HomeMy WebLinkAboutGRAHAM AVE 5060 jTY OF
LADE LSMOPQE
DREAM EXTREME,.
PERMIT
BUILDING & SAFETY (
130 South Main Street
PERMIT NO: 11-00000908 DATE: 2/22/12
JOB ADDRESS . . . . . 506 W GRAHAM AVE
DESCRIPTION OF WORK CELLULAR ANTENNA
OWNER CONTRACTOR
BULEN & BLACKMORE SOLEX CONTRACTING
951-308-1706
LIC EXP 0/00/00
A.P.# . . . . . . 374-251-014 1 SQUARE FOOTAGE 0
OCCUPANCY . . . . GARAGE SQ FT 0
CONSTRUCTION . . . FIRE SPRNKLR
VALUATION . . . . 40,000 ZONE . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 352.00
15.00 X 9.0000 VALUATION 135.00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 1.0000 SWITCHES / 1ST 20 1.00
X 1.0000 LIGHTING FIXTURES/1ST 20.
1.00 X 4.2500 RES. FIXED APPL.OR OUTLET 4.25
1.00 X 27.2500 100-200AMP SERVICE<600VLT 27.25
1.00 X 16.2500 MISC. WHERE NO OTHER FEE 16.25
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
2.00 X 13.2500 FAU/FURNACE/DUCTS/VENTS 26.50
2.00 X 24.2500 COMPRESS/HEATPUMP 3-15 HP 48.50
PLUMBING PERMITS
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 4.2500 INSTALL/ALTER OR REPAIR 4.25
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 487.00 487.00 00
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 read and initial _
I. 1 am Licensed under the provisions of Business and professional Code Section 7000 et VFq. and
my license is in full force.
2. Las 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. f as owner of the property,am 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 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
PLO Soil Pipe Underground
EL02 Electric Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 JSIabGrade
PLOT I Underground Water Pipe
SSOI IRough Septic System
On Site Sewer
Floor Joists
Floor SheathingrRoofFraming
Roof Sheathing
Shear Wall & Pre -Lath
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 Drains
BPI O Framing &Flashing
BP12 Insulation
BP13 Drywall Nailing
BPI I 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 being released by the CityPOOIPoolSteelRein. / 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
A
CITY OF
LADE Cj)q) LSIri0RE
DREAM EXTREt%4E,.
PERMIT NO: 11-00000908
BUILDING & SAFETY
PERMIT
JOB ADDRESS . . . . . 506 W GRAHAM AVE
DESCRIPTION OF WORK . CELLULAR ANTENNA
130 South Main Street
DATE: 2/22/12
PAGE 2
ELECTRICAL PERMIT 78.75 78.75 00
MECHANICAL PERMIT 105.00 105.00 00
PLUMBING PERMITS 34.25 34.25 00
OTHER FEES
PLANNING REVIEW FEE 97.40 97.40 00
PLAN RETENTION FEE 20.50 20.50 00
PLAN CHECK FEES 365.25 365.25 00
TOTAL 1188.15 1188.15 00
SPECIAL NOTES & CONDITIONS
METRO PCS INSTALL OF 4 EQUIP CABINETS
W/IN EQUIPMENT ROOM ON 2ND FLOOR OF
EXISTING BUILDING INSTALL OF 6 PANEL
ANTENNAS TO BE CONCEALED WITHIN
PROPOSED SCREEN BOXES. ELEC SUB PANEL,
2 HVAC
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 Iespective 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'eq'and
my license is in full force.
2. Las 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,= 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. 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
ELO1 Temporary Electric Service
PLO I Soil Pipe Underground
EL02 Electric Conduit Underground
BP01 Footings
BP02 Steel Reinforcement
BP03 I Grout
BP04 Slab Grade
PLOT Underground Water Pipe
SS01 Rough Septic System
S W 01 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BP08 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric / T-Bar
ME01 I Rough Mechanical
ME02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP IO Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BPI I 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 being released by the CityP001PoolSteelRein. / Forms
POO1 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 I Final Pool / Spa
CITY OF
LADE LSIIYOI.E
DREAM EXTP-EME,.
BUILDING & SAFETY ffl
PERMIT
130 South Main Street
PERMIT NO: 11-00000908 DATE: 2/22/12
JOB ADDRESS . . . . . 506 W GRAHAM AVE
DESCRIPTION OF WORK CELLULAR ANTENNA
OWNER CONTRACTOR
BULEN & BLACKMORE WESTERN TEL COM DEVELPMENT,INC
951-304-1002
LIC EXP 0/00/00
A.P.# . . . . . . 374-251-014 1 SQUARE FOOTAGE 0
OCCUPANCY . . . . GARAGE SQ FT 0
CONSTRUCTION . . . FIRE SPRNKLR
VALUATION . . . . 40,000 ZONE . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 352.00
15.00 X 9.0000 VALUATION 135.00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 1.0000 SWITCHES / 1ST 20 1.00
X 1.0000 LIGHTING FIXTURES/1ST 20
1.00 X 4.2500 RES. FIXED APPL.OR OUTLET 4.25
1.00 X 27.2500 100-200AMP SERVICE<600VLT 27.25
1.00 X 16.2500 MISC. WHERE NO OTHER FEE 16.25
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
2.00 X 13.2500 FAU/FURNACE/DUCTS/VENTS 26.50
2.00 X 24.2500 COMPRESS/HEATPUMP 3-15 HP 48.50
PLUMBING PERMITS
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 4.2500 INSTALL/ALTER OR REPAIR 4.25
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 487.00 .00 487.00
Tom'IF Draer'ICONTINUEDONNEXTPAGE ***W:[
Date: 2/u.712 j? Remipt no: 3W
201I 90B
Br BA.DIhS FER4 I VZOD
Tr dita:"` "2/T2J12 S r Time: ID:27:15
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. Las 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. Las owner of the proper y,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. 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
ELOI Temporary Electric Service
PLOT Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcement
BP03 lGrout
BP04 Slab Grade
PLOT Underground Water Pipe
SSOl Rough Septic System
SWO1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPO8 Roof Sheathing
BP09 Shear Wall & Pre -Lath
Rough Plumbing
Rough Electric Conduit
Rough Electric WiringrRoughElectric/ T-Bar
Rough Mechanical
Ducts, Ventilating
Rough Gas Pipe / Test
PL02 Roof Drains
BPIO Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BPI I Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 I Final Mechanical
BP99 IFinal Building
Code I Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building being released by the CityP001PoolSteelRein. / Forms
P001 Pool Plumbing / Pressure Test
P003 Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric
Sub List Approval rFmanceP004PoolFencing / Gates / Alarms
P005 Pre -Plaster Approval
P009 Final Pool / Spa
CITY OF
LADE LSIIYOI.E BUILDING & SAFETY
DREAM EXTREl\4E1.
130 South Main Street
PERMIT
PERMIT NO: 11-00000908
JOB ADDRESS . . . . .
DESCRIPTION OF WORK .
ELECTRICAL PERMIT
MECHANICAL PERMIT
PLUMBING PERMITS
OTHER FEES
506 W GRAHAM AVE
CELLULAR ANTENNA
78.75
105.00
34.25
DATE: 2/22/12
PAGE 2
00 78.75
00 105.00
00 34.25
PLANNING REVIEW FEE 97.40 97.40 .00
PLAN RETENTION FEE 20.50 .00 20.50
PLAN CHECK FEES 365.25 365.25 .00
TOTAL 1188.15 462.65 725.50
SPECIAL NOTES & CONDITIONS
METRO PCS INSTALL OF 4 EQUIP CABINETS
W/IN EQUIPMENT ROOM ON 2ND FLOOR OF
EXISTING BUILDING INSTALL OF 6 PANEL
ANTENNAS TO BE CONCEALED WITHIN
PROPOSED SCREEN BOXES. ELEC SUB PANEL,
2 HVAC
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
A, / 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. l,as owner of the property,am exclusively contracting with licensed contractors to construct the
project.
t,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
ELO1 Temporary Electric Service
PLO Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO Underground Water Pipe
SSO1 Rough Septic System
SWO1 On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPOS lRoof Sheathing
BP09 I Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric / T-Bar
MEOI Rough Mechanical
ME02 Ducts, Ventilating
PL04 I Rough Gas Pipe / Test
PL02 Roof Drains
ppL .Y 1,, y, 7 — 1 Z
BP I O Framing & Flashing
BP12 Insulation N4rN Iw 6,
BP13 Drywall Nailing gi IZ-
BPl1 Lathing & Siding Lo fOz'r 6rts' r1f
PL99 Final Plumbing
J
EL99 I Final Electrical 2
ME99 Final Mechanical
BP99 I Final Building
Code Pool & Spa Approvals Date inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building being released by the CityPOOIPoolSteelRein. / Forms
POO I 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 I Pre -Plaster Approval Engineering
P009 IFinal Pool / Spa
TY OF r-
LAIU LSIAORI E
DREAM L)CTREME rm
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER: SF
VALUATION:
FEES
BUILDING
PERMIT"
PLAN CHECK
PLAN REVIEW
SEISMIC \ ,
PLAN RETENTION
I certify that I have read this applicationand state that the above
information is correct. I agree to comply with all city and
county ordinances and state laws relating to building construction,
and hereby authorize representatives of this city
to enter upon the above - mentioned property for insp- tion
purposes. xoq
Sture
of Applicant or Agent Date natureCea
R. X. -
rJie.l,.- Agent
for contractor ® owner Agents
Name Kim Nicolson Agents
Address 2903-H Saturn Street CA
92821 LA5646A
130
South Main Street APPLICATION
NO. APPLICA
N f} CEI D / DATE
AP#
374-
251-014 BY
BUILDING
ADDRESS 506
West Graham Ave. TRACT
BLOGK/PAGE LOT/PARCEL O
NAME
Bullen &
Blackmore W
N
MAILING
PHONE
O
N
I
hereby affirm that I am licensed under provisions of chapter 9 (commencin with
section 7000) of division 3 of the business and professions code,and my
license is in full force and effect. LICENSE#
CITY BUSINESS AND
CLASS TBD TAX# T
R
NAME
A
C
MAILING
ADDRESS
T
0
CITY
STATE/ZIP PHONE R
CONTRACTOR'S SIGNATURE UMIE A
NAME
LICENSE # Derra
Design R
C
MAILING
ADDRESS
250 El Camino Real, Ste. 216 H
CITY STATE/ZIP PHONE Tustin,
CA 92780 NEW
OCC GRP. / CONST. DIVISION:
B-2 TYPE: V C] ADDITION ALTERATION
NUMBER OF NUMBER OF STORIES:
0 BEDROOMS: OTHERSINGLE
FAMILY ZONE: C2
General Commercial APARTMENTS0
CONDOMINIUMES HAZARD YES JAREA?
TOWNHOMESKI
COMMERCIAL SPRINKLERS YES REQUIRED?
INDUSTRIALREPAIR
PROPOSED USE OF BLDG: Wireless facility PRESENT
USE OF BLDG: Professional Offices DEMOLISHJOB
DESCRIPTION Installation of (4) equipment cabinets w/in equipment
room on 2nd floor of existing building. Installation of 6
panel antennas to be concealed within proposed screen boxes. Date: `
1 TDtW
iiowk-ed- $%Z65 r
1T
CITY OF•'i
LADE 9 LSIf10RE
130 South Main Street
i APPLICAHON H
APPLICATION FOR PERMIT APPLICATION DATE.
AP% BY,
ELECTRICAL / PLUMBING / MECHANICAL
BUILDING ADD SS
I hereby certify that 1 have read this application and state that the J
above information is correct, I agree to comply with all city and county 'IRAC'I L CK/PAGE I.OT/PARCEL
ordinances and state laws relating to building construction, and hereby
authorize representatives of this city to enter upon Ore above -mentioned 0 NAME
property for inspection purposes. W
N MAILING PHONE
J
2 E ADDRESS
1 I R CITY STAI E/ZIP
S ignature of Applicant or Agent tale
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
C with Section 7000) of Division 3 of the Business and Professions Code, and m_v
le one) O license is in full fort and effect.
AGENT FOR'. CONTRAC OWNER N LICENSE p sf
force
CITY BUSINESS
T AND CLASS CAsAGGN'I'S NAMI--PA; f l a. R NAME '-
AGENTS ADDRESS Jk. C MAILINGYIP/1 -
A
street city state 'up Y T ADDRESS 411 , CA
xa O city STA./ZIP PHONE R
014kry, qsL7' -t O NTR T
RE ELECTRICAL Quan
PLUMBING Qum MECHANICAL Quan New Res.
Multi Family / SQ. FT. Fixture or 1'mp F.A.U. / Furnace / Ducts / Vents New Res.
Single Family / SQ. FT. Building Sewer F.A.U. / Furnace / Misc. / > 100000 Pool Electric
System, Private Rain Water System per Drain Floor Furnace / Vent Switches / Ist
20 Private Septic System Unit Beater / Wall Heater Switches / Over
20 Water Heater / Vent Install / Relocate / Replace Vent Receptacle Outlet /
Ist 20 Gas Piping System I - 4 Outlets Ventilating Fan Receptacle Outlet /
Over 20 Gas Piping 5 or More Outlets Evaporative Cooler Lighting Fixtures /
Ist 20 Dishwasher Ventilating System Lighting Fixtures /
Over 20 Solar Tank Exaust Hood Residential Fixed
Appliance / Outlet Solar Collector per Panel Fireplace Non -Residential
Appliance / Outlet Grease Trap / (Interceptor) Commercial Incinerator 100 - 200
Amp Service <600V Install, Alter or Repair System Air Handler> 10000 CFM 200 - 1000
Amp Servicc < 600V Lawn Sprinkler System Air Handler < 10000 CFM Misc. Apparatus,
Conduits, Etc. Backtlow Device Smaller than 2" Fire Dampers Signs Backtlow
Device Larger than 2" Registers Sign Branch
Circuit Floor Drain Compressor / Heatpump - 3 If P. Busways / EA
100 FF Floor Sink Compressor / Heatpump 3 - 15 1.1 P. Temporary Power
Service Water Service Compressor / Heatpump 15 - Temporary Power
Distribution System Alter or Repair Drain or Vent Compressor/ Heatpump 30 - 5011.1`. Motors / Transformers
Fire Sprinklers per Building Repair / Alter Misc. HVAC Motors up
to I H.P. Swimming Pool Compressor / Heatpump Over 50 H.P. Motors / Transformers
I - 10 H.P. Swimming Pool / Public Motors / Transformers
10 - 50 H.P. Swimming Pool / Private Motors / Transformers
50 - 100 H.P. Water Heater / Vent Motors / Transformers >
100 H.P. Replace Piping Replace Filter
Misc. Replace
Gas Piping
r%