HomeMy WebLinkAbout860 LAKESHORE DR_ (2) m
�.j � " CITY OF LAKE ELSINORE CONSTRUCTIONPERMITI'�rolect kddr�ss __ v.�� r--�s-����� s ����
Applicant:o fill in all spaces ext opt those within heavy border lines and sign all appropriate deciar2tions
Ass "o,;x Porc_sl No.__--_—_-
sv i'+INagi ei __lA/ 4'1 PER NO.,., I TRACT?d0. LOT N0. UNIT NO.
Arldre;s
Prch'" ny- - - License No. _ _- TYPE OF CONSTRUCTION I� NEW I- ADD P._!LTERAYOI leol ? �PE,PAtIR
I) CONVERSION DEMOLISH t OTHER �/„�
Address - _ I(
DESCRIPTION Of WORII'USE OF FLOG____
Contractor's Named t MSCI 4�C}-k--Phone ___ ding. Accessory building:Acdresslmaihng! P.O. 1y1Q�'1C� �,fey� 1 VY TrPEOfPERMIT ; GRADING FO�DAFION t: STRUCTURAL P TENANT C' ELECTRICALS>-✓�LUMBiNG J MEC,HANICAL City License Nn. --- N
LICENSED CONTRACTOR DECLARATION I 1 OTHER I hereby affirm that 1 am licenseo under provisions of Charter 9(commencing PROJECT DESCRIPTION. Sg.Ft _ Occupancy N
with scctinn 7000) o/ Division 3 of the Business and Professions Codc,and Construction type - Zone Acres G
my license is in lull force and effect. Ll �n Valuatwn f- _PCs
Licensee Class_--_- _-��.�" icense _ - -- Ping. Ref. P?rikin ReG
acia
date.5 41-G0_f yt Signature i:� - • y
WORKERS'COMPENSATION DECLARATION Remarks __ - 1 Planning Notes __ — CITY OF L� �S
I heo:oy air um that I have a certificate of consent to seit-insure or a Ce..trficdle - fC:100-3221
ill Worker S' Compensation Insurance, or a certified copy tdereof (Section --- 7*3'17-r
3800, Lab. C.) � � .
Policy No. -- Company --- - -- -- ---
❑ Certified copy Is herehv furnished. _. - ---____ __-- -, �,�- _�._-• —_ -_
n Certified copy is filed w•'h the city Building Division.
Date ----Applicant - ------ -- —• ------.
EXEMPTION FROM OFKLRS'COMPENSATION DECLARATION
(7hRsection need not oe completed if the permit,s for One hundred(S100)or --'- --- --- --- -------- —-
less).
I •-eltily that in the Perfo-,nance of tire'work for which this permit is-SSued,1 p I�
span not employ any per on in any manj*r so to becom^ oiect to the PLUMBING FEES_ ELECTRICAL I FEES _ MECHANICAL FEES ACCT K GRAOINGFEES
Yo•',r:rs' Com , ion vs of CabfornT j ' AItP.r Re air
ate _�-i = 6__ slgnacure .V - �' /i LL `� -L� S Generator O0.5KW 0 5-15KW __- Boiler I Cue cu.yards
NOTICE:If,after makinr this declaration,you should beGomri subject to the Auto Wash _ CO:1Stcuction Pele Sab. _ Duct Under Ground
Workers' Conipensahrn provisinnt of the Labor Cr.de, you must forthwith — ''3-� - - fill- CV.yards
C„rriply with %urn provisions or ,his permit shall be deemed revoked. Backf low Freventer 11,00KIf1J]! Ufllt _ LDUCt•SUuctural
CONSTRUCTION LENDING AGENCY I. 340I PlanCheckfee$ -
I I creby affirm that them is a constrttCtinn lending agency for the uerformdnce - Ba CkfIOW Irrigation -�- 1 POIe�I- fig t I Fan •Ventilating of the work for whlcn this permit is issued (Section 30n7 Civ, C.3 ClaflliefS Dr ersOGas ❑EleCirlt - Exhau System .-__-4-- .f2Z5 Permit Fee j
Lenr'er's Name _-___--_- --_------.-__ —�_ --. - - -
Len.]er's Address _ ____. ____. _-_____.___. . _ Dishwasher _- - Fan _ Eva rlrative Cooier Total Fees s -
OWNER BUILDER UECLARATION Fixture TES ea. F.A.U.- i Heating System& Ducting
I herchy affrm '.hat I am exempt from the Cri�tractnr's License LaN for the _Floor Drains Fixt_tlres CO.100,00.0 BTU 0100000 BTU__""ri%vinq reason (Section 7031.5 Business and l rofr_ssionai Cod:: Any city or __ _J-
cnunt, which requires a permit to construct,alter,i^, rn:C,d^m.,I.Sh .,r repair Floor Sinks 1 — Summary of Permit Fees
p - i
_ Outlets _ _ _
any structure, poor to its iSS lantc,aisn rrtquuoS the dp ChCdnt 14r ;uCh permit _ — _ 1] - Hood Or 1.a f10pV
to file a signed Sli..lement that he/she Is licensed pursuant to trip..crcv,cans of Gas Service Outlets i Switches — - I �'�pp r-� rip �
the Conlraclnr'S LlCenie Law (Chapter 9(commencing Nith Se"t,o: 79.-0)of - --_ _ _ _.— _ -ItJ"` 1 L, __1yo II l�—_ .. 3220 Budding j
D� ,.-o 3 of the Busrncrs and Professions Code) or trial helsnrl is exempt Interce tors Met i i
therefrom and the hasts for the alleged exemUlinn. Any vi.,laono of SQCtion p _e ( 1 U�tO 200 arflpS I Refrigeration System
7031.5 flyan applicant for a pern,n sub ect% the a - P•Tra 111 __ _ Meter U over 200 amps 3221 Plumbing j
y Hp j applicant !o a civil _ 1 ❑0.100 000 BTU ❑1OQ000 BTU
penalty of not more than five hundred dollars($500). - - -- -}--�- - - -- 3222 Electrical j
I, as owner ,j, the p,Operi or m employees with wages as thCir sole Roof Grains Sub panel _ File I/fact.Bit ICBO # _ _ ---
v v v 9 - - ------- -�---••�---- 3213 M�chanjcal
compensation, will do the work,and the st,pcture Is not intended or offered Trailer Sewer Fi 15.5GKW t- System RC air/A!teration —
for safe (Section 7044, Business and Professionat Code: The Contractor's Transformer -j- - ---P--�.-------------License law does not apply to an owner r,l.,property who builds or improves Sewer Cap _ [j 50+KW --� Fire Dampers 3224 Retention j
t 6ercu n, and whU dnCS surh work huff Sell/herSClf or though his or •,er ow9 -- -- - ------ --�_
enIployees,provided that such imh+ovements are rue: .ritcnCed of offered for Sewer Connection- Bldg. Motors(-I 0.1 HP❑1%-8 Registers 2301 SMIP Res f _.-
sale. if, however, the budding or improvement ,s Sold w,thir,one year of com• - -- -- --'--- --`--- -- 2301 SMIPfnm.
pletion,lne owner will nave the burden of proving he,She did not build or im• $filar COIIP.CtOrS Inc. Solar 09.15 HP 0 i6.15+ Inrfreratnr _ I j
prOVb for thU purpose OI Shce). '- -- .- .� _ _ .. ---�. "--"- - -----------' --- r
: , 1,as owner of the p,npeity,an, exclusively contracting wi!h licensed coil- - Solar Piping- -- Sing/Pant. Res. - __ Mis_.__--�-_- __ 3225 Other f _ _.._.._._.-
i iractors In cowlruct the project (Secllon /O,s4,Business and Professions Code; Solar Tank - Multi•Faln. Rees` _ _ Semma of Plan Cheei(Fees
The Contractor's License Law does no! apply to in nwne• of properly who a _- _ -_._ ---_- ____-. ry
builds or onri-ves thereon,and who Contracts for Such projeCIS with a eon- $Wlmm)n Pg01/$ 8 $wirn.Tin PODI/$ a 3401 Building
IraCtor(s) license pursuant to the Conlra Ct Or'S L:cenSe Law). 1 am aware that -' "'" --' --"' --'— ^_--� --� - - --..-_.._ ___..___..-....... g j -- ----•--•_---
proof of their Vtnrker's Cninpensalion insurance sr-nuin he cl-v,ded I-, me. _ Water Heater .�— -_- I 1]sue Plumbing I
I I am exempt under Section _.. . .-._-.-_---__- 8.6 P.C.fnr this reason Water Service j _ ---- -
-- - Ele;tncal
Date _ _ Uwnor - - - -- SOQIIC� StY em ___._ —_ Mechanical j ---
I noreby certify that I have read this application .Intl state that the above rjr�jSC -..— DEVE�MENTSERVICESREQUIREMENTS: 3403 Other j
infornlallon is correct. I agree in r n.o ,ply with ail city and county nfimanceS F.orl)n{Apprcwd6T..._. ....._.-.-_ ___....-..___ __--_-�-_Dole ------__._.--.
and slate laws totaling to building construction,and hereby authorize topic- 34)2_ Planning $sentalives it( 11117) eft to Snler ripo the anove•men!ioned properly for -" Building ApprtiedBy ._ ��!• Drle ---- ---
inspsi:hnr.p Iry`f s, 7 )'/ FM -- -_ aatfonIssuedB - -- --_- _._-_----Date ..S- /.. .
.naluro f!�-'! C <. _ _') q .�=I3=.L11 / Issue------ s _ljS� �P J - _ _--
Drivers' L[conso of SS =--L-!! __ Y Teu)Fees Dues t w_-
Whhte Building.Canary Temp,r:ry File Copy:Pmk•Assesssof.Goldenrod-Applicant
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CITY OF LAKE ELSINORE CONSTRUCTION F{RRAIT !�
those within heavy boldar lines and sign all appropriate declarations""07 - f
LOT N0. UNIT NO-
TRACT NO.
1` 1„ant to litl in ail spaces except wool
APF I
Proiect Address _ PERMIT k. NEPA:4
Assessor'sPorcelNo-
AIEERATION A.P. # Ac[¢ssory LUt dt,!g
j fPE OF WltSTRUtt�M NEW _ ,-_-- - -
(?vner's l DEMOLISH TIER 1 M+in Scalding __ rt
E
Addr(ss __UrenseNo. -�- vit04Or'hoRY'USEOESLOG_ -- T Front
Arch Enq. --- �T4 �l` - fOUNDAIION SiRI1CR1RAl A Rear �- _
_Prone--- r PEOF ERdIR GRADING MECHANICAL r �T - ��R
Address --� �}rs-y�h/��'__ � 4 PEUMBING C Right E
'V l Z�"i _ (rC, _�3` -- TEhA'i! EE"tCTP.It AI J� --___��__ !'.��---
Contractor z Na {�, _ _- Left !Provided p
C� S✓Q -�- -- OSsEa --- Occua,� S .Parking Re4
Andress ,lirig)
--' - ft .— Y _ iV
ltna ___ D;c,RIPS10fi SG
No. ?E�IEC ---- z;e _ Ping.Ref.
Crq L•Cense CONTRACTOR OECLARaT10N r na•te:9(com'�'no^S ` s0.ct:ao -.,- -- 5
CONTRA ro„�5•.,ns of od,.,ano _ PCa _ Punning Notes_ _
LICENSED „�s•censed,.r•nc•J p,otess,ons C
n,raby alarm Sant I a 3 of the tsusmess a,:d s:_a'.rS---
w,tn ardton 70001 dt DivistOr' ��0 _
a td effect. � •�---�-
mY„crrrae Is to fu Lrcense Nn Remarks-
licenta Class --._-_-----_ •-- - �-`-~
91.11 We
Date ___-i RATION --
WORKCN�COatpENSATION 3ECL thereof (Section _,•,�_ _ -
alUrm that 1 have a:C,ttl,cate of conse-t"s,.,t COPY a or d certil,cate - �-
I nerenv Insurance, or a certrl,ed coat
1�--
rt.ers' Gompensatlon /\!�-r��-- - _� •_�---�^
of w o 7 �-�---
U00. Ldb-A $b J�1(�_ Company _
policy Nu. a-y `k ---._---- ��---- FEES
I nerebY Iurn,t i 9 r ---- AOCLtt GRIII]1NGFEES Co yzra
Cer},I,ed copy �Cd w:th the c,ty � � -- ---- - MECHANIC
Anohcan r_ --- _ FEES _-- - Cut _ ---------co yares
1L ttPENSATION 1) ..RATION`(Slo0?51 ELECTRICAL
GatC FROM. CO tilt Pc,r,nt-t(,.• nnc G FEES __ _� - Fee 5.15KW, I Boiler Gto
EXEM--PTION FRO be r_omp.ele"• ,sau,:•I, �"�pL1;ItitBiN_-_•-- Generator CO-5__- W-C---j"-' Duct•Under - ( e ---...
r,
3 and
{T rat RCUon need no, :.n,cn th,5 Per r,•t, :� :he r Fee -----.—' `._
nail`_;r;nr r:or :r, bccomC sublCct 336033iD PlanCfo a eS
•t cut,1Y that in the Farr ,toil ,n •nY n.a•nrr"so, as firer, Re?air_, - , Construction Page Sib:--.-- --- 1 DUC Ural ---
n ---;----- 3300.33l2 PPrr^t E S
sna,, not cmt''ov a Y " ns nt Ca;dr rn,a- _ - -..t r,,Jt0%vast - - COUkin I:Mt ------ f ' fan -v2RLIlutin
I.cis' Contpensat'on t 7• _-, _ rct lu _ _- _ 1o;z1 fre5 S
Wr.r 5,gnat'IC -r•, ;I.r_,,d ne`ou�15t,ID'ect V.itn _ _-+-
pate .--- - -r;the dcc,ard:,on,v' _-B_ackftcsy Prevanirr __� --_ '-Pole Light�__--- - - Exhaust Ste`Sie�- -,
a}!Or mas, 9 .,{ !ne Loh. r [•- =c• reamed r=v'-}cr' -- - EIBCtrlC _ - -
NoTICE:If. ruv�s,ons ,ni,t snail be BackflJW!r! U011 __j __ - Permit F is
-,I.CIS, COTPMsat, rn pS'or, Cr this VC -- — m r 1
�, Dryers�f_asp--- Eva orative C_voter 4 -"
�,r„nay rr,tr. wch D LENDING AGENC`I the pe:rorn a .t --�;"atifizrs _. -- - Fan ___------ Heating System -_-_- ,�0351
` &Ducting
LEND "nno"I ayrnc'* ) ••rv. C'.f _{ TU C100 0-0 B + at 0
t 7U.,� :4•� � '2 Sum
COIISTRUC:ION thC,�,t a:+)9s;ruc:,r^ - rid ir'-ct'rn 3U9 nWJsltP.f - J - --
D work rm';car n,s perm,: is ass, - �-.- [;, _ - t F-A_U_,_`-1 -_�__._._.. :J13-iC0 000 a C _ -
1 r:•r• Y v.h,ctl t. __ -_ - ----
C ----- - Future Traps ea- t Canopy ` g,a�mq S
Name __--•-----_�_ _ - � - Y Flxlutet �Hood o �l
Lcntier•5 - _ - t - •'_-. '- y 1 [I �ype Imo- _._>
•s pddreiS -- .'c Flvrr Drains,_- --{ Outlets 7 71„mb,n�. S -
LCndcr ECLAR ATrON ,ntrec s L,C,tr t.,•,. c :'r •'• - _ 11 - -- ___ _K�- _d
OWNER BUILDER U r:n, :f"' Pr h.5. -net C"dr. Floor SIOkS_ RefrlQ2rat10n System Etc :nr 1 $ -
Irrm;hat t am 7031,clE3us,•es•,.:r•� de,,r,ut• ..r re.^•a- _ _ �SWltches BTU 1000yBTU -
, herenY a Lon 7031.5 s,ruc!,alia•rI i,.,P*n+C• r,r u,U�P•'-"�"; re DUIIets3_-��-�_ - - r 1n 200 3mt 000 s C 1 $ -
nN,n9 Seaton (mac rm�t to ctn rc;:u�rct tilt aPPl:av,t' Gas SeNI-- I Mete. U0 = td _.
tut: a,s., !nc on,v,t, •ns o - �0 100�- M rn -
_ 11
,1'. wh3Ch reawres at ss.:,n. [ t u•I's'.wn; t' n 100J, •• 1�-- - Of!arcp__— - _
tour re.prior to , I,ccr�••" ; t sect,: Interceptors _-- i `Mete! ,-.-(Ywe
� FirppllF3Ct.Bit.IC50
any struO ul ed statement Ina: naisac s (c.)n,m•-nc;n7 v,: ,;xe not _ - - -_--- _ _ tllhrr .._ -
t rate a s cen;c Lav:lC•naater 9 ur tnet nc;sttC is P Trap --- rel_ --•- 5
Sub a _ System�Re aP rlAlteration
the ContrrCtdr'S L Fr.,SCsaortS C�dC^ Any v�')�dt,nn bn aCU;it ._...-- - _ ._ p.� �� �_�.�ni the Bus,:,ess anC C 15.50KW efS lib-231 ':!,Sir h, S
p,v,S,pt. 3 he bats for tht• a;ICgcd d�Cr,rDUn. Roof Drains_,. -- - Fife D'dmp
anUa"S f ,nr a pertn,t tnn;rcts the ap Plica,'•t t 1
tneretru n and l <•not. -- - - Transf0tmer r• 50+'KW---- - Sy,P nm
7031.5 by any :'.c:r s•::e __ --- - - ilDT32 tPlaucheck hts
:11 not mGtP than 1rvC nun Cr ed r7.•llars(.) r,)•tt Cd Tfa1ICf Se Jaet R- egisters_-r
_ _
penalty 7t ihC PI"pClly ,', rr,y C:1,.1,1Y'r`t•t VJ'ih a�1C,Ct (',intraCt r.'': _ -- --- - r Q.1 HP;]1'h-8 -
ano tilt itn, urc ,t nil, ,nleflu Sevn'.r Cap T f Motors'- Incinerator - 2360.33i0 Summzryo
.IS OyI"Cr anC f,..�i },r t,ld tS,Jnd1 (.;�1,nl"IdS Ur imPrn.t; _ - 1 -...---•-��•_��-
CnntJk,salron, w,1170a4, ['•,pnCss and nr_tty h:; r, •,C. r.n '.• SCStter Cnt:nPetlon•Bldg. ----- 5 HP I-J16.15+ __.---- •_'_T---- -
tor sale ISect�on n ;.Vat, c t a Pau r •r.;• .. __- .� IncI SOIar C•,' —�-- E�,iSt_-� - -,� $ .
n1 dPVi! Sn J r. }n n,SClf I"Nse, r„ ti„r-,•�') .'Ir r - -• U
,vc doCS n nil• ,ntcnrl IletlOrs - - --- IFam-F'ieS. Pit u,a
L,CN•SC t. ..,hn <I JCS ,ur-!, rc^ nr.IvCn, r ,t avC Ii.,n p•q. vea - - -- U _
a d Snfar Ca _ - -t Sinn I e
nu,Co, :.)a: su r mr no: b,niq•r aril• _--- - I mbin� S
i v,
r,mV•uyccs,Prnv,dcd "r,rrnr uvu ne.,t•s s It ^C d'' Sniar P11)In(I ___ _, (',1u1ti:Fdf't i1¢S• _
he b,,,iC,r i } pMy," _•�-"_'------__---
$arC. t}.tjuwevcr.t ;nU CurdCr ) -.,^ - -_- -�- - Electrical
et.on,tnc "wile, wan na,•c). t tc ing .v-:' c`'ns'" Sblar Tank __ .L S ooI%S a ISSUe Etl'trl 1 t
P tilt U,e Pl Inosd i.,:rsr Y n Fr„1r•sr,. ns 1, e --,-1 ._-f- t d11r. -- •-
prove r an-. r_xc ! - -
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