDENTIAL
CAMBERN & CEN'T'RAL INVESTOR LLC
A.P.# . . . .
OCCUPANCY . .
CONSTRUCTION
VALUATION .
CONTRACTOR
CHRISTOPHER BOEHM, INC.
4243 NAVAJO AVE, STE 100
NORTH HOLLYWOOD, CA 91602
818- 763 -2823
LIC EXP 0 /00 /00
377- 040 -027 2 SQUARE FOOTAGE 1200
DISPLAY /SALE MERCHANDISE GARAGE SQ FT 0
TYPE V- NON RATED FIRE SPRNKLR
21,000 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63.00
19.00 X 12.5000 VALUATION 237.50
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
ELECTRICAL PERMIT
QTY UNIT CHG
Ute: /13l3®53.5Dcceipt- no0rawe4030
ITEM CHARGE
2005 38,
Q BU1LD1rkf 1 586.00
179.50
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
20.00 X 1.0000 LIGHTING FIXTURES /1ST 20 20.00
2.00 X 6500 LIGHTING FIXTURES /OVER 20 1.30
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
PLUMBING PERMITS
QTY UNIT CHG
Ute: /13l3®53.5Dcceipt- no0rawe4030
ITEM CHARGE
2005 38,
Q BU1LD1rkf 1 586.00
179.50
BASE FEE 30.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
9.00 X 8.7500 FIXTURE OR TRAP 78.75
1.00 X 11.0000 WATER HEATER OR VENT 11.00
1.00 X 11.0000 GAS PIPING SYS 1 -4 OUTLET 11.00
2.00 X 8.7500 FLOOR DRAIN 17.50
3.00 X 8.7500 FLOOR SINK 26.25
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
ELECTRICAL PERMIT
PLUMBING PERMITS
CHARGES PAID DUE
C10
305.50 Ute: /13l3®53.5Dcceipt- no0rawe4030
89.30 2005 38,
Q BU1LD1rkf 1 586.00
179.50 O d CFIECK 5 586.00
Total tendered 586.00
CONTINUED ON NEXT PAGE Total payment 586.00
AA Alak
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 Wand initial
r I am Licensed under the provisions of Business and professional Code Section 7000 et seq. and
my license is in full force.
2. l,as owner of the property,or my employees w/wagcs as their sole compensation will do the work
and the structure is not intended or offered for sale.
3. s owner of the property,am exclusively contracting with licensed contractors to construct the
jest.
ave a certificate ofconsent 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 making this certification,
you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
EL01 Temporary Electric Service
PL01 Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO Underground Water Pipe
SSO 1 Rough Septic System
SWO1 On Site Sewer
BP05 Floor Joists
BP06 Floor sheathing
BP07 Roof Framing
BPO8 Roof Sheathing
BP09 shear wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 I Rough Electric Wiring
EL05 Rough Electric / T -Bar
MEO 1 Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 lRoofDrams
BP 10 Framing & Flashing
BP 12 insulation
BP13 Drywall Nailing
BP l 1 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 b ing released by the CityPOO] Pool Steel Rein. /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 Engineering
P009 Final Pool / Spa
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 - .d initiai
1.1 am Licensed under the provisions of Business and professional Code Section 7000 et seq. and
my license is in full force.
2. l,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 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
EL01 Temporary Electric Service
PLO 1 Soil Pipe Underground Z
EL02 Electric Conduit Underground G a
BP01 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO l Underground Water Pipe
SSO1 Rough Septic System
SW O 1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPO8 Roof Sheathing
BP09 Shear Wall & Pre-Lath
PL03 Rough Plumbing Z• [ (
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring 2
ELOS Rough Electric/ T -Bar
MEO 1 Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP 10 Framing & Flashing 7-9 • At
BP 12 Insulation
BP13 Drywall Nailing D
L LQ- D P, BPI l Lathing & Siding
PL99 Final Plumbing 4'
EL99 Final Electrical
ME99 I Final Mechanical 47 Q C
BP99 IFinal Building h - 2," IN
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building b ing released by the CityPOOIPoolSteelRein. / Forms
PO01 Pool Plumbing / Pressure Test
P003 Pre-Giunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing / Gates / Alarms Finance
P005 Pre - Plaster Approval Engineering
P009 lFinal Pool / Spa
N n /%
C of L
PERMIT
PERMIT NO: 05-00002387
JOB ADDRESS . . . . . 29261 CENTRAL AVE
DESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL
FEES: (CONTINUED)
OTHER FEES
PLANNING REVIEW FEE 60.10 60.10
PLAIN RETENTION FEE 7.50 .00
SEISMIC OTHER 4.20 .00
PLAN CHECK FEE 225.38 225.38
TOTAL 871.48 285.48
SPECIAL NOTES & CONDITIONS
TI FOR JUICE IT UP PAD N #5
E: 1/19/06
PAGE 2
00
7.50
4.20
00
City of Lame txs—ifto—re
130 South Main Street
APPLICA ION FOR
BUILDII PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR ' SF
GARAGE _
rSF
T
R
r
A
C
STORAGE SF
DECK & BALCONIES SF
OTHER: SF
NAME LICENSE #
R -
C
VALUATION:
H
FEES
BUILDING PERMIT b-
PLAN CHECK Z7 s'
PLAN aEWIDW D• o Z YB
SEISMIC
PLAN RETENTION
1 certify that I haws read this application arW state that the
above information is correct_ I agree to carrtply with ad city
and county ordinances and-state taws rebating to burg
constriction, and hereby autharme representatives of this
City to enter upon the above - merWoned pnVeity for insp-
tion purposes-
Signature App!' to - gent- Date
Agent for . contractor TI owner
Agents Name
Agents Address
Street City State Zip
APPLICATION NO
j9S- 7, 38-7
APPLICATION RECEIVED
DATE /i Zd - 0- IC-'
J77q v-QZ7— I . A/
BUILDING ADDRESS -
TRACT BL _ At;t L T /PAR EL
Cc7
NAME /
Z
W
N
0
DEC -08 -2005 THU 04;24 PM R I V ('0 FIRE P&E FAX N0. 951 955 4886
REME co
FIRE I)EPARTMEIW
In coqpeTaiari with the
Califomi.t Departnt4t of Fogy and Fire Protection
Fire Protection Planning and Engtnelring Services
4= lemon Street.- d Floor • RlvefWe, Cali(omla e=1 • (909) 955-4M • Fax (908) 955-4MS
Tom T[wels
Fie Chlef
Proudly serving the
unincmpornted
areas of Rivessidle
County and rite
Cities of
Banning
Beaumont
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Calimese
a
Canyon Lake
a.
Caacitclla
d.
Dessm I lot Sprin@s
d
Indian Woos
Indio
Lake Elsinore
S
La Quime
d
Moreno Valley
4'
Paim Desert
8
Perris
e•
Randw Mirage
O
Sun Jacinto
4,
Temecula
hoard of Suprvi. o
Bob mmer. .
DisTrits I
John Tw4glia m
Dieu 2
Tim vmehta
1)Wfi1t d
Rny Wile.n.
I)iaufa i
TOM Muilm
Vkln4 5
W03
DATE, a
SURVEYOR'S OFFICE
1, , SJ BUI PING AND SAFETY
TRACT/PARCEL MAP NUMBER: ` °` • r `
PERMIT NUMBER/LOT #:
A_
ZZ %
n',-
JOB SITE ADDRESS: o / to l f' Y —
FINAL FOR RECORDATION
RE? EASE FOR BUILDING PERMITS
SHFLL FINAL ONLY (NO TENANT)
FINAL FOR OCCUPANCY
FINAL OCCUR TEMP. EXPIRATION DATE
BUILD PLAN CHECK FEES PAID
MITIGATION FEES PAID
MITIGATION FEES NOT PAfD
FEES NOT REQUIRED
IF YOU SHOULD HAVE ANY QUESTIONS, PI.FASF CALL THE RIVERSIDE COUNTY
FIRE DEPARTMENT. PLANNINO SLIC'TION•ATTHE ABOVE NUMBER.
FRANK KAWISAK1. BATTALION CHIEF
RELEASED
P. 01/01
1
City of Lie Elsinore
130 South Main Street
APPL[CATiON q
PERMITAPPLICATIONFORPERMIT AP AAT` ATE /„
Al'S - BY - ,
ELECTRICAL / PLUMBING / MECHANICAL 2t$ c
BUILDING TrS .
I hereby certify that I love read this appliatian Lad sate that the
above i- brmation is correct I agree to Comply with all city and county. TRACT LOCK/PAGE LOT/PARCEL
o dinanoes and state taws rdating to buiid-mg ooastruct:oo, and hadry
auffiorine represeatztLivess of the any eater upon the above-mearioned O NAME^
W 0
N MAI PHO
r E ADDRESS- .f L
t (J R
S ` of or Agee Date
STA P
S, n e 3
I licreby affirm that I am licensed undo the provisions of Chapter 9 (commencing
C wit Sa tiou 7000) of Division 3 of the Business and Pnofessions.Code, and my
eirde one) O license is in cull force and effect.
AGENT FOR- COMNACTOR OWNER N ' LICENSES C[TY BUSINESS
T AND CLASS ( T%
AGENTS NAME R NAME
A
AGENTS_ ADDRESS C MAILING
street c9ty state zip- T ADDRESS
O CITY STATE/LIP PHONE
R
CONTRACTORS SIGNATURE
RILWMCAL- Qtriirt PLUMMING- Quern MECHANICAL.: Quan
N
cw Res. Multi Famtily/ SQ. Fr. Fixiutz or Tip EAU. /Furnace %Duds /'Nettts
ew Res. SiagjcFe n ty/ : Fr: Building Sewer- . ' F.A.U. / Ftunaoe I Km— / > 10000...0
90! fjvxric- a w FT00FFtunace [ Wnt•:.
t ibd= / ISt 20 Privsite• c System Unit Heater / Wall Heater -
witdws / Over 20' R/titer Heater / Vent ristalI / Relocate % Replace Vent
R=eptade Outlet/ I st 20 - Oas Piping Syste,In I - 4 Outlets Ventilating Fan .
c Outlet / over-20 5-or More Outlets Evaporative Cooler
L ighting.Fnttttres/.-[St 20 Ventilating System:
F' xfcs / Oya20 • : S(lla Tank . Exaust Hood
Feted iffioe / Outl¢ Solar Collar pet'Pand Fireplace
idcntW / gtitlei Orzase T ! (It}ttroeptor) Commercial Indnearaioc
100 - 200 Ainp Saivim <600Y ErXSWL Alter or•Repdf System jAk Handler > f0000 CFM•
1000 Amp Service <6005/- LaWn Sprinldei System Air.Handler < 10000 CFM
Misc. AppirVws, Gdnd ts, Etc. - Ba"Owo Device Smaller d.tan 2' Fim.Dampers
BadM ow Device [mgcr than 2'- Registers
Sign Branch Ciradl Floor Drain ' Com ressor / H -3 H:P.: .
Bmways / EA 100 Fr Flow- Sink res" /'Hea4mtnp 3 - 1$ iLP.:.:..: -
Power Service Comprmser / HcaVump. IS.- 36 HP.''
porary Pvwa Disait`btrdm System or R r Drisiri dr Vent - 1 E[ 30 ='SO FiP:
Moteri / Trasfamcm - _ :- ' . Fire S txs Building 1 Alter I Gsc.'HVAC
Mks up to-1 H.P. - Stvimmta Poo! essor / Heatptm>{i Over 50 up.,
Motom / Transformers 1.- 10 H.P. ISwimming Pool'/- Pabtic
Motdd-/ TmnsfQimas 10:- so Hp. vimtningPoo! /Private
Motors / Traits 6cmers 50 -100 KP- Watcr Hester /. Vet
Motom 1 Transformers >:I00 H-P: tape Piping.
Replace Filter
NgGs Repiicd
Gag:Pipog
09
90924559
EVMWD OPERATIONS PAGE 05/06
Valley
October 6, 2005
Mr. Muncer Uddin
The Bergman Co.
Fax: (949) 627 -5425
Water District
Re: Conditional Oil/Grease Interceptor Waiver
Juice It Up - Lake Elsinore Marketplace — N -5
29261 Central Ave.
Lake Elsinore, CA 92532
Dear Mr. Uddin:
SENT VIA FAX
This letter is to serve as confirmation that a Conditional Oil
p
rease Interceptor Waiver has
been approved by Elsinore Valley Municipal Water Di 'ct for the above reference
establishment
Be advised that this waiver is based upon the information
Municipal Water District on the wastewater discharge sur
by you or your representative. If at a later date this informs
your conditional waiver shall become invalid. and you wi
days of written notice to install an interceptor and/or
sufficient size to be acceptable to the Elsinore Valley Muni
Lastly, the above referenced establishment will be
Compliance Review Fee, which will be billed to the al
If you have any questions regarding this matter, please do
6743146 extension 8326.
Sine
Keith Martinez
Pretreatment Program Coordinator
Cc: Riverside County Department of Health Services
City of Lake Elsinore
File
rided to the Elsinore Valley
Lpplication forms submitted
has for any reason changed,
required within ninety (90)
iple monitoring station of
Water District.
a $210.00 Environmental
water /sewer account.
hesitate to call me at (951)
Board of Directors
President
Kristine M. Anderson
Vice President
Phil Williams
Treasurer
W. Ben Wck@
Members
Christine Hyland
Harvey R. Ryan
General Manager
Ronald E. Young
Board Secretary
Terese Quintanar
Legal Counsel
Best Best $ Krieger
951.674.3146 Location: 31315 Chaney Street Mailing: P.O. Box 3000 www,evmwd.com
Fax 951.674.9872 Lake Elsinore, C1 92530