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32900 RIVERSIDE DR_ (11)
IFA 11 aaL _7. TIM 2,7 4 IVIFIC-rejv-r.v~t 17- J IBM 7 c- ar:m fLxe Ala— ff 6-A Sol_: 2:.a l" r <{< MW t4 K b .af.7 J,,'5 -:p to.' -IL w rA i7; AL7: w t1 _20ND GU. g*,M 07D"A LLL_-'1_A L TT T F 1, A- Tr q" IA: I 1-•ft, 41 ow. - IL mc,"O. 4 7. A-N)71- t-7fBRUCE 0. CHALLMAN CIVIL ENGINeep PEI 9- ftm ,q loose 521P= T C04EYENNE AVENUE. LAS VEGAS, Kv Solis 4p r& cm-wo' / 4—flo ry 7 F.sn"Ws C4 C. r 10, w 7'L 11-4 I I—Aa—_AA! EL r y.: L 7 i r s-I Fr IF4—" t Z v 51;GT,pfq A r RtA SLIM VO&UP pm,- Q---- ,", CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Apr :cant to fill in ail space except these w•titt:t ileaty borCer Ines and siyn all appropriate declarationsProfr_t 1lddress - -- --- ! -- - - - -- T Assessor'sPo•cQ1 Nor tt_ -- - - - - - O.vntr's Nettle > - T -1AL Phone Acku_ssrh -. Arch 1 I,, _ ^ -- — — Ltcens2 NO -- -- -- Contractor's Name__- -_ - - -- — Phone Address IMA10 -3 -- - -- - - -- City LrC.rs °_ NO - -- -- — -- -- LICFNSEC CONTRACTOR DECLARATION 1 hereby aff„ip thil I am Qcerseo under prov,s-ont of Carter 9 (crr1r ent1 Swansection. 7dOo) of D'inston 3 of the SuStnesS ant] Ptotessions Code, and My license r, In full force and effect. License Na_ c License Cuss —.— ---- --- - -- _ I Daa__ WORKERS' COMPENSATION DECLARATION I mereby affirm that I nave a rert,f,cate of consent :o se!!rsu .hlreOt (SeCUOn of worxarS• Cl)cnpenfation insular Or a CC•tilitd ropy 3500, L Ab. C.1 f?OIICy No. _ —. Compir-Y -- Cert,hecl COPY Is hereby furn,snnd. L: cc, lifted copy is filed with IN' City Bui:dm•7 Dtv,sron. Date. Atcl,cant - --- EXEMPTION FROM WORKCRS' COMPEASATION DECLARATION Tn; section need not be ecrnolci.ed if Ir c pet :n,t is err one hun Zee= (5100) or cis). 1 icr..fy trial .a Inc pertnrnsauce of the :•art. 'or v.nrr_n tn,i part-.,' •s :!S.;M. nali nil employ any person in any manner s0 T.S to peeOmt Sub,ect to the Yloi4 e,s• Conioensatton Laws of California. Dale ___ _ - _Signature .__.----- - - - - -- - -- -- NOTICE: It. after making tnri declarat„ln, y•,:I hould uecorre ;uo,ec : :o MeY7oruers' COSipersaticn provrsions of ino L:bnr Code. you must !r•inw,;e rompiy with .u,h p:ov,s,ons br 'n,S clermd Small be (learned CCVOreQ. CONSTRUCTION LENDING AGENCY I rC,eGY affirm !hat 4htrC K a Cons!r- ircti,in L•r,9irr agency for the perfr,""3rre of file •wort, for wnlCn tn•$ permit is iS,uod (Stct,o:, 3 r 7 Lin. C.) Lender's Name ---- -- -- - _._ OWNFR B- 11LDER DECLARATIONthtrtnyaffirm !h.l I am exempt from " C COOL acUrr'S L,Ct SC V -s fy f ,t mnowmg rtasrn (5CCtimr. 7031.`• Bus,ne._ no rnfcssinral Code: %' ;v cr,y county wmrn req urtn atseiss , ant c atsa equv t'fi ap. ca t for Isuc,i permit any rtruCl Uff. prior rS-rl u,svant to the orav,s,rns oftofileasignedstatementthatIhOStleIS !coinrtenurg vG +th SeGhon 7J00) oftticCcntrz•.to,'s License Law (CC., Sinn 3 f Inc Business Ana P,ofessions Code) or that heishr, is ever,ptthcrelrofnandthemastsforTilea -:e9ed .vemp inn. Any •fnrlattrn of S,ctior7031.5 uy any applicant for a pe,m,t StiblectS The 1pplicaat :o a Civilgnalty- of nut mart liar• five nitndrtd C:nllarS (S500). Iowner of 'ht PrnPCrtY i;r ,ny cInptuyeeS with wages aS the,( told mpensat,no, wai do the wort , -1110 file strvuture Is not intent]ed or nfftrtdsale (Sect-O" 7044, Business and Prnrrtiut]r,al Code: The Ccntractor's L,Cense Liw does not aoPly t:, an owner of A P'nPerty who bGIIQI or ,",proves cemoioy ei' PIC,% 'Jell Ina, suet, c„provrTrrii ago riot ot aaa fria -e w piatu,n, the(cwnerrwillrnave}tI erburden GmProV ngoht sne rind n0typurldfir im- p(Owe for th¢ Purpose 9f 5a le). 1, as owner of the prop4,t%,, an', txuus•.tly cnntraC "I'll "Ito irCtns ^_e. can tractors Tel cnnstivct the Protect (5•: :tiro 70 4, BusirCa At 0 Profess ors Code• rile Contraunr's License Law does not apply to an bwnef of orol.erty whob"'Ins or imPrnves inereon, anb o,e.0 C(UrlrActs !nr such prollic" w.tn a con' tracis.ra, bce.1sa pursuant In the iontrar.tar's Lrrensa La+•l. 1 am aware that oroof or tm, Wnrker's Cnmoensation insurance should he p'Ovideci •n .re Li r Am axcmpf under Sectu.r; __ _. - -_ __ _- B. G o. r, fn: tnls reason Date -- I (ere :,v cerl,fy Inat I hlvr. reAr_ this aplil,cat,nn line. Stato Inat Ina aboveintormat,nn is cnrrrct. I agr..t t., rmmply yoll, all c ,y And county Ord,nincas end state law+ reratiog to buildui.l constiu,,i aad hereby alitnor..e reptile Sental,ves f0 fh.$ rely 'O ante, orl0m the above •neminnett Dft]pCrly fof In% 'cf'.sr urlar ; ;es. (ate r-V y7! Qa•Blli)di..• Crttr• le- nW.Al7 Fite ADDhcant, Gotae'roG A•-countinq RMiT TRACT NO. LO. N0. I 1iEw A}t - A±TERAT10M TPEOFCCINSTitMPAW U.."iVER=IQR OEMOtlSf! OTF ES -- DESCRIPTfON OF PfbRVUSF rN BU7G UNIT NO. REPAIR TV?---: OF PERMIT .: GUZ!NG MJNOATF :' _ ?TR(rTtD T 11"Ald EEECIFi J1E PEUf13l _ VECPl1!G C OTHER P.OIECTOE.SrRIPTION S. Ft - Etstratloo Ieet - sa -czFca S— _- PLR - -- ------- - - -- -- -- Remarks .4 S u; L T— -- - -- FEES ELECTRICAL ___FEES PLUMBIN G} Alter, Repair _I Genereto,_:_0 -5KW E! 5- :_5_Kyl/ Auto 1Nash- Construction Pole Sub. F _ Cookm Unit -- - -- - - -- r-h- flow Preven! er Backilow Irrigation_ + t_ Pr.!r. Light - - -_— Clarifiers _ , _ - t Dr ens ^Gas Electric + -- Oishwasher - Fan l•ixture Traps ear_ F.A.U. FixturesFloorDIMSi Floor Sinks Outlets gas Service Outlets Intr ice ?to!s i Meter D uc to 100 amps P rrep Mr.ter Dover _100 amps — P,00f Drains Sub panel- Sewer S r, 15 OK- 1Traileransformer 50 +KY C Sewer Yap Sewer C_onrecticn -Bldg. Motors'- 0 -1 HP 1:5.8 Solar Collectors Ind. Solar 09.1.5 NP ': 16.15+ i t ---- -- Solar piping SinglFam. Res. _ - 4 _ SolarTank Multi- Fam_Res. - _ -- Swimmirl(Poo1lSpa w!mmiag Pori /-S Y Hater neater i tN er Service 1 I; C3 :'t f7r AP. i¢ -- r sin• - -i t;in Building: -! -Ac_ cessor. Y Bt!itdir 4 ZI E i0 T: Front N A t Rear C Right - -- G S Left Plag_ Ref. « Park : -. i1eq. /Provided Q Ffanni ;, Notes - I M MEC Curt- Sir ucturat Fan - Ventllatino Evaperat;ve Gcoter _ -__ _ Pealing System & Elucting ! 0. 100,000 BTU ::100 000 B, TU Noca or Canopy ALCT. V i GRACING FEES 5350337ii Plrn C eA Fee S _ _ -- --•- 33643312 Pe-r,? Fee S -- Toti Few S — 23V -3112 Refrigeration System l i X0.100.000 BTU 100,000 BTU ' firepl /Fact_ Sit. ICBrJ # _ Systein_Repair,Alteration — u; F•,: Ga's!nzrs 1102s1 1 Rro?5to,s r„— may - -- - DEVELOPMENT SERVICES REQUIREMENTS: Bits^ - . - ---- 7ieiat ROpraeed ifF _...Sala . 4 ffoimag AW-11 By Date r 1-1i - sue - _ ----_ ijpiication Issaa By SaeraalT of Permit Fees Bu!IJIny S -- Plumb;nC $ flectrlcil $ Other S - -- SMIP $ 3360.3370 1 Summarli ill hall Clitc! Fees J Bniktn $ tY -- Plumbint S _._ -- kie {tLinipt 3360-3375 Piannlrtg S Tlltit fee DtN $ S = a r 1 i _ ! y i 1 1 f • F us cc CC cc O' - - i i 1 . r •S ;..Q W 1 Z• . - ` 1 + t tM; i c' LL t O o p _ ,y c ` s 4 c cc t[ tw- r w• ' r.. 0 1 >p - }' co F+ ! ,a O' _ = = 4 _O N w = i J j - J' ^ r_ J V-. C 1U 3 _ = 0 J - O. •i co a - a"•+ _ t f n Ili' U• N W J a 2 _ • a 1 , - 1 t , , l p a, r U• _,. - = -1 x v a 7i ni Ot us Q- p• G. 03 1=•. =a-! p =; ! Lt. - 1 w InWtv CL i d j t O._-- + ^r" 1• » ». t,.._ _- •- _. _ _. ._. t ! f O,' t ; ` iii{ i 1 t V. ,,: } a • 1- •_ __ -1 Q t t Q i 1 1 t 1 C3, 0, 1 t _ r1 U O' ! L'• G u• i C 5 Z i F- _ i 1 vi C` i 1 c_ c — - t u 1 W _ . i I F' LL j f { • - W W L , Z O ' 1 t f- , U'. C, S Z 1 t G. j ! - '' Zt W C. p •`I U, i C. Jr 7+ Q Q ; 1t J 11 v _ I a, _ , U I t • v ` LL I rr• 1 pWLL ' 1 j N, m 1 df o' G ct I - U' _ U r _ d f = ^n' Qi - l u; rni G, t! ti. c 1 nv. l ` al V• t 'St u ' :I ;. ° y N ZI + -' 1 1 t 1 U ' jr r. vi j cd a' i u of rol 2 l GO. p - °` O ` j; c "' : E , = 'fa,i "a`,: 1 -ja i !?+ -t ;: ! u w: _ U. ; o-j u N; y1 Y t ap; Z1 Qj yl ea L) N uj — O O'. a IL _ 9 ::. 1 = 7 i7j; ! v!. C it 2 I j C' %s' .nl J, ' ,o. pt , JI , C7. I t 1 () 4 i o , • - - t _ W , w _ G, ti 1 1°.. t — — ` i3 1 l G rC rf of 1 1 ty, L. t w iVi ' r_ _ E{ y OS "I t I 0 u: i t7 V) Co. CO; j ft > 1 1 ' 3, z - Z - • c r c c ' tLI J c{ p, w LLI LL U- r = S I F;a t L a , ? $` ! X11 0' a 1 0. . LL ° 1 ac, • C •.` G!1' C7G `- x, °C' T-1 ` — -- I w Nj t7 LL v, x' t' Q' PERMIT # AT AftWJVNMI ri vl I C01 CITY OF LAKE ELSINORE CONSTRUCTION PERMIT j -)5 Applicant 10 1 irl in Ell Spam TPArT NO. LDT NO. UNIT NO. C supra CONST10avp NEW AM A-P. WE CY F Rear uce'. C, IS Remarks 0. BollpPLU Re Auto Wash MCI Cooki Be C MA Se 30 Fan washef F.xtuteTraosca- _I Fixtures olar 17,.9-15 HP e,,iP n lies. V'0' JULI, Irn:- r. I)I.0 veal -,f Misc. prove ( If 13:0 CAIna ;;;;"- cnrlcct inspect-on Pur—S Mite Issue r.,,erS' License IG r! 7xG FEES 4112i Ftts 33i2 I Sam-Am of pemiti'm B."mirl S —'-- -.;I- r1fi"t° $ wutnul » m=^ozI, om"' " ----------'' 3360:315 p*=*x » TOW I'tts ova x_-_--- ---- x---_-___- n o/ n/po= x '_ __ - jmyv pupmr o0om|SIUwm311*plwChmk FM B."mirl S —'-- -.;I- r1fi"t° $ wutnul » m=^ozI, om"' " ----------'' 3360:315 p*=*x » TOW I'tts ova f CITY OF LAKE ELSlNORE CONSTRUCTION PERMIT , Si - Projocl wdd..,. is' C j/ 3I L"` i i , Apptiant to S71 in 311 spaces a =up: thaSe rtlitF n he&" EOrf!tr lines 3.-.6 sign all appropriate &Clarati0AS •„-' Azseww's Porc t No. _ _ _ _ -- _ _ -- -- -- - PERMIT N0. - TRACT Nv^. - i LOT NO. r UNIT jG.srer'T Name I _JJ ! h - 5' - ! 7 t APR i Gr7 Arch E'°4- -- Ad[vrs Cor.ms,lor t Pia AdtlrrST rrryri•rlg; -"". _ LICENSED COW RACT.3R DECtJ.RATiON 1 heretly alum Mat r am hce ^+e+T un^_er per,va,onT O' Cha:lc, 9 lcor.- men[iry n,:R stc::on 7L001 cr (,!c•trnn } of Me p;;Trne:4 Jilt) r'rn'esirars C'- -.'c. gild my :. ctnse is .n lull •,Ken 1 4fle .t. LJ[tnTtJCIAttII.-- y s] ._ JJ7 • J lr: AV NJwzz wOFIKERS' CJS!tP£NSATIOh nECLARATION I r-.efebV a.f-rM !Ra1 I have a ceritf.cate or CO::'311 10 RI1 •.rsSVfA ar a GP: t•flc.ate o7 YYOPktr T' rgr,Vtnsalwln rnsuezrice. Of a ct' "rfe- •.-1pY Irlerto. ($erTin 31:00. Lab. - Pn,:Cy Nu. a 5V --. —_ Company Crrt+rfe9 <npY is ntrehy (_'nishe7. ert, rr4 c, Cy s rr,,tC,1,)wrtr+ Ina r,:y Bu,WEATI - Datt `j-- f -}- AOPlicant E 1'R0I W RKERS' COFA PEE..L 6TIO- XEm"ION 7h•s:ectror ntec nn: be comzIetbd .I the pe,,mi ,s •r,rrlolnl,,;nJlt d 15100) or ilt Derr = r,nJ,tct r,r tnc .: rw f rc elm.: t •.Sued. I sr,a n .1 en r. ",y J1, peru,n .n any nta ]e sa it to tilt Yl. 1, C ^!•' Jpeij(f. La w' 1,r / 4-We 1 1 --- - --- 'rnaturc _ i-K -VV- x-- - - --- NOTICE. . +_• -er r^at.:,g it dcUar :,., v_a c peke -e sva: fn to the 1rr.. er - :c-•u!Inn pro ,s,nnt •7! ir. - "n -f Crdc- you r.,s;t Sr r;hwith n,; v.,t., t,,'. pr nvv6o"s nr imi Iterml! S"J!, ne 7eemc7 revs c0. CONSTRUCT N ^i.END;NG AGENCY L' •r the perrrmance I PereGy enure :. "lUC Kd :narur.•,nn 'rcl.,••. a9enCY pf tat WJrL tar •,rt•.rr: tn:; perm,( .•)n 30S7 C:v. C.t LoneeCs Na-e O.W.4ER SUILDhf: DEC RATION ne,eny at'-f- ..( 1 a+r, c rrt)• f•r rr. R'r Cnnt,•:COP': L,certse Ldw for tilt f,_:r., s:•n; rCl:•_n r..t, C,t 70 . •_• Ftl;•nr[t end pf.:rt ttrf:n Jl Cdde: 'r -qt tC Bair cG,n:y wr!rn •ea. ,r. J per• •.t cr,•s:, u,, Jnq, I•n 0'U+C, dCr''r.; ar; :rru• fs,e- cr t.+ ,IS ssua•-,c a:tn rCOU,!es I" ap ;'CJn: `; ' s •i' pelmet a. h.•'S I: +f[t nStO P-U,Suan• t •± +,::n,:1S of She (.r,n:r tit qr•i .-,[cn t(. (4naP:C A rc%m "'K:nr, v.,:', :,G r In .7300) of C vvon T i..:c.:ross and Prutt, !ns Cudo) • tnat h! a :s exempt iht:r!tl,:n r' •:' t Cita for tilt al!t-gen tr':p;,r I. Any vnaa:,,,r' 01 a ion 7g3i.` Lr .•y app'•I[ ant klr a prrm,t ,sjeets r,e apt)hcae; to a elvlt r,rralty 0 ::a rn.-rc r.;ar. fire ,ur,dred dl, L'ar. SS00). it ;nr pni ?C•:v Jr n:Y tma, ttT a Tr- v.agCS JS tntu sn,e net ,n:alde. nr .s,ttrcdrn•rpu,sall.•r.• .v 1, do tn,. w n , Ann rile s:r.,r Buslnesl ant! rroles; -O7t Code: Tile Con:rac!,o s o sa,e ($r C,d in•Sa, to an : .vr .•'r of J proper wen bwfds Of -mornvc. rc•,st l•,aw „ !S r Yl ac:..: , n,s : ` ntr r `n ire•cnn, t)'7 wr or„ well weir, r .•.rir;nctsei' ( ,':' wr., D',•'Ce S. c- :7t ' ^Jt suth rrtprGvtmCn:' a•w n ( vhsd or o'terCd 41r sell•, if rove,er, tRr !111 7,nt or ' rnproyetti,r.,•: ii :'lei Y t .,h or CA of cn.n u,e:,:;r,; !hj .N ^t• Kt : have file burden of p'o'v:n7 he ,r.c• `.7 not Go 7 r'.:m• oro e file tic ;, ,,pn:e m sale). a: "_r." :' :,.e u• ^pCrlY, am CXL r,y :.t r.l f.:,:)Q tr I,CCnsrd Con• h.tctnrt:n r .•, •rust Iht prorcu (Sr(Ilnn 70:•1, Ur,'nncsi a A t Cole' 1'!,4 L,CCole Law dors ei,A aputy la an nwntr Or npc:tY ),Su na,',d: ur ,r•:p "•vet tnereon, and who •.nntr.)rts for TuUt Pin !ot with a Cnn- tra,!.r(s) Gcen;e purTua ^: tr, tre rant eau o.'s L.Icenp Late,). 1 a ay.are tnat pea „! r,f ft.a:• 1'/ortrcr's Cnmpc,ISatian IMwarlce stsoulcl Ur pr nvi d in rite. i-; I am exetrot under Settrnn _ . b P. C.-Iri '17; •:anon Oat. ^__ Uv,ncr - h:reny ce•rfv I' at I have feat) tills appi,rattnn and state that the ahnve rracrmat,on 's !r•rncC, r t ,Impi I w,t-` alt cf(y Intl Inun!Y rawinance, and state ,1 :.T Hal „Iq "' Co tr. bu: mq d•;nstr uc: a +.1, and herabi gut,, -we repro. er:all)es ,.r + ; r y L ter i Pon ra au ove•fTT+. fill .-led property for glee nrwrt' L,Cr,, •,t SS -- dr•Rr.4i•,tl Green ftmWary Icant, Grlydeni(A- Accounting TAE OF 17DMSTIMV.rl011 y VA AQiI kl[ItAl id(t QEPA!ti OD"L S'Oft 01ttl :->- ? tH E R uDIS.,81P31ri9 iN SORK. LSE 4 SU13 -G? itPEtiFPEflei: _ 1; PAC ft = fiu:iiQsitO>< S ;3lfiL'rAt EE'btsr? ” E!E uZiv _ FtLLiBtfiG AiEC3'•'tliJtE XNER - ' - - - -- C3 DESGRi•°fIO1l St); -L2 Ping. Fie" Pzrknlg Rp9.l7ravided Pia ,n.n Notes r -_. Wts E`te(na(.I[/S ?-LL ,fa f _ jg_ O1her PLUMBIN G _ FEES A!ter. Repair Auto Wash -..— 1rBac,, flow Preventer - Backflow L`rigation Clarifiers Dishwasher Fixture Traps ea. Floor Drains Fb3r Sinks Gas Service: Outlets Interce tors r P•Trap i _Roof Drains y T1,i11hf _S24Vet -- — Seiner Cap eyler Connerti>nn, 6!dg. ,_pp Y Solon Collectors - SolaYPipl.g --' --- -'-- -' Water Heater j' L'iater Service - ___-,__-'_'! ELECTRICAL FEES - Gener..ior L•05K_W i_ 5.15KW - Constrllrion Pole Suit. -_ -_ — Cooking Uitit -- i Pote Lt hgt --"— Dryers 1u Gas _E_I_ectric_- Fa'=' _- - -- - - -_- F. A. U. -- - -- -- - - Fir.mres t Switches MetEr,_ up SU 200 amps_! _- Meier ” aser ^00 amps Suu laaa ^ i -- -'_ -- -- i Transformer- [C 1u -SOKW j MOlors r 10.1 fi Inc. Solar .^9.35 H_P :1615 Muiti- Fam_Res_ swimming Pool/Soa _ oEYELOIY,`I11 SEA1h: =.S REQUTAEMVM, PnnilnC a QF - —. 1106101 Ailprflael ®J Appliation fund RF AP. LrT ' airy Zone E' Main Building: a r 'iding: T Flow, I t z 0 ARear t -- C Riytlt S Leh t1 iN R Ping. Fie" Pzrknlg Rp9.l7ravided Pia ,n.n Notes r -_. E j M S INechanital O1her 33643315 MECHANICAL grative Cooler Heating System & Puctino_ U•t00,000 B_TU C1G0 UU0 BTt t Hood or Canopy 1 T ce 1 r Type 11 Refrigeration S,•stem - —i 0- 160.000 BT1_G100,000 BTU I _- s oystem_Repai,(Alteration_ - Fare Dampers YIncinerator dale CCi. d 6RAD1liG SEES 3,,160 3310 P aa Check fee $ - 33G43312 Ferr:,l Fee $ Icia: Fees $ --- -- - -- 330,0312 Summary of Permit Feess CPO BulUmg OF $ - Flump-ni $ - Eitctrt(a! $ - 7 04:2 - tlrcian!ca' $ 110231 1u.31 ! )MIPComII f . 3360.3310 I summary cl Plan Cittctt Fees Ekarrcal INechanital O1her 33643315 P411111lE lout Ftes o" i i 1 i i ! t • f ! t i s I ' - i_ -' ! -i', i - _ r -.t.- , Oi I i ! I 1 • 1 ! 1 1 I I. ` —. _ _ -I ` _ • 1 ( .r R_ _' ( - _ d ` ' I •._O D jr 1 I tr1 ! ci j ` I r t I ' f • t = 1 -f ~f 3 i : :I y _ 1 ! OI 1 rpi j Nt er !. ! v; j f I j f _ Zi w I ! ! ` ii'i f` 1 _ ~i ' _- 1 •- - 1 1 , j! j I Q ( of 1 j o1 W ?y - 9{ ' Y e1 +a; i ; ° i; i t [ i .7' i ¢! i 1 t I r -• ' et I ! c, Af, F- W °, ° U- I i a •=' z / O -• `E i s . J t Z, t U, f v01 j 1 ai C at LL i i s Ql CC u il a t l - i ti' .! c; cl 7t FF11 ° ° z u a O y \o ! 9 ! i 1Q - _I of o 1 1 r ci I1I a c w c `fit • a Y I _ o W I d' c Q c cf aoi Q! t 5 Di, J I df ° No LL m Q ' y W cl >! 1 a [-, J w w d - > - L L; > _ ca +11 Q Oj _' • -1 aj a: A Lf! O' `t '2, m q C ( T m y W ° A o' m v I E 0 a Oc a 3 I ;, 3i y U - t, C. -p a i - . $ wl a 3 'j= c O u. ?= a y! Ti WiQr1fnitwmQwsJmE m z- jj - ° j- iu CL a- f WI t9i O-. Q d! I O 01 Q at 01 T F : ` I 1 0i z L If LU W ! I 1 coIi T 0I 1 j--4 —; - i ! 01ao } ! I ' I i ' m 1 ' ' i ! f ! I C C j I; i 0 , I II Z t° ar I I i w I jf , of c I I I I f I u' t s c i i I{ z u I c, ` 1 t a _ a. j i ¢I - p I c V1 U' ! t-I ~ I I I °MI t a°' if U r - ! w 1' m JII ! ff E t w rnl > I oz c! L c w 1 c d' c °1 Ii ¢! J w ` UJ p cl %' '0I U c v tr I or . , H ` Qi T I c. LL t c . JI O O T c S UI p O Y a «I c ie o 000cYYYI c = ro al a "Q 3 ct .1 o c LL Ci U i` _2I U ? 21 GC > m =I -! 4 !M c ' _ • + c Xo L 'I u N - r.l 1 c. 1 .L! „ c i O LL m, $ H A _ u 14, H o a w w w Z d c 03 c u U E > { a _ " al y a l c 0. O p yy L L qq. O f- A i ° N CL dl 8 I I _ L L T L L Vi CI y IL y CJ eo t •f"I : O tt W 2 (; O• c°ji Z, °' O' J _H CO Z °IZEw2 U q td o $ v m 0 _o° ° o 'o 'o o 'a 3 0 o m rEu ^t s u e E- AI arl + I Y acl at 'J Q Z r 4 0. W us t7 u. [ u ac rr ( it ac fx Q C7 `+t- fic I t- si 3 ' Ci 0 I uA u. ` w u ;i ! I '6 p u ` v I A O Z_ -Q+ m • g . y co 1 e. t I 4 1 I C C •i j0_1 ' Board of Trustees Maris Brants Tom Daly Richard Jenkins Irene Lasater Patricia Phillips Dave Skinner Daniel Strong Superintendent Larry B. Maw, Ed. D. Elslnore High School 21800 Canyon Drive Lake Elsinore. 92330 714)674 -3194 Temecula Valley High School 31555 Rancho Vista Rd. Temecula, 92390 714)676 -65C2 Elsinore Junior High School 1203 W. Graham Ave. Lake Elsinore, 92330 714) 674 -2118 Terra Cotta Junior High School 29291 Robb Road Lake Elsinore. 92330 714) 674 -0641 Ortega High School Continuation) 21961 Grand Ave. Wddomar, 92.395 714)678 -3613 Valley Adult School 21 861 Grand Ave. Wikiomar, 92395 714)6713-3613 Temescal Canyon High School 28551 El Toro Road Lake Elsinore, 92,130 714) 674.8771 1_ a .. j.• i • ."°tom J. • J J e .'i, it" . t ELSINORE UNION HIGH SCHOOL DISTRICT To Whom It May Concern, Re: APN No. N/A Tract NO. NA LotLot(b) Permit No. NA PE.YTON ENTERPRISES is bQ4a44%g a(n) REPLACING A MOBILE HOME IN AN EXISTING PARK on property located at 32900 RIVERSIDE DR. SPACE 13, LAKE ELSINORE, CALIFORNIA At the present time, the Elsinore Union High School District does not collect Developer Fees on garages, carports, unenciosed patio areas or tenant improvements that do not add livable square footage. EXISTING PARKS FOR MOBILE HOMES If, at a later date, it is determined that PEYTON ENTERPRISES_ has in fact, added livable square footage to the above address, s /he will be liable for the fees in effect at that time of discovery. Sincerely, f Dr. Larry B. Maw Superintendent By : 12.01 West Graham Avenue • Lake Elsinore, Califomia 9330.714,674-8771 N i 0AW LAKE ELSINORE SCHOOL DISTRICT- 714-674-7731 for Date: 'k' To Whom It May Concern: LETTER OF EXEMPTION a IV 1 of C." i s a` t. 0 - Tract #_ Lot# At the present time, the Lake Elsinore School District does not collect fees on garages, or: uninhabita 16 -.patios, ce porches'. is-exempt from paying fees on the aboveTherefore, named project. If at a later date it is determined that = t v._ '? -%r_ .1 >c ! >' has, in fact, added liveabie square footage to the abov" address, he/sh will, a liable for the fees in effect at the time of discovery. Sincerely, Authoclzec Sigra w distribution: White to District, Pink and Yellow to Requestor of Exemption. 041mmilmenl To £xcelleice' i V MOB I LE HOM INS- 1ALL.A 1 im PARK T.U. e I Own. L ftt1. SPACE UUIE _ . PARK AUUItESS Evil! 1. I~1l:E'IS ZrNAMEUPI I RA c7:lU. ADDRESS . INFORMATION i Zed r p lap:] Mt)iIILI_IIOME . di1 r IlJT LINE t PLQ•r ULAN Lo-r UTILITY St:-jj -IGL:3-7 GAS: 11A I URAL °' _ LPG RISER SIZE WAIII IUET: SIZE NAI'M WILEF: SIZE ELECTRICAL: ~ Er1UIPME111 MIiOtt, _ 540 w ( amps) C I RC'J I f 11111,./°ii;Eft RAI .ING (/ amps) u !'E111VjljEiIT p4owan, SUPPLYWIRINGWNECTIUIiCORDCUINECTIQN RECEPTACLE Will IIIG Amps), 1E +tiulll+rty Siff s . PROVIDED AT TIME OF 111SIAt.LA110t1 MOBiLEHOME DATA j` V/ SUE: LEttG1Ii , jtj - lUTil (Tl JII:UEACTURER: VEHICLE SI:I'iIAL. IA. + . lICU 1((SIr;!IIA 'i(', I1110 I.AUEL ':0: 4 UAS SUPPLY 1111-ET SIZE; As coiiiiLCIUR: 111TEnlAL _ --- URJi1:1 CD : IIIIECTUIICA1!11ERIA : SilJtl irr. NATI:IR CelliTEC' Win: IiAfERIJiL' SIZE "-°--- ELI;CIRICAL FEEDER ASSES jq L tRATI "i : _ arrps CONDUIT` — WIRE Sfit A ELECTRICAL MIER .- FIAT I im MWIEPLA E RA111I& t lam s. Mill """l ll~KIT a- i ', mod.. ---- _ .. _ ... ...... 81'l'ClITt3 C-CLU1411 SUPI'URTS - _ MOUILk1IUME SUPP011'1' 13LA14 - MUE3 LC1-IOM U A LOAD BEARING SUI'I'nW,rS IUilllil 1C1vitFii'S 1PISIALL Ii1P1 IPISI1tl'CI aUlIS ';L'fAC1UREU SUPPUPtTi!.J111 .— AYALEZ ( es 1tA U tits LISILI) MID LABELED CAP +1CIi14tEIliIMNUFACTUIIEG• Vk (lbs) TIES I t;ti !;(IUi- LIVE Li1AD U fIELU ASSEIiULEU SUP 110111' 111110 LOAD __ iicsSl::1 Ct1i'ACITY 1UMX 1111111 ALLUAULE HEREft SPAC I II6 t Obs) P (1UIREU PIER CAPAe.21i ''`' ( ft) IIl)IR111 CULIaa!I CAI'a:a:a 11 0 (lbs) EIIUIttED ilEDU1111 SPACING eft) I z P'11E,SURE IHEAILD LU113ER - nE11UIREU 71El1Uliq CAPACITY Obs) SIZE tr&Z2 CAPACITY ()bs) 1 31s" MILK UuL!'.ETC y- - i i A_l-A SIZE CAPAUIV _ Obs) I- LU11ARLC SUIT. 13EA MIG I'RESSURE ipsf) U WHER APPRUVEJ Pl URIAL SiA:1LISIII U 1lIi.IJ .P'PtESaUltt ('1" .hltEA ! MIERIAL 11E1aOXIS RUIUII ;E0 p (_) yes 1113 SIZE _ CAP'ACIIY (Iles) IE1111 1 111 0 ItU1)r LIVE LOAD Zlc LURT) IL11I1 r. PARK APPROVAL S IWIMICIURER ` s iiPSi/tP.LAiIOt! , 1tL f1 !tiilED CAPAtit' P 11, Ui1NER /UI'[ 1 UPi/MAIPAta3.it Project Address 900 Riverside Dri y Assessor's Porcel No. Owner's Name F1 Marro TnyastMe t C0 Ph,. Address -gall-Coast Highway Laguna Beach CA Arch/Eng. —_ License No. Address Contractor's Name_ Phone Address (mailing) City License No. _ LICENSED CONTRACTOR fECLARATION I f:ereby affirm that I am licensed under Provisions of Charter 9 (cc- mmencing with section 7000) of Division 3 of the Business and Professions Code, andmylicenseIsInfullforceandeffect. License Class License No. _ Date Signature RKERS' COMPENSATION DECLARATION Toby affirm that I have a Ctrtiflcate of consent to self- insure or a certificateWorkers' Compensation Insurance, or a certified copy thereof (Section3800, Lab. C.) Policy No. Company 8 Certified Copy Is 'tereby furnished. Certified copy is filCd with the city Building Division. Date —. Applicant _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATIONThi section need not be Completed if the permit is for one hundred (S10o) orless). Certify that In the performance of the work for which this Permit IS issued, 1ShaltnotemPIO*• any Perron in any manner So as to become subject to theWOrke.s' Compensation Laws of California. Date Signature NO7ICE: If, after making this declaration. you should become subject to theWorker,' Compensation Provision; of the Labor COde, you must forthwith Comply with such provisions o- this permit shall be deerneo revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construcLnn lending agency for the performance01theworkforwhichthispermitisissued (Section 3097 Civ. C.) Lender's Name _ Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law f0• thefolloe.ing redson (Section 7C31.5 Business and Professional Code: Any city orcountywhichrequiresapermittoCons *rust. after, improve, Jemolish Or repair any structure, prior to Its issuance, also requires the applicant for such permittofireasignedstatementthathe /sne is licensed pursuant to the provisions ofeContractor's License Law (Chapter 9 (commencing with Section 7000) ofisron3oftheBusinessandProfessionsCode) Or trial h-t/she is exempt Tefrom and the basis for the allegeu exemption. Any v:olatior of SgCtion03..5 by any applicant for a permit Subjects the applican; to a civilpenaltyofnotmorethanfivehundreddollars ($500). 1, as Owner of the property Or my employees with wages as their solecompensation, will do the W3rk, and the slfuOure is not intended or olfe edforsale (Section 7044, Business and Professional Code: The Contractor'sLicenseLasedoesnotapplytoinownerofapropertywhobuildsorimprovether.On, and Who dOGS such work him Self /herself or through his Or her Own emp...yees, provi led that such Improvements are not inten ^.ed or offered forsale. 11, however, the Molding or Improvement is sold within one year of Com. pletion, tae owner will have the burden o: proving he /she did not build or Im- prove for the purpose of saio). 0 1, as Owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Processions Code: The Contractor's License Law does not apply to an Owner of properly whobuild' Or Improves thereon, and who contracts for such projects with a Con• traclor(l) license pursuant to the Contractor's License Lawj. 1 am aware CantProofoftheirWorker's Compensation insurance shOujd be provitled to -1 0 1 am exempt under Section B. & P. C. for this reason Date — Owner I hereby certify that 1 have read tills application a.ad state that trio aboveinfurma;ion if torrecl. I agree In comply with all City and county Ordinancesandstatelawsrelatinginbuildrr9constru[tion, and he.'eby authorize repro• sentatives of this city to enter upon the above - mentioned Property forInspectionpurposes. _ Signature pair Drivers' License or SS * White - Building; Green - Temporary File Copy: Car 1ryAssnsor iok•ApphnC Golden un R i CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations PERMIT NO. l TRACT NO. LOT NO , UNIT NO. TYPE OFCeNSTRucTION C NEW AI;D LTERATIO REPAIRCJCONVERSION DEMOLISH OTHER I4obile lionte _nstallation DESCRIPTION OF WOREIUSE OF BLDG. TTPEOFPERMIT GRADING Cc FOUNDATION STRUCTURAL n TENANT F.LECTQICAL C PLUMBING MECHANICAL C OTHER PR0)ECT DESCRIPTION: Sg -FL Occupancy Construction We Zone Valuation j PCN —__ Perviously inspecte IM PLUMBING FEES E After Repair Genera Auto Wash Cortstrl Backf low Preventer Dishwasher Fixture Trap Floor Drains Floor Sinks Gas Service Interceptors P -Trap _ Roof Drains Trailer Sewer Sewe/ Connection---j-1 S71ar Coilectors Wu Po ers. RICA( 0 -5KW Acres te. 3 -ia -sa FEET I_ 5 -15KW 1 17 Fan F.A.U. -- Fixtures Outlets Y witches — Metpr Up tG 100 amps Meter Clover 100:,mos Sub panel Transformer 15.50KW C3 50 +KW Motors 0.1 HP 1 %a- B Inc. Solar 09.15 His 016.15+ Sing /Fam. Res. _ Multi -Fam. Res. DEVELOPMENT SERVICES REQUIREMENTS- AP. #'r_' EMain ams Building: Accessory Building: T Front _ A' Rear C Right S, Left - -- Ping. Ref. # Parkin fieq. /Provided Planning Notes ' Heating System & Ducting CJG- 100,000 BTU 0100 000 BTU Hood or Canopy Type 1 L (i e 11 O Refrigcration System QO.106 000 BTU 0100.000 BTU Firepl/Fact. Bit. ICBO # System Reoair /AlCerafion Fire Dampers quisters neinerator disc. SSUe Zoning Approved By du _ lllilding Appfowd Illy mb APpliurioll tsuwd B1 — _—..__ m)a _ Acct. N I GRADING FEES Cut: _ Fill: 3360 -3370 Plan Check Fee f 3300.3312 Permit Fee j Total Fees j yards yards 3360.3312 1 Summary of Pertrit FM Builcing j y Plumbing j Elxtrical j Mechanical S Other j — 110.231 SMiP 3360 -3370 1 Summary of Plan check fees Bulldog j Plumbing j Electiv-al j Mechanical Other j 3360.3375 Planning j 1 — TOW Fop on S -- IZ O N N G A E O M S Proiect Address _3240b Ri yers i de Drive Assessor's Parcel No. _ Owner's Name ._El -Eirrn Tnv stm nt CO Phone Address -.83 Cnact Tay-_La9Un&_Rgaeh CA Arch /Eng. License No. Address Contractor's Nam• Phone — Address (mailing) _ City License No. LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I em licensed under provisions of Charter 9 (commencingwithsection7000) of Division 3 W the Business and Professions Coat, andmylicenseisInfullforceandeffect. License Class — License No. Datt Signature a RKERS' COMPENSATION DECLARATION rsby affirm that f have a certificate of consent to Se114nsure or a ClrtliftiteWorkers' Compensation Insurance, or a certified cagy thereof (Section3800, Lab. C.) Policy No. Company _ Certified Copy Is hereby furnished. LJ Certified copy Is filed with the city 80idin5 Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATIONThissectionneednotbecompletedifthepermitISforOnehundrer: (5100) orless). I certify that in the perrMmance of the work for which this Permit is sued, IshallnotemployanypersoninanymznnefsoastobecomesubjecttotheWorkers' Compensation laws of California. Date Signature NOTICE: It, after making this declaration, you thould become subject to toeY /Ofkers' Compensation OrOv'Sidnf Of the U'b0: Code, you !ttuSt fOrthwilr. comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 Hereby aflirm that theft is a construction lena:nq egency for the performanceOftheworkforwhichIn!$ permit K Issued (Section 3097 C'v. C.) tinder's Name Lender's Address OWNER BUILDER DECLARATION 1 ht•ehy afrrrht that I am excmp: from the Contractor's License Law for thefollowingreason (Section 7031.5 Business and Professi ,)nal Code: Any city orcountywnichrequiresapermitWconstruct. alter, improve, demolisn or repalfanystructure• prior to ns issuance, also requires the applicant for such Perm•ttofireasignedstatementthathe /she Is licensed pursuant to the provisions ofeCor•1facIO1% License Law (Chapter 9 (commencing with Section 7000) ofviSiOrl3of1112BusinessandProfessionsCode) or that he /she is exemptfromandthebasisfortheallegedexemption. Any wolatlon of S,chon11.5 :•y any applicant for a permit sublects the applicant to a civilraltyofnotMorethanlivehundreddollars ($500). 1, as Oivner Of the property or my Cn.Ployees with wales as their soleromoensaMin, will do the work, and the ructure is not Intended or offeredforsale (Section 7044, Business and Professrnat Code: Tt a Contractor'sLicenseLay/ does not apply to an owner Of i property who builds or IniPruvesthereon, and who does Such work nimse:f /herself or tnf sugh r,is or her ownemployees, pr.svrdea that such Improvements are not intended (r offered forSOIL. If, hOwev,tf, the building Or Improvement IS sold within one year Of com- pletion, the Ow ^.er will have the burden of p oving hC /She did no! build Or im. Prove for the Owpose Of sate). I, as owner O' the property, art) exclusively :Ontracting witn liC.tnsed con• tractors to construct the project ( Section 7044, Business and ororessr.)ns Cod:,: The Contractor's !_Icense Law doee not apply to an owner '1l property whubuildsOrImprovesthereon, and who Cnnlracts for Such proHtcts wit a ::on• t.actor(s) license pursuant to the Contractor's License Law). I am aware f iA, Proof O their Worker's Compensation insurance should too provided to me. l7 I am exempt undo, Section_ 8. 6 P. f;, for (lief ri•aiOn Date Owner I hereby certify that I nave lead MIS application and stateatethat hie abo,oinrotml+IiOn If correct t agree In comply with an city and County OrVinanctsandstatelaws :elating to b•hlamg cOnstfuCliOn, and ntreby authority repre. sentatrves of this city to enter upon the lbove•montioned Propariy fnrinspectionpurposes. Signature _ _ Date Ottwrs' License or SS 1r White- Building. Green - Temporary File Cop)- CanaryAsstsvir. Pink Applicant. Goldcriod.Accounbng i CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Apple_ ica_ nt to fill in all spaces except those within heavy border lines and sign all appropriate declarations PERMIT N0. TRACT N.I. I LOT NO:,- 0. , UNIT NO. sr TYPE OFCONSTRWra [] NEW AV t LTERATt REPAIRLCONVERSiON DEMOLISH C] OTHER _Mobile rime °i r- nstallation L'ESCRIPTION OF WORK /USE OF BLDG. TYPE OFFERMIT GRADING FOUNDATION F 'aUCTURAI V TENANT ELECTP,ICAL PLUMBING r- MECHANICAL OTHER PROJECT DESCRIPTION: SQ.Ft Occapaacy Ceratrucfon type Zone _ E'a10atlCnji_ PC# Remarks c_- ..m.,,:4. L_ L - ly insf3ec ID. Wash low F Fixture Traps ea. Floor Drains _ F-01 Sinks Gas Service inter - ceptrrs , Roof );wins Trai1P ; Protect Address 3 17 Riy -rside Drive Assessors Porcel Nlo. Owner's Name E 1 Mny'rA jnVP--W n --[Q_Phone- Address .$?a}rnaSt Nin( t na Reach CA Archl6ng, _ - -_ License Wo. — Address — Contractor's Nan*- _ Phone — Address (mailing) City License'vo. _ LfCEN3ED CONTRACTOR DECLARATION hereby .firm that. 1 am licensed under Provisions of Charter 9 (comcnncir.gwithsection700ofofDivision3oftheBusinesslnaProfessionsCode, and mY license is in full force and et!tict. License Class -- License No. -- Date _ Signature —_ — ORiCERS' COMPENSATION DECLARATION reby atilfm Chet t have a certifir-ate of consent to serf nsure of a CertltlWte Workers' Conipeflsatiar, Instirance, or .S ce:tif.ed COPY thereof ($ectlon3900, Lab. c.) LIVicy No. _-_ Company— Certifier) copy Is hereby furnished. U Ceuihod COPY is filed with the city Sti0ding Division. Date Applicant _ EXEMPTION. FROM WORKERS' C:CHtpENSA7ION DECLA—lAT1pN — ThiSsection need oat be completed if the permit is for one hundred (5100) orless). ctrlify that in the per!Orrnan Ce et Ina work for which this p:rm i:.S issued, IShallnitempfc.y any µarson in any manner s0 as t0 become subject t0 theworkers' Compensation taws of California. Date — Signature _ _ __ NOTICE: 1f, after making this declaration, you Should become tubject to inworkers' Compensation Provisions of the Laoor Crdc, you must forthviitnCOmOtywithsuchprovisionsorihisOtrm't "'It bit deemed revoked. CO NSTR VCTIOts L£Nr31NG AGENCY r heret V affirm that inere is a construc'.on lending agency for the performa::.-eoftauworkfor `nlcr' this permit Is issued (Section 309) Civ- C.) Lender's Name _ Lender's Address _ OWNER BUILDER DECLARAl ION I hereoy af'irin !117 i am er.emrt from !h! Contractor's License Llw for th6fonuv.ing reaso•i (Section 7031.5 evilness and Professional Code: Ary c :te necountywnrchrequitesapermittoconstruct, after, improvy, demolish or repay i•ly struCttire, prior f t its issuance• also requires tnx applicant for iirch p2rnir! 10 file a signed stafamt ^t thll he /she is rrcrnseC purl rant !o the prCVisiGns ofeConimto —s License Law (Chapter 9 (cornmenrm., with Section 70001 of ns•on 3 of the Business and Professions Co:1e) or tnpt n0 /sox is cxemot refrom and the basis 'or the alleged exemption, Ar' ao!a son Of SCcImnU3r.S b/ any applicant fqr a Permit subjects the applicant to Jienailyo! rot mert :nap live hundred dollars (SSiio)• L) 1, as oomer of the property or my emptoyecs wi-n wages as their Solt. compensation, wilt at% the work, and •he structure is not intended or offered to, Sa 10 ( Section /044, Business ant? Profefsionat Code: The Contractor'sLicenseLJwdot$ not apoly t0 an owner of a property wItO builds Gt imerov_stnercon, and wno apes such work himself /norself Jr through n,s .-•r her iiwn em Dl6yees, rOv11 a thzI ;uch iniprGvament; are no! intended or bfferoa !,.r sale. if, however. Cho buildinq nr Improrement It sold wi!h:n one year of com. plellOn, the owner will nlvt the be,den of proving ne /fne did not bu'fd or im- prove for the purpose of sale). L• 1, at owner of the p7ODerty, ant exclusively contracting with licensed con - 11"tOrslo ConS!WCt the Orajccl ( Srction 7044, riusino ;s and Process: oils r:OC e: The COnt :actor's License law ones not aOPly to In owner of 01"erty wnobuilOtorimprovesthereon, and wno Contracts f0• Such projects w•tn a CO n. tractor(sl license Pursuant to trio i :lntractnr•s License LAW). I am a.varo thatpion! O! their Worker's Componsali0n insurance shouid be plovicod to me• 1 am exempt under Section _..__ B, a P, (:, or tna reason 1 hereby certify that 1 have read this app•icatlon any Stale that the ahweinformation. is correct. 1 agree In comply with an CITY and county OrdinancesandstarlawsrelatingTObu:!ding COnwuction, and hereby authrriiu repro. stntlljvef or this city to enter upon lho a00ve- nlertioned property forinspectionourpows. Signature Data- - Ora .yrs' License or SS q Yth1?e 2uik1lrL Greta TemWin Fite Copy: raraty A.tssrr. Piok AOLlitant: Geldenrod.r!rcoualinp CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill ir, ell maces except those withir. Ire-vy border lines and sign all appropriate declarotioils PERMIT RIO• TRAC r No. LOT ND: UNIT NO. TTPEOFCORSTRUCTtOTi r_ NEW. L' ADD O TERATIO REPAIRCONVER:10'! O DEMLii6CH C OTHER 1'tobile orne rrstall i tTOn DESCRIPTION OF WORK/USE of &DG.._ — A.P. # Zone _ ECMai- n-Building: AAccessory Building: tyrEOFPEnua !7 GP -AVNG O FOiINDATION C S1RUCiLIRAL ng: T FIroot — C MtkH; r ELECTRICAL C PLUMBING O MECuANICAL B t— — OTHER _ AI Rear --I FROIECTEk`cRIPf10N: Sq FL _ Occupancy K I Right l CotW fu't;cn erne _ Zone — Aries _ 1 Left — Va ?wt*ari; — PCt S -- Remark Parkirq Req. /Provideds^;,) -bring files UP to date. Planning Not. erviOUSiv inspecte y others. - — 3-'10 -8a — f PLUMBINEES ELECTRICAL i FEES MECHANICALAI FEESa'r 'Generator GO SKY/ r 5 15KL1 Bcilerri ACCT +f GRADING FEES Auto Wash Construction Pole Sub. i Duct-Under Ground rut: — Cu. ywas18ackf!bW Pr eye nIer I Cookin -- -j -- Fill. t---- f U LI Duct- Structural —cu. yardsi &MIGw ire Lon - - Pole Li hl 3350.33]0 Plan Ct eck fee S _ Clarifiers , Fad Vcntilatine _- D ers Gas Electric i I F.xhat :t System Multiple _ 330(•33.,2 Pelmnfee S - Qishwashor - -- Fan 1 F-_ i-xtu_re _ Traps ea. ... Eva oatrve Cozier fees Beating System & Ducting - - - I.Floor Drains O- 1OG,OCO BTU 100 000 8Ti! Fixtures __ f - , I Floor Sir4s _ 01 ets ~__ 1- 33643312 Summarrof Permit FeesiTHoodorCanopyGasServiceOutletsSwitchesiTVpe1 Type Il _ Interce tors Meter r, + p tit 100 amps -_ --- Baisei M S P -Tra - I Ref: igertion System ---- — p Meter Cover M ainps 1 - ! i:0 100 ?QO BTU L 100 0[t0 3'TU I Piumbm3 S Hoof Drains I - r--- L__ Sub anti -_ - -- ; Fire-pf /Fact. Bit. ICBO # V-ctrlci: -- Trailer delves 0 - Metaarjcal S _ -- 5yw -r Ca Transformer I-' 15 50K i i ; System Repair /Alter3tion _ --- - 50 +KW i Fire Dampers - - Other SSewerfonricction9fdg. ` _ Motors 0 1 ;iP C71'.': P, 1 Rcgirers --- ~ --- )Lu23L SMIP - Solar Co!Icctors -- Inc. Solar 09 15 HP ir1ET5 + Y- — --- 5rla, Pi in - _j jnclneratcrpg - - ~ Sirg /Fam. Res. — Misc. 1- Solar Task _ fviulti -Fam. Res. 3360.3310 ;Oa:maryolPllnCGact /ecrJ - - - - ---- Swimmilty Pool /S a ct; homing ?0a! /Spa - + -- - - -` -- - - i- iNatpr Heater } ' - .- .__.__ Boibinj; S WaIS Service - --- j -- 1 1 tswe --- - - - -- Plumbing Septic $sfe +n - Electrical ; -- i ist__ OMLOPMENTSEnICESREQUIREMEATS.- Mechanical 3 _ Zaeial i.wfl d 4 - Date _ O :bee : lkadagApr"dol Issue ApylicatiOa IsteeA If -- Dab .3643371 )tnl inQ S Date _, -- TOW frpf ow Z q I N G R E 0 M T S Project Address _3290f) Riverside Drive Assessor's Parcel No. Omner'sNsme _ -Fl irinrrn InVPStment--CO.. phone -- Address 8311 CnaCtHieHiehtwa,y L oguna Beach CA ArchlEng. — _License No. — Address - -, Contractor's Name— Phone — Address (mailing) _ — City License No. LICENSEO C011TRACTOR DECLARATION I hereby affirm that I am licens:rd under provisions of Charter 9 icommencing with section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class _ License No. Oate — Signature RKERS' COMPENSATION DECLARATION reby af(j!m that 1 have a certificate of consent to self- Inst:re or i. Certificate Worker$' Compensation Insurance, or a certified copy thereof (Section 800, Lab. C.) Policy No. Company I Certified copy is hereby furnished• C,ertirred copy Is filed with the city Building Oivisidn. Date —,— A ,3plieant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION frhlssection r.eed not be completed if me permit is for o.se hundred f$i0f)) or less). 1 certdy that in the Performance of the work for -nich tn:S permit rs rsSErlG, I shall not employ any person in any man-ner so as to become subject to the Workers' Compensation Laws of California. Data — Signature NOTICE: It, after making this d_'rtaratien, you O..ouid become subject to the Workers' Compensation pfOVISiOnS Of the Libor COJe, y31l Mutt forthwith comply with Such provisions Cr this oetr,:it shall be deemed revoked. CONSTRUCTION LENOING AGENCY f Cry affirm that Mere is a construction lending agent/ for the performance he work for which this ptrmrt is issued (Section 3047 Crv. C di ''s Name .- Lencer'S Address — OWNER BUILDER DECLARATION - I hereby aiti -m trial I am exemv? from the Cd Wartor's License sew fO! :h• following reason (Section ,7031.5 B isiness _nd PtOteSSicnal Code: Any city or c•3unty wnW'.. reu Lrres a permit :O Construct, alter, improve, dem Obs9 or repair any structure, prior 10 its issuance, also regttrres the app; -ant fc.r such permit to file a signed statement that riz /sne is licer,std pursuant to the provisions of e Con:ractor'% License Law (Chapter 5 (commencing wi!h Section 7400) of iSinn .1 of ire Business and Professions Code) or that he /She i s exempt refrom and tr i basis for 'he alleged exempt:Cn. Any violation df Sitctron 431.5 by any applicant fof a perm s subjects trio applicant to A Uvit penalty of ib' more tnan five nunrircd dollars (3500). v 1, as owner of the property or my emr!Oyees with wages as their sole con' Oensalwn, will do trio work, and the structure is not intended of offered for sate r;ecticn 703.% Business and Pro(ess.onbi Code: The Conlra_tor's License "w do#% not aorly fc an ovmer of a property who builds or improves Increon, and who dots ouch work rna-sciftherselr or through his or her owl, employees, r•ovidrd trial Such improvemen!s are not intended or offered fat sale. If novrever, she bunging or imprdvernen'. is in'o within one yecr of tom: Pw.lon, ore c.vner will have the Gutden of prating he /she did not build or im- prow for -he purpose Of Sale). I. as owner of ine property, am exclusively ;rin'Cracting wits ticenst:d car, tractors to eanslfuet the project ( Section 7044 Business and Professions Coda: nct Cdnifact Or'S License Law do" not appiy to ar, o vner or Property who uudcls of improves therron. brio wn, contract: in. such projects wins a con - lrac!or(s license Pursuant to the C intract -r's L.-CCnse taw; t ar. aware that proot O Irerr Wrl,ker's Cr:rpen Calton in$Vrance Sh6uld tw provided to me. 0 1 am exempt under Section ____.__— — B. 6 P. C. lot this reason Owner I hereby CCrl ly that I hava te;o ui,s application and state thej the above tnlorma!ion is correct. I agree to comply with all city and county ordinances And slate laws retaking to building ronstruction, and hereby aathor,te repro- Wnlativvs of this City to enter upon the abOve•nientioned p•uperly forInspectionpurposes, , Signalure —__ Date CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy burden' tines and sign all appropriate der laretions PERMIT NO. I TRACT 140. It LOT NOS , UNIT NO. WE OFCONSTINIU TI t7 NEW AM tTERATIO- RE?AIRfnstalla_tion 3360 -3312 110.231 L Summaq ill Permit rm Ptu bjnf ; flrthal i .,_ Mechanical ; __- Other S S k7" F.A.U. Floor Drains Floor Sinks ALP # Zone Fixtures Outlets F' CONY<RSION 0 DEMOLISH n OTHER _.140bi1e OB1e DESCRIPTION Of WORK /USE OF BLDG. — - Atechanitat S Main Building: Accessory 80ding: Meter Meter Oliver 100 amps Roof Drains TTPEOFPERNIT 5 GRADING FOUNDATIO!1 C STRUCTURAL T Front 2 C TENANT ELECTRICAL PLUVEIING - MECHANICAL Sever Connection Bldr, Sclal Collects Solar Piping Motors O 0.1 HP ;] 1' /.• • t2 Inc. Solar 09.15 HP 10.15+ Sinq /Fain_ He;. -- a Rear N OMER A 1 PROJECT DESCRIPTION- Sq. ft. - Occupancy C Right N Cmuticticn type _ -- — Zone Asres - -- S Left i G PCrt Ping. Ref. #_ Perkin Req.lProvided EE Remarks Permit to bring files Up t0 date. Planning Notes a Pervi ©u_ins ecte others. IsT 3 -10 -88 PLUMBING ter, Repair FEES ELECTRICAL TGenera;or FEES MECHANICAL FEES a 6RADIN6FEE5lit? -5KW ? 15KW Bailer C„): --Cu. Fill ands cr_yards Auto Wash _ Construction Pole Sub. — Cool :ingUnit - -_— Duct Under Ground 5ackflowPreventer Duct$trum.'al — T. Bark flow !rri aq_tion Clarifiers Pole Light _ i Fan_- Venti;stin — 336J3:i0 i alanCJlcck fee S Dr Ers IGas Elecuic Exhaust System MulfiWe 300433!2 Permit ; TralFees ; Dishwasher Fan I Evaporative Cooler Fixture Traps ea. t 3360 -3312 110.231 L Summaq ill Permit rm Ptu bjnf ; flrthal i .,_ Mechanical ; __- Other S S k7" F.A.U. Floor Drains Floor Sinks Fixtures Outlets Gas Service Outlets Interceptors Atechanitat r G up t^ 100 amps P -Trap _ Dthef Meter Meter Oliver 100 amps Roof Drains Sub panel Tt3aer Sewer Sevier Cap 17 15 -SOKWTransformer n 50i KW Sever Connection Bldr, Sclal Collects Solar Piping I Motors O 0.1 HP ;] 1' /.• • t2 Inc. Solar 09.15 HP 10.15+ Sinq /Fain_ He;. -- Water Heater Heating System & Ducting y 0- 1017,000 B T J Q 1000(. Hood or Canopy Type 1 D _ape II Refrigeration Sy: em byster- ftepair/Alieratiol Fire Dampers _ Registers Incinerator _ Misc. MVELOP11ENT SEOYICES REQUIREVENT5: 7'a:ag krrrad k _ WiliftAWmdRT ApRubill ft,wa Ili __ — 0814 3364337., ; Summary of Plan CAetC fees 3360 -3312 110.231 L Summaq ill Permit rm Ptu bjnf ; flrthal i .,_ Mechanical ; __- Other S S k7" BTU Plumbing 3364337., ; Summary of Plan CAetC fees Drivers' License or SS v . , = y "—" I TOW FMS Do S Vir.le•Trslldlat. Grten - Temporary file Cope. Gru 1-,1.% eswr PiAA- ApDhcaal. Wdenrad.4amiahAN Building Plumbing E;ectrKal Atechanitat 3 Dthef 33Ti0.33T5 Drivers' License or SS v . , = y "—" I TOW FMS Do S Vir.le•Trslldlat. Grten - Temporary file Cope. Gru 1-,1.% eswr PiAA- ApDhcaal. Wdenrad.4amiahAN ProiectAddress _3290--River j—de Olive Assassar's Parcel No Ov+fw's Neme F1 Marro IDYP- tineRt_O-Phone Address -8$11 Enact Highway Laguna Beach CA Arch :Eng.. ---License No. - Address - Contraicter's Name ,__Phone Address (mailing) City License No. _ LIC£NSEC CONS RACTOR DECLARATION I cereby affirm that I am ( icensed under provisions of Ct.arter 4 (commencing with section 7000) of Division 3 of the Business and Prolesstons Code, and my license is In full force and affect. License Class - Licensa No. Oste__ Signature k-FRS COMPENSATION DECLARATION rcby affirm that 1 have a cartif!rA!e of consent to saff -Insure or a ta.tlitcate Workers' Compensatinn Insurance, or a certified copy thereof (Section 3800, Lab. c..) Policy No. — Company B Certrtied copy Is hereby furnished. Certified copy IS filed with the city Building DivisiOn- Date- _ Applicant ._ EXEMPTION FROM %VORKER;* COMPENSATION DECLARATION This section need not be compleb d if the permit is for ans hundred ($100) or less). I ce :bfy that !n the performance of the -work for wnlCh *,his permit is $Sued, I sr -'f not emplo>• any perszn in any mariner SC as to -- ecome subject to the Wo,;-ers' Compensation Laws of California. Dale Signature _- NOTItE: li, arrer making this declaration, you should become subject to :ne vin. ers' Compensation provisions of the Labor Code. Vosf rsuSl fOlJhwitn cG_.ily wrin such provisions or tnis pear:;! stall be deeme] revol,e'.S. CON5TRUCTJON LENDMG AGENCY I rc,eby a :t:c.tt that there is a construction lendi ig aSenr_y for trio performance C, the work to' wrich this permit .z issued (Seatior 3047 C,-.r. C.) Lcrce''s taame t.e-cc,'sA cress OWNER BUILONR OECLARATION 1 -e-eby after:-+ trial I am exempt from thf. ContraCtor's License Law fur the f,, -Ain) raasoa iSection 7031.5 Business and Pro'essional Code: Any city or cd-: :y which redu - /es a permit :•z. construct. after, improve, demnhs -1 )r repa,r an a-ructure, orio• to its issuance, alsa renuires the pphc: ,it for such pe'rn.t to 1ne a srsned sta!emeol that hefshe is ficensid oursuint in th@ prov.s.ons cf W Contractor's Lrenr_ Law (Chapter ? (Cammencul; w,u, Section 7000) of nn 3 of ln$ Business and Prof@ss-: ns Code) or :hat r e /st..e is exempt re'ront and the basis to; lie alleged exemption. Any violation Of Section 31.S by :ny app'tcznt in, 3 pemw subjects the applicant to L civil per.aity n% r d! more than five hundred dollars Ia540i. 1, as owner Of the Property Or my utiplOyees w4h wages as their sole cOm pensation, %4ill So the wC•rk, and the struc:ure ,S not intended or offered s +le (Section 7043, Business and Profess.ona+ Coda: Tne Contractor's Lice ^se law roes not apply :b an owner of .a property w.to builds or imprG es re,eon. and who does such work hlmscif /nerse'f 3, through I::s nr her own emwoyees, provided that such imornvorments are not intc.ieed or offorec: f,r safe. I!, however, the building or improvement .s s ^:.; within one year of com- p.eGon, th@ owns, w04 have Ire burden of nrG,:ng he /She did ntrt bui:d or sm- prove for the oagpo :e of Sale). 7 , as owner of the prno@(ty, 3m @yCtusive'y crmtracting with licensed con. tractors to construct tht prolccf (Section 7Q44, Business and Prot'svons Code: The Con :racTor's License Law does not apply to an owner of properly who bu,'::S or rm -Ova$ thereon, and -no contracts for such projects +r.th a con. t • ac :or(s) license pursuant to tr, Contractor's Uc,"^ SQ Law). I am aware that PICK-1 of their Worker's Compensation :n!urance should D* provided to me. I] I am exempt under Section - -- B. R. P. C. for lnr reason Oats — Owner _ I 'lerebv certify that I hava read tilts application End slatr Ira: the above a. rotma :ion is correct. f agree 1r1 romply w1h all City and county ordinancas and .tat@ Is.vs relit. ^n !u hu.ld.ng construction, and hereby aulhorire repre- sental.ve. of knit cry fa enter upon the above- ment,onad property for nspect.On putprles. Sgnalute Date.-- - Orivers' License or :is LLLYrtatcBa'Iding: Gran- Ternporrq F.lz l:opt Ca!JJ+y Assfssnr, Pirk- AOplKan). ftildenrad Acrountint CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in a!1 spaces except those within heavy border lines and sign 311 appropriate declarations PERMIT NO. J R4C I LOT NO.f y / UNIT NO. WE of 0.101tstw"011 NEW ` ADD AqttTERATIOg0 REPAIR ANyERSION t DE lDtl l 0 OTHER Flobile Home 1f15td17at1Ut1 A.P # zoneDESCRIPTIONOFft'ORK UTE OF BLDG_ E Main Building: A_tcessay Building: TUE OF PERXIT C-RAOtNG U FOUND0014 C STRUCTURAL = Front z i OLiErrRN? C ELECTRICAL U PLJktBSYS U MECHAPIiLAL B hear N 7 OTKR A4 — -- -- t PP.0)iCT LkSCRIPTI ^N. S4 Ft. _— _ -__ occupaxy — C ` Right N CJxesttc :t cn type zone tares -- S ' Left G talrjtw S PCs Z Pin .Ref. # Parkin Req./Provided E Remarks Permit to bringn fi 1 es (z t0 de-te. _ Plaonir g holes _ QP . — Pervious? insnecte` J others. _ _ _ — T t_ T fi_S)O S IDJ Alter. R^Cair _ Auto Wash F nter 1 1 Coo! lion I I Pnle Clariiiefs O si+wa;her Fixture Traps ea. Iloor Oraias Ff00r Sinks _ Gas Service x ui mrercepiori P•Trap _ Roof Oraios Sewer Cap Sewer Connection Sofe( Collectors Swimming Puo Water Heater CAL Aetar 0 up to 170 arr,Ps -- Meter Clover Igo amp's Sub pinel Transformer ^ 15.50KW SU+XW Motors 0 0 -1 HP 01 %r- 8 Ins. Sular 09 -15 HP 016.154 DEVELOPMENT SEJ VW REQUItE6l:NTS: all"" Awased By AppRcstiaa tssw/ By MECHANICAL FEES ACC( s 3360.3370 3300.3312 GRADING FEES cut. _ -- Cu. yards Boiler Duct-finder Ground i Duct-Siructural Fill. _ cu. yards Fan - Ventilating Plan Check Fee $ _ Permit Fee S LOW Flits S Exhaust System Multiple Evapor)tiveCoale( X60 -3375 Planning Heating System & Ducting 00_100,000 8T6 _1100,000 ETU 3260 33)7. 110.231 Summary of Permit Fees Building ; —_ Plumbral S - Mechanical v)her SMIF Hood or Canopy Type 1 U —ype II 0 Refrigeration System 00.100.000 BTU -::100.000 BTE; Firepl /Fact. BIt. ICBO # System Repair /_A!teraticn Fire Oampers Re isters _ Incinerator I 3360.3370 , Sur:-. aq : ;lion Check Fels Utl' Fos Do S Building Plumbing Electrical IAet anjctll 17fhef X60 -3375 Planning S Utl' Fos Do S Project Address 32900 Riverside Drive Assessor's Parcel No. _ Owner's Name Fl MF)rr0__1AVeSt AQnt Cfl •Phan, __ Address 881 Coact ghway aaun each CA Arch /Eng. _ License No. Address Contractor's Name _ _ Phone Address (mailing) — —_ City License No. _ _ - LtCENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under pr. isions of Chao ter 9 (commencing with sect fen 7000) of Division 3 of ;he Business and Professions Code, and my license is In full force and effect. License Class Licensis No. Dale _— signature RKv-RS' COMPENSATION DECLARATION reby affirm that I have a urtrflcdte of consent to selfdnsure or a certificate MF Workers' Compensation insurance, cr a certified copy thereof (Section 3800, Lab. C.) PolicY Na. Company, Certified copy Is hereby furnished. a Certified copy IS filed with the city Building Division. Danz—_ Appl!carl __ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Thrssectron need not be completed it the permit is for one hundred (3103) of less). 1 certify that In the oetformanc!i of trio work for which this permi! is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date _ Signature _ NOTICE: If, rakinq this declaration, you should become subject to the Workers' Compensation orovisinns of the Labor Code, you must ror:hwrth comply will' such provisions or this perrhR shall be deemed revoked. CONSTRUCTIOU LENDING AGENCY I hereby affirm that there is a construction lent/ ing agency for the performance of the wo•k too x-r.ic'1 In's permit IS issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER rECLARATION 1 iereby affirm tha: I Ain exempt fro :n the Contractor's License Law nor the following reason (Section 7031.5 Business and Professional Code: Any city Or ccunty wroch requires a permi: to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he /she is licensee pursuant to the provisions of e Contractor's License Law (Chapter 9 (commencing with Section 7000) of ision 3 of the Business and professions Code) or !nat he /sne is exempt relrom and the tzsis for the aVeged esemplton. Any violation of Sotction 031.5 by any applicant for a permit $,ablects the applicant to a civil malty 1 not more than hvn huriored dollars ($500). LJ I, as Owner Of tha property c- my employers with wages as their so a cohtpwisation, will do 'ne work, tr.d the struchire is not in!ended or o!fered for Sale (Section 7044. Business and Professional Code: The Contractor's License taw does not apply to an owner cf a property who oujlos or oinproves Ire rcon, and .-,no doe$ such work himselfr:,crself or through his or her own emplOyesS, provided that Such f.h, roverr•ents a•e not intenced or offered for sale. If, however, the building or improveonenf is sold within one year of com- r.'etion, rhC ow, rr will have the burden of proving Pe /she did not build Or im. prove for the pwwose of sale). E7 1, aL owner of the property, am eXCIaSivoly cnntracling with hcersea con. tract Orsfo constrict the proiect (Section 7044, Business and Professions Code: The Contractor's License law does not apply to in owner of properly %A-ho builds or rrnornves taereoa, any who Contracts for Such projects witr. a con• trartor(s) license pursuant to the Contractor's License Law). I am aware trial proof u// their Worker's Compensation insurance Should be provided to me. O 1 am exampf under Section._.__ —,_. 9. L P. C, for trrt reason Orate Owner —_ I hereby certify Ir.at I have real fill$ appikatiori and slate that the above information is r- Orreci. I agree t't comply with all City and County ordinance$ and state laws relating to budaing construction, and hereby authorize repro. Ser.lativat Of this city to enter lotion the abom-mentlnned properly forInspectionpurposes. Signatwe Dat,.___— _ 7rivtis' License or Si White-Building: Green Temporiry Foh Cw Warydsseswr: Pink- Applicam. GoWenind•k.rrrmhna CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces excerpt those within heavy border lines and sign all appropriate declarations PERMIT NO. i TRACT NO. LOT NO.,, UNIT NO. TYPE Of CONSTRUCTION Cl NEW i ADD ALTERATIOjF O. REPAIR 11 CONVERSION O DEMOLISH OTHER IJobi 1 e Hol'lEs 1 nsta 11 ati on DESCRIPTION OFWORK /US:OF BLDG. TYPE Of PERMIT GRADING MUNDAT10N C? TENANT EIECTR['Jt G PLUMBING OTHER PROJECT DESCRIPTION: Sy. ft. _ Construction type Zone _ yaluaher! $ _ . PC# Remarks Per ID. 0 STRUCTURAL 7 MEG911NICAL DCCupa -q Acres up to date. otthers . C 3 -10 -88 E Men Buildi T Front A RearA C Right SILef Ping Ref. Planning Notes Accessory Buil Park z U N I N O R E a T S PLUMBING FEES I ELECTRICAL FEES MECHANICAL ~ FEES AM e 3350.3370 3300.3311 GRAOIFiGfEE5 Lut: - cu. yards AIte Re air I Generator O -5KW O 5.15KW Bader Auto Wash Cnnst_ucticn Pole Sub. Duct Under Ground BackflowPreventer Unit —, Duct - Structural F'II --.Cu. yards Backflow Irrigation iCookirg Pale Li ht Fan - ventilating 1 Plan Check Fees — Permit Fee s _ Total Fees s _ Clarifiers Dishwashe! Dryers CGas Elec_tric Fan Exhaust Svstenl Multiple Evaporative Cooler Fixture Tr-32s ea. F.A.U. _ I Fixtu-es Outlets Switches Heating System & Ductir,y 0-lOC.00C m 0100,000 BTU Hood or Canopy 7' ell Type II F3 Floor Drains Floor Sinks 3360 -3312 110.231 3360.3370 3360.3373 SummagfrFParmitFea Bulkf:nQ s Plumbing $ Electrical $ H.ec a llczt s Other iM)P - Summary ofPUr. Check Fm Buildi'li s Plum '°Z $ Elect,lcr' s Mechanical Mechanical $ Planning s _ TMaf Fm DIM Gas Service Outlets Interceptors I Meter up to 100 amps Meter o'rer 100 amm Is Refrigeration System ED 0.100.000 BTU 100, L00 BTUP•Trap Roof Drains railer Sewer _ Sewer Ca p Sub panel Transformer 15.50KW 50 +KW Motors n 0.1 HP u 1 y - 8 Inc. Solar [79.15_HP El 16-15+ Sing /Fam. Res. _ Muiti•Fam. Res. Firepl /Fact. Bit. ICBO ' System Repair /Alteration — Fire Dampers Registers — Sewer Connection - Bldg. Solar Collectors _ Solar Piping r Solar Tank _ swimming Pool /Spz Nat¢r Heater Incinerator Misc. - - - - Swimming Pool /$ a Issue _____ TT Nate rvice _ septic System DEHELQPMENTSE"ICESREQUIREMENTS: ZNklit klpflrrill 11) . Dot, _ BuilglialApRr..,..ft —__ Dots _ Application kswd ByIssue malty of not more than five hundred dollars (5500). 1, as owner of the property or my employees wltn wages as their sole rap Roof Drains_ CITY OF LAKE ELSINORE CONSTRUCTION PERMITProiKtAddress: 332RO Riverside Drive Meter Cover 100 amps _1_ Sub anal S Assessor's Parcel No. Applicant to till in all spaces except those within heavy border lines and sign all appropriate declarations Owner's Nome FI inrrn InyPSt jlt CO•Phone —. PERMIT NO. TRACT NO- LOT N0. UNIT NO. Address .oat i rt,act •iahwA L&9mL Beach CA reFire I /foci. Bit. IC80 # IIArch/Eng. -- License No. — _ TfPEOFCONSTRUCTION C NEW U ADD D TERATIO REPAIR G CONVERSION trl0bile i D Address Contractor's Flame— Phone OEMOL!SH OTHER OftlE? nstallation A.P. # DESCRIPTION OF WORK /USE OF BLDG. — S Main Building: Address Imailing) TYPEOFPERVIT lJ GRADING C FOUNDATION D STRUCTURAL E T FrontCityLicenseNo, _ D TENANT fJ ELECTRICAL O PLUMBING D MECHANICAI- CONTRACTOR DECLARATION OTHER _ a, Hear I hereby affirm that I Am licenson under provisions of Charter 9 (commencing PROJECT DESCRIPTION: Sq. F:. Occupancy C RightwithSection7000) of Division 3 0 !hw Business and Professions Code, and my license Is in full force and effect. Construction tvre jgne _ ACAS Left License Class License No Yalu,hon ;- -` g pC# Date_ Signature Remarks Pln . Ref. # RY,ERS' COMPENSATION DECLARATION e , b =s ng files LIMO date. Planning NotesrebyaffirmthatihaveacertificateOfconsenttoself- tnsura or a certificate W .rkcrs' Compensation Irisurance, or a certifies copy thereof (Section Perviously ns ecte others. 3800, Lab. C.) f// 3 -10 -88r,+ Policy No, _ Comoany _. BCertified copy Is hereby furnished. tractors to construct the project (Section 7044 Business and Professions Conte: The Contractor's License Law does not apply to an owner of property who i _ Cc + ;IheO Copy Is filed with the ally Building G,v {sion- Date— T D s i F_Y.EMPTION FROM WORKERS' COMPENSA T ION DECLARATION qC_L+ C_l7 builtls Or improvteS thereon, and woo contracts for such protecls with a con- tractor(s) Ilhnse pursuant to the Contractor's License Law). I am award that TisissectIon need not be completed if the permit is for one hui area (9100) orless). Wlminln PU01 /$ a 1 certify that In the performance of the work for wiliCh this part it is issued, t Wor not employ any person In any manner so as err become si5jert tO theWorkers' PLUMBING FEES P Of their Worker's Comp- nsation insurance should be provided to me. C1 1 Am exempt under Section_ Watar Heater Compensation Lawn of California. ELECTRICAL ELECTRICAL FEES MECHANICAL Signature _ NOTICE: 1, after making this declaration. you should become sulject 10 theWorkers' Alter Re air Auto Wash Generator 00 -5KW 0 5 -1 KVV Boiler — Compensation provisions of the Labor Code, you must fo- thwith comply with such provisions or this permit shall De seemed rc,oked. Backfl0w Preventer Constrt!cti0rr Pole Sub. Duct -Under Ground CONSTRUCTION LENDING AGENCY CoOkin Unit DUCT StructurnIIherebyallirnlthat (here is a construction tending agency for 'hr. pertorrianCeOftheworkterwhichthis Backflosv Irrigation _ Pole Light Fan -Ventilatingpermitisissued (Section 3097 Civ. C.) Lender's Name Clarifiers D ers Cos [)Efectrie Exhaust System Multiple1_enncr s Address OWNER BUILDER DECLARATION Dishwasher Fixture Tra Fan Eva orative Cooler I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and ProfesAcnal Code: Any sea. F.AU. Heating System & DuctingFloorDrainscityor ; county which requires a permit to construct, alter, imp•ove, demolish or repair r -- Fixtures 00- 1UG,000 BTU 100,OOLanystricture, prior to its issuance, also requires th:y apslicant for such permit to Fite a signed statement that he /she is licensed persuart' to the provisions ofContractor's Floor Sinks 1 P — SP,rVICe Outlets HOD or Canopy Switches Meter 0 up to 10D amps ' License law (Chapter 9 ( commencing with Section 7000) o' ision 3 of the Business and Professions COOe) Or that he /sha is exerr,vt iefiom ar,tl the basis rot the alleged exemption. Any violation Of ,radon0-1.5 by any applicant for a permit subjects the applicant to a civil 13S OdilelS ir.teree tors P T T P T T Refrine•ation System malty of not more than five hundred dollars (5500). 1, as owner of the property or my employees wltn wages as their sole rap Roof Drains_ Budding Meter Cover 100 amps _1_ Sub anal S 4—P BTU 100 compensation, will do the work, and the structure is not intended or offered Mechanical reFire I /foci. Bit. IC80 # 0 15 50KWTransformer for sate (Sectlor, 70aa, Business and Professional Code: The cont.pnar s License Law does not apply to an Owner of a property who builds of improves Trailer Sewer Sewer CaG SMIP System Repair /Alteration Fire Dampersthereon, and who does such work himself /herSetr or through his or her Own employee), provided that such imp.ovemn,ts are not intended or efferea for sate. I However, the buildin, or improvement 50+KW Sewer Connection - Bld g• Motor tS G1 HP 1 /:- 8rssoldwithinoneyearofcom• pletion, the owner will have the burden of proving he /she did no: build o: ion. prove for the purpose of sate). Inc. Solar 9.15 HP 016 -15+ Re :seers Incinerator Solar COIIPCtO(S 0 I, as owner of the Property, am exclusively contracting with licensed con. Solar Piping Sing /Fam. Res. tractors to construct the project (Section 7044 Business and Professions Conte: The Contractor's License Law does not apply to an owner of property who SC!af Tank Multi•Fam. Res. Misc.__ builtls Or improvteS thereon, and woo contracts for such protecls with a con- tractor(s) Ilhnse pursuant to the Contractor's License Law). I am award that Wlminln PU01 /$ a WlmminT P Of their Worker's Comp- nsation insurance should be provided to me. C1 1 Am exempt under Section_ Watar Heater ISSUeB. 6 P. C. for this reason W ror Q-4— Date owner 1 hereby certify that I have reAd 11,1s rppHra :lon and state that the aboveWormalionisCorrect. I agree to comply with all city and colinty ordinancesandstatelawsrelating10builelnigconstruction, and hereby Dull Drift, repro. sentDtives Of this city t0 ante! upon the Ab7ye•n:en11iunetl property forInspectionPuroosos. Signature . Data.— Drivers' I.Icense or SS White- Bu,ldtag: Green Temporary File Copy: Canary•Assessar; Pink - Applicant. Go(denrod•Accovnting 0WILOMENTS EAY ICESNEQUIREbi_ ENTS: 19-e1 AWMI ly AM%g Appertind y Issue ----4__ A Kratiollittsnadn __ — ___ Building: ACCT. A GRADING FEES Cut: —cu. Ards Fill: —.---Cu. yards 3360 -3379 Plan Check Fee S 3300 -3312 Permit Fee S Total Fees S 3369.3312 Summary of 9ermil few Budding S Plumbing 3 Mechanical Mechanical Other 110.231 SMIP 33603370' Summary of Pisa Check reel Tots) FOND" ; 2 1 N G R E: a M T S Building Plumbing S Electrical Mechanical Other 3360.3375 Planning Tots) FOND" ; 2 1 N G R E: a M T S Project Address 32900 Riverside Drive Assessor's Parcel No. Owner's Nome El Mint ) Tnvestment CO-Phone Address 8611 Coast Highlatc y— Lacyl Beach CA Arch7Eng, License No. Address Contractor's Name— PI Address Imailing) City License No. r LICENSED CONTRACTOR DECLARATION I hereby allirhr that I am licensed under rovislons of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is le full force and effect. License Class License No. Date signature IORKERS' COMPENSATION DECLARATION ereby affirm that 1 have a certificate of consent to self- Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab C.) Policy No. _ Company _ 8 Certilien copy Is hereby furnished. Certlhta copy IS filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This Section need not be completed if the pern.il is for one hundred ($100) or less). I certify that in the performance Of the work mforwhichthispermit is issuea, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws Of California Date Signature _ NOTICE. 11, after making this declaration, you Should been + subject to the Workers' Compensation provisions of the Labor Code, ,ou mus' forth.vith comply with such prov! >;Ons or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lenoinq agency for the perfor -ance of the work for which Ines permit is rfsa:ea (Section 3097 Civ. C.) Lender's Nane Lender's Add reSS OWNER SUILDEA DECLARATION I hereby afhrrn that I am exempt from the Contractor's License. Law for th. followuig reason (Section 7031.5 Business ana Professional Code: Any city or county which requires a permit to construct, alter, imp ave, demolish or repair any structure, prior to its issuance, also requires the applicant L>r Stich permit to file a signeC statement that he /she is I,cPnwd pursuant to the provisions Of e Contractor's License Law (Chapter a ;cnr „rnancinq with Section 7C7J) of rsron 3 of the Business and Profe.s ons Code) - that helshe ii rxempt refrom and the basis for the a;legeo exemption. Any violation of Sq tion 031.5 by any appl,cant for a permit subjects the ap;..l' cant to a civil penalty or not more than five huncraa c1mle s (5500). 1, as owner of the propert., o• my emolryeeS with wage: as their sole compensation, will do the work, and the structure is not intended or offercu for sale (Section 7044, Business and Professional Code: The Contractor's License 1..1 •.v does not apply to an owner of a property who builds or tmpruves thereon, and who does such wurk hinself /herself of through ties or hnr own employees, provided that such improvements are not intended or offered for Sale. If, hLwever, the building or improvement is iold within one year of com- pletion, the owner will have the burden Of proving he /sire cid not Guild Or im- prOVe for the purpose of sale). G 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License taw dues not apply to in o vner of property who build, or improves thereon, anc' who contracts for sucn pfole:rs with a con. tractor(V hCense pursuant to in! Contractor's License Law). I ain aware thatproofatheirWorker's Compensation insurance should be provided to me. L7 I am eyet pt under Section_ -- _ B. & P. C. for this reason Date Owner 1 hereby certify that I :10vt -cad this application and state that the at)ove information is correct. 1 agree i0 comply with all city and counter crCinance: and State laws relating Ire building conetruCtio.i, and hereby authorize repre- sentatives of this city to enter upon t11rr above•mentiened property for insonction purposes. 51,.'1ature - -- — -- -- — Dato Ortvars' L:censt or SS -9 WMte•BulMing: Green-Temporary Fill Copy: Canary•Assessof: Pjnk•ADplican(; Goldenrod•Accouuttne CITY OF LAKE ELSINORE CONSTRUCT :ON PERMIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate derlarations PERMIT NO. TRACT N0. 7LOT NO,, UNIT NO. TYPE OF CONSTRUCTION C NEW ADD U ALTERATIO a RE .. a Nstallat1LCCONVERSION DEMOLISH OTHER -Mobile fit f AP ,* Zone— DESCRIPTION OF WORK/USE OF BLDG. - E I Main Building: Accessory Building: IBITYPEOFPERMIT GRADING FOUNDATION STRUCTURAL T Front Z O 1-1 TENANT ELECTRICAL C PLUMBING MECHANICAL • Rear N G OTHER A 1 C Ri htPROJECTDESCRIPTION: Sq.FL Occupancy I g N Construction type _ _ zone Acres _ S I Left G Valuation f PCa Pln Ref. # R g. Parkin Req. /Provided E Remarks PlanningQenlittobringfilesesuDtodate. g 111 tes a Perviously ins ecte others. — - T 3 -10 -88 IM . # ,” e -191 — -- — ACCT. N GRADING FEES PLUMBING FEES I ELECTRICAL t-- — FEES MECHANICAL FEES Alter Repair Generator 00 -5KW C1 5.15KW Boiler i 3360.3370 3330.3312 Cu( _ Cu. yards Fill: --Cu. yards PlanCheckfeef Permit Fee f Auto Wash Construction_ Pale Sub_ Cookin Unit _ Duct-Under Ground Dttct StructuralBackflowPrevereter Backflaw Irrigation_ Pole Light Fan - Ventilating_ Clarifiers _ On ers OGa: Electric _ Exhaust System Multiple Dishwasher —} Fixture Traps I Fan t ova orative Cooler Total Fees f _ ea. F.A.1;. _ Heating System & Ducting Floor Drains Fixtures I_ 90.1000 BTU 01 00000 BTU Floor Sinks Gas Service Outlets 3360.3312 Summary of Permit FeesIOutlets _ Slvilches i Hood or Canopy Type 1 Tvpe II eu'' fg rtercentocr I Meter :.D up to 100 amps Refrigeration System i P -Trap Meter over 100 am s L30-100,000 BTU 100,000 BTU Plumbing ; Electrical f — — Necharlczl f Other f 1 Roo` Drains Sub panel FirepliFacl. Bit. ICBO # _ j Trailer Sewer El i5.50KWTransformer I System Repair /Alteration Sewer Cap 50 +KW Fire Dampers ID-23I SMIP fSewerConnection - Bldg. Motors 0.1 HP G 1': • 8 Registers IncineratorSolarCollectorsInc. Solar 09.15 HP 16.15+ S ^jar Piping Sing /Fam. Res. Misc. — _ Solar Tank_ _ Multi•Fam. Res. 3360.3) ?0 Sum ma olPlan Check Feosry Building ; Plumbing f Electri;al It Swimming Pool /Spa _ Swimminbt_Pu l /Spa _ Water Heater_ Issue Water Service - ----- SQ ]( tir_S _ DEVELOPMENT'.ERVICES REQUIREMENTS: Zatling Apprefeed By _ _ —_ --- —Dote bjildingApprowdily _ pa(p ` _ ADt4iution bawd by ._ _pale - - - -- 3360.3315 Mechanical f 0!hts Planning ; _ Tt141 Fed boo f _ Aim Issue - - Prolac,Addras: -32900 Riverade Drive Assessor's Porcnl tio. Owner-sName .1 Mnrrn Inv s1Glent CO Phone Addreis _831 1 ^CoactHjgiAgav Laglj each CA ArchrEna, _ _License No. _ Address _ Contractor's Name_ _Phone Address Imailiny) City License No, LICENSED CONTRACTOR DECLARATION I here:_:y affirm Thal I am licensed under provisions of Charter 9 (commencingwithsection7000) of Division 3 of the Business and Professions Code, andmylicensersinfullforceandeffect. License Class — License No. Batt Signature __ ORKERS' COMPENSATION DECLARATION MW reby affirm that I have A cc$ tificale of consent to self4nfure cr a certlficiteWorkers' Compensation Insurarce, or a Certified Copy thereof (Section3300, lab, C.1 Policy No- — Company Certified copy Is hereby furnished. Cet;ihed copy is filed with the city Building Division. Date_ _ Applicant EXEMPT!ON FROM WORKERS' COMPENSATION OECLARr.TIONThissectionneednctbeCompletetlitthepermiti5forOnehundred (S100) OrIt" 1 certify that In the performance of the work, for which this permit is issued Ishallno! any person in any manner so as to become subject to theYorkers' Compensation Laws of Califo,n:a. Batt Signature NOTICE: It, after making this decla :Atron, you should become subject to theYorkers' Compensation provisions of the Labor Coda, you must forthsi:•n C0' iply with such provisions or this permit shall be deemed revok: CONSTRUCTION LENDING AGENCY 1 hereby aftrrm tnat there .s a Constrt.ction lending agency for the performanceoftheworkforwhichthispermitrs '%sued t- ender's Name _ —_ (Section 3097 Civ- C.) I Lender's Andress _ _ -- OWNER BUILDER DECLARATION I hereby alfirnl that I am exempt from Inc Contractor's License Law for theloliowinqreason (Section 7031.5 Business and Professional Code: Any city o: county which requires a permit to Construct, alter, in PrOve, demnlisr. or repair ary structure, prior to its issuance, also requires the applicant for such permittcfileasignedstat :m!rlt that he /she is ! icensed pursuant to 'tie pro ViA00s OfeContractorsLicenseLaw (Chapter 9 icommencrng with Section >000) OIvision3oftheBusinessandProfessionsCode) or that he /sne is exemptretromasZthebasisfortheallegedexemptlOn. Any violation of S@chon031.5 by any applicant for a permit subjects the applicant to a Civil penalty of not more than five hundred dollars (S500). LJ i, as owner of the property or my employees with wages as their role Compensation. Kin do the work, and the sirucil,re is nol intended or offeredforsale (Section 7044, Business and Professional Code: The Contractor'sLicenseLawdOeSnotapplytoanownerOfapropertywhobuildsOrImprovesItandwhodoessuchworkh1mself /110SCIV or through his or her Own employees, Provided that such imornvements are not intended or offered forsal., If, h„vvrver, the building or rmProvement i% sold within one year of com- pletion, I" Owr.c, .. nave the burlin Of proving he /she did not build or ic. prove for the purpose of sale). 0 1, as owner of Me property, am exclusively contracting with licensed con- tractors to construct the project (Section 704.1, Business Ana Professions CodTherontracloi% License Law does not apply to an owner of property whobuild% or improves thereon, and wno contracts for Such pr OICCIS with a con - IractOrfS) IiCenSe pursuant 10 the COCtfactor'S License Lawr. I am aware thprdofOt6*tt WorUei IS Compensation insurance Shou :d be provided t0 l I am exempt under Section___ B. 6 P. C. for this reason Date _ -- — Owner I hereby CCrti!y that 1 have lead thiS ApplifAllon and state that the aboveinformationiscarat,!. 1 agree th Comply with all city a:ld county ordinancesandflatelawstelaitOgtobuildingconst/uction, and hereby aulhOh2e repro. SentativeS of thlS c.ty to enter upon the abOVO- mentioned proper! forinspectionpurposes. Y Ij Signature Oate Drivers' License or SS V .____ CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations PERMIT N0. TRACT N0. LOT NOh / UNIT N0. TYPE OF CONSTRUCTION E NEW 7 ADO G A/LTERATIO f -J RiPA1RI! CONVERSION DEMOLISH 0 OTHER rdQb11F OM e 1nStalli't10n DESCRIPTION OF WORK /USE OF BLDG. IWE OF I'FRMR 0 GRADING Ci TENANT D ELECTRICAL L_ OTHER. _ PROTECT DESCRIPTION. sq. Ft. _ Construction type Valuation Remarks Do—i + +„ IDJ PLUMBINI Alter, Repair Auto Wash Back flow Preven Backflow Irrigaii Ciarlflers _ Dishwasher Fixture Traps ea. Floor Brains Gas Service Interceptors P -Trap _ Roof Drains Trailer Sevve ver connection - Bldg. arr Collectors ar Piping ir_fank A 0 FOUNDATION - TPUCTURAL 0 PLUMBING MECHANICAL Occupancy Acrts PCa ing files Up to dot?. lspecte others. 3 -10 -88 — EES ELECTRICAL I FEES_ T Generator 00.5KW 0 5 15K --y Construction Pale Sub. Cookin Unit I Pole !,i ht Dryers CGas 11Flortrir Fan r .A.U. Fixtures_ Outlets Switches Meter DI up to 103 amps Meter Dover 100 amps _ Sub panel Transformer 0 15.50KW 0 50 +KW Motors CJ 0 1 HP 01,' - 8 Inc. Solar 09.15 HP 016.15+_ Sing /Fam. Res. _ Multi-Fam. Res. A P- E Main Building: f; F+ .rant A, Rear C i Riaht S Left Ping- Ref. Planning Notes Boiler I Heatiny System & Ducting 10. 100,000 BTU i !100i Hood or Canopy Type L-0 Tv2e IL I Refrigerati -:. , , -tem LO. 100,000 BTU 0100,0 FirepliFact. Blt. ICBO #f System Repair /Alteration Fire Dampers egislers ___ Incinerator M isc. DEVELOPMENT SERVICES REQUIREMENTS: Ioniag Apploeed By IuPdAg AP(Lrosed By _ —Date APplicaBofl fund By _ - -_ -- Date Parking Req.'r` ^ :vided Z 0 N t N E tl M rS ACCT. X GRADING FEES Cut: cu. Yards Fill: _ _ r_u Vuds 3360.3310 Plan Check fee S 31`00D3312 Permit Fee $ _ Total Fees j 3360.3311 1 Summary of Permit Fees Building j U Plumbing Eli, ctncal - -__ Mechanical Other ; i 110.131 SMIP j 3360.3316' Summary sf Plar, Check Feu Blrr.ding j __. Electrical 1lechamcal j Other 3160.3313 I Planning b White•Dullding. Green- T- mpprary File Copr: Canary Assesso Fink•Acpllcml.. Ga'dmrod•Acrnunlinv a r I I illial Fen Ove = ProiectAddress -329jW_R.lyPr5jde Drive__ _ Assessor's Parcel No. _.-- Owner's Name -Fl--11=.0 nYEfxtfen_t - CC Phone Address _zaLl- _wasiSjisg way La- quna—Qe -4c — — ArchlEng, — __Litense No. Andress - -- Contractor's Name -phone Address trailingi -- City License No. — LICENSED CONTRACTOR DECL.4RATICN j I ^ereby affirm t. at i am :rcensea under provisions of Carter 9 (:ommencing Iwnh icc!lcn 7)00j of Division 3 of the Business and Professions Code, and my r,cense K in full farce and elftrt. License Class - _License No._ Date ___ Signature_.____ RKERS' COMPENSATION DEC.L.ARATtON reby affirm shat 1 have 2 ccrtifiC2te J/ consent to wif4n ;ure or a cer :ilicatb iyorllers' Compensation In7uranca, or r certified copy theree' (Section 3800, Lab. C.) rrrP.''' 111!icy N0- -- Company Certified copy Is ntreby furnished. 8 - -- Certif:ed copy is riied with the city cu Idrng Division. Date _ —_ Aopl•cent. r _ EXEMPTION FROM WORKERS' r_OMPENSA'rION. DECLARATION This secLnn need not be completed ,' the permit is for one hun3red ($IGO) or less). I certify trial rn the perfurmance at IT,* work for which this perch ;: ,S issued, 1 Shall not ensp!cy any person in any m2nner so as to Jecome subs ,2Lt t0 the Workers' Compensation Laws a: California. Gate NOTICE: 11. alter making !his aec!aration, you should be.ome subject to the workers' : cmpensation provisions of the "par Code, you must tolthw,tn C- .)mo.y wr:R suer. proviS :onS 4r the permit Shall be CeZmecl revCkCa- CONSFRLiCT7oN LENDING P.;Eft:CV I hereby 41Mm that there is a construction lending agency for the Daformance of ere work for whic's tr.,s permit is issued (Section 3097 C,v. C -) Lender's Nam, . Len Cer'S ACO-csi CYVNER BUILDER UECLARATION I hereby affirm that I am exempt from the Cc.-tractor's License Law for ire lu!!ow :n; reason (5cctiao 7G3L5 Business anJ P:ofcssional Cade: Ana City or county which red,r,res a permit to construct, alter, irnprove, demolish or repair any S!rt•Cture. PnGr to its isst.ance, also redarr Cs the applicant far such permit to cue a sign.0 stalcment that ht /she if licensed pursuant to the i•ov,SionS of Contractor's Licence Law (Chapter 9 icommenc,ng with Section 7000) of isu:n i of the Business .!..c Professions Code) or that he /She is exempt refrcnl an !hc hails for the alleged exernptinn. Any violation o7 SQct,on 031.5 by any apni,cant for a permit sublee:S the applicant Lt. a civil penalt/ of r at more Shin oat n_flared dollar; (SS00). 0 f, as caner of the property or my emW(jyees wit'. wages as their Sore ornornsatien, will 00 the wom.., and the structure is not Renaed or offered for sale ( Section 7,04.1, B;ismess and Professional Cron: The Contractor's Livenw Law cars not aoply to .n owner of a Property who bui!as or improves ti.creor:, and wort dO:S SUth Work IumS!It /herself Gr through n,S or her -+wn employees, provided that such Improvements are not intendca or offered fnr s,rle. 11, nowever, the building or imoroverr is solo within one year of com- pietion, tha owner will !^:ve the burden of P—ving he /she did not build or im. prove to. the purpose of sale). 1, aS Owner of tnC properly, am exclusively contrattins with licensed Con - traclers to conWir,( the project ( Sectinn 7044, Business and Profess.ons Code: The Contractor's License L, w aces not appiY 10 an ow. e: of Properly who UGWs or improves thereon, and wno cor'-acts for suer, projecis with a con. a r.tnr(s) license pursuant to the Contractor's License Law). i am aware that pr "of a Iherr workers C0mpensati0,1 v.su^an:e shoula be Proviaaa to me. 1 1 am Ox-!MP! under Section --. B. d, P. C. (tar this reason odic _ - -- owner . , --. _- - - - - -- 1 tiereny Certify that I hive read fills application and state the: the above lworrnat,on n correc :. ! agrte to comply with all City and COuney ordinances and state laws atlal,ng in building construction, and hueby authcrt2c repro. entatives of this city to enter upon the above- mentinnea propert7 forinstie,7,nn purposes. SI(inaturt — Data, — Drivers' License at SS ,y Y(hde•Bulidm): tartan- Tempora!y fit: Copy; Canary•Asussty Pmkdppbcanr; GodenraJ Ac!ounhnq CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all :paces except those within heavy border line! and sign all appropriate declarations FERMIT R0. I TRACT NO. I LOT NO. UNIT NO. TYPE OFCONSTR'JCTM __ IIEw "i ACO 0 LTERAT)C y REPAIR C' CONVEP.SIoN 2 DEVNISH O OT4--R I.1o5ile ame lnstalIat1on, DESCRIPTION OF WOR?uUSE OF ELL's TYPEOFPERMIT C GRkr,14G Lt FOUNDATION 0 TENANT r_ ELECTRICAL PLUMBING O OTHER PROJECT DESCRIPTICH. So Ft _ Constructtol! type _ Zone _ Valuation $ FLO _ Remarks ID. FEES Auto Backf low Jriigaticn Clarifiers r'ixture Traps ea. Flonr Drains Fioor Sinks i Gas Service Outlets Interceptors P -Trap - I- Hoof Drains Trail'tr Sewer Sewer Ca:) C STRUCTURAL n MECHANICAL DCCuparKy - -- up to date. X others. 3 -IO -8a ELECTRICAL rator 00-5KW r 5 -iSKSY Cooking_Unit P012 Licht - Dryers C]Gas OElecti Fan F.A.U. _ Fixtures Outlets Switches _ Meter O e- to 100 anti Meter Cover 190 amp; Sub oanel 1 O 15.50KWTransformer __ - - - -. Motors O 0-1 HP D 1 t/a - a Inc. Solar 179.15 HP 016.15+ P. # E Mawit Bui di T Front B A Rear C; Right K l Left Ping. Ref. # Planning Notes Exhaust System Mu;tiQe Evaporative C901er Heating System & Ducting X0100 000 BTU O 100,000 BTL Hood or Canopy Refrigeration System 00. 160,000 BTU r:]100 Fired /Faci_ kit. ICBO # System Repair /Al(eration File Dampers Incineutor Misr.. bola) lanx _ j Multi -Faro. Res. _ SWimmin Pool /31 pa r Water Heater DEVELOPMENT SERVICES REQUIREMENTS: biting Awlind By eta - Eltil6lftt: Approved B_ __Doh Aplikato lfNd _ By Accessory Building: I O N 1 N G R E T 5 ACCT -3 GRAOIHGG fEES Cut. Cu. yards Fill cu. yards 3360.3370 Plan Check Fee $ — a300.3312 Permit Fee S , Total Fees S 33643312 I Summary of Permit Fen 3360.3310 1 Summary, of Plan Check Fees t LiW1.1Q S - -- r Pluntling S ElectriczI S _ McGu ;!cal y — Other S _. 114231 SMIP 3360.3310 1 Summary, of Plan Check Fees t 33613375 1 Planning S Telai Fen ON 3 Building r Plumbing Elec :deal S _ mechanxal Z .- Other 33613375 1 Planning S Telai Fen ON 3 ProjectA- 3dress -3?9 ,D giyer ide Drive Assessors Parcel No. — Owner's Name _F1 1`ifltnY'fl Tftup51mPnf rQ Phone Address &ULCQast-Highwky --L na Beach CA Arr h /Eng. _ _License: No. Address Con'irecter's Nansr Phone _ AdJ,es Imaihng) Cify License No. — L'CENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under prOwWons Of Charter 9 (commencingV -nth slctisin 7000) of Division 3 of the Business and Professions Code, andIiylicenseisintrillforceandeffect. License Class __ _ License No, Date_ _ Signature _ ORKERS' COMPENSATION DECLARATION rely affirm that I have a certificate Of Consent to self• ris-re or a cailificaieWOrite +S' Compensation Insurance, or a certified r,dpy thereof (Section00, LwD. C.) Policy Nu. — — Company _ 8 Certified COPY Is hereby furnished. Cerlifled copy IS filed wiih the city Etu•Idinq Division. Da[p Applicant EXEMPTION FROM WORMERS' COMPENSATION DECLARATIONThesectionneednotbecompleted •f the permit is fur one hundred ($100) orless). I certify that in the PerfO'mance of :ne wor:, for wn.ch this perm.? is ?;sued. IshallnotemployanyPerson :d any manner so is to Decome sublrct to thehikers' Curnpensatlon trews cf Caufcinia. Date — Signature _ __ NOTICE: if. after ma"Ing this dec ;aralion, you should Decome suA;tct to theWo., e-s' Compensation prov.siorts Oi tree LADOr Code. you must forthwith k nipt•; with SUM Provisions or this permit shall be tltemetl revO4eC_ CONSTRUCTION LENDING AGENCY I rie•ery affirm that there rs a CC(-siruction ;ending agency for the oCr f0rrnaf,ceof ." work for which this permit is issued iSect:on 3097 CIV. C.) Lender's Nlrre Lender's Address OWNER BUILDER DECLARATION I nrreD, affirm trial 1 :.m exempt rrom the Contractor's License Law 'or thefolioviingreason (Secti,sn 7031.5 Business and P•ofesstonal Code: Any city orCOuni" which rtqulrCS a PermC t0 Construct, after, improve, demolish Or repair any st :ucture, prior t0 ifs issuanCe, also regenres the apnl,Caht for such permittofileasr6ntdStatementthathe /sae is licensed purtuanf to the provisions OfeContractor's License Lavr (rffaO :Ef 9 (Commencing with Section 7000) ofision3OftheBuine %s a.sd Pfgfess.Ons Cade) or that he /she is exemptW3tffOniagothetrasilforinnr. alleged exemptrn. Any violation of SCCLOn1.5 by any aPolicant for a Permit SuOiecls the aPPhcant to a civilenaltyof - It more than five nunif.ed dollar, (S .00i. i_) 1, " owner Of the property or my lmpl0yecs with wages a$ their solecons - .-salion, vvill CO the work, and the s!rucl,tre is not intended or off.reaIn' salt (Section 7044, Business and P.ofess•onal Cnde: The Contra Cicr'sL .CeniC L1w dWS not apply t0 an Ovine, of a pruperly who builds Or rmpr0vrsInereon, and who Cots suer work fifmselfiher; elf 3t Infou his rr her ovitsOwnemployees• provided that such ?mProvements are not intandea or offered for sere. I[, however, the buiiding r_r irnprOvlmtm: is sold iVitnin one Yrar of coinof .an, the owner will have the burden of prov,nt, ne /ine n not DUiltl or rtiProverofIncpurposeofsale). t I, as Ow"if Of tae ,]roperty. Arm exclusively Conlfactin,; will licensed con• tractors to Co'%Irucf the Pr Olr :t ( Section 70 ,16, Business and ProleSi,ons Code: r a Contractor's License Law Acts not applY 'O in O.vner of properly whobuildsofimprovesInereon, and ivno contracts fir such projects with a cen• Ira t of(S' license pursuant 10 the Canlfa Cltir'S License LiwOroofO Ineir Wort -er% Compensation insu.ante Should be prorfoecAware to that Goo I am e. empt under Section B. L P. C. for this reason Date Owner — hereby Cert.ry that 1 have rrad this apphulicia and state trial ine ahpvenfofmalionISCOrftcl. I agree to COmp;y with all City And countu nrdinan Usa.I'd slate laws relating to builtl.ng COnStf L'CtfOm, and htirfbi alllnririat rtpet, stnta!lves Or tossir:spection pu+POSes. Cay to enter upon the above•mentionea properly for Signature Bata -- -- Onvars' License or SS y ' W.tle•BulidlnT. Green•Tr•„Iira7 rice Copt Canary-Assessor. Plnl ;lpplrpnt. Coldenrod.Accounfing CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spates except those withit: heavy border lines and sign all appropriate declarations PERMIT N0. I TRACT NO. LOT NO UNIT N0. TTPE OF CONSTRUirnm ivrw I n ar r J,, v ItttnllU f i REPAIRLCC`r;ERSION OEMOLiSH 0 OTHER .'4obile onle .Lnstollation UESCRiPT10N OF WORK--USE OF BLDG. —_ Q' P. # Zone E Main Building: -__ Accessery, Building: ME OF PERMIT G GRA9ING G FOUhDAtiCN Li SiRtx1UEAL — — Front — zCTEAIAKTGELECTRICALQPLUMS!NG MECHANICAL g OCOTHERARearN PROJECT DESCR!P'.ION. Sq Ft Occupancy C Right — t Cmtructlort type —A Zone -- Acres -- KI _ N YaiwP30 S_ _ PCaI S Left - G Ping. Ref. Parking Req. /Provided RRemarksEPeaiobringtilesui; to date. Planning Notes _ r Pervious ; ins ecte others. _ s3- -10-8a - PLUMBING FEES _ ELECTRICAL FEES _ MECHANICAL FEESTAlter, Repair Generator 00•5KW J 5 15KW _ !__Boiler t [ GRAOihGFEESAutoWashCorisrructionPrleSub_ Cut _. cp pigsFc.k Pret'e:ltef --- - Ouct•llader Ground -_ Cooking Uni; ! Duct- Structural __ Ffti cu. yarnslrriflaiiorlPoleLight - -- Fan - Vvfttilatin :360 -3310 ?tan Checl Pet f Dr ors Gas Electric vraser ` Fan -- 1 Exhaust Aritem Multiple _ 33rr03312 PetmdFee S a+ Fixture Tra sea. - t i Er'a on tiv2 Cooler Total Fees $ _ L-- F.A.U. I Heating System & DuctingiFloorDrainsFixtures - Floor Sinks — 0.100 000 BTU 100.000 BTUI --- outlets Hood or Canopy 3360.3312 Summary of Permit FmGaltServiceOutletsI ! Swit.;hes _ Interco tors - T e t Type f! p I Maier O up to 100 amps _ Hefrigeraiion Syst2 - Bwbm1 S frf _ t I Meter Lover -10 GG am s r r , Q + Plumbial SRoofDrains r -F-- - -) lOG 000 BTU 100 000 BTU -- Sl h one. 11ectirtal = Trailer Sewer - Fire I /Fact. Bit. ICflO # Sewer Cap t TranslolMel G 15.50KW _ System Repair /Alteration Mecttanial $ 50 +KW Fire Dampers — Other $ S2w2i Connection - BI.'.g. Motors n 0.1 HP C 1'6.8SolarCnllectors Registers - -— 110231 SWP Inc. Solar 03-16 HP 11;•15 +I IncineratorSolarP:pfng Siaglicam. Res. — '-- - Solar TanP . -- Mist_ Multi•Fam.Res. ---- 3360.3310 SemalagolPga Check feesSwimmingPool/Spa _ `Swimmin Pool/Spaa- -- Waicr Healer Ii — - -- -- -- _ -- Building $ - IssuC Plumbing SWaterService " —•_. Se tic Svstem ilectrical = _ Misr DEVELOPMENT SERVICES REQUIREMENTS: Itechanxai S ici APprooge CS - -_ Qap Other $ -- 11 fly %A64i Apr lssua Ap4licstioa lssaed g1 _ Dits 3350.3375 Pljlicfng $ d ,. TOO Fog One S ProiectAOc!ra53 399QO fZlvet,sjde Drive Budd ;q CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Assessor's Porch! No. _ _ _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations Cwrer s faame F1 tMrrA ITIV?Ctpl _Pho -e -- PERMIT N0. TRACT NO. LOT P10. JNI F NG. Wit; Wier Address _aail 1 f'nac t 1; .gh;Yo--L+igLna Beach CA ArctimEng, - License NoI TTPEOFCONSTRUu -TION 1-_ NEW G' A08 71 _ RIPAIRAddress _- ALTE6AT1011L' CONVERSION D DEMOLISH D OTHEP H'ob ile ome installation Contractor's Na::se__ — pfAne DESCRIPTION OF WORK/USE OF BLDG. - A.P. # _ Address (mailing) _ TTPEOr PERMIT D GRADING D FOUNDATION D STRt,'CTURAL S E main Building: City License No. r_-! TENAN? D ELECTRICAL C PLUMBING; El MECHANICAL 7 Front LICENSED CONTRACTOR DECLARATION D OTHER A Rear 1 hertby affirm that I am licensed Jnder Provisions of Charter 9 (commencing with section 7000) Of •.1 ViSIbn 3 Of the Business inn Professions COdl, an7 PROJECT DEtiCRIP ?ION: $p. FL Occcparcy C i Right mi. license is in fun force ar.0 affect. Cens.ructfon type ___ _ lore - - -- Acres -- K LeftLicenseClass _ ____ -- .License No. YilwDUn j PCp S Date - bmnature ____ ORKERS'COMPENSarIONDECLARATION Remarks erlT;l "'jn4 files U t0 ddte. Ping. Ref. # rtby affirm that 1 hava a ccr :lfic le Of consent to sett- insure or a certificate WGrkg7s' COMPI- Itation Inswance, Or a cc.tiried Ucopy thereof jSeaion r1 7Fervious1 1 T +S cote others. r Planning Notes _ 3800, Lan. C.) ppl'Cy NO, 1L__ _ 7 CO.npany _ _ _ 8 Cer :.iird copy is hereby furnished. 7 rtifie0 cUpy is ford with flit fifty BuitC:ng Division. 0Date - -- APPhcant - E:'- qHTf z EPAPTION FFOPa WORKERS' COMPENSATION CECLARATIONTn+s section need not be cbm P'!Oid if the permit forIS one hundred (51 Col orless). iert.iy tt al in the perform`rce of the work (of Which This perm•( is iss Jed, IsnatnotcmpivyanyPeroninanymannerIbastoDeconxsue.ect to theworm-ers' Camp>;nsatron t.a:v, •;: California. PLUMBING FEES ELECTRICALGaze _ h,s oeurc _ NOTtCE. I/, alter rnaki., !hn oAtaraliOn, you :h: uIC DeC me Alier Repair FEES, -_ MECHAJICAE. Generator CID -5KW 1i 5 -15K1Y Boilersub,eC: t0 SI +eWo:4 ors' COTCensatbn Ofoy .ions of trio Labor Coce, you must fO :tnv .•hsucnprevision, of : :, ?s rslil0 Wash Construction Pole Su F. i Ouct_Urder_Groundpermitsnailbedeemedrh•:,ke_. CONSy CONSTRI:CTtON LEh:OING ACEK'Y Baekflovl Pfeventer 111 C kao to unit Duct- StructuralntrCLyaflirmCoatthere +Sac +;t:uUi..n ler.;.nq acrnry• for ter Puformancc Backflowirrig<71i0 ?Ole Li fli I Fan 1 0oftieworkforwh.cr, this acrrtlit ,s issued (Ser:ion 1091 C. v. G.) ! g— --t— • lentil „tin _- Lencer's rvame _ _ Clarifiers Or ers :G rJElectric r _- -_ - -- I Exl oust _step Multiple -_ Lence1% ACCreSS _ Dishwasher Fan ” -• -- L • JWNCR BUILDER UECLARATfON Evaporative Coolar I hert7y alhr rl that I am exempt from the Conlr;clor'i Fixture Tra isea. F.A.U. j LiGtnfe Law for tr.e Heating System c °s Ducting, fc•iarv n^ reason (Seaton 7 3I 1•isiness and Professmnat Code: Any C,ty Or Floor DrairlScsur.ty r,hicn renaires a Ceirot l0 . ;trust, after, unprove, eemr,hsh or repair I Fixtures I 0- 100 000 BTU U 100,000 BTUacys :ructve, prior to its issuance, .$ISO requn ^s the anp:icatit for sucn Pezmrt `Floor Sinks lltletS ____ ft0 :.,e a s:',ned slaterneht that he;; -e is hcellsen owsuant to the plo ` sions of __ Hood or CanopyadlikeContractor :License La .v (Cn p;er 9 (commencmt) with Section 70001 Or bas Service Outlets 1 SWitCheS - smn 3 of ine Busrresc and Pro:etsions C+ de) c: that nerSne is exempt - ' T e 1 Type I! rerrom and the ^ays for the aneyed exemFtron. Any vioishon of SCCiicn ltltefce tOfS ffetet l., up to 100 amps _ 131.5 Dv any appnunl for a permit subi0t[s the apOhCant :o a civil - RPffig- rattan SystemP•Tra 3penatfyofnotmOr! than live t.untlred 'Jollar. (5500 ?. .1 f.t ?i2r Dover 100 am S - , I, as owner uI the property or my empioyecs with waces as treir ;nee _ -P 00 1C0 000 BTU lOD 000 BTURoofDrains _ ' Sub _kanef r Fire IFFact_Bit_ICBOcOmoens.,hon, will Co t..! work, fl structure ,s not intended f :, own for sr (Section 7044, 9usincss one Proless•nf.a. Cntle: Tile C- .nrrattnr•s TiallerSevVef 15.5t;'CW I I System Repair/Alteration ILicer c LA VW does not arjp,, to in owner o7 a p, Dar [y vsr.o bursas or rrnprovc; Sewer Cap Trznsforrneru:croon, and won ape, sus' worn; ove.ni nts are or to tilde hr, or ere Own — _ 0 50 +K4s1 I Fire Dampers -- rmDfoy ref, o:owCcO that suc: intprovrm0nls ar! not intondeq nr offered for Sewer Connection - B!r! v B —t--- — •i- - -- safe. fl, ;;owever. Inc l ibuilding e burden of prlt . s sold w+tmn One year Of corn- g• Molars 0.1 hP C7 I,a • Re IstersPitaOn, the Owner will he ve the burtlen Or prOVtnq ht / :nC tlfo not mild or im• 5013( COIIP.CI0f5proveforthepurposeo: safe), +__ • Inc. -Solar 09.15 HP 071.6 -1E + _Irit.inerato: _ as owner of Ire property, am exClusively contractinq with licensed con. j Solar Piping Sing /f•am. Res. I Misc. trzcl ors t0 CO nstr Uft tilt prol!ct (Sertion 7044, Business and Drofewons Cooe: Solar Tank -- ne Contractor's License Law 000S not apply to an riwner of P,opertr, who IilUlil -lam. Res. — — DunCs nr improves thereon, and who ca ltWIS tLr Such protects with a C09- tractOr(s1 licanse plrrsuant :o the fon;rarto.'s Licer.SO Law).: am awe!* I "- immiri Pon!/Spa wimm,n/a. Poolii aprOOfO/ I'-e,r Worker's COmpensaSiOn insurance Silo UiO t)e " "' — - -- - -._ provid.0 to me, _ at er Healer - 0 1 am eacmpt urlder Section -- —. B. G P. C. Ise this reason - -- - -- ISSUe v,t.er Service - Date -- Owner _. , — - -- — SCSCpI System I hereby c"'fy that 1 nave rcyC If is application and state that Me ahavCinfOrfnaLOrlACnrrtct, t a jrte In cOmpiy with an city any cow.ty arm nanc!s C' -• ^--- - DEVELOPMENT; SERVICES REQUIREki ENT$: and state laws rCiaLn9 In building construction, and hereby dufnOnrc r0p•t• CIUnJjApprfMdllysentativesofIn!% city to enter upon the ADOVO- Mentioned or perty iof -- -- - - - cuffinspectionPurposes. BDildirfAppracvllf3) _ - -- Signature -- -- Oat^ - sr - Data lrrve•s•_Irense or Isue - White Bf.rkimg. Green iemcara t lies Luny: Gnary Assesx, Prnk AGDIIcarI oc tfrrry) A[rnrnnnp -- - Building: ACCT. at GRADING FEES Cut - -- -- cu. yards f'" ---Cu yards 3360.3310 Plan Chr_: Fee $ _ 3300.3312 Pew,,!: Fee $ total Feei $ 3360.3311 Summary et Pefm!t Fees Budd ;q It Plurr.ymj Electhcal j - Wit; Wier Otter 110.231 $MIP 3360.3310 1 Summary et Plan Check Fees BL!trlme Pluenn :np Electrical M •.rt.:.czl j - Wit; Wier 3360.3375 I Pllnnint j TOLL Fees Due $ _ I G r I N J R E QI M T Si Proiect Address -32"— Riyu3ii de Drive _ Assessor's Parcel No. o- net,%Name Ei Mnrra Investment Co--Phone Addrmi ARi i roe, Hi _ way Lactul Beach CA 1 Arch, Lo/p• License No. IAddress _ -- Contractor's Name Phone ArfCress (mailing) _- 011y License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 an licensed under provisions of Charter 9 (commencing 1—I se ;tlon 70001 or Division 3 of the Business Ana PrefeSslons Coda, and y license is in full force and effect. License class License No._- Da'c __ Signature — ORKERS' COMPENSATION DECLARATION reby affirm that 1 have a certificate of consent to self insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 80010. Lab. C.) PO[Icy No. _ Company Ccr tilled Copy Is hereby furnished. Ctrtlhetl copy is filed with the city Building Division. Cate, Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION tTh6 Section riled not be completed of We Permit is for one nundred ($100) or i iertiry that In the performance of the work for which this permit is issued I St a'i PO! any person in any manner so as to become sub,ect to the s'sr_.• kers' Compo: cation Laws of California. Gate __—Signature _ NOTICE: 11, after mak.h g this declaration, you Should become subject to the dr, .Cfi' Compensation provisions of the Labor Code, you must forthw.th Ply with such pruvisnors or this perm:l shall be deemed revoked. CONSTRUCTION LENDING AGENCY r:eaerY affirm that there is a :onstruction lending agency for the Performance S' the work for which tilts permit is issued (Section 3097 Civ. C.) Lender's Name C.t^7n•'S AtltlrtSS __ _______ OWNER BUILDER DECLARATION I .,'Cby afhrrn that I Am exempt from file Contractor's License Law for the f: IOw,ng reason (Section 7031.5 Business and Pro'essional Code: Any city or C'<, t•r :y which requires a permit to construct, alter, ;mOrove, dem Olisn or repair any S[fuct tire, prior to its issuance, also reruires the applicant for sucn Permit a signed statement that ne,she is licensed pursuant to Ine provisions of e Contractors L,cense Lzw (Caapter 9 (commencing with Sectinn 7000) of or, 3 of the B Siness and Professions COdel of that he /she is exempt refrcm aiid the 03StS for the alleged exfmption. Any viclatiron of Section 1.5 by any applicant for a permit subjects the applicant to a civil oenatty of not more than five hundred dollars 1, as owner of the prorerly or my empic;eeS }rith wages as their sole cc- sensation will do the work, and the structure :s not intended or offered P• sale (Secilan 7044, Business and Pr,fessinnai Cnde: The Contractor's Lirene Lew does not apply to an owner of a property who t,uilds or improves t ^•ereon, and w110 does Such work hlmSelf /her "lr Or throulh his Or her own emv!oytes, provided that such improvements are not inten -red or offor_O for Sale. If, hOwCve:, the building or impfovenlent s sold withrl one year of COT• p e'pon, the Owner will have the burden of proving he /she did not build or im• prove for the Purpose of sa:e). I, as owne• of Vie property, am exclusively contracting with ticainsed Con. tract Ofs to CO,:struct the pro,ect (Section 7044, Business and Professions Code: TttC COntracnOCS License LWd does not apply to an owner of property whu bu,^.OS Of imt -roves thereon• ani who contracts for SuCh Ji OleCts with a Con. trayof(s) I)Clnse pursuant h7 file Contractors License Law). I ant aware that pfnOr of the r worker's Compensation insurance should be provided to me. 0 1 am excm2t under Sects ,n —. -_ B. a, P. C. for this reason CITY OF LAKE ELSINORE CONSTRUC N ION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign a!I appropriate declarations PERMIT NO. I TrIACT NO. LOT NO.—, , UNIT N0, TYPE OFCONSTRUMON [:- NEW ADO D TERATIO REPAIR C] CONVERSION O DEMOLISH OTHER lJobile Home1 nstallation DESCRIPTION OF WORK /USE OF BLDG. TYPE OF PcRMR GRADING FOUNDATION C7 STRUCTURAL 0 TENANT ELECTRICAL C; PLUMBING MECHANICAL OTHER PROJECT DESCRIPTION: Sq Ft _ Coistiuctton type Zone Valuation S__ _ PCN _ Remarks 0 IDJ Alter, Reuair Auto Wash Backflow Preven Backflow Irrioati Fixture Trap Floor Drains Occupancy Aces Les u0 to date. others. 3 -1G -88 ELECTRICAL FEES CGenerator 0.5KW U 5 -15KW 1 Construction Pole Sub. Cooking Unit__ P31e Liaht Oryers UGas CElectric Fan T— F.A.11 Gas Service Outlets BuOding Switch:; _ _ In,.::ce tars S Meter up to 100 amps P -Trap Mechanical Meter Clover i00 amps Roof Drains Other Sub panel Trailer Sewer C 15.50KWTrac.1ormer 0 50+KWSewerCap Sewer Connection - Bldg. Moto;$ C! 0 1 HP O m -1f Inc. Solar 09-15 Hp C11,1,r+ Sing /Fam. Res. Multi -Fam. Res. Solar Collectors Solar Piping Solar Tank Daft Owner SQpf1C 1 nefeby Certify that 1 have read 11115 app4tation and state that the abOVe Mier mfOrmahon if Correct. 1 agree In . ;Omp1Y with all city and county ordinances and state laws relating In bu•tding Construction, and hereby authorize repro• sa'a " :tt of this City 10 enter uPOn the abOv^,•men!inned property for __ inrptction purposes. Oslo.—_ Issue CNners' License or 55 1P Wlax•BoikLng: Green•Tempaary File Copy: Canary- AsSeW; Pink- Applicant: Goldearod•AccounrinA Heater EMain Building: Accessory Building: r Front A RearA C Right -- z Left Ping. Ref. # ( Parking Req. /Provided Planning Notes D Exhaust System Multiple EvaiLoratr-e Cooler Heating Sy-Ten & Ducting 00= 100,000 BTU 0100.000 BTU Houd or Canopy 1 yPe 1 Type I I, 0 Refrigeration System 130- 100,000 BTU Q 100,000 BTU FI'repl /Fart. Blt. ICBO # System Repair /Alteration Registers Incinerator DEVELOPMENT SERVICES NEQUIREMENTS: ZaningAapfortdIII _—_- B1riItliaA AWlind Illy _ 117b Applksti n hand By 2 O N t N G R E 0 T S ACCT.N GRADING FEES Cut _. _` —cu. -aids Fill _ __ :u. yards 3360.3370 Plan Check Fee S 3300.3312 PermitFte S Tctal Fees $ _ 3360 -3312 I Summary of Permit Fen 3360.3370 1 Summary of Plan Chtck Fats BuOding Plumbing S Electrical S Mechanical Other 110 -231 Sill? 3360.3370 1 Summary of Plan Chtck Fats ToW Foe Dlla $ Building Plumbing Flectncal Mechanical S Other . 3360.3335 Planning S _ ToW Foe Dlla $ Project Address -29DO Riverside Drive Assessor's Parcel No. Owner's Name 11 rinrrn y nt Co •Phone Addle :-, _Sa1LCoast - LLishwAY aguna--Beach CA 1 Arch /Eng, License No Address _ Contractor's Name Phone Address (mailing) City License No. _ LICENSED CONTRACTOR DECLARATION ^ I hereby affirm that 1 am licensed under provisions of Charter 9 (commenciliq with section 7000) of Divls!rn 3 of the Business And Professions Code, and my license is In full force and effect. License Class _ _ License NO— Date Signature ORKERS' COMPENSATION DECLARATIGN reby affirm that I hava a certificate of consent to salf- Insure or a certificateWorker" Compensation Insurance, or a certified copy thereof (Sectionaoo, Lab. C.) Policy No. _ Company Certified copy is hereby furnished. L Certitie:i copy is filed with the city Building Division. Dote Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATIONThisSectionneednotbeCompletedifthepermitisforless). .ne honored (S100) Or I certify that .: the performance of the work for which this permit is Issued. I sna,t not employ any person Ill. any manner so as to become subject to theWOrkerS' Compensation Laws of California. D;:!e Signature rdOTICE: If, after making this declaration, you should become subject 60 the Compensation provisions Of the Labor Code, you must fOrthwitll mPIY with Such provisions or this permit shall be deerrea revoked. CONSTRUCTION LENDING AGENCY i-ereby affirm that there is a construction, lending agency for the performance C' the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from tie Contractor's License Law for the Onowing reason (Section 7031.5 Business and Professional Code: Any city or eounlY which recluses a permit to constru =t, alley, improve, demolish or repair any Vructure, prior to its issuance, also reauuef the apnlicant for suer, perrnl' a file a signed statement that he /she is licensed pursuan! 60 the provisions of he Contractor's License Law (Chapter 9 (commenem, with Section 7C00) of Sion 3 ref the Business and Professions Code) or treat he /she is exempt refrom anJ the basis Mr the alleged exemption. Any violate ,n of SSCtion 31.5 by any .pohcant sot a Permit subjects the applicant to a Civil Dena tty of nut more than five hundred eirllars (35Co). I, as owner of the Property Or my employees with wages as their sole compensation, will do the work, aid the structure is not intended or offered or sale (Section 7044, Business and P•O'ess:onal Code: The Contractor's Licerse Law dens not apply t0 in Ownei of a property wilt, builds or improves t ^c eOn, and who does Such work ninlself,nerself or thrOugh his OI her Own QmplOyPeS, provided that such improvements are not intoncied or offered (or Sale. If, however, the building or impeov"ent is sold within one year of rpm - Pletion, the owner will have the burden of Oroving Ile /She hid not build or im. orove for the purpose of sale). I, aS owner of the property, am exciu Slvely contracting will) licensed con. tractors to cons:tuct toe preject (Section 70.44, Business and Professions Code: I Tre Contra :tOr'S License Law does not apply to ail owner Of ut(,perty who OulldS or improves thereon, and who cont:art- for Such protects with a con - ractor(s) Hcense pursuant tc the COntract-,S License Law), I am aware that proof 01 their Worker's Ccempensa!i.. ^rn .ref std ore Should be provlCed to me. 0 l am exc -1 "t urelor Saction._. -__ ) - a P. C. for this reason Date — Owner I hereby certify that ' have read this appircation and slate that the abovenformal,On is correct. I agree In COnply we'll all city and county ordinancesandstatelawsrelatingIn )utldeng Co.9struction, and hr- -•y authorize repro- sentahves of this Cl y to enter upon tn¢ aDDVP- 4;entr. le 7 property farInspectionpurposes. Signature L Cr_ivers' License Or 55; le- Building; Gretn•Temly arf Flit Copy: Canary.As <_!ssa. Pink Arpl.Urit. GOlde-nind Ac ousting CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations RMIT NO. - i TRACT NO. LOT NOY, ! JUNIT N0. TYPE Of CONSTRUCTION U NEW 0 ADD ^ AL(TERATIO [ REPAIR 1-i CONVERSION G DEMOLISH C OTHER Mob J i e Hp Rlt? fns to 1+ a t i o n A P # DESCRIPTION OF WORK/USE OF BLI1G. _ r Zone F' Main Building: Accessory Building: TYPE OFP ft(((y GRAD19C 0 FOUNDATION 0 STRUCTURAL T Front L TENANT 0 ELECTRICAL G PLUMBING C MECHANICAL a RearCOTHERq PROTECT DESCRIPTION: Sq.Ft _ Occupancy, _ Right COnst;:1010n We _ Zone Acres _ K Left vatwnaT S PCr — PIn . Ref. # L Parking Req.!ProvidedRemarkspermitto5r1l)4 _files up t0 datU. Planning Notes Perviously ins ecte mothers. _ - — - -- -- 3 -ia -sa ID.# PLUMBING Alter, Repair Auto Wash 62ckflow Prevent! BackilnW Irrinatin Fixture Traps ea. Floe, Drains _ Floor Sink Gas Service Out Intercom ors P -Trap Roof "rains Trailer Sewer Sewer Cap Sewer COnneCtillr Solar Collectors ELECTRICAL FEES 1 _ MECHANICAL 1 FEES Generator ":OMW I 5.15KW 66iier i•+ GRADING FEES Construuion Pole Sub. Duct -Under Ground Cut Cnnkinj (snit Duct - Structural — ( Fill- Pole l.igae _ Fan - Ventilating - -- 3360.3370 Pian Check fee S Dryers L; Gas El Electric Exhaust System Multiple Perm, Fee S Fan_ — Evaporative Cooler Total Fees S Fi Meter 0 up to 100 amps _ Meter Dover 100 amps Sub panel _ Transformer 015.50KW 50 +KW _ B_Idg• Moturs 0 o-1 HP D 1%- B Inc. Solar 09.15 HP 016.15+ Sing'Fam. Res. _^ Multi -Fam. Res. Heating System & Ducting CD- 100,000 B_TU 0100.L Hood or Canopy Refrigeration System DO.1 0,000 BTU [loo Fire !!Fact. Bit. IC80 # System Repair /Alteration R Incinerator _ Miss. OVELOPMENT SERVICES REQUIREIiENTs: Ynnint Appr-,d 61 _ — ._Date Building Approved Ili __ -0314034 AWicaNa Isswd By Date yards yards 33643312 Summ;:, of Permit Fe" Building Plumbing Electrical 3 _ Mechanical Other 110-23! SMIP g 3360.3370 1 Summary a' Plan C) eck fees oral fen Dee S Z O N I N G R E O M T S Building Numbing Electrical Mechanical 3 _ Other 33643375 ` Planning 4_ oral fen Dee S Z O N I N G R E O M T S CITY OF LAKE ELSINORE CONSTRICTION PERMIT Pid;ecr Addre:: _32900 Ri ver i de Drive Assessor's Parcel No. Applicant to fill in all space; except those within heavy border lines and sign all appropriate declarations Owner's Name -E1 Morin Tnyestinellt Cc Phor•s LOT N0 PLUMBIr (. FEES AIN; Reozir AlutoWash ^_ - — Backflow PreveniE, Address -8311 Coast F;ighwdy LL rL Bea,h CA ELECTRICAL FEES MECHANICAL FEES T # 3360.3370 3300.33]2 GRADING FEES Cut: - cu. yards Arch/Eng. Licenl — — TYPE OF CONSTRUCTION i ' NEW P ADD Li LTERATit I Address C' CONVERSION DEMOLISH 0 OTHER I10Llle ome nstruction Pole Sub. No. DESCRIPTION OF WORK /JSE OF BLDG. Duct - Under Ground A.P. # Contractor's PJam6— Phone oking Unit _ _ FGO, le Li ht Main Bui Address [mailing) _ — TYPE OF PERMIT 6RADING FOUNDATION STRUCTURAL Clarifiers _ Dishwasher ! _ f Fixture Traps ea. Floor Drains i _ Floor Sinks _ Gas S! tutee Outlets 4 hlterce tors ii Front 1 City License No. L) TENANT L ELECTRICAL PLUMBING MECHANICAL Switches 1 LICEP' :ED CONTRACTGR DECLARATION _ OTHER Refrigeration System CIO-100 BTU U 100 000 BTU Hear i iierCLy zfhrro thct I am licensed gilder provisions Ot Charter 9 (commencing PROJECTDESCRIPDON: Sq. ft. Occupancy Right itvet inn 7000) of Division 3 of the Business and Prcfessions Code, and Construction type Sl:wer Cap J Se_wcr Canoe :ion Bldg. Solar Collectors Solar Piping Solar lank sly license is Ili full force and effect. Zone Acres r e {t License Class —_ —_. t — License No. Date W.Iuatlon j— PC# g. Ref. # AIT i)0. TRACT N0. LOT N0 PLUMBIr (. FEES AIN; Reozir AlutoWash ^_ - — Backflow PreveniE, fin l tyre Remarks ( tORKERS' COMPENSATION DECLARATION r e1 ")T1 Uri n fi 1 es lip to date. Plannina eby affirm that I have a certificate o, consent to seli- insure or a certificate Workers' Compensation Insurance, or a certified copy 2heroof (Sectlor 800, Lab. C.) Policy No. Company 8 Certlfieu c„p) Is hereby furnisher:. Certifier] ropy is filed with the ci•y Building Division. Date— Applicant EXEMPTION FROM WORKERS' COMPENSATI 7N DECL.AR ATION Thrssechon need not be completed if the pe.n ;it -s for rnr humored (g10c) Icss). I certify that is the perinrnl. "1Ce of the .vork for wl,Ch this permit rs issued, 1 shall not employ any pt:rSon in any manner so as to become subject to the Workers' Compensation Laws Of California. D.. a — Signature NOTICE: It, alter making this declaration, you Should become sur zc. to the 1'dorkers' Compensation provisions of the Labor Code, you must I- rthw-th cO:r );y with such provisions or thi-, permit inal: be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirn, that there is A construction lending agency for the performance of the work for w4iCh this permit is issued ;Section 3097 Civ. C.) Lender's Name Lender's Addre SS OWNER 9UILDEP. UECL,ARAT'GN I hereby affirm that I am exempt from the Contractor's License L aw for the llow.ng reason (Section 7031.5 Business and ProfesS'Onal Cede: ay city or county %,hich rCqurreS a permit to curistruct, alter, improve, derr,.On+n Or repair any Sir,Cturc, prior to its issuance, also requires the applicant for sucri perrmu to Lie a 'agned statement that he /she IS licensed pursuant to the provisions of le Contractor's License Law (Chapter 9 (COmmenc:rlc with Section 7000) of ision 3 of the Business and Professions Code) or that rle;ihc is ex•mpt r from and the basis for the alleged exemption. Ary violation Of (,ctton 31.5 by any applicant for a pr•mil Subjects tl-e applicant to ,r Civil penalty of not more than five hundrec dulfars (5500). 1, aS Owner Of the property or my employee, with wages as their sole C, mpensat•On, will d0 the work, an Ct the St ruCl lire, is not intended Or offered for sale (Section :044, 6usineis and Professrrnai Code: The Contractor's L icerr. ;e maw does not apply to an ownr•- -! • r.ope.iy wl. t bu:IdS Or unpro ves i herein, and who does Such work Ili nself /herself or through his or her own employees, providt0 that such rmn-ovements ,re not intended or offered fosalt. if, -10• •eves, Inc bo —:1ml or .niprovennent is sold v.ithin one year of com- pletion, thn owne will have thr. burden of proving he /she did nor build 0; rm• Drove for the purdose W sate), J 1, AS owne' of the piroert r, am exclus:vsly contracting with licensed car Ira Ct•Jrs to crr"IfuC' the arml cr 'Section 1044, Business antl Professions Code: Ttie CO.itractbr', uuense '_aw dol.`s rOl apply to an owner Of property Who builds or improves rhere,n, and wh.l Contracts for such projects with a ton. trac,or( :.) license pursuant to the CunrraCirr's License Law). r .rn awarr trial proof o their Worker's Compensation insurance Shou'd Le prcvided to me. am exempt under Section__._. - - -_ +_ g- L p, C. for 'is reason Date -- - -- - -_ OwnerIherebycertifythatIhavereadrillsappl,Cdtion a State ths( the aboveinfonn•riun is correcl. t ag1Ca In r r nply with all uty and county ordinancesantlStarelawsrelatingtobuildr, , instruction, and herroy aulrlorize repre. sentat , v<S of MIS city to enter upon the above - mentioned properly forInspectionpurnnses. Sign2lu.it DatDrivers' License nr SS 91 While Building; Green- !emnofari File Cony: Canary- Assessm, Pink Aoplrrant: G 'dented Aernunhng Notes Parking R Building: Perviousl_y__JrsR!1 17 others. _ { 3 -10 -88 1 PLUMBIr (. FEES AIN; Reozir AlutoWash ^_ - — Backflow PreveniE, ELECTRICAL FEES MECHANICAL FEES T # 3360.3370 3300.33]2 GRADING FEES Cut: - cu. yards nerate- C.70.5KW 5.15KW i t3oiler nstruction Pole Sub. Duct - Under Ground oking Unit _ _ FGO, le Li ht Duct - Structural _ _ _ Fan -Ventilating, Exhaust System Multiple Evaporative Cooler Heating System & Ducting 0 100,000 BTU i00 QQO BTU Hood or Canopy ape I Type II C? _ Fill Backflow Irri atiL,l Cu. yards PlanCheciFee$ Permit Fee $ _ Total Fees $ Clarifiers _ Dishwasher ! _ f Fixture Traps ea. Floor Drains i _ Floor Sinks _ Gas S! tutee Outlets 4 hlterce tors ii G as Elec!ric I Fan F.A.U. Fixtures Outlets 33603311 110.231 3360.33)0 3360.3375 Summary o; Permit Fees Building S - - -- Plumbing S Electrical $ _ Mechanical $ —_ Oilier j SMIP $ Sunmary, of Plan Check Flta Building = - P'umbing $ Electrical $ Mechanical ; _ Other S Planning b Total Fm Due $ Switches I Meter U up to 1 OO amps Refrigeration System CIO-100 BTU U 100 000 BTUP -Trap _ —_I I Meter ova* 100 am s Sub panel 15.50KWTransformer 50 +KW f..dtors f_7 0 -1 HP 1'% - 8 Inc. Solar 09.15 HP 016.15 +1 Sing /Fam. Res. - Roof Drains _ Trailer Sewer 600 Fire I /Fact. Bit ICBO # System Repair /Alteration Sl:wer Cap J Se_wcr Canoe :ion Bldg. Solar Collectors Solar Piping Solar lank Fire Dampers - -_ i - Registers I _ Incinerator Misc. Multi -Fam. Res. Swimmin Pool /Spa Swimming PwIIS a Watar Heater Issue _ i _.•_ - - -- -- I I D21te Water Service - Septic Svs(em C __ DEYELOPk1ENT SERVICES RE IREktEMTS: ZoningApprowdBT Building Approved By _ Anplif 4ion Issued BY z O N 1 N G A E a M T 8 Proje-cl Address ,32900 R yers i de Drive Assossor's Porcel No. - + / Owner's Name - F— TUO-- Lly-e-s- tmP- Il_Phone Address _s31LCGaCtfi10h ay__lP,_Wna Beach CA 4 j Arch /ling, - — L:cense No- _ -- Address Contractor's Name -_ Phone _ Address IMailing) City License No.. LICCNSEO CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and elfict. — License Class _ _License No.__ Date _— Signature RKERS' COMPENSATION DECLARATION reoy afti :m that I have z certificate of consent to self insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab, C.) Policy No, -- Company—_ _ Certified copy is hereby furnished - L Certified copy Is filed with the city Building Division. Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION tihii section need not be completed if the. permit is for one hundred ($100) or less;. I certify that in the performance of the work for vh,Ch this permit IS iSSUCr:, 1 shat not employ any person :n anv manner so as to become Subject to the Wnrl•ers' Compensatien Lars of Cal.fornia. Date _Signature NOTICE: If, after making this declaration, you shouid become Subject to the Wo,kcr -.' Compensation provisions of the Libor Code. you must forthwith CO—Ply Will, such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 7 hereby affirm that there IS a construction tending agency for the performance Of the work for which this permit is issued ;Section 3097 Civ. C.) LJ'noer's Name L ^nCC :'s Address DINNER BUILDER DECLARATION I hereby affirm that I am exempt from the Lonrractor't License Law for tbc- ollOwntri r,mson (Section 7031.5 Business and Professional Code: Any City or co. :nty wli•Ch "(1mres a permit to construct. ailer, ,reprove, demolish or rapair any slrurturt prior iG sit iSSUdr C( , ats0 requrtef the appi.Cant for SuUI permit o fie a sign, ,I statement that ne /she rs licensed pursuant to lhr oroviSrons of e CUM /JCL U's Licenrc Law (C epic: 9 (copnmenc,n5 v.,th Section 7000) 0 'on '3,11" ttre uusiness and Prole >S,ons Code) or that he /she is exempt eff0in and the basis for the al:egeo exemption. Any violation of Section I 31 -5 by any apptiranl for a perm: subjects the aopt` cant W a civil penalty of not more than live hundred clol:ars (5500). as owner of the properly Or my err ployceS with wages as their sole comoeiliatio:t. Yflll do the work, and the Stra_r-UrC is not intended or offered for sale (Section 7044 Business and Professiona' Code: The Contractor's L,te'ise Law dots not apply to an oviner of a proper :y wile uwlds or imprnvcs thereon, and who does .ucn wn:k hrmSelfjtlerielf or 'nrough his or her own rmployecs, provided th.1t such improvements are not .- i•enGed or offered fur sale- If, however, the building or improvement is seta v. thin one year of com- pletion, the owner WIN have the burren of proving r Jshe did not build Of Im- prove for the purpose of sale). J I, as owner or ton p,dnerty, air, exc :usively cor. :meting W.11h licensed con- tractors to Lons Fluct the oroject (Section 7044, nustness and Professions Code: The Contractor's License Lbw (loci not apply to as owner of prooe•ly who nu,las or improves thereon, ants wrro contracts for such projects with a con• trac:nr(s) license pursuant to tor Cor1tr7t :Or's License Law). 1 am aware that proof of their Worker's Com,)e insurance mould be provided to mr. I am exempt undo- Ser,hnn____ —_.__ _ _ B. G P. C. for this reason Date Owner - --- -- ---- I bereoy certify trial I have read this application and state that the above nfhrnlatmn K correct. I dgrCC In CO:nPIy with ad city d,a cotinty ordinances and state IawS re-Iat.nq to building construCtion, and hefeoy .)ulrlorize reore- se n:a lives of this city to enter upon thn above - mentioned properly for in IPeCt,on purposes. . Signature Data-_ Unvers' Ucensc m SS While Ruilrltnv Grim- Trraorran File tAt r: Canary liws r P,nIoAOt)I¢ aril GollrnrM Arrnnnllna CITY Or LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in al; spaces except those Within heavy border Iines and sign all appropriate declarations PERMIT NO. i TRACT NO. ; LOT NO, ri UNITY TYPE OF CONSTRUCTION F_ NEW ;! ADD 0 A -,ERATIGb CT PEPAIR L CONVERSION _; ProieCIAddress - 324(L1- Rjyerside Crive Assessor's Parcel No. Owner: Nnmr _F_.I SCt- r I3_S11Y.St.IA O •Altura _ —_ Address }S2tj1 rjaC _iil Ili'if,/ —I Slilld Beach_CA ArchiEng. - -- -- - -E Icense No. — Address — -- -- — Contractor's Name _ —.-- -Phone Address tmailir. -t City License No- LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed udder provisions of Charter 9 (commencing won section 70001 of Division 3 of the Business and Protession: Code, and my license is in tell force any efrect. License Class License No.__ —__ Date Signature --- ---_-- CRKERS' COMPENSATION DECLARATION r[by affirm that I have a ere tifieattr of consent to sx;f- insure or a certificate Welker$' Compensation InSfsran72, ^, a certified copy therecf (Section 3a00, Lab. C.) PO!rcy No. —.—_ Company Certified copy Is hereby furnlihed. Certified copy Is filed with lie City Blllldrn9 Division. Date. _ Applicant -- EXEMPTION FROM WORKERS' COt•PEh1SATION DECLARATION ThiSsection need not be comp :eted if the perm': is for one. hundred ($100) or lessl. I Certify that in the performance of the wort, ff which !his gert0' -s issued, I hall not eniplay any Perron to any manner S as to hCCOrne subject t0 the Workers' Compensation Laws Of California. Date — Slrnalure _ NOTICE: If, after making this Oetlaration, you shoul0 bec0.7te SuClec! to the wore crs' Cc- mpens.atton provisions Of the Labor Code, YOU must forfnwdth Comply wrin Rrch 4rovisions or this Pe•mit :hall be deemed r ^voken. CONSTRUCTION LENDING AGENCY I.. ^.e-ety al!,rm that there is a construction lend nq agency for the berformancft of the won, for which tnis permit Is issued (Section 3097 Civ. C.) Lerder's Name ___-- _- -- ---- —___ Lender's Address OWNER 9UILDER DECLARATION I "erebv of irrn that r am exempt from the Contractor's License Law for the fi, lov.inq reason (Section )D31.5 Husiness and Pr Ofc$Sional Code: Aoy city or Cr,ntY wit ic;t reVuires a permit to con StruCt, alter, imprcrvr, Zen nIISh Or repair at -y Slnrclure, Prior !o its issuance, also r,:ou,.CS the apps, cans to. ucn pet .n to hie a sinned statement that he /She is IICCOSCO pursuant to the pi,.. us of I,eQe Contractor's License Law (Chapter 9 (Commencing wr:h Section 7000) of isoon 3 Of the Business and Professions _.:id_) or th3: he /S-Ie I• ey.etnpt reffom and the basis for the alleged extmplv.n. Any violation o. Sgchon 31.5 by any applicant for a permit sub,eC:i the applicant to a civil penalty of not more tnan live hundred dollars (i500). I, as owner o' the property or my emd!rsyces worn wages as then sole compensation, mil do the vrork, and the structure is net :nteided or olferen for sale (Section 7034, Business and Professi,nal COar-: Tate Contractor's License Law does no: apply to an Owner no a Property who builds or imp:Ovcl lnrrcoa, and who d,es S!:Ch work films. *,fi,fWlf Or through his O: her Own employees, plOVidea that such improvements Afe not intended Or mf'erecl for Sale. Ira, howevef, the building or improvement is sold wirhua one year of Com- Pletrol., the Owner will have the burden of provrrui heisne did not build Or im- prove for the purpose of sate). L 1. is owner of the property, am exclusively c0ntra;!' ,19 with licensed con - tfaetnis to eonskuc -! the project (Section 7034. Business and Professions Code: The Contract 'i License Law does not apply :o an owner Of property wli0 curl ds or Imp" vrs lNerean, and v:90 Cont• acts for Such proleCls wrth a con - traclof(s1 license pursuant 10 the Contactor S L,CCrSe L3w:. I am awarC that pronf n their V7nrker'S Compensation insurance snould be provloed to me. L I am exenipl under Section- __ - -_ - -_ B. & P. C. for this reascn Date — _ Owr•Cr I hereby cer!rfy trial 1 have read IILS appl-Cation and state that file above fnf0froal, On iS to, CC I. I -S'Ifer. to COnlpfY with 411 C1%Y and County ord :narcas ahC1 Stale IawS vela Yrng if, building construction, and hereby authilrize rCpfe- sentarives f Ih:s City In enter upon ute above - mentioned properly forInSpeetrdnpurposes. Signature Date. — - -_ i Orivarl' License or SS y W110 Re•IrImP frsrr.Toornwary file Cner. C3il1,0Ssessor Pink-Ao0ran! Gn :dental(- Arrnnntrnr — C I Y OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations PERMIT NO. i TRACT NO. 1 LOT NQ. —, I UNIT NO. TYPE OFr0?lSTW. [ON hEW 1 ? ADO -' 0y 11,1T(0jj ! ) REPAIR r, CfYb'ERSI09 DEMOLSH l- OTHER riohile clTle installation DESCR:PIiOs' Of WORK rUSE_ OF BLDG. TYPE OFPERMI) -. GRADMG C FOUNDATION j STRLhC!UR /.L LI TEN.VI! :ECTRICAL i, PLUMBINC MiCHAN!CAL C OTTER Driers Gas Electric PROiECi GE!CFIP ?!CAS =a Ft Occubaagr ._ Construchan type . - -- Zcie --- Acres Ya:Uahon j —___ --- PCP _ RLmar -C.S t) jera ;nit__;o bring files up to date_._ Perviously insFected by Ini:fce tars P -Tray i 3 -i ID.;t PLUPAS;NG FEES Alter e r uto Wi sr _' Backflowr Plevent era- -rte - - ELECTRICAL Generator u0.5KW 127 5 -15KW i Construction Poie Sub. _ TCooking Unit _ Backflow Irrigation I. Pole Light Clarifiers Driers Gas Electric Dishwasher Fan Fixture Traps ea. F.A.U. Floor Drains -- _ Fluor Sinks j Fixtures outlets -- Gas Service DIIt1eIS I- Switches Ini:fce tars P -Tray Meter C up to 100 amps C Meter Laver 100 am s i Roof Drains Sub panel Trailer Sewer CJ 15 50KW iTransformer 50 +KWSettlerCap Sewer Connection . Bldg. Motors c 0.1 HP 1,S - 8 Inc. Solar 09 15 HP_ 16 -15 +1SolarCollectors Solar Piping Sm_o /Fan_. Res. Solar Tank_ Swimming Pool /S a —r_ Water Heatzr 1 j I Mwti -Fam. Res. SWimtnir POC! /tea f A.r. .1* Main Building: f Accessory Build T. Front a1 Rear — C! Rioht - S r Left Ping. Ref. = i Parking Reg. /Prl P'3nning Notes Boiler ural Mt.,` Heating System & L, i 110. 100,000 BTU 100.000 8 Hood or Canopy Type 1 Q- -ly-pe 11 -rl — Refriger3tion System 0. 1120,000 BTU 13 1 L0,f-P!j B Fire Ip /Fact. Blt iCBO System RL-P3i•rAltetahon —, Fire Damoers Incinerator FAisc. DEVELOPMENT SERVICES REQUIRERENTS: 2mingltpProred BF _ ____ —Date Building APprtned By — _ .—___ —Dab _ Application Issued By — Gab - - - - — Z O N I N 3 R E a Af! T S ACCT. r GRADING FEES Cut _ —. ;o. lards ~ ioI — co yards 3360.3370 Ptan CLeck fee j _- 3la3312 Fit, -, I Fed j — 11tal Fees S -- - -- 3360.3312 1 Surmary of Permit fen Building Plumbrni Electi.cal M!azmcal Other 110.231 SMIP S — j — 3360 -3310 1 Surnrmry of Plan Checlt Fen 3360.3315 1 Planning j Tots( Fees Due S Buddirg j _ Plurr.Fmi S — - -- Elt[thcal S _ Mechanical 3360.3315 1 Planning j Tots( Fees Due S con . uc it prolrc. (Stele- 1oa.., Business and Professions Coda: Solar Tank__ I Mull'--- Res. -7Thr. Conl(aCtor's Utcny_ Law tloes not aPDI; to an r,rvntr of prnDw'y who _ - _ _ noises Sr unproven thereon, and vmo contracts rnr sack protects with a con. Swimmin POOL /S a SWllnmin POOI /S a _ ___ t'a O..0) Iheir a surf Uant Io the C:Onlractfir'S L,cenSe La,v). I am aware that - - •- -- ___ - _ proof Of Inert worker's Compensation rnsumi.Ce should be provided to mb. 6yatef Heater issuel ! tarn Cxtrr,pt under $CC:ion-..-._ -- B. & P. C. for ins reason Data - _ , Owner I nereby certify that I have read till, applicn•on and state that the annveinformationifcorrectIagrtetoComplywithallc,!y anti County Or O:nancc5 And state laws relating to building C9nStfuct.ion oral he:ebv authorize repro. senUllves Of fills City to entCr upon Ilse abovc•'nentarined Property to: inSPection purposes. Signature Orivers' License ur SS q/ WhdcBulWink: Gretn•Te.efrtrrsrt File CWT: Canars•Assesse: Pink Ai•phc3n!. Gn'vlerrrvl Arcaunhno DEV- LOPM ENT SERVICES REQUIREMENTS: Zmin[ Approved By _ Dill — Buitstnif Approgd by _— Dale Application Issued By Building: Par ACCT. A 1 GRAD)NG FEES CUT: CU yards Flh Cu yards 3360.3370 1 Plan Check Fee f 3300.3312 I Pe'rrit Fee j -- foul Fees $ _ 13603312 Summary of Permit Fees Bolding S PiumN'ni $ Electnal f 110.231 ! MIS S 3360.3370 ( Suminary of Plan Check Fees Boh'inr Plumbing Eft0fial Mechanical Other 3360.33,5 Planning f _ f - Fatal Fees Orle $ 2 O N 1 N G R E a M T S CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Project Address _3.1 Q RIYt:.r;:!.iae E7 :_Ve Assessor's Applivrt to fill in all spaces except those within neavy border linesParcelNo. _ _ - _ Y and sign a!I appropriate declarations Owner's Name El Mrra 11DY S_ +aEUC0_..Phone PERMIT N0. 1 TRACT NO. I LOT NO `UNIT NO. Address Rai S fea -t }i - ghway Laguna Beach CA t I Arch;Eng. _Licere,e No. — j TYPE OF CONSTRUCTION w NEW ADO e3 LTERATIO - rZzPfIRA ?n5`allationAd:Sress i CGNVE00N OFY011SN 7 OTHER Ilo.1e ome I DESCRIPTION OF KOs• WSE OF ELuG A.P. CCIntrac'or's Name - _Phone _ S Main Building: Address (rrtatbrig) ` - TTPEOFPERtlIT GRADINrs -' FOUNDIT!ON 11 STRUCTURAL E T Front City Lrcense Aro. _ _ J WANT ELECFRI AJl ` ;:JMBING 0 h1ECHANIf-Al. B LICENSED CONTRACTOR DECLARATION OTHER A, Rezr I hereby adorn that I am licensed under Provisions of Charter 9 (commencing PRO)ECI DESCRIPTION, Sq FI -_ uccipancy C Right witR s.. Divisionson 3 Or the Business and Professions Code, Jr,u irCtnft ConS"C"on t)pe Zone Acresn•Y se rs n full or anaInfull !Otte and elfeCf. S Left L cense Cass -- _ _License No. - Data Valuation f PCr1 Plag. Ref_ 3tSignature - RKERS' COMPENSATION DEC.L.P RATION Remarks PE1'iTl;.- L ri nG fi 1 es tip t0 .late. Planning flotes reby air" that I have a certlftette of consent to self- insure 01 a Certificate: Wo.kers' Compensation Insurance, or a certified =0pv thereof (section Pervi oust inspected by others. 3800. Lab. c.) S 3 -10 -88PolicyNO. ___ COm any _ _- G Cer tflrecl copy fs Rereby furnished. D Certi',e0 copy Ii tired wan the city Building Division. ate ApptiUnt — T u 1 tf EXEMPTION .'-ROM WORKERS' COMPENSATION DECLARATION T- S 7 ULZIrh,S Section need not be cOmole :etl iI :he permit K far oile liana rent tS 100) or ILss). I Certify that in the Performance of the work for tvRKn this permit is ASS Ue tl, 1 scan not emnfoy any per on in any manner so 3s to become suaiect to the Workots' Compensation Laws of Cahfo:n,a. O Signature PLUMBING FEES T-- - - Alter, Repair ELECTRICAL FEED MECHANICAL NaOTICE: U, after making ins declJratrun, f- Generator 60.5K'N D 5•15Ktiti' ; Boiler yrsu should atcome suDlec. to the wore trs' Corr,pensat,an Provisions of the Lanor Code, forthwith Auto Wash TCor +struetion POie Sub. ' ioumust u -nosy w,trl such provisions or this DCfmit Shan be deemed revoked. CONSTRUCTIO!f LEraDING AGENCY jr' Cackfiow P(eventer Cooking Unit Duct -Under Ground _ r Duct- S(rUCtUral f ' Pets• off,; t ' :here K a Crjns- ructrnrt lend.ng agency for the performance Of !Ri work will C!t this Prackflow Irrigation Pole Light — i Fan - ventilatingpermitistisUttlfSectien3097 Leneer C,v. C.) s Clal'lle(S _ — Dryers DGas L] Electric _ 1 i Exhaust Svsiem Multip!e Leratr s age• V1 - - ^ - -- - Dishwasher Fan Eva oralive CoolerOWNERBUILDERDECLARATIONERWNERBTrapsFix,llre ea. F.A.J. I lrtm I am CxCnir.t from ihC Cc.nlractG t'S License Law for }hC fnatov.,rg reason (Sectr,.n 1031.5 Business aro Professional Code: Any city or I Floor Drain ! Fixtures Heating System &Ducting 0- 100.000Co,.nly r,r ,Cn requires a Dtrmit to construct, attar, improve, demobsh or reca,r aly structure, to its T Floor Sinks BTU C 100OOf Prior .ssuance• also requires the applicant for soon p.rmrt to rile a signed statement fhat t ef4n. is hcented pursuarl to the prOV:Gons of t Conlractcr'f Outlets ! j N Od r CanopyGasServiceDLIIeiSrtL-rcense. Law -.Lnaptet 9 (Commenr:ny lvrth SeC1,on 0do; of s,Un 3 of the Busi=ness acd ProfCSS,rnS Code) or that re /She is exempt etrom and ir.e hoses for the aucgctl exemption. Any I Inlerr.QpiOtS Switches F__ Meter D up to 100 amps I 2 I t_.,_ {I vr;latu,n of SCtoon I.S by illy applicant for a i r i RefrigeraCC System permit subjects the tppiicdnf to a civa penally of not snore than five honored dollars ($500). P -Trap Met¢r []over i00 amp —_ _— C0 -if ,•r U i] t00i00t, L' I, as owner of too property or my tmpinytcs vnth .vase, a; the.f sole Compantat,on, w: ;i do t:lt Roof Drains _ f Sub panel work, ant. tot structure ,s not intended or offered or sJl ^. f$ect,on 7044. Busuicss and Crotessinnaj Cnot: Tno COntfJLlar'S J Trailer Severer f - -- T5.50KW I t _ _;BD_ byS' ?err ".ttefati0nL ,_en v nrSCL1tlnetnotdpi y to an owner of a pr•.pCrfy who L•Uatls Or imyrovei Se(tin( Cap Transformer tr,creon, and W10 does Such Work nimse ;frhCrseit or trro,ug7 his nt hC• Own 7i3_50 +Ki Y Flfe (3 :7d'S CM010yeuS, provided that such irnorove rents are not ritended Or Olrertd for Safe. If, however, the bu,:ding improvementorimprveent ,s Sold within one year of com- plet,on, the owner will have the burden of Proving he /she did not bm:o or iM- Snorer Connection Bldg. Olaf lr. OIICCtOrS Motors 110-1 HP Dt it • 8 Inc. Solar D9.15 HP D16.15+ f ?_e ?slot Drove for the purpose Of sale). Solar Pi 1 incinerator T " -'--•- I, is Owner of the rr,: :get gFY. am CrUusfvrlY cnnt•act,n with Irrtnsed con- tracturf t0 fi' t f1 Inp g I Sin lFam. Restg Misc. con . uc it prolrc. (Stele- 1oa.., Business and Professions Coda: Solar Tank__ I Mull'--- Res. -7Thr. Conl(aCtor's Utcny_ Law tloes not aPDI; to an r,rvntr of prnDw'y who _ - _ _ noises Sr unproven thereon, and vmo contracts rnr sack protects with a con. Swimmin POOL /S a SWllnmin POOI /S a _ ___ t'a O..0) Iheir a surf Uant Io the C:Onlractfir'S L,cenSe La,v). I am aware that - - •- -- ___ - _ proof Of Inert worker's Compensation rnsumi.Ce should be provided to mb. 6yatef Heater issuel ! tarn Cxtrr,pt under $CC:ion-..-._ -- B. & P. C. for ins reason Data - _ , Owner I nereby certify that I have read till, applicn•on and state that the annveinformationifcorrectIagrtetoComplywithallc,!y anti County Or O:nancc5 And state laws relating to building C9nStfuct.ion oral he:ebv authorize repro. senUllves Of fills City to entCr upon Ilse abovc•'nentarined Property to: inSPection purposes. Signature Orivers' License ur SS q/ WhdcBulWink: Gretn•Te.efrtrrsrt File CWT: Canars•Assesse: Pink Ai•phc3n!. Gn'vlerrrvl Arcaunhno DEV- LOPM ENT SERVICES REQUIREMENTS: Zmin[ Approved By _ Dill — Buitstnif Approgd by _— Dale Application Issued By Building: Par ACCT. A 1 GRAD)NG FEES CUT: CU yards Flh Cu yards 3360.3370 1 Plan Check Fee f 3300.3312 I Pe'rrit Fee j -- foul Fees $ _ 13603312 Summary of Permit Fees Bolding S PiumN'ni $ Electnal f 110.231 ! MIS S 3360.3370 ( Suminary of Plan Check Fees Boh'inr Plumbing Eft0fial Mechanical Other 3360.33,5 Planning f _ f - Fatal Fees Orle $ 2 O N 1 N G R E a M T S Pro;e,tAadress —3219' I Ihyer Lde Drive Assessor i Parcel n Nod. _ Ower's flleme _.E1 fIjprrL1_JAyeay ej-j_1`C,o.Phone Address _8all-uoast_Rigilway— LagLi!Lci— each CA Arch/Eng. License No. _ — Addteis — Contractor's Name ._— __ - Phont: _ Address fntaiting) — - -- -- City Lir-ense No. LICENSED CONTRACTOR DECLARATION I hereDV s,,Off- that f am I,censtd under proviSions of Charter 9 (Commencingwlthsectron :OOe) Cf Cn-aron 3 Of the Business and Professions Con_, An.! my '.•-ense is in full force and effect_ ticonseCass. _ — _— _— Liceni, No_ __ Oa'e — Signature RKRS' COMPENSATION DECLARATION rdby E PE of fir,T1 that I have a Certificate of Consent to self- :n;ur^ or a CertificateWorkers' COMPeriation insurance, or a Crrtihea copy thereof {Section3800, L-ab. C_) Policy No _ COmpany _ 5 Certified Copy Is hereby furnished. G Certifaea copy is filed with the CITY Building Division. Date_ -- Applicant -.- EXEMPTION FROM WORKERS' COMPENSATION DECLARATIONTl,,,Iection need not be COmPie,ed if the permit is for one handrv! ($100) orICSS)- ertrfy that In the oerforni:nce Or the . Cjrk '.O, V,"-Ch this Pernt,r is SSCed, ISl:atl :,at erfpfov any per :.)n m any manner s0 as 10 ne.come subject to theWo, ers,_ompenwion taws of CJWSrnia. - bate — Swna :urc NO "itC£: It•,:flCr maAknq th:S declarat•nn• you Should be,ome subkCct ,o theW?rkcrs' C,)mpensatQ p•uwsv ^ns of the L)`.0r COC.a, YOi; must forthwithr,:PrY w•i r` '"" Pro.,S:Ons ur this permit Shall be detimed revol•co. CONSTRUCTION LENDID:G AGENCY I here:•y alhrm that there is a cCrsltriction lenainq agency •rr the Performance0fti :c work for which th!S PC' -a, ,s Issued {$e Ction 3017 Lender's Name - - -_- ' = +v. C.) Lender• Address -- OWNER BUILDER DECLARATION 1 hereby alhrrn that 1 am CxCm P: ffc•rn the COnlrartor'S LiCenf Ld.. for theinllnwinqreason (Section 7031.5 BuS•nCSS and ProfeSSirnal Curl¢: Any city orcnaniy .: h,C :j [Cq WrCS a Pei mi: to Cor.s :ruCt, alien, ioitprOvv', dent Oiiih Or ltpArranyi1' iCtiirC, prior l:l ,t5 Issuance. Wo '"tores the apptcant for sucfi per 10 file a S"q ^Cd Slarelntnt that ho.SOe iS 1,CensCd Jur.In"T TO the prnws,onirr. Contractor's L,Lrr:Se Saw (i napicr 9 (comm,cricmg with Section 7000) of Ivon3ofIncBusinesstineProressibns ! nCr,; of that :iejrshc is erercptIf-from and the nasi; for the ailegen exemP :inn. Any •$rotation of c;ctlnnt, 31.5 by any applicant for a re miI Svb;CCtS the •sppheant to a erv,Iof1altyofnotmoremarfivehurareaabrlars ($500). L 1, as own,;: Of the Preoerly of my - M,,I0VeeS with wages as their SC.IoUIm; er,sation, will do the work, anti the itructure 'S n;,i inten TICO Or Offe-rea Of sale tSCCtir,n 70.114, Buvness and P- OfessrnnAl Code: The Contractor'sLrc,r S!: taw does not apply to an o, ntr of a prnPcrty whn huiidt Or nnprnvestcon. and web dues Such worS h,mSelfjhdrsc!f :)r throunl, his or Tie* Owen em Plo rots• P•bv"aed that such ,r:,p,ovCmCr, :z are riot ,o'cn,lcd or offered forsale. If, however, he bu,l;7inq u• rmprovemen: is sold within one year of com- pleltan, toe, Itf wil, have the Luraeft of prnwnq he /srt did not build or im• pfove Or). Inc purpose of Shce). 1, As owner of the prneerty, an: excluskvc1l' contracting with Ocersea con. Ir.`Ct Mf to construct me orop;C- (SeCh On 7044. Bostness and Pr OfeSsinni Code: TI)c nntr tnr'f Licen S,: Law uoCS no' dPP:Y to an owner or property whoPrnvcsmercon• ar,d v,h(, CUnI;irts :nr sucrl pro :tCN. with a crn- ratror(s) :irensc purs"nt to :tie C! ntractr,r's LICCh Se Law). I am aware thatDrdofoftre,r WOr:.er's Comb- nsat,o,s ,ns,iranct shoulC be prov,u,:d to roe. 0 k Am exempt unCCr Scr_unn y. L P. C. for tors icnson Date - -. - O+,ner 1 hereby certify that I hawC I-4d this aP.Ni atkon and %talc lr.at ihC anOVeInfnlmaNCnSC]r /Cfl. 1 anrCC In CCMPP/ with all City And County ordinarcesandstatelawsrelattn•) to Curlai ng con%tru_tion, aria nerchy av!hM1',le fe )TC• sentat,ves 'if This city to eottl opon :ho auove - mentioned property formsvtCtionpurposes, Signature _ _ w r - Date - I Onvers' License or SS W Whll• Rurklfne Green•Ttntlnrary File Cr,pf- Canary•A%S#1 r. PIn1 4001 cant 1101downit Arrrnn4np CITY OF LAKE ELSINORE CONSTRUCTION PERMIT" Applicant to fill ;n all -paces except those within, hc3yy border lines and sign a!I appropriate declarations PERMIT NC,. ! TRACT NO_ LOT NOX UNIT V0. TYPE OFCONST10alop, %jW ADD L' LTERATIU • - REPAIRCONI•ERSiOii DEMOLISK OTHER liooi 1 e Dome hnstai 1 atTOr DESCRIPI;ON OF wORlt: Ucr OF BLDG -- - - - -- A.P. # Zone Main Building: - — rgccessory Building: TYPE Of PERMIT j GRADI)i; FOUNDATION _tRl'CTURAL E - - T Frcnt - --- --f YTENANTGELECTRICALPLUN.BING MECH4NICAL pAllRear -- -' .d PROTECT DESCRIPTION: SO Ft DccvPancr r 1 Right - - -- -- I Consiruc.on t9c -- - Zone K: - I NAcres — g Left -T - -- G Pet' - -- -. q.; ProvidedPing. Ref. » Parking Re CRemr': ertnijt.L br i nc1 i 1 es u -0 date. Planning Notes pPerviouslyinspectedbyothers. -- M -- 3 -10 -83 — --{s, ID.# PL11P,'0NG I FEED i A!ter, Repair ELECTRICAL __ F "cES PdECHP,_NICAL FEES Auto Wash Ge-n-Vztor ; i0.5KW (; 5.15MV i__ Construction Pule Sub. f Boiler _- Ouct•Under Ground - Ai T Of GRADING FEES Cot 3act:flr.v Prevente; Cookin Llnit ru yeds Duct Siructulel IBackfllnvir:ieation , -p —nlc Light lingFill) - 3350337 Fit! - -- - - - - cu raids PlanChecEFeeS - Oishwasher _ users ;as Eiectric -_j Exhaust System Multiple -- 33F14331? Fermilfee 3 Fixture Tra Fan j F A.U. Evapurative Coale Total Fees Floor Or-insins _ -- _ I Fixtures -_ Heating System & Uuciing 1 F-0-100 000 "•TUIOOrSink$ _ I I Gas Service Outlets i -- i Cutlets S`- 100 000 BTtfi -- -` -- Hood or ,.anopY 330.331? Summary of Permit Fees l- - - - -- t- - - -- Interceptors witches _ i T1'pe- I L, eEli F.Trap 1 - -- P.feter ] up to lOC amps Meter over 1 I - Refrigeration. System Bi:tdmg S . i R_nat Dr ains 10$1 am sos -_,_- r J 0. 100,000 BTU 01100,000 BTU PI•rmbmi Trader Sever i j Sub pz e! _ 15 -50KW, i= :reRl; Fact81t. ICBO # I System E)ecincal $ V __ MechanicalSealerCapi 'far..;iorrnzr tF;reSewerConnection • Eidg...{- 50tKW i Lf 0.1 NP f - g -- Motors - -' V,/1 Dampers O:ner $ I _ Snlar Collectors Sclar?Ip_ing Inc. Solar 09 -15 HP E'113--15+1r - - - - - - -_ -- isters tIG13 I In- ineraLlr SMIP $ - - -- Sa(ar SinglFzm. Res.- i Swimminy Pool /Sea i- - -- Multi•Faht. Res. _ _ 3360.3370 Sum:natF of Plan Check Ftes wimming Pooi Water Heater j t Bwdmg $ Water Se rvice Septic System I t-- -- Issue _ - -- - PlumCing S - -- Eiccihcat S -• -- Nl:cr _ DEVEL01"A1 ENT. SERVICES REWIP,EatENTS: Mecnanirai S _ Zming APprmad RT - _ _- _ -- -_ -- Othel $ 1 Issue Buitdl08APProsedBy A,IplitatioalssuedDr - Oats Date - _A%3375 Piaining S _ -- Win - -- I total Fees Due S Froioct Address _3290 Rivers i de Drive Assessor's Parcel No. -- Owne:'sName - El.1i0rro Inv S l4 r Address --WIL Coast- Hi_9.4k c_- Laguna leach CA — Arch/Eng. --------License No. —_-- Address Contractor's Name Phone Address (mailing) — —_ Cttt, License No. LICENSEO CONTI.ACTOR DEC;- ARATION 1 herrt.y a!firm I11at 1 am bcensea under provisions of Charter 9 (commencingWithStctfon :000) of Division 3 of the Business and Pretessiors Code, ariaMYlicenseisinfullforceandeffect. License class _Icense No. Date_. Srgnrture t330800. RKERS' CO.APENSA T ION DECLARATION reby affirm that I nave a certificate or constnt :0 sell- insure Or a certificattWorkers' C0f1Persatian Insurance, or a ce• tilted copy thereof (SectionLab• C.) cy No. Company Cer Afied copy B, hereby furnished. i certified copy Is filed w:tn the city Building Division. Date APPi-cant -- —_— 1 Ttil&s ct'on need Ononot cRom PleteaOfRthe permit ,f DECLARATIONuor .00y orless). r I certify that in the PrirforrnancQ df the work for µnich this permit is issued IIThe1: not employ any person in any manner to as to become su Ciect :0 !!1eWorkers' C, nperlfahon L.1ws or California. Da:e _ —Signature NOTICE: If, after m.rkmg tt•.,i deeearanor., you snouia become st:vfect :J ;r.41`c +oaken' ComPenslson Pfc—sions of the L.ibnr Cole, you must rertn.,,tninmplyw,t'l such provisions or tn,s p_rmif shad be seemed revukr,s- CONSTRUCTION LENDING, AGENCY 1 rie:eby afhrm that there rs a COnftruct,on Iend:r- )envy for the PCri. -o fi,sn COIoftheworkfor '411101 ems Derma is I —._ tss.at7 (Sec— tion 3nZLer•Trr's Name — C) I Lendr,'sAddresS _ — _.-- _ —___- OWNER BUILDER UECLAP.ATION 1 hercbv affirm that : am exem.P! f.om the COnlrart -.'s Licensa Law for 21efr.aowm9 rcasian (Section 7032.5 B- sines and PrnressienaI Code; Any city o, county which fcQulres a permit to construct• alter, , Sprnve, armoi,sh r, tl Pairmystructure, Prior to its rsfuance ats0 renuires :ne dPPliCdnS for f,rcl pwrrl'fitnfileaTlciorstatcrten: that ne!ii -e rs hcensea pulsuant In :Le Provisions of XL311.5 ; ontractor•s L,censt Law (CnaOtef 9 i:r „z,menc :rg with 5erlt3n 7000) ofv,S,t;r 3 nt the Susmtss and Protest - ;1 , ^•cce) Or Thal he /she ,s exemptefromandtheOasisfortheal;i;'ed e.- Lmption. Any violation of SSct,nr, by any aPP:icant for a Pertn,l SLb;ect; the applicant to .2 civilmaltyofno: more than five huna,ed o011aff J 1, as owner of the ptooerty or my emplCYeci w :th wage: of thGU SOIe Cornpensat,on, will do tt•e 'wOr;e, and the stfuc!cre is not intenced or offeredfOttalc (Section 7X <4, Busines- a.1a P(Ofessionai Cnee. The Cont fact netsL,ccnte Law Lees not apply t0 an owner of a Prope :ty w10 builds at Improvesthereon, an:t who cries such work h,:'1StIl; IlertClf „r :.rou:r• his of her Own em Plnycef, Prr,v14 cd th.'t such . norovement, are not intended or Offored !ur sa'c. If, however, It c tru,ldind cc ,mPf0vcment is sold within one year of cOm- 01010n, the owner Dill have :ne burden of nrOy1119 haisne did not build or IM. prove IOr the pJ,pose OI sale). 1 1, at owner of the Propel:„ am exClusitcly for :carting with liceni 1 Con - eaclors!o construct the rro;ert (Section 704.1, business ano Prrifgs!,;r, - Coae: The Contractors L,ctnsc Law sloes not apply to an owner of prnPet:y µh0bondsnr ,nl Proves thereon. anti 'wno contracts for T :,crl pi OlectS weir. a con• H;tctor(s) ten$e Pursuant to !'-r. Ccntrar-tor•s License I.aw). i am aware trialPrOafof11, -,r ',Volker's Con I, .yti0:1 insurance sh'300 be rl;ovideo t0 met am exempt under Seetlon B. b P. C, for this reason Date 1 hereby certify ,hat 1 ha v-- read this aOlshca!icin and state that the ibJVeinformationritnll(rf I agree In comply w,tn all city and county Crrl,nancesanrt -tote laws rclating to Dtala,nj construction, a,id helcDy auth0 tale repro. ser.tateves of this city to enter upon ih:! rrJOVe- mt.nhhnea pruperly forin%P*C!inn Purposes, S +gnziure —_— _ _ Date -. O-1—rC l.-come or SS 1, — _ -- — -- W hit, u dint Grten Tem¢aary file CagL G'lall•Astcfsor; PierAi:Phrant GniC,nfM Acrntrrrnna CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except thjse within heavy border lines and sign all approp, !ate declarations PERFdl7 NO_ I TRACT N0. LOT N0./ ` I UNIT NO. G(a/ TTPEOf CONSTPIr 7104 ” TfEh U ADD l ITERATION -' REPAIRC' CONYFParON DEmovsH ,r, OTHER FMobile Ue lnstailation DESCRIPTION OF )YORK /USE CF BLDG. PFCts+ "ERETT J CRFDINC i.7 FOUNDATION STRUCTURA, T!t -'kf C EtECiRiCAL L FLUMBIR; C MECHANICAL Oti:ER PRGIECrDESCRIPTION: SQ FL _ Dccuparc, _ Cnastruchon 1pe :one Ya'aahenS -- PCy -- Acres marks Per,;ijo _bra tic fi 1 es• u —_- t0 date. Pe:';iously 1RS ected bWither&. 10 -58 I D . # A; I., -a 5 A.P. # S j Main Build T Front A RearA _ C' Right K Left Ping. Rer. Planmrig Notes Park Buildi PLL "SBIhiG ,LEES ELECTRICAL i FEES MECi,ANICAL i FEES_ A k - Repair , Generator OG Y,ti11 •5KW O 5- 15 l Boiler ACCT. e GRADING FEESAuto ,Mash Construct'on Pole Sub. C,t — Duct -Under Ground cu. yardsBzckf!ow Prev_euer -- Cookin- Unit FIIIBzckf(5rf lrriraiion -' -+- 1 Duct- Structufa!__ _ _c,r yards Pole Li rtt r Clarifiers i — flr --- 3n •Ventilatigj - 3350.3370 Plan Chec) Fee 3 I n _ Or aners OGas UEleriric L_ Exhaust System Mt: ,iple _ "3300.33!2 Perini Fee $ srlshwasher Fizture_Tra sp _a. F.A.U_ - _ E aperacive Cooler Fetal Feec ; HeatingFloorDrainsFixturest , yster &Ducting F!ocr Sinks _ 00.100 Q0n !:TU I] 100,00 BTUOutletsIHoodorCant, )y — 3360-3312 Summary of Permit FeesIGasServiceOutlets ! Switches T e 1 Ci Type Il CIIntercotors_ - - _ i P Trams - Meter 0 up tnr 100 Imps ! j Refrigeration System -- Building $ p _ - MeierMeierCover 100 amps I !_7G 100000 BfU i 100.000 BTU Pierb'ai S _ i Rrof Drains__ i Sub one( - Elettrial $ FirepUl'art. Lli. ICBO # - Trailer Sewer I Q 15 SGKW - -5 ztcm Re alrlAlteration Mechanical T _ J-S-I-,u o`llecc`tors Sever Cap -- Transformer y P }- _ O 50 KW Firr a pampers Other sConectnnBId3. 6!otors C7 U•1 HP (1 %, - $ RcQisters 110.231 SHIP $ _ Inc. Solar h° 15 HP i= 7'n -15 +I incinerator - - j Solzr Ply rig Sing /Palo. figs - f isc. '- "{' —.-" M'3it1•Fam. Fie:, — - -• -- 3360.3370 Summagof plan ChitaFecs1SwinrningPool /5 a_ — Swimming POD(/Spa — T - -- i -- Water Heater _ _ -- - Budding S Water Sfirvice - -- —_ — Issue - - — Plumbing S — • — I Septic Svstem — -- Electrical DEYELOPIdEATSERYICESREQUIREMElITS: Mechanical S imiltt ApPrwad Bq Data __ Other 3 111uil6nll Approuad lh _ — — ___.Date _— 3360•3375 Planning f — Issue ApOkationlatiedBF Tech! Fitts Due it Z O I N G R E O M T S ap 50 +KW _ CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Prai9c"hddrrss -32900 Riverside Drive J C ennection • Bld Assessor's Pnrce; No. -- — Applicant to fill in all spaces except those within heavy border lines and sign all apprr•priate declarations I sate. I Owner's Nnme EI MOM TnVe tmEllt CG.Phore_ PERMIT NO. I TRACT NO. LOT NO UNJ NO. a- 1 Address a,irn e +_ Nig(u.1 ag il BeAcJ CA J I, as owner ni the p:nperly, am exclusively c n :•acting with ncersea con - Arch: Eng• _ !--tense No. __ TYPEOFCONSiRUCTION G NEW El ADD FJ ..J1((LTERATIOy -' REPAIR Address U CONVERSION DEMOLISH [I OTHER t'1 b 11 a il0tlie 1 T?std l l d tl on A.P. # DESCRIPiiDN GF WORK USE OF BLDG..- O Contractor's Name _ -Phone - E I Main Building: Accessory Address (mailing)- TYPE OF PERMIT GRADING FOUNDATION Ll STRUCTURAL T Front Cot% Li °ense No. G TENANT ELECTRICAL G PLUMBING r7 MECHANICAL B Rear LICENSED CONT.3ACTOR DECLARATION r -- OTHER I naretty affirm tntt I am licensed under provisions of Charter 9 (commencing PROJECT DESCRIPTIONS SQ Ft. Clcupancy C i Ri ht9 with section. 7000) of Division 3 of the Business and Professions Code, any my license Is In full force tnd affect. Construc!,::n tnx _— lone - Actes g Left L,cense Class _ —. Lice a No -_ Dare..__ Signature Yaluatnen S _ PCN — P(n .Ref- yr9 Parking Rs ORKERS' COMPENSATION DECLARATION Remarks ermTt -1<o bring files Up to ditto. Planning Notes IIIIIIIIIRIlIefeby affirm that 1 have a certificate of consent to self4nsure or a certificate Pervious 1 Y 1 nS ected I? others. Workers' Compensation Insurance, or a certified copy thereof (Section n3600. Lab. C.) 3- 7.4 -8arPolicyNo. Company Certrfred COpy Is hereby furnished. CertifIC •'Opy Is filed wRh the city Bu.iding Division, vase -- Applicant EXEM} ..ON FROM.. WORKERS' COMPENSATION DECLARATION Taus section need not be comweted is the permit :s for One hundred (Si 00) or -- less)- — - -- - I certify ih.t in the uerf0rrtian Ce ,,f the worl. for wnich this permit is issued. 1 anon not employ any person in any manner so as to become subject t0 the PLUMBING FEES ELECTRICAL FEES MECHANICAL _ yOr:,ers' COmpCnsah On I -awS of California. Date _— — __— _- -S,gna :urn. -_ - Alter, Repair Generator L'10-5KW 115 .15KW r NOTICE: 11, after mating this dec,atation, you Should become subject 10 the Auto Wash Construction Pole Sub._ O. ,jer GroundWor: ors• Cnmoensaf,nn pru,mom of tit LaOOr Coot, you must forthwith comp,y with turn provisions or :h,S permit shall be deemed revoked. _ Backfiew Preceriter Cookin Unit _ C'ilft- J1rlIClUfaiCONSTRUCTIONLENDINGAGENCY - — I ne,eLi ffirm that ti..-re is a construction lending agency for the performance I Backflow Irri t10n Pole I t ! Fan - velltilail0Cfrho• work for whrcll INS permit is issued tSeciion 3097 Coy. C,) - Clarifiers Or era Ler den's Name —_ _ _ _ —y Gas OEfectrie Exhaust System Multiple Le- ce s Address — _- Dishwasher Far,_ Evaporative Cpoler OWNER BUILDER DECLARATION FixturE Traoi ea- F.A.U. I Heating System &Ducting1 ^.ereby affirm that 1 am excrnot frrm the Contractor's iCenSe Laws for the - -- fcn -Amg reason (Section, 7031.5 Busine.s and Profestional Code Any city or Floor Drains ` Fixtures 0- 1001000 BTU 0100.000 EllCountyv,5)Ch reQunes a permit to construct, alter, ,tnp :eve• dPmbitsh or repair - - -- -- ans st,rcture, prior to its issuance• also requires Ine applicant !nr such permit Floor Sinks V!__— OUIIE(s I HOC•d Or CanopyIof.ne a signed statement that fie /she is licensed rlurSuart W the provisions Of - -- c Contractor's License Law (Chapter 9 (comments -3 with Section 700C) or Lsi.S Service DUtIEtS — Switches I Type 1 — Type II _ isicn 3 of the Business and. Professions Code) or that he/she s exempt Ihteree tars _ r U to t00am S —T orCfrOmantthebasisforthedl!eged exemption. Any viclatton of ScCtint: -_ —P_ I Meter O P P R.fngeration System031.5 by any applicant fell a permit sul(jects the applicant to a cfv.1 _ Trap Met- Clover 20 amps _ 1penaltyofnotmoretnanlivehundreodollarsS500). PS 00 -TOO 000 BTU 0 .00 .,00 Ell 1, as own,:/ of the y y y y Roof _Drains ` Fire I /Fact. Blt. ICBO # proper) or m emplo Ccs with Aa es as their solo $ p cOMOenfatlOn• will 40 the work, and the structure is not intended Or Offetea 'r - — t =— --- -. for sale (Section 1044, Business and Professional C• ac: The C•)nt :dc!.,rs — Trahcr Sewer _ 15•jOf yll System Repair /Alteration Licer.Se Law noes not apoty to an owner of a property v,ho builas nr imp;ovas T, I (; —' Transformer -- -- c:c ^n, and wr.n aces ,titre wort, nnntCll /herselr Or ;nrougn nos n: her own p ap 50 +KW _ Firi_DamDamper! emp'. yees, pr!,v,ded that Stich ,mp,r)sements are not r.ten 4_'o or nffCrea for _ C ennection • Bld I k Re j ^t"rSIsate. I Sewpr C Inc. Solar G3•i5 HP 1fi•i5 +t - a- I J I, as owner ni the p:nperly, am exclusively c n :•acting with ncersea con - Singil'am. Res. ThC Contractor's License Law does not apply to an owner of property Who - ank — Multi -Fam. Res. tou S of imlproves tftere(m. and eirid contracts for sucn prd,Ccts With a coin, Wlmnill Pool /Spa — O and State law. relating it, btrildmg rnnslruct(onl, and hereby authGrira rep,o. A"1In1ARlpflrrad Illy Data sentat,vas fir Ih,s City to enter upon 1110 above- mentfonea properly for •— IiuIIfF ^•; Applolt F _—Data .- -. - - -. insPec!,a,: pvrpnses. Bull irgA ionflFl • - -- Signature _ — —_ Dato• ISSJeLDnvtrs' 'Se of SS Sr -- White RiAd,nr: Gleen•Yc moot ary File Cool: Canary•Assessor: Pink- Anel-cant Golderim ArrnunImp vim ES ACCT x I GRACING FEES Cut Fill 3360 -3370 Plan Check Fee $ bD0.3311 Permit Fee $ I To'al Fees $ 3360.3312 f Summary of Permit Fees Ju 6Jrn1 $ Plumbnia $ Electrical $ Mechanical $ Other 1 110.131 SMIP S 3360.3370 1 SummatT cf Plan Check Fees cu. lards ell yards Bu11Glm $ - - -- -- Plumbing $ ilecIncal $ _- Mechanical $ -_ r Other $ - — - 3360.33)5 I Planning $ T0131 -41 Oua $ -, Z O N I N G R E 0 061 T S 3360.3370 1 SummatT cf Plan Check Fees cu. lards ell yards Bu11Glm $ - - -- -- Plumbing $ ilecIncal $ _- Mechanical $ -_ r Other $ - — - 3360.33)5 I Planning $ T0131 -41 Oua $ -, Z O N I N G R E 0 061 T S 3360.33)5 I Planning $ T0131 -41 Oua $ -, Z O N I N G R E 0 061 T S