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HomeMy WebLinkAbout32900 RIVERSIDE DR_ (3)Proiecl Address 32m aj?i vers i de Drive Assessors Parcel No. Owner's Nemtt Cl Mnrm TnyPCtmP_Ilt L,O.Phone Address __aal Coast Hs- Y__ aguna Beach CA ArchJEng. — License No. — Address Contructor's Name,---Phone — Address Imaging! Cis, License Nn. LIcrNSEO CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 3 (commencr:,g with section 7000) o! Divislor. 3 of the Business and Professions Code, ant: my license is in full force and effect. License Class . -_ _. License No. Dale—_ Signature _ .. RKERS' COMPENSATION DECLARATION re0y affirm that 1 have a certificate of consent to self-Insure or a certificate Workers' Compensation Instuance, or a certified copy thereof (Section 3300, Lag. C.) Policy No. Company Certified coav is hereby furnished. Ccril6act Copy IS filed with the city Butltllnq Division. Date Applicant . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Tn,ssection need not be completed it the Permit IS -or one hundred ($100) or less). I Carl. ry that in the performance of the work for v.nich this permit is issued, 1shallnotemployanypersoninanymannersoastobecomesubjecttothe workers' Compensation Laws of CalilOfnia. Date signature _ NOTICE: It. after making this declaration, you should become SuLitcl to the yrorker S' Compensation provisions of the Labor Code, you must forthwith corr,ply with such provisions or this permit shall be deerred revoked. CONSTRUCTION LENDING AGENCY 1 reteby affirm that there is a construction lending agency for the perfotinanceoftheworkforwhichthispermitisissued (Section 3097 Colo. C.) Lender's Name Lender's Address —_ OWNER BUILDER DECLARATION I hereby •',rm that 1 am exempt from the Contractor's L'.cense Law for the lollow,n,, in (Section 7031.5 Business and Professional Code: Any city or county wh,cr. -equiros a permit to construct, after, improve, Otmol,;h Or repair any structure. ; .inr to its iss'jance, also requires the applicant for such permit to file a signal relent Shat he /she is licensed pursuant to the provisions of Contra ctor'.._,tense Law (Chapter 9 :commencing with Section 7000) of isron 3 of the Busi.les' and prOfess,o, s Code) or that ht /She Is exempt refrom and the I.asis into alleged excn peon. Any violation of SgChOn 31.5 by any applicant . r a permit su.•jects the applicant to a civil rsty or not more than five hundred dollars (2500). as owner Of 'he property or my employees with wages as Iheir Sole compensation. will do the work, and lha structure is no' intenoad or offered for sale (Sec- n 7044. Business and professional Code. The Contractor's License Law does not apply to an owner of a property who builds or improves thereto, and who does such work hjmsaif /herself no tnrougn his or her oan employees, provided that Such improvements are not intended or offered lot ption, the owner will have therburde improvement provl g he /sne didonenotybuild orim- prove for the purpose of sale). CJ I, as owner of the property. am exclusively car tracting with ncensed con - Iractorslo constr•Kt the project (Section 7044, Business and Professions Code: The Contractor's License Law does rot apply to an owner of property who builds or improves thereon, and woo contracts for such propels with a Con- Iractor(s leense pursuant to trey Contractor's License Law) 1 am aware that proof O !heir Worker's Compensation insurance should be provided to me. 0 1 am exempt under Section_ B. b P. C. for this reason Date Owner — -- 1 hereby Certily that t have read t111s application and state that the above information is correct. I agree In Comply With all city and county ordinances and state Ilws relating to building construction, and hereby authorize rtPre- SentaliveS of this city to enter upon tits above'menttoned property for rnlpfctlon purpose.. Sigriturc — Oatd- Dr,.ars' License or SS V -- - -- __ White•Bulldmr Gretn Temp(xary Flit Cope Canary-Assessor: Pink- Applicant. GrIfi enrod•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- TRACT NO. LOT NO -a UNIT N0. TTPEOFIDIISTIt11CTWPi I_'t NEW IC ADD LTERATI i PAIR E_ CONVERSION DEMOLISH OTHER i'ZObT 10- } omen D nstal 1 iiti on DESCRIPTION OF WCoR)UUSE Of BLDG. A.P. # E Main Building' T FrontiEOFPERYFFaGRADING FOUNDATION !: STRUCTURAL E; TENANT C ELECTRICAL PLUMBING C MECHANICAL r- OTHER A Rear C Right K L- S Left PROJECT DESCRIPTION: Sq. Ft. i Occupancy conuructan type __ Zenon A es ve:wbott5 —..— PU Ping. Ref. # Remarks_ Permit to _briny files u to date. Perviously ins ecte ' others. 3 -Ica -88 Planning Notes f PLUMBING FEES ELECTRICAL FEES MECHANICAL F Alter, Repair I I Alto Wash Generator 00 -5K'W 0 5.15KW Construction Pole Sub. Boiler Duct -Under Ground Backflow Preventer Cooking Unit Dvrt- Structural 11 lackflackfowIrrigationPoleLight _ Fin - Ventilating I Clarifiers Dryers OGas OElectric Exhaust System M.uiti le I Dishwasher i Fan Evaporative Cocler r Future Trapr ea. l I F.A.U. Heating System & Ducting 00 -100 000 BTU 1100 000 BTUFloorDrainsFixtures _ Floor Sinks Outlets Hood or Canopy Type 1 O Type II OGasServiceOutletsSwitches Interceptors Meter O up M 100 amps Refrigeration System 00. 100.000 BTU 100.000 BTUP -Trap Meter Oover 100amps tRoof Drains Sub apneiFireI /Faa. Bit. ICSO # System Repair /Alteration1TrailerSewer15.50KY/ Transformer 50 +KWSewerCapT Fire Dampersp ewer Connection - Bldg. Motors O 0 -1 HP i11% - 8 Inc. Solar 09.15 HP 0'6.15+ Resters Incinerator _ Misc. Solar Collectors Solar Piping Sing /Fam. NPs. Solar Tank Multi -Fam. Res. Swimming( Pool /Sea Water Heater Swimmia Pool/Spa issue Water Service Se tit SY em _ DEIIELOPMENTSE21U$ REQUINEMENTb: 2a44 AW*"d By .stab _ RII awd f!T - hatelsswdf9TRabt--- Y O N I N G R E a M T S ACCT.0 6EADING FEES Cut: cu. yards fill cu. lard$ 3160.3370 Plan Check Fee S _ 33043312 rcrmit Fee S — i Tl.al Fees $ 3360.3312 I Summaq of Permit Flax Budding Plnmblog ElecCncal Mechan:cal Other 110.231 SMIP S — S 3360.3370 1 Summary of Pt in Check fees 3360.3375 I Plar,aing Z Tow fees Diu i Building S --- Plumbing S Electnal Mechanical i Other f 3360.3375 I Plar,aing Z Tow fees Diu i Project Address —323Q0Riverside Drive Assessor's Poreel No. — Owne••sNeme F1 blarra investment Co-phone Address _8811 Coast Htia_,wavIauna Beach CA Archiling; License No_ Address _ Contractor's Name_ __Phone — Address Irnailing) City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am Irc`rlSee .once, Provisions of Charter 9 (commencing with secHor. 7000) of Oivisivr.:, of the Business and Professions Cade, and my license is In Cull force and e'fect_ License Class _—License No. Date signature RKERS' COMPENSATION DECLARATION eby affirm that 1 have a certificate or consent to self- Insure Or a certificate Workers' Compensation Insurance, or a certified ropy thereof (Section 3800, Lab. C.) Policy No. _ ._ Company Certified copy is hereby fu +shed. Certified copy Is filed with K city Bui!dmg Division. Date Ap ^: Ant EXEMPTION FROM WORKE iS' COMPENSATION DECLARATION Thissection need not be coms.eted it the Permit is for one hundrac (5100) or less). 1 certify trial in the Derformanca of the work for which this ,erm•t is issued. ! Shell not employ any person in , Fly manner so as to become subject to the Workers- Compensation Laws of ('.'lifornla. Date . Signature NOTICE: If, after making this declaration, you should become subject to the Yorkers' Compensation provisions of the Labor Code, you must fOrthwrih comply with such provisions or this permit shall be CeerneC revoked. CONSTRUCTION LENDING AGENCY 1 :'ereby affirm that there is a construction :ending agency tot the performar.ce of the work for whim this permit is issued (Section 3097 Civ, C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION hereby affirm Thal I am exempt trom the Contractor's License Law for the fouowm.) reason (Section :031.5 Business and Professional Code, Any City Or county whicn .equates a permit to construct, alter, improve. Demolish of feoair any structure, prior to Its issuance, also reillwes Cite applicant for such permit to file a signed statement that he /she is licensed pursuant to the Drov.stonS Of 0Contractor's License Law (Chapter 9 ( commencing will' Section 7000) of is:On 3 of the Business and Professions Code) or that he /she is exempt refrom and the bafis for the alleged exemption. Any violation of S4Ctron 3-l.5 by any applicant for a permit subjects the applicant to a civil 5nalty, of not more than Give hundred dollars (5500). 1, as Owner of the property or my emp!Oyees with wages -us the,f SO1e con'pensation, will do the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's L, cerise Law does not apply to an owner of a property wti0 builds or improves thcr eon, and who does SuCh work himself /nersell or throug: hif or her Own employyees, provided that such improvemonts are not intended O- offered for alp. It, row <M_r, the building or improvement is told within ona year Of Com- pletion• the owner will have Inc burden of proving he /She d -n not build Or +m• p- ryrove to, '.he repose of sale). 0 t, as P. ••I the property, am exclusively conlra Clillg with licensed con• tractor; t0 .or%.ruct the project (Section 7044, Business and Professions Code: The C.Onb Actor's License Law does not apply to an owner of properly who builds or imp.oves thereon, and who contracts for such projects wr.h a con. factarW license pursuant to Ina Contractor's License Law). 1 am aware thatproof0licitWorker's COmpensaltOn insurance should be provided to me, L I dm Pxempt under Section__ — B. car P. C. for this reason CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fiil in all spaces except those within heavy border lines and signal[ appropriate declarations PERMIT NO_ I TRACT NO_ I LOT NO. I UNIT NO. TTPEOFCDNSTRDCTION NEW `' ADD - LiERAI1 r REPAIR C' CONVERSION a DEMt1 % c oTxER 0bi16' Nome °installation DESCRIPTION CF INORR.rUSE OF BLDG. TTPEOFPERMIT GRADING Gt FOUNDATION r. 1ENANi % ELECIMCAL PLUMRING C OTHER PROJECT DESCRIPTION So FL Censhuctkxl tyr, Zone _ valwaa f_ PCd _ O STRUCTIAAL C MECNANICIkL Occupancy Aces Remarks Permit to bring files unto date. Pervious! y ins ecte others. 3 -10 -88 iDJ E Main Building: T Front Rear C R fight --t -- S I Leff Ping. Ref. Piannino Notes PLUMBING FEES ELECTRICAL I FEES MECHANICAL I FEES Alter, Repair Generator 0.5KW 0 5 -15KW I Boiler Auto Wash I I I Construction Pole Sub. I Duct -Under Ground Clarifiers Building Dryers 0Gas 0Electric Dishwasher Far. Fixture Tra sea. Mechanical F.A.U. Floor Drains Other . i Fixtures Floor ,inks Outlets Gas Service Outlets Switches Interceptors Meter J up to 100 anips Mater Dover 100 amps Roof DrainsRoof Sub Danetnel Trailer Sewer 4 1 O 15.50KW Transformer . __ ..._. Solar Pik Solar Ta Swimmi Water H Date Owner _ = l Pefeby cart, /y that 1 have read fills application and stale that the above lnlurmallon Is correct. 1 agree In comply with all city and county ordinances 4nri bate laws relating to building construction, and hereby authorize reprri- nL. "1, FIvas of tnis city to enter upon the above --font loped prupdrly for Ins'ter:i t, Purposes. 1. ,na:urt. __ _ Datd, 1SSUB Overs' License or SS sir Whitt- Building: Green - Temporary his Cop'f, C9nary- Assessor: Pink•Anolicant: Goldenrod-Accounting coon - Bldg. I _ Motors 0 0'1 HP O 1 %a - 8 ors I I Inc. Solar 09.15 HP 0716.15+ tan - Ventilating Exhaust System Muliiple Evaporative Cooler Heating System & Ducting 00. 100.000 BTU 17100 [ Hood or Canopy Type 1 O Type 11 1 Refrigeration System 00. 100,000 Bl'U O 100L Firepl /fact. Bit. ICBO # System Repair /Alteration Fire Dampers Registers Incinerator Misc. DEVELOPMENT SERVICES 1EQUIRENENTS: Zmag Awmd H 08% peddled Apprewd By Date AWKIltif ll Issue P _ .__Date Provided Z O N I N G R E 0 M T S ACCT. a GRADING FEES Cut' :u Yards Fill cu. Yards 3360 -3370 Plan Check Fee S _ 3300.3312 Permit Fee $ _ Total Fees i — 3360.3311 I Summary of Permit Feb 8sllding Plumbing Electrical Mechanical Other 110.231 SMIP S 3 S S 3360.3370 I Summary of Plan Check fees 3360.3315 1 Planning $ Total Fin 0" i Building Plumpmc Electrical S Mechanical i — Other . i 3360.3315 1 Planning $ Total Fin 0" i Praiert Address 32900 Riverside Drive Assessor'e Parcel No. _ t)rsnef's Name _E1 Morro investment C9_phphe —_ Address ..8311 Cna ,, jiigh- Aa"agvna Beach CA I Arch;Eing. Lrc=: rise rlo. Address _ — Contractor's flame Phone _ Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9 fc.smmencing Wrlh section 7000) of Division 3 Of the Baseness and Professions Code, and my license Is In full force and afsect. License Class License No. Date -_ _ Signature — — ORKERtV COMPENSATION DECLARATION reby of firm th ?t t have a certificate of consent to self - Insure or a certificate Worker.' COM"(111ttlon Insurance, or a Certified copy thereof (Section a(lc. Lab C.) Policy No. Company Crr0fred copy IS hereby furnished. Certified Copy IS filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Thrssection need not b! Completed of the permit is for One hundred (1100) or less). I certify Gist In '.he performance of the work for which ;nis permit is issued, 1 Snall no! any person in any manner So as to becom! Sjolect to the WOrkefs' Compensation Laws of Cahlornia. Date _ _ _Signature NOTICE: U, after 7 Jk-ng this dec . - ateon, you st ould become subject to the workers' Compensation prove Sion> Of the L1O4:r Code, you must forthwith comply with such provisions or this Dermit shall be deemed revoked. CONSTRUCTIn- N LENDING AGENCY I nerety affirm that there is a construction lending agency for the performarce of the woik for which this permit is issued (Section 3097 Civ. C.) Lcnde,'s Name _ L.ender's Address _- OWNER BUILDCR DECLARATION 1 hereby affunt that I am exempt from the C: tractor'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 nr repair any structure, prior to its issuance, 4130 requires the applicant for SUCn po:Rrrl to file a signed statement that he /she is licensed pursuant to the provisions of e Contractor's License Law (Chapter 9 (corrsmencing with Section 7000) of Sion 3 of the Business and Professors Code) or that ne /she is exempt 3cfrom and the basis for the alleged ex, Ition. Any violation of SIjction 1.5 by any aDDlrcanl for a permit s 7cts rive applicant t0 a civil penalty of not more than five hunt led dean ;500). 01 I, as owner of the property or my AADIB,yCS with wages aS their Sole compensation, will do the work, and the Structure is not Intended or offered for sale (Section 7044, Business and Profesaonal Code: The Contractor's License 1-4w aloes not apply to an owner of a property who builds or improves t heri an, and who does such Welk nimself,ner"If or through his or her own employees, provided that Such improvernerls are not intended nr offered for sale. It, however, the building or improvement is sold within one year of Com- pleliOr., the owner will have the burden Of Drdveng he /Sne 4540 not build or im- prove for the purpose Of Sale). 0 1, as owner Of the proptily, am exclusively Cnnlracting with licensed can- tractors 10 COn%lrUCt the Project (Section 7044, Business and Professions Cede: The Contractor's Lrrtnse Law dues not apply to an owner of property who burl ,Js or imr,roveS Merton. and who contracts for such protects with a .on. tractor(;) license pursuant to the ronlractor's License Law). t am aware that proof O their Worker's Compensation insurance should be provided to me. Li I ains exempt under Section B. g, P. C. for this reason Date _ Owner _ I hereby ctrGry that 1 have read this appliCaVon and state that :he above Information is correct. I agree In Comply with all City and county oielihances and state taws relating to building construction, and hRreny authorial repre. sentatives of this City to enter Upgn the above - mentioned property for inspection purposes. Signature _ Data. „_ Drivers' Lfrrinst Or SS V _ Whitt-Building; Greendempefag file Copy: Canag•Asussor, Pink-Applicant; Gotdemod•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. TRACT NO. MECHA.41CAL Bailer I LOT N 0- UNIT NO. GRADING FEES CL, to. yards TMDFCONSM=t011 c NEW 0 ADD E COhYERSION 0 DEMOLISH G OTHER DE9.4IPTION Of WORK,: ;SE Of BLDG. TERATIOjl r REPAIRliobi;e Me Installation A_P st S E T t3 A C S Main Builffi TT' E OF PERMIT C, GRADING 0 FOUNDATION TIMIlli C ELECTRICAL 0 PluMBING MER PROTECT DESCRIPTION: Sq F1 _ Ceres "dctron type Zone - -- vaewtfar S PCe rt STRUCTURAL i-. MECH11hlCAL Ckc.:iarcy Acres Flent Rear 1 Right lrft ping . f Remarks Permi t to bri na files u0 to date- §Pianninq Notes ID.# SG- Z PLUMBING FEES Alter, Repair _ Auto Wash I Backf low Preventer Clarifiers Dishwasher Fixture Traps ea. Floor Drains Floor Sinks _ Gas Service Outle Interceptors P -Trap Roof Drain: Trailer Sevafr Sewer Cap Sever Connection - lar Pipi Skimming Pc Water Heater 3 -10 -83 Accessary Building: Z O N 1 N G R E a AA T S ELECTRICAL FEES Bulldl%, MECHA.41CAL Bailer FEES ACCT A 336033)0 3300-3312 GRADING FEES CL, to. yards Generator 0.5KW 0 515K :' Electrical Construction Pole Sub. Duct Under Ground 7uet- Structural S Cooking Unit S Fill cu bards Pole L'oht Fan •Ve tilaiing Plan CheckfeeS PermitFte $ Tobl Fees S Dryers 0Gas OElectric Exhaus' S stem Multiple I Fi " Eva orative Cooler Heating System & Oucting L 0. 700,000 BTU 0100000 BTU F.A.U. Fixtures 3360.3311 Sommagof!•ermilFeaOutletsHoodorCanopy up to 100 am over 100 amo Transformer 015.50KW Motors 0 0.1 HP 01%: - e h c. Solar 09.15 HP 016.15+ Sing /Fam. Res. Multi -Fam. Res. Refrigeration System 00. 100.000 BTU 0100 Firepl /Fact. Bit ICBO # System Repai.!Alteration Fire Dampers R Registers —_ Incinerator _ Misc. DEviuruENTunasnqui1tEMEMTs: Laing Ailravill k Date BaNtlegAWmdIII mkt Issue O"I="a — °'to — I Building S Plumbing S BTl; Electrical > __ Mechanical S Other $ 110.231 SMIP $ _ 3460.3370 SOmltlag of Plan Check Fees 33603375 1 Planning S TOW FWD" $ Bulldl%, Plumbing f Electrical S _ Mechanical S Other S 33603375 1 Planning S TOW FWD" $ Pr3 r_f lltidr.sa 32201) iii ver4j de Drive Assessor's Parcel No. ox- ner•sName _Fl Mrrra Investment CO.pho„z Address _ 8311 Coa4;t H Way Laqufta Beach CA I ArchiEng. — _License No. Address Contractor's No phone Address lrnailing) City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under prowilons of Charter 9 (cornrnencing ri!h section 7000) of Division 3 of tr.- Business and Professions Code, and my .tense -s in full force and effect. License Class _.License No. __ Date Signature RKERS' COMPENSATION DECLARATION reby affirm that 1 have a Carl!Ireal• of consent to S*If4nsure or a certificate 3e00, lib. c..) Worriers' ) -npensation Insurat.ce, or a certified copy thereof (Section Policy No. Company 8 Certified copy Is hereby I'mrist , u, Ceftified CONY IS filed with the .icy Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be Completed if the permit is for one hundred (S100) or i ce I.fy that in the performance of file wort, for which this perm.% .s .%sued, I sna:i not employ any person in any manner $O a: t0 beCOmt SVb,eC! to the Workers' Compensation Laws of California_ Date Signature _ NriTICE: 11, after making this declaration, you Should become scb;ec! to the 40•kers' Compensation provisions of the Labor Code, you must foithw.th CO.n OIy will, such provisions or this permit snail be deemed revoked. CONSTRtJCTION LENDING AGENCY I hereZv affirm that there is a construction lending agency for the performance of the work for wh.Cn this permit is issued (Section 3097 C.v. C.) Lcndtr's Name — Lende"s Addresss OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the lonowuig reason (Section 7031.5 Busir %s and Prn /essionat Coat- Any city or County wh:ch requires a perm•t to construct, alter, improve, dem0l.sh Or fools any structure, prior to its issuance, also re4ui es Inc aorlicant ')r sucn permit to file a signed statement that he /she is licensed pursWn! to t, t orn -s.Ons of e Contractor's License Law (Chapter 9 (commercing with Sec'ron 700 0) of On 3 of the Business and Prote ssions Code, Or t .a! he; :nt % exempt rCfrbm and the basis for the alleged exemplle.s. Any violation v- Sa}CI.On 03:.5 by any applicant for a permit subjects; 'he applicant to a civil prcJ nalty of not more than live nundred aonars (SS00). t 1, as owner Of the property or my Criipinyccs with wages as their sole comper- sation, v.ill do trio wcri., alto the structure is not intended or offerer for sale ( Sertion 7044, Business and Professional Code: Tne Contractor's ILrCe r. se Law does not apply to an Owner Of a ,Property who build% or improves lhtteon, and who does such work nimself /nersail or through his or her own em.310 Ices, provided that such improvement! are not intended Or ofrrred for Sale. Ir, however, the building at improvement .s sold within one year of tom. Ole!ion, file Own *r will have the burden of p.oving ho /she did not built' or im- prove for Inc purpose of sale), I. as owner ro the property, am exclusively con:ract.nq with licensed can - tNCtorslo COnstrutt the project (Section 70a4, B'lsmess and Professions Code: The Contractor's L•Cense Law noes not apply t0 an owner of prootrly wn0 bWlds Or improves thereon, and %Vho contNt!3 for such projects w,.h a con. tractor(g license pursuant to the Contractor's License Law). 1 am aware that proof O. their Worker's r,Ompensatinn insurance stiould be provided t0 me, 0 I am exempt under Section B, & P. C. for this reason Data _ _ Owner I hereby certify that I have road lids apnllcatlOn and state that Ina above in10frnatron is correct. I agree to r.Omply with all Cs y and County ordinances and state laws relatinq to building COnslrliCtion, and hereby autricr.rt repro Senlahvas of this City to enter upon file abova- mentioned properly forinspectionpurposes. _ Signature — Date_ — Drivers' t lrar.se or SS WhdcBuildirt: Green•Temaaart file C)pr Carag.Assessa: Park Applicant; Coklenrod Accounhnt CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Anphcant to fill in a'1 spaces except those within he -ny border lines and sign a,' appropriate declarations PERMIT NO. it TRACT NO. LOT NO ! UNIT NO. WE OFOONSTIUCT10t1 i_ KW .] AM Ls t"_RATIO RFPAIR L CONVUSIOR i I%E90LISH OTHER fiabi ie ome fnsta113tlon DESCRIPT04OF ttTOFit(/USf OF BLOC TTFEOFPEAVIT GRMliG -__ FC4J'i:triO1l SiRM -WRAL TENANT ELECTRICAL Z PLUMBING JrECHANIOL L` OTHER PROTECT DESCRIPTION: Sa FT Construction type _ zone s3iaza $ no Remarks Permi t Perviouf, 10.# PLUMBING Alter, Repair Af to Was;- Bachflow Prevcrter Backllow Irrigation Clarifiers Dishwasher Fixture Traps ea. Flour Drains Floor Sinks Gas Se :'ice Outlets Interco tors __ P•Trap — Roof Orains Trailer Sewer Sewer Cap Sewer Connection - B Solar Collectors Solar Piping Solar Tank Swimming Pool /Spa Water Hewer Aces n hers. p3 -10 -88 ELECTRICAL Generatar U6.5KW 5 -15 Construction Pole Sub. Cooking Unit Pole Light Dryers Gas Eiectric Fan _ F.A.U. _ Fixtures _ Outlets _ Switches Meter up to 100 amps Meter Cover 100;lmps Sub panel Transformer Q 15.50KW 50 +KW A.P. # E Main Building: T I Front B Rea: C Right S ; Left Ping. Ref. # Planning Notes Duct -Linder Ground Ouct- Structural Fan - Ventilatino Exhaust System Multiple Evaporative Cooler Heating System & Ducting 0- 100.000 BTU J100 .0 Hood or Canopy Type 1 0 Type it E Refrigeration System 00. 100000 BTU 0100.0 FirclIlrhacr.. Blt. ICBO # System Repair!Alieration Fire Dampers Motors G 0.1 FlEj 1% - 8 I ' Re isters_ Inc. Solar 09.15 HP 016-1541 Sing /Fam. Res. Misc. OEff"IlIFNT SE"ICI3 REQUIREMEWS: Zoning NOprN" OF _ . --Date Building Mpreaed h _ _Date , Application land III 2 O N 1 N G R E O AA T S FEES AM.9 I62ADINGFESS Cut. —_ —` _CO Was - Fd; —_ —cu lards 3360 -3370 Plan Check Fr_ $ 3300 -3312 Permit Fm S We Fees S 33603312 Summary of Permit Fea Budding S Plumbir-1 S Electnca! s Mechanical $ Other S 110.231 SMIP S 336.8-3310 I Summaq of PUR Check Fen 3360.3375 I Planning $ ToW file Oct S Plumbing S Electrical Mechanical S Other 3360.3375 I Planning $ ToW file Oct S Pro;ectAdaress _32990 Riverside Drive Asstssor's Pcrcet No C-lii.rer's Name S1 Njrtrrn Tnvestment _Qttorse nderess _ 311_Cp_St hway La °LL each C> Atch -Eng- _ Licers'e BYO. Address CL— ractor's tame no". Acsdren (mail.ngl C - - e License No. LICENSED CONTRACTOR DECLARATION I !i, "by Nhrm that I am licensed under provisions of Charter 9 (commencing, secttpn 7000) of Oivuion 3 of the Business and Professions Corfe• and r-v' incense's in full force and effect. L-zense Class License No._ Sate __ S gnatwe 0RKERS' COMPENSAT :ON DECLARATION rs5y affirm that I have a certificate of consent to setf4rsure or a certificate WJrkers' Compensation Insurance, or a certified copy thereof (Section gr,0, Lab. C.) Pinney No. Company fatifred copy is hereby furnished. J CertHr eo copy IS filed with Inc city Eurtdrrsg Division. Dart Applicant - EXEl:APTION FROM WORKERS' COMPENSATION DECLARATION r T n,ssertion nezC not Le co:notelai if the permit is for one hundred ($100) or teis:. I cert.Ty that in the performance of t.4 :l ?rK for wn,Ch this permit is rssuea• 1 sr_'i nOf employ any Person in any manner So •: !n become s•rblect t0 the V"Or DNS' Compensation Laws of California. 0412 -- Sfgnalure _ NOTICE: U, alter making, inns dectaralion, you shecld became subject to the Vic, ens' Compensat =on provisions of the Lat:nr Cove, you m-ist tnrtnwith co:^ slv wrlh suers provrsmns or this permit shall ;e deemed revoked, CONSTRUCTION LENDING AGENCY I re -ery af'irrn chat tnere is a construction lending agency for the performance o• tre worn for wnich this Permit is issued (Section 309' Civ. C.• Lender's Name Le', lees Address OWNER BUILDER DECLARATION I hereby affirm that t am exempt from the Contractor's License Law for the cmq reason (section 1031.5 Pusiness an6 Prnfcssional Code: Any city Or co n:y which requires a perrn3 to construct, alter, improve, demolish or repair any s•ructurt prior to its issuance, also requires Ine applicant for such permit to fee a srgnca statement that he /sne is licensed pursuant to the Provisions Of 1_ 5Con! ractor's License Law (Chanter 9 (contmencinq Mtn Section 7000) of s•on 3 of the Busrnoss and r. ifessions Coda) or trial ne /she is exempt efrom and the basis for Ine alle:ed exemption. Any violation of S.Ctlnn by any applicant for a per +lit subjects the applicant to a civi! penalty of not more than five nuadrea •sonars (5500). 1, as owner of Ine pror rty or my CmplOyeCS Mtn wages as their SOIe CO- Pe ssatinn, will CC file work, and the structure is not Intended or offered for salt (Section 7044, Business an6 Professronai Code: The Contractor's Ucer+se Law does net aor", :n an owner of a property woo builds or improves c,enn• aria woo noes such work nimself /her:eff or through his or ner own e•np'nyees, provided that such improvements are not intended or offered for sale. If, however, trio bud7rng nr improvement is sold wrinin one year of com• v, :ion. Inc owner will nave .no burden of proving heisne aid not build Or im• PKove for the purpose of sale). as owner of the property, am exclusively contracting with licensee Con• tractmsto construct Ine profrct (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an Owner of property who b,j.idf Or improves tna,eon, ana writ, Contracts for Such projects with a Con. I•actoris) license pursuant to me Contractor's L-Cer,se Law). I Am aware that proof of mein Worker's Compensation insurance should be provided to me. t_i I Am exe•npt urdar Section - -. ___— e, 4 P. C. for this reason Date Owner 1 hereby ctrIilly that I nave read this applicatlon and state that the above information is Correct. I agree- Ur Comply Min all City and County Ordlnantei and $tate laws re'atrng to building CorSlruCtion, and hereby au ±nonce ,pre• Sen!a!iveS of tors city to enter upon the Above-mentioned proporly for inspection purposes. signature __ __ __- -- Data CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in ell spates except those *;thin heavy, border lines and s;, I all appropriate declarations PERMIT FfO. 1 TRACT NO_ ! LOT NO UNIT NO. TTPEOF1CONSINKI 38 _ VEn' LSO TERAT' (' PiPAn" U, rCWf 2SlO& OEM -Atsh L OIFER tbbile o1Tler to ;tat latTOn DES;BRIPTION OF ROM USE 0: 9100, TTPEOFPENfi? C GP1C"%G FOU"s . TION 2 STiWTUPkL TEkAN_ r— '=1ECTR(CAl. PtUIaSOG _ 11ECKMIC4 iy OTHER - - -- - PPOIECT DESCFIPTION: S Ft Camburtne type vahatato f tone P" — Remarks e ,1i t to bring fi Perviously inspecte C I Right Alter, Repair I S LeftS Occriau7 -- AM — up to date. others. 3 -IC -83 EI Main Building Accessory Building: T Front 1— MECHANICAL ear A — Axe $ 3360.3370 33SMU C I Right Alter, Repair I S LeftS I Ping. Ref. = _ Pafking Req. Pronded Planning Notes Z O N 1 G R E O RI T S PLUMBING ; FEES ELECTRICAL FFEEES MECHANICAL FEES Axe $ 3360.3370 33SMU GRADING FEES C". cu yards Alter, Repair I i Generator GO•SK7! 7 r -15KW I i Boiler S _ iai:ta Wash_ Batkflcw Prevlar.!•r "' I Construction Pale Sub. S Duct -Under Ground Wwr.E t' -- — cb yards isarCheck fetS Pe -ry ;lee $ —_ Tca' Fen $ Cookirq Unit bare Light —T( f Duct- Structural Fah . VentiNtlnqBaekflo-.v Irri tion —_ T Clarifiers —_ Dishwasher ; I Dryers i ,Gas `.102etnc r— _ Cn.`.acN $ !Bm Nid_tiole 1FanEvaporativeCooler_ Fixture Traps ea. i F.A-U. _ Heating System & Ouctiitg - 30- 100.000 BTU [2100.000 BTUFtQOrDrainslFixtures 3360.331 2 114231 Searmary o! Permit Fees B .,frig T Eecucal $ — kfecean u! $ 0' e` $ Svl? _ F1oar inks Outfits witches Hood or Canopy Type 1 0 Type 11 "? —; i I - -_ Gas Serv;ce 2utlets Interceptors r— Meter L! up to 100 anip; Refrigeration System 00- 100,000 bTU Q1G0,000 ATU FirepUFact. Bit_ ICSO # _ Pimp i Roof Drains Meter Dover 100 amps Sub panel Trailer Sewer — C 15.50Ki1'/ Transformer 0 5O +KW stem RepairlAlteretio:I zewet Cap e Dampers Sewer Connection •Bldg.• Bldg. Motors U 0.1 HP i;ih 8 Inc. Solar 09.15 HP 016.15 +r istgersrRe inerator — I Muili- Water Heater DEVELOPMENT SERVKES NEIVANEMENTS: Zwing ApfavoW By Date — - S*ddingAW dET p i Ap;ilKatiffll fuses ByIssue _. 336:3310 I Seommy of Plan Check Fees Of-WIS' L,CrtnH or SS 7 __ __ w i , + Teti: Fen use S Rite Buildint Greta-temporary File Cop)! CanarT•Assts.or. P ilk Applicant: Goldeefed TlccalltlnR e-1 - :nt i PiaaalnQ S _. Electrical S _ 1l.erat!iuI S _ u!trr S 33643375 Wwr.E I Of-WIS' L,CrtnH or SS 7 __ __ w i , + Teti: Fen use S Rite Buildint Greta-temporary File Cop)! CanarT•Assts.or. P ilk Applicant: Goldeefed TlccalltlnR Project Address 3i g Ri Var-SLde Drive Assessot's Parcel Nb_ ownrr'sNam' 1rMorro inyeStMen ___C •phone — — Addrast —8311 act Highway Lac lfn,_8each CA ArchiEng. _ _License No. Address - -- Ccntractor's Nanv Phone Address Imerhrsg) Coy License No. LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 an- licensed under provisions of Charter 9 lcom6tencing with section 7000) of Division 3 of trig, eusintss and professions Case. and my license is in full force and effer.t_ License, Class License No. Date Signature - ORKERS' CO:APENSATION DECLARATION reby affirm that 1 have a Certificate of consent t0 stlf nsure or a certificate workers' Compensation Ir.suranre, or a CCr ILfiCIS COPY th4ftOf (Section 2,e00, Lab. C.) Policy No. _— CCMpany —_ -- CertitieC copy is hereby furnl :lied. Certified copy is fled warn the city eulwinq Dlviijon, Date AP•vicant _ — F_XEMPTfON FROM WORKERS' COMPENSATION DECLARATION tThrs SeCtiOn need nat be Completed if the permit is for One hundred (3100) or let.$). 1 certify that in the pe0orm4nce or the v, Ork for which this permit K ,sited, 1 slab no: employ any person fir any manner so AS to Decon/t Subject to trio w0-kers' COmDensation Laws of Cal:rofnra. Date _.Signature -- - -- NOTICE: It, after :Waking In-S derlaratiOn• you sho-!Id tecomu Subie' to the vf- irl.ers' Compensation provisions of the! Labor Code, you must f(rlrw,ln comply wr:n s."Ch 0r0.sicns Or inks permit shall be aetrited revc kea. CONSTRUCTION LENOING AGENCY 1 f•efety zfl,rm era: there is a construction tending agency for the perrerrnance of the wor, for which this permit •s issued (Section 3097 Civ. C.) Lerde:'s Name — Ler ar•r's napless _ — — OWNER BUILDER UECLAnATIC)N 1 hereby aff.rni that 1 am er.empt from the Contractor's Litens^ law fOt the following reason (Section 7031.5 Business and professional Cod: r .,y Ci-y of countr wh.Cff feau,res a permit t0 CGOSUUCt, alter• improve, dent. 'gin or ;11330 tnv structure, pr1Or to its is:uarire, also fequires :11e aPoliCant (Or s7c:- permit to frill a sinned it atemerll that he /she is ,iceosed pursuant :0 the r-Mv-s ,n"s Or e Contractor's L,Cense Law (Chap:el 9 (comment -ng wl:h Sec`iOn i0-',, of viSton 3 of tine Business and Prr:fessions Ccde) Jr trial he /she is exempt refrom and the basis for the alleged exerilpl,O:,. Any violatinr Of StCtio^ X1.5 by any appiicant fog a permit subit!ts the applicant to a Civil r'nalty of not more than five hundred dul!ais (5500). L_; I, as Owner of the property Or MY Cpl Dloyeei wt :n wages as 115411" Sold compensation, will do the work, and x114 structure is not intended or offered or sale ( Sectihn 7044, Sus,nets and Professional Code: The Contractor's L, Cl Law does not apaiy t0 an Owner of a property wtla builds or improves lnereln, and who cots such work h,ms ^.l! /hCrSelf W IhfOugn pis Or her iwn empioyers, prov,dtd that such improvements are not intended or nflerec for sale. of, however, lhi building or improvement is sold within fine year of (Om- pielion, the ow-ltr will nave the burden of proving he /She did not build of im- prove for the purpose Of sale). 0 1, as Owner Of the prepaity, am ex ClOsive:y Con(ra Ctinj with licensed COn- tractorslo construct trite project (Section 7044, Business and Professions C ^Co: The Contractor's L,ctale Law does not apply to an owner of property •,Lao buiias or improves thereon, and who Contracts fnr such pro; ^Cis with t COn- tiactor(q lice nit porswni to the Contractor's Llcenle Law). I am aware thatproofotheirWofker's Compensation insurance should be p.ovided Ic me. 0 1 am exempt under Section-_ a. & P. C. for this reiison Date __ Owner 1 hereby Certify trial 1 have f, Ad tells soplication and state ?"at the above Information is correct. I agree in comply with all City and Counly Ordins Ices and state laws totaling to building construction, and hereby authorize fepre- sentat,ves of this city to enter upon the above- mentioned property for Inspection purposes. Signature O)ivera' License or SS Mr s -- - -- Wtlte•Building; Green- Temporary file Cope Canary Ass'ssa: Pink - Applicant. Goldenrod -Alcorn hr:A 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. l COT H0. _ f UNIT NO. DPEOFCONSTRLICTION _ W11 W - iEp l. REPAIR i_ 06AYcRS10r [tftt!iSN r e+ffEi F9obile tUTr!eFTstallatiot! 1NSUT1101 IF WORK: LSE CF BEOG — ffFEOFTERM11 :7, GRANW. FOU"1DADON = STRLICTUM i TE1014 C: EEFCTRICAE _: PEUMBING _ RECtiAlnCAl. C- 11 117HER __ _ _ P20)ECT DESCitIPTiON. Sq. Ft G_ i+aa.7 Ccwfuct:oe type _ Zoae Acres Ya -hisbca 3 rL* Remarks Parini t to hri nn fi 1 ec un to date. Pervious] ID.f /-ir PLUMBING Alter, Repair Auto Wash Backflow Prevente: Batkflew Irrigationion Clarifiers Dishwasher Fixture Traps ea. moor urains Floor Sinks Gas Service Interceptors P -Trap Roof Drains Trailer Sewer Water M rs. M A-P. * i one E tltain Building: Accessory Building: Z T Front I rcL O A Rear Construction Pole Sigh. c, Right 3 _ N 5 Left Pa Cu. yardsFill Plan Check Fee $ Permit Fee $ Tota, Fees $ _ R 1122- -Ref_ ;t Tparking geq!Provided E Planning Notes _ _ M T I S rata CLtl.l nrLAL Generale; O( MW 0 5 iSKW recce I 11 mt:t.n/ir114ML Boiler I rcL AM R 33P5-3370 33ciCt3312 RADINGFEES Cu TaresConstructionPoleSigh. dtechanicai 3 _ Duct Linde: Ground Other Pa Cu. yardsFill Plan Check Fee $ Permit Fee $ Tota, Fees $ _ 10.231 Cooking Unit Duct- Structural Pole Lir it Fan - Ventilatir. rDryersP, Gas OEIe_tric 1 Exhaust System Multi !e Fan I Evaporative CO;,Ier F. A. V. Heating System 14 Ducting L]0-100,000 BTU 0J100 000 BTUFixturas _ — 3360.3311 I-Summaq of Permit Fees i Outlets Hood or Canopy Meier D up to 100 fAete: Dover f 00 a Sub panel Transfcrme' 015.50KW 0 50 *KW _ Mctors C 0.1 HP O 1 %r - 8 Inc. So :ar 09.15 H' 016.15+ m. R Refrl,_eration System QLN0.000 BTU G Fireol /Fact. Bit. ICBi cinerato: ion OEYEI rNFATSERVICESREQUIREMENTS: a1 "Ma Awnetil By _ _-Date 40"NelIISRIe491 _ r Ate — 3360.3370 1 SummafT of Plan aleck Fees Btalding Plumbing S Plumbing Electaul Other S dtechanicai 3 _ Other 3 10.231 SMiP 3360.3370 1 SummafT of Plan aleck Fees ToW Fees ON E Building $ Plumbing S Electrical 3 Mechanical S Other S 3369.3315 PlannlnZ i ToW Fees ON E Prt*tAddress.32900 Riverside Drive Assaissor's Parcel No. Owner's Name F1 Plorro TFrYes—tmelTt CO.ph h. Addles~ -gall Cnast Hi jhwja.}C Lagll'iaj aach EA Arch /Erg. — License No. Addrtss Contra -to.'s Name .—._ —Phone Address Imallirgl City License No. LICENSED CONTRACTOR DECLARATION 1 tier eby affirm that 1 am licensed under provisions Of Charter 9 fcor!mencing Mtn section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No. Date Signature _ ORKERS' COMPENSATION DECLARATION taby affirm that t Nava a ce•itfrcale Of Consent to seHinsare or a certificate Workers' COmptnsatton Insurance, or a certified copy thereof (Section 900, Lab. C.) obey No. Conpany 8 Certified copy If hereby furnished. rertified copy is tiled wirh the city Building Division. Dtlt Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed if the permit is for one hundred (SI00) orless). 1 Certriy that In the performance of the work for which this perm's is Issued, 1 shalt not emptoy any person minanymannersoattobezOe subject to the Workers' Compensation Laws of California. Dal t —Slgna t are NOTICE: If, after making this declaration, you ShC,ld become Sebject to theW0tktrs' COrn ype.ssation proinsions Of the Labor Code, ou must forthwith comply with such PfOvI%9OnS of this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 r*-rerY affirm that there IS a construction lending agency for the Performance of the work lot which this permit Is issued (Section 3097 Civ. C.) Lender's Name _ _ Lenaer's Address OWNER BUILDER DECLARATION 1 hereby 4frrrrn that I am exempt horn the Contractor's License Law for the follow,ng rtason (Section 7031.5 Business and Professional Code: Any city or cuurty which recitrires a ottmit to Construct, alter, improve, deco 011sh or reiaaf any structure, prior to its issuance, also requires the aOpficant for such permit0to 31.5 fief a signed statement that he /Sae I; licensed pursuant t0 the provisions Of e Contractor's L,Ctnse Law (Chapter 9 (Commencirg with Section 7000) of vision 3 Of the nuSiness ano Profession% Coat) or that he /she Is exempt ref(C'm and the basis for tilt alleged exemption. Any violation of Section by any applicant for a rermit subjects the applicant to a Civi: tnatty Of not more than five hundred dollars ( ;500). 1, as owner of the properly or my employees with wages as their sole comc:en•ation, %%Ill d0 the work, and its: structure is not intended or ifierea for sale (Section 7044, Rusiness and Professional Code: The Con, actor's License Law does not apply to an owner of a property who builds or improves thereon, and -no does Such work himSelf /herself Or through his Or her Own employYees, OrOvrlted that Such Improvements are nit intended or offered for LIa. i/, however, the building or Improvement I$ sold within one year of COT• Milan. the owner will have Inc burden of proving he /she did not build or im- p--rove for the purpose of sale). 0 1, as Owner Of the property, 7'" exclusively Contracting with licensed Can. tractors lO COnStr JCt the P(OIC.t (DaCiron 7044, Business and Profosions Code: The Contractor's License Law toe' not apply :O an owner Of property whobuildsorimproveslhtrecin, and wtin contracts for Stich projects with a ran - traclor(s) license pt:rsuant to the Contractor's Lice. A Law). I am aware that proof or Ihelr Worker's COmnonsation insuranc3 should be provided to me. L7 1 am exempt under Section S. a, P. C. for this reason Date __ Own— I hereby Certify :hit 1 have read 'his application and Stale that the aboveinformationisCorrect. I agree to comply with at) City and county OrdinancesandstatelawsrelatingtobuildingConstruction, and hereby authorize repro. Sent4trv4S Or this city to onter upon the above'meotinnad properly forInspectionpurposes. Signature Orivsrs' License or SS 1P While-Burlding; Git ri- Temporary FIP Copy; Carary•Aueswr; hilk•P_gpbunt Gotdenrod•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. I TRACT NO. L0TNO.3i UNIT N0. 1TTEOFCORSTROCT10N C NETT = ADD TERAT LJ N ERSION C DfaO_iSH C OTHER f 3obi l e libipe Instal l atRoPnIR DESCRIPTION OFWORFuLISE OF BLOC TTPEOFPERdFT C GRADING C FOIXIM10ir — STRUCT M G TENANT ELECTRICAL - PLUIIBINr. = YECt'JLRtCkL G OTHER - PROJECT DESCRIPTION: Coostrectloa tTDe . yateaboo j Remarks D- .,.,.,; 54. FL Occoaaacy lent Auer PCe -- IDS /# ivy PLUMBING FEES ELECTRICAL Alter Repair Generator 00-5KW r 5.15KW Auto Wash Construction Pole Sub. Backf low Preventer Cooking Ur.lt Backflow irrigation pale 1 ;.ht rlxrore Ira 1 Floor Drain Floor Sinks Gas Service r Interceptors Pi Roof Drains Trailer Sews F Meter = up to 100 amps Meter over 100 amps Sub panel Transformer 015.50KW 0 a0+ !<W _ Motors 00-1 HP C 1'6.8 Inc. Solar 09.15 HP 016.15} E —Main Building: T Front B A Rear C1 Right — -- S I Left Ping. Ref. #C Planninq Notes Heating System & Ducting 00.100,0170 BTU 0109,( Hord or Canopy Type 1 0 Type N I Refrigeration System Fire Dam Incinerator Misc. 71 OEII IVIIIIN'. SERVICES REQUIREMESTS: 41101010111 by Dab '_- 40k06" Imae1 k —0814 Building: ACCT -# I GUOING FEES Cut: co. Tams Fill. Cu. piss 3360.3370 Plan Check Fee j 3343311 Permit Fee $ Total Fees 3 _ 33603311 Semmary of Permit Fm Building j S Pi;mb:ng S Electnctl j j Mechanical j Other Planning IIC•231 SMIP j 33W33701 Summary al Plan Check Fees Total Fla taw S 2 O N t N G R E O M SI Building Plumbing S Electrical Mechanigl j Olhtr j 3360.3315 Planning Total Fla taw S 2 O N t N G R E O M SI ProiectAddress -32900 Riverside Drive Assrrss0r'e Parcel No. Owner's Name E1 1Mnrro IIlYE--qtment Co•Phcno Address 8811 Cast Highway LiiQllna 3each CA Arch /ling. License No. Address Contractor's Nama ,Phone Address fmailing) 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 Profession; Code, and my license is in full force and effect. License Class _ License No.— Date Signature RKERS' COMPENSATION DECLARATION reby affirm that I have a certificate of consent to s^_If4nsure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 3900, Lab. 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 compleled if the permit is for one hundred (5100) or less). 1 certify that in the PerlbrmanCe Of the work for whiCn this permit is iSsl!ed. I Shall not empioy any person in any manner so as to become subject t0 the Workers' Compensation Laws of California. Date slgnature NOTICE: If, after making this declaration, you should become subject to the WOr,iers' Compensation provisions of the labor Code, you must forthwith comply with such ptOvr$rons or this permit shat: 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 Civ. C.) Lender's Name Lender's Address —_ OWNER BUILDER DECLARATION I hereby affir.n twat I am exempt from the COnff4StOr'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 reuuires the applicant for such permit to fire a Signed statement that he /she is licensed pursuant to the provisions of 0311.5 Contractor's License Law (Chapter 9 ( commencing with Section 7000) of ision 3 Of the Business and Professions Coce) or that he /she is exempt efrom and the basis for the al :eged exempt:On. Any violation of SBction by any ap..cant for a permit subjects the applicant to a civil enalty of not more than live hundred dollars ($500). 1, as owner of the properly or my employees with wages as their sole compensation, will d0 the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds Or improve$ thereon, and who does Su:h work himself /herself or thrOugh his Or her own employees, provided that such Improvements )te not intended or offered for Sale. If, however, the budding or improvement is sold within one year of Cam. pletion, the owner wits have the burden of proving he /she did not build or 'm• prove for the purpose of sate). 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Prof tssions Code: The Contractor's License Law does not apply to an owner Of property who builds Of improves thereon• and who contracts for Such projects with a con• 1 raVOr(s) license pursuant to the Contractor's License Law). I am aware that Proof or their Worker's Compensation msu:ance should be provided to ma. I am exempt under Sections B. 6 P. C. for this reason Date Owner I hereby certify that I have read till. application ano state that the aboveinfrjrmationisCorrect. I agree In comply with all city and county Ordinances And Slate laws reiating 10 building construction, and hereby authorir- :epre- e:ltatrves Or this city to enter upon the abOve•nlentioned property forInspectionpurposes. Signawte „ _ D. Drivers' License or SS 1 White-Building; Green- TemWary File Copy. Ctoafy- Assessor, Pink•ADphcanl; Gnldenrnd•Accwnhng 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 N0. ELECTRICAL Generator 00 -SKW 5 -15KW LOT NO. UNIT NO. 6 1- TYPE OFCONSTRUCTION C? NEW L. ADD IJ CONVERSION G DEMOLISH F1 OTHER DESCRIPTION OF WORK/USE OF BLDG. TERATI0 1 REPAIR 1 9ohi 1 e ome= nstal 1 anon A.P. # S Main Building: E Accessory Building: TTPEOFPERMIT !7 uRADIhG F FOUNDATION G TENANT EtffiRlCAI L PLUMBING 1-1 DINER STRUCTURAO a ktECHANtCA! T Front A Rear Ouct "Under Ground Duct-Structural entilating t S.. em Multiple tive Cooler System &Ducting 000 TU 100.000 BTU Canopy T e 11 0 System 00- 100000 BTU C3100,000 BTU Firepl /Fact. Bit. iCBO # tem Repair /Alteration PROJECT DESCRIPTION: So. Ft. ___ _ Cons ;;uchcn type Zone _— volvanon f _ PC# Remarks pew i t to brinn "g-fi 1 es Occupancy es _ u0 i0 date. C! Right K — I — S! Left Pln p Arkin Reo. /Provid Pfanning Notes Perviously ins ecte others. Gas Service Outlets 3 -10 -8a Interco tors ID.# PLUMBING Alter, Repair FEES ELECTRICAL Generator 00 -SKW 5 -15KW FEES MECHANICAL Boiler FEES ACCT.I 33601370 33?Q3312 GRADING FEES Cut: _ cu" yarns Fllk cu. yards Plan Check Fee S Permit Fee S Total Fees $ Auto Wash Backf low Preventer Backflow Irrigation Clarifiers Dishwasher Fixture Traps ea. Construction Pcle Sub. _ Cooking Unit Pole Liaht U ors ;!Gas Electric Fan F•q,U, Ouct "Under Ground Duct-Structural entilating t S.. em Multiple tive Cooler System &Ducting 000 TU 100.000 BTU Canopy T e 11 0 System 00- 100000 BTU C3100,000 BTU Firepl /Fact. Bit. iCBO # tem Repair /Alteration Floor Grains nks Fixtures Outlets Switches Meter up to 100 am spation Meter Uover 100 amps_ Sub panel 15.50M.WTransformer 50 +KW Motors 0.1 HP 1 Yr • 8 Inc. Sokr 9.15_ HP 0 16.15+ MRefrigeration 3360.3312 I M23i 3360.3370 3360.3375 Summary of Permit Fees Building S Plcmbin; S — Electric :l $ A!ecnanical S Other $ _ SMiP S Summary of Plan Check Fees Quiiding f _ — -- Plumbing S Elettncal S —_ _ Mechanical - other $ Planning S _... . Tatd Fllas iilN = Gas Service Outlets Interco tors P•Trap Ro6f Drains Trailer Sewer fewer Cap — ewer Connection . Bldg. DampersgRinters War Collectors _ Incinerator iolar Piping ioiarTank Sing /Fam. R_ es. Misc. Multi•FaT.Res. wimmin Paol /S a Swimming Pool/spa Hater Heater yater Service iC tig $yStP.m Issue DEVEWMENT SERVICES REQUIREMENTS: Taliag APrlmd Bl biid)agAWmill ft - APylicsUsll iutlel ST _ lab _ _ mq .— Issue Z O N 1 N G A a M T Project Address 32gon Ri verS i de Drive Assessor's Parcel No. Owner's Name 1. 1 T'rl(1rr0 t JL titter) Ir %,V - hone Adwes, A,311 t nart Highway Laguna Beacn CA _ ArchiEng. License No. - -- Address Contractor's Name— Phone Address fmailirgl -- City License No. _ — LICENSED CONTRACTOR DECLARATION I hcre y affirm that 1 am licensed under provisions of Charter 4 (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. Date _ Signature — — RKERS' COMPENSATION DECLARATION reby affirm that I have a certificate of consent to Sall4niure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Policy No. - Company Cert-fied copy is hereby furnished. Certified copy is filed with the city Building Division. Date Applicant _- EXEMPTION FROM WORKERS' COMPENSATION O: 7LARATION This section neeJ not be completed if the permit is for l hundred ($100) Or lessi. I certify that in the performance of the work for whiCh this perm -1 is issued, 1snaotemployanypersoninanymannersoas :o become subject to thepn Worker: Compensation laws of California. Date Signature -- NOTICE: If, after making this declaration, you should became subject IC the Worl-ers' Compensation provisions of the Labor Code, You must forthwith t,_rnply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby aif)r.m. that there is a construction ls.nding agency for the performanceoftheworkforwhichthispermitisissued (Section 3097 Civ. C.) Lender's Name .-- —•- Lendef's Address OWNER BUILDER DECLARATION I hereby afh,m that I arr. exempt rrc,m the Contractor's License Law for the fo :lowing reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for suer• permit to Ill- , signed statement that ne /she is licensed pursuant to the provisions of 03, Contractor's Licer)SP Law (Chapter 9 (commencing with Section 7000) of ision 3 o the Business and Profession$ Lod.:) or that he /She is exempt rCfrom and the oasis for the alleged exemption. Any violation of Section 1.5 by any appl.cant for a permit subjects the applicant to a civil penalty of not more Inan nve hundred dollars (5500). 0 1, as owner of the property or my employees with 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 Law does not apply to an Owner of a property who br -:Ids or improve, thereon, and who does such work himself /herself or through his or her own employees, provided that such improvements are not intended , -offered for S tf, hnwever, the building or improvement i% sold within one year of com• ojehin, the owner will have the burden of proving he /she did not ouild or im- prove for the purpose of sale). I, as owner of the property. am exclusively Contracting with llce+lsed tan• tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an Owner of properly who builds or irlproves Iheraon, and wno contracts for such projects with a con lraclor(s) license pursuant to the Contractor's License Law). I am aware that Drool o their Worker's Compensation insurance should Ge provided to me. I I am exempt under Section— B. k P. C. for this reason Date — Owner hereby __ -- I hereby certify that I f+ave read tills application and state that the above information is Correct. I agree to comply with all City and county ordinances dan slate laws rolal.ng to building construction, and hereby authorize repre. WItatives of this city to enter upon the above•rtlentioned pruperty for insiaeetion purposes. Signature __ -.•_ ,— Date.. Drivers' License or SS if - -- White-Building: Green-Temporary file CM; Canary•Asser -m. Pink-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. TRACT NO. LOT X10. _ _UNIT N0. TYPE Of CONSTRUCTION L NEW r ADO AALTERATIO fl REPAIR O CONVERSION DEMOLISH C1 OTHER 14oblle tic - Nstallatlon OESCRI ?TION OF WORKrUSE OF BLDG. TYPEOFFERMIT GRADING 0 FOUNDATION STRUCTURAL TENANT ELECTRICAL L7 PLUMBING MECHANICAL C OTHER PROJECT DESCRIPTION: Sq.ft _ Occupancy _ Construction type Zone Acres Valuation S PCf Remarks inspect.¢ -y others. 1// C 3 -10 -88 IAA PLUMBING FEES ELECTRICAL Alter, Repair Wash Plumbing I Generator 00.5YW 0 5.15KW Construction Pole Sub. Auto _ Backf low P.eventer S Cooking Unit Backflow Irrigation i Pole Light Oryers DGas DElectricClarifiers Dishwasher Fan Fixture Traps ea. I F.A.U. Floor Drains Fixtures Floor Sinks Outlets Gas Service Outlets Switches Interceptors Meter 0 up to 100 amps P•Trap Meter Dover 100 amps Hoof Drains Sub panel Trailer Sewer 0 15.50KW Transformer 0 50+KWSewerCaP Sewer Connection - Bidg. Motors 0 0.1 HP 131 % - B Inc, Solar 09 -15 HP 016_ -15+ Solar Coilectnrs Soar Piping Sing, /Fam. Res. Solar Tank Multi -Fam. Res. E' Main Building: T FrGnt A Rear C P.ight _ i LeftS -- Ping. Ref. Planning Notes Heating System & Ducting 00- 100.000 BTU 0100.1 Hood or Canopy TyLe 1 0 Type 11 1 Refrigeration System 00.100,000_BTU 0100,( Fireol /Fact. Bit. ICBO # System Repair'Alteratir(n Fire Dampers Registers — Incinerator _ Misc. 1isC — DEtrEI9PMENTSERVICESREQUI11EME4TS: itvlillg Akylii -if ft Date EviJ6ng At proafl k Issue I wlS Q} _ Utte Accessory Buil Park 2 1 N G R E Q M T S AMT. N GRADING FEES Cut: _ cu. yards Fill: ___Cu. yards 33603370 Plan Check Fee S 33013312 Permit Fee $ Total Fees $ 3360.3312 1 Summary of Permit Fees Building Plumbing Eiectrica( Mechanical Other 110231 SMIP s 3360.3370 1 Summary of Plan Check fag 3360.3x/5 1 Planning $ TNall Fitas Dee S Building S Plumbing S Electrical S mechanic3l Other 3360.3x/5 1 Planning $ TNall Fitas Dee S Project Address 32900 Riverside Drive Assessor's Parcel No. Owner's iilnme F1 Morrt: In ectment 4V •Phone Address ._8311 roast Hiuhw" _L& i _ each CA Archtfing. _ _ License No. Address Contractor's Name _— phone _ Address (mailing) City License No. —_ LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under previsions of Charter 9 (commencing with s :ctlon 7000; of Olvislan 3 of the B!islness and Professions Code, and my license is In lull force and assent. License Class License Date _ _ Signature OO. aRKER;' COMPENSATION DECLARATION ereDy .,,firm that I have a certificate of consent to self-Insure or a certificate Wdrk.rll' Compensation Insurance, Or a certified copy thereof (Section cat;. 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 completed if the permit is for one hundred (S10C) nr less). I cerlrty that In the performance of the work for which this permit is issued, I half not empiny any person in any manner so as to become subject to the Workers' Compensation Laws of C :Iifornia. Date _.ignature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwrlri Comply with such 1rovisions or this permit Shall be deemed revoked. CONSTRUCTION LZPOING AGENCY 1 hereby affirm that there is a cnnstncction lending agency for Me performance of the work for Which this permit is issued (Section 3097 Civ. C.) Lendmr's Name LenJer': Address OWNER BUILDER DECLARATION I hereby ¢firm that I am exempt from the Contractor's License law ,sr the allowing reason (Section 7031.5 Business and Professional Code: Any city or county wh. n requires a eermit to construct, alter, improve, demolish or repair any structure, proof to its issuance, also requires the applicant for such pern•f to file a signed statement that ho /she is licensed pursuant to the previsiors of 03 1.5 Contractor's License Law (Chapter 9 (com.mencing with section 7000) nr Sion 3 of the Business and Professions Code; or that he /she is exempt refrOm and the basis for the alleged exemption. Any violation of Sg by any applicant for n permit subjects the appy :ant to a civil r5nallJ ty of not mar inan five tiunrtrea dollars !S500), 1, as owner of '.: -.e property Or my lMPlpyeeS vetb wages as thol., sole compensation, will 00 the work, and the structure is not mtendeti or offered for sale (Section 704.1, Business and Professional Cade: The rnnirartor's License Law does not apply to an owner Of a tDr.rierly who builds or improves thereon, and Who Coe$ such work nimself;heeself c.r through his or her own empinyees, provided that such .mproverrents are not intended Or Offered for saie. 11, however, the bustling or improvement is sold witn.n one year of com- pletion, trio owner will have the bur2en of proving he /Sne did not build or im- prove for the puruose of sate), 1, as owner of the o.,.nerty, am exclusively contracting with licensed can. trlclorsto construct the project (Section 7044, Business and Prolemons Code: The Contractor's License LAw does not apply to an owner of property who oueds or improves thereon, and wno contr4cts for such protects with a con. tractors) license pursuing to the Contractor's Lrcchse Law). I am aware that Proof OF their Worker's Compensation insurance should be provided to me. l i I am exempt under Section__— B. L P. C. For this reason Oste -- - - -- -- Owner I hereby certifv flat 1 have road this application and state that the above informal, )n is .Grrect. I agree to comply w. :h all cot/ and county ordinances and state lairs relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above- mentioned pruporty forinsprcr.fns pitrpases. , Drivers' License or SS V While-Budding: G:een•Temiloorary File Copy, Canary - Assessor, PinAdlpphcaal; GuWt!nrod.Accnun!rnp, CITY OF LAKE ELSINORE CONSTRUCTION rlRMIT Applicant to fill in all spaces except those within iieavy border lines and sign all appropriate dimlarations PERMIT NO. TRACT NO. LOT NO. e I UNIT N0. TYPE OF CONSTRUCTION NEW L-` ADD G TERATIO REPAIR CONVERSION DEMOLISH D OTHER f4obile Rome i 11 nstallation DESCRIPTION OF WGRA tiSE OF BLDG. -- _ TYPE OF PERMIT Q GRADING FOU40ATION STRUCTURAL TENANT C ELECTRICPI PLUMBING G MECHANICAL OTHER PROJECT DESCRIPTION: Consl:uchirrl type _ Valuation S _ Remarks ID. #, PLUMBING Alter, Repair Auto Wash Backf low Preventer Back flow Irrioation Dishwasher Fixture Traps ea. Floor Drains Floor Sinks Gas Service Outlets Interceptors P•Trap Roof Brains Sq. R _ PC0 to bring files il Linshecte X 7 $ o FEES Gene Consl Cook 1 Pole I Drvet Fan F.A. L 1 FixiU IOutle Swill: Meter Meter Occupancy -- kits up to date. others. C 3310 -88 LECTRICAL FE itor 00.51CW 5.15KW I uct.on Pole Sub. to T UU a r inn an alter newer ACCT R 33603370 33003312 Transformer 15 5 wen Cap S — Duct - Structural Plumbing S _ 0 50 +KWW wer Connection - Bldg. Plan Checl. Fee S Permit Fee $ Total Fees $ Exhaust System Multiple System Gepair /Alteration Motors 0 0.1 HP U 1% - 8 tar Collectors Heating System & Ducting Q 0-100.000 BTU C 100,00C BTU I Registers 33603312 Inc. Solar 09.15 HP 016-115+ far Piping S( Res. la: lank ultiFpm. _ Multi•Fam. Res. mina Pool E j Main Building: Accessory Building: T Front 2 O A Rear N C Right ; t K N S1 Left G Ping. Ref. # R Parkin Req. /Provided E Planning Notes a M S Boiler ACCT R 33603370 33003312 GRADING FEES Cut: ___cu yards Fill: cu. yards Duct-Under Ground S — Duct - Structural Plumbing S _ Fan -Ventilating Plan Checl. Fee S Permit Fee $ Total Fees $ Exhaust System Multiple System Gepair /Alteration Evaporative Cooler Heating System & Ducting Q 0-100.000 BTU C 100,00C BTU I Registers 33603312 Sdmmary of Permit I'mHoodorCanopy IF, . _ " Refrigeration System Building Building S 2,0 -100 OGO BTU 100,000 BTU S — Plumbing S _ FirepllFact, Bit. ICBO # I 110.231 Electrical $ Mechanical $ _ Other $ SMIP $ System Gepair /Alteration Othel Fire Dampers I Registers Incinefator list____. OEyiAflrilENT SERVICES REQOIREMENIS: at Aeproled Illy Date Issue —• _ -- AF'¢ utionissu/dly __.. Date 3360.3370 1 Summary of Plan Check Fees 33603315 1 Planning $ Total I m On S Building Plumbing S — F!ettriul j _ Mechanical f — Othel 33603315 1 Planning $ Total I m On S Project Address _3294IZ Riverside Drive Assessors Parcel No. — Owner's Name _LL s 0rrjD_1nyf_S_t :u.f:c -hone — Address -831? Cwt High! -agun-a Beach CA ArchiEml License No. Address Contractor's Name Phone Address (mailingl — - -- City License No. LICENSED CONCRACTOR DECLARATION 1 hereby affirm that 1 am licensed under provisions of Charter 9 (comme^s102 with section 7000) of Division 3 of the 3usiness and Professions Code, ant my license is in full force and effect. License Class License No. —_— Date — Signature — RKERS' COMPENSATION DECLARATION reby affirm that I have a certificate of consent to seltlnsure or a certificate workers' Compensation insurance, or a certified copy thereof (Section 3800, Up. C.) Policy No. -- -- Company Certified copy Is hereby furnished. Cer ofied copy Is filed with the city Building Division. Date Applicant — EXEMPTION FROM r:ORKERS' COMPENSATION DECLARATION Thisseetion need not be completed if the Permit is for one hurdled ($100) or less). I certify that In the performance of the work for which this permit is tssuea, Isnailnotemployanypersoninanymannersoastobecomesubjectt0the Workers' Compensation Lays of Caiifo.nia. Date S:Snacure — NOTICE: It, after making this declaration, you should become subject to the Workers, Compensation Provisions of the tabor Code, you must forthwith Comply with SuCn provisions or this Permit Shall be deemed revoked. CONSTRUCTION LENUiNG AGENCY 1 ne:eey affirm that there is a construction lending agency for the performance of the work for which in's permit IS issued (Section 3097 C.v. C.) Lender's Name -- t.enJer's Address -- OWNER BUILDER DECLARATION 1 hereby arf,im that m am exempt from the Coritrac*cr'a License Law for the fblmr)wrng reason (Section 7031.5 Business and Professional Code: Any city or county wn,cn requ•res a permit to construct. al' ar, ,mprO rt, demolish or repair any structure, poor to its issuance. also requires the applicant for SJch permit to file a signed statement that he /She is licensed pursuant to the provisions of oe C ont•acfor's License Low (Chapter 9 (commencing with Section 7000) 01 nion 3 of the Business and Professions Code) or that he /she is exempt refrom and file basis for the alleged exemptiOn. Any violation of S1cUdn 31.5 by any applicant tar a permit subjects the applicant to a civil rsalty cr not more thin live hundred dollars (3500). I, as owner of to property or my ermplosreeS wttn wages as their sots compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Cede: The Contf.l Cl Or'S L,Cente tai does not apply to an owner Of a prpperty who builds or Irnpr6ies mc-eun, and who does such work h1msaif/m:erself of tnrougn his or her own empb)yees, provided that such -mprovements are not intended or offered for safe. it, howovts, the bLAding or improvement IS fo :d .,thin one yea, of com- pre :ion, Ine Owner will have the burden of proving he /sit did not build u- im• Prove for the purpose or sale). t, as owner of the prnperty, am exUuSiveiy contract -rig with licensed con- tractors to construct Ine project (Section 7044, Business and Professions Code: The Can tractor's License Law riots not apply to an owner OI property who builds or Improves thereon, and wno contracts for suer, projects with a con I,acter(s license pursuant to :ha Contractor's License Law). I am aware that prof 0 their Worker's Compensation Insurance should to provided to me, 1 am exempt under Section- B. b P. C. for this reason Date Owner— I hereby certify that I have read this app: ration and state .list the above format ran is •of rec I. I agree if, comply with aft city and count.' ordinances and state laws relating to building construction, and hereby authorise teprA- j seniat.w.s of tn,s city to enter upon the abCvs- mentioned property 0, Inspection purposes. Date, __ - _ Signature I Drivers' License or SS to -- -- h ,!.Budding; Green- Temxfary Flit i'47; Canarr•Assessor• Pink-APPI"AL Goldenrod- Accountuig CITY OF LAKE ELSINORE CONSTRUCTION PERMIT App!icant to fill in all spaces except those within heavy border lines and sign all appropriate declarati3ris PERMIT NO. TRACT NO. LOT NO. UNIT NO. TYPEOFCONSMUCTION C NEB 0 ADD !3 LTERATiOg r REPAIR E3 COW-ERSION C DEMOLISH Li OTHER ilbbile Aome instal latTon CESCRIPTION OF NORIL'USE OF BLDG___-- A.P. # Zone E Main Building: — Accessory Building: 2 TYPE OF PERMIT != GRADING C FOUNDATION 0 STRUCTURAL Cl TENANT 2 ELECTRICAL r_ PLUMBING 0 MECHANICAL I OTHER T Front O A Rear r N C Right N PROJECT OESCRiP ?ION: Sq Ft._ Occupanry — Construction type _ Zone — A.cfes Yalwtmor S— —Pee K - -- S Left C A Ping. Ref. #. _ r Parking Rect.fProvided E Q Qemaik_ hermit t0 bring files up to date. Perviously ins ecte others. Planning Notess — T S 3 -10 -88 IDJ ,R A o ELECTRICAL FEES MECHANICAL FEES A0.4 3360 -33]0 3300 -3312 fiMINGFEES Cut. _ —cu. raids fill, cu__pies Pta :reck.eeS Pef:hid Fez $ Total Fees f PLUMBING FEES Alter, Repair T Auto Wash Generator G0.5KW 0 5.15KW Consiruction Pale Sub. Boilt r Duci -Under Ground Bar.kflow Prevemer r Backflowlrri tier Cookin Unit . Pole Light j Duct- Structural Fen •Venti!stina Clarifiers 1 D ers Gas GElectric Exhaust S stem Multipie— r Dishwasher i Fan Evanorative Cooler Fixture Traps ea. F.A.U. Fixtures 1 _ Heating System & Ducting i3O. 100,000 BTU 0100 000 BTU 336x0.3312 t0 231 3360.3370 336Q 3315 Summary of Permit Fees Building f Plumbing S Electrical $ Mechanical $ — 011!er S _ St tP $ Summary of Plan Check fea Building i Plumbing f — Electrical f _ Mechanical S Otha $ Planning f TeW Feel Dee f — Flow Drains Floor Sinks Outlets Switches Hood or Canopy I T 1 0 Type II QGasServiceOutie:s Interceptors I i Meter O up to 100 amps Meter L7over 100 amps Refrigeration System 00. 100,000 BTU 0100 009 BTUP -Trap Roof Grains Sorb panel Firepl :Fact. Btt. I C 3 0 # Trailer Sewer 0 15.50KW Transformer 0 50 +KW Motors 1710-1 HP 01'/: - 8 Inc. Solar 09 -15 HP G 16.15+ I _ ystertt Repair /Alterat_ionrSewerCap Sewer Connection Bldg. Solar Collectors —? ire DampersP R_ ?inters Incinerator Solar Piping Sin /Fam.Res. Misc. Solar Tank I Multi -Fam. Rlts. Swirnming Pool/Spa Swimming Pool /S ra _ L Water Healer Issue Water Service Septic System WrELOPMENTSEAIIICESREQUIREMENTS: Im+al Apprea6 By Iailding WIK g I b —_ ApplWtiOtl issued By Oslo M ise '! issue Proie:t Address _12g07 Ri yers- Drive Assessor's Porcol No. G'wner'sName F1 l'-wra Tny -r -m.gt_CQ•Phone Address _8ai i _cQasxLJi1.jh1gay Ls'1tigunjL Beach CA Arch /Eng, License No. Address _ Contractor's Narnr Phone Address ((nailing) City license No. LICENSED CONTRACTOR DECLARATION 1 hereby affirm tha! I afr. licensed under provisions of Charter 9 (commencing With section jOCO) of Division 3 of lht, Business and Professions Code, and my;icen;c is in full force and effect. License Clast Licersa No. Date Signature RKERS' COMPENSATION DECLARATION reby affirm that 1 haw a certificate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 3600, LAb. C.) Pnl( ^y No. _ _ Company ortff:ed copy Is hereby furnished. Certified copy Is filed with the city Building Division. Q lie Applicant EXEMPTfON FROM WORKERS' COMPENSATION OECLARATICN This section need not be completed if the oermit is for one hundred ($100) or rss). I certify that in the performance of the work for which ;his permit is issued. I snail not employ any person in any rnanntr so as to become subject to the Workers' COrnpansat!on Laws of California. Data _Signature N •,ICE: 11, aricr mal.ing this declaration, you should become subject to the vo_:rs' Compensation previsions r)f the Labor Code, you must forthwith COfnp ;y with such pro'vislon, or Ibis permit shall be deemed ravoked- COKSTRUCTIpN LENDING AGENCY I h ,ereey affirm that there is a construction lending agen:-y for the performance of she work for which !his permit is issued (Section 3037 C,v. C.1 Lender's Name Le mlcr'S Address OWNER BUILDER DECLARATION I here Dy affirm that I am exempt from the Contractor's Lf:ense Law for the ollfowing reason (Section 7031.5 Business and Processional Code: Any city or county WiiVi retlu,fcs a oermit to construct. after, improve, demolish or ragalr any Siruc :ore, pnoi to its issuance, also renuires the applicant for Stich oermit to file a s:pned statement Mat tie /she is licensed pursuant to the provisions of e Contractor's License Law (Chaptec S (c-onimencing w`tn Section 7000) 1-1 iunn 3 of the Business and PrWessiuns Cnac) or that he /she is exempt refrom and the oasis for the all. .,rred exemplifies. Any violation OT Section 031.5 by any applicant for a permit subjects Tie applicant to a civil penalty of ne' more than five hundred dollars (8500). h (, as owner of lie property or my employees with wages as their sole compensatioi., wi ;I do 'lie: work, and the structure is not intended or offered for site (Sec!icn 7044, Business and Protewonal Cede.: The Contractor's License L.Jv• does riot apply to an owner o; a property who builds or improves t ne•cnn, and who does such work nimsti'iliei%e If o: through his Or net own mp'nyees, provided That such improvements are not intended or offered for Sale ' , however, the btrildlaq ar improvement is sold within one yea- of coin pletran, the Ow.no: will have the burden of proving he /she did not bu..d or im- prove lot the inirpose of Sate)• 1, ,_s owner Of the oropefly, ai, exclijs!vety c•nnlratting with licensed cOn- ttisclo,: to construct the project (Se:.lion 7044, Business and Professions Code: The Contractar's License Law does not apply to an Owner r.: pro Jerty who build$ Of improves thereon, and who contracts fur such projects with ] con - Vaactor(s) !icense pursuant to ine Contractor's License Law). 1 d.n aware that Proof of their worker's Compensation insuraneo should Do provided to me. LD I am exempt under Section— .____— B. 6 P. C. for this reason IDate _ Owner _- 1 hereby certify that I nave read tills application and stale that the above r, :rofmafron is correct. 1 agree to comply with all city and county ordinanc4s and ,!ate laws -elating to builo,ng construction, an(. hereby author l Ze ropre- sentatrvei c f this city to enter upon the above - mentioned property for Inspection pu ;:roses. Signature _ _ Oasis _ Orivers' Llc,•nsc or S$ White BujMtng; Greendemparary Fife Copt: C wy-Assessoi Pink Aaphcant. GoiGenroe Arrnunl,r,o I CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations PERMIT NO. TRACT NO. LOl NO. 8 UNIT NO. T"EOFCONSTRUCTtON : NEW G ADD El LTERATIO ' REPAIR Ll CONVERSION DEMOLISH 0 OTHER 1-lobiie Dome Installafion A.P. # DESCRIPTION OFWOWUStOFBLDG. S – Main Building:__ _ TTPEOFPERMIT r; GRADING D FOUNDATION D STRUCTURAL T Front TENANT i ELECTRICAL 1Z PLUMBING D MECHANICAL B Rear OTHER A PROJECT DESCRIP110N. Sq Ft- Occupancy _ C Right Construction type _ Zone Acres S l Left Valuation $ PCM Ping. Ref. # Zone Accessory Building: Parkin Rep. /Provided Z Q 1 N G R E Remarks Permit t0 bring files up to date. Planning Notes M Perviously inspecteiUY others. T r 3 -10-88 —_ S PLUMBING FEES ELECTRICAL Generator 00.5KW O 5.15KW FEES MECFIANICAL Boiler FEES Aw.if GOADING FEES Cut FI: PtanChettlFcS Permit Fee S Total fees $ cu.yar s cu. yards I Aiter.Repair. Auto Wash Construction Pole Sub. Cooking Unit Duct ',cer GroundL! DSzck(low Preveoter Backflowlrri ation Pela Light Dryers DGas OElectric __ Fan l Fan - Ventilat :rg E -haust S sten, hi,llti le Evaporative Coo!er 3360.3310 3300.3312Clarifiers Dishwasher Fixture Traps ea, — F.A.U. Fixtures Outlets Switches Meter 0 up to 100 amps Meter Dover 100 amps Sub Daji2l I Heating System F. Ducting 00.100.000 BTU 0100,000 BTU Hood or Canopy Type 1 Cl Type II Refrigeraticn System 00. 100,000 BTU 0100,000 BTU Fire I /Fact. Bit. ICBO # 35603312 Floor Drains Suclmaryof PsrmitFea Building $ Plumbing S _ Electrical S Mechanical S Other S SMIF S Summary of Phil Check Fels Building S Plumbing $ E'ectrKal S _ Mechanical E Other S Planning $ Tube! Fos Diu S _ Floor Sinks Gas Service Outlets Interceptors P•Tra Roof Drains Trailer Sewer 1 O 15.50KWTransformer 0 50 +KW System Repair /Alteration Sewer Cap Fire Dampers Sewer Connection - Bldg. Motors 0.1 HP 01'ia • 8 Inc. Solar 09.15 HP 016 -15+ Sing /Fam. Res. Multi•Fam. Res. Registers 110431 3360 -3310 Solar Collectors Incinerator Misc, - Solar Piping Solar Tank Swimming Pool/Spa Swimming Pool /Spa Water Heater Issue Water Service Septic System Misr—_ DEVELOPMENT SERVICE $REQUIREMENTS: Zoning Approssd fly _.___oats Ba!ilfingApFcasd f pats 3560.3315 APolica0oa hand k _ osts _ Issue Project Address 32.900 Riverside Cri ve 1 Assessors Parcel No. a.vnr.'s Namb E1 Marro i nVeStlTlen1- Q_ -Phone Address na Beach CAL Arch(Eng. License No. Address — Contranor's :.ame _Phore Address Imailing) Gty License No. _ LICENSEL, CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charte- 9 (commencing with section 7000) of Division 3 of the Business and Prof:sslons .ode, and my license is In full force and effect. License Clasf License NO. Date Signature RKERS' COMPENSA ?ION DECLARATION reby affirm that I have a cerlifica!e Of consent to self -Insure or a certificate Workers' Compenaa!lor. Insurance, or certified copy thereof (Section 3800. Lao. C.) ibllcy No. __ CO. ^.:Jany G Certified copy is hereby furnlsired. U Certified copy is filed with the city Building Division. 031>_ 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 which this permit is issued, I Sr:ail not employ any person in any manner so as to become subject to the viDriers' Compensation Laws of California. Date Signature —_ NOTICE: If, attar making this declaration, you sf•.ould become subject to lira t9nrkers' Compensation provision', of the Libor Code, you must forthwith comply with such provision: or this permit shal; be deemed revoked. - CONSTRUCTION LEI/DING AGENCY I hereby affirm that there is a construction fending agency for the performance f the work for wrrch this permit is issued (Section 3097 Civ. C.) Lender's Name -- Lancer's Address OWNER BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following rez,.on (Section 7031.`: Business and Professional Code: lny city or county which requires a permit to construct• alter, improve, demolish or repair any Structure, pr!or to its issuance, also requires the appliCant for SUtn permit to rise a signer) statement that he /she is licensed pursuant to the provisions of e Contractor's License Law (Chapter 9 (commencing with Section 7000) or sign 3 of the Business and professions Code) or that he /she is exempt refrom and the basis for the alleged exernptron. tiny violation of S¢clinn 031.5 by any applicant for a permit Subjects t a applicant to a civil penalty of not more than five hundred dollars (5500). i, as owner of the property dr my employees with wages as their sGie compensation, will do the work, and the structure is 1,01 intended or O!leled for save (Sectinii 7044, Business and Professional Code: The Contractor's License Law does not apply to its Owner of a iroperty who builds Or improves thereon, and who does such worlt himself /herself of through his or tier own employees, provided that such improvements are not intended Of riffered for sale. If, however, the buildinq or imorovement is sold within one year of COm• pretion, the owner will have th0 !rjrden of pr ving he /she dirt not build or im• prove for Inc purpose of sale). 0 1, as owner of the property, am exclusively cling with licensed Con• tractors to construct the proiccl (Sccl'on 7044, 6 ss and nro!esslonS Code: The Contractor's License Law does not apply 1, an owner GO prepefly wPO builds or imr :over thereon, and who contract,. or such protects with a con - t•Actor(%) license pursuant to the Contractor's License Law). I ant aware that Aron! of their Worker's Compensation insurance should be provided 10 MG, U I am exempt under Suction_.._ B. 6 P. C. for this reason Date T Owner __~ _- 1 hereby Certify (lint 1 have read this arrtication and state that the above information Is correct. 1 agree 1.) comply with all City and county ordinances and state taws relating to building construction, and hereby authorize repio- sentstives of thls city to enter upon the above•manimnad property for inspection purposes. Signature __ Datu_ OriverS' License or SS tP --... - -- White-Bwlding; Green•Tem"ary file Copy: Canary-Ar. ;essor; Pink Applicant. Goldenrld•Acctunline CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those rri;hin heavy border lint= :md sign all appropriate declarations Building PERMIT NO. TRACT NO. LOT1&91 GOVT N0. TYPEOF'.ONSTRLU Ml ((EW U ADO 0 AALTERAT'O n REPAIR L3 CONVERSM 2 DEMOLISH OTHER I;flbi 1 e NC_ nstal l6t :On DESCRIPTION GE WDRIUUSE OF BLDG.- A.P. # Zone E Main Building: Accessory Building: TTPEOFPERMIT GRADING _r FJUNDAVON 0 STRUCTURAL U TENANT ELECTRICAL C3 PLUMBING U MECHANICAL U OTHER — — T Front Backf low Irriq3tion A Rear Pole Light C Right PROJECTIMSCR!PTION. SJ FL _ Occupancy Cc:istfuct,on type Zone _ _ _— Acre, Valuations PC! S Left 0Gas OElectric Ping. Ref. # parking Req.fProvided Remarks Pem -it t+U bri n files Up to date. Perviously inspected —tiv others. Planning Notes IM FEES I ELECTRICAL I FEES_ _ MECHAN Auto Wash Building I Construction Pale Sub._ BTU I Duct -Under Ground Batkllow Preventer I Cookies Unit Duct- Structural Backf low Irriq3tion Pole Light Fan - Ventilating Clarifiers 0Gas OElectric Exhaust System Multiole Dishwasher Dryers Fan Eva orative Cooler Fixtu e Tra .ea. F.A- U. Heating System & Ducting BTU 0100,1FloorDrainsFixtures Floor Sinks— Outlets Hood or Canopy Type l Type 11GasServiceOutsetsSwitches Interceptors_ Meter up to 100 amps Refrigeration System 100-100,000 BTU 0100,1P•Trap _ Meter Dover 100 amps Roof Drains Sly_panel I Firepl /Fact. Bit. ICBO # Trailer Sewer 0 15.50KW Traid 9rmer 0 50+KW I edotoes Ll 0 -1 HP 1' /: - 8 Inc. Solar 09.15 HP 0_16.15+ System Repair /Alteration Sewer Cap Sewer Connection - Bldg. Solar Collectors Fire Dampers — Re isters Incinerator Solar Piping Sing/Fam. fees. Misc. YEEAP MERTSE RYICES REQUIREMENTS: 2o11d AfffOaed 11 _ —_ Date 1111lddiallA avoid fy Date Issue —r— ApplicafjootssndBy ---mte 8 0 T1 i N G R E 0 M T S N,CT. N GRADING FEES Cut: .- -- _ cu. yards Fill: _ u. yards 3360.3370 Plan Check Fee $ 3300.3312 Permit fee S Total Fees $ _ 336(1.3312 I Summary of Permit fees 3360-3370 1 Summary of Plan Check Fen Building 110.231 Building $ — Plumbing f Electrical i Mechanical f Other S SMIP S BTU Electrical Mechanical 3360-3370 1 Summary of Plan Check Fen 33360.3375 1 Planning $ Tool Fen ow $ Building S Plumbing Electrical 11 Mechanical Other i 33360.3375 1 Planning $ Tool Fen ow $ Proiect Address 32900 Ri veri d2 Drive Assessor's Porcal No. Owner'sN4me Fl Mnrrn Investment_Sk--ptone Address _ Aarl roast Highway Laguna Beach CA Arch /Eng. ..—License No. Address Contractor's Name Phone Address Imailing) City License No. -- --- -- — LICENSED CONTRACTOR DECLARATION 1 hereby affirm t::at 1 am licensed under provisions of Charter 9 (corn- rnenciag with section 7000' of Division 3 of the Business and Professions Coca, z'd my license is In full force and effect. License Class Ucense Date Signature ---- QRKERS' COMPENSATION DECLARATION raby alGrin that I have a certificate of consent to self- Insure or a certificate Workers' Compensation insurance, or a certified copy thereof (Section J100. lab. r•) Policy No. —, _ -- Orypany .._._ Certilled copy Is heruGr furnIZe; Lj Ceftilied copy is file' _,ith the city Nui!ding Division. Dale _... .ps i:c.• ' .. .. __ _ EXEMPTION iF -OM TVUiloKEPS' CUMPENSATION DECLARATION This section twee. not Ur compeele.•.; if the permit is for one :,urdrad ($100) or less) I ce.iify that Ir. sP> %rrmanrx Of the wCrk for which this permit is issued, I Sh]ll not employ it any manner so aS to become subject to the Workers' Compun-: i •Laws , California. Date __._— Slgnatu e -- NOTICE: if, after making this declaration, you should become subject to the Workers' Compensation provisions of the tabor Cude, you must forthwith comply with such provisions er this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I nerety affirm that there is a construction lending agency for the perfo -manse of the work :or which this permit is issued (Section 3097 Clv. C.) Lender's Name Lender's Address OWNEr3 BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law !or the h,lio wing reason (Section 7031.5 Business and Professional Code: Any city or ounty which requires a permit to construct, alter, imorove, demolish or rera.r any structure, prior to its issuance, also requires the applicant for such permit to flie a signed statement that he /she is licensed pursoanl to the provisions of 63 e Contractor's License Law (Chapter 9 (commencing with Section 7000) of ision 3 of the Business and Professions Code) or trial he /she is exempt rafrom and the basis for the alleged exerr.ptinr.. Any violation of Section 1.5 by any applicant for a permit subjects the applicant to a civil enaity of not more than five hundred dollars ($500)• I, as owner of the p: ' .1orty or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for saic (Section 7044, Susiriess and Professional Code: The Contractor's L.iccnsc Lan Goes not apply to an owner of a property who builds or improves thereon, anu who does such worx nimSelf /herself or through hK or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of corn plClin'l, tife owner will have the burden of proving he /she did not build or im- prove (Or the purpose of sate). 0 1, as owner of Inc property, am exclusively contracting with licensed con- lraclorSto construct the project (Section 7044, Business and Professions Code: The Contractor's Lrcansa Law does not apply to an owner Of property who builds or improves thereon, and who contracts for Such projects with a con- tractor(sl license pursuant to the Contractor's License Law). 1 am aware that proof 0 their Worker's Componsation insurance should be provided to me. 0 1 am exempt under Section _— B. & P. C. for this reason Date Owner _ _ 1 hereby certify that I have read this application and slate that the above information is correct. I agree in comply with All city and county ordinances and state laws relating to building construction, any hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for inspection purposes. Signature _ Date, Drivers' License or SS f White-Building; Gfeen•Temporary file Copy: Canary- Assesses, Pink•App)lcanl, Golocnresl•Accounling CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations PERMIT NG. TRACT NO. LOT NO. UNIT NO. TTPEOUCONSTRUCTION NEW ADD LTERATIC REPAIR 11 CONVERSION CI DEMOLISH O OTHER tiobi I ome installation DESCRIPTION OF WORK /USE OF BLDG. TYPE OF PERMIT GRADING FOUNDATION 0 TENANT 0 ELECTRICAL PLUMBING Ci OTHER PROJECT DESCRIPTION: Sq.FL Construction type Zone _ Valuation i PCP Remarks Permit to bring fi 1 E Perviously inspected. IDJ STRUCTURAL MECHANICAL Occupancy Acres uR to date. i {IthnrS. Cr 3 -10 -88 EMair. Building: Accessory B T1 Front 0 RearA C Right S Left Ping. Ref. # I Parking Req Planning Notes Z 1 N G R E d AA T IS PLUMBING FEES I ELECTRICAL I FEES MECHANICAL FEES ACCT. 8 33603370 3300.3312 GRADING FEES Cut: _ ._ cu. yards FIJI: cu. yards PgnCheckFeei _ Permit Fee = Total Fees $ Alter, Repair Generator 00 -5KW 0 5.15KW Boiler Auto Wash Construct;on Pole Sub. Duct -Under Ground PxrkflowPreventer dackflow Irrigati—on —1 Cooking Unit I Duct Structural l Pole Li ht Fan - Ventilatina Clarifiers I Dryers C1 Gas OEiectric Exhaust System Multiple Dishwasher Fan Evaporative Cooler Fixture Traps ea. F.A.U. Fixtures _ Outlets Switches Heating System & Ducting 0 0.100,000 BTU 0 100 000 BTU r Hood or Canopy I Type 1 O Type II O Floor Drains Floor Sinks 33603312 110.231 33603370 33603375 Summ:rlottertritFeea Building $ Plumbing S Electrical S Mechanical 3 Other S . SMIP S Sommalxof Ftan Check Fea Building $ Plumbing $ Electrical 3 _ Mechanical S — Other S Planning $ TNaI Fee ON f Gas Service Outlets Interceptors! i Meter D up to 100 amps Meter Dover 100 amps Refrigeration System 00-100,000 BTU 0100 000 BTUP -Trap Roof Drains Sub panel Fire 1 /Fact. Blt. ICBO # Traiier Sewer O 15.50KW ransiormer O 50 +KW System Repair /Alteration Sewer Cap Fire Dampers Sower Connection - Bldg. Motors O 0.1 HP O1%: - 8 ^ Inc. Solar 09.15 HP D16 -15+ Registers _ Solar Collectors Incinerator _ Solar Piping Sing /Fam. Res. Misc. Solar Tank I Multi -Fam. Res. Swimming Pool /S a Swimming Pool /Spa Walter Heater Issue — W31er Servic¢__ Septic System OEVELO MENISERVICES REQUIREMENTS: Hoeing ow RT --- - Dab -- - W)1611gAMfewftNj __ Dab _ 400 b" bawl By _— .._Dab Issue Project Address 324.00- Riverside Drive Asseaaois Parcel No..- Owner's Name Fi MnrrQ --L vestment CO.Phone —_ Address _8811 _Got- Hi,.gt>a,y La a Beach CA Arch /Eng. License No. Address _ Contractor's Name ---Phone. Address (mailing? - - -- City License No. LICENSED CONTRACTOR DECL ARATION I hereby affirm that I am licensed under provisions Of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full forcei and effect. I License Class — License No. IDate Signature RKLRS' COMPENSATION DECLARATION reby affirm that I have a certificate of consent to sett- insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (section 2800, Lab. C.) Policy No. Company — Certified copy Is hereby furnished. LJ Certified copy Is filed with the cl ty 8ullrling ')ICision. late— —. Applicant EXEMPTtON FROM WORKERS' COMPENSATION DECLARArION This sectiojr need rot be Completed if the permit is for One hundreu ($100) Or lesis. 1 certify that In the performance 01 We 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 California. sate NOY'CE: it, after making this declaration, you should become subject to the Wore -rs' Compensation provisions of the Labor Code, yna must forthwith COMMy with such provisions or thl; permit shall be deemed revoked. CONSTRUCnON LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the v:o-k for which Inis permit is issued (Section 3097 Civ. C.) Lender's Name ... ILender's Address — OWNER BUILDER DECLARATION hereby afh.(n tha? I a.n exempt from the Contractor's License Law for the i 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 SO its issuance, also requires the applicant fcr st.ch permit to Ilia a signed statement that he /she is licensed pursuant to the provisions of e Contractor's L :C :rise f aw (Chapter 9 (.,ommencing with Section 7000) of ision 3 of :he busi+.e :s aad Prcfessio.1s Codcl or that he /she is exempt rcfrom and basis for the alleged exemption. Any violation Of Sgctior. 031,5 by any applicant fr,r a or-mil subjects the applicant to a civil 1`-enalty of not more Inan live aundr•. ; cl, "ars (3500). J 1, as owner of the proper' r my employees wit^ wages a: their so -e cornrensation, will 4.0 the work, an. :he structure is not intended or offered for sate fSoction 7044. Business ano professional Code: The Corilracior's License Law does not apply to an own— if a prcp6rty who builds or improves hereon, and who does sv:h work hi,i. ., -f /hers ^N or through hi: or her Own employees, provided that such Imp -.an o, -tc are lint irtended or ofmied for sale. It, however, the building of improve -near is sold within one year of eom- pietion, the owner will have the burden o? )roving he /she did not build or Im- prove for the purpose Of sale). 0 1, as owner of me wouerty, am exc :usivcly contracting with licensed Con- tractors to construct the protect (Section 7041, Business and Professions Code: The Contractor's License Law d,-es not apply to an owner cf prnoerty who builds or improves thereon, and who contracts for such p.Ojects with a con- tractor(%) license pursuant t0 the Contractor's License Law). 1 am aware s ,at TO their Worker's Compensation insurance should be provideo to me, l7 1 am exempt under Sietion— —_ B. & P. C. for ;his reason Data —_ Owner -- ^ -- 1 hereby certify that I have lead this applitattorr and state that the abr.ve informatior it correct. I agree in r,Omply with all city and county ordinances and state laws relating to buildr.ig construction, and hereby authori ze repre- sentatives 01 this city tr enter upon the above- mentlonad prnperly for Inspection purposes. Signature Data„ __ Drivers' License or 55 V Ylhite•Burldiny: Greenderrporary File Cop. Canair- Assessm. Pmk•Ap7licant: GeldertraJ•Arrnrnhnf CITY OF LAKE ELSIN©RE CONSTRUCTION PERMI F Applicant to fill in all spaces except those within heavy bcrde- lines and sign all appropriate declaratigns PERMIT NO. TRACT M0. LOT NO. UNIT NO. TYPE or CONSTRUCTION NEW L ADD LTERATIOy E REPAIR t] CONVERSION DEMOLISH OTHER Mobile Ome Installation DESCRIPTION OF QRVUSE OF BIOG. Buildsn2 f A.P. # S Main Building: 1YPEOFPER1111 GRADING E- FOUNDATION STRUCTURAL TENANT ELECTRICAL PLUMBING MECHANICAL OTHER Electrical T Front A Rear PROJECT DESCRIPTION: Sq.Ft. Occupancy Construction type Zone Acres _ _ Valuation f PCS -- Other A Right _ g Left Ping. Ref, # Remarks Eermi t to bring Files up to date. Planning Notes i PerviousIv ins ecte others. IM PLUMBING FEES ELECTRI:,AL FEES MECHANICAL i FEES Alter, Repair Generator OP SKIN 0 5 Sciler Auto Wash_ Construction Pole Sub. Uuct -Under Ground Backflaw Preventer Cooking Ufiit Duct-Structural I Backflaw Irrigationon Pole Light Fan - Ventilating___ Clarifiers Dryers 0Gas Elea ic Exhaust System Multigie Dishwasher I Fan 1 Evaporative Cooler Fixture Traps ea. F.A.U. Heating System & Ducting 00-100,000 BTU 0109 ,000 BTUFlnorBrainsFixtures Floor Sinks i Outlets i Hood or Canopy 1 T g T T pa I Gas Service Outlets switches Interceptors Meter up io 100 amps _ Meter Clover 100 amps Refrigeration System 0 BTU r]'100,0^00 B i UTrap Hoof Orains Sub panel i Firepl /Feet. Bit. W130 4 Trailer b^wer O 15.50KWTransformer C_ 50 +KW System Repair /Alteration Firo BampersiSewerCap Sewer Connection - Bldg. Molars 0 0.1 HP 1%1.8 iIInc. Solar 9.15 HP 11116- 15 +1 tVRepisters nerator Solar Piping Solar fink Sing /Fam. Ras. Multi -Fam. Rc;. Swimming Pool/Spa Swimming Pool/Spa Water Heater Water Service Septic System DE9ELMIAENT SEANCES REQUIREMENTS: dmg Approved By M, BYlldintl ^YPreled Ill App1wiion lewd By Issue Ill 'Mori mIs _ Date . tr Building: Par Z O sY 1 N G R E c M T S ACCT.0 GRADIhoFEES Cet: _ —cu yards FjiC —---Cu. yards 3350.3370 Plan Check Fee $ 3300.3312 Permit F-e S Total Fees $ 33603312 1 Summary of Permit Fees X03370 I Summary of Plan Check Files Buildsn2 f Plumbing j Plumbing S y Electrical f Other f Mechanical f Other 110.231 SMIP f r X03370 I Summary of Plan Check Files Taw Pus Du f wie, rig f Plumbing j Electrical f Mechanical Other f 3360.3315 Pla'Inind f Taw Pus Du f CITY OF LAKE ELSINORE CONSTRUCTION PERMIT ProjiscfAddrnss 32900 Riverside drive ! Assessor's Pore) No. Applicant to fill in all spaces except tho:!! within heavy border lines and sign all appropriate declarations IOviirer's Name 1=1 M arrn Tnvestmertt CO.Phone _ PERMIT 41.'0. TRACT NO. LOT NO. UNIT NO- Transformer 50 +KW Address _-i11 COacZt ti wa_ --La~Q -u1_ each C% TYPE OF CONSTRUCTION C NEW n ADD G LTERAT10 REPAIR a CONVERSION 0 DEMOLISH 0 OTHER itobile Fame hstallat-Tor OESCP.IPTGN OF WORK/USE Of BLDG. — A.P. E I Main Building: Arch /Eng, _ License No. Aoaress Contractor's Name Phone Address (mailing) TYPE OFPERM!T 0 GRAOIhG 0 FOUNDATION O STRUCTURAL T Front City License Fla. _ LIC71YSED CONTRACTOR OECLARA -riON I hereby affirm that 1 am licensed under provisions of Chcrter 9 (commencing with section 7000 of Division 3 of the lousiness ants -rofssslons Code, and my IicenSG Is in full force and effect. License Class Licerrss No. El TENANT 0 ELECTRICAL 0 PLUMBING OTHER PROJECT DESCRIPTION: Sq. Ft. Cc+uiructio type _ Ya!datrofi S _— PCt G MECHANICAL Occuyanry IOre Aces a RearARear C I Right KL S I left Pln . Ref. #r Date Signature _ –_ – RKERS' COMPENSATION DECLARATION Remarks Permit bring files-up To date. _ Solar Collectors Planning Notes Perviously ins eote others. ineratorpro••@ reby affirm that 1 have a certificate of consent to self- irsuri or a certificate IW Workers' Compona! ion Insurance, or a certified copy thereof (Section 3800, LAb. C.) 3 -10 -88 Sing /Fam. Res. Policy Nc. — Company 8 Certified copy Is hereby furnished. 1r400rsto COn1lruCt the project (Section /044, Bnsiriess and Professions Code: I S, Tank - thCertifiedcopyisfile, with e ctty Building Division. Date Applicant _ I D• }; f./ J g go EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This so-:.on need not be completed if the permit is for one hundred ($100) c less). I certify that in this performance of ;ne work for wnicn this permit is issued, 1 shall not employ any person in any manrer so as to become subject to the Workers' Compensation Laws of Catifom6. Data Signature NOTICE: It, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must fortnwrtn comply will such P- OvitlOns of this permit shall be deemed tevokerl. CONSTRUCTION LENDING AGL"NCY I neteby affirm that rhe•e is a construction tending agency for the performance oI Itte work for which this permit is issued (Section 3097 Ctv. C.) lRnder's Name Lender's Address _ _ Z 22 3_3X-2 PLUMBING FEES ELECTRICAL FEES IAiter, Repair Gene,.ator t _,0.5KVil C7 5-15KW MECHANICAL Boiler Auto Wash I rail Or(s) license pursuant to file Chnlracfor's License Law). 1 am aware teat proof or flitu Worker's Compensation - nsurance should t.,* provided Fri me. Water Heater Cans•rucUOn Pale Sub - -— Duct-Under Ground Backllow Preven(er Issue i 1 am excmpl under Section— ___- -_ B• Il. P. C. for it reason Cooking Unit Duct-Structural Back(low irrigation I Pole Light Fan - Ventilating C13rifierS Dryers QGBS EleCtflC I Exhaun System Multiple T Dishwasher Fan Eva orative Cooler 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 r ^i,nty which requires a permit to construct, alter, improve, demolish Or repair any structure, prior to its issuance, also requires the applicant for such permit 10 file a signed statement that he /she is licensed pursuant to the provisions of sioo 3 Of the Business and Professions Cude) or that he /she is exempt0001. Contractor's License Law (Cr:ativ r 9 ( commencmg with Section 7000) of re!rom and the basis for the allege[: exemption. Any violation of SCclion by any applicane for a permit subjects the applicant to a civil renalty Gf not more than live hundred dollars ($500), l.i 1, as owner of the property Of my employeeF with wages as, their sole compensation, will do the work, and the sttucllife Is not Intended or Ali. :red for sale ( Section 7044, Business and Professional Code: The Contractors Fixture Tr3 s ed. 1 F.A.U. Heating System & Ductinggyemg 00-100.000 BTU 0100.00F;00r Drains Fixtures I rFloorSinks Outlets Hood Or Canopy T e 1 0 Type II 0GasServiceOutletsSwitches Interceptors Meter up to 100 amps Refrigeration $yStem 00-100,000 BTU ED 10000 Fire I %Fact. Bit. (CBC P -Trap Roof Drains I Meter over 100 amps Sub panel Trailer Setale' 0 15.50KW System Repair,"Alteration License Law doe: not apply t0 an owner of a property who builds or irproves logs I Sewer Cap PlunbinQ S Transformer 50 +KW Electnca! S Fire DamperfiereOn, )nil who such w:.rrk nmtself;ner;olf or througl his of Ref own employees, preivideci that sucli improvements are not intended Or Offerel for It, however, the Lidding Sewer Connection • e7dg. 110 -231 SMIP $ Motors 0 0.1 HP (71%, - 8 Other 3360.3315 sate. or rmorovement is sold within one year of tom• plelion, the owner will N?vt :he burden Of pfOving ht /00 did not build or ins• S Inc. Solar 09.15 HP 1716.15+ Solar Collectors ineratorpro••@ for the purpose of sa:s). 0 1, as owner of the properly, am exclusively contracting with licersseci con I Solaf Pi InR g Sing /Fam. Res. lRegisters c,__ 1r400rsto COn1lruCt the project (Section /044, Bnsiriess and Professions Code: I S, Tank - y1u!1i•Fam. Res. Tha Co n Ft. :for'% License Uiv, at." not apply to an nwrer C' pro Jetty wnn Builds at improves thereon, and wtin contracts f 'r such projects with a con- 1 Swimming P0011Spa 7-'-- Swimming Pool /SpaIrailOr(s) license pursuant to file Chnlracfor's License Law). 1 am aware teat proof or flitu Worker's Compensation - nsurance should t.,* provided Fri me. Water Heater Issue i 1 am excmpl under Section— ___- -_ B• Il. P. C. for it reason Jt W ror 4end- 0410 ___ _v_ _ Owner _ I hereby certify chat 1 nave read this apphCa +Ion ar,! state that the above information is correct, 1 agree In Comply with all city disci county ordinances and state laws felatmg to building construction, and neie0y authorize repre- sentatives of this city to enter upon rho above•mentionnd property forInspectionpurpose:, Signature Date Orivers' License or SS M Vii;e•Buildm ;: Green•Temporar, file Copy: Canary-Assessnr; Pink /.;pliant. GOklenrod•Accounimfl VEWPMJITSERYICESREQUIREMENTS: Sonnet Awras/ by — _____O31e _ i"Fif btrrmd of _ . _Date _ Applicalion laved By _ _Date Accessory Park Z O N t Ci a E O M T S I ACCT. P GRADING FEES Cut: _ cu pods F:I!: ___ cu yids 3360.3310 Plan Check Fee S 300-33:2 Permit Fee $ Total Fees S _— 3360.3312 1 Summary of Permit Fees 3360 -3310 I Summary of Plan Check Fees BulidinA $ PlunbinQ S Plumbing Electnca! S Mechanical $ Other $ 110 -231 SMIP $ 3360 -3310 I Summary of Plan Check Fees Trial Fees On# S Building Plumbing S Electrical Mechanical Other 3360.3315 Ptammfit S Trial Fees On# S Project Addr :ss –3290 Iii vers i dg Drive Assessors Parcel Nc... Owner's Name F1 Morro Tnvestm --1 0 phony Address _Sa311 I;oagt Away Laguna Deach CA Arch /Eng. License No. _ Address i,ntractor's Nance Phone —_ —_ Address Imai)ing) — City License No. _ LICENSEO CONTRACTOR DECLARATION 1 hereby afilrm that 1 am licensed under provisions of Charter 9 tcammencing 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. Date_ Signature _ 1 RKERS' COMPENSATION DECLARATION feby affirm that 1 have a certificate of consent to :elf-insure or a certificate Yorkers' Compensation Insurance, or a certified copy thereof (Section 3800, Ub, C.) rP0!, CY No. _ Company r' r Certified copy IS ntreDy furnished- JJ Certified copy Is filed with the city Building Division. Date —_ Applicant —_ EXEMPTION FROM WORKERS' COPAPENSATION DECLARATION This section need not be completed if the permit is for one hundred (S, 00) or lt1S), I certify that in the performance Of the wo:l• for which Inil permit is rsSued, 1 shall fnOt tmpidy any person in any manner sc as t0 ilCCOnse subject t0 the Workers' Compensation Laws of California. Date --Signature NOTICE: It, alter making this declaration, you shou:d become subject to th! Workers' Compensation provisions of tnc tabor Cede, you must fortnwith cnmWy with such provisions or this permit shali be deemed revoked, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construe Ron lending agency for the performance of the work for which this permit is issued (Section 3097 Crv. C.) Lender's Name Lende•'s Address _ OWNER BUILDER DECLARATION 1 hereby affirm that I a:n exempt (rem the Contractor's License Law for the tof lowing reason (Sectt„n 7031.5 Business and Professional Code: Any city of Co un!Y which requires a permit to construct. rller, imp. dve, dern04sh or repair any structure. odor :O its issuance, also reO.,tres the applicant for such permit 7 hie a signed statement that he/she is licensed pursuant to the provisions Of P Contractor's License taw tChaottt 9 (Commencing with Section 71100) of vision 3 of the Business and Professions Code) or 1ha! ne /Slle if. exempt it fforn and the basis for the alleged exemption. Any iiolation of Section 031.5 by any applicant for a permit subjects the applicant to a civil 9- nalty of not more than five hundred do!tart (1500). J 1, as twner of the Property or my employees with wages as their sole dmpdnia ;Ion, will do the work, and the structure is not intended or nireredfarsale :Sectinm 7044, Business and Professional Cues: The Conieactor'S Licence Lsw acts nrit apply to an owner of a properly who builds or improves tnescun, and who acts Such work rnmself ;herseif Or twougli his 0i tier oven emluloirCtrs, provided that such imrrovcrnenls are not intended Or offered far safe. if, however, the building Or improvement is sold within one year Of com- Pletian, %me owner will haw the burden of proving he /she did not build or un- prove for the Purpose of sale). at. Owner OI tn; prove IY, ar.t exVusively contracting wan IienrKCd con - tiaefort.to Con:iruct the pru :cct (Section 1044, Busir.tss and Professions Code: he Cc 11IfAC.Or'S License Law does not apply to an Owner of property who ouilas Or irflprr,ves thereon, and who contra CIS for such projects with a con - rac', ;s) !icente pu•suant to the Contractnrs L'cr.nse Law) 1 am aware that arbor " their l04"er's Comptnlatron insurance Should be provided to me. i] 1 am ette hpt under Sethon —_.. — U. is P. C. for this reason 1 hcreny cerify trial 1 have read 1116% application and state that the above informat.on is correct, I agree In !OmPly vvith all city and county wairancas and slate taws relalmll to building construction, and hereby authorize repre- sentafive% Or this city to enter upon the above - mentioned property forinspectionpurposes Signature_ IJf /HrS' L•Cense ea SS r White-Bmld,ne, Grre,-- 1einporaly File Copr. Canarr•AmAisix. PiAk- Appl!uni: Gnldenred•Accounflno CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in ail spaces except those within heavy border lines and sign all appropriate declarations PERMIT N0. I TRACT N0. j LOT kO, _ , I UNIT N0. TYPE OfCONSTRUctiom C NEw C ADD TERATI REPAIR L1 CONVERSION DEMOLISH olHEa ifobile `ome °installation DESCRIPTION Of WDRK /USE OF BLDG. TTPE Of PERMIT GRADING FOUNDATION C STRUCTURAL E7 TENANi C ELECTRICAL 0 PLUMBING C MECHANICAL C OTHER PROJECT DESCRIPTION: Sq.rL _ Constructloc tape Zone Valtratlen S PC/ _ Remarks Pe---it to bri nS fi Perviously ins ectel I D PI UMBING FEES Alter Repair Auto Wash 1 Bickftow PrevEnter tBackflow, In ioation Ixture Floor Sinks Gas Service Interceptors P -Trap Roof Drains Trailer Seaver Sewer Cap mining Pool/Spa er Heater Occupancy Acres up to date. Others. 3 -10 -88 i Fan I F.A.U. — i} f}ixtures I Dutle's Meter U up to 100 am Aleter Dover 100 am„ Transformer 15 -SOKW 0 50 +KW Motors'D O.1 HP G 1 %, - 8 Inc. Solar 09.15 HP 01 6•15+ Sing /Faro. Res.~ _ Multi•Fam. Res. I Main T Front SA . Rear KI Right S 4 Left Ping. Ref. # Planninq Notes Evaporative Conte., _ Heati,lg System & Duaing X0.100.000 BTU 0100,( Hood or Canopy Tvpe 1 0 Type II I Refrigeration System ystem Repairik'teration ire 03mppfs— _ eq. isters icinerator Isc. DEtf WIAENT sEniCEs REQUtRit<iEKTS: inning Awaited ti lkisdieg Appread Of Osb Apoiubm kwd $I Building: Park Z a N 1 N G R E A+1 T S ACCT. iT GRADING FEES Cut: cu. yards Fill: —cu. yards 3350.3370 Plan Check Fee S 3300 -3312 PermltFee S Total Fees $ 33f><'>•3312 I Summary M Prmit Fees 330-33701 Sammaq of Play Check Fees Butiding 3 Plur..hing $ Plu1nD!nR Ek'01cal $ W.Ecranlc4l S Other $ 110231 SHIP $ 330-33701 Sammaq of Play Check Fees 3350,3315 I Planning 3 Tstaf reel ON f — Plu1nD!nR S _. - -- -- Electraal Mechanical y _ Other 3350,3315 I Planning 3 Tstaf reel ON f — CITY OF LAKE ELS,INORE CONSTRUCTION PERMIT f Proioct Address 3?400 Riverside Drive J Applicant to fill in all spices except those w heavy borderheborder films and sign all appropriate declarationsA IrlVestment Co.Phone PPERMIT N0. TRACT NO. LOT NO eOwner's Name F, Marra I Address _8,111 r.nast. Hi hlnlay 1_ag ina Beach CA 1 e U ArchiE License No. T Address D 2 CONVERSION s,7 DEMOLISH f7 OTHER 1 A P Contractor's Nanw _Phone M EE Andress (mailing) TTTPEOFPERMR ` GRADING Li FOUNDATION C STRUCTURAL TT Front i TENANT ELECTRICAL -, PLUMBING C NEC!iANICAL tti RearCityLicenseNo. _ - G OTHER _ A — LiCENSED CONTRACTOR DECLARATION F A D Riclit w,th Set. Ion 7000) of Division 3 of the Business and Profess :ons rode. and CConstractloe type - lone _ Acres _ gg Left my license is in full force and effect. vs!wtkx T _ Pln . License Class License No.— v P Ref. 7 r Flanni:,g Notes _ Date Signature 7 RKERS' COMPENSATION DECLARATION R Perviously i ns2eete J Workers' Conspensallon Irtturance, or a certified copy thereof (Section - 3- 10 -8c 3800. Lab. C.) _ 3 Pc,i.y No. _ Company Certified copy Is hemoy furnished. ffr - Certitred copy is filed with Inc city Building Division. I Date Applicant EXEMPTION FROM WORKEP.S' COMPENSATION DECLARATION ZZ Th,s Serl.,in need not be compinted t: the permit is for One hundred ($100) Or 1 certify that In the perfumance Of the work for which this permit :S ,Slued, 1 ' MECHANICAL Wo-ke . Compensation Laws of California. k I F N0710E: If, after mzking this declaration, you should b k-I Duct -Under Ground co,+nfy wife such prnvlt:ons or flits permit shah [M deerned revoked. ii30t_ . :IGs ? I Ut!C(SlruLtUral CCONSTRUCTION LENDING AGENCY 33at.kr:IGV' Ifli tl0n PPo1a Llght _ FFan - Ventilatinq1ntrobyaffirmthatthereisaconstructionIena,nS agency f 1 Clariliers OOrvirs []Gas r'Eheuic — ! Exhaust Svstem Multiple LR r:C,•s Name - _ -- " QishsYdsher — ! Fan —_ EEva Oratlye C ^Olen _ Le•,Ct,'s Address Q i Fixture Traps ea. FF.A U HHeating Sysie:n & Ducting I hereby alhrm that : rim exempt from the Contractor's License Law for too FFloor Drains FFiXIL'rES ` 0-1Q0 UUO 3TU :J16C Ot Floor Sinks II Outlets HHgOd or Canerce,.rty which requires 4 permit to construct, after, ,mProve, demOlISM or rtpa•r F3rystructure. prior to its issuance, also repmres the applicant for such permit _ Type 1 O i e II LnGasServiceOutletsS p Contractor's License Law (Chapter 9 (corn.rencipy with Section 7000)of asio, 3 or lne Bufin!Sf Ind ProTCS ;rani cede) or Ina he /s:.e '$ exempt IInterceptors MMeter 100 a•nps RRefrigeration Sysiefn refrOm and flit casts TOr flit alleged exemption. Any violation of SQttion — r Trap Metcr Lover IUUam9s t IJ0•rd0000 BTU L1CO3 p_nalty of not more than I've hundred 4"lirri (4500). I, as owner of one pr.Oerl$ o: my employees wit + wzges as their sr a Roof Dfa1rIS Suit dnEl _ - FirePI/Fact. Olt. ICBO # compensation, will do the work, and one structuro is no intended Or Orlertd ! Traile! Sewer _ _ J 15.50KW Systern Repair /Alteration far sate IStc:iun 7044, Business and p•osess'onal Coae: 7!ie Contr.cldrs —___ ._ i'ransforne- - -- License Law dots net acip to an Sumer of :property whb bJ11d$ Or ImprGLeS 1 SewRr_ap Cj Sf}+K1;y Fire Dampers fae,eun, and who dot$ .1, h work n•mrtif/ht,s01I nr thrOWh his cr her awn - -- emp ovees, vruwr:ca tr "a: such impruvements are• ,:Of intended or Offered for Sewer ConnectiU Rldg. fd0l0rs C' 01 HP' 1'.5 R I Re Inters sate. 11, r.aweicr, tha biulaing Or improvtment is Iola within ona year of :on• - --- c!eaon, trie owner v.i:! have the or,den of proving neisne did not build or im. Solar Collectors Inc. Scar L9.15 HP E1fr15+ Incinerator ofc"A for the outpost of ale). -- --" iJ as owner or the property. am exclusively con:•achng with licensed con- _ medlar Piping _ Sing /lam. Res. Misc. — sracioi$ to com :r uct tea grojeei (Seciran :044, Business and Professions, Code: Solar rank M Multi -Fam. Res.! - - - -_ T I_3AIrAttOr•S L,Ce"Se Law does not apply to an owner of prnperty who • -- b rias or improves, thereun, and wno contracts for such propels with a ::on- SwIPAnlinn Pool/ spa S rimmin P001 /S 2 _ actor(sI t.cense pursuant to the Contractor's License Law). 1 am aware that -- a_ - - -- pro0! of char Worker's Compensation insurance should be provided W me. Water Heater Issue 0 1 am Pxempt under Section_ - 8. & P. i. for this reason Water Service — rV - - - -- Date Owner _ - Sapti' SVstern _ I hefaby ctrtiry that I have read this application and state that the above 1iiISG._ _. 0EALOl'MENTSkICEAY ICNIEMENTS: information is torrent. I agree to comply with ail city and county ordinances Z04i 1Ap Swd 01 T_. .— -^ ij3•a and state laws relating to bur'd,ng construction, and hereby authorite repro senta:,veS of this City t0 enter upon the above•mentioned property tot 7st7dia1AWM d4 - Msoection ourpos•rs. _ AyOii"W hs0etl0y Oak Signature _•-__- -_- _____- — Data. —! Issue _ I Drivers, License or SS if Wkde BaldinC Green-Temporary He Cop)r. Ca.ory-As ew. °inIi.A99lKa4!. Ggldenicti•AccoWing Park z O N 1 N G R G NI T S ACCT. I GRADING FEES CI11 _ter. Ards Fill _ — cu. lards 3360.3370 P!3n Check Fee S _ fr3312 Pelm:t Fee S -- Total Fees I ._. 33b<r•3312 Summary of Permit Fees Bmldn,y Piumbing S Electrical $ kltchanical $ Other S 1!0.231 SMIP 3360.3370 1 Summary of Plan Check fen ButWing $ .- ____._ .- Plumbing ElNlricaS i 01 !r _ 3350.3375 I P!anning $ few Fen Dee $ . . 3360.3370 1 Summary of Plan Check fen ButWing $ .- ____._ .- Plumbing ElNlricaS i 01 !r _ 3350.3375 I P!anning $ few Fen Dee $ . . 3350.3375 I P!anning $ few Fen Dee $ . . Project Adcftess 3 90 t 2- iy-er-!,tae Drive Assessor's Parcel No. Own -r's Name L rr 1 n>rest > Co •Phan! Address -&311 (.pact L i hway L Beijch _CA JCense No. Address Contractor's Narvw _ -Phore Address (mailing) — City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that f am ,censea under provisions of Charter 9 (comme•cjn9 With section :0001 of Division 3 of Intl Business and Professions Coda, ano m5 rieeric is in rui: force and effect. License Class _ License :10. -_ Date — Signature _— RK£RS' COMPENSATION DECLARATION rtiby affirm that 1 tiave A Cefbli Cate of consent to self-insure or a eer!llieate WOrkers' Compensaflnn insurance, or a certified copy thereof (Section3800, Lab. C.) Policy NO. Company _ R Celt,vied copy is hereby furnished. 1 J Certified COPY is fiied with the city Building Date.__ ._ Applicant EXE!APT!ON FROM WORKERS' COMPENSATION DECLARATION This section reed not be comp.e.ed if the permit is for one hcfrdaed (s100) artessj. I certify that lr. the Performance of the work ter i& Mich :his pecn;it is ,ss Liao i shaft not empioy •any person in any manner SO as to become suk.nect to the Workers' Compensati: n Lsws of California. Date Signature NOTICE: !f, after making this declaration, you ShoEald become subject to tf:e WOr{;Cr s' Compensation pro'ns,Ons of the Labor Code, you must fOr!hw,'h COmP1Y with such clovifipns or this permit shall be deemed revoked. CONSTRUCTIOf, LENDING AGENCY I hereby affirm that :-.ere is a construction lending agency for the Petformar ce of the work for which this PCrmtt is risLfd ( Section 3097 C.iv. C.) Lender's Name Le-Wer's A:7dr,!ss _ OWNER BUILDER DECLARATION I hereby affirm that I am exempt (rum the Ccr.tractor's License Law for ;re fondwing reason (Section 7031.5 Business and Professional Code: Any city er COunty which requ+rts a permit to construct, elver, improve, demn%sh or reps r any S;i- tittute, pour to its issuance• alto requires the applicant for such pa ^:r: tO file A sl^Med statement that ne(sr.t is licensed purivant t0 the provisions Of e Contractor's L,rense Law (Chapter 9 (commenein ) with Section 7000) a' isrdn 3 of the Business and professions Coze) Or trial he;she is exempt refrom and the t :as,s for the alleged exemption. Kry vipiahOn of SCC;,or. 031.5 by any applicant for i perm-1 SuD!ect% the applicant to a cif,: enatty of not more than live n -icircd dollars (5500). J 1, as Ow::er Of 'he PFOPCtty Or my trePtryte$ with wages AS their sore t1J'11pC'l3,2t1On, well OO the walk, and trio Structure it not intended Or itteferl foi sale (Section 7044, Business and P:pfess,onai Cade: The Contractor's License Law does net 400v ;c an owner of A property who bs.itas or improves thereon, and who 13CCS iuCh work him Sol! /net Self or through his Of ME, Own e in PlOyer", VfOv t t7 that Such improvements are not iManded or offered for fah. If, how eves . t ie bLilding Or improvement is sold within one year of CO.T• pietion, the Owner veil have 'fie burden of proving heisho did not build Or im• prove for the pill Pose O: s.•t87. 0 I, as Owner or the warlerty, am excuitively conl,acting with licensed Co-r.- traitors to ronstfuct the project (Section 7044, BUS,nCL and Professions Code: The COnlractor'S License Law dots not apply to an owntr of property who builds or ,mptoves thereon, and who CUnliarts for SuCh projects with a con• Ira Ctor(q jiCenss pur9Jan1 to the Contractor's License Law). I am awaf tha; OrOOf o their worker's Compensation rrsurarae snouts be provided to me. i-i 1 Am exempt under Section. B. t p. C. for this reason DAN Owner I hereby Certify Inal I have 1945 this arIWIC4lidn and state tha' the aboveinformationisCcfrertIayrce. fn Comply with all city end County orrim,rcesaria $tale laws rtlat,np t,; bwlamt constru :lion, peal hereby authorize repro• senlalives of INS city to enter upon the above•mentiened property forinSpechrttpurposes. Signature - _ Date.,_ _ Drivers' License or SS y __,_ ___,__•___ _ -- yn:tte•BulIdiot, Sreen•Temporary F:ie Copy: Canary- Assessor, rPi r.kApvecant ;Goldenrod•Aceauntme CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except these vEithin heavy border lines and sign all approprill- declarations PERMIT N0. I TRACT NO. ! OT N0. / UNIT NO. MEOFCONSi-RL'CUON C. NEW " ADD LJ TERATIG `] REPAIR C_'. CONVERSION -1 DEMOLISH v OTHER I'lohi l e some Instal 1 ation A P # DEWiPTION OF WORK.•USE OF BLDG _ — Zone E Main Building: _ Accessory Building: TiPFOFPE15MIt C GRADING C FOJtIflATfON C: STRUCTW'AL T Front Z L TE` I NT L iL[;TFIM i] PLUMBING 2 MECHANICAL 8 Lt ear 0 Cl OTHER _ N PROTECT DESCRIPTION: Sq FL 0ccupa_r —_ C P.ight 1 Cep truCGen type Zone Ants I — NK Left G Va' jatron;_ PC Pin . Ref. # R Part;ln fsetr.,'Provided ERemarkspermittobrinf1esutodate. Planning Notes o Perviously iris ecte others. -- -- T 3 -10 -88 s' 1 PLUMBING _FEES ELECTRICAL FEES MECHANICAL FEESAlter, Repair 'I , Generator C0.5KW 0 5.15KW Boiler AIxT•r GRADING FEES Auto W3Sh 4 ' Construction Pale Sub. Duct-Under Ground Ctlt' cu. ratds Backftaty Prevent —er f (Cooking Unit Duct Structural FIB _ cu. yards 8ac<flow Irrigation j Pole Light Fan - Ventilating 33ti0.3370 PlauCheck Fee S Clarifiers OryEfS Gas Electric Exhaust System Multi le 3X41 -3312 Fe;nitfeeL{ sh vasher _ Far. Eva arative Cooler Total Fees = _ Fixture Tr sea. . F.A.U. Heating System & DuctingFloor0 i _ Fixtures _ 0100 OQO BTU 0100,0013 TUFloorSinksoullatsHoodorCanopy 331;0.33'11 Summary of Permit Fees as Service Outlets I Switches Type 1 Type II 0 I Interceptors Meter 0 up to 100 amps nnl..... °r:,,,, '—— Building = P•Trap -...- jumui„a iIMeterOliver 100 amps _ 00.100j000 BTU 010n.000 BTUIRoofDrainsSubpanel _ Firepl /Fact. Bit. IC80 # Electrical S I Trziler Sewer _; 0 15.50KW System Hepair /Alteration Kunanical $ ^_ lransforrnerSevmria;1 0 50_+KW Fire Dampers Other $ Sewer funnection - Bldg. Motors D 0 1 HP C1 %r %: • 8 Registers — —. 110231 SNIP 3larCollectorsiInc. Solar 09.15 HP 016-15+ Witter Se t:'c stem_ Film. DEYEL NENTSER1fwREQUIREMENTS: Lalltd Approved III itdlaR Append k n.ra Alilikatio t Issued By it 3360.3310 J Summary of Flan Chest fees TOW Fees Due $ 8u:ldtng $ Plumbing S Electrical $ Mechanical S Omer $ 33611.3375 Planning E TOW Fees Due $ Project Ad:%•eu _324CD Idyg id(!, Drive Assessor'. Parcel No. Owner'sNaml; F1 Morro Investment CO-Phone Address ._8811 Cnast Highway- 1.a9anc Beach CA Arch /Eng. License No. Address Contractor's Name_ Phone Address (mailing) City License No, LICENSED CONTRACTOR DECLARATION 1 "reby affirm that I am licensed under provisions of Charter 9 (:ommencing with sect Ion 7000, of Division 3 of the Business and Professions Cote, and my license is In full force and effect. License Class _ License No. Date Signature _ RKERS' COMPENSATION DECLARATION rely affirm that I have a certificate of consent to self - Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Policy No. Company H _ 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 completed if tire permit is for One hundred (Stool or less). I certify that in the performance of fire work for which this permit is sSUec, I stall not employ any person In any manner so as to become srrblect to the Workers' Compensation Laws of California. Date 5:9nature NOTICE: 11, after making this declaration, you should become sublett to the Workers' Compensation provisions Of the Labor Code, you must fo,tm —In tornply write such provisions Or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm tnal there is a construction lending agency for the pe- fcorriance of the work !or which this permit is issued (Section 3097 CIv. C.) Lendxr's Name ._._ L[odc,'S Address OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the fouowmq reason (Section 7031.5 Business and : rofessional Code: Any cry or county which :equ,res a permit to construct. alter. Improve, demolish Or •apart any s!ruct u :l, prior to its issuance, also requires the applicant for -ucr cernrt t0 file J signed Statement that he /she is licensed pursuant t0 the proms %tons Of e Contract is License law (Chaplet 9 (commencing with Section 7000) of vision 3 Of the Business and Professions Coaej or that he /she Is exern,)t rcfrom and Inc basis for the alleged exemption_ Any violation Of Sitct,on 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live 3uncirrd dollars (i500r. Li I. as owner of the properly or my cmciloytes with wages as tre,t sole compensation, will fio the work, and the structure is not intended or offered for sat: (Section 7044, Business and Protessto ^al Code: The Cort,ac!or's Licens, law does not apply to an owner of a property who tuiids or improves tnen•c r, and who does such work nlmseif/nerself Or through h-is or rer O,vn emph . ^ ovidea that Such improvements are not intended or offered fur sale.. however, line bc!Ininq Or improvement K SOLO within OOC year of COT Dletion, the owner •vin have the bu,den of proving he /Sh[ aid not bui:0 Of Im- prove for the pu,pose Of sate). I, as owner of the property, am ex.huivety contracting with licensed con- actors to construct the project (Sect-nn 7044, Business and Professions Code: The Conlrictnrs License Law does not apply it an owner Of ptoottty wt,,.) DultoS or Impf'wt s thereon, and who contrae!s foe Such projects won a con- if ac- lor(s) license pursuant to the Contractor's License Law). I am aware that proof Of their Worker's Compensation insurance should be provided to me, J I am exempt under Vciinn____ — B. b P. C. for this reason Date _ _ Owner I hereby certify that I have read tills application and state that the above information is correct. I agree to comply with an city and county ordira -lees and Stale laws relating to building construction, and hereby autnrr.re repre- Senlalltes of 1111,,; city to enter upon the, above•nitintionud orope %ty for Inspect,nn purposes. Signature _ Oatc. Drivers' License ..r SS 71 While Build -na. Green-Temporary File Capp: Canary Assesses. Pink Apphanl. Gokknrod•Acccunhnj CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in ell :paces except those within heavy border lines and sign all appropriate declarations PERMIT N0. I TRACT NO. 1 LOT ND— _ I UNIT NO. TYPE OFCONSTWICTION NEW D A.i;,O LTERATIO C REPAIR C CONVERSION DEMOLISH a O1HE, _ too_ ome installation DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERM IT GRADING WhDATION C1 STRUCTURAL TENANT Ll ELECTRICAL iJ PLUMBING L MECHANICAL OTHER PROJECT DESCRIPTION: SC.FL _ _r Occupancy Conntruclian type _ Zone — Acres Valuation f _ PCf _ Remarks ID.fi PLUMBING Alter, Repair Auto Wash Clarifiers Dishwasher Fixture Traps ea. Floor Drains _ Fioor Sinks Inte:ci P•'rrap Root I Trader otrfers _ 3 -10 -88 FEES ELECTRICAL Generator CIO.5KW 0 Construction Pole Sub. Cooking Unit Pole Liaht Fan F. A. U. Fixtures Outlets _ Switches Meter up to 10 Meter Dover 100 Sub Da. el Drr 1 Transformer 0 50 + KWW nnection - Bldg. I Motors 0 0.1 NP 01 %- 8 Ileciors I Inc. Solar Li9.15 He 0116.15+ ing _ l Sir.rTam. Res. — nk Multi -Fa m. Res. _ ig Pool/S a Swimming Pool/spa DEt1EEOPtIENT SERVIC6 REQUIREMENTS: Zi"t Awaited By lllilingAWmdBy _ 1A0icetioa brad h — A.P. # E I MaimBuilding: T Front B A Rear — Kf Right S Left Ping. Ref. # Planning Notes Ltuct-Unoer uroung Duct- Sirlictural fair -Ventilating___ Exhaust System Multiple Evaporative Cooler Heating System & Durting 010. 100.000 BTU 100.( Hood or Canopy guild Parki ACCT.e 1GRADINGIFLES Cut Fill 33603370 I Plan Check Fee $ 3300.3312 jII Permit Fee $ Total Fees $ 3360.3312 1 Summary of Permit Fees 1 yIIC 1 . r yNe rl u Building Bulldtne i Refrigeration System S Plumbing 3I i 00.100 000 BTU 0100,000 BTU1 Mecnalncal Electrical $ Mechanical $ Other S Firepl /Fact. Bit. ICBO # Other System Repai/ /Alteration Fire Dampers I IIC•231 SMIP $ Ile is1Pfs SC. 3360.3370 I Summary of Plan Check Fees IN I F' G Q E T S cu. yards cu yards 3360.3315 I Planning S Total Fen Dw $ Building Plumbing S Electrical S Mecnalncal Other 3 3360.3315 I Planning S Total Fen Dw $ Proiecf Address 32900 Riverside Drive Assessor's Parcel No. _ Owner's Name F1 Morm Investment Co. phone Address _W11 roast Highway cgana Beach CA Arch/Eng. License No. Address -- Contractor's Name Phone Address (mailing) City License No. _ LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section ?000) of Division 3 of the Business and Rrdtessions Code, and my license is in full force and effect. License Class License NO. Date Signature RKERS' COMPENSATION DECLARATION rcby affirm that 1 have a certificate of consent to self-insure or a certificate Workers' Compensation Insuranc0, or a certified copy thereof (Section Bolo, Lab. C.) Policy No. Company 8 Certified copy is hereby furnished. Certified copy Is filed with the city Building Division. Date __. Applicant i (Th. section neetln of be CROMP eted fthe permit iislfor one DECLARATION 100) or less). t certify that in the performance Of the work for which this permit is issued. I s,.all not employ any person in any manner so as to become subject to the Wr '• ers' Compensation Laws of California. Da,. _ Signature _ NOT. CE: If, after making this declaration, you should become subject to the Work :r: s• r_oripensation provisions of the Labor Code, you must forthwith c0-01, with such provisions or this permit Shall be deemed revoked. CONST :ZUCTION LENDING AGENCY I heresy i '!irm that there is a construction lending agency for the performance of (rte work for which his eermit is issued (Section 3097 Civ. C.) Lendtr's Name Lender's Address OWNER. BUILDER DECLARATION hereby affirm that I am exempt frorn the Contractor's License Law for the 111Gwing reason ?Section 7n31.5 Business and Professional Code: Any city or Oi.nty which requires a permit to Construct, alter, improve, demolish or repay any structure. Prii:: to its issuance, 31SO requires the applicant lo: such permit to file a signed statc;i-nent that he /she is licensed pursuant to the provisions of e Contractor'; License Law (Chapter 9 (commencing with Section 7000) of isiitn 3 of the Busi.i6ss and Proi;, ;Sions Code) or that he /she is exempt errom and the basis for the alleged exemption. Any violation of Section X1.5 by any applicant for a permit subjects the applicant to a civil nasty of not more than rive hundred dollars ($500). I, as owner OF the property or my employees with wages as their sole compensatiori, will do the work, and the structure is not intended or offered for tare (Section 7044, Business anJ Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves Ir,reon, and who dos such work himself /herself or through his Or her Own employees, provided that such Improvements are not intended Or offered for sale. If, however, the building or Improvement is Sold within one year Of com- Olctton, the Owner will have the burden of proving he /she did not build or im- prate for the purpose Of sale). r, as owner of the property, am exclusively contracting with licensed con- tractors t, construct the project ( Sectior 70.74, Business and Professions Code: The Contractor's License Law does n0. apply to an owner of property who builds Or rnsp,Oves thereon, and who conflicts for such proje,ts with a con. tract0r(s) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. i .m exempt under Section, B. & P. C. for this reason Date Owner _ I hereby certify that I have (cad this application and state that the above information is Correct. i agree to Comply with all City and county OrdinanCOS and state laws relating to building construction, and hereby authorize repro• sentatives or thiS Cily to enter upon the above - mentioned properly forinspectionpurposes. Signature Date._ Drivers' License or SS W _ While•Bu- 14int. Green-Temporary File Copy-, Canary-Assessor; Pink-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. UNIT N0. TYPEOFCONSTRUCTIOP NEW ADD iTERATIO REPAIR L; CONVERSION DEMOLISH OTHER 140biie tome Ynstallation DESCRIPTION OF WORKiUSE OF BLDG. TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL TENANT ELECTRICAL PLUMBING u MECHANICAL OTHER PROJECT DESCRIPTION: Construction type . Valuation S Remarks ID.# Sp. Ft. _ Occupancy — - Zone Acres PCs' sly inspected —by others. 10 -88 E~Main Buildi T Front B A Rear C Right S Left Ping. Ref. Planning Notes Accessory 2 O N 1 N R R E a M T S PLUMBING FEES EI.ECTRICAL FEES MECHANICAL FEES AM M 3360.3310 3300 -3312 GRADING FEES Cur _ _cu. yards Alter Repair Generator 00 -5KW 5 -15KW Boiler Auto Wash Construction Pole Sub. Duct -Under Ground Back flow Preventer Cooking Unit Duct - Structural Fill: cu. yards Plan Check Fee S Permit I" . S Total Fees $ BackflowIrrigation Pole Light fan - ventilating Clarifiers. Dryers Gas Electric Exhaust System Multiple Dishwasher Fan Evaporative Cooler Fixture Traps ea. F.A.U. Heating System & Ducting 0 0- 100 000 BTU 13 100,000 BTUFloorDrainsFixtures 3360.3312 110.231 3360.3370 3360.3315 Summary of Permit Fees Buildinr $ _ Plurnbrag $ Electrical S Mechanical $ Other S _ SMIP $ _ Summary efPbn Check Fees Building S _ Plumt mg $ Electrical S Mechanical S Other $ Plannlns S _ TeW Fees )Tra $ _ Floor Sinks Outlets Hood or Canopy TVDe l O TVpe II O Refrigeration System 0 0-100 000 BTU O 100.000 BTU Gas Service Outlets Switches Meter 0 up to 100 ampsInterceptors P -Trap Meter over 100 amps Roof Drains Cub aneh_ Firepl /Fact. Blt. ICBO * Trailer Sewer 15.50KWTransformer 504 KW System Repair /Alteration Sewer Ca p Fire Dampers Sevier Connection -Bldg. Motors O 0.1 HP 01%- 8 Inc. Solar 09.15 HP 016.15+ Registers Solar Collectors Incinerator Solar Piping Sing /Fat,[. Res, Misc. Solar Tank Multi•Fam. Res. Swimming .11001/SpaSwimmingPool /Spa Nater Heater Issue Nater Service WMVELDNEXTSERVWAS REQUIREMENTS: Zoos Apo NW 4 bodingA(Hwewd A0/ ftwd By - 0.(, Baa Bate Septic System Issue CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Project Address _32_9IlL_L_Ri vets i de Or ve Applicant to fill in all spaces except those within heavy bander lines and sign all appropriate decl,.rrtiansAssessor's Pot cel No. _ _ — Owner's Nome F1 Fk;!rro nveStMef t CO.Phone PER. d 17 Ill 0. j 'i F.ACT NO. LOT NO I UNIT 1140. Address _ 1 rij %4c iiS1>df3j! L dg fp Qeach CA Arch /Eng, _ . ---License No. — Address — -- Contrtctor's Name Phone -- Address (mailing) -- —_ City License No. -- LICENSED CONTRACTOR DECLARATION I hereb;• affirm 'hat I am licensed ur•Ser provisions of Charter 9 (commencing wr,h section 7000) of Division 3 of the Business and Professions Code, and M; license is if.. fun fcrce anti effect. License Class -- _. License No. -- Date -- Signature RKERS' COMPENSATION DECLARATION reby affirm that I hays a certificate of consent to sett- insure or a certificate Worker)' Compensation Ins•rance, or a certified copy thereof (Section 380J, lab. C.) Policy No. -- Company _ Certified copy is hereby furnished. E Certified copy is filed with the city Building Division. Date___ _ ._ Applicant EXEMPTION FROM WORKERS' COMPENSATION OECLARATION This section need not be completed if the permit is for one hundred ($100) or IasS). 1 certify that In the performance Of file 'work for which t1,i5 permit is issued, I Shall not employ any person in any manner so as to become sub,eC'. to the Vc-kers' Compenssllon Laws of Cal•fomia. Date —— Signature NOTICE.: N, Oter making this declaration, you should become sub;er.t to the wari,ers' Cofnpensatlon pro+rsions of the Labor Code, you mbSt forthwith compty with Siren prn%ittons or !his permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY I I ereby affirm that ;here is a const: uction lending agency for the performance of file work for whirh this permit is issued (Section 3097 Civ. C.) Lender's Name tender's Address _- OW'JER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractnr's License Law for Sze Innowinq reason (5••cf.on 7031,5 Buttress and ?rofrssional Code: Any City or county which requires a permit to construct, doer, improve, demolish or repair any structure, prior tr, its Issuance, afro requires the applicant (of Suc'. permit t0 file a signed statement that he /she Is licensed pursuant to the provisions of e Contractor's 1_icense taw (Chapter 9 (commencing with Section 7000) of srun 3 of the Business and Profesrons Code) m that he /she is exemptV. efrom and the basis for the alleged exernplton, Any violation of Sr;CZ 031.5 by any applicant to, a perm,: subles.ts the applicant to a Civil penalty of not more than free hundred dollars ($500). 1, as owner of the property or my employees with waqes as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Bustne ;s and Professional Code: The Contractor's License Law does not dPpjv to an Owner a procietly wL0 builds o; improves thereon, and who COef such work himSelf /herself or througn his or her owr, em r,toyees, prnvi-'ed that Such imoro;•emerts are not intended or ctfered for sale, If, however, the buildinq Or imorovemen: is soli within one year of Co m• pletion, tt,.c owner will have the burden of proving he /She did not build or ins prewe for the purpose of sale). 0 1, as owner of the nropefly, are. exclustvely contracting with lirinsed con- tractors to construct 'hC protect (Section 704.1, Business :nd Profl.ssio ^,s Coae: The Contractor's License Law does -lot apply Ic an owner n" prclocrly who bonds of improves thereon, and who contract: rot %%.ch projects with a con• tractor(s) icense pursuant to the Cnntractors LICCnse Law).: am aware that proof of their worker's Compensation incuranre Should be provided to me. O f am exempt under Section. - - -____. B. S, P. C. for this reason Date ___ _ Owner I hereby certify that I have read this apl.'icatlon and state that the anove information is correct. 1 agreo to Comply with all city and county ordinances and Stale laws relating to building construction., anrf hereby authorize repre. Santatrves Of this city to enter upon 1.110 above•nient)Oned property for inspection purposes, Signature - _ _ Date _ Drivers' Llcenst ar SS 5' While-BulldroX: Green-Temporary File Copy. Cara'y As essor. Pink Applicant. GoIdenrod•Accounimp i6.su ;CONSTRUCTION C; NEW 7 ADO CONVERSION r_, DEMOLISH Li OTHER _ CRIPTION iif WORK /USE OF BLDG.— TERATIO Rl,'AIR 1obi 1 e LOR ° ' nsta.l l atlon — A P Zone Sir Main BuVdin g: Ti Front Accessary Building: UTTPEOFPERMIT GRADING FOUNDATION TENANT G ELECTRICAL ED FIUMPiNG 0 OTHER SI :RUCTURAI MEC41UNICAL B Rea: A K' Pight IN NPPOIL,. DESCRIPTION: Sq Ft. —__— Construction type _ Ioee _ Valuation f PCa Occupancy _. _ _ Acres S Left G Ping. Ref. Parkin Req. /Provided R E Remarks li bring files up t.o du i.e. Planning Noicsg fl M Perviously inspecte if ootthei•s. y e 9 T I0.# PLUMB:NG FEES ELECTRICAL _}(FEES I MECHANICAL J FEES ACCT.a GRADING FEESAlter, Re air I _ i Generator 0 SKW 5 15Kti9 I Boiler Cut: ---cu. p dsAutoWash_ Construction Pole Suh. — Gllct•Ur et Ground Fill: ___u. yardsBackflowP.eventer i Cooking Unit _ Duct - Structural Backflaw litigation I Pole Light ) _ FBA -Ventilating 3360.33]0 P)xnCheckfeef Clarifiers ' —'( Dr ers 0Gas Electric Exhaust System Multiple 3300 -3312 PefmdFee f Dishwasher _ i Fan _ — I Evaporative Cecler _ Total Fees $ Fixture Traps ea. —I F.A.U. j Heating System & Ducting Fluor Dra ;ns ; F.xtures 0.100 000 BTU 0 100,000 BTU 3360.33!2 SummagoiPermit FcaFloarSinks _ OLItleis — Hood or Canopy Gas Service Outlets Svritches Tae 1 f_: Type II _ Building f Interceptors _ Meter U up to 100 amps i Refrigeration System Plumbing f — P -Trap Meter over 100 erns 0- 100,000 BTU 100,000 BTU Roof U-ains _ Sub panel _ TFire 1, Fae:. Bit. ICBO Trailer Sewer _ O 15.50KW System Repai(;'Alteration Mechanical f -- TransformerSewerCap _ 50+KV4 Firc Damper. -- —~ Other f Sewer Connection - Bldg. _ Motars 0.1 HP C] 1%: - 8 i Registers 110.231 SMIP f Solar Collectors Inc. Solar 9.15 Ha 16.15+ rncinerater _ Solar Piping _ _ Sing /Fam. Res, I Misc. 336q•3376 Summary of Plan Chick feesSolarTankMulti•Fam. Res. _ Swimming Pool /Spa JAppkatim wimmin Poo{ /Spa Building $ _ Water Heater Issue _ Plumbing f — Watei Scrvice r e oSeticSstemMechznrtalf VELOPMENT SERVICESrREQUIREMENTS: mech S nia4 Apprond By __Date ilGagApyroadBy Jyte 3360.3375 Planning $ Issue IssuedBy -- ,_Data I Tab[ Fns Due S rrojecf Address _.399110 gi yerai dlaDrive Assessor's Parcel No. _ — Owner's Nome F1 Marra Inyr- Still eDIL-0•Phone Address -.83].1 t Highway LaQun Beach CA Arch/Eng. License No. Address — Contractor's Nanuf Phone Address (mailing) City Licerse No. LICENSED CONTRACTOR DECLARAI ION 1 hereby affirm that f am licensed under provisions of Charter 9 (Commencing with section 7000) of Division 3 of the B6sinLt; and Professions Code, and my license is in full force and effect. License Class License No._ Dale— Signature — O.tKERS' COMPENSATION DECLARATION ra." affirm :hit I have a certificate of consent to self- insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Policy No. Company 8 Cer Wied copy Is hereby furnished. Certified copy is rued with the city Budding Dros/on. Date__ Applicant EXEMPTION FROM tYORKERS' COMPENSATION DECLARATION Ttrissecuon need not be completed a the permit is fer one hundred ($100) or less). 1 Cal l.ly that Jr. the performance of the wo•k for wnich this permit is issued, 1 Snarl not emotoy any person in a.ry manner so as to become subject to the W illaar S' compensation Laws of Calrt Ornia. Dare Sign•!ufe .` NOTICE: f1, after making this declarat:un, you should become Subject to the Workers' Compensation provisions of the Labor Code, you must forthwith o.nply with Such ornv. >•hns or this permit Shall be deem!o revoked. CONS. VCTION LENDING AGENCY hereCy affirm trial there Is a construction lending agency for the performance of the work for which this permit !s issued (Section 3097 Civ. C.) Lender's Name Lendcr% Address _— OWNER BUILDER DECLARATION 1 hereby affirm that I am exernot train the Contractor's License Law for the fonowinq reason (Section 7031.5 BusinMs ano Professional Code: Any city or County which re-'.Iu.r Cs a permit to Construct, alter. improve. demolish or repair any structure, prior to its rssuarce. also requires l:ie applicant for such permit to hie a signed statement that he /Sne is licensed pursuant 16 the provisions of e Contractor's L.cer _ Law (Chapter 9 (Commencing with Section 7000) of vi Sr on 3 Of the n smess and Professions Code) or that he /She is exempt refrom and the basis for Ine alleged exemption. Any violation of Section 031.5 by any apph Calif. for a permit subjects the applicant to a Civil penalty of not more than five hundred dollars (S500). LJ I, as owner a the property or my employes with wages as their sole compensation., will do the work, and the structure is not intended or of fared fol sale (Ser'ion 7044, Business and Professional Code: The Lontracter's 4cense Law woes not apply to an owner of a property who builds or improves here0 n, and wn0 floes such work himSotf /her Self Or lnrough his or her own emplo)eees, prawjeQ that such improvements a:e not intended 0r rffe:ed for sale. !f, however, the buildirg or improvement is Sold within one year of Com- pletion, tf1C Owner will have the burden Of proving he /she did not build Or im. prove for the purpose of sair). I, as owner of the prnoerty, am exclusively contracting with licensed cOn- IractOrs to Consirt,ct t it ornlect (Sectinti 704:, B:ismess and Professions Code: The Coniriftor's License Law does not epply to in owner of properly who builds ar imr •d oveithereon, and wh contracts for suCh proJc_ts welt, a Con. lraclor(s) license pursuant to the Contractor's License l.aw). 1 am aware that proof o/ Iheir Worker's Compensation ir.s LrAnca should be provided to me. Li I am exempt under section____. B. b P. C. for this reason Date _ —_ Owner 1 h4rtby certify that I have :Call fills application and state that the ahove l. informa On it correct. I agree Ili cOmoly with all City and county ordinances and State laws relating to building construction, and hereby authorize repro. Sentatrves of this City to enter upon the above- mcntinned properly for In SpeCtion purposes. Signature livers' License or SSA -- WAde BulWmlt, Gleen•Tempcgry life Cop): Geary Asses of. Pink- MP!icant, Gotdenrod•A.cctitintine CITY O: LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within hexity border lines and sign all appropriate declarations PERMIT N0. I TRACT sit). J LOT NO. UNIT NO. F%0ONSTRUCTI0N C NEW _ ADD /LTERA110f REPAIR Ci CONVERS!ON DEMOLISH _ OTHER ,iODile tome znstall`atlon DESCRIPTION OF WORVUSE OF 610Z. TYPEOFPERMIT L GhADING i_ FOUNDAT10N E_ STRI'.TURAL G TENANT C ELECTRICAi C Fn UY. ° -!NG L' MECr'.ANICA -1 OTHER F RO)ECT DESCRIPTION: Sp. F:. __ — tkcupaflcy _ eonstruchon type — cone -- _ Valuation S - -- PC# —_— Remarks Perviously inspect others. ID.# 4,iia L 94ir 77 Acres A-P. t E Main Building: _ — cessory Building: T Front A I R r r - - C! Right a S , LEft 4 Ping. Rei. # I Parking Reg. /Provide:+ Piannin, Notes 2 I N G R E 0 T S PLU FEES ELECTRICAL FEES MECHANICAL FEES ) e i GRADING FEES Altzr, Repair _ i Generator 0.51(W G 5.15Kt'Lr I Boiler i — . t Cue _— _r•.,. tares Auto Wash Construction Pole Sub. I Duct -Under Ground BackflowPreventer Cookino Unit Duct- Structura: Backflow Irrigation + Po!e Light Fail -Ventilating 33EO -3310 Plan Check fee $ - 1 — t + -- 3300 -3312 Perm t Fee Y — Clarifiers Dryers DElectric _ -- Exhaust I - -_ - -- Dishwasher Fan Evz orative Cooler Total Fees Fixture Traps ea. _ 1 _ F.A.U. _ — Heating System & Duane PROFloorDrains_ Fixtures 00. 100000 BTU 0_1100 -- 33543312 SummafyetPerrritFets Poor Sinks outlets _ hood or Canopy Gras Service Outlets i I Switches _ ! _ Type 1 u _gip? I! G Interceptors - ieter =7 up to 100 amps Refrigerzticn System Plumting S P -Trait Meter Clover 100 amps — 0 0.100 000 BTU 01011-1- 000 BTU - Electoral $ Roof Drains .sub panel _ _Fire Ip /Fact. Bit. tCBO # - -- Trailer Sewer 0 15.50KW System P,epaii /Alteration 4tfc lan:cal S —. Sewer Ca Transformer t—. t- -- Other 1P 50 +KW Fire Dampers Sewer Connection - Bldg. Motors 0 0 -1 HP 71%- 8 _ Registers '•10231 SMIP S --- • - - - - -. Solar Collectors _ Inc. Solar (79.15 HP 0 16.15* Incinerator _ _ - Solarriping Sing,'Fam. Res. Misc. — I 33;03310 Summary of Plan ClutkfcesT__r_ . .. . . -. — .__ _ _._ —t_ ] M1 Ling Poo! /Spa I Swimming Pool /Spa Ildint Pluft!ng Etec ,real $ Mechanical = Other FOftief $ _ Planning - Heater Issue_ Service system 0MLOPMENTSE"ICESREQUIRE(1(ENTS: 2daiee AF of -- ---Dais 3350•]315itailingAPPrssadBy --- - -_)ats Apptrcatioa Fisoed By ToUl Fees Do S _ Project Address _3an0 Ri versa de Drive Assessor's Porcel No. _ Owner's Name F1 Mnrrn Investment CG.Phohe Address —SAI I Coast Highway LaqUna Beach CA Arch /Erg. _License No. Address Contractor's Nern* Phone Add, ess (mailing! -- City License No- LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) or Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class — .___License No. Date Signature - RKERS' COMPENSATION DECLARATION reby affirm that : have a cer:ulcate of consent to self - insure or a certificate workers Compc.,sation Insurance, or a ctititted copy thereof (Section 3800, Lab. C.) Policy No, Company Hy Certified copy is hereby furnished. Certified COPY is filed with the city Burldlrq Division. Otte — Applicant — EXEMPTION FROM WORKERS' COMPENSA': ION DECLARATION Trill section need not be completeo if the permit ,S for one Hundred ($100) or less). I ce,tily Vast in the Derformance of Inc work let wn,cn this perm,' is issued, 1 na:l not eT71Dy any Pinson in any manner so as to become Sub ;ert to the Workers' Compensation Laws 61 California. Date NCT ICE: 11, alter making, this deUaraltnn, you shoula become sab,t.ct to the Wor %ers' Compensation prov.fions of the Labor Cade, you must forthwith c Jrap!y with such provisions or this permit Snall be deemed revoked. CONS-.RUCTION LENDING AGENCY 1 nerety a!f,rm that there ,s a construction tending agency for the Derfo: manse of the work for which Inn ptlrmit is :,sued (Section 3097 Civ. C.) Lender's Prarne _ Lender's Add:ess +- OWNER BUILDER OFCLARATION 1 hereby affirm that 1 am exempt train the Contractnr's L.rcense Law for the f011Ow,aq reason iSection 7031.5 Business and Protesstonal Code: Any city or cOVnty which requires a permit to construct, a:!er. Hnatove, demChSh or repair ar.y it' ,,rtufe, prior to Its ,ssuabce, also requires the applicant for Such permit 10 toe a Stoned statement that he/she is I,censetl pursuant to the provmons of e Contractor's Ltcenss Law (Cn ipter 9 (commencing wish Section :000j of vision 3 of the Business and victess,ons Code, or trial re /she is exempt refrom and the Oasis !or the aflcyed exemption. Any violation of SCct can 031.5 by any apDl,tanl for a pernul subject: the applicant to A civil 73 lty or not more Liar. t.vr nuncircd ooars "S500). I, as owner of the orb Certy or my emD.uyecs with wages as it Sir sole compens.•tion, will co t ^e work, anC the structure s rat intendzd or catered for sale (Section 7044, Bu „neSS aad Plofes'lwina: CoCe: The Contractor's L,Ccnsr_ t -,w does not aup :y 10 an owne: of a property wrio builds or irnproves t ”, inn, and wno does such work nirr. s,!'f /hertdl; or through his n! hrr uwri mployees, provided trial Such improvements arc not intended or offe -cl for Sale. I% however, the bu,ldinq ur ima!Ovement is Sow v ttli:n one ),cat 7f con! - pltt,Or., lie owner wilt hoe in* hurtlen of prOclaq he /sno old not bu,:d ;it can. prove !or the purpnse of sate). as owner of the wnbar,y, am evc!us,veiv ennlrachng v, -h licensed con. tractors to construct rnr project fScctt: n 7044, Ows,ncss anC Professions Coda: h. Contractor's License caw ones not appal to an nwrer of ,)roperty who D utlr;S (It ,mp(nves there,.n, and w'.o contracts Inn Such protects with a tr,n. is rf) license pursuant Io Ire fnhtfactof s License La:V) 1 Am aware trial prop! as then Workee'S CnmpensaRon ,nsursnte snouid be provided to me. 1 in exempt unuer Sect tor. __ S. & P. C. for this reason Rate - _. Owner _ - - -- _ I hereby Certify That I have lead Ill's applicat;on and State brat Ire above information is cot-ecl. I Allier. to COmnly with all city and county eirdin.inces and slate taws relating to building constru :tion, and hereby authorize rvpra- Sentat,ves of this caty to enter upon tk,a above- meltlonad prupetty forinspectionpurposes. Signature -- Onvets' License Or SS Whdt•80dint. Green Temporary file Cop): Canary Asi.essor. P,nldppilunt. Go)dehiod.Accounllna CITY OF LAKE ELSINORE CONSTRUCTION PERPAt i Applicant to fill in all spaces except those within heavy border lines and sign all app- _priate declarations PERMIT NO. TRACT N0. LOl' N , UNIT NO. TYPE OF CONSTRUCTION root/ ADO i ffLTER4lOy _ REFURf CONVERSION " DEIe L)Sx; G OTHER tiobi ie` yGrle 1nStd111t10n ToDESCRIPTIONOiWORT 'USE OF SLOG TVPEOFPERNIT a CR: DING FOUNDATION STRUCTURAS L: TENANT C ELECTRICAL PLUMBING MECHANICAL E' OTHER _ PROJECTDESCWT10N: S; Ft -- Occupancy Corstluctloa type Zere _ Acres Vahjabed s —..— — _ FC4 Remarks Permit to bri ny_ri 1 eS up Perviously inspecte o sn LIGo •-i PLUMBING FEEST EL, Atte-, j _ Auto Wash _ Backtlow Prevenler Backtlow Irrigation Clarifiers fixtureTraps ea. Flr,or Drains _ Floor Sirks _ uas Service Oul Root Drains r Tratlpr SpYRf Sewer Cap_ Sewt'r Connecian - Bldg, _ Solar Collectors Swirnmino Pt Water -Neater 3-10-88 Cricking Unit _ Pole Light — Oryers•L l. Gas Electric Fan F.A.U. Fixtures _ Outlets Switches Meter L12 up to 209 amps Meter Dover 100 amps SCI) ransforrrier O 15.50KW O 50i.KW Motors ff 071 HP 011. • 8— Inc. Solar C °•15 HP'716.15+ Sing /Fam. Res. Multi•Fam. Res- 5 E es- FEES E Main Buildi T Front ARear C Right K — S' Lett Ping. Ref. t Planninq Notes Healing Sys!err, & Ducting D0 i00,000 BTU Gi00,000 BTU Hood or Cancpy e 1 C Tvae 1! O Refrigeration System 00. 100,070 BTU 0 ',00.330 BTU System_ Repair ; CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Projat Addnet 31290 s;i ve e Drive Assessor's Parcel No. Applicant to fill in all spaces except those within heavy border iines and sign all appropriate declarations i Owner's Name F1 MQ0ML1nSf t CQ Phone PERMIT 040. TRACT NO. LOT NO. UNIT N0. I Address __88 nips:: HJ hway Laguna Beach CA _ Arch/Eng. _License No. TT?EOFCONSTRtKMN NE/r ADD rJ ALTERA110 7 REPMAddressL- Addre COWERS10K D -9. th WM OTHER Plobl l e fit Ynstal l a t10n A.A. # GEfCPtPifON Of wCR/US OF BLDG- ---- Contractor's Name _- -Phone _ E Maip Baildinq: Address l.nailing) TYPE OFPEAUff :j GMING C? fOUNDATICN E STRUCTURAE T Froet Cray License No. _ C TE?UNT i E! ECTRI:AL L--- PLUMBIN "u r MEMANICAL as Rear LICENSED CONTRACTOR DECLARATION Li OTHER _ A I hereby affirm IN! I am licensed under prov.slonsof Charter 9 (commencing PROJECTUESCRIPTON: Sa ft _ Occ:Ipa -q Right with section 7000) of Divaira ! of the Business and Professions Code, and :r%S(rtC(jG7 , K; Right my license is in full force and affect. g'. Left L.cerst Crass _ License No. Vatwdxl j _. Pi a -- Dale Signature _ _ Pp j '- Pis . Ref_ # ORKErS' COMPENSATION DECLARATION — Remarks Permit brio i 1 I @S UQ t0 date. _ Planning Notes _ ereey affirm -jai I have a certiiicate of consent to self-+nstrre or a ce"ificate Perviously 1 nspecte others. Workers' Compensation insurance. Or a ceftlfied copy thereof (Section 3800, Lab. C.) 3 -1 -88 _ Policy No. Company - - - -- aCert!fied copy Is hereby furnished_ LJ Certified copy is filed witn the c.•y Building Dirisiull. —_ -7 (1 - - - - l— Dale — Applicant l tl _ © 7 ey EXEMPTION FROM WORKERS' COMPENSATION DECLARATION 1Tarssectionneednotbecompetedifthepermitisforoner.undrta IS100) or -- less). -- I certify that in the perlofrr ance Of the work for which :his permit is issued, t shah not employ any person In any manner so as to became subject to tike PLUMBING FEES ELECTRICAL FEES _ MECyANICkI. Workers' Compensation Laws of Cahfdrnia. l _ Dale Signature Ater, Repair Generator L70 SK1V 5 15KW Boiler NOTICE: If, after making MIS declaration• you shoaia become SuO ;eCt t0 the Generator Wash + Genetrooti0ri Pole Sub. FYOrr.ers' Compensation provisions of the Lacor Ccde, you must lorir A:tr. — +Ct:et -Under Ground comply with such Oloviticins or this Permit shall be deemea revoked. Backilow Preventer t COOkin Ua +tCONSTRUCTION '_ENDING AGENCY -- — —1_ QtIC'.•Structulal _ I neret atfrrm that these is a reristruction lending agency for the oerformanc. Backflow Inn r :, - Ventilatincyg9v _ Pole Li M Fan of the wJrk for which Ina per nit s issued (5ect.on 3037 C.v. CA — —• — Clarifiers _ ! x!%1y System MultipleLender's Name _ Dryers `EICCtriC F °i Lenders Address ^ —~— — Dishwasher _ Fan _ Era orotive Cooler OWNER BUILDER DECLARATION Fixture Tra s ea. F.A.U. Hearin System & DUC1herebyaffirmthatIamexempt :•om the Cor.t•acto•'s License taw for the --t — F. g y lion fonovv.nq reason (Section 7031.5 Business and Professional Code-. Any city Or Floor Drains ! Fixtures `G•100 000 ETU (2 100,000 Bcountywhichrequiresapermitte, Conttruct, alter, rniprGVe, del%DhSh or repair any Structure, prior to ;IS act:ance, .,so re4ii-res Inc applicant for such permit Floor Sinks 11 Oullels m n Hood or Canopytofileas,gnea slatctnl Slat ne /sec .s cenSea pursuant to the provisions of Gas $eNIC2 iIUtIC1SeContractor's License Law (Cnaoter 9 (commencing with Section 7000) of _ I $witches Tvoe 1 Type II (]_ vaion 3 of the Business and Profassaorts Coder nr that hersnp is exempt Interce 1015 Meter u to 100 am SrefrOmtadfilebasisfortheallegedexemption. Any violation or S,Ct,on ---- _ p p Refrigeration System031.5 by Any applicant for a permit subjeus the applicant to :evil P•Tral I Meter Cover 100 ames C20- 100.000 BTU G 100,000 Bp-ena:ty of r.ol mor2 than live nundrld dollars ($Soo). _ _ }. U I, as owner of the ptOperly or my employees w:th wares as their sole Roof Orains __ Sub panel _ I Foe i /Fa_C_i. Bit. I_CBO # compensation, will do the work. and the structure is not intended Or Offeree (Trailer Sevier --- r -- ror site l:.caloa 7os.j, e:niness and prorrssional coat. The eOntractors --r T f L 15.50KJ1 i System Repair /AlterationL,cenu t ]w does not apply to an owner of a property who build% or improves Inc: con, and vino Goes such work c.mtetf /nerscif or through his or her own tmp'Gyeel, WOVrdeO that such improvtmantf are no: .nLended Or Offered for sale, if, nowe err the bu•lding Or improvement IS %O:d within one year or cnm 0141.0%, 1111 Owner will have the burden of proving hC /She Old not build Or im• Prove for 9.e purpose OI sate). J 1, as owner of Ant p•nptriy, am exuus+veiy contracting with nclnsld con. 1raQ0ts to construct the ornject (Section 70•a• SussneSS and Professions Code: The- Contractor's L,cente t-aw does not apply 1O An owner of nrOptrly who builds Of improves Inerreon. Aod who contracts for such projtcti with a con• lractor(s1 license pursuant to file Cnnlracfof'S LICOnle Law). I am aware that proof a mart worker's Compensation insurance should fit prov!ded to nit- 0 1 am exempt under SecJJon _ __ B. d. p- C. In, this reason Sevier Cap Sewer Connection • 81d g- Plumorat fans ormer 50 +kW Motors 0 -1 IIP Olif - 8 Inc. Solar 9.15 HP 16.15+ Sin g /Fpm. Iles. Multi•Fam. Res. sire Dampers Registers Solar Collectors other Incinerator I Misc. - Sclao Piping SOIa: rank — i Swimmin t PODI /Spa - -•— t Water Heater S SWimmlrl Pool/Spaa SMIP I Issue _ Walef $P.NICP Icmo Fne 1 Date _ - - Owner ^ _ $CptiC $VStem Accesscry Park ACCT. 0 I GP-ADING FEES cut cu. yards Fill ---Cu. raids 3360.3370 Plat, Chf -cli Fez $ 331A•3312 PernitFet $ Total Fees S - 33 61.3312 Summary of Permit Fees Plumorat Bulldmt Plumbing j other Elect• :31 i — j _ Mechan:ral S Other j i10-231 SMIP j 3360.3310 1 Summary of Plan Cnect fees I format cerS C that I nave itad this y with All and start my Inc above .iY1 G,- = OfYELOP1 EfNTSERYICESIIEQi11REMENTS: information a correct. I agree to comply with an an and County the A o,, I And state laws relahn; to buda,ng construCtion, and hereby autnonrt repro• 2Ana1R ADM dBI• waft `— __ stn :"'vcs or this Caly to enter -Foil tot above - mentjolted property for ltsdtfirfAPprpwdllT _ Dad 33603375impecaunpurposes. Appiicatira fasasd 6T _ S.ynaturc • --- —_ Care_ issue '!! Of -vatl' License or 55 Y — WhdcBuiid+ne: Green- Tenpaary Foe Copr Canart.Assesscs. Pini•Appbual. rotdenrld- Account+na Bu+id.nt j _- Plumorat Electiical Mechanical other S _ _ Planning j _ T*W Fee Due j — _— z r3 H 1 N G R E a T S Project Address 3290 D__Riy_'_side Drive Assessor's Parcel No. Cwny'sNanie P1 Liam Investment st Phone -- Address __a3JL midst+ HigyWa Laguna Beach CA ArchlEng• —_ License No_ Address Contractor's Name— —Pnone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION 1 rt-eby affirm teat 1 am licensed under provisions of Charter 9 (cornmen Cing svrtn section 7900) of Division 3 of the Bu;lness and Professions Code, and my license is In full force and effect. 438", cense Class — License No. te Signature ORKERS' COMPENSATION DECLARATION ereby affirm that 1 hive a certificate If consent to selNnsure or a certificate workers' Compensation Insurance, or a certified copy thereof (Section. 00, Lab. C_) Policy No. Company n..1 Certified copy is !inreby it rnished. L! Certified copy is filed with the city Building Division. Date —_ Applicant-. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be comp tied it the permit is for one hundred (5100) r ess). 7 certify that In the performance of the work for wnrcn this permit is issued. I trial: not employ any person it any manner so as to become subject to tale 1 Workers Compensation Laws of California. II Date Signature Nr3T6CE: It, of ter making this declaration, ycu should become subject to the YToners' Com Pensation provisions of the Labor Code, you must IOrtnwitil Comply with -Toth provisions qr this permi! Shall be deemed revoked. CONSTRUCTIOrJ LENDING AGENCY e r e•ety Aff.rnl ! -at ('•ere ,S a construction +ending agency for the perfrrmance of t e worit for v.r -rcn this permit is issued (Section 3097 Civ. C.) LRnper'S Name Lt cer •s AOdr CSf _ _- OWNER BUILDER DECLARATION I nerepy affirm That I am exemot from the ContfdLor's License Law for the rf31uri !:;cction 7n- , Business and Prnfr signal Code: Any city or Co1nty wnrcf. re:uires a pt .o Construct. aster, •,.:prove, demn!ish or repair ly structu,••. prior to its issuance• also requires the app:rcant fur such permit to f•ie a sit-, d statement that nc,sre IS licensed putsaant in the 0,0v's,ons Of he Contrau ,r's License La v: (Cnaptr. 9 (:dmmtncmg with Section 7000) of v, Sion a or the Business and Oi Ofessions Code) r that he /she is exempt rcirom and the basis for the alleged exempt•nn. Any violation of SCction 31.5 by any applicant for a permit subjects the applicant ro a Civil t "'.lty of not more than live handrey nollars (s500). I, as owner of the property or my employees with wages '!S tneir -Ole ensat.01. will 00 the Work, and the Strut' ire IS not intended Or Offered for sale •Section 7044, Business ana Proftss ,nal Crde: The Contractor's License Law Joes not apply to an owner of a property who hui;os or improves r.• -eon, and who does such work Rims, II/hlrselt Pr tnrouyh his or her Own erhp dyers, p:ovidr•o trial such irntirroveni -:nts are not intended or o1L!reo for sa'e. ! -, nnwe•:er, the building or i :,provernent -s Sold Within one year of cor.l- pte:,Jn• the Owner will rive the burden ,' proving he /she did not build Or Im- p^ove in., Inc purpose Of SAie). i_ I. as owner of the property• am evclus.vefy contracting with !icensed eor.- tractors to construct the project (Sect:or 7; ac, Business and Prtfessions •.Ode: Tfnc Con t Factor's License Law ones not apoiy to an nwner Of property who r, ,"IS or improves tnwton, and who, con:r•icls for sucn projects with a con - IraCtOr(s) lice qse pursuant to Ine COnitA[l7f s LiCense Law). I am aware that pro",f n the,: Worker's Compensation insui3ncu should be provided to mo. t..: 1 am crenlpf under Section_--- ___—_. ____ B. & P. C. for this:eason Date Owner I fit. COY Certify that I have read this application and ita:e that the above inforrnaln :n is c :irrect. I agree 11I comply w,th alt city and county Mdinances ant- <'Ate taws re:atmg tc Owlaing construction, and nerebv authorize repre- sentat.ves or Iris City to enter upon the abovc•mentinned properly for inspection purposes. LOr -vas' Ltceosc or SS 7t _ -- - --- — - -- Whilt- @ulldlnE Gteen- Temporary File Copt Canary Assessor. Pork 1ppl,cant. Geljenrod•ArcounDn¢ CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those t ithin heavy border lines and sign all appropriate declar9tions PERMIT NO. I TRACT NO. I LOT NO _ , , I UNIT NO. TYPE OFCONSTR!1CFI011 E_7 NEW El ADD IC LTERATIO¢ r- R:PAIR CONVERSION 17 DEMOLISH 11 OTHER 14obile Home Installation A.P. # 1 ?oneDESCRIPTIONOFWORK /USE OF BLDG.- -- - - -- S Main Building: _ AeLessory• Building: TYPE OF PERMIT 7, GRADING O FOUNDATION C STRUCTURAL T Front Z U: TENANT __ EELECTRICAL Ci PLUMBING 0 MECHANICAL B Q Rear N G OTHER A t PROIEC !E5C4)PTSOH: Sp. Ft _Occt: CY C Right _ N S Left Ccrtsuucbe:t type - -- lone _ Aun yatsren S- -- PC# R Ping Ref. Parkin Req. /Provid ^_d E Remarks Penui t ti bring files Up to Date. Planning Notes o Peryiousty ins ecte others. T 3 -10 -8a — S PLUMBING _FEES _ ELECTRICAL ' FEES MECHANICAL TFA GRADING FEESAlte•Roajr - -+ Generator ! i0.5KW D 5- 15 )(1'.' — i Boiler _ Cut to ]adsAuto %`1 Construction Pole Sub. Duct -Under Ground Backf,ow Preventer ! Cookin Unit_ Duct- Structura! F'ii -cu. yards Fac'.1iow Irrigation I Pale Liobt _ i Fan - Ventilatin: Pbn Deck fee S 1 Clarifie:s Dryer s OGas DEIPctric i Exhaust S •stem Multiple Permrt.ee asFer Fan Evaporative Cooler Tou:Etts Fixture Traps ear F.A.U. Heating System & Ducting Flpnr Drai 1; Fixtt Fes 00 BTU C 1011,000 BTU Su^tnaq 0-i Permit FesFloorSinksOutletsIIHoodorCanopy Gas Service Ouuefs Switches Apr 1 0 _Type it n ! eu ,_Q SIntercotorshleterCupto100ampsRefrigerationSystem plum n1 Sap — Meter Clove; 100 a.TRt_ 00.100,000 B U 100 GOO BTU Electrical $ Roof Drains _ Sub panel Firepi /Fact. Bit. WHO # I Trailer Seyrer _ C 15.50KY System Repair /Alteration trecnam:al f _ TransformerSewerCap - C; 50 +KW I Fire Dampers Other S — I_Savrer Connectio-i - Bldg. I Motors C 0 -1 HP 011%- 8 Re isters -- - -- 110-231 SMIP polar Collectors I Inc. Solar 09 -15 HP 1116 15+ j Incinerator SolarSolar Piping _ Sing!Fam. Res_ - Misr. 336033TC Summa of P4aChectFeesTank - - - -- -- - 7I _ Multi•F3m. Res. Swimming F,)nl /Spa Swimming Pool/Spa Water Heater _ Issue WumC;ng $ -- Water Service Will Fo - I - Etectr.cal $ Septic System methanol $ DEYELGrAERTSERYICESREQU IREMENTS: - Other SbeingApproltdByDate y l7liidinlApprowdt] — Daye _ - 33643315 Planning $ - i Issue - - kNtutiea Issued By - -- - -- o,to - - Tool FNS Dee $ .-__ Project Address 32QDD Ri vers i de Drive _ Assessors Parcel No Or ner's Name ElL` Orrn I ttyes_tJUent CO •phone - Add,M _8A11 f-nact Hinhway La_qun_a_Beach CA Arch /Eng. License No. Address Co!-.tractor's Name — Phone —_ Address !mailing) _ City License No. LICENSED CONTRACTOR DECLARATION I hereby Affirm :bat I am Imensed under provisions Of Charter 9 (commencing With section 7060) of Division 3 of the Business and Professions Code, and my license is in tuil 1crce anct effect. Ucerse Class License No. Date . Signature ORKERS' COMPENSATION DECLARATION ereby affirm that: I have a Certificate of consent to self4nsure or a certificate Workers' = 0mpensatlon InsL'ance, or a Certified copy thereof (Section 3400, Lab. C.) Policy No. Company Certified ropy is hereby furnished. Corti lied COPY Is :,led with the city Building Division. Date __ Applicant _ EXE161PTION FROM WORKERS' COMPENSATION DECLARATION This section need not be Completed if the permit is for One hundred 15100) Cr less)_ I certifif that in the partormance of the wo-k for which this permit is issued. I shate not employ any person ir, any manner so as :u become subject to tr.e vorkerS' Compensation Laws of California. Date _— — Signature — NOTICE: It, after ma%ing this deciaralion, you should become subject to the ikons' Compensation P'Ov,S1OrS of the Lahor Code, you must torch,•. -nth cpmply w.in such 4'nvisiont or this pefinit Shall be deemed revoked. CGNSTRVCTION LENDING AGENCY 1 reff Cy affirm ilia: there is a construction lending agency fnr the perforviance 01 :he work foe whrth this permit K issued (Section 3097 Civ. C.j LP.idrrT Name Lender's Address OWNER BUILDER DECLARATION I hereby Jffrr,n that I am caemot from the Contractor's License Law for the tojlnwinq reason r,Sectei,n 7331.5 Business and Professional Code; Any city or county whicn requires a permit to construct. alter, improve, dem Olvsh or •epaif any structure, prior In its issuance, also requires the applicant for such permit t0 Irie a signed statement that helsne is hcenu 7 putsnani to the provisions of he Contractor's License L.aw (Chapter 9 (commence: y with Scetw . 7000) of vision 3 of the Business and Professions Code or tfat lie /s. _ is exempt e,efrom ar.d the basis for the allegeo exemofio e. Any vitiation of Section 31.5 by any applicant for a permit surjects the applicar1 to a civil penalty of not more than rove nundred dollars U I a', ewnar of the property or m/ employees wi•n wages as their s3;e comne'lsalson, will On, the work, and the structure is not intended Or Offered for saie (Section 7044, Business and Professi )nal Code: The Contractor's L•cense Law does no: apply to an rov.ner of a property who builds or improves nercon, and who does Such work t, ..tell /lie <elf or through his C.r her own employecs, provided t•lat SbCh rmprovem.ena are nut enterieed or offafen for sale. If, noweve: the building or imaeouerne• -t is fold within one year of com- pletion, the owner wil: have the burden Of rfoveng he /she did not build or im- prove `ot the purpose Of Sale). 0 1, as owner of the proper :y, am exclusively contracting with licensed con - traclorS 10 Construct the proicct (Section 7043, Business and Pr)frsseons rods: The Contractor's License Law does no! .1ppiy to an owner Of property wt-.o DueidS It improves Lierco. , Ana wno cL,tracfs for Such protimis •,.ith - cnn t, actors) bCensa pursuant to Isle Contractor's License Law). I arr. aware ilia1 proor n their worker's Compensation insurance should to prrvlded to rne. l 1 am exempt under SechOn –__.__ B. L P. C. for this reason Date _ - -- Owner I hereby certify that 1 hail r ^ad Blot appl-cation and, Stale that the abo,e information is correct. I Igret Vi comp:, wi :h an city a -d, county Old .na net& and State laws relating to building Consri iCIPon, and nereny authorize rp.pre. Semal1vtS Of Ih:s City t0 enter upon Ilia above. men lioner: prkipnrty for inspection purp.Ses. Slgnalwo -- Data' Drivers' Ucenst or SS V 1/htlt•8riktint. Green rempaary file Copy: Cinary ASSe1Sa.__r Aopliia V. GaidonreG ACC wnUnp CITY OF LAKr-_ ELS:NORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations PERMIT NO. I TRACT NO. LOT NO— UNiT NO. TYPEOFCONSTR:K7ION C NEW ALTERAT10O R E PAIRG A.P. # CONVERSION ^ DEMOLSH O WEIR Mobi 1 e ! nsta l l a : otu DESCRIPTION OFNORK/USE Or BLDG. Zon E Main Building: E Accessory Building: TYPE OFPERMIT i5 GRADING FGUhOk1lON O STRUCTURAL T Front Z L' TENANT L ELECTRICAL PLUMBING MECHANICAL 0 8 Rear NGOTHEkA PROTECT OFSCRIPTIOh: Sq. Ft. _ OccupOccupancy C I 9 htRight t ornCtruclion type _— Zone 14res S Left G yaiawr.i_ __PCaJ _ Ping. Ref. # Planning Notes _ I Parkjng Req. /Provided E oRemarksPernittobringfilesuptodate. Perviously ins ecte others. Zr 3-10-88 T iS ID.# /n 377n/— PLUMBING _FEES ELECTPOCAL FEES MECHANICAL FEES / F GRADING FEESAlter, Repair Generator 0.5KW 0 5 -15K_W , B r _ Construction nle Sub. Duct -Under Ground C`t --Cu. FardsiAutoW'sh _ n — f Backflow Preventer looking Unii i Duct- Structural _ Fill: cu. yards I Baekflnw Irrigation — Pull li ht Fan -Ventilating 3i60.3370 PlanCheckfee$ Clarifier. _ Dryers Gas Electric _ Exhaust System Multiple 3)00.1312 Permr:fee SI T O.sttc :ashen 1 Fan I1 — _ ' Eva orati.e Cooler 1 total Fees $ Fixture Traps ea. ! F.A.U. Heating System Br Ducting Fioer Drains - Fixtums 00.100 000 BTU O 100 000 BTU Floor Sinks _ Outlels I Hood or Canopy 3360.3312 Summary of Perm i Fees Gas Servire Outleis Switches _ Type 1 0 Type If Building SiIntcrcept ••s Wier 0 up to 100 amps I Refrigl- ration System Plumbing _ _ Mater over 100 am s 00.100 000 BTU 100.00n BTU Etectncal $ ool Ira ins I Sub anel Fire l /Fact. Bit. ICBO # — Trailer Sewer — y 0 15.50KW System Repair /Alteration Mechanical i TransformerISewr:r Cap I 0 50 +KYJ Fire Dampers Other = Sewer Connection - Bldg— Motors 0 -1 HP 01 %- 8 Registers It0.231 SMIP $ Solar Collectors Inc. Solar 9.15 HP 016.15+ incinerator S Sirig /Fpm. Res. Misc. 3360•)3]0 S:immalyofPgn Check FoesSolarTank_ Multi -Fain. Res. 1 _ Swimming Pool %Spa Swim_min Pool/Spa Building $ — Water Heater _ Issue Water Service Plumbing S Septic System Electvcal i . Mechanical $ I jHisc- _ DEVELOPMENT SERVICES REQUIREMENTS: Other SZaningApprorelgJnai- Boildill Approved By Data . 3360.3315 Planning $ hsue Appliu5up IssoeO By _._._.Date Fetal Fees Doe $ P-jeclAddress —32900 Riverside Drive _ Assessor's Parcel No. — _ Ownef'sNathe –EL_Iarrn Tnv S -pefLt CO•Phone Address _Bail coact Flip ay_ Laquna Bedch CA Arch/Eng.- _Licentie No. — Address Contractor's Name Phone Address imailing) City License No. LICENSED CONTRACTOR DECLARATION thereby affirm that I am licensed under provisions of Charter 9 (commencing in section 7000) of Division 3 of the Business and Professions Code, and my license is ii: full force and 7lfect. License Class License No. Date Signature _ ORKERS' COMPENSATION DECLARATION ereby affirm that I have a certificate of consent to self - insure or a certificate Workers' Compensation Insurance, or a certified Copy thereof (Section3800, Lab. C.1 Policy No. Company 8 Certified copy is hereby furnished. Certified copy Is filed with the city Building Division. Date— — Applicant _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATIONThissectionneednotbeCompleteditthepermitisforonehundred1$100) orless). I certify that In the performance of the work for which this permit is issued, I If not employ any person in any man.ler s0 as t0 become subject to theworkers' Compensation Laws of California. Date . Signature f'. OTICE- If, after making this dtclarahon, you should become Subject to tt•e Yorkers' COmpe ^sation provisions If the Labor Code, you must forthwith c Ofriply with such provisions or this permit shall be deemed revowed. CONSTRUCTION LENDING AGENCY 1 hereby affirm that therA is a construction lending agency for the performance of the work for whicn this permit IS issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION 1 hereby allots trial I am exempt f•Om the Contractor'- License Law for ine following reason (Section 7031.5 Business and Professional Code: Any city or County ihlCh requires a permit to Construct, alter, improve, demolish Or repair any Structure, prior to its issuance• also requires the applicant for such permit to file a signed Stdti7?1eM that he /sne is licensed pursuant t0 the provisions ofheContractor's License Law (Chapter 9 (commencing with Section 7000) of vision 3 of the Business and Profession$ Code) or that he /she is exempt refrom and the basis for the alleged exemption. Any vi Olafion of Section 031.5 by any applicant for a permit subjects the applicant to a civil E6 of not more than five hundred dollars ($500). I, as owner of the property nr my emplOyces with wages as their sole compensation, will do the work, and the Structure is not intended or offeredforsale (Section 7044, Business and Profewonal Code: The Contractor•$ Licirnse La w dues not apply t0 an owner of 'j Property who builds or improves I he, eon, and who does such work nimseit /herself Of through his Or her Own e m 0 Vyees, provided that Such imprOvemruls are not intended Or offered fur safe. Il, however, the building or improvement is sold within one year of cOm- pletion, the weer win have the'Jurden or proving he /she did not build or on- Prove for the purpose of sate). I, as Owne• of the property, iim exclusively COntrarting with licensed con• tractors to construct the pro :ecl (Section 7044, Business and Professions Coda: The Contractor's License Law does not apply 10 an ow -ic: Of prnper,y whobuflusOrimprove$ thereon, and who Contracts for Su Ch projects with a COO• pactor( s,' I:Cer'Se pursuant to the ContfaclOOS License Law). 1 am aware thatproofoftheirWOrler'f Compensation insurance should oe provided to me. L7 i am exempt under Section_- ___._- it. & p C. for this reason Date _ Owner I hereby certify that I have read this application and slate that the aboveinformationiscorrect. I agree In comply with all city and county ordinancesAndslatetawsrelatingtobutlthngConstruction, and hereby authorize repre• sentatives of this city to enter upon the above- mentioned properly forinspectionpurposes. Signature Date, _ Divers' License or SS y' _ ti,s, u,ocii•icfiiu xa'y me wpy; wnalyAssessor, rink npphani, Goldenrod•Accounbng 1 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. i LOT N UNIT NO. Alter, Repair TYPE OF CONSTRUCTION NEv: 7 ADD ALTE PAIk COhVERSIIN far DESCRIPTION OF WORVUSE OF BLDG. NRC A.P. # Zone ACCT N GRADING FEES Auto Wash S Main Building: Accessory Buildin- TYPEOFPERMIT GRADING E FOUNDATION r STRUCTURAL T Front Duct- Structural C. TENANT ELECTRICAL G PLUMBING 71 MECHANICAL B Fall - VentilatinQ C OTHER _ _ A' Refs PROJECT DESCRIPTION- SQ.Ft, Occupancy C Right Caeslrucl :tin We Zone Acres K Left VYuahon S _ pp(I Remarks Pen-nit to bring files up to date. Pln . Ref. # Parking Reg. /Provided Planning Notes Perviously ins ecte others. 3 -10 -83 ID.# PLUMBING j FEES ELECTRICAL FEES MECHANICAL FEESAlter, Repair Gene_retor 00.5KW 0 5.15KW Boiler ACCT N GRADING FEES Auto Wash Construction Pole Sub. Duct -Under Ground Cul: cu. yardsBackilowPreventerI Coo'<ing Unit __ Pobe Light Duct- Structural Fill. cu. yards 360.3370 Plan Check Fee 3 Bac rriSation Fall - VentilatinQClarifiersClarifiers Dishwasher DrLers []Gas 0Electric Exhaust System Multiple 3300.3312 Permit Fee ; Fixture Traps ea. _ F:m F.A.U. l_ Eva orative Cooler Heating System 8t Ducting total Fees $ F'oor Drains Fixtures Fluor Sinks 0 0.10010 0 BTU 0 100 000 BTU Outlets Hood or Canopy 3360 -3312 summary of Permit Fm Gas Service Outlets interceptors Switches Meter 0 up to 100 amps T ep1OTypeIIEl Refrigeration System 0.100.000 BTU L7100 000 BTU Building ; Plumbing ; P -'trap Meter over 100 amps Roof Drains T. Sevier Sub panel Electrical ; Fire I /Fact. Bit. ICBO # slier G 15 50K 1yTransformer System Repair /Alters *.Sun Mechanical $ SemAr Cap Fire Dampers Registers Incinerator Sealer Connection •Bldg. 0 50+KW Motors 0 0.1 HP 01%- 8 Inc. Solar 09.15 HP 016.15+ 00t, ; _ 110.231 SMIP ; Solar Collectors 1df'A I Multi•Fam. Res. '— 3360.3370 Summarl of Plan Check Fee, nin Pool /S a Swimming Poal /Spa -- Heater Building S Service — Issue Plumbing ; System Electnu: ; _ DEYELOPMENTARYICESPEQUIREME IRS: Mechanical ; _ haing Apiww#d QY _ _ _ to Other $ RANdag Approved y _ – Applitetioo lswel By -- Date 3360.3315 Planning f 0.t Total Fees Ogle S IZ O N 1 N G R E a M; T S rd ;?Ct iitcljt V•.{ __32yo9 Riyvt'S d_e Drive Assessor'. Parcel No. - -- Csr.ne* shame EIL-mar.rc. -J Ves t111e11t _O •Phone - -- Address --8,311- Cnas.iii hly .iurtaBeach CA Arch Frig. Address License No. Contractor's Nome -_ -Phone AddrM (rrartrng) -- C:y License No. —_ - — LICENSED CONTRACTOR DECLARATION re11by affirm that I am licensed under provisions of i„ hart,!r 9 (commencing wrh sact.ori 7000) of Division 3 of the Business and Professions Linde. and my '.:MCC rS in lull force and effect. Lic•'se Class Date _ - -- Signature License No. I relet)y - RS' COMPENrATION DECLARATION firm that I nave. a certificate Of consent to sftif- insure or 2 Certificate tvorke,s' CunipentwUon Inserance, or a certified copy thereof (_ectior. 00_ Lab C.) re-{• No. Company. .._ Ce H.' 1 copy Is hereby furni 'led. Cc,' c ^py Is filed with the City Building Division. Date_. _..._._. T.pol•cant EXEC.'i' N FROM tiYORXERS' COMPENSATION DECLARATION r.... peed not be Completed if the permit .s .'or or.e h¢ntlrcd ($100) or L`s) in Inc perlur niancr: of the woik for whKh this Dermrt IS iSSUCd, i S. a', r- - "npioy any person in an r maw ter $o as to become subject to the Compensation Laws of Cult Jnsla Date —_ - - - - - -- Signature -- -- NOTICE: 11, after making thn declaration you Should become sub,Cct to the e-s' Compensation provisions of the Labor C: cie, you must lorthw.tri 1 - • r_ , > Ith s,ich pr.,vis.onS or th• permit shall be deemed revoked - CONSTRUCTION LENOIrIG ACcNCY I rere:,y affirm trial t,.ere is a construction lend.nr, agCPCY for the performance n' ir•e work for whict. this Perron IS issued SCctron 3097 Civ. C.) 1 Lercer's Name -- --- -`- - -- Le „,. 's Ancress _- - - - -- - -- - - -- OYINER BUILDER OErLARATION I rerc .iff -iron th .l I ant , anipt from the Cintrattor's License Law for the f.,i ;hies reason '31-0,1,11 ,2.5 BuSineSS an rodPfessional Code: Any city or C0.n1 +iris ch re..0 re,. a •u m:t to construct, alter, improve, densali Srt Of repair a'iY St,uC', we, prior t.l its rs:u.• ice, also recluireS Vie applicant for suCh point I I, : s sinned stafenient Iliac he /she Is ilCel'SC ^. ou,s".)nt to the prov::ions of hC Con'fdcLCr'S L itrnic Liw (Chapte• 9 ( commencing with Section 70.00) of i of the B,isirieis and Profeisio:is Cude) or that i /She Is exempt r e',a,ri and the basis for the alleged exemption, r.,,y vlotatiun of Sget.on by any applicant for d pefnvt sub;ectS the apPneant to a Civil penAlty of not inure than live hundred dollars (S;0•)). 1, as owner of Inc proper!•, or illy employccs with w.i. es as thee- sole LOmprnsaUon, •will du the work, and the stiucture is not intended or offered n, sac (Section 7044. Business and vrofeSsionai Code: The Contractor's L.Ler ;L Law dreg not apply to an owner of a pi operty •r +ho builds or rnprove, r.er.,in, .Ind who does such work filth Self /her Self rr triiOugh his or he, nvvn en,. ogees, prowded that such Improvements are not intended or offCrad for if, however, the building or irriprovorn ill IS s ;lo v/rthin one yea• r,f corn p e• -an, tr.c owner will have the burden of pr(,• ing rte /sr,e did not build of III Duo +e 'or the purpose cf sarc). I, as Owner of no I,rr.pC :ty, am exC.IUSIvCIy cont acting with :-versed Con- tractors to const -0 the prolf :ci (Section 704.1, Busm.ss and Professions L"P: The ,:nt•actor'% t_Iccris^ L ?w dncs pill apply to ai. owner of Prnpc.ty % I b •-j1 o. or I.miroves thereon, and who contraclS for such Pr0•dcll with a C-1. I aC: isi license pursuant to um Cnnttactnr's License (.aw). t ant awdre that pr 0” of thy.r worker's Compensation iosurance should be prOvided In hi, art c., :, -pl under Scletldn_____- _._..,._ B. a. P. C. for this reason Darr —. - -_ owner — I he•eby Certify that I hav, read thi, appkc t!nn and .fate that the above inf,, • a ;ion is co.rect. t agree 0, comply with a l city and county ore-imances an,; •, :etc laws relating to brila.ng construction, and hCre:jy authorize reple- te, :a: +JS of this City t0 enter upon :'o above•man?ic,ned property for Inspat•nin purposes. Signature _ -- — Date,—_ LDriw't' License or 55 1# White 0,1dirg. Green Teniperary File Ccpy: Canary Assessor. P:ak Ado[ -cant, Golderand Accounting CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all Spaces exceot those within heavy horder lines and sign all appropriate declarations P "cRMIT N0. TRACT NC. I.G'f NO. UNIT NU. I TYPE OF CONSTRUCTION C' NEW " ADD ,q. Tr RATIO n REPAIR i'lobi 1 e Home 1 nstai 1 anonCONVERSION ] DEMOLISH CJ OTHER A P # _ ?one E Main building: 'i Accessory Buildirg: z Ct DESCRIPTION OF WORK/ USE OF BLDG -._ -_ - Front - t.rEOF ?ERIAIT uRRADING U FOUNDATION L? STP.UCTURAL T - N L TENANT ELECTRICAL iJ PLUMBING MECHANICAL i 31HER - -- - S Rear A G! Right N PRGACT DESCRIPTION: Sa. Ft. — - _ Occupancy Cocstruchon type __ -- Zone Aries —_ yaluatmn °_ K . -. - -- - -- TI - - -- - S I.eft _ f Ping. Ref. # Parking Rey. /Provided G R EPC# - y C3 Ierinit-i<o brink files up to datE. - -__ 1!7 arks Plarninu Notes _ - M T Perviously inspecie y 000 hers. 1/% J 3 -10 -$8 S ELECTRICAL GEES MECHANICAL_ ! FEES ACCT.q GRADING FEES CI t. `- _ cu. yards F`Ir. Check yards Plan Check Fee S - Petird Fee _ PLUM31NG FEES After, Repair - Generator 0-5KW 5.151Cw r Boiler Auto Wash Construction Pole Sub. Durt -Under Ground -_ -__ 3ickflOwPreyenier Barkflow Irrigation I ClaWieis Cooking Unit _ Duct - Pole Lil tom_ _ Fan •Ventilating 3360.3370 3300.331. Dryers `,Gits n ;Electric_ Exhausts stem Multiple Dishwasher I Fen Evaporative Cooler _ Total Fees $ i Fix;Ure Traps ea. I F.A.U. Heating System & Ducting j FI0O1 D rams _ -_ -d Fixtures -_ 0.100,000 RTU n 105000 Bi U i 3360.3311 Summary of Permit Fees Floor Sinks Gss SONicP. Outlets al u-'I _t; Hood or Canopy i I Switches _ _ _ f tie 1 TY I'.- I -_ i Building $ Interceptor <_ Meter _] up to 100 amps Refrigeration System I Plumbing S P•Trap Meter over 100 amps _ 70 100,000 BTIJ L i0ta,000 BTU_! It E!ectncat $ - Roo1 Or, ins4__ ____. __ i Trailer Sewer Sub panel _ _.J F• duct. git. ICBO -_1 p 15.50KW I System Repair /Alteration Mechanical $ — I Transformer Tt --'- Fire Uampers Other $ I Sewer Cap _ 50 +KW _- - -Y -_ 110.131 Motors O HP ` „- $ Re isteis SMIP $ I Sewer Cnnnecton • Bldg. Solar_Collectors I u 1 1 _ _ Inc. Solar 0 9.15 HP [316-15+ Incinerator ~- 1 !Solar Piping _ Sing /Fam. Res. - - hlisc. - -__ 33603370 Summary of Plan Chc_liFees Sorer all Multi -Fam. Res. 1- - Swimming Pool rS a SWlmmil Pu()I /Sr)a Building $ II Water Heater Plumbing S . -_.- -- j1Naler_SentIce EieMical S -- _- -• - --- Septic Sytem _ DEVELOPMENT SERVICES REQUIREMENTS: baling AoprttwdBT _ Date - ---- ---- 3360.3375 Building Apprared BT Mech3nlcat Otht Planning $ - Application Ismd By - __ ___ -_.-- -Dale Tobl Fees Doc iIssue _ ProjectAddluss _32Q0_Q_Ri`1u$ide Drive Assessors Porcal N.!. Owher'sNaine Address _ 831,1. ..sraast-]Ligbway--La.gurajeach CA Arch /Eng. -_ License No. Address i:ontractor's Name._ t hone - Address (mailing) I Ctly License No. LICENSED CONTRACTOR DECLARATION I he,ehy affirm that l am licensed under Orcivisions of Charter 9 (commencing with section 7000) o' Division 3 Of the f3us,ness and Professicns Code, and my license it in U11 force and effect. License Class License No. Cate _ Signature ORKERS' COMPENSATION DECLARAi ION ereby aff,rin that I have a certificate of consent to sclfdnswe or a certificateWorker;' Cumpenirlltln Insurance. or a certified COPY thereof (Section3600, LAP. C.) Policy No. Company IdC- ftrfied Copy Is hereby furnished. Certified copy Is filed with the city Building Division, Date _.- Applicant__ EXEMPTION FROM WORKERS' COMPENSATION DE- LARATION`- rl ;is section need not be completed if the permit is for p. ;e rtundrea ($100) orless). 1 certify that in the performance of the work fcr vthic-1 this per, - t is Issued, tSr•all s':n, no! employ any person in any ,manner manner so as to become suOfCtt to thewersCompensationLawsOfCaliOrnia. Cale Signatute NOTICE: if• after making this declaration, you should become su!`eCt to thetCi:w( C—nipensarion prov;,ionf Or the La; Or Code, you must forthwith Cr,T1 ly w,!ti Such provi;ons or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 .,E,ery affirm that there is a construction lending agency f0+ rile performance Cf the work for wn,Ch this permit is issued (Section 3097 Cry. C_) Lender's Name Lem:;••'% Address -- OWNER BUILDER DECLARATION 1 ficlebY af("m. thot am exemp: from trio Contractor's Lien Se Law for thetOIND -1 Peg reason (!,Cclron 7031.5 Business and Prof eeisionalCede- Any city orCO,n!y e,hsch reouires a Permit to construct, after, improve, ceme::sh or repair any structure, prior to its issuance, also re0uucs the aP pllCani for Sucn permitt0lmiaSignedstatementthathe /She is ficens!'d oursuln; to or*.: provision, ofeCon:raclur's License Law (Chapter 9 (comm, ncine w h Sec *,ors 7000) o! vis!On 3 Of the Business and Profess :nns C:t,,el Or ttlat he !S-le is exempt e from and the D: SiS for the alleged e;eentpt,cit. Any vi alat•on of $QcUOn31.5 by any applicant for a p¢rmrt fitbfects the applicant to a Civil penalty of not more than five nunared dollars (5500;. t, as owner of Lie property or my empl, :yCCS with ,vases as their sole Compensation, win do the work, and file Structure is not intended or offered for Sato (Section 7044, Business and Professional Cr,de: The Contractor'sL, (tLawdoesnot apply to an owner of a properly who builds or improves tt+er eon, and who daeS Such work himself /herself or (hrnu;h h.$ O- her own employes, provided that such improvements are not intended or offered fur sale. It, hOweyer, the building or improvement is sold within one year Of com- pletion, the Owner w;l' hay, the burden of proving he /she did not build Or Im- p-rr- ttove for the purpose Of "to). J 1, as owner Of the property, am ¢yclusively Contacting with licensed Con- tractors to construct the proiecl (Section 7044, Business and w - essions Corsew The Contra Ct Or'S License Law does not apply it) an Oviner Of v,ocierty whobuiiaSOfImprovesIhC!eon, and who contracts for such prO eCts with a con- trac!Or(f) fiCenSC pursuant to the Contractor's License Law :. I am aware thatproofOftheirWorker's COmp¢r,sation insurance ttlouid be Provided to me. Ittl I am exempt u-tder Section.__. +y- g P. C. for this reason Owner -- I hereby Ceft,fy that I have read this appliCatiO4 and state the: IhC abOYCiMOrindtionISCorrect. I agrcc In CO ;nply with all :.sty and County Oruinancesandstatelawsroldhngtobuilo,ng construction, :, d hereby autncir,2e repret sell:alive, of this city to enter upon the nb0v1' mentioned property forinspectionpurooseS, S,gnattlre __- •- _- __- - -_ -- Dal,: Ofrvers' License or SS WhdaBuAing. Green•Temporzry File Copy: Cznary Assessor: Pink Applicant: Gclaenrod AccounhaQ CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within haavy bordr- lines and sign all appropriate declarations PERMIT NO. TRACT NO. LOT NO I UNIT N0. TYPE OF CONSTRUCTION C- 4EW LL ! ADD 1; LEERATIOf r' REPAIR L' CONVERSION L DEMOLISH r_7 OTHER I40bile -ome _nsta7ltltion DESCRIPTION Of WORK /USE OF BLDG. TYPE OF PERMIT CI GRADIN "u U FOUNDATION 1 STRUCTL'PAl 11 TENANT G ELECTRICAL CI PLUMBING L-I MECHANICAL OTHER _ _ PROJECT DESCRIPTION: Sq.Ft _ (.Cupancy Conshuchan We _ —_ Lore _ — Acres Remarks per,i brio fill=s ut to date. PerYiousl y ins ecte Others. _ y 3 -10-88 — ID. # Leon EMain Building: Accessory T FEo nt e Rear AI Right K I Left I Ping. Ref. 4 1 Parking Rer.lProyided Planninq Notes PLUMBING FEI ELECTRICAL ! FEiS Plumbing Alter Re s - -- - -- MCCC.ln:c31 MECHANICAL FEES aiQ r Gelterator 00 -5KN! U 5 -15KW ~ Auto Wash j Backf low Preventer Construction Pole Sub. Duct-Under Grr,md j Backflow Irrigation I Clarifiers Cookin +this _L Pole Light Duct - Structural fan - Vertilating Dishwasher Dr ers Gas Fier site Fan Exhaust System hfulti le Fixture Traps ea. 1, F.A.U. Iva orative Cool r ains ! Heating System & Ducting 100 000 BTU 100 000 9TU Fixtures— 0 fFloor Outlets Hood or Canopyice _Outlets Intercep Switches Meter T e 1 F1 Type II_ P_1 — u up to 100 amps System Roof Drains Meter C over 100 amps Sub panel T— Rnefrigeralil,p 0 100,000 BTU L1100,000 BTU _ ire Fact. Trailer Sewer_ 15 -50KW I, BIt. iCBQt ! System Repair /Alteration ItewerCap — Transformer 50 +KW Fire DampersSewerConnec!ion - Bldg. Tnlar Collectors Motors 0.1 HP D 1112 . B I 4— Registers Solar Piping_ Inc. Solar 09.15 HP 016.15 +1 I_ncineratnr Sing!Fam. Res. I Mlsc. Solar Tank fff- l SwimmingPool /Spa Multi -Fam. Res. SwimnlingPool/Spa — -- Water Floater t-- -- { Water Service Issue Septic system J'disc. — DEVELOPMENT SERVICESREQLIREMEN -T;: IoninS Approved By - _ —Date BuilchnS Aoproved By -- — Date Application Isswd ByIssue1 _ ACCT If GRADING FEES CAL — _cu. lards Fit' ---Cu yitds 3350.33'f Plen Checi Fee S ^ 3300.3312 Permd Fee ; _ — Total Fits ; 3360 -3312 1 Summary of Permit Sets Buar.Jing Plumbing F.lectnrai s - -- - -- MCCC.ln:c31 Otaef 110 -231 SHIP 1360.3370 1 summary of Plan Check fees Buddy ^R Total Fees Due 2 O N t Fi G R E a Nil f Plumbuig S __ Elttfnral Mecsanlcal Other 160.3315 Plann ;q Total Fees Due 2 O N t Fi G R E a Nil f Proiw_t Address - 32M)-Jlj-v-m_iOe Drive. Assessors Pnresel No. Owner's Name Fi tAQLM__1nYeatMMt_ Co -Prone Address _8311 Coact Iiighw ___Laquna Seach CH Arci : Eng- Address Cdntia %or's ttama— - -.. °hone 1 C,•, License No- Lt,; iwNSEO CONTRACTOR DECLARATIOt: r.ore- ), zftirm that 1 am licensed under provrt•ons o: Charter Q (co,,, Ing wci: sec ,on 7000) of Olvisran 3 of the Businrs: and Protessions Code, and Ply 1,c<ise is 'n full f )rce arc effect. License Cuss _ _License Na. Date - - — Signature rORKERS' COhAPENSAI -ION DECLARATION faby arlu:n that t nave a cxrtlti"'e of zonsant to self - insure or a certificate Workers' CO in pen sat ion Insarance, or a certisted copy thereof (SertiOn 3do6 , Lap. C.1 Poiicy NO. _ _ Company — Q Cert.fgc copy is hereby furnished. G Certified copy Is plod with Ilie city Su,:dmg Divrc.on_ ate— _ ` Appl.,:ant IE:tEMPTION FR-)M WORKERS' COMPENSATION DECLARATION This section need ni, be cornpletec If the permit is fOf one hundr ::d (SIJO, orless). I certify that in the rerlormance a! the work for wl)F_h this perm.: is isstr C, I snail r.ot employ, any person in an-_, manner $0 as to Deccme sun;ect to the Workers' Comp^n:dl,on "ws or California. Date .— __.. Signature NOTICE: it, alter making this declaration• you ihoutd become su :,c I to theSVOrketrs' C' rOomoensatirnD sons of the Labur Code, yo'., must tofthwItn comply ,.an suCa pfov,sn,n; or MIS permit shall be dee•„ed revokea. CONSTRUCTICN LENDING AGENCY I herec / a!! :r m that there is a cons :ructiJn lending ageOCy, for the performance O1 it' w Otk LV wnrr_h this permit :s issued (Seet,Crt 3097 Crv. C.) OWNER BUILDER DECLARATION I hereby ath:m that 1 am excnlnt front the Contractor's LcenSc Law :nr the culler. :ng re.lson (Scct:on 7031.D Bus,ncsc and Professional Code: Any city Cr I CCI ;n:v +S'LCh requires a Permit to cJnstrucl, -Wei, rmoro ,e Clem Jlish or repair ant• stn,c,are. Pilot to its Issuance, a :SO reGuift S the ap: bean) for S..Cr, permit O file .; slznctl S ;alrm Cr! that he;She It Itcensed purSudnt to 'he Dro o,vont of hC Co ru:aclor'S 1,Cvr)V- Law (Chapter 9 (CornrneaUnq with Section 7000) of vISi an 3 of lee 1jusiness a•'d Professions Cride) or trial trifine Is exe,r.pt e refrm and tire Lass for Inc Jfteg Dd exeniptton. Any v,Ua',,on o' Section031. 50. y I n y applicant fir a permr, suoletis the dppfi ^a t0 a Civil Perafry of not mof^ than five: hundrea dollars ($50x' , J 1, as owner Of lac propel" Or Iny emplayccS w',t!, w21cs as tries sole Cumpro ;.)tern will Oa the wi,rk, and the sirutture IS not in'cnCCd or offeredfor $ J IC (S^Cl roe 70,36, Business and Professionat Code: Tne Contractor•: I icensc 1—)w daei rh)t aopty to an owner of a proprtty v.ho buIICS 3r nnproaes Melt! iii, aria vino does S ICh w0fk hrmscif,rVirself Cr ter 0,.- r.s pr her n+:n emp!oyCel, 0,13v-ded 111,11 such ,mprnven.cn!S are not inteo ^cc of offered fir no wP ver, the bu,laing or irnprovenlent I; said w,ihtn one year ,it com- D'etiCn, the Owner will have lire burden of proving he /she Oid tint 1;_,!C Or im- prove for ;he vulpc•ie O! tat,:). 1, as OwnC. of :he p,operl' /, am exuusively conlfact:ng w-tn licensed con- tractors to,r.nstruct fhc Drole.t (Sec:mn 70,t.s, Bufmcss -mod Professions Code: The Contractor's License Lan Ones riot ipo!y to in o.vncr of proprrty who builas or ImDroveS 'hCrecn, and wn,) co-,lracts for si'ch ,)ro;cct5 vvatn a cbn- trat.:r.r(s) Incense pursuant It) the Cootrattor'S L!Ccnse Law). I aril av+are that N1 uuf of ,rev Wnr!+.ef's (..Ompens,loo., insurance ,nouia tie provided to me. Ll 1 am excmpi under ceC:Ion•-_—.______ _ U. & P. C. for this reason Owner~_ 1 hercGy certify that I hive read MIS application and slate that IFc aPove m!o mation is cr,r(ect. I agree. I.) curnply w, :h all c ty . na cot ,my Ofdln)nCesarldStatelawsrelr,ting to Du,ld'n9 CO.lstfuct)nn, ant: hereby autncnic repre- icntatrvcs Of this city to enter llp(in the W)ove•men:ioned prupP.r ;y forinspectionPurposes. Signature _ Date, Drivers_ _.- LLLINhIteBudd,ni. Green Te:nporvy i C9pY: Canary ASSeSs; Pink Acloh ant. GOtd+nfol Arco!lnh,2 CITY OF ! AKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spaces except those within heavy border lines and sign all apprnpria!e declarations PERMIT NO- i TRACT NO. ` LOT F40 1, UVIT N TYPEOFCONSTPUCTION C NEW _: ADD I ' ,JLLIE`RAATIOV PiPAIR E] CONIERStON 0 DEVOIISH I] OTHER Mobile dome installation DESCRIPTION Of WORB-USE CF BLDG._ nPEOFPERM!T GRADING C-1 FOUND=DN = STRUCTURAL Cj IENANi f` EL- tCTRID1 :7 PLUMBING __ MECHANICAL D 01HER P11i)K '. !LSCRIP(!ON: Cc,;ttuctl_n type _. ya!uatlen __ -- Renlarks Permi t Perviov QCs! do bi ink files up to da iIy i-iS ecte others. PLUti.76lfiG _ Ater, Repair I Auto 'Wash _ OackI ow Preventer 8ackflow Irri Lion Clarifl, _ Dishiv.. Fixture i,aps ea. Floc! Drains Floor Silks Gas Srivice _Outlets Interceptors P -Trap Roof O:airs Trailer S?V:et Sewer Cap Sewer _Connection - BL Solar Collectors _ Solar Piping Solar ?"ark fat!r Heater ELECTRIC! Generator D0_5K Construction Pole Cnakiro Unit Pole L3;It Viers it Gas J E Fan F_A _U^ _ Fixtures Outlets S :itct,.es Meter E3 up to i0( Meter Dover 1COi te._ - 3 -1e -8a F k: Transformer 015.50KW D 50 +KW Motors 0 0 -1 HP 0 i' /a - 8 Inc. Solar 09 -15 HP 016.15+ Multi -Fa Jfrimrnir A.P. # acre _ M! ain Building= Acces,ory Building: T From - I A; Rear —ii N C Right S Left - C Pfrg. Ref, # I Parklry Req /Provided EI Planning !rote; O IkA T rALFHANICAL FEES AOCT p 3360 3370 3300.3312 I GRADING FEES 6' — cu. pros Reiter ! Duct -Under Ground — Duet Structeral F'l: _cu. tare: Fan - Ventilating I Plan Ct eck Fee S - Permit Fee Total Fees Exhaust System Multiple Evaporative Cooler Heating System & Ducting I 00- 100,000 BTII L i 100.000 BTJ 3360.3311 110.131 Summag of Permit Fels B :Idlrg S _ Pl: lbtng $ _ Electra: S - Mechanical $ - Otter j - SMIP j Hood or Canopy Type i T,oeII D Refrigeration System 00. 100,000 BTU Q100.000 BTU I 33603375 Fifepl!Fact. Bit. ICBO ;:r j System Repair /Alteration --t-- I Fire Dampers Reg, -VerS — Incinerator 4i5L. DEYELOPUINT SERVICES REQUIREMENTS: r_ Zoning A.gp feed By Baildint kacrtd 6tl _ - -Wb Issue - _ Ipplicetaa Issued 87 _ Dab - _ - 3360.3370 I Summarl of Plan Chetli fees Total fees ova j Bullalrg Plumbing S Electrical S Other 33603375 Panning j Total fees ova j CITY OF LAKE ELSINORE CONSTRUCTION PERMIT rt ectAddarci _329Il B]Yer l de Uri Ve __ Applicant to fill in all spaces except those within heavy border lilies and sign all appropriate declarationsSfiefsor's Parcel No. _ _ C+: ref's Nome _71 Morro 1 nyes tmP_TLt_ C__ 0_ Phone '— PERMIT N0. (TRACT NO. LOT VCS/ ! UNIT N0. Az_ress _dc 1_Ll 1dL_tLLghlyav LWn3 BeaLb CA- I Arcn'Eng. License No. Ad. -= Co-1, ac irr's Name P•ione C.ddress I mar11, -1 City License No LICENSED CONTRACTOR DECLARATION I -ere:)) affirm that I am licensed uccer provisions of Cnarter 9 (commencing v.,:^ w_tion 70001 or Oivlslor 3 ct the Business and Professions Code, and t :zrense is m fu-1 force and effect. L,:#-so Class _ Llccnw N- e _ Signature ORtCERS' COMPENSATION DECLARATION tfe)y affirm that I hale a certificate of consent to sell-insure Ora certificate Otker S' Compensation Insurance, or a Certified copy thsreof (Section 353', '.At). C.) as ,Cy No. _ Company r Certified Copy Is hereby rurnishert- i_ Certified COPY a filed wilt the city Budding^ Division. Date _ Applicant _- EXEMPTION FROM WORKERS' COMPENSATION DECLARATION t - nisiecttoa head not be comp:e:cd If !tee perenit is for one hundred (51 00} or cssr 9."'y that :n the performance of he wur:• for .-.rr ich this pert •S issued, 1 s ^ -! r;t employ any person in oav manner So as to become Su..,,Ct to the r -•-ems' Compensation Laws of Cahfmnia. a,e __ Slgnatur.• NOTICE: H, afttt• making this declaration, you Sri OU': become Subject to the e•I' Compensation provisions of the L. Dor Code. you must forthwith D + with •etch provision'- or this permit stall be deemed revoked, CONSTRUCTION LENDING ASENCY t•ecy afbrm trial tnere is a Constructinn lending agency for the Performance L. •-e work for which this cermrt is issued tSec:Ion 3097 Civ. C.) e ^air's Name t`ce•'s Address Or.NER BUILDER DECLARATION VCDy afli-I that I am exempt from the Convactor's License Law for the non: reason (Sectlnn 7031.5 Rosiness and 0- ;ress,onal Code: Any city or cs-n* v ") ;Cll requ,res a peril rt to construct, j1% , improve, dcm011sh or repay an. Structure, pf.0, 'o Its issuance, also requires !r.e Jorlicam for sal.ri permit e a sicned st ate r..ent that he/she is licensed pi. scant to the Provisions of COntr.Ktor's License La (Chapter 9 (eornmencmg with Section 7090) of Ion 3 of the Business ano Professions Coce) o• that he /she is exempt e•C!rom and the casts for the alleged exemp!ron. Any violation of Section i1.5 D-y any app :rcairt for a permit Su01^CtS the aPPBCant to: a rIV0 E_1-.Ally of not more than five hundred nolia .rs (1500). 1, 3: owner cf t ^.e property or my employees v.Itri ,vages as !hen •-tie Icnfatron, will Oo the work, and the Structure is not Infended o: OI. .c0 w-C (Section 7034, Business and Professiona: Cndr: The Contrzctoi '- er sc Lew does no: apply to an owner of a proPer.y ,.rn builds r improves c•eon, and who does such work himscif,hersel' Or t'llm' alt his Or he, own D'oyees, provided that sti:h Improvements are not ant ended or offered for y,'e. I!, rowever, the Luilding or improvement is sold vro:hln one y_ar of com- el...n tie owner w•11 rave the burden of wovina ht /she did not build or sm. P,ove 'Or the purPo:e 01 Sate). as owner of the property, am exclusively contracting with licensed Con• t•actetsto construct the OtOiCCI (Section 70-14, Business and Professions Cndr: a an t factor's LiCCnS: taut dies not jai',/ to an owner of propttty who a: Of imprnves tneretin, and who COntr.tCtS IC,, ;uCt, pr OjeZts with a Cnn• t a< r(s} license ^.irsuant to the Contractn.'s License Law). t am aware that oo' of their Worker's Compensation in ;urance should be provided to me, t am exempt under Section- -- H. 4 P. C. for this reason Oa:e Owner rugby certify that t Haut rear; apphution and state that the above I".-At-On IS correct. I Agree In r:OmPly with art city and county ordinances ar a s'att IaNs re:atinj to Owlmnq construction, and hefeny autnofizr repie- Sen•a :eves Or the: city to enter upon the above - mentioned property for spect.,n purpnsei. Signature __ ^_ Ohio_ Ofrvefs' I_Icerse or SS 1 41 Building. Gteen•Tecporary File CripL Cattail Assessor. Pink Appt¢ ant, Colderrod AcccurtlaR TYPE OF CONSTRUCTION :_ NEW ADD E. gATIG REPAIR E CONVERSION ^ b.cVOLISH : OTHER I`iobi1e Home nstal1at1in OESCRIPTION Of WORF; USE OF BLDG TYPE OF PERMIT 71 GRADING i` FOUHDATIGN C STRUCTURAL 11 TENANT = ELECIRICA! PLUMBING C MECHANICAL iE; OTHER PRO1ECi DESCRIPTION. Sp Ft Occupancy — Ctist'ucnon type —_. Zane _ -- -- Aces Valuation S—_ — PCs A.P. # S Mal—T n Building: E -- T Front IF RearA C Right Kr S Left Plna. Ref. Remarks er}p i t t0 brio files Up to date. Planning Noes Perviously inspecte y others. Sa ID.# PLUMBING Alter Repair -- I FEES ELEC "rRICAL I FEES Generator 00•*)KW n s45KW MECHATJICAL I Boiler Duct-Under Ground I Duct-Structural A—lta Wash I Backllow Preve.,ter I Construction Pole Sub. Cooking Unit Backflow frri al;oo Mec`anlul f _ ,_• _ Pole Light Other I fan •Ventilating Clarifiers _ I r— I Dryers 0Gas DE(ectric Ex laust Svsern Multiple_ Dishwasher _ tFan ovaoorative Cooler Fixture TraFs ea. F.A.U. He' atinr, System &Ducting 0.100,000 BTU C-_IOQ 00FloorDrainsI V Fixtures Floor Sinks _ Gas Service Owlets Interceptors __ t .._. _. —_ rap Outlets HoGd or G,nopy Type 1 i _ Tyoe If Refrigeration System 00-100,000 BTU x'100,00 Water Switches —! 0 up to 100 amps ( Meter Oover 100arrlps chains 2r3ewe - -- —_ i.`'t" {' C3p 1 S:'wer L: nectior - Bldg. I Sub panel r _ n 15.50KWTransfon9r 50 +KW Motors G 0.1 HP ` 1' /• • 8 Inc. Sol 09.15 HP 016.15+ Sing /Fam. Res. 1 Fire IiFact. f31t. ICBO = 1 System Pe 3ir.'AlterationG- - - - - -- Fire Dampers r'_ — Registers Solar Collec :ors f-_ Sofia: Piping Incinerator__ Misc. Solar Tank Y--- Mul; /•Fam. Res. Swimming Pool/,Spa Swimming K.,ol /Spa I Waver Hea'er Build Pdrkirlg Req ;Provided ES ACCT. it GRADING FEES i _ 3360.3370 Plan Check Fee; 3300 -3312 P ?:r- t Fee $ Tc:aifees S 3360.3312 1 Summary of Permit Fats r— B,kirp U °' EIKIn al I 4Lr `.38dd1 I 'Jt!'et 1!0.231 SMI? Sgptic System DEVELOPMENT SERVICES REQUIREMENTS: home Approved IMF 0310 auda"JADPrandly — — _ _Date _ Issue ^ AppliulionlstwdBF —Oate S _ f z 0 I N G R E a M tT S cu yards Cu. ;aids 330-3370 I Summary c! Plan Check fees 3360.3375 I Fiannlnf: $ ToW Fees Due $ _ Mec`anlul f _ ,_• _ Other 3360.3375 I Fiannlnf: $ ToW Fees Due $ _ Psesstir !. Po,col No refs J'arn• Afij!e,s ! ArCn,E,:q_ 7, Actd-ess fmadwgl TV LICENSED CONTRACTOR DECLARATION V (1.31 1 'I'T. I ce,ls••j u'ac, P, " N-1 5 sec z,7s C,)re. anaal! 700Cj w 0. 3 1 F3us,-,r,j .1 n, ji;,incr effect. L ccns.ldj• L:. WORKERS' COPAPENSAT;0N DECLARATIONTON t l7ereoy afc,m -)w I nl).e 'I C Jr C7 r. Se 71! G, llvorklers* C-imponim mm it a ce-:-e,j no.; -.t,ere.na ;Sectit,1• Lao. C t 1C k C. L,rTl';cJ ropy Tj 1-k, COI1PE".q,1,T11111 E)EC1.11 AT.ONEXEMPTIONFROM "ORKERS thr f Cl1'I1z:S'T RuCTIGN LE'Nolfl L C E R 6 J;t- DEP [,E. _,r, A 7 0 r4 j L C C 06 i C A erlity !',I f S, silt :1 n. n p C 711 f... lot ;'-N., S". I IN. 4 A CITY OF LAKE ELSHORE CONS f RUCTIO14 PERMIT Applicant to fill In at! spaces e. ce Lhose vothin heavy border lines and sign aH appropriate declaration, PEJ1y1lT NO. ;i I T NO. UNIT NO. A j Main Buildin!j: E- Accessonj Building: TY'EOFCONSTRtXTH)?( REPAIR7 CONVERifOS ErM DEVRIPT0NOF ' UTHiR GFO,u C-F rrin"Strucooll Pole SUL TYPE OF PERM.rT GPAE '- JN STl UWNT ELECIPi-k, Fiiide Ns MECHAMCAL 7 FROjifT V-'cCR1PTi','?, S: F7 P-jlr uw.f AErt; PrS f) -,Gai 'Electric Remarks Exhau System Dis1i vi3sl,er C 3. A.P. _- j Main Buildin!j: E- Accessonj Building: T' Front Rear z N C Sight K NrSLeft rrin"Strucooll Pole SUL Ping. R2L =t Pa Req. E Planning Note; ng UTwr 7 I I II ---- -_ - - -- S S4 4 AUT ;f I GRUINCi FEES S 33 x` 33'2 1 Surl Of Pernit fees S P L U.*,1 6 li'll - G, 11-rjAlev ELECTP - I VA L Genpra - tor -0-59,Vd 5-1 SKIVIV FE-ES Bokr A111c, Was?, rrin"Strucooll Pole SUL Duct UndFf Giz -zO Back1low Pr enter ng UTwr 7 P-jlr uw.f PrS f) -,Gai 'Electric Exhau System Dis1i vi3sl,er Fri s-1 EvatinrativP. Comer T:20s Pa F. A U. Heating S, & Duc!in, Floor Orl!ls Pr: 0.100 V0 BTU r -100.000 BTU Folor Sinks Outlets Houc cr Ca-io-y Gai Servicp 0u opts 51 itches jpp_ I- Typ_e !I WIEr !jrp 'o 200 amns 9efriguation System P•Tfaj) Veter_ - river 200 amps Q-160.1,00 BTU BTLI Roof l):ai:is S )b panel I F ir p la, B,,. .-C B 0- Tia-kir Sf!v4,r Savr-r Ca . p TrarAwiner F 50fl(n System Re(,.;,, Oilieiaimn Damper; Sf,v.eT Cf-ljInT.,r!!rjn - Bldg. Nlo:or , 0.1- HP , I" re Reqlsws Sr,l,-r Voi,erlors ii-,- Solar 7 9.15 HP ;16.15* . Solar Piping Sinn Fam, Res. Solar Tank Mulli•Fam. Res. 7 Im - J.Pool,'Spa- S'enmaling EO Waler I — Isiue Wa I I.. r sp,vlrq jp FPP DEMOWNT SERMES RE( REMENTS: Zoning Ap;imd By Date Bodding Approved By Application Iswed By D: 3- L S!;e le AUT ;f I GRUINCi FEES S 33 x` 33'2 1 Surl Of Pernit fees 3319 1 SUMMUY Of Plan (heck Fees Total Fee; Due S S S S 3319 1 SUMMUY Of Plan (heck Fees Total Fee; Due S Prajett Address • - - - - . _'1 - --""-= - Asse,sater -s Parcel No - -- -- hang? -- - - - -_ Owner's Name L e ..LS !.. —• - Address ArchlEng Ir_1Cr N t` =— -- -License No. F- - -- Address 3J --C-- Contractor's Name. —ate! sd(. — Phoae — Address (mailing! --- — - t C1ry LicE ;lie No. -- C-n LICENSED CONTWACTQR DECLARATION 1 hereby affirm that I am licensed under provisrucs of Charter 9 (commencingwithsection7000) of oiv,sion 3 of the Business and Professions Code, and my license is in full V and effect. / Zj rrl r uctnse! ass i l Oatc / -- S,gnalare KORKERE' COMPENSATION DECLA ATION I te'eby affirm that f heat a ceil,frcate of :onset•! to .elf•insare or a certiftCate Of Workers' Compensation insurance, or a certified copy thereof (Section 3600, Lab. C.) Pc Company - - Certified COPY is ha-' , -, <.-•nished. Cer 04 rir. -.< ,ri' -• the u r t E%EMp1bFe tirJF:KER S' CON sATION DECL. 3ATION TK.suct :"' need r.: - "::v crsmD :e :etl if the permit is for one tundred (SIUO) or lass). 1 cert.'Y 'Rat :O •.sir pc,' , —ance of tr.e '+s Oro fist •wn,Cts :h•s Parm': is saetl• 1 sha!I -Cl emp,oy -1-1y pefs n in any manner So as :o L'etOme sub {¢Ct to the Ivor Lett ComPensalisc Laws of Calif Orn,a. Date _- - - - - - -- -Signature - - - -- NOTICE: 11, after ma41ng th,S deClaratgon, VOA Sh OL'.td becOm! Wjcct :a the Vier4ers• Compensation Provisions or the t nni e.ae, you must toi!r.A ;,h comply In such pro-- v'trors Cl ff-,i permit shall be Ceemed re--o4ea. CONSTRUr-. IO ENDING P.GEN y I hereby Yrlirm ilia: re 's a ::astfuctinn lendin; agency far fhe Derfnrrnan-e of the work o CI V. w n,s p ^.rmr: is +sauce (Section 30_ v. I Lenders Nam_ - - -- —_- -- - -- J -'- r- cnticr's AdO,est - - - - -- Os11LN£R BUILDER OECLARAT ON I ne. Gy aft'rm :hat 1 am CwCMPt from :he Conrractc''s L•.ensc law for thetnuo1qreason (Sec :w 7031.5 Busmrsaano rrnfestrunli Code: Any city orCo:+n ES tr1 C:, reOu ;,es a Der m:t to c0"struct, alter, improve, ^emolisn or repair any stn - VIC. prior to its issuance• also feOUi•es !ha aPpl caot for suet. nerrritto : re a S ;y+Cd StdtemCn: trial heisric IS licensed (!ufsuant :C. t le provisions Of I Cnnrr,rI ` license Law (Chapter 9 (commertc:ng —In Section 7000) of Division 3 o ne Su Sines, ana Professions Coal:) or anal neisne s exemPI In 'Maria a Dasrs A„ the alleged c>emptinn• Any viola ?ion of SCtt,an 7031.5 by any PliCant for a p:rm'' SuG {tots the apolican! to a C'vil r rcnally of n mot tn n five hundred Jo'!ar, (s5001 1, as owner of t Drooetty nr my etnployees 'nth wa;eS as their Solt CamPansation, will a0 is wOr4, an the Struc!urt is not in:enacd or oHtrttl for Sane (Section 7044, us,neu and Prcfets ;onal Code: Tr'e Contra,tor's License taw axes not top to an it -tarter Of a properly Min hullos Or rmProvestrerenn, and who (lots suc war' Rim'Al f;hefielf Or in,o',1Jn MIS O/ her ownerapriyCCS, OrOVitled teal SUC Improscm2nts are not ant endea or offered for F C'.O', SJC Ow M nx''.D have the mirAan nl ioroyng la i •chan6 not year , ltl Oroim• prove for tilt purpa,se Of sale). 1, at ,wnCr Of tie O'o0erty, am CYCI ely Cnnl•ac!rng w tn iicensea Cun- iraciars I c"nstruft me ,ro;cct 'Sectlo Ict l s1, n ess ana Prr,tes ohs Code: ne Gi.>t NCtur't Lir -en >n llv. ants n'. pply to sir. uwAe of DroutrtY woo Du,!ds or rm Droves the,e :,n, arn9 ,•.•i0 , ,r, acts for fuen pror :•> with a fon- IraLtorts) license 8urs:.dr: to !ne Cr•ntrditA License Law). 1 dm aware It1at proGf Of Ihuif yrnf :errs Compensation :$'Suld ce ShOU1f1 re provided to me am exempt under scrhr• - -- - - - -- - - -- 0. L P. C. far this reason Wert: s ruht trial I na.,; tea" ti,is application and St.!e trial trie aLOve n Mrmaluin r Ct. f a ;;:c,• t^ r imply wi:n all city and county Otdrnances aria flare ws al t ng to ou•.9 t 1 -ans:nu!ror; anQ ntrehy autnanre reo c- un!a:ivat t , , y to ri: Wl ~(((pppppp r the ab.,vc•n :entinned DrnperlY for ins Dectian pur,7 S — 1t/1J% - Signafurc -- I C, S' L-Cense ra SS If dc6 tbmg frees Ttmpuary Fite Copy. CarlarpAssew Pink 1p ;'van; r d enr5d -Accw. I. 4 CITY OF LAKE ELSINORE CONSTRUCTION PERivIlIT Applicant t i in - spates exc£pt those within aeavy border lines arri sign all appropriate declarations PE IT NO i TRACT ND. LOT 40. UNIT O. TTPEOFCONSTRtICTIOFt ; = NEW ADD Ai,T RATION L REPAIR CONVERSION __ DEMOLISF _ OTHER 7r-- ' A.P. # _ DESCRIPTION 0: WOWUSE OF BLDG __s..5 T — — — E Main Building: TYPEOFPERVIT .- GRADING FOUNDATION i STRUCTURAL T Front 1MAN! r,i ELECTIflCAI _ PLuMBING 1 MECI{irY(CAL A R' ear _ OTHER _ - -- - A PROJECT OESCRIPTION' Sc Ft Occupancy _ K• Right — K CJrtstructtofl rip." -- Ione Acres $ Left - vzr S_ — - - - - - -- P a y` Pin Ref_ Planning Notes — PLUMBING FELS Alter, Repair Auto Wash 1 Backflow Preventer — Fix' f e Trails ea. _ Toor Drains Floor Sinks _ Gas Service Outlets _ P- Trap _ 4Root Drains LTrailer Sewer — i nnection - Bldq- -- Solar Piping _ -' Solar Tank — _ S_wimmingPool;Spa Water Heater i y Wa_t_erSeerv_. e Issue ELECTRICAL FEES venerator 0.5KNi 5.15KW 1 Construction Pole Sub. i Cooking Unit i• -- — Pole Light— Dryers Gas Electric -- Fan F. A. U. Fixtures Outlets _ -- ,_- Switch: Meter j up to 200 ampsJ Meter =over 2.00 amps —_ I . 15•F7KW transformer O 50i-KW i Motors n 0 -1 HP 1% - E ; Inc. Solar D9-15 HP 1£ -1G-i Sirry /Faro. Res. _ I f -- — - - -t- -- Alulti•Fam. Res. I Exhaust Sysie -m . Surmtiaay of Permit Fees Evaporat re Ccl),r _ Bulhilc6 $ — Heating System • rf0a -t'. a 1 00,000 6-r_c ; eaog_e J -.•_- _ - Hood or Cdropy ype 1 , r,•na 11 - Refrigeration+. Syst3rr, 110 23! 231 7a- 100,000 BTU 1 Q a3ao - J._ FireoliFaci Bit. ICBO__# _ System Repair!Alteratian Suramaq of !r;in Chet:); Fells Fire Dampers Registers Incinerator Misc. DEVELOPMENT SERVICES REQUIREMEM Z&*g ApPWW gr _ Oaie Bulling AlWowd By Ayps"ua!!mIlssnedfJF -- .a -. _. - - -- - - ...--- __ - -Oa a _ '>._ _. 1 N A E Q M T S ACCT F I GRADING FEES s Cut falls co. lit 3360 -3370 Pfan Cher Fee 33003312 Perrrit Fee F3/Ll Y3 U. i -. S V C, )• O 310G ,312 Surmtiaay of Permit Fees Bulhilc6 $ — Elef',xai Other S 110 23! 231 SMI? Res f. — _—_ - -_ - -- - 110 -232 SMlP Can 1 _ _- 350.3370 Suramaq of !r;in Chet:); Fells Wilful Aec',anftdl Other ; J -- 3360.3315 Planning $ Tots( Fin 11m S