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HomeMy WebLinkAbout32900 RIVERSIDE DR_ (10)32900 RIVERSIDE DR. 1 2/ -, roiect Address Assessor's Parcel Owner's Name Address _-32C1V'V LL/.L•s:'f_.Q _lL_ f'r /-- Arch;Eng. _ - -- — License +Vo. _ Address - - -- Con[rac'oc's Nsmet A ' hq e W T g 2 y City t ef•tsse No. ILICENSED CONTRACTOR DECLARATION 1 hereby a1117m Ina: t am licensed under prnv,s•Ons O' Cnarter 9 (comme,7c,nqWith, sect; -an 70001 of Divsron 3 of the B,Isines: JnC MOresirons Code, andmyI,case fs in 1 II force and 2flect. Date? WOr K.ERS• COMPENSATION OCCLARAT16JY I herby atlarrl that I have a CertrLC,te Of Cot:Senl IO St l!- r r.iur! Or a Cerii}, ca!CofWnrt:ers• ComPGrsat.an Insuraf :ce, or a crrt:rrea cOPY trereOr (Sectitln3600. Lab. C. Poi•cy Nr,. [7 %.3.s Company4_, t. tied copy is tvreby furnished. e.Titled copy IS filed with t"bty Builtlray 0:vlVon. EXEMPTION FROM WORKFhS' COMPENSATIO!•t DECLARATIONThtSzlCtIODneednotbeCOmletetlrtlets). :ha perrrht Is for one hundrlA (3.100) QO} or 1 certiry that in the Performance Of the .work 1.r wh.cn ;n.s pe7fr.r: IS rS ;Lec, Ihailn.t crnpIpy .ry person in any rnamur So as to becon° su brect to thtWOeMs• Compensation Laws of Calif Ornia. Date — — sgnsture ___ _ NOTICE- If after coal• :rn9 lt•,s decra-allun, ynU shnJld CECO:re sub;ra to in! Workers• ie.t, pecsatlnn prOvlS10,1s Of Rte Labor Code, y3„ nlurt rat, nv.rtMeComplywishSUir! r- •r•v -s'cos or th,S Oc';T,;f shelf be deemed rCVOCONSTRUCS'ION LENCING AGENCY ke I flerecy affirm that mire is a • „n:vu•alort lennnlq rsger,cv 'n• lrfthewrir'r for which th,S C oerf Orm ;'C! perrn'.t is KSUa ! a'n 3037 O'mLemler•. Name C.) Leader': Add,es: ---- OWNER BUILDER DECLARATION Ji t herclsy affirm, that 1 am exempt rr „ -,1 ere C °ntracta•'S L•ce,.so Lav, for thefolln'%ml, reason f5!-Chor, 7p.S1.S euSlne:s and rhofeszr na! CUJe: Any trtr orcountywr,ich rCti uses a permit to cOn ;trust, alter, imc•ove, Jenlubsr` Or rePa,rar.Y sF+uirure, 0n0! to its is :uacce, cats,, rrGurrCf ilia cap•. ^!Cari .Or such Dermrtto !ne a ugnctl s:atemcnt it hC!stre Is hr -cn:ed Omsuan: !7 the nrnv,frncs oftheCnrrtrattnr't Llcenie tits 'Chapter 3 (commencing :•,rn 5l Ct.Orl ; ; sic O1tncBusinessair' P'uress :ins royC) or that nCisf-C Is exempttnerefrunr ,.ntl th0 bas,, !or the alletred PC— n. Any s.r,Iat,On Of Sgtt -,on7031.5 by any JppllCant for a perm.: • ,h,er.ts tile :lpolicant to a civilrienatty61notmoretnar. Iwc honored tlDtlarS (SSf01. 1. I, a: owns' of ins Druacrty or my empinyc•a .v.:r. v,agcs as their ruleC :`mptnSatlOn, w.:1 do the worl,, .Ind the struclurt ,S ^O: ir:tcndetl nr nlfereChyrsatei5ectron7014bus.nes: and ProfesiiClnal Cr,de: The Contractor'st.I can :-F Law Juei nn± Apply to an owner r.f a property r.ho burluS Or :mprr,sasncrecrt, ar.0 who ryes suCh wnr: hl,nra :frncrfClt nr through his nr nr.r Own1emP1OyC/ o ever. Ctl that S :Ch rm prrrvemew,. are nut mter,reh or ifferej f0: sate. If, however, :ne builmm Or Imprul ,3m :nt Is, s,:Id w.tnrn ur,e Year of com. Diction, the ownr• wei have Ih.: burCCO of nrovrn9 ne /sh,7 did not bums or Im• prove, rot the ourrr•sa of S.dr). r-. t, as oa.ner c! the Or'Pcrty, am exclusively •nn•ractirq ,,!n hcerrrd con. - fraclorS to .nnst+I.c• the Oro; ^Ct (Slralr,n 7344 Bi ;s.nets cane Prr-fessit,, he Ctln :rat(nr S L,CCni -! L•Iw does nut d Ui Coal) buiWS nr im rr,ves the' P Y to a'1 c. yr nor of prOp'.rty w1ro4COQ , and wn0 r,nlra Cls e,ir SL4rh projec's s71 :h ., eon• I,arta(s) hcersf Pu'swnt In the Contractor's License Law). I am,,v;ar foalpro.,f nl,melt aor..cr's ClmndnUMIOn ni ,ance st.Ojtd ne prosi•SeC: Co. me, 1 ?n• exempt troller Sectu :n ,- P. C. for this reas•.:,, l nrreby rerllfy that I ha.e ",10 lhrs app ;aatI0A a.l :l "Uto that Me above — m!u,r'n.l!ron ,s 6—cet. 1 a9rce In rnmpiy, with 41; , rty and cf)unty nrolnar.cesanndaft, ta.vs rrtatln9 to burlarn.; construcurin, end hereby authorize rese",ati-es of this r•r1y to Onto u bn tn' pr °' sPa, :bun Pnrpo - C abnvn•nrentlmlec Property for Yvnnal"rr ` v% - _ • i..y,c :,.1toQ :•” - Cnvors' L,fens rQ r t,`: Whitr-8001% Green Temtwrary file (npy. CanarpAttessu Plnk•Appl can(, (raldenrod /ccounting — CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border fines and sign all ag ppropriate declarations Q(j PER WIT N0. 'T HO_ TLO _ ( UNIT N0. S TfPECFCOTISTRITCT)ON - Nc_W AJO AITFfiarlON f CONVERSION _- OWW) 1Sli CT.:ER _ REPA'R Electrical OESCP; [ION OF [YORK +U' OF BLDG A.A. t TTPEOFPEAMff GRADING =' FV.- ZA-17K '- - ,iJpp, - — E Main Building: - TENANT _ r•ECTRIDPI PIiiMBi'iG _' :tEGId1iC4 T Frort O1HER Q' Rear —_— PROJECT PESCRIPDON 5,; Fr -- _— - -_` O caaar y __ --- - - `— C Ri r - CG(r!T_ctlpti trJe 7, -- _------ - --. -- vaiva! ;n c ?( i - _` hues -- K - g ,eft —' r Remarks Ping. Re-- - _ Planning Notes PLUMBING _ FEES ELECTRICAL- FEESAfter, RE pair - _ zneratar L O.SKW r, 5 -15KN + ECNANICALp_ C _ BOI:Er _- fiAuto Wash _ - Cnnstrueu0n Pole Sub. Backflow Preventer _ i _— -U - -} -__ - . Out?-Under GroundCookingUnitOuc:- Structural - Bsskilow Irrigation ----- -- DO!a Lil ht — -- fat, .tClarifiers_ _ -- -- - - _ Je ifilatinoViers '_ Gas rJ Eletbir. 1 Exhaust ; vsterr _ LiShW?Shff — - -- - -_ -- .t___ —_ _- Far1 Fixture Tta sea. -. '- ` - - - - -- - - -- - _ EvaTlGratif Cooler T t- E?_— - - - - - -- - F.A_U. — I Heating System & DuctingIFloorDrai,_s I _~ TFir.icres - -- Floor Sinks -- r - -__ _ - - - -r 0.100,000 BTU _10_ 0.000 BitCuticts Hood cr CanopyGasServiceOutlets JR FYSWltcl.ei Interct, tors - i --' -- - - -Y T_ - a- ±YcJ IIi2t :f — UI? t0 OU ampsP•Tra -- "_ Meter over 20J amps efrigeration System Roof Drains - -'- - 0-1Q0r0G0 BTU 0100,000 BT_I. Suo panel- _ re tiFacs. Tratlet Sewer - -- - -- _._' 81t. ICBO Sewer Cap - - 0 15.50KW - Transtormel stem Repair /AI!eration Sewer Cunnaction Old . ' - 50¢KW - re Dampe! 1 ; Motors t 01 HP 0719, 8 gifte" I*1c. Solar p9.15 HS' 0716 15 + ng - - -" -- c:nerator Sing /rare Res. _. isc. ank - - - 1,10 Fam. Res. - -- _ SwimmiSWlmmm ?ool /S a _ _ — Water Heater $' ' ' NJater Sefyi(r ue - 1- - -. —__ ACCT a I CMING FEESr 5F1Cut — cu Faros Fd, cu. yards Flan Check Fee S Penit Fee lolil Fees $ ~! 3300 -3312 Summary of Permit Fees 1z j 0 1 i j G IR I i T I Ofl WAIIENTSERVIPAsREQU7MS, V -- ilpplicatba Issasd all Building S Q(j Plumbing S T - -- Electrical Other Mechitacal 3360.335 Planri,lg YJ +4.( r AT- 116:31 SMIP Res 110-232 SMIP r,on, T 3360.3370 { Summary of Plan Check Fees Bq IdmQ S Piumbfng Electrical T - -- Mechanical Other 3360.335 Planri,lg YJ +4.( r Total Ean Dita $ ;= f I , I ; I i S - 1- j -1 - = i f r. -i i - . -- -— t-- - ,-- .,--- ,- •- _.--Y - -r —r-i- -,r-,. I— f ( - + - --! -i i ;,- 1. -s - ..____i•._.. _ , -._.- ._ • . • _ r - j i { e' i I I ! i , A 1 [ J• _ I _ - i - - } - -. `' + - •7 i - +- 4 - ' 1 - +- . ._! _ a. ,!t"•' j _! ! • F •! _ - f - - y I I , I 1 i i —, i i I ! 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L - rr'° , w.'tl ''• ,:-a• IA - ' 4.- _'Lt4YC:- - fP.;J t a t ... a.: -. » i -•r- 'f....C. y ar- . i...A ' I .,.• r 7i tt•• r . -'— , .. .. .. .. GTON AT ii C r. • s .r ;, ti /N - '2:. it 4- 6':-i AT PAN LJ Pi ICE i Iffl- 21 Ol rZ COLL"" rom F -AT PA.' I SK-La a 0 n 4 SFMR! z- 17– FAM iTF (T-11 L TWLN 1 q' • 'a;.t 7,:.-= * 77 7 wo- F I:= e z-r P"r V I r' AA OM. INC. STU BRUCE 0. CHALLMAN 7177 :e/ a,, :•,c CIVIL ENGIuEER q rI EAST CHEYE14POE AVENUE vram. "V 11ails — I1a6644=1 --LLmm ir PA- tkla ec st CIVIL fr431 AVENUELASVEGAS. MV 0; Is U21 EAST CHEYE Ptoiect Address `'l_2 1' ' • , ^ _ `!' — CITY OF LAKE ELSit iARE CONSTRUC7iAN PERMIT Assssscv Porc•I qo Applicant to fill in all spites :xeept those within heavy border lines and sign el appropriate declarations j ! 6nne's NarTy, PER)AT X10 E O.t a %L - -- - Y L -Cerse rho. -._-- contract v re ;,.•.e _fed 3 4C ! C _Sri - ?hone :7.1+ .`+ 2', o L +CE1f E.'0 C"TRACTOR OY CLARATION S C-eby affirm MA' I S ^n i-Cenwn unCc, WC.'s 7nS Of Cna"it, ? (C7^, rt'tr.cinq S,:h section 7090) of CL,r,sr O,i 3 Of the Busr"ess antl Professions Code, she l Y :cMfa - to t if To: Ct an f r Ot:+. -,'/ %E Signs :are 1 WORKF_RS• COMPENSATIOyYD I.ARA ION t rercoy affirm that I hi re a4e .irt,ca :e VS torso to utf•ffisure or a ceft".cj!e f CVO *Hers- :omptnsa:ron "'Sufi",, W a r•i :,tied copy thereof (Section 38x,9. lab. i.t fsci.ty fee., ,a --• r- r /' COrnpany,... -4.a - 1..L C *,!.I.ed cc-)y is hereto-, turn,tbea. Id *a copy k ritetl r The city Failain9 D!v.son. poi,cant EXEMPTION FROM WOE ERS' COME _NSATIO,y DECLARATION - Tn.%faction need not oe comolete3 of the perm.t :s for one huna•¢C !9200) or t SS). I cerlity that ,n t'1` oe :•Or'.-anti of the v. ?fr !cr Y.MC L11:3 perm+: •S •SZtretl, isn,.:) not emptoy, any Por,or• to any manner SO AS r0 bectme Sub;ect t LCte Y :r,t•ers' Compensation Laws of C:hfOrn :a. Ccite —__ . Signature -- _ _ _ ftOTICE: V. after mat„ 'q t:tu ciecuarat"an. Yju st:CulO tlk :u g sub.cct _ -,hewale'' C-"mpenzalinn orf,rt"Ons of the L:rfir Cnae. you must 'r,.•r,,,tn w,lh Sta :h oftiv+S,OnS Jr this pe,m•: Snail bC C!C-r C, ray6kfC. CONSTRUCTION LENDING AGENCY I'C -rty aff"m that tn.-re ,f d 4_"Stfuctinn ^er•a,nq agency !nr t: clerfeirrrancrthewu,k 'Or whTfn ihrs perr! "i is +- & -.erl (Se,:Imn 3097 C... C -1Lf ^Qtr's Name OWNER BUILDER DECLARAriorii - s arf,rm :h.: ! a', cw -mat 'n;m Inc COntr..c ;nr'f L•Cenze L )f. fri :he r.rr.c rcasc-1 (Sechnn 7032.5 Business antl t','. :fe fsin :la, Cftde: Any c+iy O, t a 1!y AIvth requires a oerm•t to const•uc:, oat", tmprovr• demn!,sh pf repair t:+) S!nIC!"fe, prior It' Its 7SSua:`oce, al Yi f- Qu,'eS the• applizant fnr slier. p!-Ilt o ne A -tqn Ctl s!atcmerot lrat tic 'Sl!e IS 1"c¢ ^.KA pu,Suant to the 0rav"s,ns O! C Crm7raCtOr License Lay.'Crap:er q (C(I r c,c,nq w,:h Sec /,Or 7000) :` C:iva,rin 3 of the Bus'netS ana P Ofess ,nt C'ne) Of t. ^.al hets, ;e IS a>!•.^lDt ttcfef,om ana Inc nas,S !Of :rld 4111itd CxCmairo n- Asy v+alah tin U S,,Ct+on i3i.S by any 1004cant f(x a pt.mit suo.e_ts the Abp!ieant !o a civil pCnaity of :inl mnre than l,v., n,tncreO nolla,s (5.00). 1, at „+ :vier of the wonerty ur my Cr:- deices ,if-, wale.- AS 1112:, 5•ar. cornn,:nsat"•.n, will uU the work, inn the S!c,.' : it nn: ,ntencra or nt -err.. Sate (c -c :,on 7044 Qus"neSs arc. Pn !t .1 •.rn a. COCC: Ttte Contrac!nr'S Lrcrnt• t dw Coc$ r.nt apply to an nv.T:er of a O.-crty wnu buitas nr ,-1Crove; C:enn, and wn,, noes Stith Ao,s :•r^ ;e'.! /RC ^<A 11 r•r tnruugh it,,, of n•, own T•r•'DyCrS. orclv,den trial sut.r+ "mprnvcmr, :s a:: nor +r,lc.'14ed of offered fnr safe, tf, however. the bi•+iyiuq nr ,more. -ament 'S Sri!d v-ithln rife year of c2m- 0 el-an, Ute ownl: .,it ha•re the burden Of ?TOYm3 hC /Site d 0 not hu+10 ar im- prove I!- the pu, pnse of S, If!). ors uwntr n: :he p,e,perty, aa. I),t : :+, ;ise :y •n,rt,a7t :nq v+•r; t,rCns.rci can• C to [nnStrut] IhC Dr O,Ctl ($loin)' 7fl,t_ Rus":•c SS art' prnfcsz+on: CSac '• "a Contract )i's L,tewc Law drres n.•t apP•y to a:: r of p,np0,1y Whiz ur imp,' , . IhC,cen, and wr0 CG .1raCtS fRr s ,[h a,nidCtS vntn a t-:r•. t +ar:ur(s) llceas 01'""snl !n IRe CRritrac :Or•S Loom" Lew). t am A+Ve tnttorODfof "'ll" WnikN". Comot"Isation intn^arce shnultl to pruv.den 1.• rIa. t am exempt under 5nr't"nr _-.. -_ -- — t1 L ?. C, fnr ?fns reason i hr"any c¢,t,fy that t nave rn.n tois apr1:::.aT,un Ann Statt that the ah,, Jem •Or mdl nn it "'fee:. 1 )nice' to cnmO!Y 7rnlft 841 city ana cuunty ordiraneaiinnslrNal,nq to bn,f0fnj ConsiruCt'ori, ant/ r,tfel,V APlrtnr, 7e rrprf• vas of C,ly ID-c it r upnu tha abnv¢ mar, :inneC orlparly for5ptchonP Cn, L,CentC r, SS 4 Apphcant. Goldrrnrr; 6ufiva6na TRACT f tQ. LOT NQ. UNIT N0. IT!PEGft"QlISiTtOCFTDIi trEs AM WAIL, P.EPAIR nFftSltW EtiW3ttS1I OrFER _ , A.P. s Zone E! U'Ve Building- Accessory BUildra5: TTPEt3FPftE1R S4AP9G Ft;TION S- 3!'_El T Front Z isFUgi - ELECik11;Ai -_ t`U;Ma(n6 _ s( =i%- '.tl QI Rear 6 WHIR FROli?DESU..IPTION S7 It C'• HighE co- s- att*t, Toe — La3z". I _ -. Acre- K — 5 Left S ` N G Re Ping. Ref. Par "n q Provi(pi1C I E Planning Notes Q low _ T ELECTRICAL FEES MECHANICAL FEES PLUMBING — FEES Alter, Repair ^ Generator _— 0-5KW D 5 -15KW Bode, ACCi r G20KG FEES Cut -- cc. tads Au;o Wash_ _ - - Barkfiow Pr? Construction Pole Sub. ---? i Duct -UnSer Ground Ccokfn9 Unit f Ouct•Strtt!ruraI venter N) - -- co.Tatds8ackflev: Irri ti0n i Pa ?e Lioht Fan - Ve_wiliti Vafif iiirs 0f erS : Ga! _ Euxtr :c fan F. A- U. r Y Exhaust SystemLMI (iple EYa oratlye Cooler Heating System & Ducting j 3307x331' Pt :nrr Fee S -- TralF.es $ — Olshuras'r. e = firfu d frays ea._ _ i Fixtilres 1t-- r ioor aril's Fioor 5lnks J0 100 OOU BTU 00 000 BTU Gas Service Outlets Outlets l Hood or Canopy 336033"2 Summary Of Permit Fees Ss,;tcties i- nterce Itors _- _ i alter __ up t0 T 00 amps _- i- p 1 = Tyke li J Refrigeration System t P-T 00•i00 ,Olin e'TU :1100."9D BTUs_ PtumD.n¢ $ Meier n over 100 amps Rrof Qrains fs :tlmr - -- E edrurt = el _ - T FirepUFact. Bit. !CLOG= Transformer ^f 15 -50KW ewer Cep' -t_ System Rep3iriAlteration Aahent aI $ - I- S_ ewer Carrnectior. • Bldg. 1 7-- 50, Motors - 0.1 HP 1 %, - g fire Dampers rRe isters +~ 10 231 Other $ SM!P ; Solar Collectors Solar Inc. Solar _'3 .5 HP C 16-1 - i- ---- - - incinerator Pi rn _ a_ _ _ _ 9 Solar Tank _ - Sing /Fam. Res _ Multi -Fam. Res. '- M1tiss. 316G•3 :J0 Svmrarr of Men Chect ref, SN!mmin Pooi /$_ I -Swim mi —g Pool /Spa —_ cater Heater Issue— a Pont S Semitic System — Elec•rlcat $ DEKLMNEAT SEEMS REQUIREMENTS: Mectamcal $ AlMrtaad jl — - - --- Other e luue - - tRiMoaNA r1i6 satioa IsaaN t!1 Wee - Data s Ptina:na i 11 1=31=16 Macau rl TaW Feas Du S 1 S JE It mQ +. ",1 :-.. _'?+.':- = lC.'d: ? = .,';.. -. --. ' . "` _i -i' - -j I- - 1 - f _ } _ I. -_ y .i -- -a-. f_..... +. _ .i .. _ I _j _ - T", UJI 0 O __ ' - , - - 1- - Jrnj -}-•.: - - Cy - -- I . I I r "' y ... -.p, ' ! jl . CS' YI LL+ - :9I _( fJ- .alb jj y'-j-- -- '1-- -- -- --- - - i j- ._.-j_._ - .•j I t- C ;, rn -oal CO) jl a, f W, nI' Li i -'1;t W { pl ( I i r _ I • Q w: c j I w I zi a i 6 a c c A. c l c: I ! u- 1 J 4 s c ct F"' cc . 4 CI v, yi o. ! 1 i HI j I I a C L- tD 7 Q : _J• Ji I yl v. a':. ( Jj Wi = o ^ t ]I . uj I ct p „I c ' -` >; . oS• A , ; G a; > Q ai , y I { I LL I IY 3l y c: ti Wa• Y. QC x , .c+ ( c. sI1E..i 0. Q i a yt LL W¢ Q W - j' vi rlil Q c' IQIaD , X .v.j a,.. t.._ I t o TI IT zo of i c, t =' I ! ' j I j (' z c i + r` I i I ' I % j w I i 1 { ! ah c, 1` ei J ! u - I' i' i j- L I i SI j c! 1 E z Q c' j ; MI c i1Qjjl16IIIIObUI LL cl III 0. cl J EI I , W. ! V! R! rn• °b j al - wl ! ffI j 1!":." .•' Q • uj al . . . c •-,. . I H °> I N ! Q) a,I + m N I a' _ t c `( i c• = m+ @ U _c 13 I dS rr e,+ i HO lii 01;- `_i. u.. j 'c ! v S G.: a, '- c r, + - Q. -i ;f rnl _i,:W t751' v,!!4 X Uof! mo u ' . o; °'! _,; o,r d. ^ " , fl Y , i,I x' C7. aC vs V Q I H. vSl aI W 1 o of o: c; o _ I CC, , crI it cc l Oi C7t u' 00. i m' ' M fl a i c `c° c cl mlu . 7(, a w i, u. LL 0 f _ j I .. I . -i t.i l •, , 1 a : ; i • ! I 1 I i i I I I i I i I i I i aj zi 1 cc m( c VI i I 1 a 1 N oafl, Q• f IIo+ Q I U z` l C8 LLi c ZI al 1-1 CIO tr f Pcd(eet Addre ^s _%2•g • r i t/e 3 I s7 > J7, i t r Assessor': Parcel No. i j01aner's Mlme Address __Z.Z= Q LGG J> P hone p . Arch!Eng. License Mo. Address 44:E Contractor' msNah Addrftss (nrailin3) _td 1 City License No. - 1,' 'T LENSED CONTRACTOR DECLARATIONI abY al /irm that I am licensej under p- uv:sror.s of Charter g (commencingWit" r%-etlon 7000) of Diviston 3 of the Busfr.esS and Pr fmyPCr. a It In oil fee an effect. essions Coat, and Licease Date- yir+ae WORKERS, CO Signature O ENSAT10N DECLARATION IO 1 rereby aflnm the Have a CCrtificate of consent 20 SCtf.rnsure or a certificateOfVl- Ikvrs' Cum Pen. ion insurance, or a Corti' c7p; there0l (S6cUOD3800, Lab, C -) - - -- - PalicY Nu. B Ca Celtlttel11V:0 copy Is hereby fur h•d Keay o copy Is rites with to -2 f4 dingDate_ f.ding Division. EXEMPTION F AP°lican _ This suction need be ccf tea0( f -ne NS m t IS t E - - - -_ ON DECLARATIONsons)_ or one hundred ($1 00) ur1certifythatintheperformanceorthewor;, r vrhrcn this permit iz'ssuetl, sha ;! not employ any person in ally mannerWOrkerS' COrrpensation Laws Of California. f S to Derome sub;ect to jheDate raOTICE: If, after mal"nq this declarat t ShOwdor., you - YOrkea• COmpensaTion pro ,;Slnns _,r fnC come sub ect t tt +ecomplywithsuchpronsronsOzorCodeUmustforthwith CONSTRUCTION LENDING AGENCY permit ;non UC eemeu revoked. I hereby affl•m that there is a construction pf the WO l: for which this oem,t lSenSS n9 eqc nci•'ar 2nC erto: man[CCenser's rvl,rte ^- , -. -_ -- Jed ,Se.hon 303 Crv. C.) Li•naef'f Add,esj __ __ --- -"•""— - OWNER BUILDER GECLARATIOry n Cr Cby affirm 'hat 1 ant CXCMD' 1rUrn the Contractor's Lrcer,SC Law fur itf,V0. -,:nq reasnn (Se .-tion 7031.5 Business and-PYpfcss'Ora: Code: Any city Orco:,r'tY whfcn requires a permit t° cr,nstruct, att'p, uve. demolish or repairanyStructurepriortoitsissuance, alsc rCruirei ihP dpGl.rtnj L-r such permitJfieaSignedStatementthathe /SA'! the Contractor's LicC'n$c Law K IiCCnSCa-AJrSUddr :n the provision, ofr-ision 3 of the Business a d,p,Qfessio on ade D .r1l:.r, $ection 70001 o; therefrom and the hasis for the ,,,r eS Cns r' 1 t a: ne /She Is eY.umplf )31.5 by any apphcdnt h,: q p.tos. meYav' oration of SycNonPenat(y of not more than live hua cefnut suc+ ect POlidant to a etvhndreddollars ($500). -( pI, as owner of the pion, ^rty or my ema,oyees vi,th '.vagcs as chair sb1. imPensation, vnll do the worts, and the Stiuctlife :<_ not IntenaCd Or nffe'0tlHie (S.cGrtn 7041 Busme's end Professi,rd; Ccm•• -he Contractor'scrnsaLawdoe: r.al apply to an owner Of a orene-ft vh:, buts; or tracto 'sLhe,Q*n, Intl who does Such wart hihrsCl l.,net St_ ' Or lhho Ou h;S r her OwnlmOWy ".I provided Ilya! such tn)prbverrw.n "t are of ntendod Or off.... wn Sale• If, hdN PVer, the buiio;n i Or :mprGve'*1Cht fi S-10 w,111M One year Of tom• for Diet Jn Ihe• nwr.Cr will have the burden of oro Vrn'l hw in,_a!0 nC•f DUild Of im• erOty tpr the PIHpOSC Of Sal'), 1. is hwner Or trt0 FrtiPrr: v, Am Xcluti-ely cgr,IrdCilny with iicellsed con- iiractrstoconstructthe )rnjec*, (Sec ;Ion %Oct, tusiness Ira roressions Coae: tine T r, i cpf License Law a')¢; not apD,Y in an ovine' n/ Property whoDurUSrrrimpr0110; thereon, and who con VOc'S Inn Sucn proof %) wtef t whopr 001rnS) tltCenfe ') fker iii to 1: •! COr1 ;rdCCM •: Lir:ense - Owl. I am aware thatt 0 Y.'nr krr'S comp, ri s;, iron 'Asurance shOu•t: cL. 1 am CxPmOt under Section Pzo.idod to me, `I i. b P. (.. frf this reasnn tOaSe- - Owner -. -- •-- -- - - -- P40 III'smfOrnahnnitc,rrcct. 11 agree In Corr,Pla with'air my inOdcounty e that ,the r. 1bove sent s:aq Ia v,S relatim; to bu,101nq cans)ructiod, .' :d norObY dufnCNEeSQntitiveSoftr, •y j er.;Or u teere- mspechgn Pur CS, Pon +r!e sat,vc_Ment)oned Property forSignal ti Ur VS License Or foldsmad kcou:IttnRlISttar _. CITY OF LAKE ELSINORE CONSTRUCTION PERMIT FApplicant to fill in all spaces except these within heavy border line- and sign all appropriate declarationsIT TRACT N0. LOT rt0. - f UNIT NO. TTON yy N - fUD.i!i10N 0 REFAIR FZr=CDEMOLISHOTHER F tY R USE OF BLDG. A P. # 1 ' f ICE Et_s t IiCiFITYPEOFERi1RCR.AOiNG ! f- -JO- $ Main Build;ng: i4 cc p; 1 r ?one - t T0: NOA3lON C. STRUCTURALifCtiA3YT -' EIECTR'CAL T Front F'rPLU1tBlk(, 1 MECHAKICAL _ _ rOTHER A Rear ` PROJECi OESCk17TtOh -- -__ -_ Q Conztructlo9 ;y(ie OCC.Paecy - C Right - ---- -_ N vah'at;on$ - -- I?'se ----- - -- krzs _ -_ 4` _ K g _- P: ^. - $ E eft I N GRemsrks _ - Ping. Rel. # Parkin Reg. /ProvidedPlanningNotes E PLUMBING FEES ` `- - - -- Alter, Repair `t - -- ECECT RiCAi_ FEfS MECHANICALGeneratorGKyyl 5-15KW - -- 'FEESAutoWash i Constructirn Pule Sub. - : Boiler Atx7• GRADING FEESBackflowP_eveater -?'-- -- --- Du I-U tder Ground _- Backflow Irrllar t1i): Ccokin Ur?ii _ _ - - - -- - -- -Cu fardt ole Lighi D!,ct S!rucrural F,(( Clarifiers - Fan -- ---- - -cu yards ern- slectric --t-- e- 't'lau 3s5L• 3370 plan Check F,e s , OishwasI -y- -- - Exhaust„ stem - 1 _ fan _ 3300.33!2 PermitF zIC_ sFlxt °re!ra? ear _ -- - -- FvaporativeCooler- - Floor Drain; -- _ F.A. ti - total fees ; Fixtures 1r, Heating System & Ducting --- - -- Floor Sinks __ - - ---- _ _ I 00.100 000 BTU t iUO 000 BTUOutl_ts _ j--- Gas Service - Outlets - _ __ Switchws_ tioud or Canopy 3300.3312 Stnnlnary of Parmil kmInterceptors Meter C u '0 20G am s - T e l 0 Tyre liI - ra - -_-___- i tefrigerati7n System BtuI41n8 S _ Root Drain; f eter over 200 amps i - - Sbb anal - - ©0-100 000 BTU (J 100.00gTU` railer Sewer - - Q- -- ---- r.- - FirepI /Fact, gut.ICHO # , flectrirai = r - S'ewer Cap - -'- Transformer I )5 50KN System Re air %Alteratiort Mechamc;l5ew_nr Connectisrt 8!d . -- n50 +KW Fire Dampers - Motors (_, C•1 HP 1 y, . g- ' -- - 5rilar Collectors Inc. Sular 9• P Re inters _ - 110231 SAIIPRes s _ r- - etar PipinG `: _ 15 If_OIG 15+ Incinsrator iolar Tank - .,mo /Fpm Res` - - --- - 110.231 CI IP,r ; ;n T -- tiliu. iwimrn:...= - C ulti -Fain. Res. _ - - ----_- - 3350.33)0 - co / a wimn)in Pool, S s'mmar; of n Check FtaVoterHeater - --- pa-____ - Voter Servi^ - - - -- I - itulldint sstre !c S - e lic 113ty -_ - - - - -- DEYELOT e i Efetlrirsl i_ - r MfWT +ERV S R IlcEyfy I taaatk?rawt !• 1' -i; C..- Atfcnaaica! s isue - Na"F4 AOpewd 4 - - - -`. _-Datw _1 / Other = '_- Na>ionlsscedN7 ---- .` __. 336033/5 Pbna tillfAS1r --- i - - - -•- ' - ' -- -- rota fan Doe t 9 T. :13 Z. a t- jr uj dc Ef cm i i5 CL 0 o IS LL W LU cc j W LU 1 V) CO ca 0 al a- 0 c r r DC 3 L. C: LL 0 0 0 cr M LL C-: C LL E w v 5 CLCL E Co LU d. 0 0 v -a a P lu w CL, LU 0 LC Tl W 66 0 E 0 00 E cc j 0 M f c CL M ca CC CcZ CO.) M, E LL. w E t LL Au ca ul cr. c 0 D 3: a a M 0 0 M I 4 a CL a. V) U- ui us L 0 f`1 a ul f f I 1 i I NII t il I co LU 0 ca I I 11.1 r R Z Q i i I C v r Z w 1 I cl C o I I i Uj N pf c I Z I J! 1 0 1 I r 1 0 ui LI L9, F C'e J p w S LL I ao 5 c 7 C6 0 En Z a J 4 CD w 41 0 pp U J x > U) E C i S0 Q i. O o I I 001 j Il- 0 Z 0 A 3 2 iL Lo 5 CC c cc ui 00: R w z 0 cr w c 3: C, ri Coco cr, CL m L asd co ol 1 ca 1 c0 I C,) CL o 8 o im I Fz cx 0 or cp a. 03 U. u— M Vi 1 to I Cr 1; o o Y(( In a C co Q Q U. LU a t7 -- - y9 ---- s PLOT PLAN Low 3 Department of }iousing and Community Wvelopmont i Division of Codes and Standards s I Park Name ex F/ C L in %%j H Address city 1-,qJl,f - /s' zip 233a i i Applicant a® G i Address MBt I.EHOME PEM-'AIT # k I tide•, • .- _• - T AVOMPANY THE UNDERSIGNED, AS AN AUTHORIZED JI REPRESENTATIVE; OF THE OWNER OF THISPARK, HEREBY CERTIFY THAT PM AND ALLLOTLINESASSHOWNONTHISPLOTPLANARETRUEANDACCURATEANDARECLEARLYMARKEDONTHESITEASREQUIREDBYCALIFORNIAADMINISTRATIVECODE, TITLE 25, CHAPTER 231 SECTION 1616. Minimum distance from porch The total occupied area ` to lot lines shall be 3' -0" Q, qofan1Ob>>-ehome lotexceptlotlinesbordering hallnK driveways. not exceed 75% of the lot PARK OWNER/OPERATOR DATEarea. HCD 538 (Rev. 10 -85) x AT PAN wt., jar 7,*Z i '-V ID cs=." A 4=,.f-g CAMERIBEAM SPLXE (7ULL MO&WE A ICE 4 r = c4&=rT P.m 4 ff. cm If 1 AT PA 14 S UTTER/SEAM/r ii l.e AL*A.k C JN J; 2 7I I V5. v, PAN • 4 Rl: LUtTE POLL FOR.01.A O k' AFL 4Y: iJ,RJOED- G* E W J., to o, Z=7W1A.1 AL-w-oo" Fq fj it BRUCE D. CHALLMAN (TD I I x CIVIL ENGINEER r &A I EAST CHEWNUt AVENUE t tIC a a.++tL .. euwtw..• xA.l. a•+l- . «t(O t0:. 1•K K ti...•,r1•, . i ti.0 rrw i,r•r.Ara erw..er.r.rsar.aar •., a- fly. 1• r ;• • : S _i rah,- . % e.f lftttt.'inrlr: »•- -rnr rrwr.Al yr q..rra r.a: Vi.Qj :tl'r1 L4•: t4 f, nrlwlatK.!•N t• I u'irr rrrmfe. t•• r . -Awe, i u`is r TL•I.0 TsrDJ t mar __ L• F H V: No SUIMM Ric - tt52 EAST CHEYENNE AVENUE u rYTl y • -a t r - c.:sS w"r.'_."'q° M` w a•.r.a+ a•r .rwv..ca..c m[ fpi.L".sr. / y+Ira rY 4`-r yt ,1"1r/r u. atJ ffOilM /fit_ t J•I. }•. '.'w •/M. -)>% Y 1Ri• Ci "/Y OLtM V i 4.-!• I J"s a, CIT Y.itr OA1•l.J u .uM._ :aa J•h 3tx:•E.1. rap- elal ' 5TML %L*C•Z. a CCAC- Gi' 1% q t- s.ny' i ' rt O-eafw ' k tow* %1, 1 4arSata=+e _ a•b raL•C r: a.' - - _ fir,. t1Cr NtCq. _ A •r'rpl • • ' t i . r- -t 1 a•r i "arw+jw i•. r J Ar.,ed(•..a.:rLa•I' - it +•olaewr•pbya 1o.u:t .lr •fi u.iLi rat •wuwrra {tw ...c:,. -s,... Nowow I wu•i ww. r. cx- J ast v..f; sr ' x74Lf0AaWAPA'YB•RS£ V 45'MINE P.-LN - - LOM-02 vUA,4' X'ML Lt.)QNFr".FI6_ti /EiAiL ;J W'1}d'L•dmaCDF&nWMF{/fK tY t e • e:.r.. . -.r r.'r.ewira • r ' ? « . _ M .s t taa• mm#e ...o t N tt f•. a: t• of tritvtt :'sr - _ r..-. a. •--.\ ,btu•. . Wt-•:t wY.s+Mt i -. ( pab.r. cra -. I • of Kre. rrr e. •.o.. s .•a.css -> _ _. - rv., :L:. • a t c 4:t. a - -- [ 1 i s e:tl..t .. / - -' t •t-' -. Pl a.r- f - z.O 4<r cep -.^ N'K a•tllrt.r•r -- — Ls L:a1WN.r 2GN:f.LMt7 :t'. s!'. .iw[ tl•• ^,,G• I Sk'ycr:ia•su YrfA:i . L Gy :.at IL'Y .Y 4i4.aftX•a .) % ,W i'.f.! rrea:4 +f T \ .. - a.1f. l LJt •v .: I , 5.... 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Lea.. a auwn'4 ^w .:a+[. o+: 3j `: "• y' " a: x • t .. _ •.+.. isclsa" -tww ! e.rd.cn` : s. wo', . o.c-. nr.. 1: r . et s.re'....a...•w.) ,rsvcrw•• srn.:w a.vto ,w f ia....•M Y•. to .• Ci.fri. ( "I! WM <Bi} P tJRJ,I w L 41 tl N :.d0:4 / t+Va/.. i '- i L Lro - f oAL_ .r { j • _. _ Y yJ! IW KVC4 •'' R l: +J::, rr!! :a.v M 1^r L 1 •...Nr «Yn tIR[a. Ml 4wCawL a.hcr41K1.ttl'M 0900Ywrr. M1ws. M.[wM AS:1ICI.. ww q"•){.1M1-61 al •,{ / ^ { ...AR M.na[W J3 UOUV!fS el.•ar•h1.M. ?l,O1t•:a a:W.IV. F, .... ":L v YK It.: Iru.• :Iw n :.'O' rl.we W ryn. t ..• s.r I { 7} ..L w ' '•! :t -:•-•a wr!_ a ss•... tcd 'at to a:- a ra-t [ c :..0 r.c ..1. as+ ..=[.e vrr• +rw rwie r.urr.. r w wL W'• ! t[ w4drww Y4bL [V(AL7"•Mt Mx.wKlh..•iFti IM L•a. q•s. 0.[fi = .r.,.. ^. i'ir:...r ._ . wnrr,•/rrxr ,- =, - i . w: «LIPI a.a•.o, t.•a.•,.r »:: v' µ (:t.n w•u+ roc ww ano r.•... •- sr• awn. nt the ,..+.... .ws 11+x' . ue 1, _ - ''• -, j{ r ! 1 .r3 rr.r..o : L :lS.a l6ee) t eat ..n lac- ..... rr er 1 r3irO•,LLV1l rM el-1 4 WMs .a .N L4it•ea Y i•..'r JM+ta Art. r•N O/r.t/A+w O.N[J.R SIt] Mi. 1 .'t. , •t -.I m41lYF acrd. k ! tar.•6f !?! - 1 r •:l , X• • L• • r- N',it ilwOO rIYIA •Ae.MytL }+6RJU r o k' J t' -.y fl'•ar 1 ( - I i ..,,' ,s.d • ta..•:tn•s.•a•.•tro rca.t a:wr aru•,•s wa.. wrrmary-: _ 1 t rrY/f LIRT ; 1 a { 1 M lMD! r^.AOLartO i Kb' : 1`1( I i d f• M I •t - . f A L.r.w. w L.OA ...a. • •_ 4t!hG.On r urtOA= tiL: A7 _ _ ?l, O: .,f n•-r i /. A 'rtt:at.nt .•10.5,^ /llixiObaVrflh•. tALI _. .,-- .f. a_.w wJrt -M ai •1._ L<Owse.•Y.r. afw[.'ere .,r VtiCML•lA+ d i..'1•'T8K ' J , :. . , ;,' a. arlaty t=c to - BRUCE C HAL MAN L• F H V: No SUIMM Ric - tt 52 EAST CHEYENNE AVENUE u rYTl y • -a t r - CIVII ENGINEER att aa.rrwn ww. ru0. u C.. nt r_ ar. n LAS VEG18, NV 5Yt15 as• or tNrbt.t i a1.LrarAL ` L4R1 ., 1d t, i..'1•'T8K ' J , :. . , ;,' a. arlaty t=c to - BRUCE C HAL MAN L• F H V: No SUIMM Ric - tt 52 EAST CHEYENNE AVENUE l:.1 y • -a t r - CIVII ENGINEER att aa.rrwn ww. ru0. u C.. nt n LAS VEG18, NV 5Yt15 i raiectActdrest - Asz;e %sor'sParcelNo. 0Vvnerb Name Address Arch/Eng. _ _ -_- License No. Address Contractor's Nelda_ __- _ -- Phone . - Address (mastinpl Cav License No. LICENSED CONTRACTOR DECLAR `kTION I hereby Allism t'lat 1 am licensed unucr Lrc,:sions of Charter 9 (commencing with section 7000) of Division 3 of t,-;e Business and Professions Code, and my license is in full ford' and eftect. License Class —_. _ _License No. _ Date_ _. Signature —__- WORKERS' COMPENSATION OFCL.ARATION 1 hereby affirm that I have a certificate of consent to sel' -lil :use or a certificate of Workers' Com Peli Spoon Insurance, or a ceffiried copy thereof (Section 3800. 1_Ab. C.) Policy No. Company Certifled copy is hereby furnished. Colt III d copy is flied with the city Building Division. bite ! Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This suction need not be Completed if the S;e: mit is for one hundred ($100) or less)- 1 certify that hI the performance Of [ht wort• for which this permit is issued, 1 shall not employ any person in any manner So as to become subject to the Workers' Compensation Laws of Catifornla. hate —_ -- Signature NOTICE: I1, after snaking this decfafat:orl- ),o, should become subject to the Workers' Compensation provisions of the Labor Code• you must forthwith Comply with such provisions or this permit Shall be deemed revake(I. CONSTRUCTION LI NOING AGENCY I rereby affirm that there is a constructinn 'ending agency for the performance of the work for which this permit is issued (Section 3097 Coos. C.) Lender's Name Lender's Address WN£R BUILDER DECLARATION - hereby affirm tha: I am exempt from top Contractor's License Law for the f,., Mowing reason (Section 7031.5 Bus,rest and Drnfesslonal Code: Any city or cnunty which requires a permit to Construe'., alter, improve- demolish or repair any Struct is to. prior to dS iSSu A -cc, also rec;L,reS the aDplicant for it -ch permit to file a Signed Statement Inat he /she is Itcersed pursuant to the provisions Of the Con ',act Llrense Law (Chapter 9 (cc- nmencing wits Section 7000) of Division 3 n the Business and ProlesS :crs Code) or that heishe is exempt therefrom antl the basis for the MegeC Axe- ptlon. Any violation of Sqctinn 7031.5 by any applicant for a permit SLbje CtS the applicant to a ci,.l penalty of not more than five hvndrea dollars (5500). I, Cs owner of the property or my employees with wages as their sole Cor.,Deniatlon, will d0 the work. and the s't„cldre is not Intended or offered for sale (Section 7044, Business and prc'!v..onal Code: The Contractor's License Law does not apply to An owner of a property who Duilds or imprcve: thereon- and who (Ines Stich work nimse.'.hertelf nr through his err her own emtNOyees, otnvlcled ih7t Such Improvemen'S are not nter,dod or offered for sale. If, (rowever, the buildinq or improvern-nt is Sold within one year of com- pletior, the owner will have ;ne hurder. of oroyins, he /she did not tawld crr m- Drove for the •)uspnse of sate). I. As owner of the property. am exc ust,eiy Contracting with licensed con• I fact Ors t0 cOntti uCl the prof cG[ t5e Gtior '" "4, -ausiness and Professions Lade! The Contractor's License t.,aw n ^.t ,fc' aaO:y to an nnocr of property who bur :1S . 1 improi'ef therein. a'.1 who c.,rttactS for SuCh projects with a can - traCtor(s) license pursuant if, ;rte Cm. :rlcIcf's Uconse Law). I am aware that pr Oof O Iticsr Wor: •,', Compensation rosurarICC should be provided to me. LJ t am exempt ur,;er Section__ __ —_ S. 6 p• C. for th'.s reason Date —'- I herehv certify shat Wave read this an- •&Nan and state that Ina annve informahpn is c•sfrect. I agree tn. convlr, -A'h all city and cauray ordinancesandstate1, , eel clog to buiton•q (s :fUC•iun antl brfvbY authorise repro. Sentalrvas nl lh dry to enter z n tt» aboovr.•ine •Anna rdporly for lnr pectwD QJ s t Jy 1 l i ignature/ - r _ Da 1:4 Drivers' lLtCrn;a r,r 55 '/r . While- Buikling. Greer Tem pry Fil t LOY, Canaty'Assess . P,nk 40cafll. Goldenrod-Accounting - CITY OF LAKE ELSINORE CONSTRUCTION PERMIT r l . ,. f - Z. Applicant to fill in ell spaces except those within heavy border lines and sign all apprpriate derlcrations PERMIT NCO_ TRACT NO. LOT NO.- UNIT NO. r°• 1F - CO ! - TTPEOFta)FISTRUCTItIR '- NEw O _ ALTERATION r REPAIR Ac CO, (vERSION _ PES' ^11$H ' OTNER - OESCRIPIION OF M'ORKiUSE Or BLDG. nQ l c 14 A ' 1 F Z E LMain Building: A_ ccclsory Building: TTPEOFPERMR - GRADING "- FOUNDATION ,7, STRUCTURAL T Front QTENANT - t ECTRICAL PLUMBING D MECHANICAL S — -- Rear NOTi?ER A PROJECT DESCRIPTION: Sr Ft Occuria:lcy C : Right N Construction type - -- Zone -- _ Acres -_ - S Left G Valuation S - PC# Pitt . Ref. # Parkin Req. /Provided E Remarks Planning Note: C. r Y S FEES MECHAN!%AL I Boiler TEES T N r "A ,ys" FEES PLUMBING FEES ELECTRICAL j Alter, Repair _ f - Generator 00 -5KW O 5.15K_IN Auto Wash Backflow Preventer Construction Pole Sub. Duc -Under Ground Cut -_ .cu. yards Cooking Unit - Duet- Structural 10 _ cu. yards Bac' flow Irrigation Pole l i ht I Fan - Ventilating _ Exhaust System Multiple Eva oral %see Cooler Heating System & Ducting 1 C30-100,000 BTU 0100.000 BTU 3360':._,'0 33003112 Plan Check Fee; _ Permit Fee ; Total Fees ; _ layi)ers Dr 'ers 0 Gas 0 Electrir, washer '` Fan 6ixture Traps ea.- F.A.U. _ Fixtures1F1iorDrains - J'FloorSinks Outlets I 5 Hood or Canopy T e 1 C Type II D Refrigeratior. System 3360.3312 Summary ofPirlsitFees Building $ — Plumbing S .. 150 Service-- Outlets f -" 04 Switches Int Gar ercepttoors _ Motor 0 up to 100 limps P-T' raC _ Meter Cover 100 amps I ]0. 100,000 BTU 10u.000 BTU Roof Drains Sub pand Fire I /Fact. Bit. ICBO # Sstem R ^.air /Alt i r Electrical Mechanical ; - T.5 Trailer CSaep w r O 15 50KWTransformer ewer Connection Bldg. O 50 +K'U Fire Dampers Other - Motors 0 0.1 HP 01%, • 8 1 Registers 110.231 SMIP Solar Collectors Inc. Solar 09.15 HP 016 -15+ Incinerator Solar Piping_ Sing /Fans. Res. Misc. Multi-Fa m. Res. Solar Tank 3360 -3310 Summary of Ilan Chest Fed Swimming Pool/ Spa SKimmin Pool /S Buildinging S ter Heater 1W. Ikwe Plumbing f IVter Service I tic Sy tern Elv trical f DEKrcL .Ot'MMENTSERVIQSREQUIREMENTS: tidal Mechanical S Other ; lsssle Randin ppopdb paq 3150 -33]5 Plaa'ling S _ Wotim tssvad I Taut Facts Dim S _. ale I C -•;. -- •- • -r.=._ i ^_,._--- ' ---j- / _. ! l,Ji J..7 -' :'°r- r iF:l+r fl' -`r} '? %:_! I —T! t —- I i I I f t't 1 ' I =•' I - ,- .' I , ` -. 3 ` r -- - - , -- --- - --- - -{ - - -' - i- A { s f_ _ ; , , I I i i i j r I . { I ( H I , j ! I , r :xi t_ , i ! l± 1 ( I 1 t i t c , [ _ - 1= I d' w io I - t - - r--s+ - Q' *- - t i - -> 1-! --_ - -- --- -- -- -a' --' 1 - - - -% ' I j I r ' ` I I _ j a i 6j I UI Ci f r t Cf F! w °, LL sl J i -E .1 -t3 c O.' .°. c, -,_ O .c I..m! Tpi_LL; d N: _ o. 0 ca I d _ cl - i-f c, _; 1 F I N c; , I T >_ S! s 4 w ai a Q ol c' ti. y Qf y ;- w _ %! _ a v~i , I wl i y # I j j I I i I f j- I I 1 { i ti w -I y: a: s I I_ _, Q! p T - a} Q O t r I • FI or i C_ 3 G? 31j 9 u, Ni C. tA T. ' -ml yi LL (( I Nj d' rxi Y M! E; I .L' J' - • L: U C9 .1 JI a `` f •1 .'- 1 _ : _ :{ .i:r ',, j. 1 1 Q I n_ v)l 1 6cr Q, t7 a Qi m xa _iu ar- g — t j '} -? -.?C - chi --+u) I ? i 1 i f - o x -c% u r 11 I j i I- (i I ; Tom_ I : . - - `• : , .. .. - t- - --+-a- - , : ._- i I I 1 1 i i i ! ( I I , I r -_'_i 2- 't_-'- r_- • --- -, __. t- _r__,.__.__.i.__ •_ _._ t- a} tu 1 w a I I i I w O = I vj i I• ` f J r i Qi CO ui I z f °I I I I t r-( i ! I I 0 ZI i i 1. i a+' ' I Z ' :: wj I cn; { fLl c• O- j J 7i F-' 1 _( i { ( i C' of w' I ° -. j f I mt Z; of + { ; F a al o 1 ,- ! _ ? U i , _ r I 7 Z c r.. I rJ Q .' a t 1 (L ar i w t f O ' cl w: r • dSi = cl ,,) p I wi I rl I I ml _i 51 a o °t JI Or Q' o' 3: w ZI v v til a _ ° _ i , c i to yl y ( F-f Q• i LL til QI z' H' r-. -i - C' O, LL ' O I C a v' ' 'n O Ci w UI 67t c1. "1 zl UI N O1IcI I ` +• ' " I` - aj .Fri, -$i r 1 1k' . ,il,.. -- ai ri -f •n a` c si LLI a a _I y' uI CC* CSI CV O "' 'rL F- o a w ui w, _, a c r' 'i., - 1 E; U'I hl j IjOI " I rY- I I a O, - i p 1 > v) i tj . 7'° .. Gl ` i- e m d O a 3 41 ( z m I Z d E ci p tpIA, c, Z 6 - mI c+ "c+i cry cl 2, ui' liii m Gi O ` i,r 2 (9 0l a a21 pl of of v yl .ylj Z ° ` j U d I a o d oyill I si it O j o, G fi f I I t Q,i -I ccC I, C U O O J m N r 7 11 V O m m O m ;h -Y Yva + - vg "a` w in l; t7 LLt a -1 I c _ o c L , - K, g d c c1 cI c, pp o t, c m' It 1 i to, r~3 u. i S si sf a CCj GI C9` t:. fr CC "F-I rLL r w LL itI u. T it ,,(7 N m A vim e- tt ;V ei,-A;Cf er Vti- .'—f7ac-P ..3 OtOlefttAddress 2 Assassor i Parcel No. — Ulnnsr's!Vdme phOne Address qoQ R s yG1 -SirJP 1 4. {t dC Arch7Eng. vv ._License No. X - Addr mailing! - - - City Lice Nc, _ 1_'CENSE0 NTRA TORO CL RATION I hereby affIr net am lice Sed ndrr provisions of Charter ? (commencingitsection70fOff3ofth 'mess and Professions Cotle, andmy --tense is In ful rce and fle / license Clefs _ L'ceMt Nr.._ Date - nature _ WORKERS' COMPENSA N CLA ATIO I hereby affirm that I have a rti !tale t conse - to se!f.inslrre or a certif,catc. Of Workers' Compensation l anCe. Or a rtified copy thereof (Section3800, Lab. C.) Policy No. mpany 8 Certified copy is hereby furni a -' — aftlfltd copy IS toed with the city Willing Division, Date Applicant EXEMPTION FROM WORKERS' COMPE ATION DECLARATIONThisSectionneednn: be COmpletec' If Inc pe it IS far OnP. hur.tl red (S).00) orless). I certify that Iq the performance of the work fG tvlticl: this permit is issuetl, 1shallnotemployanypersoninanvmanners0 i is be is permitit is i u theWorkers' Compensation taws of California, Dale Signature NOTICE: If, after making this declaration, you should e..,me suOrect t0 :lieWorkers' COmrenSation p Ovislonf Of the Labor Code, uu must forth.vi;hcomet} with such provi-.ohs or Ch's Permit shall b deemed revoked. CONSTRUCTION LENDING AGEN. -Y 11 Ihereby affirm, that there IS, construction jen ling:igency for Oerformanceoftheworkforwhichthispermitis -ss'iea {!.ie't.cncnder's Name — - 97 C,v- C.) Lender's Acaress _` -_ - - -. --- -- OWNER BUILDER DECLARATION I hereby affirm that 1 am exemp: from oho jwract(r's LicenseLrthefollowingreason (Section TJ3i.Pr Business and Prof -z ;ior..rl Code: Aiiy CLty Orcountywhichrequiresapermit *o co,istruct, alter, improve..7en•r,j1s9 or repairanyStr. ;zjure, prior to Its issuance, also rCq(,rM the appl,c31: for Sur!, permittohieAsigmastatementthathe /she is licensers ,3u 'tiallt :n foe J visions oftheContractor's License Law tCr,apter {commtnc ?n5 w,ith Section- 70tn2; litDiviswn3oftheBusinessandProfessionsCade) or that i:e.sne -s er.6itl, -- therefrom and the DaVS tar the al:eged exemption. Any violation O15byanyapplicantfora Se-* On permit suDiccts the .;OOlicant to a evilnattyofnetmetathanfivehundreddollars (5560). I, as owner 3f the prove,ly or my emol.lyces with t.ages as their solepensationwilldothework, anti the structure is not intended or r)f;eredforsale (Section 7044, Business and PrcfesSiOilal COCe: : ne Contractor'sLicenseLawdoesnotapplyWanownefofapropertybudatorimprovesthereon, and who does Such work nrmself /herself n: thiougn n nr her owneinnrot"S, pfOVidea that Such Improvement% are not iFlterlCec n, of :nfed forY.le. If, however, the building or 1mpro,v ,ne,a is sold w,tn,n Ont yetir of coin- pletion, tt10 owner %,ell have the burden Of proving hLjihe d,C no. build ,c im- Fove for the purpose of sale), LJ I, as owner Of the property, am dXCluSiv JV Cnntrarting w:tn l,cbnsed coil- trracfor$ t0 Conftruc' the project (Section 704.3, 31,Siness ane P.r.fess,ons Coo B: The Coulract Or's License Law does not epuly to an (woof of O,oPerly whobuildsorimprovesthereon, ano who cn„hacls tnr sucl, projeZIS with a co(- lracior(s) license p(rsuant to file Contractor% LlcehSe Law)- I am aware -netproofOI -heir Worker'S Compensation insurance snoulO be pluvftled a n1a. l 1 am exempt under Section --- •,--- . —. ^_- r w B. R f C. (,;, th-S reason Date -t-2 -2 - I hereby certify that ' -- ( ice - A1AVe read tills aPI+Cat;r)n awl state that [hC a einfor,nation is eorrert. 1 agrtie In r.omp'r with an City and county '1', asandSIAIOlawsrela'1nq l0 bu-lomg cOnstfilet nn, anti hereby dUtnCfJte repro- sentat`vos of This a to cr.tur upon It a00ve- m"ilorlec properly fr., inspeftion pur S Signature Dow " ' " /2 Z_ 8fDrivers' Licorice n,_S . «/ in> 7,pphcant Go'tloirM•Atcornhng CITY OF LAKE ElLSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except these within heavy border lines and sign all appropriate declarations _ PE T N0[. TRAC -, :v13. LO NT0. UNIT K0. TYPEOFC01111FrICTl011 NEW ADD L CONVERSION L_- DEMOLISH 'I OTHER / ALTERA "10 REPAIR r DESCRIPTION OF WORK /USE OF SLOG „ /, A.P. # tK Vain Building. 1 T.nna TYPEOFPENtrr GRADING C FOUA6A17r,N (7 STRUCTURAL — — Accessory Building: TENANT ELECTR ICAL-- ^PLUA181NC MECHANICAL nt -- - - - - -- Z OTHER r - - - - - -- D PROIECi DESCRIPTION: SQ. Ft Occupancy - t - _ N Corsthucton file Ike ---- _ PCa - Acres Remarks - _ f. # Parkin Req. /Provided Ef - - Planning Notes E PLUMBING FEES Alter, Repair Gap Gap Auto Wash Con Backf!cw Preventer Coo r Sackflow irrigation Pole C1aTifiers Dr I Dishwasher Fan Fixture Traps ea. i 60 F. A. Floor Drains Fi- Flonr Sinks Xt P•Traa _ uef_0 -a;ns r -. ^ r Sewer Sealer :;:o _ --- Sewer Co. "ectian • Bldg. Soles Collect ^,ff Solar Pipinr - -_- Swimmi3 F'oo!7;,4- - Water Heater Water Seplic. System__ meter J up TO ZUU BT PS _ Meter U over 2 0 amps+ Sub anal _ l ransiormer 1• 5.50KW 0 50 +KW Motors001 HPOIK -E Inc. Solar 03_15 HP O1 &15.3 In Far. Res. _ - M Iti•Fafn. IT Alt J 1-L itiff"? ASLE ' ZHANIG -,aL FEES _ ACCT•A • 6RADINGFEES y Heating System St ovoin, OG100.(100 BTU C1104 (t Hood or Canopy Cut. - _ -- - cu. yards Fib: - - - Cu. yards 3360.3370 Pian Chzck fee S 3300.3312 Permit Fee S r Total Fees ; -- 3300.3311 + Summary of permit Feu a• .. u -, I Refrigeration System Building f *- 00.100,000 BTU 0100.000 BTU Plumbing f 1 y j2 G i•ireN1tFeet. Blt. ICBU # Electrical System Re air /Alteration Mechanical Fire Dampers Other Fegizters — — 110231 SMIP RES uineratnr 110.232 SCUP com 3360.3370 Summary of r1ln Geck Fees DEVELOPMENT S illik' ES REQUIREMEN". Z&*z ApPillied Bealiall ApprawdBy AWicalion :need By - Dah Plumbing ctectrical $ _ Mechanical f - T _ Other f 33603315 Planning Tnla) Fees Due S IL NZ ui CL 4 mi LL LL. . 2cj "I0CD03CAcaLU LU CL w ca la Go LUUJ co au c C12 i3 0 Ix A o r CITY OF U_KE Ei.SINORE BUILDIM; DIVISION Q- W_23.ER- B11 IlBE .._ V E R I E I_CAT 7 0N A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require. the completion and require the return of an owner- builder verificatich, Attention Property owner: An "owner - builder" building permit has been applied for in your name and bearing your signature. E2 hjt=mq permit. 3 :L Lt issued untij jbisanti verificat;, o_ n i e3ce: vest,. 1. I personally plan to provide the majcr labor and materials for construction of the proposed property improvement. V Yes No 2.- 3: thave are riot) - signed an application for a bui ng permit for the proposed work. 3. I have contracted with t:,e followin person (firm) to construction: the proposed conruction: j r -- Name Address Phone ( j Con -ractors Lic. 4. 1 plan to provide portions of the work, but I have hired the following person, to coordinate, supervise; and pro,, -ide the major Mork: Name Address Phone (714) Contractor's Lic. 5. I wyll provide some of the work but I have co=racted hired) the following persons to provide the work indicated: az e d -ess onrr ,e o: Work If additional- space is required attach subcontractors 1 xs-.) I hereby affirm that I have recaived a copy of the information set for`..h in Section 19830 of the State of California Health and Safety Code and have complete the above information to the best of my personal knowledge, in compliance with this State Law. S19ned: s Date: Name: _ f Printed or Typed Drivers Lic. f or Soc. Sec. Z6 - P-JfIZ Y ap, 0 9 11, (o 016. I 1 Prol «IAddresta Assessor i Parcel No. Owner's Name e•- y'V4YI+bn Address Arch /Eng. — _ license No. Address — - Contractor's Name —. 4 —Phone Address (mailing) - City License No. - LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am lrter.Stsd under provisions of Ch,.rier 9 icommencing e•ith section 7000) of Division 3 of the Business and Protessoo -s C•,de, and my 11 tense is in full force and effect. 1.1cv'se Class License No. Dale _ Signature WORKERS' COMPENSATION OECLARATlON I hereby affirm that I have a certificate of consent to sett- insare or a certificate or W,nrkers' Compensation tnsurancer or a certified copy thereof (S ction 31100, Lab. r_.) Polic; No, —. Company 9 Certified copy Is hereby furnished. Certified copy is f1iaC -with the city Building Division. Date_.__ -- -- Applicant .- EXEMPTION FROIIa WORKERS' COMPENSATION DECLARATION Tti ssection netan nat be :ornpleted if the permit is for ,Joe hundred 1$100j or less). Ice", fy that rn the p erfor,nence c' tht wvcrn for vvniCh tats permit is iisuea. I shall rat emoioy any person in any so as to become s¢bler! t,, :he syrvkers' Cornponuttinh LAWS of California. Date — NOTICE: it, after mSirng this dec!araticn, you should become subject to the synikr.s' Compensation prows:ons of the. tabor Cnde, you must forthwith rOmp!y witr. such provisions or mu permit shall to (seemed fevokea. CO.,JSTRUCTION LENDING AGENCY i nrreby aft.rm the% there it a construction: lending agency tot the performance r.f tilts work f.,r v :h,chi this permit 1s -SSued (Sect.cn 3097 Civ. C.) tc cer's Name tender's gdaress OWNER BUILDER DECLARATION I hereby affirm th1! 1 am exempt tram tr•e Co•w :raclor's I.iCCnse Law for the fuisaxf.tg reason !section 7031.> Business and professional Coca: Any c,ty or county which reJiwif s a cerinit to Constr,.ct, alter• improve, demolish or repair any slraclarc, pr :of to it; issuance. a!ra reouires file applicant for such permit or to rite A sigaeG i:a :arnenl that hm;s'ie is i,ccnsaa pursaant to the provisions si the Contia,ter's !.,tense Llw (Cnapter 9 Icrmmercing with Section 7040) of C1v'Soon 3 of the Business and Pr,,Vessions Came) o: treat rao /sre r, exempt thetefrom and tree basis for :he 3l:eged exemption. tiny vrolat:on of Sictran 7031.E by any of locan' for a perrni; su9 :"IS the applicant :a a Cipar3aflyo. ^ot r ;sore ttm,i fir :.undrnd dnllars !V,00). I, as owner of •ne proPc,ty or my employees witr, wages s their sofa rurnaensaridn, will do the wore , and trip structure is not intenate or oftere(s or sale ( Section 7044, Bus,nels artii Profess,hnal Cnae! The Conlrac:of's Lrcensa Law does no: apply to ar• "serf of a plop4r :y vA•in b,a,les ur it :prove: it c,eon, and wro dotal su -n work nrrr,seo;nerse+f I thlnu7t h•s Gr tier own employees. pry -,cea !ha! suc-t 'Mofoverr"is are nM intended ni ofrer3d ter sale. If, rowever, Ine but( (sing or imp ;ovement is sctl within o'le near nt carn- p ;etrdn, the .,wr,3r —1i have the 04"C,cn of Craving ne /the c;1d not audd or im- prove for the puinnse of sale). 1, as owner .i the proocrty, am exaloSivcfy contfa0ml.) w,tr tire sed con. tractofsto construct ere project (Sactian 7044, Ras ;nass and Pro!@%S'UL,s roa0• 1hr. C.ontrattcr s L :con Se law der- n0f app:v :o an owner of ppfrperty wro butlas n: imp.nvrs theterin, and wnp contracts to• such pfn;ecls with a con• fracler(s lice,se pursuant to :tit Cnn:factor's 1- (cruse Law). ! am Aware trial prr..t o their .vori.er's C.1- pcnsation .'swance shoal(] be p: idea to me. i am exempt hoer Scetmn L P. C r ehic reasr n Date %- ! lG J -- ownta- _ I hereby cei -!,fy that i have res0 t ?pp!' lion Ana State fhZf the above nfn,mahon is emeoict. I ag,tae t c plY wit Al! Lily a..n erunly ordinances and sfalt laws relating :0 4u to' nsV urtion, and tlQreby authorlae reprta- itanialwvaS of this Uty lu en :e on the above tt+ tir :ned P, p irl (()r 6196 inspsc tlr un pnsds. A ,JJ GriCJr Al bnyr.rt' 1 nSe ar55 - WN bIlasslia n Ttmpfxart Me fnpy. Canary Asser t, P1r -f •AppLrart. Gohlen!pJ- Atcouat.ny r CITY OF LAKE ELSINORE CONSTRUUION PERMIT Appiicartt to fiil in all :paces except those within heavy herder lines and sign all appropriate declarations PERMIT TRACT NO. LOT NO. UNIT NO TYPE(ICONSTRUCENN C NEW C ADD ALTERATION Q REPAIR C MF -RS!ON J 0EWILJSH :-j OT E_ N R _ NSOTIPTION 01 WO+TKNSE OF BLDG. Klee >k ME OF PERMIT - GR. .NG t= FOUNDATION STRWTURAL C TENANT KELECTRICAI y'%*LUMBING ME IAN!CAL OT` R — PROJLCT DESCRiPTION. Sri F: Occupascy cer`tactlan type _ Zoe AUts - r:iwtioo S _ PCa _ — Remark. - -- PLUMBING _ After, Repair Auto Wash tBat _ _ kflow Preventer_ Sac -flow Irrigation r +ash, r i Fixture Traps ea. rFloo. Drains Fll °or Sinks GasSoniice Outlets I_ ifiteruptors — P -Tran Solar Collectors Swimmin Pool! a Water Heater _ Water Wvict- EES ELECTRiCAL SEES i Generator C10.5KW D 5.15KW Construction Pole Sub. Fan GU F_A.U. Fixtures Outlets CC' Switches _ Meter up to 1 Transformer D 15 50KW i motors 10 -1 HP LA 1 ti - s Inc. Solar 19 -15 HP Gtfi -15+ t Sing!Fam. Res. A.P. * •ro ta 1 1 K _ E MahnBuilding: Atc i ,LSIN0 T Front 0 A, Rehr V C i Right 7t1 S Left Q EPIFARef. # Perk: Req./Provided Phoning Notes _ — 0 a T 1 7 MECHANICAL FEES ACCT s GRA01lGFM Boiler _ Cut: — _ cu. yards Duct -Under Ground Duct- Structural _ _ _ __ _ — cu. yards Fact - Ventilating 33503370 Plan Coe; r cg! I _ Exlizusi S stem IM.ulti le 33!7()•3311 Perrr t fet S FcannrativP Cnnter Te$ :Ftf-S S _ Heating System & Durting 0- "100 000 BTU 1=:100,( Hood Canopy 1 Type T = Type 11 i Refrigeration System Fact Bit.ICSO # ri Repair /Alteration ISt +Stews Intineratar Etlift., -- r. aET1EiDPMEEIT SE.YItEb fEQlRR1:MEltT3: Zmft tt ildift aw/ y i tare flpelica6ata 336th -3312 1 Seminary of Parmit Fees Building PlunbrnE BTU Electrical mechanical 110.131 SMIP S _ 33:0.3310 1 Sammary of Plan Chec1 Fetfs Piumbint = , Elechical S Other S Planning That rid )tire S -? UJI zi ! - Cj C --T - -, {• -,__1 «. - W O ' I ` '• ! f , S !! .i { - .l - 1 `i iiir t- j{ r I1 ui w! o,' >j cJ ct ` , O. 4 .t _ i ui ! nt iL a, 7 z 1 Q, ! 1 1 UI - 5: 'Lt G_i D+ ? 11.1 ( ' Ci Q W W : O: + ii W r! E « c O, Q, ci a j u f ¢` O a _ } c. Ci -. (w't C 1 'a• U: 1-t ' If , -- f : -- 1 2 - ! t ! 7 i t f 1 !• . ..,t , ;{ - } 1 a vsJ Q' ui ; _{ ti, n .y .11_w. i t i ; i i ! i i ( J. r?i O r n, ar at cnl s* w ' o' y U. d a c i > ' 3 a .I .:, A._ • >je _ f+ Q ' c ( t `i i i t , J. , ,- .•r. •cj ,.1 :, , iO -Ur W4 nr r i o' Q o LL jit- __.- •-- _.__- _ —_.f. s. ---r r 1 f f i i i l i t i z: - f iii 4; 1 } I 1 ! , j - i { - f'__..— - i•- -i— ••-- t— ..-r--_,._ °•- -{•_ tr I I ! ! f f ci ! c: J ! ? : i 1 i j 1 1 Q r !. I 1 i t 1 L) t i s J fZ " I 1 ! + j ,, mt i{ t { 1 r z ` ~; t -{ f f J 1 ! _ d, ! i i t i I i t ! i r Vi z fI f0' c' n' O ` E! a a.l W ' I U y. rn' ) 1 v1 J •) S ! i N) I wi J Oj r`,i 1 ru Vi m' ' CI c! I i , c Q , cr, v u al t: = i j c c H ; ! Q cf u, c C,, LI c C--C, Q >! i cl ,1 w - G1 t`' r' cy a tl .; o. c• ti; rcl r p c` c ?' '°'J tl ! pd' : ' +.. i #' ai 5 i l:.E - + ai `-' c: `Z' LL' .I 'l = °i =J z z LLi AliswI2: a 7 Tit! Z ti t a( c. i ,Yj = a' 0i -'1 Gi rf r! w r z ,; ( .V r Q rvf E} , I 0 0. -I o, u u p M p p'. t_r! rni FI ai t c c' cil of o: o'i o , ?` o' o ,n; !z aim 2( ci J` zzt ttj fL! ft (i' t C3,' ;g -' a „'3 • -_t? of ar c( - c G 'Z UJ LL of ti S y M a Wf (( 1 i • lAr1'. mom ZS[.. ... r v r ” - 1 r J•/ ' r Jj { I I Jl_ _ 4 Jill At YL r ° X ITY OF LAKE ELSINORE CONSTRUCTION PERMITF71titoss _— Applicant to fill In all sp xcept those witit:n nay, y. border tines and sign all appropriate declarations Assassor'sPorc No. ro. 'G' 7 -1? -- -- ^-- Name — 4Paone — 1,T NO_ ! TRACT EEO. LOT N0. p . T J, Address -- -- `- - - -- - -- -- -- Q 1 ArchlEng• - -- LicemoNo MEOFCONSTI<tTLT10N ;•;70 ] _ERAT10' fvg: CONY£R510N OEi10 S City License No. _ Re'-r f r j!`•2lrj LICENSED CONTRACTOR DECLARATION OTHER 7.J - -- -" A 6htrPROIECTDESCRIPTION. -'s0fL G / - _ __ .. r `"t•' 1 Hereby a ri:m that I am licensed ur.de- pro Charter 9 (commencing panty W'In section 7000) of Oiv,sion 3 of t B-- siness and Professions Cotle, aria ronsuaboo t've " Acres K my IEcense Is :n sun t e and ettect_ - ,, t a., ' Valuation S. rs.[> ^ PC+fL.icens Cfa•s t o DatdL. ? Z Sign:rule Rema7ks Planning otesWORKER`' COMPENS TIOY EC RAT 1 gAOLAION - 1. Hereby affirm that I have a certificate of consent ti self4nsure or a certificate L/ •(„ _ _ f s \'orkus' Compensation In.urance, or a eerGirl/reo copy there O tJ(' Sfec tion • 3800. Lab. Company s C reed copy is hereby furnished. 1 /•-•! I/- - )(fj y _ j - - M1 Ctr rfre Opy is filed with the Ctty Uit bt D, t EXEMPTION FROM WORKERS' COA:P SA'rII DECLARATION T1hssecl,ott need not be CVnipleted it tr permit as for One huntlred (51 00) •.- - IKS). t certify that in the performance C= the wort for wn,ch this permit ,s Issued, 1 j .. I shau rot employ any person m any magnet so as to become Subject to the PLUM6!NG FEES ELECTRICAL _ , FEES MECHANICAL' Wurker S' Compinsatror_ Laws of Ca•ifornia. - -- uate _ _.— ___Stynatt,re — ^ -_ -- -- ; Alter, Repair enecotni— _0.5KW 5.15KW Boiler NOTICE:'I,aftr• making t,s decPara:icn, ypu s!'CU'C become suttlect to the Auto Wash a - -! — vori.ers' C•mpensation prov:sfons o' ;he Later Code rou must forthwith Construction Po ;_Sub. Duct -Under Ground comply w&• i suit nrrovis,on, or Iris oermit snail .be deemed revoked. Backflow Preventer — _ - — CONSTRUCTION LENDING AGENCY Conking Unit _ -. ! Duct•Strt;c :lrral i reteby affvm tn.;t there is a constructs in :cnaw.] agency for the performance i Baekflow Irrigation ' Pole Light __• Fan _Lrentil21i ;lq of the worm, for which tn:s oerm,t is ,ssueC (Section 3097 Cry. C.) ntlpr's Name __ , Clarifiers Dryers 13 Gas Electric Exhaust S stemLe - DishwasherLenoer's Address __ _..._. __ _______.__ _____ —; Fan ^ ^^ ! _ Evaporative Cooler OWNER BUILDER DECLARATION ea. Fixture Traps - ~t— ~ i p' F.A.U. I Heating System & GuttingIherebya1t•r•n that 1 am erempi frpm :re Cc.n :rwctr,r's License Law for the - -- -+ - Iortnw,ng reaso-r (Srct,on 7031.5 9t:s,ret :Ind professional Code: Any city or j F10o7 ti rains -- i Fixtures — i I 0-100,000 BTU 1 I00.000 BT CoUn;y v,hrCh rcuu„es a permit :o cc -. s :rcc', after, improve, demolish or repair — '-- - -- -- i- --- ^----- Floor Sinks _ any structure, nr.or to its issuance, dry re7urres the app +cant tut suer. permit Outlets Hood or Canopy to r,:e a s•gned : atcmcnt teat ne, sec ,s t+c tnseo DursWnt to the provision of G - j I he Cor.iracto''s License Law (Crap:er 9 (co•nmencrng ; :f• Section 7000) of j as Service Outlets ! $SNIlches 1 Type j r; Tye 0,. %,,,n 3 •,f the business and - Profess ors Code) or that he/she is oxempt Interceptots — Meter i J up to 200 amps I 1 Refri eratio th^rerrom will the basis for the_alle.tc exe•'+ption. Any violation of S4ct,on 9 System 7c31.5 by any applicant for a p- m.t s„b;ects the applicant to a civil P•Tra Meter f 1 over 200 amps T enalty of not more than five hundred aolra•s (5500). - -- p p - _— X0.100,000 B • U 1, as owner of the prooerty or mr emtA6arees with s,ages as their sole Roof Drains Sub panel -Fire I /Fact. Bit. 1CBO +'t tompcnsatizin, will do the work, a•.d ine st +ut*Urr is not intended or offerer Trailer Sewer _ ^ 15.50KW System Repair /Alterationorsale (Section 7044, 13,nrrtess and ProtCSSi4naj Cotle: The s;ont,Arlror'S r rrenSe Law does not apply to an owner of a property who b•rilos 7r imprnvts Sewer Ca I transformer tntreen, and who does such wafw n m•sc'4re•w1! of through his or Her own --i P _ _ _ __ _ 0 504 KW _ Fire Dampers rmp!eyees, prOVrtled that Su.:h rniprcvements ate not ,ntennetl dr offered for !Seaver Connection -Bldg. Motors Q 0. i HP _i 11,12 • B Re• islets _ Sale. It, however, the bu,lding nr uti•nro.f..,ient a ;;std v,tth;3 one year of ct +m• — - - p,;;:on, the owner will have lice burden (if proving tr(Shedid n A build nr 1,m- Sitar Collector! Inc. Solar _9.15 HP 16 -151- ln_ruteratar prole for the pu,pose of :Die). I Solar Piping -- _ ' '~ is 1, as Owne• of the property Dm pnc•. . r.ciy C• ^ :raCiing with licensed cc.i. 1 p g _ SingiFam. Res. i Misc. tractors to c•sn.truct the project (SCC :ion 70.45, BuslnCSS and Prole, •ens Code: Solar Tank _ _ — - The C1ntractC•'s Lrcente taw dots not apa!y an owner of prwe,w who -i_ _ —__ _Multi -Fam. Res. burins u• imp+9ve • thervr.n, and .vno cCr + lets for such projects v:rtr a r_on• i Swimming Pool/Spa Swimming Pool/Spa a 1,actor(s Werse pursuant to ine Contract.^ : License Law). t r ^.i aviaru that P"-1, Sw proof n their Worker's Compensation tnSj •3nU showd ox prnviP!d :o •.,e. ` f Water Heater _ Issue l 1 am exempt under Section B. 6 P. C. for this :e:son Willer Service Se tic S steDate — _ Owner _ ^ — __ _ _ _ _ _ n - I hereby certify that 1 nsva [S - this anp_.calior. and state that ~re above MVELONENTSERYICE E EVE N3S jLr T£ f - info rmatro4isfrec.. t aweyM Mp;y with dill city and coun., ard'nancrss - h*9AWNedBy _ _ Dikeandslateat,n to Id4ny on ;;ru ;lion, 2nta nerehv aufhbnze repro- _y / y. ,c L,f }— OittsentativescIototnt e aGove ate :rc.oncrJ or,parly ter tail /isl =ApptttKd tn action s. A,'A t I ISSUe ludo dBy DateStnaturepat pr,vcrs' LiS - Whde•Ballding: Green - Temporary file Copy: Canary-Assessor. Plnk•Aprfhcant. GoWtn;od 1.ccouhbng FA G i Parl!eq Req./Provided . f 1,A S ES .-> _. ACCT. If GRADING FEES Cut: _ __ -----Cu. yards Fill: ._ _____,___cu. yards 33603370 Plan Check F•.e S 3300.3312 I Permit fee $ total fees $ .-- 3300 3312 Summary o; Permit Fees : BuAing $ Plumbing I Electnc,: T __ __ _ . _ tfeclt -nical S Other $ _ -_____ — 110.231 SMiP Res $ 110.231 SMIPCo -,, $ _ 33600 -3370' Summary of Plan Check fees Plumbing $ Electrical $ _- Mechanical $ -,•,• _ _ Other $ — 3360.3375 % J00.g TOW Fens Dee = `J LLI N OTHER _ A.P. # b - iain B t' er__E: l T' ;ran; TTER><NT flfC1 ;CAL r 2t A O LA ION - 1. Hereby affirm that I have a certificate of consent ti self4nsure or a certificate L/ •(„ _ _ f s \'orkus' Compensation In.urance, or a eerGirl/reo copy there O tJ(' Sfec tion • 3800. Lab. Company s C reed copy is hereby furnished. 1 /•-•! I/- - )(fj y _ j - - M1 Ctr rfre Opy is filed with the Ctty Uit bt D, t EXEMPTION FROM WORKERS' COA:P SA'rII DECLARATION T1hssecl,ott need not be CVnipleted it tr permit as for One huntlred (51 00) •.- - IKS). t certify that in the performance C= the wort for wn,ch this permit ,s Issued, 1 j .. I shau rot employ any person m any magnet so as to become Subject to the PLUM6!NG FEES ELECTRICAL _ , FEES MECHANICAL' Wurker S' Compinsatror_ Laws of Ca•ifornia. - -- uate _ _.— ___Stynatt,re — ^ -_ -- -- ; Alter, Repair enecotni— _0.5KW 5.15KW Boiler NOTICE:'I,aftr• making t,s decPara:icn, ypu s!'CU'C become suttlect to the Auto Wash a - -! — vori.ers' C•mpensation prov:sfons o' ;he Later Code rou must forthwith Construction Po ;_Sub. Duct -Under Ground comply w&• i suit nrrovis,on, or Iris oermit snail .be deemed revoked. Backflow Preventer — _ - — CONSTRUCTION LENDING AGENCY Conking Unit _ -. ! Duct•Strt;c :lrral i reteby affvm tn.;t there is a constructs in :cnaw.] agency for the performance i Baekflow Irrigation ' Pole Light __• Fan _Lrentil21i ;lq of the worm, for which tn:s oerm,t is ,ssueC (Section 3097 Cry. C.) ntlpr's Name __ , Clarifiers Dryers 13 Gas Electric Exhaust S stemLe - DishwasherLenoer's Address __ _..._. __ _______.__ _____ —; Fan ^ ^^ ! _ Evaporative Cooler OWNER BUILDER DECLARATION ea. Fixture Traps - ~t— ~ i p' F.A.U. I Heating System & GuttingIherebya1t•r•n that 1 am erempi frpm :re Cc.n :rwctr,r's License Law for the - -- -+ - Iortnw,ng reaso-r (Srct,on 7031.5 9t:s,ret :Ind professional Code: Any city or j F10o7 ti rains -- i Fixtures — i I 0-100,000 BTU 1 I00.000 BT CoUn;y v,hrCh rcuu„es a permit :o cc -. s :rcc', after, improve, demolish or repair — '-- - -- -- i- --- ^----- Floor Sinks _ any structure, nr.or to its issuance, dry re7urres the app +cant tut suer. permit Outlets Hood or Canopy to r,:e a s•gned : atcmcnt teat ne, sec ,s t+c tnseo DursWnt to the provision of G - j I he Cor.iracto''s License Law (Crap:er 9 (co•nmencrng ; :f• Section 7000) of j as Service Outlets ! $SNIlches 1 Type j r; Tye 0,. %,,,n 3 •,f the business and - Profess ors Code) or that he/she is oxempt Interceptots — Meter i J up to 200 amps I 1 Refri eratio th^rerrom will the basis for the_alle.tc exe•'+ption. Any violation of S4ct,on 9 System 7c31.5 by any applicant for a p- m.t s„b;ects the applicant to a civil P•Tra Meter f 1 over 200 amps T enalty of not more than five hundred aolra•s (5500). - -- p p - _— X0.100,000 B • U 1, as owner of the prooerty or mr emtA6arees with s,ages as their sole Roof Drains Sub panel -Fire I /Fact. Bit. 1CBO +'t tompcnsatizin, will do the work, a•.d ine st +ut*Urr is not intended or offerer Trailer Sewer _ ^ 15.50KW System Repair /Alterationorsale (Section 7044, 13,nrrtess and ProtCSSi4naj Cotle: The s;ont,Arlror'S r rrenSe Law does not apply to an owner of a property who b•rilos 7r imprnvts Sewer Ca I transformer tntreen, and who does such wafw n m•sc'4re•w1! of through his or Her own --i P _ _ _ __ _ 0 504 KW _ Fire Dampers rmp!eyees, prOVrtled that Su.:h rniprcvements ate not ,ntennetl dr offered for !Seaver Connection -Bldg. Motors Q 0. i HP _i 11,12 • B Re• islets _ Sale. It, however, the bu,lding nr uti•nro.f..,ient a ;;std v,tth;3 one year of ct +m• — - - p,;;:on, the owner will have lice burden (if proving tr(Shedid n A build nr 1,m- Sitar Collector! Inc. Solar _9.15 HP 16 -151- ln_ruteratar prole for the pu,pose of :Die). I Solar Piping -- _ ' '~ is 1, as Owne• of the property Dm pnc•. . r.ciy C• ^ :raCiing with licensed cc.i. 1 p g _ SingiFam. Res. i Misc. tractors to c•sn.truct the project (SCC :ion 70.45, BuslnCSS and Prole, •ens Code: Solar Tank _ _ — - The C1ntractC•'s Lrcente taw dots not apa!y an owner of prwe,w who -i_ _ —__ _Multi -Fam. Res. burins u• imp+9ve • thervr.n, and .vno cCr + lets for such projects v:rtr a r_on• i Swimming Pool/Spa Swimming Pool/Spaa 1,actor(s Werse pursuant to ine Contract.^ : License Law). t r ^.i aviaru that P"-1, Sw proof n their Worker's Compensation tnSj •3nU showd ox prnviP!d :o •.,e. ` f Water Heater _ Issue l 1 am exempt under Section B. 6 P. C. for this :e:son Willer Service Se tic S steDate — _ Owner _ ^ — __ _ _ _ _ _ n - I hereby certify that 1 nsva [S - this anp_.calior. and state that ~re above MVELONENTSERYICE E EVE N3S jLr T£ f - info rmatro4isfrec.. t aweyM Mp;y with dill city and coun., ard'nancrss - h*9AWNedBy _ _ Dikeandslateat,n to Id4ny on ;;ru ;lion, 2nta nerehv aufhbnze repro- _y / y. ,c L,f }— OittsentativescIototnt e aGove ate :rc.oncrJ or,parly ter tail /isl =ApptttKd tn action s. A,'A t I ISSUe ludo dBy DateStnaturepat pr,vcrs' LiS - Whde•Ballding: Green - Temporary file Copy: Canary-Assessor. Plnk•Aprfhcant. GoWtn;od 1.ccouhbng FA G i Parl!eq Req./Provided . f 1,A S ES .-> _. ACCT. If GRADING FEES Cut: _ __ -----Cu. yards Fill: ._ _____,___cu. yards 33603370 Plan Check F•.e S 3300.3312 I Permit fee $ total fees $ .-- 3300 3312 Summary o; Permit Fees : BuAing $ Plumbing I Electnc,: T __ __ _ . _ tfeclt -nical S Other $ _ -_____ — 110.231 SMiP Res $ 110.231 SMIPCo -,, $ _ 33600 -3370' Summary of Plan Check fees Plumbing $ Electrical $ _- Mechanical $ -,•,• _ _ Other $ — 3360.3375 % J00.g TOW Fens Dee = `J comply w&• i suit nrrovis,on, or Iris oermit snail .be deemed revoked. Backflow Preventer — _ - — CONSTRUCTION LENDING AGENCY Conking Unit _ -. ! Duct•Strt;c :lrral i reteby affvm tn.;t there is a constructs in :cnaw.] agency for the performance i Baekflow Irrigation ' Pole Light __• Fan _Lrentil21i ;lq of the worm, for which tn:s oerm,t is ,ssueC (Section 3097 Cry. C.) ntlpr's Name __ , Clarifiers Dryers 13 Gas Electric Exhaust S stemLe - DishwasherLenoer's Address __ _..._. __ _______.__ _____ —; Fan ^ ^^ ! _ Evaporative Cooler OWNER BUILDER DECLARATION ea. Fixture Traps - ~t— ~ i p' F.A.U. I Heating System & GuttingIherebya1t•r•n that 1 am erempi frpm :re Cc.n :rwctr,r's License Law for the - -- -+ - Iortnw,ng reaso-r (Srct,on 7031.5 9t:s,ret :Ind professional Code: Any city or j F10o7 ti rains -- i Fixtures — i I 0-100,000 BTU 1 I00.000 BT CoUn;y v,hrCh rcuu„es a permit :o cc -. s :rcc', after, improve, demolish or repair — '-- - -- -- i- --- ^----- Floor Sinks _ any structure, nr.or to its issuance, dry re7urres the app +cant tut suer. permit Outlets Hood or Canopy to r,:e a s•gned : atcmcnt teat ne, sec ,s t+c tnseo DursWnt to the provision of G - j I he Cor.iracto''s License Law (Crap:er 9 (co•nmencrng ; :f• Section 7000) of j as Service Outlets ! $SNIlches 1 Type j r; Tye 0,. %,,,n 3 •,f the business and - Profess ors Code) or that he/she is oxempt Interceptots — Meter i J up to 200 amps I 1 Refri eratio th^rerrom will the basis for the_alle.tc exe•'+ption. Any violation of S4ct,on 9 System 7c31.5 by any applicant for a p- m.t s„b;ects the applicant to a civil P•Tra Meter f 1 over 200 amps T enalty of not more than five hundred aolra•s (5500). - -- p p - _— X0.100,000 B • U 1, as owner of the prooerty or mr emtA6arees with s,ages as their sole Roof Drains Sub panel -Fire I /Fact. Bit. 1CBO +'t tompcnsatizin, will do the work, a•.d ine st +ut*Urr is not intended or offerer Trailer Sewer _ ^ 15.50KW System Repair /Alterationorsale (Section 7044, 13,nrrtess and ProtCSSi4naj Cotle: The s;ont,Arlror'S r rrenSe Law does not apply to an owner of a property who b•rilos 7r imprnvts Sewer Ca I transformer tntreen, and who does such wafw n m•sc'4re•w1! of through his or Her own --i P _ _ _ __ _ 0 504 KW _ Fire Dampers rmp!eyees, prOVrtled that Su.:h rniprcvements ate not ,ntennetl dr offered for !Seaver Connection -Bldg. Motors Q 0. i HP _i 11,12 • B Re• islets _ Sale. It, however, the bu,lding nr uti•nro.f..,ient a ;;std v,tth;3 one year of ct +m• — - - p,;;:on, the owner will have lice burden (if proving tr(Shedid n A build nr 1,m- Sitar Collector! Inc. Solar _9.15 HP 16 -151- ln_ruteratar prole for the pu,pose of :Die). I Solar Piping -- _ ' '~ is 1, as Owne• of the property Dm pnc•. . r.ciy C• ^ :raCiing with licensed cc.i. 1 p g _ SingiFam. Res. i Misc. tractors to c•sn.truct the project (SCC :ion 70.45, BuslnCSS and Prole, •ens Code: Solar Tank _ _ — - The C1ntractC•'s Lrcente taw dots not apa!y an owner of prwe,w who -i_ _ —__ _Multi -Fam. Res. burins u• imp+9ve • thervr.n, and .vno cCr + lets for such projects v:rtr a r_on• i Swimming Pool/Spa Swimming Pool/Spa a 1,actor(s Werse pursuant to ine Contract.^ : License Law). t r ^.i aviaru that P"-1, Sw proof n their Worker's Compensation tnSj •3nU showd ox prnviP!d :o •.,e. ` f Water Heater _ Issue l 1 am exempt under Section B. 6 P. C. for this :e:son Willer Service Se tic S steDate — _ Owner _ ^ — __ _ _ _ _ _ n - I hereby certify that 1 nsva [S - this anp_.calior. and state that ~re above MVELONENTSERYICE E EVE N3S jLr T£ f - info rmatro4isfrec.. t aweyM Mp;y with dill city and coun., ard'nancrss - h*9AWNedBy _ _ Dikeandslateat,n to Id4ny on ;;ru ;lion, 2nta nerehv aufhbnze repro- _y / y. ,c L,f }— OittsentativescIototnt e aGove ate :rc.oncrJ or,parly ter tail /isl =ApptttKd tn action s. A,'A t I ISSUe ludo dBy DateStnaturepat pr,vcrs' LiS - Whde•Ballding: Green - Temporary file Copy: Canary-Assessor. Plnk•Aprfhcant. GoWtn;od 1.ccouhbng FA G i Parl!eq Req./Provided . f 1,A S ES .-> _. ACCT. If GRADING FEES Cut: _ __ -----Cu. yards Fill: ._ _____,___cu. yards 33603370 Plan Check F•.e S 3300.3312 I Permit fee $ total fees $ .-- 3300 3312 Summary o; Permit Fees : BuAing $ Plumbing I Electnc,: T __ __ _ . _ tfeclt -nical S Other $ _ -_____ — 110.231 SMiP Res $ 110.231 SMIPCo -,, $ _ 33600 -3370' Summary of Plan Check fees Plumbing $ Electrical $ _- Mechanical $ -,•,• _ _ Other $ — 3360.3375 % J00.g TOW Fens Dee = `J CoUn;y v,hrCh rcuu„es a permit :o cc -. s :rcc', after, improve, demolish or repair — '-- - -- -- i- --- ^----- Floor Sinks _ any structure, nr.or to its issuance, dry re7urres the app +cant tut suer. permit Outlets Hood or Canopy to r,:e a s•gned : atcmcnt teat ne, sec ,s t+c tnseo DursWnt to the provision of G - j I he Cor.iracto''s License Law (Crap:er 9 (co•nmencrng ; :f• Section 7000) of j as Service Outlets ! $SNIlches 1 Type j r; Tye 0,. %,,,n 3 •,f the business and - Profess ors Code) or that he/she is oxempt Interceptots — Meter i J up to 200 amps I 1 Refri eratio th^rerrom will the basis for the_alle.tc exe•'+ption. Any violation of S4ct,on 9 System 7c31.5 by any applicant for a p- m.t s„b;ects the applicant to a civil P•Tra Meter f 1 over 200 amps T enalty of not more than five hundred aolra•s (5500). - -- p p - _— X0.100,000 B • U 1, as owner of the prooerty or mr emtA6arees with s,ages as their sole Roof Drains Sub panel -Fire I /Fact. Bit. 1CBO +'t tompcnsatizin, will do the work, a•.d ine st +ut*Urr is not intended or offerer Trailer Sewer _ ^ 15.50KW System Repair /Alterationorsale (Section 7044, 13,nrrtess and ProtCSSi4naj Cotle: The s;ont,Arlror'S r rrenSe Law does not apply to an owner of a property who b•rilos 7r imprnvts Sewer Ca I transformer tntreen, and who does such wafw n m•sc'4re•w1! of through his or Her own --i P _ _ _ __ _ 0 504 KW _ Fire Dampers rmp!eyees, prOVrtled that Su.:h rniprcvements ate not ,ntennetl dr offered for !Seaver Connection -Bldg. Motors Q 0. i HP _i 11,12 • B Re• islets _ Sale. It, however, the bu,lding nr uti•nro.f..,ient a ;;std v,tth;3 one year of ct +m• — - - p,;;:on, the owner will have lice burden (if proving tr(Shedid n A build nr 1,m- Sitar Collector! Inc. Solar _9.15 HP 16 -151- ln_ruteratar prole for the pu,pose of :Die). I Solar Piping -- _ ' '~ is 1, as Owne• of the property Dm pnc•. . r.ciy C• ^ :raCiing with licensed cc.i. 1 p g _ SingiFam. Res. i Misc. tractors to c•sn.truct the project (SCC :ion 70.45, BuslnCSS and Prole, •ens Code: Solar Tank _ _ — - The C1ntractC•'s Lrcente taw dots not apa!y an owner of prwe,w who -i_ _ —__ _Multi -Fam. Res. burins u• imp+9ve • thervr.n, and .vno cCr + lets for such projects v:rtr a r_on• i Swimming Pool/Spa Swimming Pool/Spaa 1,actor(s Werse pursuant to ine Contract.^ : License Law). t r ^.i aviaru that P"-1, Sw proof n their Worker's Compensation tnSj •3nU showd ox prnviP!d :o •.,e. ` f Water Heater _ Issue l 1 am exempt under Section B. 6 P. C. for this :e:son Willer Service Se tic S steDate — _ Owner _ ^ — __ _ _ _ _ _ n - I hereby certify that 1 nsva [S - this anp_.calior. and state that ~re above MVELONENTSERYICE E EVE N3S jLr T£ f - info rmatro4isfrec.. t aweyM Mp;y with dill city and coun., ard'nancrss - h*9AWNedBy _ _ Dikeandslateat,n to Id4ny on ;;ru ;lion, 2nta nerehv aufhbnze repro- _y / y. ,c L,f }— OittsentativescIototnt e aGove ate :rc.oncrJ or,parly ter tail /isl =ApptttKd tn action s. A,'A t I ISSUe ludo dBy DateStnaturepat pr,vcrs' LiS - Whde•Ballding: Green - Temporary file Copy: Canary-Assessor. Plnk•Aprfhcant. GoWtn;od 1.ccouhbng FA G i Parl!eq Req./Provided . f 1,A S ES .-> _. ACCT. If GRADING FEES Cut: _ __ -----Cu. yards Fill: ._ _____,___cu. yards 33603370 Plan Check F•.e S 3300.3312 I Permit fee $ total fees $ .-- 3300 3312 Summary o; Permit Fees : BuAing $ Plumbing I Electnc,: T __ __ _ . _ tfeclt -nical S Other $ _ -_____ — 110.231 SMiP Res $ 110.231 SMIPCo -,, $ _ 33600 -3370' Summary of Plan Check fees Plumbing $ Electrical $ _- Mechanical $ -,•,• _ _ Other $ — 3360.3375 % J00.g TOW Fens Dee = `J 33600 -3370' Summary of Plan Check fees Plumbing $ Electrical $ _- Mechanical $ -,•,• _ _ Other $ — 3360.3375 % J00.g TOW Fens Dee = `J r W I LL I Ct LuClE V1l o 1 ti( is Q .rs W ¢ » g F- toO :. it. 11 m EO N S— _ Q !' . _ l - o .", yNrroviOai „ r C ' v' L. H :1 a N s N CF) 1Lc 'S I c a iiLL t t u a a C a L E v a vai W a I a I I I w _ -- z I c I C7 I to 1 1O m W W I C7 q Q i i I 0 II! I I WJiC _ c' Gi I 2 v I G i J ;1 j t ° I sI Q II W _ I _+ Id , 1 • p u: 0 i c Q s W 2 411 > i`-- 2 b r - Z U- L o a Z 2 c c h Q ay F- oZ ' a = , m q I O I oif .- cI V CJ _ dSl c cr c °' { V a _ C :O a `y W i a' v 3 a - El ` . a _ s n°. ` I a C` 3 F''- o o; u ti J Z _ Ar- OG « c t c dS . e 2 , F- °' c °0 o a Q — • oI Q C N v rn +-i q{ °' c Q N E ' w c : , = g _ W =! (7 .. c°h c X c is Z m mOdIc . ±± c W .. o m yy y L Y 1 O _ c o w °; f6 0 m J 5 a W Vi rD Z C~i '° O C G C m m M LL• ` eoSt: ms o LL O O 1o — I Qp 4 F o a W f3I L. i IIE IIVI T'ALLATION I N 'ORMAT O I MR IC I.D. NAe tE SPACE v - TENA4 PARK l NAME ADDRESS_'-S S_( CONT OR LICEISE C04TRACTO NAME .. ADDRESS r----- I - . - . t 1 MORILENOME _- --- - -_ PLOT PLAN LOT UTILITY SERVICES GAS: NATURAL __ LPG _ RISER SIZE DRAIN If!LET: SIZE MATER OUTLET: SIZE ELECTRICAL: B EQUIPMENT RATING Q amps) CIRCUIT BREAKER amps) RATING I3 PERMANENT M 'POWER SUPPL" WIRING CONNECTION CORD CONNECTION RECEPTACLE RATING amps) C] PEXiANENT OR TEMPORARY STEPS PROVIDED AT T E OF INSTALLATION MOEILEHOME DATA w W w x M- SIZE: LEN &TP (ft) WIDTH ` -(ft MANUFACTURER: VEHICLE SERIAL N HCD INSIGNIA OR HUD LABEL GAS SUPPLY INLET SIZE: 1` GAS CONNECTOR: MATERIAL CAPACITY BTUH DRAIN CONNECTOR: MATERI z MFG. WATER CONNECTOR: 11ATER1 L . SIZE - ELECTRICAL FEEDER ASSEM3L ( P ) RATING CONDUIT SI E WIRE SIZE & T PE _ ELECTRICAL POWER SUP C RD: RATING MOBILEHOME ELECTRICAL NAMEPLATE RATING l77 HC® 53f)- MHI -APPLICATION: SUPPLEMENT -9- 3 . SPACING COLUMN SUPPORTS M081LEHOME SUPPORT PLAN MOBILEHOME DATA MANUFACTURER'S INSTAL ATION INSTRUCTIOUS AVAILABLE? 5f yes El no DOTE OF MANUFACTURE DESIGN ROOF LIVE LOAD (psf) DESIGI WIND LOAD ) 5 (psf) MAXIMUM ALLOWABLE PIER SPACING (f.t) REQUIRED PIER CAPACITY (lbs,` REQUIRED COLUMN CAPACITY — (lbs) REQUIRED TIEDOWN SPACING Ij (ft) REr`IRED TIEDOWN CAPACITY - (lbs) SITE DATA ILLOWABLE SOIL BEARING PRESSURE /IW) psf) STABLISNED 141140 PRESSURE OF -AREA lt2 (psf) IEDOWNS REQUIRED? ( as no EQUIRED ROOF LIVE LOAD (p f) NOW LOAD MAIIIT. PROGRAM —0 Yes no PARK APPROVAL NSTALLATION ! ' PPROVEU PARK O'PERATOR/MANAGER lo- LOAD BEARING SUPPORTS MANUFACTURED SUPPORT , LISTED A!ID LABELED CAPACITY (lbs) Q FIELD ASSEMBLED SUPPORT DESIGN CAPACITY (lbs) FOOTING MATERIALS 0 2x PRESSURE TREATED LUMBER SIZE l2 >LW CAPACITYa,1(lbs) d 3y" THICK CONCRETE SIZE CAPACITY _ _ (lbs) El OTHER APPROVED !'4TER!AL MATERIAL _ SIZE _ CAPACITY ` (lbs) TIEBOWNS MAIIJIFALTURER RATED CAPACITY C (lbs) SPACI,WG ft) 4 1 a LAKE ELSINORE UNIFIED SCHOOL DISTRIGr 545 Chaney Street Lake Elsinore, CA 92330 714) 674 -7731 f CER11p.1CA E OF coMPL NI CE Date 10/7.4%$9 Tgpe of Perraik Cit of Lake Elsinore Permit I No. 890098 Log # Owner Name Peyton Enterprises lob site Address No. 329UO Street Riverside Drive, Space #46 City Lake Elsinore Zip 9= Stud) Amu L--- Lt #Square Footage t. PN # 37 3 Trcct ! No. of units Type o: Development I Mobilehome — Comments Older mobilehome park built prior to September 1987 - Eutter field Mobilehorne Park At the present time, the Lake Elsinore Unified School District does not collect fees on garages/carports, cove.•ed patios/walkways, residential additions under 500 squar.' fezt: detached accessory structures or replacement mobilehomes. It has been determined the above - reamed owner is exempt from paying school fees at this time duk to the following reason: teplacexrtent n10biteh0me This certifies that school facility fees imposed pursuant to Goverruner c Code 53080 is the amount of Q.Ot' X = or $ 0.00 have been paid to L.E.U.S.D_ for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Type of payment Telephone Fees Paid By applicableNameonthecheckorvoucherifapp By Michael T. McCarty A rSfhoprintendent. Business Fee collected /ep by Marcia Schmitt Signature Collector: Attach a cop%'U'nty or City plan check application form to District copy. e R Pral+ect Addrosa _?_! - tl , `.1'L (!l i2' v'ar s Parcotho _ Q ,,- CITY OF LAKE ELSINORE C01JST=t(1CilpN PERhtIOwner-. Naine s 7 _ —`,TT `- - , p y Applicant to fill in all spaces except those wit Tin heav TActdra;,',c} -' -- -ffi. hrnfi 7 S- 3aZ PE IT N0. Y border times and si n ail aHt - sS r { TRACF N0. 9 PPropriatr declarationsLCTNO_ 11 T :0. Aciflrass -._ ._. License N; _ -- TI'PEOFfbdSFRlTpNCfsntaero:'s Aa B w CONYERSlO" ` ftiN ALTERATIONAtfCresstrtwrt;ngc t?/ r: `, r`! r / -3oZ 4ESCRIPTk?N FRURx bEAt9ElSxf OTHER _ k-P USE OF RE PI City i t -`Sj B1G6 _ vNSE0erto. -=L ?Q A.P. # f LfCEHSEp CpNTRACT0.2 OECl1RATICN fYiE —-- ---_ C'PFOINC _ i41L'M4AT10 _ E [" Main fiaildingr '1 reD; arrlrrn sear t -- - -. iEKIN J E! €CiP.ICA! n , TR(YiURALtntectlonaT' nsit), 3 antler pry ,s,ons u' OiHE LUb,BINE b1FG{pHIGIE T Front ;tLSSO ` n ---- -- osl0) y D,vrslon 3 oI tic Charter g ttommrncinq PR41Eii0ESCRIFIrl ryY U tt Is In IUf1 rprcr• BuSrnrtS a - - -' ucrnir _ ' r s v.ots Crrtle, antl _- _ .t ry Bt!il -- -,- 8' Date - •- _ ,'{ r 7 Co ^shu {t,Ga rjx Fr - "-- Otcop;nt -1 - A -- r store te L r Va a! i rs r— tDn __ C I!r yt - - QY.'O;2 K.ERS' anf•E I SAT - f - IC _- - - NSa,IOH DECLARATION _ 1 hu cDY altar t„ h OE ry - - -- el ,or „ers• avr a cc•r,trrato cI RematkS _ _ t - Curn nsat:os Insuran c¢gr'n' smlr re c - T / s/ P1 $ L f k40U. L.rt,. C.3 ( r ce, or !a corifr,e.: a cVtif,catt - - P1P. Ref. » -- cy- No_ _ -- }} p / pY rne'ror (Section _ - -- °`- - -.- - _ Q• G CcIAn, =C rpp -7• e , ; -- 14on:any _ - i- - r - P•ann;n Notes ----. Parkin Req` /Provided9ote. her [vpy rCetl - r . O Uete 's'I [hC crlr• Eui tlm -C_ .._._ - 4n •cdnt 9 pwrs,an M t:XEMGT,) n FROIN -_ - -- _ ___ - _ -- - - - _ _ - 17nrs rc! sn ne::.t HK`z;q rOASP SAT N -"- - •.__ ~^ Ton,c:ete I. the JCImi 4t-i , ARATfO,V -, '_- -- -- 1 :er. ^rY th,,r ,n r. o ne .-a•e , 51003 cr -- iaFS L Sr ' Sna,. tliplU • C Ot01's,, n” it r{, __- .. -- rVvr7.erS' pees: •, ..ny n rr0 r•r,,[^ t I Uatc yuC ho 1_a _a O' Can}Grn t i ei tr hc- a{rr,t Cet to I k t PLUMB _fEE I : Yor.•.CE, a Cr m o to s ae I --_ - -- - u , n o. Y ecc - e : A ter_R ai r•,p wr,a .,,cn pr. .a:- f, L a1= :.17 s ::n in $ ---- .--- cLEi.TRICAi SCONS- F VCT,O 7 LENO,rvC t '7 ' ern 's L,a, e' .'. "- rrn:.:n Auto yrasfi ` -4-- _Generator c :--- -- - =- FEE e rt r teat tr, cEr7ev ^,ec r; c;o7 er.. - r_ --_ -- _0_K,1 C5 15K44 , - - A EECHAMI - re wcr„ a [ , ,:, t3ackflow P s; ruction _Hole Sub. Bod_r_ -- F ACCT, . n _ Con - - - _ -- -- - - - _ _ EESIc,r ,,•.c., u_r, :h •Cn, , , g, revFnter ! o RIt0iN6FEESLentl •'s Name _'s aerm : rs IssutJ '' ,r t- .." ma•,.. ,,- ---- - ook7n r 0ai-UOdErL[ r,n.•ctt -- Bckfiowlrriyailon i Unit - - Ground - -- C_t- CWL'NF_R - -- _ - `----- - -_ -__ :Clarifiers - `-f - -- Pole -- - ---. DuezStrucherah_ - - - -- rarer, hCrF'aurCOFt: oECLARaT:on; -- - . Ur er -- -- -- r - iFen _ trcn_ac^1 - 7n7 -t1 ci c m p• P. o:: r,r:n Cnr. i;rc•.,.•- ice...' _ ; OratiWas7lt`.f . - ---. Fa S_GaS_= E12ttrr_ -_.._- __ Ver. Gialir 3i0 --- LI - - c u r.: 'er.., r >, 33.ti s _ - __ Exhau - - i3EC 3 P•,a r -- -_--[a yares st rwr I$aae,^ -r C"• r• rJ• t7P•- +r.S;, ,r•J, r; 7C. lwi u. f:,r ;hC ,crure Traps eo. - - - -_- - `-- -?t stem - C. <akFteS s,a c sn •; , e Ir,p•: I : r' ar _ _ - - c -- - - -- F.p_I - - - -_ - -_ 041f -- r— 33UJ?31 ' e f t: a pr • tc, r: $1: r c tr- Floor Drains_ !_ _ !a c alive r Pe•md FSI<< .tl a'crnrr,! C, al5 r ]u •S tr t Jr-' r repairuer .c o , n n,t FI i - Ftxt re5 - - 7 L ruse t (< „ "° -• r _; __ one Sirrks - _ -- - Heating System & Cuciiny --' --` Tota: Ftrr - -_ - Aus,• rs (c `mtrc s ns ?t - -- _ - 3 f - 1 .,n ire 1•a : rJ:ci..:C •IS —• DUIIerr.. ry a:,, aua cane y' r, e au..:ra Cne uQal r.a t re t eiCr.IJt Gas Se'I Uuliais -' is -- C_' i00100J FTU 7er,atlY r'' nn rl '^ In sr. 1. . ,r.rn7rr "t Su 1SS00 r' rap scar n ... ct' v,fi Inlerceptors- - _ -- "_-- - _ Cwl'enes _ HnJr 0: Can_.__ ; 1- - - -.. I'ar• C, -j - -- P' ' ff ,c 7. - Mete - - _ -- 31G0 -3.f foT r,it:I,K roI, tl' ^ fir , rl.. r:1Y err,Crp•M •_P -TIaO - -- "- m -re,` uptG280arnts - r ! Y Q -! T. 1 1l SalRrrtnj'JfPeIIIFes LAt5^c7rors r•:a aac .° ss anahnrst esz..M's , r•,tere . •c en - r ROUE Drains ---- . -___i- - '_ fly- °ter , JYer0 cT- ReirrgeratiCn $;' Qi'i if -- 7 L' T.e - -_- _ vB' IGill - JCL -rtee ,n • v J =• O/- t n.SOI•:n prupprtY t., ::UII>rS C• irr -; _ _Tra4er -- _ - - 7• •ez, .,• c• rr „ .. crs.:7r , i ;.:•- p•o,.e. _ - Sewpr- - - -` Su arni' -- -_t7 fOJ.GJU 8TU ! :100 p t S S.t'f. v /CVm S,.[r ., arovc n:Cn (S Jr ' - n': - $evYer ,raT+ - -- - Q F PI mE rs fL;. IR.r.; r•r ,rt,r, n`v7 a rso: .,iYr.r70 nr r r. ,rn :_-. - r r - - -- -. nr1- 7iq•,• 7nC C.•r; n Nf L ^,n }n•IvC .71C Curtltr p1 OrpYS' Sr I(t `a r'J•,n fm[ Ye7r C,C7 for $eYye Onne -`_ - - -_-,_ ; Transfor:rler `- 15.50KW rSystem _ fill. (CBO_ E3•c tr t2 - -- ~ -' salC co.n. _ i _ _ thou -Bid _ - - SOtKUY -- - - P?ir, Alteration -'- - -- f - -- ___ - -_- I ). 0 hc,s••r r_,q net G 9s .,wn[ <.: •r,r u,r_ n. Im. $Olaf Cf - .- ._;___- - - - -- - - t - s . pr pc v. art t>t[i.t,.cr r• _. _ 0112CT r PdOtOfS r 0-1 _ r -_ F7r? Daft S --- 12rhZn,tdf f rr.e Stec, rrC per r Y MiraChn _ - J(S HP i , . g i Per - L.. r , a r (SCC:,go 70a•: S? hfs 1 w t- 'C °t "- con. _-4 $01af Plpiiy -- _ - -Int. Solar 9•f5 I'NP ; _ -- L,ftns z pr. - s Co : - -- - - ' -- 5 i ' - - - Rrgis{ers - - _ -- Otn,• f - _ _ t rs: E!5} . r (I.) , .c.n uc r. anC ,.no c,,r h.pcis •c wf.cr n• o occ:: t Sla Res. _ _ Inc 8_ Etztar - - __ .i3 IPRsrpar; : n ucr, p., Y w u ' Tank -- Stfl7iFa,T1. ---- ». n 13D131 n gnC,'' rr,n:rac:o 's t cense 7eca a.'' o me ' - i' - - -_- -- t- pI f - -+ f Liv.} •r Con- -._- __ _ _ t ' pl'ti a :•Q r. •`SUIVIce 1 am a +,d .e hat - .-Swimming Po01 /$ /$p` - - - - i— F -gym• R 1 y n c. _ - Mulri• „ Mist. _ -- -- 114 ?3t Mt CmCtuntfe:.`,ec ;r, srtc:;n nC . ,•n f UJtc /!'_- ` r lT e. S r. C rr: /:f, or.sso•, --T t'va!er ffeaier -•- ?WIRiTI7;0 401 - /S 8 --- - -__._ `"- '360.3374 1 S ncr 9` "r• ^e• , I Sifin"IOf bin Check Fees Seel r "`°C / 7 _ - - ^• _- -_ ,,_ rna: I nape " ` • - - y•s%- - rvite_ -_ - -- - - - -- ISSUe _ - - - -•- Bub7nR S '+ - s,v s r ,n ,s rn,rtc: '•'ao tr„ appLCaGun -- - _ eon, Se tic S step SC- •a:,vrS ,CK a't.,' / nL) cg t10 hu.rCln. p'1 WY.h N c,tY anJ fn.L7 vC .__ 1 --T^•- •- _.- .- ----- t t c7111 .,ctr m tY Or C, na t,0 - -^ - ?- - -_- t o rater up „ .r. any - 5,ana,,:r s' _t i,ve•mantt,, ea o 1P, ot.ea,a- YELOPNE(!TSE%YICESREQi11REA1E ry Ur -Crs v or - --__ -- ZariiatADProradB _ -` NFS: Elects; fIcear5_• yf 7 _ w - )J 'Talc• .r j,. I aBltd! - VI ti11e.JJr ail_. j -_ -- O :344 • I il `._ ._ -_ %asol^r17i(wd lf -_ _ - -_ ___. -_ .', tl fDolerC7 :ecn ienrpaary Flte Copt. 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'wttuwr•rw. nt•,t.+r,.,v.r. / / } ror' --a .ws.,.:.:.» moo• a Q•6 I i.• s.. rw• w• / 10: lJn•r.t: A /mas [f.:. » O t s ••"ta:•ew..rov mOO.. +ti•.amr•,uw •-w Taeu.r. r+.' rrw. kC : f b.f.n.w.. alitttvr...t.°..• .....n+......a...c.te.w...... o o w .aOrrG H•,.l'htvWL..fwf,..t. n. t. - ( I ,...:`..:= ;inwl ^- .cer'irwrwr : x:av°•re+attt..•ore.uw+t.00rar Y1• ct rfaa ,ro•..ur,•°rrrt_.•..•.,,.t„pn 11.- srt•r.,t.wlwatorRtt.G• i •• 1 ~~ -•> -- zfiJ'. iJ tr••<.ra run.rt S. stbsR kc"S tar wino -•;w /w rt. . I ! •°tr +.4'! ,(}} ` : 1 1 E .r r.i.FSIL+ ci0:.irt„rs ri r:u:. w' T •_- - Stt i• _t a•: tr...rnr wµ -._ _.._ . —__{ vwo t+wr .w.r:Ytr. r I_ 1 l n rt:vrfo r..: u tn yt Ot saws : . ,t,• n•. . n .. •.>r. rm.+u: -. - _ _ __.. f as..weas nr +... mar s . • .. w«trtro, a ». t' 1 : xwu w.°'`>wa J ra..taw.Gr... sr[t `•. -., 'fr]aatoa,e{t ..1.. r '•:.cir.v u.i::.r.-: riir•:" .. 1_ - j T• y. J_ •••i' L: I f,w !Y•,d t''•f C t> ' -]o . • ay . .:: • I I .^.''• - r rfl4•''-_ /d 1 wr a nr 7r. • rlw'tOF1HAtoI RidOWO ]rwia.r nrrr] sf. r.r..)sn •••MrM r..•i. .o r.__. (l.• r. Ji.7• 'A f -. A• N O' f'f• At•.+• rl. 1.. GLsh.Jt f -i •,4 •I N•R'tV.rr.v r].t: w: vx.. VEAIt[C R t F : i'rAR - ' jiN1N' /GL.CA.o•a.fi GU1ifGi:,ff(/'}J'cG' t.- -- - -- -- • r. )...•at.,,x...•. .j_. ...... r. •..•t°r••,!rf"y . t.•t. c.••: . ,cu• v.•. 7= r]ure fat • wt BRUCE D. CHALLMAN I.,C dl. /- ._,_• , 4w>>.- fr i? . , - - - CIVIL EN61NEEft j ,..a 4 - F GC F LI'V- A ; 5421 EAST CHEYENNE AVENUEZwtewrf. etue•u u. •nto rtwr tn•nm I c -•salt IC a "G LAS VEGAS. NV / 0115 y y w 4• - LQT LINES i I 1 MOBILEHOM The total occupied area Minimum distance from porch to lot lines shall be 3' -0" i a mo ilehome lit shall of the lot except lot lines bordering not exceed 75`0 area. driveways. HCD 538 (Rev, 10 -•85) PLOT PLAN LOT,#_ Department of Housing and Community Development $ Division of Codes and Standards s r Park Address _? -.! I I G+1 -c L >f- i ii1 City ip_ Applicant_d.- - -- -- Address N IT ijrxjn 1 'rsJi HCCUIIICAR I THE UNDERSIGNED, AS AN AUTHORIZED REPRESENTATIVE OF THE OWNER OF THIS PARK, HEREBY CERTIFY THAT ANY AND ,.ALL LOT LINES AS SHOWN ON THIS PLOT PLAN ARE TRUE AND ACCURATE AND ARE CLEARLY MARKED ON THE SITE AS REQUIRED BY CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, CHAPTER 2, SECTION 166. low C - ( ..• PARK OWNER OPERATOR DATE I 1 :r t CITY OF LAKE ELSINORL BUILDING DIVISION Q W N E R- B U 1 L D E R V E R.1 F I_C A T 1 _0 _it A city or county, which is recr.:ired to give notice pursuant to Section. 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of an owner - builder verification. Attention Property Owner-- An "owner - builder" building permit has been applied for in your name and bearing your signature. Ito building permit will be issued until this verification is received s. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Yes No Z. I (have /iwwr -am*,) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: V ame Add,- ess Phone ( ) Contractors Lac. , C 4. I plan to provide'por`i.ons of the work, but I have hired the following person to coordinate, supervise, and provide the major work: AMe address Phone (714) Contractor's Lie. f 5. 1 will provide some of the work but I have contracted red) the following persons to provide the work indicated: aine Address Phone ee If additional space is required attach subcontractors list,) I hereby af_i =-m that I have received a copy of the information ie+- forth in Section 19830 of the State of California Health and Safety Code an have complete the above information to the best of my personal knowledge, ir,, cpwp ianf•,e x i` -.tils Itate. 7.aw. Signed: ( (L Date: Name: /,14 A /J L7_ 191 Printed or Zyped) Drivers Lie. f or Sac. Sec. M 3 0 _. 7,,/_;? `3 f CITY Or LAKE ELSINORE CONSTRUCTION PERMIT f f r Prolv(i Atldro.• 2 boa i` ! ` "" - "- - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations Assessor's Parcel Nii. - r - - -- Pi T rV( RACT LO r NO. UNIT N0. i (! 0r.ner's Name .t!i rG: 1)!1. - -Phone _ A Addreiz -.sL 2i.1 ..._ . -.___ - _ - - - -. -- - -. YC __l rcenS? No - OF CONSTRUCTION : dY ADD rail .RATIO) tEPAI? Arch ;Eng... - -- -{ - ) . - CONVERSION DERt01.IS11 OjNER _ - - -- ,/ A P. # }- I Address - - --- - -._ - - -- -- - -- - - -- -- - DESCRIPTION OF ViORK'USE Of BLDG - - C' i ya < .mss c,'i q -Le ' ! S I in b„ildih ;:' r - -- A - -- - Contrair s Name - - -- -- -Phone _ - - --- R E T Front TYPE BEPER'd1T GRADING ._ FOUNDATION STRUCTURAL f ---- N Address tntailing) - - -- - - -- -- - -- `- - TENANT ELECTaii.A; i PLUMBING 1 MEChAJfICAL R ear - - -- - -- A' Rear - - - - -- t City r rinse No. _ -- -- -- - - -- -' - - -- - - --- 11TNf.R - -' - - - -- - - - -- - - - - I N LICENSED CONTRACTOR UECLARATION _- _ -_ -- L; Rlghl - - - - -- -- _ _ _ , -- _ 1 r Pvn•an5 nl Cr,,,rter 9 (comvlentin.; rRO1ECT DESCRIPTION Sq Ft ---- "------- 0[cupan,) - - - - -J G 1 '•C•eJY affirm that t am lic ^used Undcr 1, -- ---- ----- - - - - - -- -"- -- -- -- - -- - x :h seoiiL,n 1000) c•' Divivan 3 „f trio Rus-ness and f"olessions t:ntl_, and Cocstrutllan type ?one _ A[res S Left E n 1"11 lorce a-13 eftcc.. Valcenoa b_ --- -- -- PCt -_ -_ - - -- -- -- -- -- - °Ing. Ref. # - I Parking Req. /Provided - E License No. Q 1 Date -- - - - - -- S!)natule - -- -- -- - Remarks - - - -- - - - - - -- _ Planning Notes _ -_ -- --- -- - - - - - - - j wORr .°RS' COMPENSATION DCCLARATION - -- -_ -_ _ - -- _ S 1 ne -by affan, that I have a certificate of consent to selftinsure Vorl eis• C.Ompensalion Insurance, or 2 certified COPY thereof (Section - - - - -- _ _ - - -- - -_- -_ -_ -_- 3R00, Lab. C.) - -- -' - -- -- --- -'- - -- — — L Cerlltietl Copy IS filet - furnished. _.- I•I r'i ;:eltlfretl copy Is filet wise. the c'iy Bu,ltlin9 Dlv;zion. late _--- Applicant -- -- - -- -- -- --- _ -- ._- -_ - _-. -.- = -- -- - --- _. —_ - -- -_--__ - ---- --- -- - -' -- cXEMPTION FROM WORKERS- 01APENSATION DECt_ARATrc7tt This section need not be complcleo ;f the permit :. for one nur,drr,C tSi :: ^' less). -- _' - I certify •hat m the performance o' the :vork f.r whict, the perm•• it iSS'ro, 1 0 ;NG Fer. t- CLC TRIi,AI_ FEES - _ - __MECHANIC,AL _. _ FEES ACCT. it tiRAOINGFEES Shall nUl Cmpluy any PCr50n :n arty r'lr.'.ner so 35 IL. 17CCOMe S:lble'4! to the __ -Pl -_. :911.r _ ... _ _ -_ -- - _ workers' Compensation Laws of Califor.ria. A!1 "f R" as _ : Generator [710-5KW 5.15KVY - i Boiler - _ -.- __- cuY _____Cu. yards Gale - -- Slgnalurc - - - - -- - - - -- - = P - - - -- ___ - -- - Duct•Under Gro :nd __ _ _ NOTICE. N, a::er makrn ^y this tleciaralior; you should become subrec! tq the Auto Wash - -- _' Cor•sTrll[tlan POIP. SLb. -_ -_ -, - - _- _ -- f _ Elil War..er5' Compensation Provisions O' the ! atar Code, you 71-St rnrthsith - -•f-- - - -' -- - _ 1 r, ! Duct•Strnr.tufai _ .___ -__ pi•; w,!il such prOV,Sio,js of this pc mil strain be deemed revoked. } BackflowPreven_ter- _, _ _ .mucking Unit - -- -- 3350317U FlanCher.kFee3 T - - - - -- C`1NS7RUCTION LENDING AGENCY i Backflcw Irn motion Po!a Liaht _ _, iJ Fan •Ventllatlnq - -- f : ^^,< - g=- .--- .. - --. - - -. - - * - -w -- - - -- - 3 ?UU -3:112 Permit Fee $ 1 Ly afforl that there is a r-ons:ruLtion len,•f-nq agency f the ^G `or mar :'C -I- -- j• -'r - 1 Eahnho S stem MUlll lE work for which this Pe -M :t is Issuert (Section 3097 C -v` C-) G.arL IP.fS -.- -- -- - - _r f5 ='aa5 .EIBC rlt --- -_ _ -- . - - - -- --- ; -- ---- -- - - - v 1 Iran Fees T I `^ r.dac's Name - - -- --' -- -- __..__... - --- -- - '-- -- - - -- DlshWashaf - 1- Ga.l_— ______ ! fvapingS a SystemdC''s Addrts$ _ _ _ r -_- rFixture Traps aa. l -..4. U. _ Heating System & Durtin OWNJIR BUILDER DECLARATION ,{--- - crony affirm trait I ainexempt fro,, tnc cnnracr r s i_:ense La., roe cite ?- - -._ - J0.10(10006TU!= 100,0006TU - -_ 336D 3312 SummaaofPermitFees i ;O V..nq reason (Section 703).5 Busses, end f- Arss,,,nal Cnoe: AnV city or FIOOr Cralns - - -- - L xlUts :_! -1 -i -v- r JZ- Hood of Canopyr- , ;,.n[v +. nich requires a permit to ccns:nu:, alter, improve, din nhsi' or repair , F!OOr Jini'$ _ -, Outlets I boy slructwe, Prior 'O ds issuance. Ills. re•7u'rLs U"_ apphr.. :,t 'o, P: :.1, Pernvt __ - -..- - - - -- -- e a s ;q..ed s:.'.'cr.,ent that Ile /she i; hr(,nsed P.ursxrant ' -, the provIsrnns of + Gas Service 'Itl6els i SWimi,.- _ _ - - -__ -, ! T P 1_ L: _ T P II the Contractor'S License L'.w (Chapter "(cmnnlencinc •u•tr•. SeCtl in 7000) n' - I-- - - - - - -_ Mr(er I -up tO 100 ,3mps + Reirigeration System 1 G.v, ;Inn 3 ^f silo Business and P,of Cssions C•,C) r, tha! te.s-12 ,s.'.vcnlp: lnte.'ceptorS _ __ -__ __.- y Eli.mbnl;; $ coon from and ihC basis for :he aIIClied exe:nptinn. Any aa1a :..r, of SGCtu1" - -} P Trap - I -- setae LJ'C !r i00 aim__ 1 110.100 OOti BTU l 100 OOU 6TU J 7,1 31.5 by any ac,phcdn; far a remit wnlccts silt .,: Distant to a civil I -_-_ -- _ - -- - - -- - - -- - - - -- - -- er.,.[a - - i ! r.-... L- - fl I I S renaltY m net more than live hur.dred cl,A airs ($500). __t _ _ -. - -t S Ib )ahP - FIr F ^t. alt. IOgO _'__- -- -. air ;CS •. file., ' .ie amcal I. as owner rat the property ur :ray Crn PIOV44 v.•,Ih - __+..-_ _- _--- _ -_ --. _ 1 t -- -- )- - r,, :•n Pensahun, w:p do me vrork, .end tnc c!, uct,uC is nn: ttenc :r or 4'lc red Trailer SP•wer I L.! 15.50K4Y r $ ySterTl RPn6if'Allefa[lon -- Pr ____- __-- _ -_ - -- 1j Transformer - -, 0th I sale (Sect•..n 7044, Business and Proles :rbnai Cntle: Tr,c C<artracinr's -. -1 C - - -.- -- l !Fire Dampers r__ l ,tcrrc have does rant apply to .In twiner nt a properly whc: OLl"js or err ;raves I .ewer Cap I- - - - I _ _ - - - - -___ I - 50 -K1 - --. - --.-. IlU 2l1 WIP $ -----------•---- rrcr.n, and 1rrl<, ours such wur. nin,sC f,nr,sclr „r uvn..r ^I SewEf Cf`9neCtlJn s3.dg_j i MOIOf1, ( 0.1 HP r r • E -- Registers - r••nplpy2M, Pnlvulyd 111.1' such InPlnve V.c % are n• .I n tc•.tCd ',r oliCnld r } _ _ 1 - are. Ir, nor ever, ute uuiln,nq o imprn'e, ,rat s' 'Id wict.ir u• c v air .ii cos Solar Collecturs Inc. Solar i9 15 HP ction, :he .wm.:r will t• •ve the hurdt- o ,ro r q 11c /sire did not huitd i,r n -_ _; - -- -- 3EJ 37 umm 7 f PlenChetkiea1 _ Misc. - T. - ro ve for the wupnsc ,f sale). I Solar Piping SirglFdin. Rev. - -- -- - ---- .- '-- -.__._ . - -" ' U S a e n Lx r,i y r -ul;• ruing w ir. ucr.ns ^d uu, _._ }- - - -- -- °- -- --t-- 1 ov,o r rat Ih^ or uM r'I. _ - - -- --.__ ._ _...- .- ____._- -.- L .,_ ra Cl Ors to C- )Strut: the of' re 1 (Snr I - r fJrisin u arC Prn'c ;,mns Code, Solar lark I - Mlllh•ra m. RCS. - - -_ - -- -- - -- -.- _ - - - - -_ - - - - - - -- - -- rnpCrlY wilt, - }- - .. _.T -_ -__ ____ - -.. -_ 11T TriC C.ontractr.•'s L.,ensc Law tl s rr., . ,rely t, an uwocr M - _ ii,in nr ur: P,uvr,s Incrch•I, .r •r, .•. nr, .. , .le as for SUth p••.11etts wrttl a Uin• Swimming_POOIISpa__ -.. I _ _1 Swimming pool / a -- : n' _- t'a..tCr(r) IicriniC por•tiani ! , the ('n::', •t C: n'•! ).scenic LJ :'.i. 1 and IrC IrI.It Water fl;'rlie: I I$$UC _ .__.... __. _. - .- _.__.. B riding PI, hcal f l oroof of their Worker's C,l rn ctrl :atiOis ins Urd nCC shnuid Ci Prrlvitlerl in n1C. 1 _ -- -._ rDIt-VELOPMENT -- - Ka I air, exempt -ender ' e..Ctinn .._ B. E P. C. for tl'is rensnn ;v 11f f SCrVlfe - Se,1ti__System - - - e[ fI i . .- -- - - - -- - - SEIZ WESREQ,•UIREMENTS: Otnc: $ ncreny certify that I 1,. •r 1. SJ C,it apl"cal""I wail ttdte chef ,r ahr Ne _ .- -- _ - - .- _ --- -- --'_ -- • -.- - -• -_- - _ .. _. --- - -- - -- C I Ii S ' nr m.l :rain IS cnrrC.:, agrC> In r gnrply odic I All L;ty antl -1 cosy 'rnnan tC! livedB - _ er and state, laws rCla :iuq th b :nir,rn." ,_r.. :Y.iuctuul, and nr:reby anti. .rc .epic __ i - .- - -- -- - --- pgoxdBT the: r.!I) to enter 11POO 'rye Y Inr - _ _- .__I __.._. , _ !' _ Dies t t •rsf5 P loin Wi7D1;r• ) ( -r ' Ihnve•mCil,I tl r,lperl % lon lswed y .-- -- . -_--- - --- tea ikte Y1Sf nvCr'. L.CCrI;. ,. SS A' II IrmpaarY Flip. Cn'v!. Canaiy ASr.r ".'..Ii: P,,k Apph(dnf 4I0ran,d Ace- ,unhnj - __ -- f, j -11- w z tu cc 7 LU LU LLJ cc U. Q) LL. C4CL 01 JU LLJU) UJ CC ujfj10. Ir 01 o ol LL 0r c w LL C-) ui L LU m LL) uiCL 0pp t I FL Y. uj C ch. 0 rC; 0, : 7 CC ::. cc ? z cr 75'm 0 a. CL :: - u 0 LU zM. CL t "3 En! L.- I cc . uial I LU LL, a. 0 o) L; LLi LLJ 0! 0 LLJ cn I C6 Uj LLJ C) C) L'J. I ( Z! i ; La Q! c uj Z" cc I_ LL 03 dd Zr_ Inet U) LU CC W , w c LL p LL - j Im to U- 0t' • ui U'.' ca 7— 4 cc M -Z CLM. F- t6r. LU 0. V) c =m o -:, -- ": o' 7' 7 ccCC5 - V I LLci a r- C C' CCcrtcr J (4, LL 0. Z 0: L'U LZ U. L)51 ico, Lij: L u""= TYPE OFICONSTRUCTIJI11 Will ADD AtTiERATIO.li REPAIR U Construction Po!e Sub. xnn/.^ CITY mm/mon a,v"so/,wm wxoioh,m'uomw|.mumu o oxo»vmwu ooummmo, Y tilt I. for tjhtC!, o==,w" w,^ u""= TYPE OFICONSTRUCTIJI11 Will ADD AtTiERATIO.li REPAIR U Construction Po!e Sub. w`^* "o -' _-___- _----u'°~° No, ______-- Cookino Unit Duct-Structural Y2* 3.; P. r; sa c a x tilt I. for tjhtC!, cv","`^*'--'----- '----'------'--'="°------- p',p° ti T! Front vkjy oo",e°'="^"y`---------'-------------'------'---' TYPE OF PERMIT N i STRIXTUP-AL c.'. License No. — ---- -- '-----------'---'----- Traps ea. uccwoEo CONTRACTOR DECLARATION m,.,,/ ant ..°"se*,"«~,,".,. -iris "'c^^",p*°~="^"'"v I Sinks Gas Service Owlets 51' w m""`'u`~"~^c m full force and "``.". 1), : hal. Inte-ceptars license Refrigeration; System ze"scn= u ecse No. __-____-_ s~=.'`---- --- -------------'' ixommks Planning Netes___ Root Drains wvn^sn,compcw^^noNoccLxnA`u`w m°."^`'"'/^","^""'^'''°"'"""n''"^'"-'`"°'^"~''`'='^ c"n"=^= /""""=" ° "°°./"" =`y m""" "°" 3 vu. `*. c.) w^, -________ o'~"'______-_-____ m'"^"o COPY "^"'"",'"'"'`""^. n"*'.w copy u tiled with the .//a""o.,qn.~"=. Date _-_'__----Applicant cmpr/por ROM o c COMPENSATION DECLARATION T" ;=*.°`""ed not ^"",rr."lex*v/"" Pe, r-1...^..'="^=,'"" wo^)= Iw`. '"" ,.*»,.~,°",,,"~=,,,,.',`,=,' . any `.~ "' ='= *^m | p FEES 1 _-_ FEES MECHANICAL 1`4 TICE: 11. after ,ak.nl -_Lr.jjCatj00. V'.c-: S-)nj'C*. 1, the it ir.is oerrn,t te deemed revoked. Auto Wash U Construction Po!e Sub. i Duct Unft: Ground Cookino Unit Duct-Structural Y2* 3.; P. r; sa c a x tilt I. for tjhtC!, 13'6.11 12 p',p° tivkjy OWNER BUILDER DECLARATION Traps ea. 0 BT I Sinks Gas Service Owlets 51' Hood of Canopy 1), : hal. Inte-ceptars Refrigeration; System penalty .,, .10! more trial, five flitnarurl. dollars i.500). Root Drains tit, n ffE,ed for Sewer Connection - Wdg. Motors U-1 HP 8 Reqlsters 1 Ilia I,, I the rl'otle,ty. s Ile 77 sepli DEVELOPMENT SERVICES REQUIREMENTS: I .111"e :15 11114,1y WWI all Al") C11UnIV 1-rd-J!"s Zoning AMoved By Date f this (:.IV to enter kinai tile olopelty to Applicalionlisvedgy Date o 0 N m G R E o M T A S wo, olit-10moFEES U C,._--__-_ cL * rds Y2* 3.; P. r; sa c a x 13'6.11 12 p',p° 3360-33 lz I Srmm)ry of Permit fees 6--.11ciii v _ ___ m`=,^ x I o1 Sw/, $ 33i-5 3310 Summary of Plan Check fees Lz:Ii »__-__-_._ w"-,blu o us53315 m"ung x Total Fits Out 11 IL uj Llj' cr Lu cc Wj = - 0. U tt - 31 n J; y. t 0. a i ° > - - `- W `• ! u w• W N O,i e75 U ' _ ` - L G l: i ' fr O E r_ :.0 . I:l f•. •w - c W ! 0. LLlz t J F+ c,• t; c. p• - f- oC -7 - a- : CL ! F-' J. W ti, l ! O 4 U C' J _ J - j' <L = to n c - w. Z, S' >• Zr ! ; ; t s a c _ _ - - __ w H t j t t CC U- t i ~Ai t q!di + o' !7iO! A a- i .L C'J i Q LL: m i I CL ! w U3 LL a 1 n. LL i w tfs i us Li C LL cc a c n2S O c LL c 2 Z LL G 1 U J I C1 L2 a ? _ c C3i _; < LuC cii GI ' 1 ! • LL m _ ) LL cc N { F• W _ O) p J r G " u i ro : F+ ri ' 8 N! CI 7 try " di (51 E, dt s . ^1 !" art d1 mi T1 _ c oii _ r, °I C m a• . N .. Z "• I t i Cj ` p i p " u " C7 a, ru:. _ ( 1 c I m '° -' - - to = c c' ' a Q E Y. r_i G, "-• .• _ U U - ' Z_ , i I I I ! i f V) 1. - :: ._ Z L ' T• _ , Y G fi'.! .S1 ?_• V: n> tl c t' C pi _ c I • 1 W Ci' + ! 0 p 7= _ .. - - eo , C I ! L11 LL i LL ! LL _ . tL !7 i Us [n m; p[ ! LL tL LL r : v^ : LL tX. a. i- U J i - A r tl; LL , srdtwrlots PIOIFKI Adt!-" 3 bt A - tine-Y- C)..f e. I Alp A- Frtcl- - -- Phone U. A-Aless Ac: jress,rro,,-n,, C, • lisp c. LICENSED C%7r4TRACTOR DECILARATIOU - f (,onillienr ng I .C•er_ .ft,cn, !fist ! jni;,cen1eG 73116; Of 17),vsior, 3 fj.,sar.c%s ane P,<6csz-ons Code. Jnc It. I-}+ f ir f -, 2 L,cd -, 1 3410- — ne-c IJ ECLAR3RKERS.' COMPENSA PION 5A., a C[ Cr* error (se-0011 tsoo. cal. 11SWAn C ) I . ( -` 0 r IN Y is t1c,c., fw1,1,V,Cc1. F -4FRO 'NOR, F_RS'COh-#=N.Sc4T DECLARATiON XE!AP110 C. 7:c:-11e1cr h,-ro,ea (SICrIl atse.r. 'It LC cons.) eied -4 ", U-! 1,13-'ZI .. T If: c Witt, :I a: .11 . 4 srsit •i.: rmi, sr, bf-ccale OTICF I- - e, -e Or Ias-,; tl;. 4eLl'Al., Cdumej CO!L:STR`UliTIC z LEND. 1. 4 G F NCY ncl C.: L Ow,,iEN OkIlLrV )i UIECLARAT:0 . N -tar:- 'S L Mal C, 1- 27, Sr 1 I :r, N C nY a,.v n, I. nar r. ',1 3,C r: fc.'CC 7",e t_: prnaut y. I r itc:rli-rl ;r -fl:W(I is Iz ".;M." 'W c, it" e Y%Irr7 Ar A s•io .,(I t all. III`100 SCCO' r re.31i0r, W p 0! z v I iniv I 0 n" J. ant III.ri!II, .14-th :I:c Cole' Ty I. en, PI Aw JziI t renc- IS -F C&r.j f; )iJenvo Awiunlinj CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant tc fill in all spaces excL'Pt th0sra within heavy border lines and sign all anpropriate de;larations PERFAIT NO. T' RAT NO. 1 LOT NO. j UNIT NO. Ok n P E oF co I it-P ki'1 0 x NEW ADD REPAIR CONUR 10111 DtMOLISq S DESCRIPTION OF W3FK+USE OF DILDC W'I p, P. S 110 232 WIP Ccr $ FEE OF PERMIT RACING FOLI',DATiON ZIPLICTURAIL TENANT cucn,01 FLUMBING FROArli DESCR:PTIUN Sc Ft e y_Ies PC! Remarks A. P. Access-jr),' Building: S I!ilain Building: z E --- T Front 0 N Rear A, C' Right S Left p-Iq. Ref. Parking Req_,'Provided E 0 Punning Note; T0"'LVOS/ __Js OF LAX ELSIROPE F.CPT1hA!g2g12/5 ALLs:y "pa__40 e%a ccce FEESSPLUM,, I! 'r, E:!;— ELECTRICAL FEES 0 5Kl _T_ AII,,r Repair Auto Vizsh Construc.,icrl Pole Sub. cunl,."n Ur. I Pn!e Liclil rain Fixtur Traps Pa. F.-A U. -- F; no - Drains F!nfr Sinks u5*,-)200dm0"_ Fl 7.er 200 amp'. ap Meter' R-'of Dram; _ panel T faller Sewer 15-510KW Transformer ntis 0 1 HP 11,12 - 8Sev;2r Convec-an - 8119. rl I I Inc. SrI HP 4 Solar Pqrnq Slwj,F,,r_ Res. Sow tank- cartMuiti -Fa Res. water Hc.ler water.Service Setic System DEVEL(WMEXT SERVICES RE(WWREMENTS: issue MECHANICAL Brier po-ct Structural: Fan Ve i S;e Heal,;!g Sitter c, Ducting 0100,000 BTU 10 DQgnb T-U-_.; lit,oci I,,- Cann,, Type 1 7, pe i - Refrigeration Svl-em 0. 100,000 BTU 103:000 BI U- Fippl Fac' _B:t. ICSO System Reoa r Alteration J.Fire D3,npers hirinewor mlsz. I-Ssile 1, . . ___ -- Date - - I rl" — — _ _ figildint Appgowd By _ - 11 -/- - __ ---,DateI - /C DateAwicatonIssuedBy . . _1r11d__ _ ___ - - GRADING FEES Cut )J, I JL V31(15 3,5 3.02 Pftmt! F;:e $ Total F=e- S 60 bil"i Summarj of plan Cher.k Fees Bu , !:,-g $ P I I;.-, D, III F S F4 !V Planning $ Total Fees Due S S S W'I p, P. S 110 232 WIP Ccr $ 60 bil"i Summarj of plan Cher.k Fees Bu , !:,-g $ P I I;.-, D, III F S F4 !V Planning $ Total Fees Due S U.- J- E En > E 6 C 1 to i i 01 CL 1 1% I I ra LIJ LU L 14 ca 3:"NA 0 CY oCL to 0 w ml I l lCLIi l I tu WillIii r i ui 1 1. it c iz I z I a. I c0 Lu ol iCL z ca Dc uz 0 6 UU, z E 1 2 c, J C: of a{ NI cc cl 4- ir Z Z" CL E 0 ui v 6i O{ p n' o h , U.- J- E En > E 6 C1 to i rn 01 11% U- I 1 . 11Z E uj z 01 1 zz 0 V a I Ot LUd) zzCL . o El - ru > CA- F I c LO 3 r- ! it., , 0 Cni .2 1 J Z ui X ch0 i j` vi C, L) T-W i 113 I ui N ! j 1 I EOCI i , I 1 I I I I '_' c v = '; i i I CO ui 0 C: 9 C cn 'a0 of I 0 0 C LL -. J, cn I ,, z c > U i toLC 0 U-; cr10 ca a r.L 1 fl l cEj FfOlV z;- 1 Z2 z cr; l I Ol iz ui ui XI > I- L, (01 1, CL vi t 001 L) e -Y., 11Cc ui tj i co M : 3 cn 0 E E 0. I LLI0 > O ai LZ U- LL X ti J 00 CO -JI 6,1 Z;:, I I { 0 o i o in -- 9 U- cr 0: OK li 1 ' I i ti• t ill I I { I LIJ I 1 . 11Z E uj z 01 1 zz 0 V a I Ot LUd) zzCL . o El - ru > CA- F I c LO 3 r- ! it., , 0 Cni .2 1 J Z ui X ch0 i j` vi C, L) T-W i 113 I ui N ! j 1 I EOCI i , I 1 I I I I '_' c v = '; i i I CO ui 0 C: 9 C cn 'a0 ofI 0 0 C LL -. J, cn I ,, z c > U i toLC 0 U-; cr10 ca a r.L 1 fl l cEj FfOlV z;- 1 Z2 z cr; l I Ol iz ui ui XI > I- L, (01 1, CL vi t 001 L) e -Y., 11Cc ui tj i co M : 3 cn 0 E E 0. I LLI0 > O ai LZ U- LL X ti J 00 CO -JI 6,1 Z;:, I I { 0 o i o in -- 9 U- cr 0: OK li 1 ' I i ti• t ill I I { I e prp 7 1 -7 IJ 'PAid 7,` f.SAA 4,,ez3Atw?, D 11 yzq, // j 4! 9)A-1 3— be-L 70 r city 13 6 ` 4 4,,ez3Atw?, D 11 yzq, // j 4! 9)A-1 3— be-L 70 Y4 eo. te P t-4 0 77 1_ - EY [!i ?,%G, . {/ ! ' 1 . y"1 1 f • _ - - ' •:Y: rS .,u• v)" VV .- - + - -_ —. 1 jllY4 T -4 12' W IN "I PAN JJITt_Vl_LV SILI-t IL -.I LL_T, ,,CAR) IF a:at v)s ru.•'va•.ia ' " ice-• __ _. ( ___ - <.- 1 p r.- cog'; p r..;.,,- f MTNlie 114 S -,UTTFR r-OLUMN cota. K E X • ry 1 iol 1— ti 5 C Kim PA'j ,Y- -G TPI & TWIN) 16'R r: A JI T Eit" RCA. TAIL EZ0,44 T op L .I Q1` wd' [r •2 11 f I •':1:, rL EAST CHEYENNE AVENUE VEGAS. NV 82 115 6440mi 1