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32900 RIVERSIDE DR_ (12)
32900 RI VERS IDE DR. 1 4/6 s CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Project Address 291?0 Iii YP,$ i de Drive Assessor's Parcel No. AApplicant to fill In all spaces except those srthin heavy border lines and sign all appropriate declaratiops a7wrter•s Name F1 Marra InYestment CG.Phone PPERMIT NO. TTRACT NO. LOT N0. UNIT NO. Address _A811 r iaSt HiQ aguna Beach CA 1 0-51 A.P. $ Arch /Eng, License Na. _ T C:ontraclor's Neme Phone _ Addir m. fmailing) T City license No. Z TENAN. ELECTRICAL EE. PLUMBING n MECHANICAL aa Rzar eau signature _ RRenlsrks I 1 bbrim files U1) to date. PPlanning Notes Perviously iins ecte others. reby affirm that 1 have a certificate of consent le setf4nsura or a Certlf'Cate P 3 -10 -88 Policy No. Company 8 Certified copy Is hereby furnished. Certified COPY IS tiled with the City Budding Division. I D EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed if the perrna .s rev une hundrpd ($100) or - PLUMBING FFEES ELECTRICAL FEES M Alter, „e •air G l3 5-15KW BBoiler NOTICE: If, after making Inis declaration, you Should become suolect to the AAuto Wash CConstruction Pule Sub. DDuchUndet Ground _ Backflow Preventer rrookin Unit D Backflovi Irrigation PPole Light FFar. -Ventilating Clarifiers DDryers L"aGas Electric tt EExhaust System Multiple Dishwasher FFan EEva oorrative Cooler OWNER BUILDER DECLARATION II Fixture —wraps Pa TTA. U. Heating System &Quoting Floor Drains FFixtures i FIOOf Sinks _ aa Hood 01 Canopy Gas Service DU'rets Switches T In12fCEpptors MMeter I7 up to 100 am Refrigeration System P -Trap MMeter Dover 100 amps E s 1, as owner or the property or my empin. .vith wages as (hair sole I Roof Drains Sub panel — i I Fire l /Fact. BIT. ICBO # compensation, will do the work, and the structure is not intended or offered I Trailer Sewerforsale (Section 7044, Business and Professional Code: The contractors Transformer 15 50KW System Repair /.alteration License Law does not apply to an owner of a property, who builds or improves Settrer Cap _ CJ SU +KW I Fife Dampersthereon, and who does such work himself /nerself or through his or her own — _ employees, provided that such improvements are nc,l intended or offered for Server Connection • Bldg. Motors 0.1 HP 01 %- 8 Registerssale. If, however, the budding or improvement is sold within one year of com- pie;ion, the owner will nave the burden of provdrp ho /she did not build or im• Solar Collectors Inc. Solar 013.15 NP 16-15+ Incinerator Dfove (or the purpose of $alt). Solar Piping1, as owner of the property, am eyclusively conlrzcling with licensed con• p g Sing /Fam. RCS. Misc. actors to construct the project ( Sectinn 7044, Business and professions Code: Solar Tank Multi Fam. Res. The Contractor's License Law does not apply to an owner or property who — budds or improves thereon, and who contracts for such Projects with a con. Swimming Pool/sea Swimming Pool/SpaIracror(s) license pursuant t0 the Contractor's License Law). I am aware that _ proof of their worker's Comoo ita:ion insurance should be provided to me. Water Heater Issue _ U 1 am exempt under Section____ _ B. & P. C. fnr this mason I Wersr Ce..,.nn i__.._ e__ Dale owner _ 1 hereby Certify that 1 have read this application and slate that the above Information is correct. I agree rr comply with all city and county ordinances and state laws +eating to budding construction, and hereby authorize repre- sentatives of this City to enter upon the abOVC- mentioned properly forinspectionpurposes. Signature Date, Drivers' License or 5. V White - Budding: Gfeer4emporsry Fite Copy: rinary- Assesses. Pink•ADplicanf, Goldenfred-Accounhne DEVELOPMENT SERVICES REQUIREMENTS: IatiN= Alttafwa/ By _.Date Rrili ft MM«+d h _ Date Aopliuflou hand By Build Z 1 N G a E Q M T S ACCT. a 1 GRADING FEES Cat. _cu lards fill. __ce. TV& 33110.3370 Flan Check Fee S 3300.33.'2 Pe -nit Fa $ Total Fees $ 336V 3312 I Sursmp of Fermit Fen Building 3 Plumbing $ _ Electrical $ Mechanical $ Other S 110.231 SI31P S 3360.3310 1 Summary of Plan Chat Fan Building S -- Plumbing i Electrical S Mechanical $ Other $ 33603315 I Planning S Tet-1 Foes Deal $ Dale owner _ 1 hereby Certify that 1 have read this application and slate that the above Information is correct. I agree rr comply with all city and county ordinances and state laws +eating to budding construction, and hereby authorize repre- sentatives of this City to enter upon the abOVC- mentioned properly forinspectionpurposes. Signature Date, Drivers' License or 5. V White - Budding: Gfeer4emporsry Fite Copy: rinary- Assesses. Pink•ADplicanf, Goldenfred-Accounhne DEVELOPMENT SERVICES REQUIREMENTS: IatiN= Alttafwa/ By _.Date Rrili ft MM«+d h _ Date Aopliuflou hand By Build Z 1 N G a E Q M T S ACCT. a 1 GRADING FEES Cat. _cu lards fill. __ce. TV& 33110.3370 Flan Check Fee S 3300.33.'2 Pe -nit Fa $ Total Fees $ 336V 3312 I Sursmp of Fermit Fen Building 3 Plumbing $ _ Electrical $ Mechanical $ Other S 110.231 SI31P S 3360.3310 1 Summary of Plan Chat Fan Building S -- Plumbing i Electrical S Mechanical $ Other $ 33603315 I Planning S Tet-1 Foes Deal $ 3360.3310 1 Summary of Plan Chat Fan Building S -- Plumbing i Electrical S Mechanical $ Other $ 33603315 I Planning S Tet-1 Foes Deal $ 33603315 I Planning S Tet-1 Foes Deal $ Proomt Address 2gQQ Riverside Drive _ Atswssior s Parcae No. Owner's Name El Marro Inv et menJ_CO.phor-e_. Address _8311 coast H'_ hwav_. aguna beach CA Arch:Eng. License No. Address _ Contractor's Nam. _Phone Address trnailiing) _ City License No, LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under Crovisfons of Charter 9 (commencing with WC110n 700tr) of Division 3 O.: the Business and professions Coat. and my license ,$ in full furce an7 ei:ect. license Clssf _License No. Date Signature RKERS' COMPENSATION DECLARATION reby affirm that 1 have a certificate Of consent to sell - Insure Or a certillcate Workers' Compensation insurance, or a certified Copy thereot (Stctio..s 3100, Lab. C.) Policy No. Cor..pany Ctrtifrtd copy Is hereby furnished. e Certified copy is filed with the city Sodding Division. Data __ Applicant 1 EXEMPTION F ROM WORKERS' COMPENSATION DECLARATION Thrssection need not be completed of the permit is for one hundred ($100) or lets). I certify that In the performance of the work for which Tnis permit is issued, I hall not employ any person in any manner to as t0 become suble Ct t0 the wcrleers' Compensation Laws Of California. Datu Signature NOTICE: 11. after making this declaration, you should become sualect SO the s'ICf;.lf t' Compensation provisions of the Labor Code, you must form. in c6• ply with Such 01OViSIOnS or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby whim that there is a construction lending agency for the performance Of Ine work for wnicn tris permit r; issued (Section 3097 Crv. C.) Leader's Name — - Lender's Address OWNER BUILDER DECLARATION I hereby affirm Ihat 1 am errmot from the Contractor's License Law for the nllIow;ng reason ( Sectionn 7031.5 Business and Professional Code: Any city or county whim requires a permit to Construct, alter, improve, demolish or repair any .Ifucture, prior to its issu `nce, also requires the applicant for Sucr; permit to foe a signed Statement that he /She is licensed pursuant to the provisinni Of he Contractor's License Law (Chapter 9 (cammtncmg with Section 7000) of vision 3 of the Business and Professions Code) or that he /she is exe -.p1 here from and the Oasis !or the alleged exemption. Any violation Of suction 7031.5 by any applicant for a permit subjects the applicant to a Civil penalty of not more than five nunired dollars ($500). 1, es owner of the property Or my emptoyets wltn wages as !heir SO:e compensation, will dO the work, antl the structure is not intended or ottaren for sale (Section 7044, Business and Professional Code: Tne Con' License taw does not apply to an owner of a properly who builds or improves inefton, and who does tuCh work nimse ;f /ncrself or through his or her owr, employyee /, p.nvrde0 that Such rmprovementt are not intended or offs Id for sale. I!, hCwever, the build Ing or improvrtment IS sold within one year of com. pletion, the Owner will have the burden Of pfOving he /She did not build Or im- prove IOC the purpose of saie). U 1, as owner Jf Ins property, am exclusively contracting with licensed con - t1aClOrs 10 Construct the project (Section 7044, Business and Professions Code: The COntfa ;tcr'S License t.awr dOet nit apply to an owner Of property who bwlas of improves Marton. and vno :Ontracts for such [:roteCts with a Can. actor(s) license pursuant to the Con sac:Or's License Law). I am aware that proof or their workers Compar J. Insurance should be provided to me. t 1 am txtn.Ot under Section_—. — 8. b p. C. for in,, reason date _ -- Owner I hereby certify that 1 have read this application and state that Ina above information IS Correct. 1 414161 til tOmply with all city and county Ordinances and state taws relating 10 building construction, and heltby authOrire rapra- Sentatives o' this city to enter upon the above-mentioned propetty forinspectionpurposes. Signature Date._ Drivers' LICente of SS if White 6cilding. Gteen•iempora(r File Copp: Canary Assessor Pink-Apohanl: GoLlerirdd•Accounfine CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spurs except those within heavy border lines and sign a;l appropriate declarations PERMIT NO. TRACT NO. i LnT NO UNIT N0. I I Tt'PEOFCOI117ftOCFM r: Kw = AM - TERATT: ii- -- owasm :n inamus! r_- orER Itiabile tigNe InstallatliorIS AP DESCRIP11" OFWORRVUS£ Of OLIX _ S stain Building= TTPEOFPElHlT 1 CRADING il FOUhriAr1011 SliluCTU'RAL T Froat THOM ' ELECTRICAL _ PLUMBING MIECH XCAL 8 RearOTHERA PROJECT DESCPIPTIu". ST. Ft OccwAacy C I Right Carstrectton tppr Iar A i Left Zone Accessary Building: Z N t N G yakuw = Remarks fermi t to i bring files up to date Pena # Planning Notes P3rkinParking R Provided E o Perviously tits ecte others. 1`4 T S' 3 -10 -88 ELECTRICAL i FEES Generator 00-SKW 5.15KW MECHANICAL Boiler FEES ACCT -a 6fiAOIM6FEE5 Cut - F';r -- -cu, ca pfd; paid; PLUMBING _ Alter. Repair r—P° Auto !slash FEES Constructicn Pole Sub. Cookin Unit Duct -Under Ground Backf low Preventer 10ackflowlrri tion Clanliers Disha3sher poet Structural Pole Li ht Dryers C(Gas 0 Electric i Fan Fan -ventilating 33643310 Exhaust S sum Multiple 33043312 Evaporative Cooler Plan theck Fee 3 Pefmw fee $ _ Total Fees $ Fixture Traps ea. I F.A.U. Fixtures Outlets _ Switches I Meter UP to 1 GO arnps I Meter Cover 1.00 amps Sub arel 15.50KWTransformer 0 50 +KW Mo tors 0 0-1 HP G 1%r - 8 Inc. Solar 09.15 HP 016.15+ Sing /Fam. Res. I Multi•Fam. Res. Heating System & Ducting 00-100.000 BTU 0100,000 BTU Hood or Canopy Type 1 ype 11 Q Refrigeration System 00. 100.000 BTU 100.000 BTU Fire I /Fact. BIT. ICBO # System Repair,'Alieration Fire Dampers Registers Incinerator Misc. 3360.3312 110.131 3360.3370 Floor Drains Floor Sinks Summagof Permit Fess Building $ Pli,nbtng $ flectr:al + A!tthanical 1 Other = SMIP 3 Sdmmagof Phil CktclFees I Gas Service Outlets n!erce tors P-Tran Root Drains_ Trailer Sewer i Sewer Cap Sower C_ lmechon . $Idg. , SlIal Collectors Solar Piping - Solar Tank Swimming Po !S a^ Water Heater Swlmrin Pool/Spa Issue _ Building = PlumDing i _ fledrltal ; Water Service Sepri Svstem isc DEYELOPME !!TSEA7ICESIEQUIREMEftTS: ZA*t AWmd ft bid" Apposed * _ Iswell By n.p ere. — 33643375 Mechanical S Other Planning 3 1 Issue r— TOW Fee On $ — _ ProioeAedresa _32SM k',!eL" -ift Drive Ass"sor's Parcel No. O-- 'sNsme El Marra Iny S_tMrjt_Ca_rhone I Addrtst -F,a11 Coast _Highway I,agma—$ each CA AtchlEfsg. _ License no. Addle" Contractor's Naff e— Adtlress Inad n91 I City Lrceme No. _ r LICENSED CONTRACTOR DECLARAT ION _ -- r htrtby Aff"m rna: I am licensed ur.Cer prOnsionS ct Charter 9 fcommirr!cinq w.:h section 7000) of Division 3 cr the Busirets and Profitss'Ons Code, and my license as In fun force and effect. a.icenso Class — U. nse No. Date _ Signature RKXRS' COMPENSATION OECt ARATION rtby arlrrrt trial 1 nave a rertificAts GI cons tl :r. Seii- Insure or a certificate WOrkef S' Compensation insurance, or a certilted COpy thereG( ( Section3100, Lase. C.) Pb'Icy NO. -- -- Company _ NCtfl.l-tti COPY AS htrtby iurn,.hed. v Cerllfted COPY is bto! with :he City Su.ld:nq Division. Oalit App -scant _ EXEMPTION FROM WONKERS' COMPENSATION DECLARATION Thos section need nVt be COm Ptglea d the Dermot is fcr efte hundred (51 001 orless!. I Comity trial in the cier:ormarce O! :no work for whirr !his permit q..ssued, 1 sna!! not emp:Oy any pers3n ,n any manner to as tc .`.econte sub;eC: t0 the Worsens' COrtpZnsr:'On Law: of California. Oa!e _S gnature NOTICE: It, after ma >inq In1: aaCiltallOri,. you shou'd become sub,ect to trio VJOr erS' Compensation oro"Sucns of the Libor Cnae, you must fOtthw.ln colnpiv w,In s.tth ptovis'C -4 Ot in.s permit shall be deemed retOked. CONSTRUCTIOV LENDIVG AGENCY r f+ereLy 0,'Irm :nAt there IS 4 COrstruC :ion iend,rg -,gtncy for tr:C pesf0-rnanCg Of the work :fit w-•rch this permit is sued (Section 309, C.) Lend_r's Name l.: rider's r, 1, _ 1We4ER BUILDER DECLARATION t hereby afrrrrri Ina: : am eAempt from the Contractor's U.cenw law inn the r ,flowing reason f3ea•on 7031.5 Business and Professional COde: Any city o• Cubn :s which req„ res a permit to construct, alit,, improve, demolish of repat• any StruCt ure, prtuf to its issuance, also requires the .1ppttcan: Ior such permit to foie A ',Onto slateclent that ht /she is licensee pursuAnt to the Orov;seons of ne Conwc!or"s License Law (Chapter 9 (commerictny with Sect,en 700u1 of vs'on 3 Of the Business and 'Professions Code) or trial he /fhr iS o!x2rrtpl riereftom and trig ass's for the alleged e:.empLCn, Any violation of S4ct,O:t 7031.5 by any APol,cAnl for ,, perm.,( subpUs the applicant :o a civil Oenalty Of not more than live hundred aoilars (;500). n I. as Ow.ltr Of the property or my emot,ryees ,,nth wagof as tholf sole compensatiOn. will do the work, and Mt structure is net int9nd bedOrOflRd for sale (Section 7034, Business and Professional Code: ., n Cont(actor's Lic ens Law does not apply loan matter of a pirperly whn tit or improves the, tun, and wriO COOS Such work himself /herself o, throdyit Or her Ot'n employees, pro.,deo tna: Bach i cprovements are ru inicn,AO ; . piloted for Wt. I1, hn%*,cf. the building Or improvement is IOt" witnar. no „J, of com I ie:ion, the Owner will have the butd:n of Droving he /she did 1101 LUIIa Of .:n- ar7ve for it,.! purpose Of site). t, as Jwntr 01 Ma property, am rxCluSivtly COnIfACtinq with licensed con• aCtOrS10 construct trio ora ;ect (Section 7044, Owmess and G-ofes;,ons Code: no COAttAClot "S L,Cense law Coot no: apply to an owner of property who u,10s Or improves Morton. and who contracts for Such projects with a C9n- t,aclofV license pwswnt to fhc Con:rACtnr•s L +tense Law). I am a «are thatproneo/ Ihtrr ylolve Fit Compensation insurance thOula bq pip ,rlded 10 mo. 17 I am e.empt under Seclion— S. L P. C. for this reason Date _ Owner I ntrgby Ctrt'IY Ina( 1 have read this application And state that 160 aoUvn information 's !Arran I agree M comp.y wit,: all City and COUrIy OrGVlinr AS an.f state laws rt.A!-r; to building construction, and herany authos.ra rtpte• ttntattves Of this City to entdl upon She above - mentioned property norrnSWClionpurpOSts. _ Llgnitute Oriverf' ,.Icons! or SS V rrmtioenu"`L 4reea•1er2POIS11 tilt :Ap7; 1411 - ASSWa. rolk4loplicAnt,, f,0dc:u&d•A000l;nt141 CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Appticast to fill in all maces except those within heavy border fines and sign all appropriate declarations PERMIT No- TRACT NO. LOT NO_ 6s .— UNIT NO. MEOfCONSTttOCTNTII - NEW L CDWIERSTON A _,,D 'Eit1tT ' iIFP/dRI'Iobile`f`omeofnstailatIon0Dfwusif - CTKEQ -- A.P. OESCPIPTION OF ttn)MUSE OF i3M i 2 ne E i Main Bulling: I Accessory Building: TIPEOFTERVIT C FOIMTAT" = STiOCT1iM T Front Z TER AT EiEtTBiUN L Plt;yElsl: 1: MCP PPICAL Rear O Li 01fife Ai P1t01£Cr r "rAPTaGY. cg FL Ckctlpaaq C. R:ghi t Ndirestr a t r Ia t Acres S Left G rakatM s PCs s Ping. Ref. = A Fa ki ReQ./Pro.id.d R ERema: Fermi t to bring files1Es tw to date. Planning !Votes n Perviously inspecte_dtky others. t S10 -8a I P l/ 9 X2_!5 1 2 2-yy -- PLUMBING_ Alter Repair FEES ELECTRICAL 1_ FEES aerator 00 -51(W 0 5-15KWtConstrui.tion Pole Sub. _ ME.4ANICAL i 8ai;Ef Duct-Under Ground FEES AOCT.s 6IMN6oIES call - fa landsAutoWash Backilaw Pf"nler BackllowIrrigation I Cooking Unit 1 Duct Structural N4 cu. roes Pole Li t Fin-Venti!atinoF_Ext-lyt 3?oO33iJ PI2nC-0K1fet3 Clarifiers D crs CGas OElectrica-- - Svstr ,i Murtiple 33L43312 Perri aloe S Dishwasher Fan I Ev!E,ratire Cooler foul Fer_ SFinlureTrapsea. t I F.Er_U. Fixtures ! 4etr,.g System & Ducting DO l :' G"Zu RTU : 100.000 BTU Floor Drains Floor Sinks Outlets _ Switches Hood sr Caac,7y Tye . :1 Type II nv 33b43311 Saw.tnuy['er itiea Gas Service Outlets Interceptors Meter 0 uP to 100 amps Meter Dover 100am ln_ tiRefrigeratior. _y tern 0100,0011 BTU J1 100,OGO BTU B(binr t P :p ^iQx SP •Tra P Roof Drains Sub Danel_ Fire I /Feet. Bit_ 1CPO # Eectrul = Trailer Sewer O 15.50K.WTransformer System Repa;r,,A!teration IAectJ„ lye $ _ Myer p 0 50 +KW motors 0 0 -1 NP 01%. 8 Ire. Solar 09.15 FIP X1615+ Fire Dampers Rt9isters 110.231 other $ SA(IP $ Sewei Connection. Bldg Solar Zollectors Incinerator Solar Piping Sing /Fam. Res. — Misc. 3360.3310 SummmTN Flat; CaxkFoes 61n>aiar S -- Solar Tank — Multi•Fam. Res. Swimi;tin Pool/Spaa Pool/Spa Water Neater Issue Waler eervi4e PlomDlni S ... Se tic System Electrical Lam _ OEMELOMENTSUVXES /ETMIENEKS: Ml *-w 91 fitelilpl /P/IOSetfiS — fip 6catian hare/ fq Ocala _ mp _ I 336U331S Matan•tal S _ - -- Otna S Ptanrrt ; Issue 7(41 Fats Den S Prciect Address 12900 Riverside Drive Assessors Poccel No. O+rwier'sName El Morro lilyP_stfltettt Cg..Ptw+se AdWea _8311 Coat_ -t Highway - Lagf,ma Beach CA ArchiEny. Lrcenw No. Address Cc ntractor "s Navry Dr.nr.e Address (rtsa%kincj City License No. LICENSED CONTRACTOR DECLARATION 1 hereby affirm trial t am I,censtd under PrOv,t,On%cf CrtNrtt: 9 (commencing with sec!ien 7000) of Division 3 of the SUS -MCsS and P,Ofelt40nt COce, and my license K in full force and effect. License Cuss - Liters.; No._ Dote Srgnatloc RKEPS' COMPENSATION DECJLRATION reby affirm that 1 have a Certificate of consent to satf- insure Or a certificate WOrkeft- Compensation insurance. or a certified COpy thereof ( Section 3900, VD. C.t PnblicY No. COMPAny Certrfrtd copy is hereby furnished. 8 CtftHWJ COPY is fled with the City Building D.ws•nn. Date A pp lican r EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed if the Perini! is for O.1e hundred (5100) Or less). 1 Certify that in the performance of the wafk for which !-s pern•t is ,SSUtd, t Snell n0! employ any person 'n an'/ manr.er so as to become suo;tCt 20 the Wo'kerS- COm ltnsallOn Laws of California. Nee Signatue NOTICE: Ir, after making this de:4ratron, you should become sub :ect to the Wr;r,. ers' Con, pensalion grovisior thsof e LA!)or Code, you must fortnwitn comply troth such previsions or this permit shat! be deer^ed revoktd. CONSTRUCTION LENDING AGENCY 1 rerePY af4:m coat there is a constrw_lian lending agency for the Pe: fdrmance Ot the work for which IMs permit rs •ssirtd (Section 3097 Civ. C.) Lenders Nit ie Lende."s Address OWNER BUILDER DECLARATION 1 hereby affirm trial 1 an a -c"lpr from the Contractor's License Law ior ih[ following reason (Section 7031.5 8 sinest and Professionar Code: Any rely or county which rtgu,ret a permit t0 Conslru[', alter, improve, demolish 7r iepa•r airy structure. prior to its issuance, also •eQuvfo% the apprrC4nt for such permit so tilt A signed slatemen. tha! he /she is licensees purfuar., to the previsions of he Contractor's License Law (Crtaptsr 9 (commencing v,1th Section 7000) or 1vas:On 3 of lht Business and Professions Code) or Ina! ne;snt is exempt herefrom and the Oasis for the alleged exemption. Any v,Olation O' Sslictron 1031.5 by any aPilicanl Inv a permit soibie_ts trio applicant to 4 civil VKnally of not more than five luncred dollars (5500). U 1, as owner of the property or my employees with ,.a ;e; as their sort compensation, will CO the wo•k, and Inc structure is not ine:nde•.1 or offered for sale (Section 7044 Business and Professional Code. -rig cortrAcini's License Law dots not apply t0 an ownt: Of a DrOperty who bu,ics or imolows Inc r con , And who does such work nimSelf/rierself O- through n,s ar ner own mold' tee, provided that such 1molovenynts are not inttn Jed Or o!tertd for sale. ( . however, the bur101119 Or improvement is sold within one year or com- pletion. Ing owner will have the burden Of prov!ng nt /she did .rot bai!C Cr sm. 1C - row for iht purpose 0! sale). lJ 1, s' owner Of Intl pfootrly, am extlusiveiy contractreg w.'n I,Cer. -led Con• tractors to Construct the project ISectron 7044, Business and firofess,ons C " do: The Contractor's Licence r Aw domes not apply to an owner of property who pupas or lmprrvts thtrecin, and wno Contracts for sucn pr O;ects with a can. Isar 1 or(Lf IiCf rite LurtWnl t0 lose Cnn tNctOr's LICCAA La.). ! am aware thatprciolOthouP; cur.S Compensation insurance Sn0ul0 9>0 provided t0 me, 17 ! am exempt " I" undo, Section B. L P. C. for this reason Date - ,_ Owner _ 1 hereby Cattily InAl 1 have rt4d tills 30011CSTIon and state that the ADOVa rnfOrmallOn is COlreCI. 1 49140, 10 Comply with all City And County ordinances and slate laws relating to building conft:uction, and hereby ai.lhorire r[Pre• ttntAtiv[t Of this City to enter upon In[ above. •rllantiontd property forInspectionpurposes. Signature Date. Drivers' License or SS Y White epddra4 Green- lerupwliry File COM Gan4ry- Aswssor; Piak illollual. Gddtar0d•Accoa :1s-t CITY OF LAKE ELSINORE CONSTRUCTION PERMIT APpticnt to fill in 311 sraces exdept chose within heavy border lion and sign all appropriate ckclvatioru PERMIT NO_ y TRACT 110. LOT 1110-/ /' I UNIT 110. n?EIFtAffSTft=04 1 WvF _ AfJT1 TEEAT ^ REPU! a xrEtI" ` o(ktousi -- eT_R Mobile `oltt 101ns ±al lateen AP. I ZeneOESt9!Pt10Y OF trCrti USE bi:G -- — S 1k z;r. Bu dln9 E Accessory Build ne: n?EOFPERtt(T GRAtXYG Z: Fr- ;:MMT*ll STRULNUM T =rout — I EftA4T EIECRIC -4 _ Ptutr_ %s 2 Y.(LF.ul:M 6 o oils I Rear N KOJECTUESCRIPIM: Sa Ft _ OcccpaacY C. RiVtl , I N Ctaast:ncrida type 'ace was g ` Left --i G rataa:ooS Pia Ping. Ref. r Parking f rtlffrovided AS E Remarks Pen -pit bring fibs uA to date. Planning Notes 0 IIAPerviouslyinsoecteothers. T i 0_6L'i D. PLUMBING ° FEES ELECTP,ICAL _I FEES MECHANICAL FEES ACS s 3360 -3370 3XO3312 6RAW RGFEES Get _ell rar4s Fin cv. Tugs Ptar.i,6eckiet$ Penmt Fee S V —_ foul Fees; S Alter, Repair Generator CIO -SKW ZI 5 -15KW Boiler Auto Wasn i Coa;truetion Pale Sub. Cookino Unit i Duct -Under Ground Structure; Ba!kflow Prev.ar¢f _ Back flo— rri iiori _i _ Clafifiers i Pa!e Light Duct- Fan - Ventiiatina I Dryers 0Gas 0Electric Fars Exhaust System Multi !e Eva ^rotive CosierDishwasher Fixture Traps ea. j j F.A.U. Hming System & Ducting 0 TOrJ.000 BTU X100,000 BTU ' Hood or Canopy T 1 0 Type 11 0 Floor Drains _ t— Floor Sinks I Fixtures Outlets 33643312 11013! 33943370 3A04315 Seminary of PernA fees Bxldlat $ Mantling $ E!rllcal S S S Saalalary N Plea check Fees evddirid $ P)arSrzt S Etectrlrat f MtcAarrcat = Plannmt S Tefsl furs On i Gas Service Outlets Switches Interceptors i Meter 0 UP 10 100 amps Refrigeration Sysiam ( 100- 100,030 BTU 0 100 000 BTU IP•Trap Meter Cover 100 amps Roof Drains Sub ane! Fire I /Fact. 811. ICBO Trailer Sewer I Transformer 0 15 -SOKW + 0 50tKW Motors O 0-1 HP Oiii 8 Inc. Solar 09.15 HP [316-15+ Sing/ ram. Res._ I System hepair /Alteration Sewer Cap Fire Dcmpers RegistersSewerConnectionBIdC) Solar Collectors Incinerator Misc. Solar Piping Solar Tank Multi -Fpm. Res. Svumminy Pool/ Spa Swimmia Pool/Spa Water Heater Issue Nater Service Septic SSY ;tern _ OEWIMMERTSERIKESREQUIREMERn: 2ngt f wPW b _ , bWftAWmlb AP0ardoi "midi _ one Dow sadIssue — Proisr5 Ad&.. Drive lsaessar i ParCY: tIo_ M "n's Nat. t F1 !'_iiLL'AY 41 Ki .11s Q oesor —• - addrtts Sail Cast Hi_g y —Laaun each CA Arch. coq _ l'cer'se %o. Ado eta _ owfactor i ^ia^•x PhC-^' — Address (rum — Gty License r +0_ — — --_. LICENSED CONTRACTOR OECLAPATION 1 hC_ory Irf#rfn that 1 an, Irte_ t, under Wavisionf of C'Urter 9 (cornn,erscinor 1'.,:n uct.,; • 7000) of Om,slos. 3 Of the eutiness Arlo Professio—s Coce. and Ml( I.cenu 1's In full CuCe aa:3 es1W. L:ct,ise Class License fat). C5=g+ut art KERS' COMPENSATION DECLARATION by affirm trial I lave a certificate of conlea: to seit nsure or a certificate orkers' Compensation Insurance. or L Certified ;,opy thereof (Section 3800, Lab. C.) policy No. Cornpany-- tert,t.ed copy is horleby f;G-ntshed. Ce-tltied copy IS filto with the city Bu,fd -.q Dirk,on. Gate Atwl.Cant EXEMPTION FROM WORK£r!S' COMPENSATION DECLARATION tTn.t secLOn need n0! be comp. teen .[ ire p.eernit is for one huraree (S!00) of less)_ I certify that in the parrormance of Ire a,orl, for wh:cn Mis perm +:.s ,lsvec le t shirr not employ any ptrson . A-ly rn•nAer w AS to tfcofne su9 :tct :o the wqf ers' Compensation Law of C,s:,forh,a. Cite Sisnawre NOTICE: If, a' :tr making this de :lafA:,o •ou IMO -.0d be Some tubiect to 114 ylofst", Co lDensatson prov,s:o,•s of tilt LAzor Coee, you must fcrtnw,ln cq:nply won such provisions cr tn,s perm+: :hall be deerne3 rsvckta. CONSTRUCTION LENDING AGENCY hefeLy arf•rer. inat these is a crnsiruCt,on IenC,ng agency for the wrtrafmar•ce or 1114 work roc w•ri,cn In$$ OVmlt a ,ssuta (Section 3097 Civ. C.) Lenerr's Na-'e - Le ^perk Adcrtts OWNER BUILDER DECLARATION 1 fareby affirm chat I am exen:p, f•om the Contractor's License Law for the foupw,ng rtason (Sech)•i 7031.5 B rsiness and Profess -oral Code: Any city of county wa ri ,4?ulles a pert"t to cainstrurt. alter, 11riDro W• demolish of rtpar any Structure. p,,0; to its ,stuants. 7!sn reousres Irie 4"l cant for Such pelhlrl to fie a slgneo state Rlhnt thal he litre is licensed pu!suant to I t proor,s,o'1s of nt Contractor's L tense law (Criaoter (core nencmg with Sec. ;n 7000) of v,tron 3 of the eusir.ass and professions Code) or that h /sere is exempt nrtf, nm and Ins CA sit for she ails > °d excm.o.!on. Any violation of Stcbon 7031.5 9y any atipl,Can. [Of a permit subjects the applicant to A Zsv,1 penalty or not more than leve hundred dollars (5500). J 1, as overer 6f the PrOatrty Of my esr.prOYtc1 with wakes As .11611' sole COMM, sallon, will (to the work., a-:: trio struClrne .s not intended or Of[ere for sale (Section 7044, Bu mess an,: professional r -ne. Trio Contra: toe's Llcerist tar does not apply to An ow :e1' 01 a p,4PerlY w'O builds Of improves tnefeOn, Ara who does SuCn work n,mSe.f:ntrse,f of thrt•,gh his Or her own empiovees, pfnv,ded that such ,f :provemcrl :s Are not inter. led or nflziea for safe. 1:, However, the budding O :.mpl < :ve,nsnl is staid w,tn-n one year of corn- p1ttlon, tee Owner, will have tflo bufoen of ptnvir; he /sere did not build Of lib rove for the pu'pd Se Of salt). C] t, as owns, Of trio Oro Derry, arr. exC'usive.y rnntfatling with license con- trac:Ors tc construct trio project (Seellon 70A4• a.,;,ness and Professions Code: The ContraCt O, 's L,Cense Law dots not a. aiv to an nwner of property who burtls or improves lrierson, and writ) Cunlra¢ts for such plolscts w,tri a Con - tractnf(s) lilt: rise pursuant IO the Contractor's L,Cente LAw). 1 afn Aware that proof cair their Worker's Cornpensat:ws insurance should be provlded to me. 0 1 Am txrmpt under Section _ 0. & P. C. for this reason Dale _ Owner I hereby certify that I have feao this appl,catlon and state that roe above Information is Correct. I asset to Comply with all city and County ordinances and %late laws relating to buda,ng Construction, and hereby authorize store. sent lives of iris city to enter upon the aboys•mentioned properly fcr Inspection outposts. , ona:dfe — __ _ Date, Drivers' license or SS y Whi"vildlr j. GIUL .tln0orary FIN CW. rAnary-AvAslcr. PiAli-Mo leant. GMdtaod- Accounhrr CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to f31 ili all spaces except Olose mli -.iu Geary border Imes x4 sign ail sweporiate dadaratian PERMIT 9G- TRACT 30. A LOT NO UNIT NO. ME OFW4Tf0CI= - XX CC-Mtt;a!xt 7 AVOt.i.Cr DESCEINOR 1'+F WNIL M OF BLDG t Sze L. ftraR; ct7/Js 01%le [*.-,bile otne'Installfit:or. TTPF.OFPfM IT _ Gt Ofd - fOL'FCt*ION TERAT 1E EEECIE'.4: E _ ?t.L Etitt 4Ttf8 PRO)[-,T 1XSi' 1?r -_.ft. Sv Ft Cam:`xtoom 4-.,t Zone — yzwe i . S Pry _ Rerlarks Permit to bring f i l e Perviously inspected S _. fitttnsJt Otter. S Mtchaaltal S atkaf PLUMBING FEES SMIP After, Repair Ge Auto Wesl Co I Prc renter fiBsck0r I CoBackfievl t Po VIEJCTUM ktfd.+tfPx)it Cttx:.-"tt Ades up to date. Y Others- 10-83 ELECTRICAL tratof 00.5)Ct:9 5.15KW aruction Pose Sub. kiliq Unit _ L- it — is 0- Gas 0Elect- A-P. ae S; Glair. Building: E T I Fro'.? A° Rat C" Ricer-.--, K S, Leff -- Ping. Ref_ = Plannln0 N31es MECH Dishwasher i Fan { E_•aporative Cualer _ Fixture Traos ea. 1 F.A.U. _ Heating System & Ducting Floor Drains - Fixtures _ I ; 00.100.000 BTU 0100.0@0 BTU Floor Sinks _ E_ Outlets Hood or Lanspy Interceptors Meter : 1 up to 100 ;Mps j i Refrigeration Systi -i Meter 0oysr 100 amps ' 00-10C.000 BTU 0 100 000 STU Roof Drains Sub oanel Fire I1Fact. Bit. iCBG & Trai!er Spar - ' 15 50KW System Repair /Alteration Sewer Ca Transformer 0 50f KW 1 , Fire Dampers I nncction - Motors 00.1 HP 01 6 8 Re isters Inc. Solar 09.15 HP (.:,1515+ Incinerator Sine;Fam. Res. Misc. OEV0VME4T SERVICES RWREMEIRS: iflAIPj 4pow f -- otu Ap 491 Accemry Bnild,.N: Z O N t R Q T S ACCT - t GRRAIRG I m Car Coo Ives FM - co rods 33W3370 Plaa Check Fa S 3304.3312 PerwfFe S _ Taal Ffef a 33613312 I Sexes" of Perwit Fees 3360 -3370 I SattltafT N Pew Cluck fen Ba:tdlat PlamElnl $ Phlrixot S _. fitttnsJt Otter. S Mtchaaltal S atkaf 110-231 SMIP 3360 -3370 I SattltafT N Pew Cluck fen Mal Fort On S Bmllriit S PlamElnl $ Mechas al S Otter. S 3360.3315 Pbnniq S Mal Fort On S is:d;pettAddrips, g(6 Y rside L r e CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Assessex's Parcel No. Apo "'t 'of :r. al spxK excep: those w:tftia t1Cir11 tOrder tines a:d sign a ! a prfs- -wiz dEdaratiors r1.: s+'s Nre F'e Mr r1Y1 Tnvpetnar t p = PERMIT NO. a TRACT N0. COT NO i UNIT N0. A6diete _331 i_nast fi tTxa r --l-a ftl eaeil CA dAfChiEf. - ic_c-S: TSO. Addrezz TOTE OF n : ^. t L_ CDIGIEEPS P r TIr.e REal:R F,ohile {`ofreIInstaII ararxtar's Yi to P - E fais Uii! rry GF f1pR1uUS Uf PtA6 oTV_e at ion Zone AP Address (i11rlir19a 1TTE Of fftY1T — fC? + "t lil(i6 SlfilA.r,f:1t1 S ° Mail BaddinT Accemry Building. T Fron: City License No. Tt OV, Z FaCTRIM P1JY! YG Z IdT.')••IRX4 LICENSED CONTRACTOR DECLARATION Ot!Y= Rear I rerebi aff,am that t am I.ca :tee under prarrt:nt Cl Charter 9 (COC:`ntenCinQaansection7000) a• OlVA:a,: s of the su.'r y .[f SoC.4,L r,,, nr C;,tFf't: C ft, pc;r T `• C r RightessIncProfessionsCwt. andylicensees .M 'uil (acct ar:C elfKt- X _- -- Aim K LeftL,Cense Ciats License No._— rihi'.`On f r S are S nature RKERS' COMPENSATION DECLARATION reap •shim Plc Ref. = E Parking Ret,.i'PrTTdtdRemarksW, bringPer-flit-W, files up tr date_ rlarrn:ngNoteserasfna.• a cerat,uee m consent tr- setftinSUte Or t CCrtiflGte di/wS,c :t' ComPSnlat!on insurance. er a cer. -Geed COPY th•fea! iseclion insueeted by others. 3aar, UP. C.1 NI-Cy NO. Corroany - - -- 11 clefUhta COpy Is hereby furnished. H I certified Copy is fled wan 1-m City Bu:!Cf.ag a.,s,us. Galt ApGl•can t -- I' EXEMPTION FROM WORKERS* COYAPENSATIOM DECLARATIONThissectionnerdnotbecotrptetes .1 trie pefm.t ,s for Z. / one nu ldred (310(1) or es%•. I = trt•ry that in the Porlotm -nce of :re .lot :. to whiCn tr. +s Parma .s stas4, 1Sraterotcnutayanypt, an ,n any ,annex $L as :O b!cOmt Sunhttl :O the9v_rkers' Cemoerlwlion PLUMBING c FEESuwsof [a.fo *n.a_ Da'• s;natuf[ Alter, Pe ( ELECTRICAL FEES MECHANICAL (FEES NOTICE: •', a':rr maLinq In.$ Oet'"al.an, you tr,Ould be -COmO tubl•tt :O thes• Cij- pair Auto Wash I Ce terator L]O.5KW 5 5K BOlier 1 -3 GumMCIfFES arn%Alson OtOCb,ant ar t.,e ubaf Ccae, you m:n: rtrtnwancc.- lco * y +Y w•sf. such pro.."Ons or :e.s pe en -t snag be deemed ravoked. CONSTRUCTION Baekflow Prttrenler Cons!ruction Pole Sub. I Duct•Und¢r Ground — Cot= Cu Tuns LENDING AGENCY I tie• -ay a °,fm that :pert s a construction itna:rt9 asr_ncy rer the Performanceofthew,•, rpf ants permit RaekPow firi lion I Cooking Unit i Pole Li t I Duct-Structural i Fay Fig. LO. TUC; fis•33?0hlcn ,s ,$sued (section 3097 C.v. C.) ender'% radii••[ Cfarifiefs- t i0 QEfeetrit Venldatino tttt[;et><FtK S _ recd -, s (diets _ Cishwather Fan Exhaust System, Multiple 130')•33)2 ?E rraftt S OWNER BUILDER DECLARATION I rere FlXturC_T!zps 1 Evaporative Cooler total fen y air „m that h on exec -,a: trorr. t`.! COOINCt(?r't License L,w tar the ratow,rtq rusOn ( Section 7031.5 Et„s•r•ess and PrOftts:01a1 Cade: Any city or ea. F.A.U. I i Keating System L OwingFfoordrainscot.nty wn,cn "'lase' a Otrm.t to Cnns:r ,Ct. a:fer, •mareive_ deneLSn or rtpa.r any struc:urt, prat, •n its tl.aar,Ce, 41W feau,ref the 1004tcant for such ptrma10rile Floor Sinks FixttiflS I 1UaetS — ILO 106000 BTU 160.000 BTt; L- a s.yned Statement :hat he fsne ,s t,cersed a.suart 10 the provisions of Me Conlra Et Or'; L.Cense Law (Chapter 9 (EdmnlCnC,n7 _,in Section 7000) Oflilven3oftr.e Business Pr0•'ess.ons Gas Service Outf!ts Swiuh,es Hood or Canopy r--77TYDe 33Cti 3312 eIXOJlT eI ItiRlit ft4S and Code) Of Ina I he /isle K examp: Crefron and the basis for the alleged txtnDL On. Arty violation of $Q[tWr: 7031.5 Interceptors t Meter u up to 100 am 3O 1 f 1 Type 11 0 801.frg iDYanar tth, cant for n pern,•t wb,ects t,a apalicant co a aril I l e I Of not more Iran live r.unOrcC G011ari (3500) I as IIL -- iNeter C over 100am s Refrigeration System 00 -100 000 BTU L 100,000 BTU rt;tr_ent S - owner or cne pfoufly or my employee$ with wage-. n enter so:• CCmptnfa:.On, wdl CO the 'w'6f6, ar.0 inf ti niCl art ,S ^Ot ,ttnd[C Or offered onf drain: Sub anel'- Fire I /Fact. Rlt. ICBO = f'strrai S for ti la (SCCieOn 70 «• Business and Prf;fess.onal Caoa: The Contras or'tLicensetawCotsriotspar; to an owner or a O.c ae•ty vino builds or emprov6stntrann, and who does s cn wn•k n.ms[u,nerte +{ >. :r.ruu9h+ na or nar own mptoytet, pre „detl that such .mpravemen;f art na: ,nienJZd of of /died for alter Sewer ryryl 1rj.561i 1/ Transformer EO +KW System Repair!A!t ?ration Fire Dampza _ K . ^'"'TI Otbc: k-1 gyre{ Gp ewer Connectionsate. If, however, the bu,tainq cr .mprc +t ntnt ,s tried w,tr,.n one year or corn• r ttwn tnt owner will Haut Ina burden Ot Drov,np t !f to Aed not build hr im• Bldg. Motors G 0•i ml P x71%$ Da —, Registers 11C-231 SMIPolarColle:.10r. fove nor the PO'oose of sate). in I, as owner ar rile , proDerlY, Solar Piping Inc. Solar 0)9.15 HP LJ 1fr ?5 +I t Inrinirator am exclusively contracting with licensed con. tractors to coot :rust deer prvlatt (Sect.nn 73<s, 8usinast and Proftst,On% Code_ To • Con' :aCler'f L,ctnu Law dots Solar Tank I Stng!Fam. Res. MISC. r.Of aDpiY :O an ovif.ar Of prOt:Cr1Y whoh1„tds O, ,rnpic vils Ine,e On, and wn. COnIlIVS for MUI:1•Fam. Res. 33E0.33t0 SefatnarTat bnCltect Fels Such protects 'with a con. tractor(s} ;sense pursuant To the COntrJt:or'f L,certa Law). I am awi•O That Swlmmin Pool!' a9 --"__ Swimming P0GVSD3 ' — Woof O// tnnr Vlofkef% COmpensat,on mturanco trioul0 bt orO Vid•d t0 me. 1] Watfr Healer Building f12MaxemPIunderSection. — B. a, P• C. for this raison Water Sew; :cam Issue — P)B:f en` f ^_ Gal• owner rQpJ' -_. System Ettrecrl S 1 hereby Certify trial 1 have read this aDpiaca:lon and Slate that the abO V• informal,on is Correct. 1 agree to carnply w.:n all City and County uErr owEilt SE1YICES REQIgREYENTS: aleChanfu) Ord,nanres14nstateOf -$ City 10 Dwlu,ng COnStfuctiOn, and htttDy authorize f•prt• l0 enterf[t o/ cos ow""oJ Oltitf = satin uporf the aoOve•mentwnea properly ;Orintpecponpurposes. tee signature rs to -'- 13311E iry4i lqp Pepe _ 3360.3315 Placrif:B S - Orivers' Lic•nst or SS •A raa•kfnnnun I 111111 , ! ToW FN Do _ Wkk•B•diC Gree Trmgntn File Cq( Glu so; Pmt ADOafcant GoNtl I O N s N G R E. O AI t S; ProiectAddrarss _22900 Riversy?e Drive AssassOr s Pa el No. O+rn-: Name F1 harm Investment Address X311 enact Ninhwav_LagUna_ Beach CA ArchiEng. _sirce-:se No- AdCreu C*rlractor -s Name Address (mulling) City Licefee No_ LICENSED CONTRACTOR DECLARATION 1 nereDy affirm that 1 gas bCe"S40 under prOvSidnS of Charter 9 (commencing wi!-- section 70001 Of Division 3 of the Business and Professions Code. and my 'Keno is in tat: force and effect. License Class Lice -lse Nis. If Signature RKERS' COMPENSATION DECLARATION efeby al :i ;m that 1 craw a cartiffcate of :onsent to sets .insure or A certificate Of Workers' Compensation Insurance, or a certified copy Hereof ( Secticn3500. LAb. C.) P^O:ICy No.. Company Cert-hed copy !s hersoy turnisfied. u Ceftilred Copy Is filed with the city Sur:dinq D.vis:On. Date._ _ Apol.unt EXEMPTION FROM WORKERS' COMPENSATION DECLARATIONrh.sseCtion need no! be completed of Ine permit Is for one hundred ($100) orfoss). I cerl•fy that .n the performance cr the w3rf. for which :his permit if .Ssued, I snag no! employ any aelwn rn any mar.ner s0 as t0 b.Come S.0'ect to theWorkers' Car, pensat.on Laws cf Cal,forn,a. Date Signature NOTICE: if, after makinq IF-,$ deCUfatfon, you should become subject to the 7fOl. ers' Comniensal,on provision; of the Laaor Code, you must fortnw.th comply wI:h sueh Orovls.ons Or tha permit shafi be deemed revokeo. CONSTRUCTION LENDING AGENCY I rere0y arfrfm Inat there is a COAitfuction lending aygncy to the performanceofthewcrkforwhich :nos permit rs Issued (Section 3697 Civ. C.) Lender's Name Lerder-S Address OWNER BUILDER DECLARATION I hereby afhrrn that I air. exernpo from the Contractor's License Law for the tollowmg reason (Seelton 7031.5 Business ar,] Professional COde' Any city or iI ot.n*Y which requires a permit to Construct, all lr .m0'ove eemof.s:i or repair ny structure, Of- Or to its issuance, also requires the applicant for such permit0hieasignedstatementthathe /She IS bctnSed CursuAM t0 the provisions ofneCO- MraCIOI'S Llce.rse Law (Chapter 9 (Comrnencmy with Section 7000) or1.0n 3 of the Busmess and Professions Coee) Cr that he /she I$ exempt t f:erefrom and the baps for the alleged exersl -t.un. Any violation o: Stclinn7031.5 by any applicant for a permit SUb,:.:1S the aPOlf_ ant to a civil penalty Of not more than five hundreo Collars (,.Oo). L1 I, as owner of the property Or my ern DlOyecs with wages as their sole Compensation, will do the work, and 'he structure is not intended or offered for sale (Section 7044 Business and Professional Code: The C3nlrACt Or's License Law does not apply to an owner If a pro :,erty who builds of improves Hereon, and wi:o Ones such work n.mseif /nerself o- througn li.- or her own en'iplCyeeS, prOvrdeO that such improvements are n,st mtended or Ofleft0 for sale. If, hdwsver, the building or improvement is soiO within one year "I ct,m- ple6on, the Owner will haW the burden Of 000v,ng helshe diC not bw.0 —r im- prove for the purpose Of sate %. 1 AS Owner Of the property. Am exclusively Cnnrractlnq with licensed con- tractors t0 COnstruct the Orofect (Section 7044, Business and Piolest.Onf Code: The Contractor's License Law OOef not apply to as owner Of property whobuildsOfIMWOWSthereon, and weld Contract'. fnr such are acts with a COn. I,act firs! llcenS4 pursuant to the C4ntracinr's L,Cense Law). I am aware tnatp: r of their Worker -s Compensation insurance should bL provided to me. I am exempt under Section B. & P. C. for this rVASon Date Owner _ 1 here" certify that 1 have read this APPlicaifon and state that the above1n10rmalloAiscOrre<t. I agree in Cnmply with all c•ty ano County Ordinancesandstatelaws1Clatrn9tobuildingconstruction, and hsreay authorize reprs- senlahves Of this City to enter upon thi above.mentloneo propsrty forinspectionpurposes. _ Signature Data. Drivers' Lleense or SS .R WRitt Bmldilie Gleen•Temporap Fife Cgol: Gnah-Asutsor Pints AODllfant: Goldenrod lkcounhnr CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant tD fill in all spaces except those within heavy border lines and sign all appropriate declarations PERMIT NO_ TRACT NO_ J LOT No-,/, n 1 UNIT NO_ Ti7EOF0 msTiNCmDII — ww CO+f:E45." = DEVOLIR' OTHER Mobile AceT *Installation OESCRIPiiurr OF WIL'11SE OF BLDG n?EOFPEUFi Z GRADINC CC FOURWT*V 0 STEMIUM G if AINT _ ELEC :RFM - PLUMEJRG G YEOU6IM C OTHER PkOJECT OESCRIPiIVI- Csnstrectiei rile . yatwtim $ Remarks Permi Pervio ID.I fJ PLUMBING Alter. Repair 4uto W7sh Backflow Prevrntef Backflow Irriga1 :0 Ciarifiers I Dishwasher I Fixture Traps ea. Floor r— Drains Floor Sinks Gas Service Outlet Interceptors P -Trap Roof Drains Trailer Sewer Sewer Cap Sewer Connection - Solar Collectors Solar Piping Solar Tank Swimming Pool /Spa Water Heater Se FL Oct lose Acres PFe to bring files tJi3 to date Ay inspected-by others. Z 1,1 C 3 -10-88 S Vecuical S Mechanical Jih:: S _ 110.231 SW FEES ELECTRICAL FEES erator GO.5KW 4-15KW Pole Sub ! 1 t1tcenstruction king Unit Li t q Gas Electric F.A.U. Fixture: _ I Outlets Mefter eS ter 0 up to 100 amps Mmer ovar 100 am s Sub panel 01Transformer - 15.50KNi Motorst.30.1 HP I% -8 Inc. Solar 9.15 HP 016-15+ ff GEYELOPMENT SERVICES REQINREMERS: A-P_ # E it1—t - F _Ids T Frort Al S. Rear C1 Right S i Left Ping, Ref. Planning Notes Heating System & Ducting 00.100.000 BTU C3100 HOOL or Canopy Type r G Type II [ Refrigeration System ire Da Incin Misc. laltilq 4powd fig 61I1til" App fed k --- Ads nib AiORutfelF fsgN 61 sail I f E ES ACCT 0 GRADING FEES Cut a- lards fi9 co. raids 3360.3370 Plan Check Fee S 3300.3312 Permit Fee S total Ites S _ 3350.33x1 Summary al Permit Fees Building P1.1,1ting S Vecuical S Mechanical Jih:: S _ 110.231 SW s 3360.3310 1 Summary of no Check Fees Building S Plumbing S Electrical S Mechanical S Other S U60.3375 Planning S Total Fem On i i O N 1 N G R E O T S Project Address 32900 Riverside Drive Assessors Porcel No. Owner's Name F1 Morro InV s -fit !lt O.Phone Address _ $i:,11 ; Oact Hi hw- L[1- ach CA Arch /Eng. License No. _ Address Contractor's Name Phone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (corrlmrinUng with section 7000) of Div:slon 3 of the Business and Professions Cade, and my license is In full force and effect. License Class _ .License No. _ Date__ Signature kK£RS' COMPENSATION DECLARATION reby affirm that I have a Certlficate 01 consent to self- insure os a certificate Workers' Compensation insurance, or a certified copy thrireof (Section. 3800, tab. C.) Policy No, r Company 8 Certified Copy Is n.: -,-by furnished. Certifiec: Copy Is tiled with the city Building Division. Date Al:oricanI EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be complete.• if the permit is for one hundred (5300) or less). j certify that in the performance or the work for wh:ch this permit is issued. I shall n01 employ .iny person in any manner SO as to become subject to the Workers' Compensation Laws of California. Date _Signature NOTICE: If, after making thi, declaration, you Should become Subject to the Workers' Compensation provisions of the Labor Code, -,too must forthwith omply w d h Stich provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Cfv. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License I_aw for tree following reason (Sect :on 7031.5 Business And Professional Coce: Any city or count; wraith requires a Permit to construct, alter, improve, demolish or repair toany structure, prior to Its issuance, a!sa requires the apf)lican! for sch perit I i u m le a Signed statement that helshe is licensers pursuant to the provisions Of kContractor's License Law (Chapter 9 (commencing with Section :000) of Sion 3 of the Business and Professions Code) or that he /she is exempt refrom and the basis for the altaged exemption. Any violation of Sgctron 031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars (5500). 1, as Owner of the property Or my employees with wages as their Sore compensation, will do the work, and the structwe Is not Intended Or offered for sale (Section 7044, Busiress and Professional Code: Tile Contracto('s License Law does not apply to an owner Of a property who builds Or improves thereon, and who does Such work himself /herself or through his or her own employees, provided that Such improvements are not intended or olfored for sale. I , however, the building or improvement i$ Sold within one year of com- pletion, the owner will have the burden of proving he /shy, did not build or im- prove for the purpose Of sale). 0 1, as owner of the property, am exclusively contracting with licensed Con. Iraclors to construct the project (Section 7044, Business And Professions Cade: The Contractor's License Law does not apply to an owner of properly who builds Or improves Ihareon, and who contracts for such projects with a con - Iractor(s) license pursuant to the Contractor's LICense Law). 1 am aware teat Proof Of their worker's Compensation insurance should be provided to me. 0 1 am exempt under, Section B. G P. C. for this reason Date __ Owner~ I nereby terlify that 1 have raad till$ application and state that the aboveInformationIscorrect. I agree to comply with all city and county ordinances and slate laws relating to building construction, and hereby authorize repre. sentatives of this city to enter upon the above - mentioned properly forInspectior. Purposes. _ Signature Data Orfwrs' License or SS 1M White - Building: Green-Temporary Fitt Copt Gnary-Assew. Pink-Applicant: Goldenrod•Accountint CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to till in all spaces except those within heavy border lines and sign all appropriate declarations PERMIT NO. I TRACT NO. ! LOT NO UNIT NO. TYPE OfODRSTRUCrM Q NEW D ADD LTERATIO REPAIR U CONVERSION O DEMOLISH 0 OTHER t'iobile HOfTIe hstal lation DESCRIPTION OF WORK /USE OF BLDG._ TTPEOFPERMIT G GRADING FOUNDATION STRUCTURAL 0 TENANT ELECTRICAL PLUMBING MECHANICAL OTHER 1`30)ECT DESCRIPTION: Sq.FL Construction cape lcne ValuJW S _ PC# _ Remarks Permit t0 brim ft Perviously inspectel PLUMBING FEES Alter Repair Auto '!.'ash j-- Clarifiers Dishwasher Fixture Traps ea. Floor Drains Floor Sinks Gas Service Outle Interceptors P'Trap Roof Drains Trailer Sewer Sewer Cap Sewer Con.jection -- Solar Collectors Solar Piping Solar Tank Swimming Pool /Spa Nater Heater Occupancy Acres others. r 3 -10 -88 ELECTRICAL Generator 00.5KW O 5 -i5KW Construction Pole Sub. Cooking (Juit Pole Light _ Dryers O Gas 0 Electric Fan F.A.U. Fixtures Outlets Switches _ Meter 17 up to T 90 am:is Meter Dover 100 amps _ Sub panel Transformer 015.50KW O 50+KW Motors O 0 -1 HP 01 %t' 8 Inc. Solar 09.15 HP D 16.15+ Sing /Fam. Res. Multi -Fam. Res. E Man Building: T Front BF-RearA c. Right Sl Left Ping. Ref. Planning Notes Exhaust System Mult1'ple Evaporative Cooler Heating System . Oucting 00- 100.000 BTU 0100,1 Hood or Canopy Type T O Type II I Refrigeration System 00100.000 BTU 0100, Firepj /Fact. Bit.'CBO * System Repair /Alteration Dam Incinerator It fiWMENTSERVICESREQUIREMENTS: mint AW*W By to Ssildiet 04WOwd rg Rate lkatiea Iseeed ft NM U Accessory SuBd Park ACCT. N GRADING FEES CA: --Cu. yards Fill. cu. yards 3'FO.3370 Plan Check fee S . X300 -33 +1 Permit Fee y Total Fees $ _ 33ti0.3311 Summary of Permit Fees S - Building S _ Plumbing S S _ Electrical S Mechanical S _ Other S 114131 SMIP 3360 -3370 1 Summary of Plan Check Fees Taal Fear DN $ Z 0 N 1 N G R E a T S Building S - Plumbing Electrical S _ Mechanical S Other S _ 33%3375 Planning S Taal Fear DN $ Z 0 N 1 N G R E a T S for sale (Socleon 7044, Business and Professional Code: The Contractors T CITY OF LAKE EL51NflRE CONSTRUCTION PERMIT Pssess is Pars S) {i Vers i dQ Drive Aasasaor'a Parcel No. Applicant to fill in all spaces except those Within heavy border lines and sign all appropriate declarations Owner's Name F1 Marrn Investment CO-Phone PERMIT NO. TRACT NO. LOT NO UNIT NO. I Address Sj3lj Cnagt H'ah y__ "una Beach CA TrPEOFCONSTRUCTION NEW L ADD rJ LTERATICyy i i REPAIR CONVERSION DEMOLISH OTHER t Sobile ome lnstar .at10n DESCRIPTION OFWORK/USE OF BLDG. TYPE OF PERM IT GRADING FOUNDATION STRUCTURAL t= TENANT ELECTRICAL L3 PLUMBING MECHANICAL OTHER PROJECT DCSCRIPTION: SQ. Ft. Occupancy — Construction type Zone _ Acres Valuation $ PCx A.P. # S Main Building: E T Front B Rear A KI Right S Left Ping. Ref. # Arch/Eng. License Nn. Address Contractor's Natn,s— Phone Address (mailing) City license No. LICENSED CONTRACTOR DECLARATION rIh9erebyaffirmthatIamlicensedunderprovisionsofCharter (commencing 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. Remarks ri bring files U t0 date. Planning NotesDato_ Signature RKERS' COMPENSATION DECLARATION reby affirm that I have a certificate of consent to self- insure or a certificate Perviously inspected b others. I Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab, C.) pletion, the Owner will have the burden of proving he /she did not build or im. S 3 -10 -8a prove for the purpose of sale). SSolar Piping S Policy No. Company Certified copy is hereby furnished. Certified copy Is filed with the city Building Division. ID. # / ' 1 — 3r Misc Date Applicant _ Multi -Fam. Res. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION tThis section need not be completed il the permit is for one hundred ($100) or tractors to Construct the protect (Section 1044, Bu0nesf and Professions code: S IThe Contractor's L:Cense Law does not apply to an owner of property who leis). 1 certify that in the performance of the work Ic,• which this permit is Issued, 1 shall not employ any Person in any manner sc . to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: 11, after making this declaration. you !horrid become subject to the Workers' Compensation provisions of the Labor Code, you must fortlswan comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performarce of the work for which this perwil is issued (Section 3097 Civ. C.) PLUMBING A[e Re pa,, FEES ELECTRICAL FEES Genera_ tor 0 5KW D 5 15KW MECHANICAL Boiler Auto Wash owtouction Pole Sub. Duct -Under Ground Backfiow Preventer Cooking Unit Duct - Structural Backfiow Ire, tll0nA. Pole Li ht Fan - Ventilating Ciarlfiers Dryers Gas Electric Exhaust System Multiple Lender's Name Lender's Address _ OWNER BUILDER DECLARATION 1 hereby affirm that : am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for Such permit to life a signed statement that he /she is licensed pursuant to the provi;ions of e Contractor's License La-.,,, (Chapter 9 ;commencing with Section 7000) of iS,On 3 Of lh@ BuflrlOff and PrOltSSiOfo me ) Or that 1e /She is exempt re team and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit Subjects the applicant to a civil nasty of not more than five hundred dollars (5500). 1, as owner of the property or my employees with wages as their sofa compenSatlon, will do the work, and the Structure is not intended or of /eied Dishwasher Fan Evaporative Cooler Fixture Traps ea. I F.A.U. Heating System & Ducting 000 BTU 100 01DO.100 _ 01Fi00tDrainsFixtures FIOOf SI.':kS Outlets Hood or Canopypy T e 1 D Type 1! CGasServiceOutletsSwitches Interceptors Meter 0 up to 100 amps Refrigeration System 0.100,000 BTU "100,01P -Trap Meter Dover 100 amps ROOF Drains Sub panel fire I /Fact. Bit. ICBO # Trailer Sewer 15.50KW System Renoir /Alteration for sale (Socleon 7044, Business and Professional Code: The Contractors T Sewer Cap _ Transformer — thereon, and who does such work himself /herself or through Iris or her own employees, provided that Such improvements are not intended or offered for SSevnr Connection - Bldg. M D 1 Registers Solar Collectors I Incineratorpletion, the Owner will have the burden of proving he /she did not build or im. S Inc. Solar 09.15 HP 016 -15+ I prove for the purpose of sale). S Solar Piping SSing /Fam Res M Misc Solar Tank M Multi -Fam. Res. tractors to Construct the protect (Section 1044, Bu0nesf and Professions code: S IThe Contractor's L:Cense Law does not apply to an owner of property who I:] 1 am exempt under section B. a. P. C. for this reason f l Water SPrvire 1 1 1 ISSIIO FOO Data — uwner _ I hereby rertffy trial I have read this application and state that the above information is :Offaiti. I agree to comply with all city and County ordinances and stale laws falating to building construction, and hereby authorize •epre- sentativas of this city to enter upon the above mentioned properly for Inspection purposes. Signature _ _ _ Data Drivers' License or SS V White•Buildint: Green - Temporary File Caps: CanaryAssesw. Pink•Appiicant: Goldentod•Accn,tnfrnt DEVELOPMENTSERVKES REQUIREMENTS: boliq Ailp and h flails A Preerd b —Dab _. Aplikstills Iseeed fly Beta BTU Accessary Building: z 13 N I N G R E 0 y T S ACCT. N GRADING FEES Cut: cu. Tarns Fill' cu. yahis 3360.3370 Pian Check Fee S 3300.3312 Permit Fee S Total fees $ 3360.3312 1 Summary of Permit Fen Buildinf $ Plumbing S Electrical S Mechanical S Other S 110.231 SMIP S 3360.337C I Summary at Pon Check fees Budding s __- Plumbing S Electrical S Mechanical S Other S 03315 Planning _ Taft Fen Dw $ 3360.337C I Summary at Pon Check fees Budding s __- Plumbing S Electrical S Mechanical S Other S 03315 Planning _ Taft Fen Dw $ Taft Fen Dw $ CITY OF LAKE ELSINORE CONSTUCTION PERMIT ProjecfAddnss 90.0 Riverside Crave _ Assessois Parcel F!o. _ Applicant to fill in all space$ except those within heavy border lines and sign all appropriate decleta. ens I Owner's Name -_? mar o - -;_tMeAtr. —C_Q Phony PERMIT NO. TRACT NO. LOT N0. I UNIT NO. Addrets 8a 1 Cnast Highwa-Y_Laouna Beagn CA _ %•2 Arch /Eng. _ _ _License No. _ __ TYPE OFFANSTR''CrION C1 NEW ADD J TERATIO REPAIR 02 C6NVERSION DEMOLISH FJ OTHER 140bi 1 e n`oTneNsta I 1 d t ; on Address DESCRIPTION OF WORKrUSE OF BLDG. A.P. # Contractor's Name _ Phone E'31ainBuilding: Address (mailing) _ _ I TYPE OFPEAKr1 GRADING FOUNDATION STRUCTURAL T Front City License No.. _ O TENANT ELECTRICAL PLUMBING MECHANICAL B Rear LICENSED CONTRACTOR DECLARATION OTHER A I hereby affl— trial t am licensed under provisions of Charter 9 (commencing PROJECT DESCRIPTION. Sq. FL _Occupancy C Richt with section r, ') of Division 3 of the Business and Professions Code, and Cons!ruction type Zone AUes K my license is!n full ford and effect. S K. Left Ucense Class License fro. M Valuation $ _ Pi! Ping. Ref. # Date Signature bran flies U t0 dire. Planning NotesRKERS' COMPENSATION DECLARATION rlemarks g reby affirm that I hava a certificate of c:_s...... c ^If- insure or a certificate Perviously inspected b others. Workers' Compensation IrlSUranC6, or a certified copy thereof .(Section 13800, Lab. C.) 3-lo -sa Policy No. _ company _ 7 Certified copy is hereby furnished. uCertifiehcopyIsfiledwiththecityBuildingDivision. IC. 1tDataApplicant _ - EXEMPTION FROM WORKERS COMPENSATION DECLARATION This section need not be completed if the oermit is for one hundred ($100) Or less). 1 certify that In the performance of the work for which this permit is issued t shall not employ any person In any manner so as to become subject to tare PLUMBING FEES ELECTRICAL FEES MECHANICALWorkers' Compensation Law, of California. Date Signature Alter Repair I I Generator 00.5KW 0 5 -15KW Boiler NOTICE: If, after making this declaration, you should become subject to the I Auto Wash Construction Pule Sub. Duct -Under Groundworkers' Compensation orovisions of the Labor Code, you must forthwith — comply wrlh such provisions or this oermit shin be deemed revoked. Backf low Preventer Cookin Unit Duct- StrueturaiCONSTRUCTIONLENDINGAGENCY Backflow Irri teen Pole Light FanIherebyaffirmthatthereisaconstructionlendingagencyfortheperformance - Ventilating Of the work for which this permit is issued (Section 3097 Civ. C.) Clarifiers D efS Gas Electtl[ Exhaust System MultipleLarder's Name t S Lenders Address Dishwasher Fan Evaporative Cooler OWNER BUILDER DECLARATION Fixture Traps ea. F.A.U. Heatin SIherebyaffirmthatIamexemptfromtheContractor's License Law for the g ystem & Ducting following reason (Section 7031.5 Business and Professional Code: Any city or Floor Drains Fixtures 010.100 000 BTU 13100,000 BTUcountywhichrequiresapermittoconstruct, after, improve, demolish or repair Floor Sinksanystructure, prior to its issuance, also requires suirestheapplicantforSuchpermit Outlets Hood Of C3nOpyto (.,a a signed statement that he /she is licensed pursuant to the provisions of Gas Service OutletseContractor's License Law (Chapter 9 (commencing with Section 7000) of Switches T e 1 O Type II ision 3 Of the Business and Professions Code) or that he /she is exempt Interceptors Meter O up to 100 amps Refrigeration Systemrefromandthebasisforthealiegeaexemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil P -Trap Meter Jover 100 amps 00. 100.000 BTU O 100 000 RTUr'nalty of not more than five hundred dollars (S500) lJ I, as owner of the property or my employees with wages as their sole RRoof Drains FSuboriel IFi Seweri Transformer 0 15.50KW SSystem Repair /Alteration Sewer Ca C firet Sewer Connection - Bldg. MMotors O 0 -1 HP O IX - 8 R I hereby certify that I have read this application and state that the above _ OEVEi01MENT SERVICES REQUIREMENTS: Information is Corset. t agree tO comply With all city and county ordinances Z^iLAWM:gandstatetawsrelatingtobuildingconstruction, and hereby authorl7e repre- Sentalives Of this city to enter upon the above - mentioned property for Nlil MAPyroWftInspectionpurports. A/¢WCitiollhwdByS,jgnature _ y Date.. Issue •- Driver%' License or SS 1, White- Building: Greta -Ttmtm ilff File Cw Canary•Assessor: Pink•Arolicant. Goldenrl:3- Accruntino Accessory Building: Z 1 N G R E a M T S ACCT. 9 GRADING FEES Cut' cu. yards Fill: cu. yards 3360 -3370 Plan Check Fee; 3300.3311 Permit Fee S _ Total Fm $ _ 33W3312 I Summary of Permit Feas Building Plumbing Wctncal Muhamgl Other 110.231 SMIP S S f _ i s 3360.3370 1 Summary of Plan Check foes Building $ Plumbing S Ekcrii;al i - -- Mechanical 3 Other _ 3360.3375 1 Planning S . TOW Fos Dlw i 3360.3375 1 Planning S . TOW Fos Dlw i Project Address 329nn Riverside Drive _ Assessor's Parcel NO. Owner's Ncme Fl Marro inVestMat CO.pyORe Address _RR11 rnact Hiohwav LaQ Lna Beach CA ArchlEng. License No. Address Contractor's Nacre Phone Address (mailing) _ City License No. LICENSED 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, aild my license as in full force and effect. License Class License No. D -le Signat ire RKERS' COMPENSATION DECLARATION reby affirm that I have a certlflcaf9 Of consent to sall4nsure Or a certificate tAorker$' Compensation Insurance, or a certified copy thereof ( Sectlon 3900, cab. C.) Policy No. ....__ Company 8 I Certified Copy Is hereby furnished. Corti ".red copy Is filed with the city Bui:dinq Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This 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 writer' this Permit IS Issued, t shell nor mploy any person in any manner so as to become sur lest to the Hornets' Compensaflon taws of California. Date Signature . NOTICE: 11, after making this declaration, you should become subject t0 the Workers' Compensa!:On provisions ra the Labor Code, ya., must forthwith comply with such provisions Or this Permit $hail Oe deemed revoked. CONSTRUCTION LENDING AGENCY I ne reny athin, that there is a Construction lendicg agency for the Performanc.' of the work for v:hic:+ this permit is issued (Section 3097 Civ. C.) Lrcaer's Neill __,___•_ Le ller's Aaer!s3 _ OWNER BUILDER DECLARATION I thereby affirm that I am exempt from the Contractor's Llzense Law for the foliowrny reason (Section 7031.5 Business and Professional Code: Any city of 10unly which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to (Ne a Signed statement that he /she is licensed pursuant l0 the Prov,sions of a ve ConlfaCIOf's License lay. (Chapter 9 (commencing with Section 7000) of i on 3 of the Business And Professions Code) or that he;she IS osrnlpt refrom and the basis for the alleged exemption. Any violation of Section 035.5 by any applicant for a permit subjects the applicant to a civil eenalty of not more than live hundred dullals f%500;. LJ 1, as owner of the property or my employees with wages as their sole compensation. will CIO the work, and no structure is not IntendeH or offered for sale (Section 7044. Business and Professional Code: The Contractor's L.cer+se Law does not apply to an Owner of a property who builds or improves Ihcreon. oho who does such *Mork himself /herself cr through his Of her own employees, Provided that such improvements are not intended or offered for sale. 11, however, the building or Impro. ^menl is sold ithin one year of com. pletlOh, the Owner will have the burden of proving hv+sT.e did not build or im- prove for the purpose Of sale). 0 1, as owner of the property, am exclujiveiy conirai.tinq with licensed can- tractors IO Construct the project (Section 7044, Business and Professions Coda: Tht Contractor's License law does not apply 10 an Owner of properly w:lo bwids Of improves thereon, and who contracts for SuLh pr O;ects with a con - 1NCInf(s) license pursuant to the COntrac.Or's License taw) I am aware that Tof, Their Worker's Cornpensalion insurance should be provlded to me. L7 I am xen10l undat Se %tion B. R P. C. for Ihis reason Date Owner I hereby certify that I have read till: application and state that the above informa'iOn IS Correct. I agree In Comply with All City an? county Ordinances ono state laws relating to building conslructlon, and hereby authorise repre- sentatives Or this city to enter upon the above•mentionea property forlr$P*Chon purposes. Signature _ Date D!!vers' license or SS rt While•Bu11dinF; Green•Terfoll sry File 0W,, Canan.AUCS -VIII PIRI- Appllunt Coldentod- ALcounling CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heny border lines and sign, all appropriate declarations PERMIT N0. I TRACT NC. If LOT NO. . I UNIT NO. TYPEOFCONSTRUCT10111 NEW Cl 1.00 LTERATIO REPAIR COKYERSIe.V 13 KMOW" 0 OTHER . Mbi 1 e 11( fnstal l atlon OESCRIPTION OF WORK /USE OF TYPE OF PERMIT GRADING FOUNDATION u STRUCTURAi 13 TENANT ELECTRICAL PLUMBIMG ^ MECtm:cAL OTHER _ PRO)ECi 9ESCRIPTIGN: Sq.Ft. _. Occppaocy Construction We Zone _ Arses Valuation $ PC f Remarks pP ,i obrinq Ps up to date. _ Perviolisly inspected by others. rf. I 3- 10•-88 ID. PLUMBING Auto Wash Backflow Fre%en Dishwasher Fixture Taps ea. Floor Drains Floor Sinks Gas Service Outlets Interceptors P -_Trap Roof Drains ter Heater Issue ELECTRICAL Generator C=10.5KW 0 ff- 15f,tiA Construction Pale Sub. Cooking Unit Pole: Light Ory2rs OGas OElactric__ Fan _ F.A U. Fixtures Outiets Switches Meter O up to 100 amps _ Meter Lsover 100 amps Sub a nel Transformer O 15.SOKW O 50tKW Motors O 0.1 HP O 1'G . 3 Inc. Solar 09.15 RP 016 -15f Sinn /Fam. Res. Multi -Fam. Res. 1 A.P. # E Main Building. T Fr,nt ARear C Right K Left Ping. P.ef.# Plannino Notes Heating System & Ducting 00- 100.000 BTU 0100.( Hood or Canopy Refrigera'lon System 00. 100,000 BTU G 100, Ft- reel /Fact. Bit. ICBO # System Repair /Alteration Fire, Oamoers Incinerator Misc. OtwiA kuff SERms REQlifRf)/ENTS: bmiy Awn•e b _ as f)rual4viloai /y _Hale _ Awkstiolt &Wd y Accessory Z O N N G R E O M T S ACCT. a GRADING FEES Cu:: cu. Ards Fill cu. Ards 3360 -3370 Plan ghee! Fee $ 3300 -3312 Permil Fee S I Total Fen $ — 3360.3312 j Summary a Permit Gets 3360.3310 1 Saslmary of Ptan Check Fee Building Plumbing S Electrical S Mechamp: S ,__ Other S 110.231 SMIP 3360.3310 1 Saslmary of Ptan Check Fee TOM Fes on S -- _ Building Plumbinif S Ilectrual Methaalyl S ,__ Other S 33643315 Planning S TOM Fes on S -- _ Pr- jectAddress 32900 Riverside Drive Assessors Parcel N... Owner's Name I 1 hIarrO 1DVeStmen1-C9--Phonr Addrets _AtUl i Gms - H ig1way a„ ug na Beach CA Arch /Eng. —_ License No. Address Contractor's Name_._ __ Phone Address (mailing) _ _- City License N0. — LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing w,th section 7000) of Division 3 of t!se Business and Profession . Code, andmylicenseisInfullforceandeffect. License Class License No Date __ Signature VR COMPENSATION DECLARATION reby affirm that l have a certificate of consent to self -insure or a certificate Werkem' Compensation insurance, or a Certified copy thereof (Section3800, Lae. C.) Policy NO. — Company 8 Certrlled copy Is hereby furnished. Certified copy Is filed with the Cit? Building Division. Date Applicant EXE161PTION FROM WORKERS' COMPENSATION DECLARATION , This section need not be comple:ea if the permit is for one hundred ($100) orless), 1 cerlt!v that In the per!ormtnre O! the war. for which this permit is Issued, Ishallnotemployanypersoninanymannersoastobecomesubjecttotheworkers' Compensation Law: of California. Date __Signature _ _ NOTICL': 1!, after making this declaration, you shuu!a become subject to theyorkcnCompensationprov %ions or the Labor Code, you must jorthwrtncomplywithsuchprovisionsorthispermitst -all be deemed revoked. CONSTRUCTION LENDING AGENCV I hereby affirm that there r$ a construction tending agency for the performanceofMewarkforwhich ;his pe!ntit Is rssJQd /Sect-On 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION —^ I hereby affirm that I am exempt from the Contractor's License raw !or the Icf:Ow,ng reason (Section 7031.5 Business and Professional Code: Any city o. county whlVi requires a Permit to construct, alter, ,mprove, demolisn a: repair Any Structure, prior to its Lluance, also requires the aophcans for such permitiofileasignedstatcmcntthehe /She is trccr.sed pursuant l0 file Provisions ofeCCTtfaCtOf'S License Law (Chapter 9 (commerring with Section 700C) ofvis•un 3 of the Business and PfoleSS,On$ Code) cr that he /she is exempt erefrom and the bas's for the alleged exemption. Any vidlat:nn df S.cnon1- 5 by any applicant for a permit st-Diects ills applicant to a civil Penalty of not more than five huodred dollars ($500). r. 1, as owner of the Prope!t'f or my empfnyees with wags: as their sole compensation, will do Ill* work, and rte st .-ucture is not intended or offeredforsale (Section 7044, Business and Professional %;nde: The Contractors License Law does not apply to an owner Or a property who builds or improves t.. ^:ereun, and who does such work nlmfctl /nCKCIf or through his Or her Own employees• provided that Such fmprovements are not intended or Offered for safe. If, however, the bfnlding r)r rmpfovament is sold wilhrf: One year of corn - olelion, the owner wili have Inc burden of p,Ovfog he /She din not build Or sm. Drove for too purpose of :ale). 0 1, as owner of the ProPerty, am oxc:ufively contracting with licensed con - Iractors 10 construct rise protect (Section 7044, Susmass and professions Code: The Contractor's License Law does not apply to an owner of property whobu.fds or improves tner*On, and who conlracts for such projerts with i, con- tractor( %) liccnie pursuant to file Contractor's License Law). I am aware thatfo01O!! their Worker's Compensating, insurance should De provided 10 me, L I am exernpi under Section -- B. & p. C. fur ICI% reason Date _ . _— Owner --- I hereby certify that I nave read till$ 41001,cation al.rl scats that ire aboveinformation .% corr*ct. I agree to comply wish an city and county ordinancesandslatelawsr*ial,ng to build n•, construction, and hereby authort7e r*pre- tlniat,NS Of this City to en! upon Ih* above - mentioned property forin$pectton purposes, - _ Signature Date Drivers* License or SS 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. 1Y0[ n[MUefMUw.wr TRACT N0. LOT N UNIT NO. L-; rusir 0 CONVEPS'ON 0 DEMOLISH 0 OTHER I4o bi 1 e ALome 10fnstaI l atpi'Qn DESCRIPTION OF WORK/USE OF BLDG. TTFE OF PERMIT GRADING 0 FOUNDATION 0 STRUCTURAL 0 TENANT 1 ELECTRICAL Cl PLUMBING O MECHMiCA1 0 OTHER PROJECT DESCRIPTION: Sp.FL _ OcctmanCy Ccastructfon ter^ zone Acres Valsabon j PCI Fervio ID.# PLUMBING A(te. Repair Auto Wash Backf low P. evente Back flow Irri liar C!arif iers Dishwasher Fixture Traps ea. Floor Drains _ Floor Sinks _ Gas Service Outle Interceptors P -Trap _ Roof Brains Trailzr Sewer Sewer Cap Sewer Connect;cr - Solar Collecto. s _ Solar Piping Solar Tank _ Swimming_Pool /Spa Water Heater others. 3 -11 4P ELECTRICAL ator 00.5XW 0 S. F.A.U. _ Fixtures Outlets Switches Meter O up to 100 amps _ Meter Oover 100 amps _ Sub panel Transformer 015.SOKW O 50 +KW Motors f0 0.1 HP O 1:a - 8 Inc. Solar 03.15 HP 016.153 Sing/Farn. Re„ -- A.P. # E Main Building: T Front ARear C Hight S I Left P a Ref. Planning Notes Heating System & Ducting Hood or Canopy Refrigeration System 00. 100,000 BTU Q Firepl /fact. Blt_ICB( System Repair;Altera_ Fire Dampers Registers Incinerator M isc. DEVEWMENTSERIIICES REQUIREMENTS: 7oting Aw d h 0* 11r-Uft Appmd _aft APlikatim Ismil Building: ACCT. M GRADINE FEES Cut: cu. yards FIJI. __ cu. yards 3360.3310 Plan Check Fee $ 3300.3:112 Pe:mitFee S Total Fees j 3360.3312 I Summary of Permit Fees Building $ Plumbing j Electrical j Mechanical j Other j 119 -231 SMIP j 3360.3310 1 Summary of Plan Check Fen Building j Plumbing j Electrical j Mechanical j Other j 33643315 Planning NT.,Ir Buildific Grce 1 -Tempo rt File Com: Gnarl- Assessar: pink•AOglicant: Gokknrrrl.kc- viAhn/ I WIN 1 1 TOW FM Dui j Z O N I N G R E O M T+ Project Address _32900 Riverside Drive Assessor's Parcel No. Owner's Name !=1 Mnrra Tnvestment CO, hone Address _Ball Coast Highway_Liig Beach CA Arch /Eng. License No. — Address Contractor's Name Phone _ Address Imailing) City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm th7t I am licensed under provisions of Charter 9 (commencing with section 7000) of D 'Islon 3 of the Business and Professions Code, and my license is In full force and effect. License Class _License rao__ Date Signature FRKERS' COMPENSATION DECLARATION rely affirm that I have a certificate of consent to self- insure or a certiliate Workers' Carnpensatlon Insurance, or a certified copy thereof (Section 3800, Lab. C.) Policy No- Company 8 Certified copy Is hereby fianished. Certified cony is aced wit:. Inc _ny Bu.IQing Division. Date Applicant EXEMPTION FROM woRKERS- COMPENSATION DECLARATION This section need not be complete(! if the permit is for one hundred ($100) or less). I certify vial in the performance of the work for which this permit is issued, 1 Shall not ernpiov any person in any manner so as to become subject to the Workers' Compensation laws Of Californ.a. Gate __Signature NOTICE: if, after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with Such erovisions or this permit shall be deemea - evoked. CONSTRUCTION LENDING AGENCY freby affirm that there is a construction lending agency for the performance M the work for which this permit is issued (Section 3097 Civ. C.) Lrnder's Name Li:nder's AdeieSS OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demob Sh or repa.r any structure, prior to its issuance, also requires the aorilicant for such permit to file a signed statement that na;she is licensed pursuant to the provisions of ke C ontractor's License l.aw (Chapter 9 (commencing with Section 7000) of ision 3 of the Business and Pr OfessiOrrs Code) or that he /she is exempt refrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil p:nalty of not more than five hundred dollars ($500). C3 I, as owner of the property or mr employees with wages as their sole compensation, will do the work, and a structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's Law .aw does not apply to an owner of a property who builds of improves thereon, and who does such work himself /herself or through hr$ Or her nwn employees, provided that such improvements are not intended or offered for sale, if, however, the building n- improvement is sold within one year of com- pletion, the owner will have the burden of proving he /she did not build or im. prove for the purpose of sale). Q 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 Law d *t apply to an owner of property who builds or improve$ thereon, and s intraclsfor such projects with a con. tactor($) license pursuant to the C cto:'s I Icense Laiv!. 1 am awafe that proof o/ their Worker's Compenss ... insurance should Le provided to me. O 1 am exempt under Section— — B. 6 P. r_ for this reason Date Owner i hereby certify that I have read this application and state that the above Information is correct. 1 agree In comply wit^ all city and county ordinances and state laws reialing to bu,laireg consirur wn, and hereby authorize repro. entatrves of this city to enter upon the abov&- menti ,)nfd property for inspection purposes. Signature — Datc__ - -. Orivers' License or SS V White•Bwldmaw Green•Temgonrf File Copt. Canary•Assessw Pink•Apoliant; Goldenrod•Acrounhnf 1 CITY OF LAKE ELSINOPE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations PERMIT N0. TRACT N0. LOT N0. I.. UNIT N0. TTPEOFCDNSTRIlCTIOM NEW ABC ALLTERATIO REPAIR C CONVERSION DEM61USH G OTHER Mobile 11( - nstallation A-P, # CESCRIPTION OF WORKIUSE OF BLDG. E Main Suildirg: Tt- PEDFPERMIT GRADING FOUNDATION = STRUCTURAL T Front G TENANT L ELECTRICAL G PLUMBING MECHANICAL A RearLiOTHER _ - PROJECT DESCRIPTION: Sq.Ft _Occupancf C Right Cons!ructlon type Lone Acres g ! Leh Vaivation $ PC# Ping. Ref. # Zone Accessory Building: Parkin Req. /Provided Z p N I N G E Remarks Penni t to bring files up to date. Planning Notes M Perviously inspected b hers. T 3 -10 -$a S ID.# PLUMBING FEES ELECTRICAL FEES MECHANICAL FEES AMT.0 3360 -3370 3300.3312 GRADING FEES Cut. Fill. Plan Check Fee $ Permit Fee $ Total Fees cu.talds ca. yards Alter Repair I I Generator 00.5KW O 5 -15KW Boiler Auto Wash I Construction Pole Sub. Duct -Under Ground Sackf low Pre enter Cookin Unit Duct- Structural Backflow Irrigation Pole Light Fan -Ventilating_ Clarifiers Drvers Gas Electric Exhaust System Multiple Dishwasher Fan Evaporative Cooler Fixture Traps ea. F.A.U. Fixtures Heating System & Ducting 00-100.000 BTU 0100,000 BTUFloorDrains 3360.3312 110 231 3360.3370 3360.3375 Summary M Per mitFalls Building S Plumbing $ _. Electrical S Mechanical f _ Other SMIP f Summryof Plan CkeckFifes Building $ Plumbing S Electrical S .. Mechanical S Other $ Planning S Total FM on i AN Floor Sinks Outlets Switches Hood or Canopy Type 1 Type II 11LGasServiceOutlets Interceptors Meter 0 up to 100 amps _ Meter Dover 100 amps Refrigeration System 0&100,090 BTU O 100,000 BTUPTrap Roof Drains Sub anel Fire I /Fact. Blt. ICBO # Trailer Sewer Transformer 0 15.50KW 0 50+KW System Repair /Alteration Sewer Cap Fire Dampers Sewer Connection Bldg. Motors 0 0.1 HP O1' /- - 8 Inc. Solar 09.15 HP 016-15+1 Registers Solar Collectors Incinerator Solar Piping SinglFam. Res Mist. Solar Tank Multi•Fam. Res. Swimming Pool/Spa Swimming Pool/Spa Water Heater Issue Wai,'r Service Icato Fg.0 KVELOPMENTSERVICESREQUIRCVENTS: iliMinig AwwW b _Deco kUnAIRnelill91 _ hb NIrK+1iw bseN h Delo I Septic Sygem i Issue ProiectAddress 32800 Riverside Drive Assessor's Parcel No. Remarks Pemit to Owner's Name F1 Marm Investment CO -Phone Address Bali enact Highway Laguna_-Beach GA Arch/Eng. License No. Address Contractor's Name -- _Phone Address Irnailing) City License No. LICENSiCD CONTRACTOR DECLARATION 1 hereby atfirin that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Bus .less and Professions Code, and my license is in full force and effect. License Class ___License No.—. Date Signature FRKERS' COMPENSATION DECLARATION it" affirm that I have a certificate of consent to Wf•insure or a certificate workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab, C.) Policy No. Company 8 Cot title,' copy 11 hereby furnished. Certlfieil copy Is risen with the city Building Division. Applicant EXEMPT'ON FROM VfOR4(ERS' COMPENSATION DECLARATION ThrS Se i.1n ntgd i,ot ?A completed it the permit is for one hundred (5100) Or ttStl. I ::e it:y :ho! u, th. ,ter! t :rnance Of the work for which this permit is issued 1 trig —it employ arty person in any manner so ay to become subject to the b ors' C mp.•nc/,fion Laws of California. Slgni[ure r,,, ";P. S, r. 41 :f•, ri,al.ing this declaration, you should become subject to the yr . s' Con.. ,ritation provisions of the Labor Code, you must forthwith con -dry w.tn such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I nereCy affirm that there IS a Construction lending agency for the performance of the work for trhiCh this permit is issued (Section 3097 Civ. C.) Lender's Name —. Lender's Address OWNER BUILDER DECLARATION I hereby affirm that t am exempt from the Contractor's License Law IOr the folio wing reason (Section 7031.5 Business and Professional Code: Any city or county which requires a Permit to Construct, alter, improve, demolish or repair any structure, prior to its Issuance, also requires the applicant for such hermit to Zile a signed statement that he /she Is licensed punuanl to the provisions Of l vContractor' s License Law (Chapter 9 (commencinS with Section 7000) of isiOn 3 Of the Business and Professions Code) O that he /she is exempt refrom and the basis for the alleged exemption. Any violation of SBCtion 31.5 by any ap xicant for a permit subjects ;he applicant to a civil enalty of not morn, than five hundred dollars (5500). I, as owner of the property or my employees wiih wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Laver does not apply to an owner of a pi operty who builds or improves thereon, ano who does such work himSelf /her Self or tnrough his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement '$ sold within one year of Com• pletion, the owner will nave the burden of proving he /she did not build Or im- prove for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed con' tractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who ouilds or improve$ thereon, and who contracts for such projects with a Con- rattor($) license pursuant t0 the Contractor's License Law). I am aware that proof o their Worker's Comoensation insurance should be provided to me, 1 am exempt undo, Section_ B. a P. C. for this reason Date Owner 1 hereby certify that 1 Sava read this application and state that the above Information is correct. 1 agree to Comply with all city and county ordlnan:eS and state laws relating to building construction, and hereby allthoriZe repre- sentatives of this City to enter upon the above - mentioned properly for Inspection purposes. Signature _ Drive is' License or SS IF Date, _ Whlle•B Ading: Green - Temporary File Copts Canary•Assesw. Pink- Appllant; Goldenrod•Accounbng 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 NO LOT N ` I UNIT JtREPAIRTYPEOFCONSTRUCTIONC! NEW ADD 1ER11TI0y CONVERSION DEMOLISH OTHER Mobile Nome lnstalla DESCRIPTION OF WORK /USE OF BLDG. # ain Building: T1PE OF PERMIT GRADING O FOUNDATION STRUCTURAL ont U T:NANT ELECTRiCAL G PLUMBING MECHANICAL ear OTHER PROJECT DESCRIPTION: Sq.Ft Occupancy ight Construc'utin type Zone _ Acres g Left Valustlen S - - _ PCA Ping. Ref. Zone Acc essory Building: Parkin Req. /Provided Z p N G E Remarks Pemit to bring files up to Bate. Planning Notes M inspected b hers. TPerviously 3 -10 -88 S ID.# _ /L 3V PLUMBING FEES ELECTRICAL FEES MECHANICAL FEES ACCT.n 3360-31 3300.33)2 GRADING FEES Cut: Flu. n Check Fee i PermltFee $ Total Fees $ cu. Ards cu. pros Alter Repair Generator 00-5KW O 5 -15KW Boiler Auto Wash Construction Pole Sub. Duct -Under Ground Backf low Preventer Cooking Unit Duct - Structural Backflow Irrigation Pole Light Fan - Ventilating Clarifiers DFyers 0 a Electric Exhaust System Multiyls_ Dishwasher I Far. Eva orativ2Caier Fixture Traps ea. F.A.U. Fixtures Heating System & Ducting 00-100.000 BTU 0100,000 BTUFloorDrains 3360.3312 110 -131 3360.3370 3360.3375 Summary of Permit Fees Building S Plumbing $ Electrical S Mechanical S —_ Other $ SMIP S Summary of Plan Check Fees Building S Plumbing S Electrcal S Mechanical S _ Other $ Planning S TeW Fen Ow S Floor Sinks I Outlets Switches Hood or Canopy Type 1 Type II Gas Servize Outlets Interceptors Meter O up to 100 amps Meter Oover 100 amps I Refrigeration System 30-100,000 BTU 0100 000 BTUP -Trap Roof Drains Sub panel Firepl /Fact. Bit. ICBO # Trailer Sewer D 15.50W.11Transformer O 50 +KW System Repair /Alteration Fire DampersSewerCap Sewer Connection - Bldg. Motors O 0.1 HP O 1%- 8 Inc. Solar 09.15 HP 016 -15+ Registers Solar Collectors Incinerator Solar Piping Sing /Fam. Res. Misc. Solar Tank Multi-Fam. Res. Swimming Pool /Spa Swimming Pool/Spa 1 Water Heater Issue Water ervi OMLOPMENTSERI/ICESREQUIREMENTS: laniflg 49reeel 4 ttab flwBNtg AMrwel h _ Oak AoPlk+ldw bawl ma Se tic System Misr- Issue f.ulect Address :.-MOD- l3iverside Drive AUassor s Parcel No. Owner's Name ! Fl hlnt'rA It1V SrN Tli o phone Address _SUL- Cast Ilia— h wa,v LagunA Beach CA Arch /Eng, License No. Address i Contractor's Narre_ ' Phone Address (mailing) City License Ivo. LICENSED CONTRACTOR DECLARATION I hereby afllrm that 1 am licensed under provisions of Charter 9 (commencingwithsection7000) of Division 3 of the Buslr.css and Professions Code, and my license Is In full force and effect. , License Class _ _Llcome No. ate ' Signature KERS' COMPENSATION DECLARATION Dy affirm that 1 have a c0rtiflcele of consent to self-in-sure or a certificate hers' Cortrpensallon• Insurance, rr a certifies copy thereof (Sec:lonlib. C.) Policy No. I Company 8 [@rusted copy Is hereby furnished. Certlltod COPY Is filed with the City Building Dlvl, .on, aAM APPllcanI EXEMPTION FROM WORKERS - COMPENSATION JECLARATIONIThossecllonneednotbeCOnrpleledifthepermitIsforonehundred ($100) or' less). 1 50;1114 that In the Derfc: manes of the work for which :lots permit Is issued, 1shallnotemployanypersonininMann. r so as to become subject to theWorkers' COmpsnsastOn laws of California, ale Signature _ NOTICE: I1, after making this declsration, you should become SS•b —theWorkers' Compensation Provisions of the Labor Code, you must forthwithcomplywithsuchprovisionsorthisPermitshallbeaaemsdrevoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending age::ey for its performanceOfthework10: v-'hicn infs permit is issued ($e5llo•.l 3097 Civ. C.) . Landcr's Name Lender's Address OWNER BUILDER DECLARATION I nsraby affirm trial I am exempt from the Contractor's License Law for thefollowingreaso•I (Section 7031.5 Business and Professional Code; Any c!ty orcountywhichraqulrssaNrmittoconstruct, alter. Improve, demolish or repair Any structure, prior to Its Issuance, also requires the applicant for such pumilto ' a Agned statement that lie /She Is licensed pursuanl to the Provisions of 7Ri tractor's License Law (Chapter 9 (commencing with Section 7000) of W' 3 0l the Business ant. Professions Code) or trial he /sne Is exemptbmandthebasisfortheallegedexemption. Any violation of SectionDyaayapplicantforaPermitsubjectstheapplicanttoacivil 5nalty of not more than jive hundred dollars ($500). 1, as owner of the compensation, will do they work y anrd 4anr •Rroclo SIs niot Intended of offeredforsale (Section 7044, Business and P , essional Code: The Contractor'sLicenseLawdoesnotapplytoanownerofayropertywhobuilasorimprovesInereon, and who 41-0111 Such work himself /herself Or through h.s Of her own emplOsas, Provided that such Improvements a•e not intended Or Offered for. sale. I y however, the building or Improvement s sold within one year of car,-. pletlon, 1140 owner will have fns burden of proving he /sne Old not build or I r rove for the purpose of $gig)• 1, as owner of the prOPSrty, am exclusively contracting with licensed con. Adafs to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of Prooer:y whobuildsorimprovesthereon, and who contracts for such projects with a con.. tractor($) license pursuant to the Contractor's License Law). 1 am aware thatProofOftheirWorker's Compensation insurance should be PrOvIded to rise,• L7 1 am exempt uncle, Section B. & P. C. 'Of this reason Date owner - - s I hereby certify that I have read Ml$ aPPliCalien and state 1 Agree In Comply wit that the aboveInformationIscorrect. h All city and county ortlinancve " and slate laws relating to building construction, and hereby authorlre repro•'• sentatrws of this city to enter upon tha abOVO•menlion,ld property for, . nWCtlOn purposes. 1 Signature + ' 1 IDrivers' License or SS — Day_! i ; • 1 c i. r... T... c ,, r.,v h,•v ....... o..s w... 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. TRACT NO. LOT NO. UNIT N0. TYPE OF CONSTRUCTION NEW ADD ALIERATIO REPAIRCONVERSION DEMOLISH OTHER 140 ile no installation ' DESCRIPTION OF WORK /USE OF SLOG- A.P. # Zone ITPf OF PERMIT GRADING FWNDATION STRUCTURAL Main Building_ Front Accessory Building: C3 TENANT , ELECTRICAL PLUMBING MECHANICAL I T OTHER a Rear PROJECT DESCRIPTION: Sq FL Occupancy C Right Corittructica type Zone Acres _ S LeftValuations_ PC/ Remarks permit to bring file ; Up to date. Ping. Ref. # Planning Notes I Parking Req. /Provided Perviously inspected by others. s 3 -10 -88 ID.# & PLUMBING Alter Re air FEES ELECTRICA' _ FEES Generator 0.5le IN L7 5-15KW MECHANICAL s FEES I GRADING FEES Auto Wash Backflow Preventer Construction Polr Sub, Boiler Duct -Under Ground _ Cut: — cu. yards Backflowlrri scion Cooking Unit Pole Light Duct-Structural Fan Ventilatin Fill: Cu. yards 3360.3370Clarifiers Dishrvasller Dryers Gas OElectric Exhaust S stein Multi to Plan Check fees 33003312 Permltfet s Fixtura Traps ea. Fan F.A.U. Evaporative Cooler Total Fees $ Floor Grains Fixtures Heating System & Ducting Floor Sink; outlets 0.100 000 B, ( _0100 000 BTU Gas Service Outlets i Switches Hood or Canopy 360-3312 Summary of Permit Fes Interceptors P-Trap Meter up to 100 amps ype 1 O Tvpe II Refrigeration System Building S — Roof Drains Meter Dover 100 amps 110-100,000 BTU 0100,000 BTU Plumbing S Trailer Sewer Sub panel Firepl /Fact. Blt. ICBO # Elet rital s Sewer Cap Transformer i5.50KW System Repair/Alteration Mechanical s Sewer Connection -Bldg. 50 +KW Motors 0.1 HP O IV,, 8 Fir& Dampers Other s _ Solar Collectors Inc:. Solar 09•15 FIP _ 16 -15+ Re isters Inc;neralor 110.231 SMIP s Solar Piping Sing /Fam. Res. Misc. Solar Tank Multi•Fam. Res. 3360.3370 Summary oi plan Check Fees Swimmin LPnol/S a Swimmin Pool /$pa Water Heater Building $ Water Service Issue Plumbing $ Septic System Electrical = Misr DEVELOPMENT SERVICES REQUIREMENTS: Mechanical ; Lasing Appi o$ed By _ call s Issue A4rildintApprow /III _ Application Issue/ By i __ Dale 3360 -3375 Plarwms s 1 I I I Total Fes Duo i Z O N r N G R E a AA s raoiect Address ' 32900 Riverside Drive ' Asseewr'e Parcel No. Owner's Name F1 Mflir-Q Tnyestment Co. t,,,, Address 8811 Cnagt Nigbway_Laguna Beach CA Arch /Eng. License No. i Address Contractor's Name Phone Address (mailing) j City License No. ` LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license it in full fora and effect. , Ucenv. class Ucanse No. Date — Signature F KERS' COMPENSATION DECLARATION by affirm that 1 have a certificate of consent to salfansura or a certificateb. orS' Compensation; Insurance, or a certified copy thereof (Section 3200. Lab. C.) Policy No. l I Company Certified copy Is hereby furnished. Certified copy Is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION as( This st $ action .ilea not be completed it the permit is for one hundred (6100) a,' 1 citioly that In the performance of the work for which this permit is issued 1 shelf not employ any parson in any manner so as to become subject to the workers' Compensation Laws or California. Data _Signature NOTICE: If, after making this declaration, you should became subject to the workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm trial there Is a construction lending agency for the performance Of the work for which INS permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that 1 am aaempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any sirst-uro, prior to Its issuance, also requires the applicant for •uc.i permit to file a signed Statement that he /she Is licensed pursuant to trio provisions or OnlraCtor'1 License Law (Chapter 9 (commencing with Section 7000) of An 3 of the Business and Professions Codej or that he /she is exempt Wfrom and the basis for the alleged exemption. Any violation or Section 1 .5 by any applicant for a permit subjects the applicant to a civil Enalty of not more than li is hundred dollars (6500). 1, as owner of the property or my employees with wages as their Sole compentallon, will do the work, and the structure is not intended or offered for sat,? (Section 7044, Business and PiOtOSSional Code: Yne Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does Such work himself /herself or IWough his at her Own employees, provided that such Improvements are not intended or offered for. sale. 1f. however, the building or improvement Is !Old within one year or com -. pletion, trio Owner will have the burden of provlrg he /sne aid not build or im. Q OVO far the purpose of $ire). owner of the property. am exclusively cor.tracting with licensed can- to construct the project (Section 7044, Business and Professions COdu The Contractor's License Law does not apply to an owner of properly who builds or improves lner67n, and wno contracts for such projects with a can. traclor(s) license pursuant to the Contractor's License Law). 1 am aware that proof a their Worker's COmpensallon insurance should Do provided to me. 0 1 am exempt under Section — B, b P. C. for this reason Date Owner ' - -- I hereby cattily that I have read this application and state that the above formation is correct. I agree to comply with all city and county ordinances!' and slate laws relating 10 building construction, and hereby authorize repro -! SenlaliveS or this city/ to enter upon the above - mentioned properly for,. Ininection purposes. Signature ; I I Dale.l i Drivers' License or SS CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those withit• heavy border fines and sign all appropriate declarations PERMIT NO. TRACT NO. LOT tiw0. ? UNIT N0. ; G TYPE OF CONSTRUCTION NEW O ADO U TERATIO RFPAIR 11 CONVERSION DEMOLISH OTHER Mb i 1 e Dome ins to l l a t T on A lIIIlii piiiliiiiilli # DESCRIPTION Of WORK/USE OF BLDG. TYPE Of PERMIT O GRADING O FOUNDATION STRUCTURAL TENANT ' ELECTRICAL O PLUMBING O MECHANICAL OTHER PROJECT DESCRIPTION: Sq.FL Construchon type Valuation S Occupancy lone Acres Prs Remarks Per to brM* files Up to date. Perviously inspected by others. - Elecuial 1 S 3 -10 -88 Ful _cu.laids Flat. Check Fee S _ PefelrtFec S Total fees $ ID.III Exhaust System Multiple Evaporative Cooler _ PLUMBIFIG FEES ELECTRICAL FEES Hood or Canopy Type 1 Type II Alter Repair Refrigeration System 070. 100,000 BTU 0100,000 BTU Firep! /Fact. Bit. ICBO # Generator 00.5KW 5 -15N W System Re air /Alteration Auto Wash Registers Construction Pole Sub. Miss. Backflow Preventer Cookin Unit Backilow irrigation Pole Light Clarifiers Dryers Gas OElectric Dishwasher Fan Fixture Traps ea. F. A- Floor Drains _ Fixtures Floor Sinks Outlets Gas Service Outlets Switches Interceptors Meter CT up to 100 amps P -Trams_ Meter Dover IOJ am s Roof Drains Sub panel _ Trailer Sewer O 15.50KWTransformer 50 +KWSewerCap Sewer Connection - Bldg. Motors O 0.1 lip DIY, • 8 Inc. Solar 09.15 HP 16 15+ Solar tolleclors Solar Piping Sing /Fam. Res. Hearer S Main Buildi E T Front e A Rear C Right S Left Ping. Ref. # Plannino Notes 2 O N 1 N G A E a M T S MECHANICAL FEES AE Jra 330 3370 33003312 GAADING FEES Cut. cu.lirds Boiler S Duct -Under Ground Elecuial Ful _cu.laids Flat. Check Fee S _ PefelrtFec S Total fees $ Duct-Structural Fan - Ventilating Exhaust System Multiple Evaporative Cooler _ Heating System & Ducting 010. 100,000 BTU 0100.000 BTU 3360-3312 110 231 3360.3310 Samalar) of Psimil fees Building S Plumbing $ Electrical $ Mechanical $ - Other S SIM? S Summa? of Plan Cbec1 fees Hood or Canopy Type 1 Type II Refrigeration System 070. 100,000 BTU 0100,000 BTU Firep! /Fact. Bit. ICBO # System Re air /Alteration Fire Dampers Registers Incinerator IMiss. A OEYEiOPYENTSERYItESREQUiRENENTS: . lasal Ayprllesd tF -- —Dab Iwtd"ll Approved R! — Date poicsllon bum BY 3360 -3375 1 Planning S TOW fees Due S Building S _ Plumbing S Elecuial Mechanical Other 3360 -3375 1 Planning S TOW fees Due S ProjactAddrerss_32900 Riverside rive r Assessors Parcel No. Owner's Name mil_ i+4)Pril inV SfmPnt O :PhonelAddrass -8aLL-Cmqt HiWhwAy-_L&qUna Beach CA ArchlEng. License No. Address: } Contractor's Name _ phone Address (nwiling) City Lictlte No.' LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licansed under provisions of Charger 9 (commencing With section 7000) of Oivislo:r 3 of the Business and Professions Code, and MY license Is in lull force and elfocl. , License Class _. __License No. Date ' Signature KERS' COMPENSATION DECLARATION b allirm that 1 have a Certificate of consent to stif- insure or a certificate orkeis' Compensation Insurance, or a certified copy thereof (Section3800, Lib. C.) Policy NO. t I . Company Cert(hed COPY Is hareby furnished. 8 certified copy Is filed with the city Building Division. ' Deft Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATIONThisSectionneednetbecompletedifthepergnitisforonehundred ($100) or ' 1 certify that In the performance of the work far which this permit It issued I . than not employ ally Parson In any manner so as to become subject to thewalkers' Compensation LAWS of rahfOrnia. Date Signature NOTICE: Is, after making this declaration, you should become sutr_Je_ ct to theWOfilels' Compensation Provisions of the L=bar Cade, you must forth «ItocomplywithsuchProvisionsorthispermitshallbedeemedrevoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency far the PerformanceOftheworkforwhichlnlSpermitrsissued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for thefollowingreason (Section 7C31.5 Business and Professional Code: Any city orCountywhichrequiresasrelmittoconstruct, alter, improve, demolish or repair any rtructure. Prior to its issuance, also requires the applicant for such permittofireasignedslatemcntthat1141/she is licensed pursuant to this provisions o: Hontractor's License Law (Chapter 9 lcommencing with Section 7000) Of om and the basis for the allegedrexe ptlun. Anly vio:a! on of Section by any applicant for a rermrt Subjects the applicant to a civilfanallyofnotmorethanfivehundreddollars ($500). 1. as owner of the property or my employees with wages as their sot* compensation, will do the work, and the structure I not intended or offeredforSafe (Scct!on .044, Business and Professional Code: The Contractor'sLicenseI..aw does not apply to an owner of a property who huilds or improves thereof., and who glass such work nlrnSetf/herself Or through his or Slat Owrr eni PlOyeeS, provided that such imPrdvements 4(9 not Intended Or Olfefed for. tats. 11, however, the building or Improvement Is sold within one yeas or com, plellon, th4 owner will nave the burden Of proving he /the did not build or Im• Me for the Purpose of sale). 1, as owner of the property, am exclusively contracting with licensed con- tractors to Construct the protect (Section 7044, Business and Professions Code: Tne Contractor's License Law dons not apply to an owner of property whobuildsorimprovesthereon, and wA0 COGIJACls for such projects with a con- Ifaclor(N license pursuant to the Contractor's License Law). I am aware thatproofoingotWorker's Compensation insurance SrOuld be provided to me.' 0 1 ads exempt under Section 8. i P. C. for this reason Date Owner ' % _ I MrabY carHfy Mat 1 have read 1114 4PPIIcet1On and state that the abovo . Information is correct. 1 agree to comply won all qty and county ordinancesandStalecawsrelatingtdbuildingconstruction, and hereby authortaa repro -rSentallvesalthiscityto911181uponInaADOVe•mentioned properly forInspectionpurposes, Oate,L1Orlvers' Ucense or 55 '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 N0. TRACT N0. LOT NO. UNIT NO.. ; TYPEOFCONSTRUCFION NEW ADD TERAi10 REPAIROCONVERSIONODEMOLISH OTHER 140 ile f LoMe installation - DESCRIPTION OF WORhtUSE OF BLDG. tFrEOF IT O GRADING O FOUNDATION_ O STRUCTURAL O TENANT E(ECTRIX O PLUMBPNG MECHANICAL ! OTHER rROJECT DESCRIPTION: Sq.Ft Occupaocy — Construction type _ Zone _ Valuation 3 Pr_, f Remarks PeMiJtAo t ri rl& i ids ug to di Perviously ins ected by others. 1111 i9ie?fY! '! 6 7 PLUMBING FEES ELEC_TRICA Alter Re air Gen erator 00 -SKY Auto Wash Constructior. Pole : Backflow Freventer Cookin Unit Backflow Irri tion Pole Liaht Fixture Tral Floor Drain; Floor Sinks Gas Service I,It-nge t_crs P -Tray railer Heater Bid Acres -- te. 3 -10 -88 FEES O 5.15KW Fan F. A. U. Fixlufes Ou: Switches Meter 0 up to 100 rrnps Meter over 100_amp: _ Sub panel Translol mer 0 15.50KW EMainBId T ront_ e A C Right K S Left Ping. Ref. # Planning Notes Heating System & Ducting 00.100,0C J BTU 0100 000 BTU _ Hood Lf Canopy 7Y!e2 T 811 Refrigeration System 00_100,GQfi BTU 0100,000 BTU Fired /Face 81, ICBO =1 _ Systvfn Repair/Alterati011 j au *nw _ Motors 0 01 NP O IY 8 tut t7ampl Plurrbint S Registers Inc. Solar 9.15 HP (716.15+ Mechanical Incinerator Sing/Fam. R_s. Mite. Zane Accessary Building: Z O N 1 N G Parkin Req. /Pide R rovd E 0 M T, S 4CCI.8 IGNAD194rFEES Cut fill. 3360 -3370 Plan Check Fee f 3300.3312 Permit fee $ Total Tees $ 33643.3)2 1 S'a maq of Perini' fees 110,231 33603310 DEYEWMEhT$ERYICESREQUIREMENTS: - ZmAl Append By -- suildot 4prond of Appfitaflw issue/ R) - - - -- -Dab 3360 331; Jards yards Biald f i _ r• — Plurrbint S ExIfKal Mechanical T -_ —_ 014. ShIIP j ___ I Summary of Plan check fees l Build-At S Plumbint S Eltcff cal $ Mechanical = Other i Planlnnt S TOW fees pee IT Project Address :-329Dn K - Vlersi-dP Drive ' Assessors Parcel No. Qwner'sName _11 Piqua Ir1Sie1t=A CQ.F`hone Addrtu ._8811 rnarzt Highway L;Wnd- oh CA Arch /Eng. License No. Address Contractor's Name Phone Address fmailing) r City License No.'__ ' LICENSED CCINTRACYOR DECLARATION I heyday affirm 0st I am licensed under provisions of Charter 9 (commortclnq wl.h section 7000) of Division 3 of tfta Business a.1d Professions Code, and Mir llc insa Is In full force and effect. License Cla..S -_ License No. CAte_ ' Slgnabrm IKKFRS' COMPENSATION DECLARATION by affirm that I have a certificate of consent to Wf4rosure or a certificate orkars' Compensation. Insurance, or a Certified copy thereof (Section 31300, L.ab. C.) Pulley No. Company 9 Certified copy Is hereby furnished. C0111lied COPY It 11120 with the city Building Division. Applicant _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION lThis section reed not be completed it Inc permit is for one hundred (=100) ur ' ess), 1 Certify that In the Performance of the work for whlch this permit Is issued I shall not employ any person In any manner so as to became subject to the WOrs.trs' Compensation uws of California. Date Signature NOTICE: If, alter making this dec-aration. you should become subject to the workers. Compensation provisions of the labor Code, you must lortiswith Comply wilts Stich provisions or tn:s permit shall be deemed revokes. CONSTRUCTION LENOING AGENCY I 1--trilby afiirm that mete is a construction terrdinit agency tar tt a performance of the work for which this permit n issued (Svc-ion 3097 Civ. C.) nLeder's Name _ I Lender's Address 1 OWNER BUILDER DECLARATION 1 hereby alhrrn that 1 am exempt from the Contractor's License Law for the fat' -3wing reason (Section 7031.5 Business and Professional Code- Any C.ty or county which requires a permit to Construct. aster, improve, demolish or repair any structure, prior to Its iss7ance, Also requires the applicant for Such permit to file a signeO statement that he /snt is licensed purs"nt to the provisions of ConINCIOr's L.icansa Low (Chapter S (commencing with Section 70003 of on 3 of lice Business and Professions Code) or that h: /she ;s exemptWIsomandthebasisfortheafregedext,Siption. Any violation of '° Ctic.n 1 .5 by any applicant lot a permit subjects the applicant to . civil ee naily or not more ft-an ftvft huncrea dollars (j500). LJ 1, a$ owner of tIV PIOPQftY Or MY emnldyctt wiV1 wages as their sole compensation, will do the work, and the Struclu•e Is not irfdnaed or offered lof :die (Sectirrn 7044, Business and P,o(cssional Code: Tree Contractor's License Law does hot apply to an owner oI a properly who builds or Improves I Mf eon, find will) doe% Such Work MMStlf /heridlf Or thrOugh h.1 of her own tmployCeS, piOvided that such Improvements 4t0 not .nlanded or offered lot 418. If, however, the buirdlnq or Imprvvzreant Is,nld within one year or com- piellon, the owner vnll ha-.9 the burden of proving he /shz did n131 build of im- Otova for the purpose of :ales. 1, is owntr of Ina prout.,Y. am exclusively contracting with licensed con- tractors to construct tree Pic f; ,l (Seilion 7044, Business and Professions Code: The COnfraclor't License I .' u does not apply to an owner of Property who Gallo; Or rhlpf0vet meteor , and MAO L9nlracts for such projects with a con - traClOr(t) tlte.lsd pursuant Io tIK COnlraCf Or's Llcdnle Law). 1 and aware Thal proof o their Worker's f om ntipesaon insurance should bb provided to me. L1 1 am exempt under Set Lion -- B. & P. C. I :r toils reason Dad owner*_ - -- • — - -__ I Mreby Cortify that f nave read tnls application ar.d stall that lM above nlOrmatini. it COrretl, i agree try comply with all City Sea County Ordinancas and slate laws reialinq to burlainq COnlr,.jctron, and hereby aulhONaa stpre -' tenlatrvel of Ines city 10 antes upon he abOva- mentioned property far, - lnspeCllOn purposes. Signature _ - -_ i... _ ii Data 1 ! 1 Orlvart' License or SS if CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applic: lit to fill in all spaces except those within heavy border lines and sign all appropriate declaraiians PERMIT NO. TRACT NO. LOT NO- UNIT NO. ; TTPE Of CONSTAKFION O NEW Q ADO D PTIRAT tPAIR O CONVERSION 7 DEMOUS4 O 01HER 01ne fns tal i ' ion P DESCRIPTION Of WORK/USE OF BLDG. f S Main Building: E — TYPE of PERYtT 0 GPADMG O FOUNDATION L7 STRUCTURAL Front 11 TERA -41 F) ELECTRICAL 0 PLUMBING 0 MECHANICAL O OTHER A Rear PROJECT 015ZRIPT10N: Sq.ft. Occupancy C Right Combat:!" type Lode Ayes g Left r -- val atioa S —PC# Ping. Het. # Hernarks emit -tQ bring files 1) to date. Planning Notes - -__- Perviously inspected by —others. 3- 10-•83 I D. # -ti .Ld _76 - fv _ — 6746?- PLUMBING / FEES ELECTRICAL FEES MECHANICAL JAlter, fair Genzrdtor 00.5KW 5.15KW _ Boiier AU10 Wash Construction Pole Sub. I Iluct -Under Ground i.fcG ,)w Ptjventer _ — _Cuokino Unit _ Duct Structural — nackfigxtlrrigation Pole Licht fart - Ventilating Clarifiers — Dryers C1 Gas OE.tectric Exhaust System Muitiple Dishwasher Fan Evaoorai7.r Cooler Fixture Traps ea. _ Heating System & Ducting Floor Oraint _ Fixtures 00.100, 10 BTU UlU6,C00BTU_ Floor Sinks __ — Outlets Hood or Car..apy I Gas Service Outlets _ Switches Type 1 C7 Type II •,C1__— Interceptors Meter O up to 100 amps Refrigeration System Meter Dover 100 afn s _ _ 110-100,000 BTU 0 100 000 BTU Roof Crains -- _- St bpanel Firepi /Fact. Bit. ICBO Tr3ijtr Sewer ) -- Transf_or_ mer O 15.SOKW Sysem Repair/Alteration Se.'.- Cap Fa OaDEMW mptrs Sewei Connection - Bldg. _ Motors C7 0 -1 HP O 1 rS • 8 — Registers Solar Collemi's _ _ Inc. Solar 0915 HP 616.15+ Incinerator _ Solar Piping —_ Sing /Fam. Res. _.— _ Mim _ Solar Tank_ -_ Multi-Fair". Res. Septic System Mist_ _ —_ OewrinsuckirSERVICES REQUIRtYEnTS: tavaiag Apace k — Dats ludil ss Ilaprwee is yam.— . `- —. Data -- -- 3360.3315 Issue APgRCataa Issued If n""op." --- .- ....— ..... —. Building: Provided GRADING FEES S Cut ----c Pluai6rrg Fdi — c 3350.3370 Pun Checi Fee S 33x.¢3312 Perma Fee S _ Mt{hantral Total Fees 5 3360 -3312 Summa, at ('trait Fees 1360•:310 1 Summary of Plas Check Fees Z 0 N I N G R E 0 M T S latds atdS SuQiq Building S Pluai6rrg S Mechanical Eleclncal Mt{hantral 113231 srr.IP ' s 1360•:310 1 Summary of Plas Check Fees Z 0 N I N G R E 0 M T S latds atdS SuQiq Plumtnrg Electrical S Mechanical Odor planniot S Teal Fats Due $ ^ FirolaidAddreta_32°0 Riverside — Drive Apses sofs Parcel t•io. Owner's Name _f l - y t sst t j ntr G t' 1 n_t CQ_PhoM Addren X11 -Ladgt H°hway 1 aouna Beac CA Arch /Eng.. _ _License No. Address _ Contractor's New Phone Address Imeiiirg) City License No.' LICENSED CONTRACTOR OECLARA•:ION I harsby *Ill. in that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Coae, and my license IS In full force and effect. , Uctnse Clais ___:JcenSe No. _ Date_— Signature _ XERS' COMPENSATION DECLARATION by Ifilffn that I have a ctrtiflcale of censwnt to self• risure or a eSrtillcate Wksra' COmpePSatlOn Insurance, or a certified copy thereof (Section 3800, Lan. C.) Poilcy No. 1 I Company _ ' f -•'i! Certifier! copy is hereby turnlsnad. LJ Cortit,od COPY IS tiled with the city Building Division. clato_ Applicant EXEMPTION FROM WORKeRS' COMPENSA-1 ION DECLARATION Th,sseclion need not be cumpicted If the cermit I$ for O-1C hundred (y 100) orless). I Cerl'fy that In the Partotmince Or the work for which this permit is issued. I snail not employ any person In any manner So a$ tO 6ecome sub.-erg to the Workers' Compersallon Laws or CahfO:nia. Data NOTICE. If, alter mAiiing lnis declaration, you should become subivct to the Worwors' Compensation provisions Ot the Libor Coder you must forin.lth COMPRy with tuck provisions or this permit shall be aeemtd frivolled. CONSTRUCTION LENDING AGENCY i harety affirm tart there Is a .onstrucllon lending agency for the Performance or the wO:k for which this permrt IS issued (Section 3097 Civ. C.) Lender's N?me Lenaar's Adotess OWNER BUILDER DECLARATION 1 nortsy a14rnl that I am exempt from tho Contractor's License Law for trio totlowing reason (Settlon 7031 5 Busirass and Pto(eSSICnal Code: Any city or county which le< ;uires a permit to construct. aif, Or, Improve, demolish or repair any ttrutture. pilot 10 Its issuIPCO. aISJ ItOuires the applicant for Such perm.: to flit Is signed statement that hs /she IS llctnStd pursuant to the provision; of I 01.5 ontractor's License Law (Ch.iptte 9 (commencing with Section 7400) of on 3 of the Business and Professions Coat) or that he /she is exempt from and the DACS gar flit alleged ext.•,ption. Any wolar•Ion of c coon by any applicant far a Permrl subjects the applicant to a civil p- e na(ty Of not miare Shan hv.-k hundred dollars (f500i. lJ 1, as Owner O( ill properly or my employees with wages js their sale Compensation, will do in* walk, and the slraCture IS not inten9ed or altered for sale (Section 7044. Easiness and Professional Code: The Contractor's license hue does not apply to an owi,er Of A rrOprrly who bui:ds Of improves t ^.ereon, and woo does such work nlensell /her sell or through his or hsr Own rrnployotS, provided !hat such Improve•nenrs are not inlenoad or offarea for isle. It, however, the bulling ur improvement Is sold within one year of tom-. pitlion, the owns: will havr, the burden Of proving he /she Old not Duad Or im- D rsove lot one purprse of sale). U I, as owner of 10e PrOPerly, and excl- ISlvely conliacting with liCenstd COn- rarters to construct the orojart (Section 7036, B,Slncss Ana Professions Cone: Trs Contractor's L,canA Law lots not apply to an owner or proputy whobarnsOrimprovesMclean, and wn0 contracts for such prONcts with a con. I/actor(s) license of riwnt to the Contractor's License l.aw). I am aware trial Proof 01 their Vvorker's COrnpaasation Insurance should be Provided to me. - L7 13M I.xempt undo, Soc(lon___ S. 6 P. C. for this reason Came _, Owner 1 hareby certify that ' have read this aPPIicallo :a and stale that the aboveInformation81collect. 1 agree 10 comply with all City and county ordinances„ and state Nwt relating 10 building COnst.ucUon, and hcstt,y authorise ropre•: genial +ws of this city to enter uPCn the above•mentiMied properly for, Inioeclion purpnses. t _ Signature _ 1 r! Date.:__ I ;.. i. Drlvers' L(csn:a or SS ffp _ a ,. r .. r i. r. +r P,.,•v a. .. n .I -r, rr , . . CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spares except those within heavy border lines and sign all appropriate declarations PEHMIT N0. I TRACT NO. LOT NO / UNIT ND. I - TYPEOFCONSIRUCJIQ3 O NEW 0 ADD CJ InstallationREPAIR O CONVERSION O DEMCUSH O OTHER Nubile ome l nstallatlon DESCRIPTION OF WDRrtrUSE Of BLDG. TYPE OFPERMIT O GRADING O FOUNDATION O STRUCTURAL G TENANT O ELECTRICAL O PLUMBING O MECHANICAL O OTHER _ PROILCf iESCRIPTION: SIT et _ Construction rye,t lone yatwl" S PC/ Remarks PeMit to bring fi, Perviou.31y inspectei Y77— // 9'7- PLUM81N Alter, Repair Auto Wash_ Bacl•flow Prever Backf low Irr :oat Ciarifien Dishwasher Fixture Traps ea Floor Drains_ Floor Sinks Gas Service Uu 1n(ercetors _ P -Trap Roof Orains Trailer Sewer Occupancy 0-t 0 othe Acres t> 10 FEES ELECTRICAL FE Generator 00.5KW 0 5 -15KW _ Construction Pole Sub. Cooking Unit Pole Light Dryers OGas C3 Electric Fan F.A.U. Fixtures _ Outlets Switches Meter O up to 100 amps Meter Dover 100 amps Sub panel _ Transformer 015.50KW O 50 +KW Motors O 0.1 HP O 1%a • 8 Inc. Solar 09.15 HP 16 15+ Sing /Fam. Res. Multi•Fam. Res. E Main Builds T Front B A Rear C Right S Left Ping. Ref. # Planning Notes ICAL Duct- Fan - Heating System & Ducting 00- 100.000 BTU 0100.0 Hood or Canopy Refrigeration System 00.100,000 BTU 0100. Fire //Fact. Bit. ICBO # System Repair /Alteration Incinerator Par ACCT. I GRADING FEES Cut --Cu. yards Fill: cu. yards 3360.33:0 Plan Check Fee j _ 3300.3312 Permitfee S Total Fees 33643312 Summary of Permit Fees Building Plumbing Electrical j Mechanical S Other 110 731 SMIP 33643310 1 Summary of Plan Check fees wimming Yool /spa Swirrmin Pool/spa _ _ Vater Heater Building = Issue Water Service — — Plomoi.1l j eptie Svstem Electrical f 1 DEVELOPMENT SERVICES REQUIREMENTS: Mechanical 2oeitgAppraised ale OIP,er j RedlfialAPprewdBy — Oaq 3360.3315 Planning j Issue Appllcatim Issued BF - I i Total Few Dill S_ 2 O N 1 N G R E a M T S n ProjectAddrest 37904 Piverside Drive Assessor i Parcel No, ._ C=rier's Name F1 Mnr1Y1 1nV Ctmant dQ ^hone Addrast _aal Ma5_f_Nigh_,__dw' y--LaganLieach CA Arch /Eng, i Lrcer.%e No. Address Contractor's Name Phone Address Imailing) I City License No.' LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencingwithsection7000) of Division 3 of the Business and Professions Code, andmylicenseIsInfullforceandeffect. , Llcsnse Class License No, Data Signature KIER$, COMPENSATION DECLARATION by affirm that I have s certlflcale of consent to self - insure or a cer11llcateorkers' Compensation• Insurance, or a certified copy theretlf (Se-won31100, Lab. C.) Policy No. . I I Company 8 Cartilied copy 15 hereby furnished. Certllied copy Is Mad with the city Building Division, i Date Applicant EXEMPTION FROM (YORKERS' COMPENSATION DECLARATIONThissectionneednotbacompletedifthepermitisforonehundred ($100) or ' less), I cattily that In the performance of the work for which this permit Is issued IShallnotemployanypersonInanymanner $0 as to become subject to theWO' Compensation Laws of California. Date Signature NOTICE: It, after making this declaration, yr -u shei:id become subject to theWorkers' Compensation provisions of t:U• I.ubor Code, you must foilnwilhwithithsuchprovisionsorthlspefm ?t shall be deemed revoked, CONSTRUCTION LENDING AGENCY I hereby alrifm that there Is a construction lending agency for the PerformanceoftheworkforwhichthispermitIsissued (Section 3097 Civ. C.) nLstlet's Name _ L.ander's Address OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for thefollowingreason (Section 7031.5 Sualness and Professional Code: Any city orcountywhichrequitesaPermittoconstruct, alter, improve, demolish or repairanyslructire. prior 'a Its Issuance, also redu,rss the applicant for such permit10fileasignedstatementthathe /she Is licensed pursuant to the provisions ofContractor's License Law (Chapter 9 (commencing Willi Section 7000) ofon301theBu.Iness ono Professions Code) or that he /she Is exemptfromandthebasisfortheallegedexemption. Any violation of &tction1.5 by any applicant for a Ptrmrl subjects the applicant to a c1.•11Q pally of not mare than five hundred doilars I $SOO). U 1, as owner of 'he property or my 8mpl0yets with wages as their solecompensation, will 40 the work, and the structure Is not Intended Or offeredforsale (Section 7044, Business and Professional Code: The Contractor'sLicenseLAWdoesnotapplytoanownerOfaproperlywhobuildsorImprovesthereon, and who does such work nlmsolf /herself or through his Or her ownemployyees, provided that such Improvements are not Intended or offered forsale. 11, however, the building or Improvement is told within one year of co010110-1, the owner will nave the burden Of proving he /she did not build or Im- Me for the purpose of sale). I, as owner ti Ina property, am exclusively contracting with licensed can- Trio actor{ Contractor's construct the pr Law (Section 7044, Business and Professions Coda: bu Ids Of Improver thereon, and who contracts lfor Such projects th who IraclOr(s license pursuant to the COOIraCIM's License Law). I am aware thatproofo(r their Worker's Compensation Insurance should be provided to me. 1 am exempt under section B. i P. C. for this reason ale Owner - + — hereby cattily that 1 have read tills application and state that the ab.,)ve . formation is correct, I agree to comply with all City and county ordinances=; nd slate laws relating to 04,1404119 construction, And hereby suthorlre repre- enlativef of this city to enter upon the aLOve- manlloned properly for, upection purposes. I49nalute 1 _ I • Oato.l . rlwrs' License or SS ip v ., r T.. ri. r. r-,,, r•. -1 T - . 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- TRACT NO. LOT NO. UNIT NO. 11PEOFCONSTRUCTIO11 NEW O ADD O TERATIO REPAIRCONVERSIONODEMOLIS:t O OTHER I'lobile ri( installation DESCRIPTION Of WORK /USE OF BLDG. A.P. # TYPE OF FERYIT Cl GRADING FOUNDATION STRUCTURAL S Main Building: E Zt)rl Accessory Building_ 1, El TENANT O ELECTRICAL PLUMBING O ki[DmICAL 1 T F!Jnt BOTHERA Rear C PROIECTDESCRIPTI0h: SQ.FL Occupancy C Right N I Consbucbos ripe lone Ault K Left N Valuation PCr S G Remarks pej t files U t0 date. Pin . Ref. # I Parkifl Req. /Provided R E Perviously inspected v others. PlanningNates M 3 -10 -88 s ID. All 7!> I PLUMBING litter Re air FEES ELECTRICAL FEES MECHANICAL FEEg_ Auto Wash Generator 00.5KW O 5.15'(.W Boiler A T•x GRADING FEES BackflowPreventer Construction Pole Sub. Cookie Unit Duct-Under Ground Cut: cu. yards Backflow I[ri tide Pole Li ht Duct - Structural Fan Ventilatin Fill: 3360 cu. yards Clarifiers Dishwasher Viers OGas OElectri: Exhaust System Multiple 3370 Plan Check Fee S 3360 -3312 Permit fee j Fixture Tra s ea. Fan F.A.U. Eva oratioe Cooler Total Fees 3 Fiocr Drains Fix!ares Heating System Iii Ducting Floor Sinks Outlets 00.100 000 BTU 0100 000 BTU Gas Service Outlets Swi tc h es 1 Hood or Canopy 3360.3312 Summary of Permit fees friterce lors P -Trap MZ,er O up to 100 amps —_ T r c l O T e II O Rehngeralion System Building j Roof Drains Meter Dover TOOam s 00 100000 BTU 100,000 BTU Plumbing j Trailer Sewer Sub panel _ F?repl /Fact. Bit. ICBO # Electrical j Sewer Cap Transformer - i5 50KW O System He air /Alteration Mechanical j Sevier Connection •Bldg. 5UfKW f.'tors O v -1 HP CJ 1 %a - 8 F ;re Dampers Other 3 Solar Collectors Solar Piping Inc. Solar 09.15 HP 016.15a-r Re =tiers F' Incinerator 110231 SMIP S _ Sing /Fpm. Res. Solar Tank Swimming Pool /S a Multi -Fa m. Res. Swimming Pc/'IiSpa Misc. 3360.3370 Summary of Plan CheckFets Water Heater Building j Water Services issue Plumbing S Septic Svslem Electrical j DEVEIJPYENTSERYICESAEQUIREYENTS: Mect.anical j hKins Appratis4 61 _ AuRdia ADIsmilis Other Issue lAPIa1we trswd RY ` Daq 3360.3375 Planning j Total Fees Des S Project Address ' 32400 Riy r idg Driye ! Assessors Parcel No. Owner's Name F1 n i^o IFIV ctllim Pre Phone Addre2: - 8B11- Cnast iighbtay_i guna Beach CA Arch /Eng, 1 License No. Address Contractor's Name_ hone Address lmailing) I City License No. i LICENSED CONTRACTOR DECLARATION I hereby Affirm t I amWithSection7000) of Division 3 Provisions of to Business no Professions comme Code. alndmylicenseisInfullforceandeffect. , license Class Llce.ise Sao, Dase ' Signslure KERS' COMPENSATION DECLARATION by affirm that I hsve a urtiflcats Of consent to self- Insure or a cartlifca :eOrkers' Compensation Insurance, or a certified copy thereof ( Section3800, Lab. C.) Policy No, I I Company Certified COPY Is tweby furnished. Cartllled COPY Is filed with the city Building Division. I Dsta, Applicant EXEMPTION rROM WORKERS' COMPENSATION DECLARATION • This Section ncad not be completed if trio permit is for one hundred (5100) orless). I certify 1Rit In the Performance of the work for which this permit is Isswa 1 - Shall not employ any person in any manner f0 as to b2COme subject l0 theWorkersCOmpmssatlonLawsofCaIFornia. Date Signature NOTICE: 11, after making this de_laratlon, you should become subject to the , Yorke ""' Compensation provisions of the Labor POde, you must forthwithcomplywithsuchprovision$ at this permit shall be deemed revoked. C-INSTRUCTION LENDING AGENCY 111" ."by affirm that there rs A construction lending agency for the performanceOf (fie work for which this permit is Issued (Section 3097 Civ. C.) Lender's Name Lender's Address - OWNER 9UILOER DECLARATION 1 hereby Affirm That 1 am exempt /Fort, the Contractor's Llcensa Law for theIDIlowingo:ason (Section 7031.5 Bus'ness and Proles0onal Code: Any city orCountywhichrequiresapermittoconstruct, alter Improte, demolish or repairanystruclur- Prior 10 II$ Issuance, also requires Ilia APPllcant for such permit Conto file a signers statement that he /she IS licensed pursuant to the provisions of Of3o /thctBusln ts andhPpolessio s Code)ior that ne sne IsOexempte.5 m and the basis for the alleged exemption, Any violation of Sgctton ifActor's 5 by any 0ilitC4nt for A permit subjects the Applicant to a civilpenallyOfnotmorntnanfivehundreddollars ($500). 1, Owner o/ compensation, tnq theproperty or my emPloyces with wages as their solesation, wilt do work, and the structure is not Intended or offeredfor $ale (Section 7044, Business and Professional Code: The Contractor'sLicenseLawdoesnotapplylOanownerOfaproperlyWhobuildsOrIrnprovesITifton, and who does Such work himself/herself or through his or her ownemploYyets, provided that such improvements are not intended err offered far. sale I/, however, the building or Improvamsnt Is $old within one year of tort.- bupletion, in* owner will have the burden of Proving he /the did not ealld w Im• - Me for the purpose of sale). trctorf o ov"nor of 'he construct the FP olect, (Section 7044,rBusiness and Profession$ Code: Trio Contractor'_, License Law dots not apply t0 an ,wner of property whobullasu1improvesthereon, and who contracts for such projects with a Con• tractdr(s) license pursuant to the Contractor'$ License Law). I am awaro thatProofOtheirYJOrker'f COmpensatiOri Insurance should be provided to me,: 1 am exempt under Section_ 8. 6 P. C. for trilf reason Data _ , Owner 1 herebyy cerlItY that I have read this aPPllcallon and state that the showIndstartonHt .orreet. I agree o eomply with all city And county ordinancesandslateravesrelatingtobuildingconstrvctl°n, and hereby outhorlae repro• `• Nnt lives of this City to enter upon tM above- mntloned property for, ". n PectlOn Purposes. , , Signature •y_ ! i'•: 1 -• t • Da10 l_ i •,• I' Drivers' License or 55 y' 1 CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign ail appropriate declar_+tions PERMIT N0. TRACT NO. LOT NO. Q UNtT N0. I TTPEDFCONSTRUCt10N O NEW O CONVERSION DEMOLISH C3 ADD O tTERATIO REPAIR OTHER Fob i t eomeInstallationDESCRIPTIONOfWORK/USE OF BLDG- A.P. # TTPEOFPERMIT GRADING FOUNDATION O STRUCTURAL S Main Building' E -- Zone j Accessory Building: O TENANT ELECTRICAL PLUMBING MECHANICAL ! T Front OTHER A RearPROJECTDESCRIPTION: SQ.FL Occupancy RightConstruct- type lone —— Asses K Valwtwa s PC/ S Lett Remarks Pernli t to bj^T g files uQ to date Ping. Ref. # Parkin Req. /Provided Pert'' usly inspected b others. Planning Notes 3 -10 -88 ID.IF If 12 i -21' PLUMBING FEES Alter Re air ELECTRICAL FEES MECHANICAL FEES Auto Wash Generator 00 5KW 0 5•i5KW Boiler r ACCT -8 GRADING FEES Ba_ckflov+Preventer Construction Pale Sub. Cookin Unit D uct Under Ground Cut cu. lards Backtlow Aril Lion Clarifiers Pole Li ht Duct- Slructural Fan -I entilatin filk cu. yards 3360.3370 Dishwasher Or ers OGas OElectric Fan Fxhaust System Multi le Plan Check Fees 3300.3312 Permit fee s Fixture Tra sea. F.A.U. Et;aporative Cooler Total Fees $ Floor Drains Fixtures Healing System & Ducting Floor Sinks Outlets Do. 100 000 BTU 0100 000 BTU Gas Service Outlets Switches Hood orCaitopy 33611.3311 Summary oftermjtFees Interco tors Meter O up to 103 amps T ep1OTypeII0 BuildingP•Trap __ Meter 100 am s Refrigeration System S Roof Drains Dover Sub 00.100.000 BTU 0100.000 BTU Plumbing S Trailer Sewer anel FirepI /Fact. Bit. WOO # Electrical s Se -I Cap - Transformer 0 15.50KW System Repair /Alleration Mechanical S Sewer Connection - Bld 0 50 +KW Motors 0 0.1 HP OI%• 8 Fire Dampers Other S Solar Collectors Inc. Solar 03.15 HP 016.15 +1 Re Asters 110.131 SMIP S _ Solar Pip- ing Sing /Fain. Res. Incinerator Solar Tank Misc. Swimming Pool /Spa ___. Mulli•Fam. Res. Swimming Pool /Spa 7360.3370 Summary of Plan Check fees Water Heater Water Service Issue Eaddlna s Septic System Pt.mbma S Electrical SMite DEVELOPMEATSERVI ESREQUIREMFATS: ' Mechanical S walla ytiApPrael Dale -- Other S Issue APpliuUoalssw /!P - i' - Dale w - - 33 643375 Plamm E f r.t.r Total fees Due $ Z O N I N G R tc Q M T S Project Address 32900 Riverside Dr' e ! I Assessor's Parcel No. _- Owner'sNaltie F1 Mnrro Investment Go- ,Phone Address _8811 Coast Highway Luna Beach CA Arch /Eng. License No. Address Contractor's No Phone _ Address (mailing) ' City License No.' LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am Ilcenvd under provisions of Charter 9 (commencing with section 7000) of Divlslor. 3 of the Business and Professions Code, and my license is in full force and effect. , License Class License No. Date ' Signature K[RS' COMPENSATION DECLARATION by affirm that 1 have a certificate of consent to self4nsure or a certificate 3tkess' Compensation Insurance, or a certified copy thereof (Section 3300, Lab. C.) Policy No. I j ) Company 8 Certified copy Is hereby furnished. i Certified copy Is flied with She city Building Division, Date Applicant — EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Thissecticn need not tie rompleiea if the permit Is (or one hundred (6300) or ss). I cerlr /y that In the performance of the work for which this permit is issued I snail not orlploy any person In any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: 11, alto: making tr. -is deClaratlon, you should become subject to the vvorsers' Compensation provisions of the Labor Code, you must forthwith comply wan such provisions or this perrr :. snarl be deemed revoked. CONSTRUCTIG:n LENDING AGENCY I heraby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION 1 hereby afiirm that I am exempt from the Contractor's License Law for t ^e folsowmg reason (Section 7031.5 Business and Professional Corse: Any city or county which requires a pet nut to construct, alter, improve, demolish Qr repair any structure, prior to Its Issuance, also real res the applicant for such permit to file a signed statement that he /she Is Ilce..sed pursuant to the provisions of Contractor's License Law (Chapter 9 (commencing with Section 7000) of on 3 of the Business and Professions Code) or that he /she is exempt from and the basis for the alleged exemption. Any violation of Section 1.5 by any applicant for a permit subjects the applicant to a civil navy of not more than five hundred dollars (S500). I, as owner of the prove'll of my employees with wages as their sale compensation, will do Ins work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's Licari" LAw does not apply to an owner of a property who builds or improves thettnn, and who does such work himself /Lerself or through his or her own emplo Yyeas, p(C.rded that such Improvements are not intended or oftered for sale. lr however, the building or Improvement Is sold within one I a-r of com -, pietion, the owner wi!l nave the burden of proving he /she did not build or im. rove for the purpose of sale). 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 Law does not apply to an owner of property who builas or improves thereon, and who contracts for such projects with a con - tractor(s) license pursuant to the Contractor's License Law). 1 am aware that proof of their Worker's Compensation insurance should be provided to me, 0 1 am exempt under Section B. 6 P. C. for this reason 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. I TRACT N0. I LOT NO. , ,,,, I UNIT N0. _ ; TYPE Of CONSTRUCTION NEP/ ADD ALTERATIO . ~ ;l REPAIR CONVERSION DEMOLISH OTHER rabbi 1 e Home fns ; t1 on_ - DESCRIPTION Of WORK /USE OF BLDG. TYPE OF PERMIT GRADING FOUNDATION iENANT ELECTRICAL PLUMBING OTHER PROJECT DESCRIPTION: Sq. II. Construction type Zone _ Valuation i— PC# Remarks Parmi t tR hri nn f i i f Perviously inspected ID. # PLUMBING FEES STRWTURAL MECHANICAL Occupai.cy Acres up to date. y others. C, 3 -10 -88 ECTR Auto Wash I Construction F Backflow Preventer Conking Unit Dishwasher S _ PlumbtnQ I Fan Fixture Traps ea. Mechanical F.A.U. Floor Drains SMIP Fixtures Floor Sinks Outlets Gas Service Outlets Switches Inl fce tors Meter up to 100 amps P•Tla ) Meter Dover 100 amps Roof Drains Sub panel Traiier Sewer in ;r Cap Sewn ;onnection - Bldg. Solar Collei:tors 15.501(WTransformer 50 +KW Motors 0.1 HP 1 Y2.8 Inc. Solar 09-15 HP 016 -15+ Solar Piping Sing /Fam. Res. Solar Tank Multi -Fam. Res. ter Dale _ Owner ' JC t 1 hereby cattily that 1 have read this application and state that the above , Information is correct. 1 agree to corrisly with all city and county ordinances and state laws relating to builmng construction, and hereby authorize repro. t-7sentativesofthiscittoenterupontheabove - mentioned prpporly for,_ inspection purposes, ( i' Signature - i I I • Date, _ • ) Iisl Oriverl' License or SS E.••- Main —,-- -- T Front B A Rear C Right S Left Ping. Ref. # Mannino Notes Under G Accessory Build Park Z O N I N R E 0 M T S L FEES ACCL0 GRJIWING FEES Cut cu. yards Fill _Cu. yards 3360.3370 Plan Check fee $ le 3300 -3312 Permit Fee $ Total Fees $ Heating System & Ducting L70. 100,000 BTU 07100.( Hood or Canopy lyre i Type 11 1 Refrigeration System System Repair /Alteration Fire Dampers Registers Incinerator Misc. DEVELOPMENT SERVICES REQUIREMENTS: Zoning 4Prowd By Dale Building Approwd6P Dale — AppUcalion lewd By 3360 -3312 110 231 3360 3310 3360.3315 I Summary of Permit fees Bud1m` S _ PlumbtnQ f — ElecL•jcal Mechanical other SMIP Summary of Plan Check fees Building S Plumb'-it S _ Eleclhcal Mechanical other . S Planning Tolal fees Dus i _ t=rojecf Aden,, '32900 Riverside Drive Assessor's Parcel No. Owner's Nanis F1 Marro-Investment Addrom RR11 [oast Highway CO- SC hone Lauusta veac CA Arch /Eno License No. Address —_ Contractor's Name phone Address (nvt lirty) City License NO.' LICENSED CONTRACTOR DECLARATION 1 nereoy affirm that I am licensed under provisions of Charter 9 (commencing with srrtion 7000) of Division 3 of the Business and Professions Code, and my license is In fun force and effect. , License Class Licanse No. Date Signature WKIERS. COMPENSATION DECLARATION by affirm that I have a cer:lllcale of consent to self-Insure or a certificate or keys' Compensation Insurance, or a certified copy thereof -,Section 3400, Lab. C.) Policy No, ' I Company 8 Cart-lied copy Is hereby furnished. , Certified copy Is flied with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATIOM DECLARATION This section need not be Completed if the permit is 'or one hundred ( ;100) or less). 1 certify that In the perform.snc* of the work for which this permit Is issuer, 1 shall not employ any parson 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 become subject to the workers' Compensation provisions of the Labor Code, you must forinwitn comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY t neret:y alliim that knees is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lenders Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for Mir following reason (Section 7031.5 Business and Professional Code: Any city or county winch requital a permit to construct, alter, improve, densolisn r repair any structure, prior to Its Issuance, also requires the applicant for such permit to In* a signed statement that he /she is licensed pursuant to :he provisions of Contractor's License Law (Ch,spter 9 (commenciri9 with Section 7000) of ion 3 of the Business and Professions Code) or that he /she Is exempt 1•om and the basis for the alleged exemption. Any violation of Section 1.5 by any sopiieant for a permit subjects the applicant to a civil yrU Wally of not more than five hundred dollars ($500). 1, as Own *r of tile properly or my employees with wages as their sole compensation, wall Jo the work, and the structure Is not intended or offered for sat* (Section 7044, Business and Profession&$ Code: Tne Contractor's Licence Law does not apply to an owner of a property who builds or lmp %eves thereon, and who does such work himself /he all or through ties or her own emplo Rits. provided That Such Inpiovemonts are not intended or offered for. ale. 1 however, the building or Improvement IS told within one year of com pjetl.n. in* owner will have the burden of proving he /she did not build or Im- UtGA tot ere purpose of sale). 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Businass and Professions Code: Tne Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for Such projects with a con- 1,actor(sf license pursuant to the Contractor's License Law). I am aware [hatproofoftheirWorker's Compensation insur&nca should be provided to Ole. 1 am exempt under Section B. L P. '.. for this reason 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. i TRACT N0. I LOT NO.,,,, I UN11 NO.. ; TYPE Of CONSTRUCTWIll Q NEW ADD r TERATIG Cf REPAIR CONVERSION DEMOLISH OTHER Mobile konie nstalIatIon DESCP.IFTION Of WORiiVUSE Of BLDG._ TTPE OFPERMIT GRALWNG FOUNDATION STRUCTURAL TEI:ANT ELECTRiCh O PLL'481NG MECHANICAL OTHER PROJECTOESCRIPTION. Sit ft_ ronstrucnon type Zone Valuation f _ PCI _ Re.narks Pend t to bri—a9 fi Perviously insp ctei ID.# Cev PLUMBING FEES Alter Repair Auto Wash Backflow Preventer Backflow Irrigation 1 Clarifiers Dishwasher Fixture Traps ea. Floor Drains Interceptors P -Trap Roof Drains _ Trailer Sewer Sewer Cap Sewer Connection - BI Solar Collectors Solar Piping Solar lank Date Owner Swtic System _ 1 hereby cattily that I has,i read Nils application and stale that the above Information is correct. 1 agree to comply with ail city and county ordinance( „ and Stato laws relating to building construction, and hereby auinprlae rapt* -' Sentaliws of this city to onto, upon the above- mentionea peop*rty far, - Inspection purposes. i Signature i i I I Data•1 j Issue Oliver$* License or SS M 1 p r r r. r r, i•r s. C' -k _. ... Occupancy Acres — les up to date. _ I_ by others, r 3 -10 -88 ELECTRICAL FEES Generator 00.5KW O 5.15KW Construction Pole Sub. Cookintl Unit Pole Light Dryers Gas Electric Fan I F.A. U Switches Meter O up to 100 amps Meter Oliver 100 amps Sub panel Transformer G 15.50KW O 50 +KW Motors O 0.1 HP O 1% - 8 Inc. Solar D9.15 HP O1G -151 Multi- MainMalmo 'n Rididing: T Front e near A C Right S, Left Ping. Ref. # Planning Notes Under R Z O N I N G R E O Pet T L FEES ACCy !, GRADING FEES Cut. cu. ya:ds Fill, cu yards 33603370 Pan Check fee S 12 33003311 ?crmit fee $ -- Total fees 3 Heating System & Ducting 00.100,000 BTU 0100.000 BTU Pood or Canopy Type 1 U Type 11 O Refrigeration System 00. 100,000 BTU O 100,000 Ell U Firepl /Fact. Bit. ICBO # System Repair /Alteration _ Fire Dampers Registers Incinerator Misc. 33603312 110 231 3360.33)0 DEVELOPMENT SEIYICES REQUIREMENTS: bring Approved By Data _ paildjag APpras/ If _Oda 33603375 1pplieabon lewd By to _ I i Summary of Permit fees Building Plumbic.! Electrical Mechanical S Otter S SMIP S Summary of Plan Check fees Building Plumbing Eleatical Mechanical S _ Other . Planning 1 _ Total fees Duo i ._ Pro;ecti4ddress'-32311 Riverside Drive ' Assessors Parcel No. owner'stiame _E1 rro Tnvestment Co.phore -- Adares3 - ga11_ZO._St HiahwU Lauun" &di CA Arch /Eng. _— License NO. Addrtu Contractor's Nam* —.- -Phone Acl&e a (mailm9l City i.ictnso No. — LICENS;:O CONTRACTOR DECLARATION I nortby affirm that 1 am licensed under provisions of Charter t) (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is In fuli farce and affect. , License Cl.ss _License No. Gate__ Signature RS' COMPENSATION DECLARATION by aItstm trial I have a certificate of consent to self - insure or a certificate tike#&' Curnpansallon Insurance, or a certified copy thereof (Section 3100, Lot). C.) paricy No. ` I___ Company Cersllita copy Is hereby furnisheo. , Ccrtitted espy is Ilfod with the city Building Pl lion. Data_ .— Applicant _ EXEMPTIOM FI10M :YORKERS' COMPF_NSA 'ION DECLARATION ThISsec. on need not be completed 1i the permit is for one hundred (5100) or less). I cerl• ly t +.at in the r.orformance of the work for which this permit is issued. 1 snail not ernploy any person in any manner s0 as l0 becom t subject to :1 is worLert• Compensation Laws of California. Date __ _ _— Signature _ NOTICE: It, after making this declaration, you Ahouid become subject to the Wor Lets' Compensation proTsions of the LAbo. Code, you must forinwlth Comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENOING AGENCY I: erety arlirm tt A Inert is a Construction lending agency for the par'ormance of ;he work for whicn tors permit is issued (Section 3097 Coot. C.) Lender's Name Lender's Address _ OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for Ind foirLwinq reason (Section 7031.5 Business and Professions: Code: Any city or county enlch requites a pefnil to construct, aster, imtilove• demolish or repair any structure, prior to Its Issuance. also requires the applicant for such permit to list a siSnea statement that he /she is licensed pursuant to in* provisions of Contractor's Lrrense hw (Chapter 9 (commencing with Section 70001 of on 3 of the Si sintss and Professions Code) or that he /sht is txarript from and the basis for the alleged exemption. Any violation of 54clion t 5 by any applicant for a permit subjects the applicant to a civil Mfly of not Mora than live hundred dollars (S500). as owner 431 Itw properly or my employees with wages as lhC7r solo componsat-on, ..ill do the work. And the structure Is not intended or offered for sate (Section 7044, Business and Professional Code: The Contractor's License law does not apply to an owner of a property who builds or improves therton, and w:10 does such work nimself/hersti) or through his or her Own employyes• provided that such Improvements are not intended Or offered for salt. if, ho Never, the building or improvement is 101,J within one year of come pietion, the owner will hav '1e burden of proving he /sno did not build or im• 8row lot the purpose of sale,. 1, as owner of Ina properly, am exc:uslvely contracting with licensed con- tractors to co utrucl the project (Secti on 7044. Business and NoNssions Code: The Contractor's License law does not apply to an owner of property who builds of improves lner.an, and who Contract% (of such protects with a con- 1•actor(s) ilctnse Pursuant 'o the Crrnlrrclor's License Law). I am aware that L3 001 4 then Worker's Lvnipenrallon insurance should be provided to me. U s am exempt under Section .- B. L P. C. for this reason I Date _ Ow:ur _ — 1 hereby Cttttfy that I have read this application and state t.at trio above Inldfhlatsom it Correct. I agree to Comply with all city and county ordinances,. and Rata laws Waling 10 buslaing COnslfuclion, Ana hereby authorize lapis. 1en7alfvts of this city to enter upon the above :mentioned properly for • Inspection purposes. . ! - 1' Signature _; I r Data.[ _l D_jvilt Llconse or SS 9P - CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lino; and sign all approprizte declarations PERMIT NO. TRACT N0. LOT NO. UNIT NO. ; TYPE Of CONSTRUCTION O NEW O ADD O TERATIO n REPAIR O Cs7NYERSi6h O DEMOLISH O OTHER 14obiI onle nstallatTon ' DESCRIP1jON Of iYORIVUSE Of BLDG. TYPE Of PERM.1 GRADING 0 FOUNDATION STRL;CTURAL T(RANT ELECTRICAL PLUMBING O MECHANICAL OTHER PROACI DESCRIPTION. Sp ft Cormiucbot type Ya!wtloe S Remarks P°rinjt t0 Perviously ID.# X, PLUMBING Alter Repair Auto Wash Occupancy zone Acres PC1 by others. l < 3 -10 -88 ICAL F A.F. ;# S I Main Building: AccessoryE — T Fr( nt B A Re; r C Bigot S left Ping. hef. # Parking R Planning Notes Backflow Preventer I _ Plumbing S Cooking Uriii S S Duct - Structural I _ Backflow Irri tian I S Pole Light Mechanical Fan -Ventilating Other Clarifiers Dryers OGas OElectric Exhaust System Multiple _ Dishwasher Fan Evaporative Cooler Fixture Traps ea. Floor Drains F.A.U. I fixtures heating System & Ducting 00.100,000 BTU 07100,000 BTU Floor Sinks Outlets Hood or Canopy Type 1 O Type it OGasServiceOutletsSwitches Interceptors Meter O up to 100 amps Refrigeration System 00100,000 BTU [7100 000 BTUP•Tra Meter Dover 100 amts Roof Drains Sub panel FirepllFaci. Bli. ICBO # Trailer Sewer O 15 -50KW Transformer 0 50f KW System Repair /Alteration Sewer Cap Fire Dampers Sewer Connection - Bldg. Motors O 0.1 HP O 1%r - B Inc. Solar L19.15 HP 016 -15+ Sing /Fam. Res Multi•Fam. Res. Registers Incinerator 1 Misc. I Solar Collectors Solar Piping Solar Tank Swimming DEVELOPMENT SERVICES REQUIREMENTS: Imo; Apjuowd of _ Dale Budding Approsed h Data Applitallea Itswd By Z O N 1 N G R E O M T S ACCT. R I GRADING FEES Cut cu.yaids Fiji _ Cu. yards 3360.3370 Plan Chect fee = 33003312 I PrmtFee S iTotal fees S 3360.3312 Summaq of Permit Fee Plumbing S Building S S Plumbing Other $ Electrical S S Mechanical Other S 110131 SMIP 33603;70 I Summaq of Plan Check fees 3360.3315 Bitilding $ Plumbing SS Electrical SS Mechanical SS Other $ Planning SS FrojectAddress' 32140n Riverside Drive Assessors Parcel No. — Owner's Name Phons Address —Sall feast HighwAy ldguna ash CA _ Arch /Eng. License No. _ Address Z O Centfalctor's Nsma— Phone Address Imaihng) f City License No.' LICENSED CONTRACTOR DECLARATION 1 Mreby affirm that I am licensed under pr aastons of Charter 9 (commencing with section 7000) of Division 3 cl the Business and Professions Code, and mr lic*nsa is In full force and effect. . License Class — _License N0. Data— Signature J&RKFRS' COMPENSATION DECLARAi ION by alll:m trial I have a certificate of ccns.nt to self- inzure or a certificate Orkets' Compensation Insurance, or a ce: tltjed copy thereof (Section 3800, Lab. C.) Policy No. Company Certified COPY Is hereby furnished. Certified COPY Is filed with the city Bu1141n9 Division. ' Date Applicant — EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Tnrs section need not be completed it the permit as for one hundred (lido) or - less). 1 certify that In the petfornunce of the work for which this permit Is issued s snail not employ any person In any manner 90 as to become subject to theiYOrs. ors' Compensation Lrws of Calilornra. Date Signature _ NOTICE: if, after making trill decl&ral,Cn. you sh0'.dd -the WOrl.et S' Compensation provisions of llte Libor Code, you must lortnwlln comely with such provisions or this 0Unlit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hertr,Y aliirm that there is a construction lending agency for the peiforrnance at the work for which this permit Is issued (Section 3097 CW. C.) Lender'S Name _ Lender's Andress OWNER BUILDER DECLARATION I hereby affirm that I ans exempt from in* Contractor's Ucense Law for the fo ;rowing reason (Section 7031.5 Business and Professional Code: Aay city or county which reQuires a Permit t1, Cons :rust, alter, improve. demolish or repair any struclure, prior to Its Issuance, also repuires :he applicant for such permit 10 file a signed statement that he /she is licensed pursuant t0 ins plOwsions Or W ontractor's License Law (Chapter 9 (commencing with Section 70001 ofon rom and trine Business and the Professions ption.OAny vto at on Oi 5tcl on 5 by ant' applicant for a permit subjects the applicant to a c +v ;l malty of not more than Give hundred dollars (f500). 1, as owner of the ptOpe:ty of my ems =oyeas with wages as their sale Compensation, will do the work, and the structure Is not intended or offered for sale (Section 7044, Rusin.ss and Professional Code: Tne Contractor's License Law does not apply to an Owner of a property who builds or Improves hereon, and who does Such wO.k himfelr/I•erself nr tniougn his Or nor Cwn empnbyoes, provided that lucn :mprovements are not intended or Offered for Nle- 11, however, in* building or imProvement Is sold within one year of Cam - Pletlon, that owner will have the burden of proving ne /She old not build or im- rove for the purpose of Sala). 1, as Owner Or Ire prOpert Y, am exclusively contracting wile licensed can - traclots :o construe: In* project (Section 7044, 9usrnest ano Professions Code: The COnlfaCtbr's License Law Cots not apply 10 Sri owner Of prOPefty whobuvdsnrimprovesthereon, and who contracts for such projetils with a con - tractur(s) license Pursuant to tilt Contractor's license Law). I am aware thatPrOOf01U,eir Worker's Compensation inswance should b* Provided to me. O 1 am exempt under Section B. L P. C. for this reason Date Owner - 1 hereby Certify that I haw read this application and state that the aboveInformationiscorrect. I agree 10 comply wish all city and county Ordinances„ and slate laws relating to buildinq construction and hereby aulhorlae repje- ontatives of this city to enter upon the above- rmnlloned properly for -_ Inspection purposes. 1 __ Srgnatuq — l i' ' l j Date Drivers' l Icons* or SS _ CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy !:order lines and sign all appropriate declarations PERMIT ND. TRACT ND. LOT NO, UNIT N0. ; Ilrc ur UlR:s1&K1UA LJ mW O ADO , REPAfr; ca r unscaalun u UtrauLibli V DINER I'rUU I I t: flUIIIC 1 tlb Ld 1 1 d L I on - DESCRIPTION OF WORVUSE OF bLOG. A P. # Zone Main Building: Accessory Building: TYPE OF PERMIT GRAOIhG FOUNDATION STRUCTURAL O TENANT O ELECIRICQ PLUMRIhG MET: IilCAt O OTHER _ T Front Z Ot3 A Rea: N PROACI DESCRIPTION: rq FL _ _ Occupancy Constloct,oa 4pe — 2ene __ -- -- Ares -- Yal,rabWn ;_ - PCIf — Remarks t t0 bra n5 f 1 es Up to date` O R;ght K S Left — P:n Ref. # -- 9 Pa king Req. /Presided Planning Notes — N G R E O Perviously inspected by others. - 3 -I0 -88 is ID. PLUMBING FEES ELECTRICAL FEES MECHANICAL FEES GRADING FEES C''t — --.Cu )a:ds I'I cu. yards Plan Check fee S tuna fee j Total fee, $ _ Alter, air Generator 00 -5KW L 5.15KW Boiler T•a Auto Wash Construction Pole Scb_ Corkin Unit Pole Light Gr eyfsOGasOElectric _ Fan F.A.U. Fixtures Outlet: Switches Meter 0 up to 100 am sp Meter Dover 100 amps Sub panel Transformer O 15 50KVJ O 50 KW Motors O 0 -1 HP O N-8 Inc. Solar 09.15 HP 0 16.15 1 Sing /Fam. Res. Multi•Fam. Res. Duct ..ader Ground _ Duct Strw:tu:al Fan - Stfuclu.al 3360337G Exhaust System Multiple 33CO3312 Eva orate.: Cooler_ Heating System 8i t;,ctiag 00 100 000 BT ll %! 100 OOG BTU _ -- 3350.3312 COd or Canopy Type! D T +pe li CJ efrigeratien System Ot1.100,000 HTU O 100.000 BTU 8acx(Idw PreventeP Backf low Irrigation Clarifi :rs Dishwasher Fixture Tra s ea. Floor Grains Floor Sinks Summarl of Permit Fees P)mbirs j Electrical $ _ Mechanical S Otter j SMiP s Summary of Plan Check fees t $ — Plum nt f _V — Eleclrlal S _ Mcchaijcal j -- Other j — - Piamm t ; Total fires Dye S — Gas Service Dutlets nterce tors_ P -Trap Hoot Drains Firepl/Fect. Bit. ICBO # System Repair /Alteration Trailer Sewer Sewer Cap Sewer Connection - Bldg. Solar i.ollectors Solar Piping Solar Tank _ Fire Dampers Registers 110231 Incinerator — Misc. 33603310 Swimming PooI1S a Water Heater Swimming Pool/sl)a Issue Water Service Septic System M 33603775 DEIIELOPMENT$FAKESREQUIREMENTS: lmiat kp1Mt0 By — —' oar Bolick*! APproeefi By _- — Date Issue ApPRtaiwa Iuw/ By _ 40. — : r — ProiectAddress _.a]L-M_Dlyers •dlaDrSVe Assesscr'a Parcel No. Owner's Name _f.L -M rrn Investment CO-Phone Address ....8311-Coast Righiliy— laglnA_Beach CA Arch /Eng. License No. Address Contractor's Name_ _ Phone _ Address Imaifing) City License No. LICENSED CONTRACTOR DE ('LARAT!ON hereby Affirm that I am licensed under Provision,. of Charter 9 (commencing with sect Ion 7000) or Of vision 3 of the Business and Professions Coue, and sly license is In fu!! force and effSCt. License C.as: License NO. Date Signature RKERS' COMPENSATION DECLARATION reby affirm that I have a certificate of consent to self4nsure or a certificate Workers' Compensation Insu•ar.ce, or •7 certified copy thereof (Section t 3800, Lab. C.) Policy No. Ct:mpany _ PCertified copy's hereby funllshed. J r:ertJiea copy Is filed with the city Building D-vislon. O.te ADpli"rit EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Yhrs section need not be completed if the permit Is to, one hundred ;51001 Or less). I Certlfv tnat in the performance of the work ter which :his perfnit Is issued, 1 shall not •m.-Ily any perio ;. :n any manner so as to become suoject to the Workers* Comocrisation rr,ws at Cahfornu- Date _. _ Sr'-nature NOTICE. If, after n ang this anclarahan, you ShOUld :ecome suoje ,t to the Worseff• Compensafror, p- Ovisions of the tabor Code, you must fOrinwrtn c Omply with SuCh prov, :ions Or thit V ^_rmit Shall be deemed revoked. CONSTRUCTION LENDING AGEN V I rereey ;.1 t m that tr.ere is a C.- i:struction tending agency for the performance of the work for which tr s Cermit .s $sued (Section 3097 C.v. C.) Lenncr's Nam- Lc-,der's Address OWNER BUILDER DECLARAT!ON 1 rereby affirm that 1 am exempt from the Contractor's License Ll- for the o4 Owrn9 reason (Section 703I.!. Business and i?rofessional Code: Anv city or county whWctl reaunes a perm,: I "onstruct, alter, Improve, demnhsh o' repair any ttr7ctorr, pricer t0 its issurnt.t, a';O requires the applicant for Such permit f0 i-le a $ignea st L: enlent that he:.ne is licensed pursuant to the p1OV,S,Lns o' Contractor's LI cnse Law (Char-te. 9 (commencing with Sect.on 7000) of isron 3 of the Business and P•ofesvionL Code) or that he /she is exempt er mefro and the 0351: for the alieged exemptlnn. Any violation o' Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hlnldfed dollars (5500). LJ 1, as owner Ot the property or my employees with wages as their SO:e pmpensatron, vale co the work, and th- structure is .lot intmcled or rrfered for We (Section 7044, Busmass an- Professional Code: the Contractor's Licei. ' Law does nut pony tc :n owner of a pfnperly who bands rr Improves ereon, and vi'0 clues such wO :k r,mself;h, ,na or througn his or her own employees, pronaed that 5uO, Improvelnen :s are not iwendea or offered for sale. 1', nowevei, the building or Improv,!ment is sold vnihm one year of com- pletion, the owner alp have the burden of proving he /She Cid slot build or im- prove fnr the purpose of vale). 0 1, as nwner of the property, am exclusively cnntractinq wi:n licensed con. fraclorS to COnSitucl the Dr Oject (Section 7044, Business and Professions Coee: The Contractor's License law does not apply to an owner of p,orerly who I builOS Or impro e$ thereon, ani who contracts for such projects with a con - tfaci0f(5) license pursuant to the I anlratinr'S License Law). I am aware that Pfcuf of their WOrker's Cornotilsair,n insur4nce Snou!d be provided t0 me, L3 I air exempt under Section B. & p. C. 10. this reason Cale Owner I htrebv certify Iha: I have leAd III application and state that the above in fdrrnailo.i Is correct. 1 ayree to Curil.'v with at! city and county ordinance% aria state laws relating t0 building consi —elmn, And hereby wuthorr7e reprr.• S7ntatrve5 of this City to enter upon tl,c above - mentioned prnp^rly fp: Inspection purposes. ' Signature LDrivers• ;.cerise or SS W .- tV1 ItbB lfktinP' (rrern TemDcnars Fir Coor. Wntn•Asinvx: Pipk-ADDIlcaai, fioWrrrM Arrr•wfino 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. - -J TP,ACT NO. ( LOT N0, ? UNIT NO. TYPE OFCONSTRUCIM C NEW C ADD ] TERATIGg C REPAIR L_' CONVERSION DEMOLISH rC OTHER fi0bi l e Home Instal l atlon DESCRIPTION OF WORK/05F OF SLOG. A.P. Zone S Main Building: Accessory Building: i",PEOFPERMft 0 GRADING Li FOUNDATION 4 STRUCTURAL C TE;tAHT IJ ELECTRICAL C PLUMBING is MECHMICAL C OTHER T Front z O 13 A Pear N t PROJECT DESCRIPTION: Sq.Ft. _ Occupar" _ Construction type Zen! _ Acres Vaiwha t S _ PCA C Right N i left G Ping. Ref.. Parking R2q. /Provided R E Remarks ern:i t to bring filesles UP to da te. Planning Notes C+ Perviously in cted b others. T 3-10-88 - S IDJ -- ELECTRICAL 1 FEES MECHANICAL FEES AxT.x GRADING FEES Cat: _co. yards hilt: _ _cu. yards F)anCheckFeeS - PermitF:e $ TDUIFees $ PLUMBING FEES Alter, Repair A Ito yJash Gererator 00 -5YW 0 5-15-'W Callstruction Pole Sub. 1_ Boiler Duct -Under Grout f Backflow, Pry venter iGOkin Unit Luct•Struttural r i Backflow Irrigatinn I Pale Li ht an •Ventilntirg _ —1 33£0.3310 LGas I Clarifiers Dishwasher _ Fixtu:e_Tra sea. F :nar Drains i !not Sinks_ Service Outirts Interceptors —` Or •ers'CGas 0Elcctric i 5aust SysT2m MultiolE _ Ev rative Ccolsr - Heating;rystem& Ducting CU-100000 OTU Q100.000 BTU Hood or Canopy Type 1 l Type II I Refri;_raticn System 00.100 ,000 R_TU 13100 000 BTU Fire 1 /Fact. Bit. ICBO # System Repair /Alteration_ 3300.33i2 330( 3312 Fan _ _ F.A.U. Fixtures Outlets — Sw :tches Meter i' uTl to t00 amps I I Meter Lover _100 amps ub snot _ I T:ansfurmer 0 15 -FOKW I n 50 +KW Summary of Permit Fees tlu1k11IT i Plumbing $ Elec!ri al $ — '- - MecWtimal $ - Om:r S SMIF $ - Sammar}o'P1anCbecltoees Building S P!umhrnQ $ _ Elacinral $ Mechanical S _ l ther $ -- - Pl ;rlmag Fees die S P Trap Roof D rairs Trailer Sewer _ l Setwr Cap Fire Dampers Sawer Connection - Bldg. Inc Mc tors 0 0.1 HP 01 %7 - 8 Solar 09.15 HP 1116-15+1 Sing'Fam. Res. I 1 Mull,•Fam. Res_ Registers 60431 33£0.3370 l Solar Collectors Solar Piping; Solar Tank,, I'mmmine,PooI/S a t_ ---_ Water He. Water S_`rvice Se tic stem Incinerator _ Misc. Swimming Pool/Spaa Issue - _ OEVELC*MENT 3CRVICES REQUIREMENTS: Ialiat App NW By _ _. _ _ ale I uiliag AFprmd 91 Date Appllcatim hl1Md By pip 33£0.3375 1a up.. '—(— Proiecf Address 3 900 Riverside Drive Assessor's Parcel No. Owner's Name El Morro Investment CO.Phone Address AR11 Enact Hiahwav Lacuna Reach CA ArchiEng. License No. Address Contractor's Na --Phone A cress (marling) Oty License No. LICENSED CONTRACTOR DECLARATION 1 f:ereby affirm that 1 am licensed under provisions of Charter 9 (commencing vn :h section 7000) of Civislon 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No. Date Signature OR -E COMPENSATION DECLARATION reby affirm that I have . certificate of consent to self-insure or a certificate workers' Compensation Insurance, or a certified copy thereof, (Section 3500, Lab. C.) Policy No. Company t— Certified copy Is hereby furnished. lJ Certified copy Is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Tnis section need not be completed if the permit is for one hundred ($100) or less). i ctrf.fy that In the performance of the work for which this pe -mil is issued, I t,—At not employ any person in any manner so as to become Sub;ert to the viorkers' Compensation Laws of California. Date _ Signature NOTICE: U, aiter making this declaration, you should Ceceme su C)ect to the edor :ers' Compensation Provisions of the Lanor Code, i ou must forthwith acv with such provisions or chit permit ;hall be de2mCd evoked. CONSTRUCTION LENDING AGENCY 1 rereLy affirm that there is a construction lending Agent!- for the performance or the work for which this permit is issued (iectipn 3697 Civ. C.) Len Cer's Name Lend N's Address _ OWNER BUILDER DECLARATION 1 hereby affirm. that 1 am exempt from the Contractor's License Law for the loliowrng reason (Section 7031 5 Business Ana Professional Code: Any city or coon :y which requires a permit to construct, alter, ,mpiove, demolish or :Coal• any structure, prior to its issuance, also requires the applicant for such permit to lire a signed statement that he /she is licensed pursuant to the provisions Of V IContfactot' s License Law (Chapter 9 (commencing with Section 7000) of ision 3 of the Business and Professions Cede) or that he /s:ie is exempt refrom and the basis for the alleged exemption. Any violatroa of Stiction 7031.5 by any applicant for a permit sut.lects tee applicant t0 a civil I ? malty of not more than five hundred dort3rs ($500). i, as Owner of the property Or my employees with waves as their sole cO T, Collation, will do the work, and the structure is not intended Or Offereo for sa•e !Section 7034, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves rereon, and who does such work himself /herself or through his or her own c- noloyees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- p ;etion, the owner will have the burden of proving -ie /sne did not build Or im- prove for the purpose of sale). 1, as ••wner of the property, am exCliSively contracting with licensed con- tractors to construct the pro;ect (Section 7044, Business and Professions Code: Tne Contractor's License Law does not apply to an owner of property who b UnCS Or improves therean, and who cor.:rrtts for Such projects with a con- s license ow%ui nt to me Cnnt +tctoi s License Law). I am aware that proof O their Worker's Compensation insurance Shouto oe provided to me. V 1 am exempt under Section --- -_ _ rs, b P. C. for this reason Date _ _ Owner 1 hereby certify that I have read this appliCation and state that the above n'ormA on is correct. I agree to comply with all city and county ordinances and state laws rr.latmg to building construction, an, hereby authorize repre- sentatives of this :Sty to enter upon the above - mentioned property for in :peCtion purooses , Signature -- — - -- — Data- Drrriirs' License or SS SP wMte-Budding: Grum-TerriMal File Copy. Canary- Assessor, Ymk- Applicant, Goldenrod - Accounting 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. I TRACT N0. I LOT N0. ,r, I UNIT N0. TTPEOFCGASTFUCTION NEW ADD TERATIO REPAIR CONVERSION O DEMOLISH 0 OTHER Wbile M instal latlon DESCRIPTION OF WORK /USE OF BLDG. Building A.P. E T A C S' Main Building: TTPEOFPERMrT CRJlDING O FOUNDATION SIRUCTURAL TtNANT G ELECTRICAL PLUMBING 0 MECHANICAL OTHEP. Front Rear PROJECT DESCRIPTION: Sq.FL Construction )pe Val.phor, S Occupancy lone Aces CN j Right Left Pln Ref. # Remarks Permit to bring files up to date. Planning Notes Perviously inspected b y others. 3 -10 -88 1D.i;E PLUMBING FEES ELECTRICAL FEES MECHANICAL I FEES Alter. Repair Generator 00.5KW ; J 5 -15KW Boiler Auto Wash Construction Pole Sub. 1 Duct -Under Ground Backflow Preventer Cooking Unit Duct - Structural Backflow Irrigation Pole Light Fan -Ventilating Clarifiers Dryers 0Gas OElectric Exhaust System Multiple Dishwasher Fan Evaporative Cooler Fixture Traps ea. _ F.A.U. Heating System & Du.ting 00-100,000 BTU Q 1 L0,000 BTUFloorDrainsFixtures Floor Sinks Outlets Hood or Canopy Type l 0 Type 11 0GasServiceOutletsSwitches Interco tars I Meter O up to 100 amps Refrigeration System 00-100,000 BTU 7-100,000 BTUP -Trap Meter Oover 100 amps Roof Drains Subganel Fire liFact. Bit. ICBO # Trailer Sewer I 15 -50KWTransformer 0 50 +KW System Repair /Alteration Sewer Cap Fire Dampers Sewer Connection - Bldg. Motors 0 0.1 HP 01112.8 Inc. Solar 09.15 HP 016-15+ Registers Solar Collectors Incinerator I Solar Piping Si)lar Tank Sing /Fam. Res. Multi -Fam. Res. Misc. Swimming Pool /Spa Swimmine POOI /SDa I I I DEVELOPMENT SERVICES REQUIREMENTS: lmiat Waited By seta trd(ing Aoorond by soh Appicrt" Issood By _Aaa Accessory Buil Z O N I N G R it a T S ACCT -M GRADING FEES Cut: _ cu. yards Fill: _ cu. yards 3360.3370 Plan check Fee $ 3300.3312 Pel.nli fee $ Total Fees S 336x.312 I Summary of Permit Fees Building I Plumbing Eitttrlcai Mechanical Other 110-231 SMIP j j j j i j 3360.3370 1 Summery of Plan Check Fen 3360.3315 1 Planning $ Total Fries ON i Building Plumbing S Electrical S Mechanical j Other . j 3360.3315 1 Planning $ Total Fries ON i Project Address 32900 Riverside Drive Assessors Parcel No. _ Owner's Name F1 1nrrn Investment CO -Phone Address RTtT T rnas r Hi ohway Laguna Beach CA Arch /Eriy, License No. _ Address Contractor's Name Phone Address (mailing) City License No. LICENSED CONTRPCTOR DECLARATION I hereC,/ 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 hceme :s In full force and effect. Llcense Class License No. Date Signature RKERS' COMPENSATION DECLARATION erehy affirm that I love a certificate of consent to self- insure or a certificate Workers' Compensation Insurance, a- a certified copy thereof (Section 3800, tab. C.) Policy No. Company Cerlrtied copy Is hereby furnished. B Certified ccpy Is flied with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section nerd not to completed if the permit is for one hundred ($100) or less). 1 certify that In the performance of the work for which this permit is issued. I Shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Cahfonra. Date Signature NOTICE: if, after makinq this declaration, you should become subject to the Workers' Compensati , provisions of the tAbor Cod,:, you must forthwith comply with %,-h provisions or this pafmil shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance 0 the work for which this permit is r;Sued (Section 3097 Civ. C.) L ^nder's Name _ Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I :m exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Aay city or County which requires a permit to construct, alter, improve, demolish Or repo rr any structure, prior to Its is!uance, also requires the applicant for such permit to file a signed statement that he /she is licensed pursuant to the provisions of Be Contractor's License taw (Chapter 9 (commencing with Section 7000) of vision 3 of the Business and Professions Code) or that he /she is exempt ere from and the basis !or the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil Jenalty of not more than live hundred dollars (5500). 1, as Owner of the property or my employees with wage, as their sole compensation, will do the wo:k, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself /nerself or inrough his or her own employees, provided that such improvements are not intended or offered Tor sale. If, however, the building .-r improvement is sold within one year of com- pletion, the owner will have the burden of proving he /she did not build or im- prove for the purpose of Sale). 1, as owner of the property, am exclusively contracting with licensed Con. lrac'orf to construct the protect (Section 7044, Business and Professions Code: The Contractor's License Law does nit apply to an owner of property who builds or improves thefeon, and Who contracts for such projects with a con - lydclor(s) license pursuant to the COntraCIOr'S License Law). : am aware that Proof Of their Worker i Compensation insurance should be provided to me. 0 I am exempt undo Section B. & P. C. for this reTl:n Date Owner _ I hereby certify that I have read this application and stale that the above information is correct. I agree to Comply with all city and county ordinances and ic,;:,: laws relating to building construction, and hereby authorize reprn- Senlativef of this City to enter upon the above- mentioned proper :, for inspection purposes. , Signature - Date Drivers' License or SS '1 _ While•Rursilinr Gf"ndemlxxafr File CW Canan•Assessm Pinli- Aoohcant: GoldenrnA- Arrnsnbno CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declaraticns PERMIT NO. ; TRACT NO. I LOT N0._., I UNIT NO. TYPE OF CONSTRUCTION NEW G ADD LTERATIO 4f PAIR D CONVERSION 0 DEMOLISH O OTHER I'lobile ome i El DESCRIPTION OF WORK /USE OF BLDG. TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL TENANT ELECTRICAL PLUMBIti:: MECHANICAL OTHER PROTECT DESCRIPTION: Sq. Ft Construction hpe Valuation S Occupancy Zone _ Acres FClt Remarks Permit to bring f Perviously inspect PLUMBING 'FEES Alter Repair Auto Wash Backflaw Preventer I Backflaw Irrigation Dishwasher Fixture Traps ea. Floor Drains Floor Sinks Gas Service Outlets Interceptors P -Trap Roof Drains Trailer Sewer _ Sewer Cap Sewer Connection - BI E MawitBuilds T Front A Rear C I Ylght g Left Ping. Ref. # Planninq Notes Accessory Buildi Z O N I N G R E a T ELECTRICAL I FEES 1 MECHANICAL FEES ACCT. .1 3360.3370 3300.3312 GRADING FEES Cut: cu. yarns Generator 00 -5KW 0 5.15KW I Boiler I Construction Pole Sub. Duct -Under Ground Cookin Unit Duct- Structural Fill- yarnscu. Plan Check Fee $ Permit Fee S _ Total Fees $ Pole Li ht Fan - Ventilatir. Dryers Gas Electric Exhaust System Multiple Fan Evaporative Cooler F.A.U. Heating System & Ducting 00. 100.000 BTU 0100,000 BTU 1Fixtures 3360.3312 110.231 I 33603310 3360.3375 Summary of Permit Fees Building $ Plumbing $ ._ Electrical S — Mechlmcal $ Other 3 , — SMIP S Summary of Plan CllOCkFoes Buililms $ Plumbing $ Electrical $ _. Metha :..Cal $ Other S Planning $ TOW Foes Duo i Outlets Switches I Hood or Canopy Type l Typell Meter 0 up to 100 amps Refrigeration System 00-100 ,000 BTU 0100.000 BTUMeterDoverWOamps Sub panel Fire I /Fact. Bit. ICBO # O 15 -50KWTransformer O 50 +KAY System Repair /Alteration Fire Dampers Motors 0 0.1 HP 1%: - 8 Inc. Solar 09.15 HP 016r-15+ Registers Incinerator S.nffam. Res. Misr. — Multi -Fam. Res. Swimming Pool/Spa Issue ICTIJO Poo DEVELOPMENT SERVICES REQUIREMENTS: Z011ieg AWwr4 By _Date — Illeilfing Aayread 4 _ Data AfRgtioa Iswad D:te_._ S,gnaturr —_ R-.marks Permit t0 bring files U to slate. Planning Not - RRERS' COMPENSATION DECLARATION - F— g - ereby afIIrm that I have a C!rthf: ae of co -'sent to self-insure or a certificate Perviously 1 nsrected bi_qth r Workers' CompensaUc^ insurance, or a t.ertified copy thereof (Section 3000, Lab. C.) 3 -10-88 Policy 1`4o. . "_ - - - -- -- - -- Comb`n)' -- --- - -- -- - Cllclliro, copy Is heretr- le parCt a_ii- u ind copy Is fie'— ] v r... .ne c-ty . P•ntding Div—ision- , - — - C PApo, EXEMPTION FROM WORKERS' COMPENS TION D'c RATION This Section need not be completed it •he permit is to, c undred ($1001 or — les'). 1 cerufy rhat In the performance of line wor for V;hhr Crm•t is issued, I snail not employ any •,erson in ;iry manner So as hn h m subject to the PLUMBING FEES ELECTRICAL _ FEES MECHANICALWorkers' --- -sauon laws of cah:oroia. Alter Repair Generator 0.5KW 5 -15KW Boiler _ Date --------Signature _ _ NO TI If, alter making 'his declaration, you should brc. ^m0 Subject to the AUIff Wash Construction Pole Sub. Duct -Under GroundWori.ers' Compensation provisions Of the Labor COCe, . , must forthw i ih _. — tc-ply wr,h such provisions or this permit shalt be o, _med revoked. BackfloW Preventer ,Cooking Unit L' let- StructuralCONSTRUCTIONLENDIt'G AGE "+CY — I hereby affirm that there is a construction lending agency fir the pe. formar.ce Baekflow Inigation I Pole Light FaI1 - Ventilating of the work for whtcn this permit is issued (section 3097 Civ. e.) Clarifiers i Dr ors ]Gas C]Electric i Exhaust ;stem Multe Lender' s Name _ -- - - — _ Evaporative Cooler _ Dishwasher ' Lender's Atidre's _ _ I Fan OWNER BUILDFR jECLARATION Fixture Traps ea. —` F.A.U. Heath, Stem & DvctinIherebyaffirmthatIamexemptfromtheContractor's -scense LAW for the - - -- b y g to I owmg reason 'Section 7031.5 Business and Protessht, nai Code: ,r ny uiiy or I Floor Drains Fixtures _ CIO.100 000 BTU 100.000 KT county which reuu:fes a permit to construct, alter, improve, dema',sh or re, if Floor Sinks I tcar,y structure, prior on its issuance, arse requires the loolhcant for such r,t .i ,2 _ h Out•e.. _ Hood nr Canopy to hie v signed statemer, that hC /ShC is licensed pu:suan' t0 the prOV ".O+h; Of E iaS $CtYlfe Dlltlet$ - e Cr•nlraclnr's License i Sw (Chapter 9 (commencing with Section 7000) at $yyItCI1L•S Tvoe 1 Type II 1_. vis on 3 of the Business and Professions Code) or nat he /She •• exempt o Interceptors I Meter :1 up to 100 amps Refrigeration SystemerefromandthebasisfortheTllegeoexemption. An. viol; than of 701.5 by any applicant for a permit sup ects trio applicant to a civil rjppP•Trap _ Meter Jove 100 amps CIO 100,000 BTU L 100 000 BTpenaltyornotmnr.. roan five hundred dollars ($500). - _ L] r, as Owner of the property ), my amp .ryees .v:tr' wages CS 'heir SofC Drains Sub anel Fire ( /Fact. Bit. ICBO # compensation, wiii do the work, .nd the structure rf not intended or offered 1__Rnof T-eiler Sewer +i' Y5 50KN! S itemforsale (Section 7044 Business and PrCfessior.ai Cnde- Tne Contractor's y... Repair /Alteration License I_aw• does not apply to an o•.vner of a Property wno builds o• improves Building $ Sewer Ca CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Project Address _329 -QI] Ri ve•s de Drive Trar.siormer 50+1V Mechamcal Merhameal E Fire Dampers Assessor's Parcel No. Sewer Connection - Bldtg' Applicant to fill in all spaces except those withinPPPP heavy border lines and sign all appropriate declarationsy9 thereon, an7 who does SuCh whrk nirnSelf /herself or tnrOugn his or her oven empinyee5, prnwtlr.0 that Guth improve mCn!s are not intended or oflerCd for If, however, the but ina improvement ae. Ier's Numv .fl_ `arrfl I nyeStigfft _Qo •Phone PERMIT NO. TR.1CT N0. LOT UNIT NO. Solar f_oilectors AUdreat _AR1S Coast i _aQLjjla Beach CA I Incinerator I Solar Piping Archl rip. _ — License No. TYPE OF CONSTRUCTION rJ NEW L' AN) ' : ALTERATIG Q REPAIR Ac'drass CI CONVERSION C DEMOII;H OTHER ir'h b71e Ome nstallation A.P. DESCRIPTION Of WORlIrUSE Of btDG._ The Contractor's License Law does riot apply to an owner cf property who buitdS or improves ere;.n, And crni) Contracts for f rh pr OleCfs with a ca n• tractor(s) license pi scant to u1e Contractor's Licersr Law). i am aware teat Contractor's Name Phone —_ - -_ Swtmmin Pool /S a 1_— _._ —_ - -, Swimming POOI/S ap— din g- pfoof n' their WN V'S Compensation insurance sir urd be ,,)rcviclecj to me. Addressimaihng) -- TYPE OF PERMIT G GPAD!NC CJ FOUNCATION TitLiCfURAL Ci!y License No. _ s• a 5 TENANT C ELECTRICAL PLUMBING MECHANICAL LICENSED COIITRACTOR DECLARATION L, OTHER __— PROJECTIherebyaffirmthatIamlicensedunderp- ovislons of Charter 9 (commencing OESCh;'TION: Sq. Ft. _ Occupancy whin sec: ton 700u) of Division 3 of the Business and Professions Code, an, icense Ceastrucbon type —_ lone Acres - my t: in full force and effect. License Class License No. Valuatlen f PC# -__ D:te_._ S,gnaturr —_ R-.marks Permit t0 bring files U to slate. Planning Not - RRERS' COMPENSATION DECLARATION - F— g - ereby afIIrm that I have a C!rthf: ae of co -'sent to self-insure or a certificate Perviously 1 nsrected bi_qth r Workers' CompensaUc^ insurance, or a t.ertified copy thereof (Section 3000, Lab. C.) 3 -10-88 Policy 1`4o. . "_ - - - -- -- - -- Comb`n)' -- --- - -- -- - Cllclliro, copy Is heretr- le parCt a_ii- u ind copy Is fie'— ] v r... .ne c-ty . P•ntding Div—ision- , - — - C PApo, EXEMPTION FROM WORKERS' COMPENS TION D'c RATION This Section need not be completed it •he permit is to, c undred ($1001 or — les'). 1 cerufy rhat In the performance of line wor for V;hhr Crm•t is issued, I snail not employ any •,erson in ;iry manner So as hn h m subject to the PLUMBING FEES ELECTRICAL _ FEES MECHANICALWorkers' --- -sauon laws of cah:oroia. Alter Repair Generator 0.5KW 5 -15KW Boiler _ Date --------Signature _ _ NO TI If, alter making 'his declaration, you should brc. ^m0 Subject to the AUIff Wash Construction Pole Sub. Duct -Under GroundWori.ers' Compensation provisions Of the Labor COCe, . , must forthw i ih _. — tc-ply wr,h such provisions or this permit shalt be o, _med revoked. BackfloW Preventer ,Cooking Unit L' let- StructuralCONSTRUCTIONLENDIt'G AGE "+CY — I hereby affirm that there is a construction lending agency fir the pe. formar.ce Baekflow Inigation I Pole Light FaI1 - Ventilating of the work for whtcn this permit is issued (section 3097 Civ. e.) Clarifiers i Dr ors ]Gas C]Electric i Exhaust ;stem Multe Lender' s Name _ -- - - — _ Evaporative Cooler _ Dishwasher ' Lender's Atidre's _ _ I Fan OWNER BUILDFR jECLARATION Fixture Traps ea. —` F.A.U. Heath, Stem & DvctinIherebyaffirmthatIamexemptfromtheContractor's -scense LAW for the - - -- b y g to I owmg reason 'Section 7031.5 Business and Protessht, nai Code: ,r ny uiiy or I Floor Drains Fixtures _ CIO.100 000 BTU 100.000 KT county which reuu:fes a permit to construct, alter, improve, dema',sh or re, if Floor Sinks I tcar,y structure, prior on its issuance, arse requires the loolhcant for such r,t .i ,2 _ h Out•e.. _ Hood nr Canopy to hie v signed statemer, that hC /ShC is licensed pu:suan' t0 the prOV ".O+h; Of E iaS $CtYlfe Dlltlet$ - e Cr•nlraclnr's License i Sw (Chapter 9 (commencing with Section 7000) at $yyItCI1L•S Tvoe 1 Type II 1_. vis on 3 of the Business and Professions Code) or nat he /She •• exempt o Interceptors I Meter :1 up to 100 amps Refrigeration SystemerefromandthebasisfortheTllegeoexemption. An. viol; than of 701.5 by any applicant for a permit sup ects trio applicant to a civil rjppP•Trap _ Meter Jove 100 amps CIO 100,000 BTU L 100 000 BTpenaltyornotmnr.. roan five hundred dollars ($500). - _ L] r, as Owner of the property ), my amp .ryees .v:tr' wages CS 'heir SofC Drains Sub anel Fire ( /Fact. Bit. ICBO # compensation, wiii do the work, .nd the structure rf not intended or offered 1__Rnof T-eiler Sewer +i' Y5 50KN! S itemforsale (Section 7044 Business and PrCfessior.ai Cnde- Tne Contractor's y... Repair /Alteration License I_aw• does not apply to an o•.vner of a Property wno builds o• improves Building $ Sewer Ca l Electrical Trar.siormer 50+1V Mechamcal Merhameal E Fire Dampers Other S Sewer Connection - Bldtg' SMIP = 0 —_ Motors O R -1 HP ;")1in thereon, an7 who does SuCh whrk nirnSelf /herself or tnrOugn his or her oven empinyee5, prnwtlr.0 that Guth improve mCn!s are not intended or oflerCd for If, however, the but ina improvement Registerssale. or is solo within one year of coal • pletion, the owner vain have iite burden of p.oving heir ^e d:d not ouilo or im• Solar f_oilectors I In,:. 09.15 HP C1 16-15+ 1 Incinerator prove for the p'ar ose of sale). Li I, as owner of th t property, -m exclusively contracting hth licensed con• Solar Piping Solar I -.. Fam. Res. Mist.. I 'fiu!h•i =.7a Res. Ira ClOrs to coif!. uct the p•olect j- .•,ction 7044, Business and Professions Code: Solar Tank The Contractor's License Law does riot apply to an owner cf property who buitdS or improves ere;.n, And crni) Contracts for f rh pr OleCfs with a ca n• tractor(s) license pi scant to u1e Contractor's Licersr Law). i am aware teat Swtmmin Pool /S a 1_— _._ —_ - -, Swimming POOI/S ap— pfoof n' their WN V'S Compensation insurance sir urd be ,,)rcviclecj to me. Water Heater L 1 a, exempt under Section- ._ - -_. _ .-__- EI G P. C.. for this reason Water Son ice _ s• a Date ___ -_. ._ - -- Owner if 6 Accessory Parking Req. /Provided ACCT. N I GRADING FEES Z O ti 1 N G R E O M T S Cut - ----Cu. yards fill: cu yards 3360.3370 Plan Check Fee T — 3300.3312 Permit fee Total fees S —y 3360 -3312 I Summary of Permit Fees 3360.3370 I Summary of Plan Check Fees I hereby certify trial I have read this application and state that the above. -j jdis_ —_— DEVEiOPNENT SERVICES RSQIJIREMENTS: information is correct. I agree to comply with all city and county ordinances 2minjll yrewdBy_,— anti slate, laws relating to building tdnStruCtlon, and hereby IulhorlZe repro. Senlat,ves n. this city to enter, upon the above•niertrnned property for - - -- -"— 0u!ttSnS4;traadRT —DJfe —.— 336C•3375 inspect ion purposes. - — cation fasted 8 . -.— Signal are - -- - --- -- Date -- ISSt e T LDrf_ vors' License it SS qp Whdr R,nldw f feeaT.maaary File Cioy: Canary- Assessar. Plnl;-Aopbrant. G6l0inrrio Arrncnhr+ o,,.ldfng Building $ Plunbiaj Plumbic g $ Electrical Electrical j Mechamcal Merhameal E Other Other S 110.231 SMIP = 3360.3370 I Summary of Plan Check Fees I hereby certify trial I have read this application and state that the above. -j jdis_ —_— DEVEiOPNENT SERVICES RSQIJIREMENTS: information is correct. I agree to comply with all city and county ordinances 2minjll yrewdBy_,— anti slate, laws relating to building tdnStruCtlon, and hereby IulhorlZe repro. Senlat,ves n. this city to enter, upon the above•niertrnned property for - - -- -"— 0u!ttSnS4;traadRT —DJfe —.— 336C•3375 inspect ion purposes. - — cation fasted 8 . -.— Signal are - -- - --- -- Date -- ISSt e T LDrf_ vors' License it SS qp Whdr R,nldw f feeaT.maaary File Cioy: Canary- Assessar. Plnl;-Aopbrant. G6l0inrrio Arrncnhr+ o,,.ldfng Plunbiaj Electrical Mechamcal Other Planning Total fm Due f Projecl Addres` - 0- a-Bi3ter sj (e Drive Assessor's Parcel No. T., ,, + Owner's Name -B- 1011(711 In ->+Ztr11Mt —CU •Phone - ---.. Ad..iess toast HiatlilLay La_qu na_Beach Chi Ar_tuEltO. -- ------License No. Address _ _ -- Contractor's Name _Phone Address (mailing) City License No. _ LICENSED CONTRACTOR DECLARATION 1 hereby affirm that t am licensed under provisions of Charter 9 (commencing with action 70 00) of Division 3 of the Business and Professions Code, and m,) license is in full force and effect. License Class _ License No. —._ Date__ -- Signature — ORKERS' COMPENSATION DECLARATION reby allirm !hat f have a ce ;hficate of consent to self - insure or a -certificate Workers' Compensation LiVirance, or a certifies copy thereof (Section 3s n, Lah. C.) Policy No, _ Company CCi trherl copy is hereby furnished. Certified copy is filed will, the city Building C vision. Date_ Applicant —_ _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Thissection need not be Cor- pteted it the pernbt is for one hundred (iloo) Or iecs Certify that in the performance of the work for which tnrs permit r, issued, I snap not employ any person in any manner so as to become Sub ;ect 10 the rrkUs' Compensa LOn t_a vs Of California. Dare — Slgnr.ture _ NOTICE: it, after making this declaration, you shc., c! become subject to the Aof6efs' Compensation prov.sions of the Labor C -aC, you must forthwith fi ply with such provrSionS Or this permit star t--- dcenien revoked. CONSTRUCTION LENDING AGENCY 1 r'cfeby affirm that there is a construction lending agency for the performance of the work for which this permit is issoea (Section 3097 Civ. C.) Tender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the 4w,owing icison (Section 7031.5 BuSinCSS drid Prof CStional Code: Any City or co:.nty welch requires a permit to construct, aiter, imarrve, demolish Or repair any structure- prior 10 its issuance, also rCduires the applicant for such permit o : !e a signed statement that he /she is licensed pursuant to the provisions of e Contractor's Liccnse Law (Chapter 9 (Commercmy with Section 7000) of ws,on 3 ur the Business and Professions Code) or Iral tic /she is exempt Cfrom an it inc basis for the alleged exemption. Any violation of Section 3).5 by any applicant for a Permit suu:ects the applicant to a civil penalty of not riore than five hundred dollars (5500). J I, as owner of the property or my emplOycCS w.In wages a; their sole cornpensation, will do the work, and :he Slruct +ire is riot ot.noea or rifferca rr sale (Section 7044, Business and Profess,ona, Code: The Contractor's L,Cen S(• Law does not apply t0 an owner Of a property who builds Or improves on, and who does such wore, himself /norself .;r :-'rough his or her own mt.'nyer;s, pfr, video that Such improvements are .• ^•Ol +oleo tled or offered for e. If, however, Ine but l(ling or improvement is solo within one year of com- O'etion, lire owner will have the burden of Ofov!ng oe /she did not build or im- prove for the purpose of Sale). D 1, as owner of t,•e of- npe::y, am exclusi.ely contracting with licensed con. tractors to construct Inc prulect (Section 7043, Business and Professions Code: The Contractor's License Law dfre not apply to an owner of property whC builds or improves Inercon, and wn COntraC:S for Such projects with a Con. i•aUor(s) license purtuant to the Contractof's License Live). I am aware that proOF n// their Ww!,er's Compensation insurance snou'd be provided 10 me, 1 am exempt under Section (3, & P. C. for th -S reason ate Owner 1 nt"I)y certify that 1 Nava read this application and state that the above information .S tOrrCft. I adrCc tre Comply with ,'I city and county ordinances and slate [a relating 0 burlUing Cons:WCtion, and hcrcby authorize repro. senlatives of this city to enter upon the at. ove -Mont ronto pruperly for inspection p rrposes. Signature __- Date. _ LDriwers' License or 55 ;y While Burtding. Breen Temporary file Copy; Unafy Assessor. PInk Jophcaaf, Coldenrod Accounting 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 NGz z Eza- TYPE OF CONSTRUCTION i' NEW - ADD LTERATID 11 CONVERSION C DEMOLISH OTHER Mobile dome fnstall'atTon DE"CRIPTtON Of riORKNSE OF BLDG.— — A.P. # Zone S Madip. Building: Accessory Buildjnq: TYPE OF PERMIT [7 GRADING C FOUNDA ?ION STRUCTURAL Cj TENANT C ELECTRICAL [j PLUMBING G MECHANICAL G OTHER T Front Z a A Rear N PRO1ECi DESCRIPTION: cQ Ft _ Occupancy _ Construction type — Zone Acres Valuat on $ — PCk — — g Right Left N G Ping. Ref. = Parking Re ./Provided _ Planning Notes R tc M M Remarks Perini t to bring ';_i e5 up t0 date. Perviously ins ecte others. T 3 -IO -83 s I D. l 8 —2 FEES MECHANICAL FEE$ GRADInufEES Cut - -_ ._ . -cu. yards Fill- — ----Cu. yards P,an r`eck Fee $ — Permit Fee $ Total Fees Summary otParmitFees rBu .d g $ P(umbm c $ - - -- Clectrcal $ Mechanical $ Other S SMIP $ Stimmary of Plin Check fees Bulldin Plumbing $ Elttlntal $ Mechar,:cai $ _ Other S Planning $ _ - Total fees Due f ___ _ PLUMBING FEES ELECTRICAL ACCT p 3350 337^ 3300-3312 331i(t•3312 1t0231 3350.3370 330-3'4115 Alter Repair Generator 00.5KW 0 5.15KW 1 8ei {er — I -- Auto Wash Construction Pole Sub_ 1 Duct•Under Ground ____ k Backflow Preventer Backflow Irrigation Clarifiers Dishwasher f Fixitlre Traps ea. Floor Drains I I Cookie Unit Poie Light Dryeri 01 Gas 0Electric Fan I F. A. U. I Fixtures -- 1 I Duct- Structl ra; _ FL11 - Ventilating _ Exhaust System Mult; I_p a l Evaporative Coolzi _ _ Heating System & Ducting n rriQQA00BTi; -_100 000 BTu 1 T41er Floor Sinks _ Gas Service Outlets ^^ Interceptors _ P_Trap Roof brains Se Rr f Outlets __ Switches _ —— Wrote., it up to 100 amps _ 7 Meter Dover iOnamps _ I Sub panel 0 15.56KWITransformer I _ n 50 +KW Motors r.J 0.1 HP CJ T%: • 8 Inc. Solar 019.15 HP 010.15 +! I 0 Hood or Ca.ropy Ci Refrigeration System Em-1QQ'000 BTU 100,000 BTU Fare 1 /Fact. Bit. — System Repair7Alteration Fire Dampers Resisters _ Incinerator I Server fa p Server Connection • Bldg. Solar Collectors Solar Piping ; j n7Fam. Res. __ Misc, __ _ Solar Tank b1ulti•Fam. Res. Swimming Pool /Spa Water Heater Sw(mmin PGU {IS a Issue I Dale . pat, pale Water $ervicc { Sept C $y loin r DEVELOPMENT SERVICES REQUIREMENTS: Zmstt MFaaatf BY i-0lijlrlingA9proredBY Application Issued By _ M1SC _ Issue Project Address _3240.R1YgX5? de Drive Assessor's Parcel No. Ovine :'sraame Fl Mo.rra Inves`m4nt CO. Phone Address —Sall tnaart H hway _j-.&guna peach CA _ Arch /Eng. License No. Address -- Contractor's Name _ Phone _ Address (mailing) _ – - - - -- -- City License No. _ - - -- – - -- LICENSED CONTRACTOR OECLARATICN 1 hereby aflirm that 1 am ficensea under provisions •_; `",.ef 9 (commencing with section 7000) of Division 3 of the Business a Professions Cede, and my license is in full force and effect. License Class .License %-. Gate_ Signature VLORKERS' COMPENSATION DECLARATION reby affirm that I have a Certificate of consent to s!u -f nsure cr a certificate WOrkefs' Compensation Insurance, Or a certified copy thereof (Section 3800. Lab. C.I Policy Nr,, — Company Cerldwd copy is hereby furnished. Certified copy is filed with the c::y Building Division. Date. _ Applicant _ _. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Th:t sect ion need not be completed d the perm:! is for One hundred iS)CO) of less). i certify that in the performance of the work for which tats perm: shall not empl,., any person in any manner SO as to become sub;ect to the 1 Wcefl,ers' Compensation Laws of California. Odle _ ___Signature — — _— N0.ICE: it rrti:r making this declaration, you should become subject to the wr :1 -ers' Compensation provisions of the tabor Code, yoc must lcretr—an cnniplq with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I nerery affirm trial there is a construction leading agency frr the performance rf the work for which Ines permit is :ssued (Section 3097 Crv. C.) Lender's Name Lenders Arl'lrets OWNER BUILDER DECLARATION I herchy affiri,l that I am exempt from the Contractor's License Law for the Anlov.mn reason (S r:ctton 1031.5 Business and Professional Cole: Any city or Cor:r!y v.nich :equoes a permit to construct, alter, improve• dem Olitn M :epa r any ct r.vit P. o—ir to ifs issuance, slur, requ,ret the an nocant for sur_h permit to foie a signed sta:en :ent that he/she is licensed pursuant to the provisions of e Contractor's License u%v (.- 'looter 9 (commencing 's Sec ?ion 7000) or vision 3 of the Business and Professions Code) o. that ne "she is exempt refrom and th basis for tor. alleged exemption. Any vinlatn :n o' SCCrion 031.5 by any apot,cant for a permit Sub;e CIS the applicant to a civil nenalty of not more than live hundred dollars ($500;. V 1, as owner rf the property nr my employee( Well. wages as . •eir sole com"ilewton, will dr) the work, and the strvrchrre rs n: l trtenned of offered for sale (Section 7644, Business and Piofcs ,,ionat Code: The Cnntrar.tor's License La v does not apply t0 an nv-not of a prrperty v.ho buiiCt or •moroveS thereon, and who does SuCh work 116mSelf /herSeif or tr:fCug' his of her or:n emplo /eel, provufed that such improvements are not :nteorlee of r.tfered for sale.. If, however, the buudinq or improvement is sold within One year of com. plel:oti, the owner :vii! have the burden of moving he /s "le did not buflo or :m. ptOve for the purpose: Of sale). 1, as owner of the property, am exclusively contracting with licensed con. IractUrs to construct the orr.;ect (Section 704.1, Business and Profession; Coda: The Cont ractnr's License t.iw OO.S nal .Ipply 1c, an inner of property who bond( or improves thereon, and woo c.(iii Lfdctt for such projects with a Con. lrac:id(S) tirense pursuant to the Cnntractur•s Licennse La «). I am ar:are that proof fir their worl•ef's Compensation insurance shn,, d be provideU to me. L.1 I am exempt under Section --. _-- –^ ` 13. 1. P. C. for this reason Date - --- •-- _ ---.— ^Owner ..— _ - -_ — ^- Im nerehy Certify that 1 have read flits application and state that the abovefrrmalinitiscorrectIagreehtcomplywithallcityandcountyorn:nances and state laws relator) to, builomrl c :_nsiruclto n, and hereby authur,re repre- sentatives of this city to enter upon file above—men—Tined property for tnapcttirin purposes. Signaltire _ _ Date_-- lwars' License orLD - -- Wtlle Building. G'een Temporary File Copy. Canary Assessor. P,rk Applicant. GotSenfoe ACCbunhng CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except thost, Within heavy border lines and sign all approprate declarations PERMIT NO. ! TRACT NO. LOT NO.— 1 UNIT NO. TYPE OF CONSf RUCTION !- NEW ADD D qLTERATIObi ni A+R L CONVERSION [= DEM00311 C OTHER [-I-- - Home installation OESCRIPTIGY OF WORKtUSE OF BLDG TYPE OF PERMIT GRilDTNG r, WNANI i ELfCTP.ICAL Dl4ER PROJECT DESCRIPTION: So, FL _ CorstrucUSn type Va.'ua!!cn S— — Remarks Rnr4ni t to I ID.# PLUMBING Alter, Repair Aoto Wash Back-flow Preventer Barkflow Irrigation Clarifiers —_ Dishvie,asher _ Fixture Traps ea_ Floor Drains Flog Sinks Gas Service Outlets Interceptors_ P•Trap Roof Drains Trailer Sewer Sewer Cap - Se-%er Connection - BI Solar Collectors _ Solar Piping Solar Tank Swimming Pool /Spa Watei Heater issue i' FOUNDATION _r• STRUCTURAL PLUMBING E ; !MECHANICAL ncrupancy — Zone Acres ring files up to date. 7s ecte others. 3 -i0 -88 EES ELECTRICAL 1 Generator C0.5KW_C7 5 -15K%% tefCor- lstruction Pole Sub. -- Cookin Unit Pole Light Dryers Gas DElectric — Fan F. A. U. Meter D up to 100 amps Mm .r Clover 100 amps I Sun panel v1 Transform ^.r 50 + KOyW Motors D 0.1 HP C] 115.8 Inc. Solar 09 -6 HP 016 -15+ Multi- A.P. K E f Maw in Buildi T Frontnt — B A Rea: C R,6,,t S Left Ping. Raf. Plannlno Notes b7ECHANWAL - -- t CEFe Boller _ 1 Duct -Under Ground Duct-Structural Fan- Ventilating I t•vhancf Svlf_ m a- !nitiule Heating System & Ducting El 0 -too000 BTU ,jI0 000 flood or Canopy Type 1 C: Type 11 0 ZRefrigeration System r_,0 60.000 BTU D' 100,000 Fjrepl/Fact. Blt._ICBO =_- System Repair /Alteration Fire Dampers _ ReQisters_ _ fiisc. DEVELOPMENT SERVICES REQUIREMENTS: Zonili Apprond By -_ Date Building App-ond By _ _ Dale — Application Issued By Accessory Building. Parkrno Req.iProvided Y O N 1 N cV R E A ACCT. it GRADING FEES Cut __ - -cu. lards tit _- —_cu. yards 3360 -3370 Plat. Check fee 3 3300.3311 Permit Fee ; _ - - - TclalFees $ 3360-331c i Summary of Permit Fees 3360.3370 1 Summary of Plan Check Fecs 9ullding Plumbing S — E!ecttrcal S _ M!ct311•cal 0:'tt 110231 SMfP 3360.3370 1 Summary of Plan Check Fecs 3360.3315 1 Plaints; $ Total Fan Due $ 9ullding Plumbing S - -_ Electrical S Mechanical Other 3360.3315 1 Plaints; $ Total Fan Due $ Proiscf Address —32-qQQ —Rj vers_j de Drive Assessors Parcel No. Owner's Name SLtiQeJ9_(Q_Phone Address _P 1 :_CraStJii hlY;iy Lc gUl a Beach CA ArchtEng, License No. — Address Contractor's Name._ -Phone Address (malling)- City License No. _ _ - LICENSEE) r_-ONTRACTOR DECLARATION 1 heresy- affirm. that I Am Licensed order provision$ of Charter 9 (commencing with section 7000) of Division 3 of the Business arse: Professions Code, and my license is in full force and effect. License Class _ .— — License No. - -__ Date S.gneture ORY.ERS' COMPENSATION DECLARATION feCy affirm that I have a certificate of consent to self- insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 3110, Lab. c.) Policy No. __ _ Company _ Cerirffed copy Is hereby furnisheo- Ce,lmed copy is filed with the ci:y Building [):vision. Applicant EXEMPTION FROM WOR)CERS' COMPENSATION DECLARATION Thisicctron need not be completed if th._ ,3ermit is for one hundred ($130) orless). 1 r-erlrfy that in the performance Of the wOrk fur which this permit is issued, i snail not employ any person in any manner so as to become Subject to :ne WO:kerS' Compensation Law, of Ca.rfornla, Date ,__ _ Signature NOTICE: If, after making this deClaratton, you Should bec ^me subject to file Vo'4ers' C•Imp.nsation prcv,s.Ons Of rile tabor COde, you mui• for•n:.itr, cru)Cly with scree prnv,sions or :n.s permit snail be deemeo feyOkeo. CONSTRUCTION LENDING AGENCY I hereby affirm that 'nc•r P. rS a conStruCtiur, lending agency (Or the performance of 'Ile work for whiC, this permit :s issued (Section 3097 C.v. C .)) i-encier's Name Lender's Aaarest OWNER BUILDER DECLARATION 1 neteny affirm that I am exempt from the Contractor's License Law for the rliown-.q reason (Section 7031.5 awiness and Prr.sess,onal Code: Any city or county v,niCh reolmes a permit tc CO`struct, alter, improve, (let,, )hs't or repair any structure, print to its issuance, also reau.rr. the applicant for such permit to foe a srnnea statement that n sne is hcenwo pursuant t.) the provisions of Wil. bContractor' s License Law (Chapter 9 (Commencing with Sectron 70o0) of Sion 3 of the eusmess and Professinns Coae) or that neishc % •exempt efrom and the bass for the anegea exemplrrn. Any violation of Sectron by any applicant for a permit suaiects file appl.cirt to a civil penalty of not more tnan h „e hunarea colli is ($500). L I, as Owrer of Me properly Or my ernp!Oyees min wale', as Ihc,r sold CompenS -100n, von CIO the work, and tt,e Structure is not intenaed or ,,ffered Ion tale (Sc -iron 7044, business And Professional Code: rho Contractor's L.cc,rse Law noes not apply In an owner of a prnperty woo buOuS or iml:•oves I nereOn, anti who does Such work n ,mlelf,nc,self , ti.,brlgn ri,s or fief own emptoyecS, provided that such imprr;vCmCn :S are t ,nternca or offered fur j sale. It, however, the 1)u.ldine or ir,p,ovemenl is s-'.t vnt'tm one year of cum• pietion, ;he owner will r.ave the ^.n :?:n of Proving h.: /she did uurld of rm• prove for the purpose of sale). 1. As owner of the prooer :y, am exC,us,ve:y cnni actin.) with ncens t, con - tracto,s to construct the o :oleo• (St•ctrnn 70 44., Business and Professions Coat: Toe COn If ACtu.•s License Law does riot apniv t„ an owner of •rooefty vho nr„ios fir mornves thereon, and who rentracts for such prolucis with a con. leactur(s) license pursuant 10 the CnnL,aclor's license Law), 1 am aware that Cr-nvI Of their W7rker's Compensation msu,ance should be PrOV.dea to me, LJ I Am cxcmpt under Sectron_ — __ —__— 0. & P. C. for th:i reasnn Date - -_- -- Owaar _ -— _— _- - - -- I hereby cefl,ty that I nave read In,s apPI.Cation and .late that the above in format :on is Cnr.eel. I agree 11, Compiy with all city area county Oraman:Cs and state laws relating in buaning construction, and hereby authur,re repro• sentatrves of th.$ City to Pinter upon in, above- mentionte, Drupe :ly forItr,ec(,nn purposes. Signature - -• —_ -- - - - - -- Date Orrve•s' Ljre,)se or SS it CITY OF LAKE ELSINORE CONSTRUCTION PERMIT ApFlicant to fill in all spaces except those Within heavy border lines and sign all approoriate declarations PERMIT NO- TRACT NO. OT NOZ `/ UNIT NO. TTFE OF CONSTRUCTION L_ NEK ADD C7 LTERAT10 REPAIR If CONVERSION ;; DEMOLISH Oit +ER _I''Oblle (iome nstallatlon A -P. DESCRIPTION OF WORK,USE 0)- BLDG - Zone S Main Building: Accessory Building: E' _ TYPE OF PERMIT : _j GRADING FCUNOATION SIRUCTURAL T' Front L, TENANT ' ELECTRICAL PLUMBING MECHAWCAL 8 OTH'_R A Rear PRCIECT DES .RIPTION: Sp- R _ Occupancy C, Right asUuchon type Zane Ares S _ ^ - S Lei( Ya!><hanS PC: -- F!.1. Ref, zi Parkin Req.iProvidedRenlarx. Pe d tr) brine files Up to date. P(anninyNotes Pervious,y ins cte others. 3 -I0 -3a ID. PLUMBING I FEES LAlter, Repair j 1 Awn Wash Backlicw Preventer Backllow Irri aglion — — Clarifier_ J Dishwasher i Fixture Traps ea. Floor Drains _ Floor Sinks Gas Service Outlets i Irtfa eptors P-TraP•Trap _ Roof Drains Tiailer Sewer _ Sewer-Cap - Sewvr Connection - Bldg. _ Solar Collectors Solar Piping Solar Tani, Tank _^ -- Swimining Pool /Sp; Water Heater ELECTRICAL F Generator 00.5KW Q 5 -15KW I Cons :rurtion Pole Sub. Cooking Unit Plumbinl Pnle Liafit Dryers LIGas Electric Fan F. A. U. Fixtdrls I Meter up to 100 amps I j T-- -- -- I Pieter ,.;river 190 amps rSub .f _ j O 15 50KW ; Trz ' I] 50 +KWf •', - - HP r IY2. B 7"---- Inc. 5n!ar F19. It, 11P_016 15 + _ Sinq li aril. Res. _ I __ Duct- Structural Fan - Vertitatin Exhaust System Multiple Evasoratue Cooler Heating System & Ducting 70. 100,000 B_TU 0100,900 BT Hood or Canopy Type i E: Type if Refrigeration System 70.100.000. BTU 2100 000 BT FireCl,Fact, OR. ICBO :t _ System Repair /Aiteratlon Fire Dampers Incirerato: i- ' sc. Issue -- DEVELOPk1 ENT SERVICES RZ UIRFMEATS: toning Apprma By Buddiat Apprflrea ey _ate Application issued By __Dale ACCT x 1 GRADING FEES CLt ___ cu yards Fi'I _ ___ -cu yards 3360.3370 Plan Check Fee S 3300.3312 I Perm tFee $ _- cal Fees $ 339-0.3312 Summary of Permit Fees 9ui:dirg Elech:ca! S Plumbinl ffecUir.it Plarmill $ N.ech)n:ul S .- Dine: 110 -231 SMIP 33,50.3370 I Summary of Plan check Fees I ToW Fess Dar 'S _ White-Building. Giffin Tc.apo dry file Copy: Canary Assessor. Pink Appli ;aril, GAtdenrod ALcountlnR - 1 O N I N G R E a M T S Building S Plcrnblrj S Elech:ca! S Mechanical S Otter $ 3350.3375 Plarmill $ I ToW Fess Dar 'S _ White-Building. Giffin Tc.apo dry file Copy: Canary Assessor. Pink Appli ;aril, GAtdenrod ALcountlnR - 1 O N I N G R E a M T S Project Address _3'L9 I RiY°rs i de ©rive Assessor's Parcel No. Owner's Name –El–&CL "C I nve- Ainent --C , v • Phone Address -3" 1, -nactHighway_j„ay!;!1a - 3each CA ArchiEmg. _ _ — .License No. — Address _ -- Contractor's Name Phone Address intailingl _ — City License No. LICENSED CONTRACTOR DECLARATION I hereby affl:m that 1 am licensed under provisions of Charter 9 (commencing with :ec[ion 7000) of Division. 3 of the Business and Profession! Code, and my bcenst ii in full force and effect. License Class License No. —_- Oate—.___— Signature _— RKERS' COMPENSATION DECLARATION relay autrin that I have a certificate of consent to self- Insure or a certificate Walkef, ' Compensallo•; Insurance, ar a ccrt!f!ed copy thereof (Section 3300, 1. ab. C.) P---olicy Nu. company — r CCr htrCd Copy Is hereby r lrnished. L_t co: I I Cd Copy r1 riled with tt-.e city Building Division. Aoplicant - -_ - --- EXEMPTION FROM WORKERS' COMPENSATION DECLARATION rhrS section need not be completea if the permit is for one hundred (5100) or less). cert.ry that in the per :oroar•ce of the work for w:lich Inns perm t is issued, i Shan neit employ any person in any manner so as to become sublect to the V. ,?kcfs' Compensation llwS of California. Dale Signature NOTICE: %niter making this declaration:, you shoatn become subject to the Nitri, ris' CompensaCon prov.Surn; of trie _abOr Cede, YOU must forthwith comply will, SuCn provr S;OnS Or this p ^r snit Shall be cceineO revoked. CONSTRUCTION LENDING AGENCY I nerery arirm that V:ere +s a construction lenc'ng agency for the performance of tie work nor vroieh tms permit is issued (Section 3047 Civ. C.) Lercirr's rJarr.r lcr Cr••s AdWess OWNER BUILDER DECLARATION 1 hr:eoy altrrm ilia: I am exempt 'torsi the Cc" _:Ws License Law for tote tniu;w,nq reason fcection 703..5 fd..siness and Professional Code: Any city 'rr anf hr-h r nos a earn. rt to CIn tr c; alicr im -o• r d moh••1 r - • auCOKCU .1 S U I C 4 enYp any siruetufe, prior to as iss..ance, assn teau•n e; the applicant frr Surh ";n1.1 to fit' Signrn Stclenitnl that ne /sI+C is Iicenseb pt.tivant to the proviw;rts Of r Con l ractor'S Lt{CnSC f -.:w ((.hanter 9 (commencing with Section 7000) of Sion 3 n' tote Business and Professions Cudc) or that he /she is cxc.np! it from ann Me basis to, the alleged erfvn rtion. Pny violation of Sgct,on X1.5 by any . pphcant for a permit sun;ccts 'tie applicant to a uvtl penalty of not more than five hunarrd collars (5500). L: 1, as ,iwnc, of the property of my crnot.;yccs with wakes as tour sots compensation, wilt do the worn., and the SttU'rurc is not mteneed or offeico for sale (Section 7044, Business and Profess nnal Cc.". The Contractor's LiCrn sC Law does nat apply to an ov,nct of a property who builds or .M.Wlles th:rCoil , and vihr. does Such wnfk hiir; ;t f ;her ;elf of thintigh I.,% (it her own emp.nyces, provided Irat such imprnvemen:s are not rrlte idea or offerca rnr Slfe. It, however, ilia building or Imoru.ernenf .s sold within one year of com- pietlon, the owner will rave the laurae-t C I proving hC,s %C did not build or im- prove for trc owrinse, o' •ztic). L! 1, as owner of the prnp.`r :y, am excin,Sivr.iy conifaeting wit7. IlrWn"4 con- tractors to const.•ict the oro;rcl (Serfinn 704-:. (lusiness and Professions Cr,de; The Co n lractnr's "icense Law dots riot apt v to an o:mer of property who bug ns o• Unl• eves thereon, and wnn cortr..'S for siicn projects wt!h a con - trauai(1) hrenst pursuant to t:ic Contractor L-CenSe Law). I all a.vatc that proof of the.r Wrrkef's Comprns icon insurance sho.ttd be previned In me. U I am exempt under Section- -..___--._ _— p, L P. C. fnr Ibis reason Pate _ _ _~ Owner .. -- —— '-- - - -- — i tttrlby Coldly that t have read this apphcatinn and stale trial Inc ahnve information .s correct. I agfeC In corno,y with all city ann county orairdr,coi and state laws re toiling to builcrny construction, and hereby aufn,inde repfe. Serlatiyrs n, this :,Iy t0 ente' upon the abovc•n:ent;nncd per ;;.Crty frr rnspec'.on 0urpcscs. Signature _ -.-- -- ._ —_— Date. - -__ Drivets' License ar SS M' white Building, 6rezn fenp„ nary Rie C f. Cararr Assessaf Pink Arphcant. Golder.rM Arcojmop. CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill In all spzres except those within heavy border lines and sign ill appropria!e &clarations PERMIT NO. ! 1 RACT NO. I LOT NO `- -+JN1T NO2 _I TYPE OF OfsS.'StRLICTION NEW C. ADD j/LTERAIIODI RLPA!R L UL EPS10.4 DEKICUSH D 3THER I'C i l e Nellie lnsta? i at-1on DEKRtPTiO4 r.F WORK,USE OF 6LDG. PIPE OF PERMIT GRADING O FOUNDATION Ei STRUCTURAL TENANT ELErTR1T;A! Lt PLUMBING MECHANICAL PRO:ECr DiSCRIF)ION 4 .J.,c''S, ape Remarks pram• S -1.Ft.- _ Occupancy Pervious ?v ills ID. - PLU!BING 1 Alter, Repair Auto Wash Backflorr Preventer Back flavv Irri2 t;o2 Clarifiers Dlshw2sher Fixture Traps ea. Floor Drains — Floor S:nko _ s Ga< Son, Ito rliofr.te 1j interceptors - i P•Trap Roo' Drains I Trailer Sewer — ef Ca _ ^ 1 w_ p t_. —. Sevfer Connection • $icy. Soar Collec tors Solar Plp.r,p - - - -- — Swiritm nq P0011SP3 Water Neater _ Vi'ater Service 1 Septic System lane _— Acres PCr g f?les up to (late. ecte • y others. 3 -i0 -$a ELECTRICAL t'—i Geaera)or [30.5KW D 5.15i3S i Main Building: E -- r Front G Rear C, Right Kam— -- gyLeft Ping. Fief. 1t Plarin ;ng ',totes MEC Dryers LJGas DElectric _ Exhaust S's4iern_Muli ^le _ Fan Evaporativ: Cooler F.A.U. Heating System & Ducting JO.160,000 BTtJ U 100LFixtures _ Outletss i Moor+ or Canopy Ty ee 1 171 Tit,, !! ISwitches de;c-0 up to 100 amps —1— l I Refrigeration System LI0- 100,0170 BTU it 100eterDover100ampsi _ Sub panel Fireo,,Fdct. Bli. ICBO 'f Transformer C 15.50KW L 50 +KW _ Motors fJ 0 -1 HP E] 1% • S Inc. Solar (]9.15 .4V' 16.1; +I Sing /Fam. Res.— _ Mulli•Fam. Res. Jwit'rtmini POOIJSD3 System Repair /Alteration Fire _Dampers Registers — Incinerator _ — Y 611sc_ DEVELOPMENT SERVICES REQUIREMENTS. honing ADprored By Auilanglppra dB) -- _D. . tie } Application Issued By _ - -_- -Dale Accessory Building: z O rt 1T—_ N R Parkir Req.!Provided E O M T IS Acct. or E GRADING EYES cu. yards Cu. yards 33503:,701',an :teck Fee S —_ 33&a33i2 Ptum;tFee t Toga! Fees $ 33110.3311 I Summary of Permit Fee: 8alldm r Plumb :nQ $ -- Elect:lcaf $ Mechanical S _ 1 IlF1at 1 3360.3310 1 ithet S _ —` — Still? $ Summary of Plan Check Fees B:iildinQ $ Plumbing $ Elcrtncal S Merlanlcal f _ — Olher 3360.3375 Plaenlog $ Total Fees Due S _ Proiecl Address — 3aa-D(LRi vets i de Drive Assessors Porcef No. 0e.ner's Name E1 Marra Tnvestmetlt f:Q -Phone Address _5UL -Coas.i_.Rivhwayr La-,L Q-eaeh CA Arch .'Eng. License No. _ Address Contractor's Name __Phone Address (mailing) —_ City Licenses yr _ LSC£NSFO CONTRACTOR DECLAMATION II re-eay affirm that I Al, hcLrsed unat- provisions of Charter 9 (commencing In secticn 7000) Of Die +s :n:, °. W the. Business and Professions Code, and I r -.y ttcense is in f•jll force an cftrc'. — Ucense Class —License _____.__. No.._. Date Signature kKERS' COMPENSATION DECLARATION rCby affirm trial t have a certificate of consent to self-insure or a certificate workers' Compensation insurance, or a certified copy thtreof (Section 3800, lab. C.) PDllcv No. Cor.-.panv u Certified Cooy ! r:rrcay tuMlsheG C Certif,+d copy d filed with tn+ C•ty u :tdu :a Division. Dale _ Applicant EXEMPTION FROM. WORKERS' COMPENSATIJN DECLARA7'e-;:: Th,isection need not be completed it the permit is for one huri:.r o i`it00) or lets)_ a certify trial in the performance of the work for talncn :I:is pea .S issued, I s^a'u not emDloy any nerson to any manner so as to become t .:,,cct to the ers' Compensation Laws of California. e _Signature NOTICE: 1', after making this declaration, you ShOuid become _b;ect to tie vw ^: c,s' Compensation provisions of the tabor Cr;Ge, you must 1:.r-nw th c• Zly vn, r+ such pruv, ;lonf n, this Permit Shall be deemed revoked. CONSTRUCTION a_EfaDING AGENCY t rc -!zy a'f,rm th >t tl, a: -S a Construction tending agency for the performance n' Ire work t_1 +,hich,, this oe:mrt as issued (S -ction 3097 C ;v. C.) Len ^_cr% Nsmf- Ovtr:r.r- r:j:LDE'< DECLARATION r.•c y •irm 111A I am exempt Ja Jon the Contractor's License Law for the ng reatoe (' -ciao-. 7031.; But,ress and Professional Coce: Any city or LOGr:y .,,n,ch requites a C'rr mot If con ••,uct, alicr, improve, demolish or repair any Sllilctur C. pr.Or to all. Issuance. at requires the applicant for sucn permit I c a si taco ,talunient that he;shc a$ licensed pursuant in the Ofov.stons Of hr Ccniracter's License Low (Crosier 9 (commencing v.,:h Sec:.n- JCCO) of ns,on 3 Of the Bu Loess and Professions Code) 0f that he /She .S exempt e•effom and the base for the alleged exemplinn. Any violation Of SCCtloo 31.5 oy any acp4 ?art for a permit sucilects the applicant to a civil ally of not more Iran five hundree collars (5500). 1, as owner of the property or my employees wain wages as :Heir sole CO n-.. ^ensal;or. will do the work, an0 the strticture is net intended Or offered nr S "t (Section 7044, Business and Pro' ^ss,onal Cn,fe: T ^.e Contractor's L.cerse 1. iw does not apply to at, owner of , property who b cldS Or ,mpreves c •e -),I and who woes sucn wort, mmse• 'herself or through his Or `er on ye ^S, pr Ov, duo th)t such improvements arc not ,nfCnded Of Offered for Sale. If, nn wever, the nc,17ir.9 o' .mDfo Vcment S Sold within one year of com- C'e:r:+n, she owne' will have the hurdcn of proving he /she did not buod or im- Cro-de for trait purpose of sale). J as owner n' the prnperty, am exclusively contracting with licensed con. t'Acto'sio construct )tie pfo;cct 'Sectinn 70.1.1, Business and nrofe %siun.S Code: Ire Contractor'% License Law does n t Apply to car. owner of property who Lu• aS air .mornves Inereo-s, and wt+,a contracts for such prOiects w,tn a con• ivct )r(s) license rursuant If, il,e • :,mtractnr•s Uccnse Law). I am aware that p,0'.1 or Ihe,r W'n•ie;l'% Comp osa'ian insurance Should he provided 10 rate. 1 arcs exempt ur.tler Section —__ 0. L P. C. for rr,S reason Wit _ _ _ —__ Owner I nerebY certify that I nave react tails avrh :cJtion and stare tha: the annve rfo,mat. on as coo rest. 1 agree to C0.'!1ay with bit city and county orn,nances and state Isw$ relating to bu.la.ng cons!, ticla(m, and nereby autt;(,r,ae rcore. se1:. vut Of this City to enter upon the aDOVe•menllnned plupCrly for Irlolct,on purposes. Signature r Date. Of.vef;' License or SS rMte 110dmg. Grern Temporary fee Cnp7: Canary Assessor. Pink Applicant. Go;denrod Accco r+ Ig CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border tines and sign all appropriate declarations PERMIT NO. ; TRACT NO. LOT NO._ , i UNIT NO. TTPEOFCONSTRUCTI(M U ADD L_ PCTIG' - REPAIR L U.IVERSION DEtaO_ISH CJ OTHER tiobiI AOme hnstallatlon DESCRIPT;ON Of WORK. USE CT ELDG TYPE OF PERMIT r7- G.RA!NG FOUNDATION C STRUCTURAL E TENAN! C ELECTRICA1 PLUMBING E MECHANICAL OTHER _ PROJECT DESCRIPT1 -IN Corstrtictirn type ya!oatlon f Sg FL Occupancy Zane -- Acres PC# Remarks Permit-to bri n _files urn des Perviously inspecteiLby others. ID. MBINJ FEES 3- -10 -Da ELECTRICAL . F A.P. # S Mair, Buildi E T Front A RearA _ C Right 0— - -- S, Left Fine. Rcf_ At Plannina Notes f Alter, He air Plumbing S Genet. 'or _JFr5KW Cl 5.15K%V - Electrical $ Boiler 5 _ Other j Auto Wash 1 Earkflow Preventerooking Construction Pole Sub. Other1 f _ I nuct -Under Ground 319111, j . Unit Duct•Stfuctural Backflow Irrigation Clarifiers Pole light Dryers QGas Far. - Ventiiating r Electric_ Exhaust System Multiple Dishwasher I Fan t I Evaporative Cooler Fixture Traps ea. F_A_U. _ Heating System & Ducting Floor Drains Fixtur s 00-100,000 BTU 0.100 1100 BTU. FL,or Sinks Outle.; _ 1 Hood or Canopy Gas Service Outsets Switches ep1fTypeIfU interceptors eter Cl up to i00 amps Refrigeration System P -Trap Meter Clover 1.00 amps nO- 100,000 BTU 0100,000 BTU_ Root Drains Su anel i Fifepl /Fact. Blt. ICBO # Trailer Sewer i7 15 5fiKWTransformer 50>-KW System RepairlAlteration Fire dampersSewerCapI Sevier Cenneaion - Bldg. g r 8 IIiMotorsE20.1 HF 0la Reuters Solar Collect3.S Inc. Solar 69.15 HP 016.15-1 Incinerator Solar Piping Sing /Fam. Res. Misc. Solar Tank_ Multi -Fam. Res. Swimming_Pool /S a Swimming Pool /Spa Wz,rr Healer ISSUP, issue DEVELOPMENTSEKYICES REQUIREMENTS: Inning Approved By Buil0j Approved 6y Application Issued By Date Dale Accessory Building: Par ACL'T.s GRADING FEES Vut 1 FIJI 3360 -33% I Plan Check Fee; 3300.3312 Permit fee ; rtt l'•% ; 3360.3312 ! Scro nary of Per :•rt Pets 3360.3370 1 Summary of Plan Check Fees Building E Plumbing S Electrical $ Electrical 5 _ Other j Mechanic,m Other1 f _ 110.231 319111, j . 3360.3370 1 Summary of Plan Check Fees Totaf felts Out $ Z O N 1 N G R E a M T S muds yards Building E Plumbing S Electrical $ Mechanics! E Other j 3360.3375 Planning f Totaf felts Out $ Z O N 1 N G R E a M T S muds yards Project Address . U901I Riverside Drive Assessor's F'orcof No. Owner's Name FI mnrra Investment CQ.Phona ___ Address _ial] Cola t tiigh1-1i3Jr__1a9.un_d_ Beach CA Arch /Eng. _ Address License No. s;ontractor's Name -- Phona Address (mailing) City License No- LICENSED 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 lull force and effect. License Class License No. _ Date — Signature RKEP.S' COMPENSATION DECLARATION reby affirm that I have a certificate of consent to self- insure or a certificate M/vdrkers' Compensation Insurance, or a certified copy thereof (Section3800, L.ab. C.) Policy No. Company Certified Copy Is hereby furnished. Certified copy Is filed with the city Building Division. Date. Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be comole'ed if the perrrtil is for one hundred ($100) o: ICSS). I certify that in the performance. 0 the work for which ;his permit is issued. I Shall not employ any person in any manner so as to become subject to the Workers' Compensation Uws of California. Date __ ,_$rgnature _ _ NOTICE: It, after makinq this declaration, you should become subject to the WOri.ers' Compensation prpv _aris 6f the Labor Code, you must forlhw:iP c ('"'.01y Noll such provisions or Ih:s permit Shan be deer -,nr! revoked. CONSTRUCTION LENDING AGENCY i nereby affirm Mat there is a construction lending agency for the pertormance of the .vork for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Andress OWNER BUILDER t7ECLA.RATION I nereby affirrr. that 1 am exempt front the COn,rartnr'S 'L.Cen Se Law for the form wring reason (Section 7031.5 Business and Professional Code-. Any city or coLnty' wnich requires a permit to construct. alter, improve, demolish or repair any sir ticture, prior to its issuance, also ren Wres the appl cant !7r sticr, oermit to file a signed Statement that he /She is licensed pursuant to the provisions of e Conlractcr's License Law (Chapter 9 (•:ommencmy with Section 7000) of vision 3 of the Business and Profesvont Ce.Je) or th „t he /She is exempt refrom and the basis for the aheged exemption. Any violation of Sgctior 31.5 by any applicant for a permit subjects the applicant to a c:vii penalty of not more than five hundred dollars (5500). tJ 1, as owner of the property or my employees wile wages as :heir sole Compensation, will d0 the work, and the structure is nol iitended or offered for sale Critic: 7044, Busomess and Professional Cr,c: The Contiactor's License Law does not apply to an lwrer r of a prcpClty wh.: builds or improv” thereon, and w!io dnrS such wnrl. I. imself /herself rr through his of her own em Oloyee-, ornwder- ,real such improvements are not in:entiad or Offered for sale. if, however, the building Or improvement is sold within one year of com• pletion, the owner will have he burden of proving he /she. did not build of im- prnve for ti,e ourpriie of s.. j. i._1 i, as riwnc, w the Propc -:y, am exclusively contracting with licensed con- tractors in construct the pr,,.eCt (Section 70.34, f3usmess and Professwris Code: Tne Corlrac!or's License taw does riot apply to an owner of prooer t who bur ldS or imnroveS Iherecn, and who contracts for Stich projects with a con. traCtc /(S) IiCense pursuant to the ContraC:or'S L icimse Law). 1 am aware that proof of their Worker's Compensal.or insurance should be provided to me. 0 1 am exempt under See -,on -- __ _- .__..__. B. L. P. C. for tniS reason Date — — Owner I hereby ce-trfy that I have read this ap.rliratirn and state th.,t the above informal, On i! Correct. I atiret to Comply with all city and Cnunty ordinances and state taw; relating to building Constfuclion, iiiq hereby authofrle repre. senlalrves of this city to enter upon Met ahove•menti(ined prupurty for inspection our: -es. Signature _ _ —_ _ Date I Drivers' i_,cense or SS r.N White Building. Green Temporary F Copy, Cana:) Rsx.s., Pink Ar hanl, Goldenrod Accuunung CITY OF LAKE ELSINORE CONSTRILICTION . 0MIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations PERMIT NO. TRACT N0. LOT F!0„ — UNIT N0. WE Of CONSTRUCTION r NEW .:I ADD ! AA TERATIO I - REPAIR r__ ICONVERSIONDOEMOL!SH OTHER Mob e HORIe Nstallation DESCRIPTION OF ". RK/USE OF BLDG — — A.P. # Zone S Mair. Building: E Accessory Bui(ding: TYPE OFPERMIT .] GRADING LJ FOUNDATION . ^., STRal 1RAL TENANT C ELECTRICAL Li PLUMBING G MECHANICAL OTHER _ _ ROACT DESCRIPTION Sq.Ft. Occupancy Ceastrucllnr. type Zone _ Acres yz!,tatlon; _ P(:p T Front z 0 R RearA N 1 C Right g Left N G Fin g. Ref. # j Parking Req.lProvided E REmarks Permit to bring files UP t0 date. Planning Notes M Perviously inspecte others. T 3 -10 -$a I D . # 9/;1 PLUMBING ELECTRICAL I FEES MECHANICAL FEES ACCL N 3360.33:7 3j00-33 12 GP.ADiNGFEES Cur. — cu yarns Fill. cu. yards Plan Check Fee$ Pe: nitFte $ _ Total Fees $ — Alter, Repair Generator 00.5KW 5.15KW Boiler Auto Wash I I Construction Pole Sub. Cookin Unit Duct-Under Ground 8Pckflo:.r Prevanter Duct - Structural Backflow Irri a'on Clarifiers _ Dishwasher j Pale Light fan •Ventjlatin Dyers OGas 0Electric Exhaust Svstein Multi !e Fan _ F.A.U. II Eva orptive Cooler Heating System & Ducting DO-100.000 BTU Clio 000R ETU Fixture Traps e3. Floor Drains Fixtures_ 3360.3312 110231 I 3360.3310 3360.3375 Semmary of Permit Fees Buildin $ R Plumbing $ _ Electrcal ; - -- Mechanical S Other $ SMIP S Summary of Plan Check Fees Building $ Plu.nbing $ Electrical $ _ Mechanical ; Other S Plannln,; Tout Fees Duo $ Floor Sinks Gas Service Outlets Outleu I Hood or Canopy Type i D Type II O Refrigeration System i0.100 000 BTU C 100.000 BTU Firepl /Fact. 811. ICBO_# System Repair /Alteration Switches I Meter D up to 100 arlpsInterceptors P•Trap Roof Drains _ Trailer Sewer Meter over 100 amps _ Su_bpaneI — L7 15 50KWTransformer 50 +KW Motors D 0.1 HP D '.' • 1 8 r:c. Solar G9-15 HP U 16.1 + Sina /Farr). Res. Multi•Fam_RfF Sewer Cap Fire Dampers r s IIncineratorIncinerator Mist. — Sevier Connection • Bid g. 9 Solar Collectors_ Solar Piping Solar Tank SvrimmingPO 1;Spa Waler Heater Swimming Pool /Spy Issue__ !_ Date , Date _ I Water Service DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By -- Building Approved By Application Issued Ey O Septic System Issue