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32900 RIVERSIDE DR_ (9)
Projecl Address 3 _ C7 IV G ,cs ! oo t: G% / 0-net, jarne Lfcensp No. Address _ -_ _ Contre lor's Nsme t /v --! - Phone Address(ma,l,nei /.7J,9-1EA City L,,:ense No. t LICENSE4 CONTRACTOR DECLARATION — I ne,ebir aft,m that 1 am l,,ense uae, prc.swns of Charter 9 (commencingwithsetN r o r. U" 7000) .,t Division 3 of the Business ana Profession% Code, and1myhcrn%e Is in full fort and tftc :. YUtensilCIA WORKERS COMPENSATION DECLARATION I hereby Albion that 1 have a cert,',nte of consent b. self4,1sure ar a certificateurWu,kers' Compensation Insu•ance, or a ctrtifft-d Copy thereof (Section3600, Lao- C.) Policy No. - -- -- ( ompar yRfleCerlidCOPYisherebyfurn,s:`ett_ — t- Certified ropy is fi7cO w-t.', :he city Bu,rding Dwis,o•-. Oa:e.. —_ _ Apphcan: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION —_ -- a,, ;%section need nor be chmpr,,ted rf the Permit is for ore hundred ($100) 1 Cert,ly that ,n the PerformJnca :nC o: ;I;r ••' n It iS Pttm,- ,S ,SSr fir: 1ShallnotemployanyPersonina -,y d: i n C S' fGt io theYorkeCgmpfjnsationWvysr7Ca +r r, , NOTICE: I/, alts mak,ng Ims deuara',_, :, yoc Shoulq become sub ;e -- tc liltYorktrs' Cn mpentaf,on Of"SlonS O! :he La:inr (;oqe, you must torth'ithC -coly W,Ih Surh provis: ,:1S his perml! .Snail CONSTRJCTION LYDING AGENCY be hdemeu .evo <r -d- C I n erecy affirm that these is a Cuar.uc:l n end qp agency for the performa,•ceIeInaworkforwhlCnionsce -m,t issueC (Section 3097 CIv. C.) LenCer't Name — Lendc,'s Aad,css _ OWNER BUILDER DECLARATION — - -- " - -- -- - - - - -- "— "" I hereby airs,, That ! Am a ,,c mot 'ram :hC C014tActnr'S L,COnse Law for theuow,ng reato (Secl,on 1031.5 Sus ,.ess antl tirorc ;t,, ;r al Code: Any city o, Ca6oty wni Cr, reau„es a Pe•mi:::; ccnstri Cl, after imPrnve, aenitrllsh of repair - any slructurt, pro.) , t0 its !sst1Ar a, a'Sr, reain,es tilt IPPLcant for Such Perrot0f,1e J signed sla.conen1 tha' nC is UCCnsell purfuJnt to the Pruv,irOni OfncCon•:Otter's L,culst L: w (, or a (COmrucrio ing with Section 7000 itD..i%.of, 3 of the 3us,ness ana ! : ss.nr; ) therefrom and Inc bast f Cadet 0, that ire /she ,s cxca n o, Inc t emV ;Ct% .;le v,•datinr. of $f;e:,m7031.5 by any applicant :or J t :ubl,:ca tilt appticant tr, a cultpenallyofnotmorethanlovehUndre:. jji!ais ($560). I, as oivn, of ,he Properly ,ir M., CmN',ryCC's with wares as the„ Sint: cvmFCn SJtiOn will do tnr, work „Intl the %tr ,cture is ncl intenclevj nr of.eredfofsale (Section 7034, Business and •'rotessibna( Cngr. The Cnntractor'tL, cc nse Low tine; not aopty to ah oe nc, of a OrOperly who, burlrts or unprnvesIteonandwhonoesSuchrrnfi. hi mSC..rn CffClf p• (h,nUgh his rN her Uweemployees, Pfnv"Ied 'mat %uch ,mo,r Monti are nn: ,ntcnded (;t offered forsave. 11, however, the building or •+ .,venlsnt Is tnvu w,tilrn One year of Com- D'CfiOn, ITC Owncf v” 11 !I-Ivc ihC OUrd.n of OtUI;n3 he /she did riot btr,;d or inl• prove for the purpn;e of sale). F. 1, as Owner of the prnPu,ty, Orr, Cxr IS vely o.•ntr,lcting ,111 licensed con- tractors to cnnstrtict tole prn;Cl:t (Sec:IOn 7044, t3hslncss and Pr-)fuss,,ns Code: The Conlractar's L -runse Law C „c% not apply to Al, r,wner cif nroacrty wh•1burinsOrIMP,oves the, ),,, Jn.•r no contrJCIS for Such projects With .l [Un• tractor(If License Pursuant to nn r_tl,i :ract,x's License l.aw). 1 am aware teat — proof q their Y7owcr's Cnmpnnsat,olo mS.ran.-c shoved be prnv(detl to me, t an exempt under Sect:nn -_ _. __- 0. & P. C. Inc this r4atf.n 1 nCreby certify UTAI I have reJO tills apphcatlon &net 'tJlu that the abo,_vnrnrrnat,on is correct. 1 Jo•fen. M r.nrnp;y with an cilY •Intl cn,!nty Ord,nrncosJnustatela,vS relating to bu,1r,,,Ig aunstru Cn ,3n and h(•rrrby authorize repra- rispefrves nr Ions r y to, d( 1-10,00-rnenllrmcd mn- Atives of s 1 ' 7p- ropeerrty for S,gnalure VI _ _ D.tte / n2 %do Oliver!' license nr SS a ' W' t.- Bundle(( Green Tempwaly Fiji. ropy; CanJrpAss s-a. Pink Applicant, ai)idenrdd•Accnunfir,A CITY OF LAKE ELSINORE CONS T RUCTION PERMIT poWicant to fill in all rpsces except those within hear. i border lines ant' sign all appropriate declarations PERW N0. TRACT No i LOT NO NO. TYPE OFCOFSTRti M X VEW App _ A:TERiTfONCOHYES109DEMOLISHOTHER J CEPAIR r•ESCRPTION OF INORRr T BLDG T TYPE OFPERMR v APING FLu "MATION - STRI.ICTJRAt' cNANI _i ELECTRICAL PLUMBING NIA OTHER _ PRr1Er; DESCRIPTION Sa Ft Carwrtictoa type 7,tae - - - ACres Remarks - PLUMBING _ FEES cLECtRICAI_ Astor, - ffair Auto Nash - Generator rB aKW I , _- -_ 5-15K — ! K i - 1 Bdutflow Preventer I nstfuctiar!_fl0 a Sub._ Cbokin tjnit 1 _ Sackflow Irtioation 1 Pole LightL- ;-- Clarifiers - Dishwmsher r-- -- ` Dryers-Gas, Elenic F;x_ture Traps ea F.A.U. Floor Drains _— I Fixtures_ Elocr Sinks _ , - 7 Outlets ~ --- C%as Service gullets Inmrronfnr. °— f-- - i Switches A.P. #e _ E Main Build T Front ARear C, Right S Left EM Ref. # Planning Notes Heating System & Ducting 00.100.100 aT;f c:;00 c Hood or Canopy O N IN IG I1 ttS iCCI 8 GRADING FEES Cut: yard: Fill yards 3360.33IG Plan CheCF Fees 330D -3312 Permit fee otalfees = __ 3300.3311 Summaryy of Permit Fees GAO xv t - - _- Iry VI c'ry dnfpb I _ I Hefrigrratiun System - - - -i -- Fir Building $ P•Tf ao __ _ Mete[ F .'.' xer 200 am s — ( PlumbingRootDrains -' - -- " - p 17a1a D0 DTU L71U -= BTU v. - -- I Salo paned -- _ _ Fire I/Fa. ^.t. Dlt. iCBO # - E)cCln ;at $ Trailer Server C 15 SOKW -} - _ -_ - - -- _ -- Set7tr Cap -- Cransforfner I _ System Repai;_/Alteratinn _ Mechanical s L 50 +KV! Fire Dampers -' ----- j- -- Other $ SeKrr Conneetiun • Bldg - _ I Mlotors C! 0 1 Hp r 17, . g -- -t . r So!ar_colIectors , - ~ 2isterb 1111231 SMIP Res $ Inc Soar 1-13 -15 HP i71_G•15 +I Incinerator - -- - - -” Solar Piping .. -- -~ - - -- -- - ! 10.232 SMIP Con T ,_ Sirg /Ram. Res. '{ - - -- Solar Tank - _J- _4-- ---------- t___ -_ Misc. Must; -Fan:, Res. i - l / 3360.3370 SummaryufPlan Check feesSWimminI-PoLo- llS _ Swimming ,u ooWaterHeater_ afar _ ISSIII! — _ a —_ - -. — Service _ _ f. - Plumbinj; t OEVELOPMENTSEvasRE(IUIREAIENT3: Mechanical .5 - - -- - -- Other S _ -- --- Is 1e-- -- l -- F - ..__ Wkstion Im-id By ^rc h - rte.`` _ ___ ~ W4 .2 ^Lt 3360.3371. Planning S Total Fees Dve s E i" -,- -r l 171-1 T —T--- i I —-- 1 i 1 , Ia OH I o F-- a M l z 2 a a In z a as U lul I I I I z •_= : { ) l , iwm0 .01 v' . l `a [ W m >i i z 4' LLi pl , '1 c o rnl di O `or t-I w ° I a Cl I v c 0 u- `^1 Q - ir. w cc v c I _ r a ii Q -p wQIoffEh a o I N tt N V 1 a s 11 Qtt- cn r3 cc" ;j au O• - co -..iL_ W e m 1 `rr- + tl y Q 1 •C - C tL CLaW QIco = i WE a c c I W N C J u WI -0 yI3 a w m p A O C4 I I c I j •I I g UI wi I U y 0 y O I I N l wi o mr al i w W iI ' o! ip C 1 Q lLm 4 O r . Oa 1 1 :? c U J O W rn 7 I a'cl t I t , I I I ' I• 1 wl I + II J O I z n1 cl ¢ Lu T `-' a l a o y m U co r7 LL - j + .+ C. > > >.I X UI A n{ z ! d Q l, I 1 7 I l lul I I I I z •_= : { ) l , iwm0 .01 v' . l `a [ W m >i i z 4' LLi pl , '1 c o rnl di O `or t-I w ° I a Cl I v c 0 u- `^1 Q - ir. w cc v c I _ r a ii Q -p wQIoffEh a o I N tt N V 1 a s 11 Qtt- cn r3 cc" ;j au O• - co -..iL_ W e m 1 `rr- + tl y Q 1 •C - C tL CLaW QIco = i WE a c c I W N C J u WI -0 yI3 a w m p A O C4 I I c I j •I I g UI wi I U y 0 y O I I N l wi o mr al i w W iI ' o! ip C 1 Q lLm 4 O r . Oa 1 1 :? c U J O W rn 7 I a'cl t I t , I I I ' I• 1 wl I + II J O I z n1 cl ¢ Lu T `-' a l a o y m U co r7 LL - j + .+ C. > > >.I X UI A n{ z ! d Q IT I II rn I z • a I rnl LC a I Ic c rn w C LL 1I p Q 4 c° c a !aI t Ii OD s •$ I u • W 11 U' 1 O 2 m o wq M xx F LLL _J 4 cl lL C1. W I lL I . I i , ; I i I I 7 •; 1 I I; J 4- - I t Imo, c' I >" ° w I = C i, cua. CD u• : l a' . Z : LL ro O Vj Z I n• O LC I tj J_._. l, I co I a yfor J W x 5 4 m Of' rn Of v u•! cc O O IT I II rn I z • a I rnl LC a I Ic c rn w C LL 1I p Q 4 c° c a !aI t Ii OD s •$ I u • W 11 U' 1 O 2 m o wq M xx F LLL _J 4 cl lL C1. W I lL I . I i , ; I i I I 7 •; 1 I I; J 4- - I t Imo, c' I >" ° w I = C i, cua. CD u• : l a' . Z : LL ro O Vj Z I n• O LC I tj J_._. L PARK AWJRESS_3% S',( .Zl.ii,IC . 7a CITY IIICUfTj!/rlt f _•j _ -' - - - - STATE SPACE NO - SIiE PLOT PLAN I*- - i I I i I z I i 1 i 1 I i I I I I t 3— - i I Z Q 1V v i3 j If G SI'REET SPA NO. H 1 t., WE. THE UNDERSIGNED HERESY APPROVE "HE INSTALLATION CF THE ABOVE STRIIC:TIIRE(SI AND AGREE THAT THE INFORMA11ON ISANDINACCORDANCEWITHAPPLICABLEPROVISIONOFTHEHEALTHANDSAFETYCODEANDRELATEDRULESOFYHESTAFOFCA CORRECT TENANT CALIFORNIA. PARK MANAGER SIGNATURE FORM AA111 SIGNATURE I + ell I 1C 4 I I I I 1 G I 1 SPA NO. H 1 t., WE. THE UNDERSIGNED HERESY APPROVE "HE INSTALLATION CF THE ABOVE STRIIC:TIIRE(SI AND AGREE THAT THE INFORMA11ON ISANDINACCORDANCEWITHAPPLICABLEPROVISIONOFTHEHEALTHANDSAFETYCODEANDRELATEDRULESOFYHESTAFOFCA CORRECT TENANT CALIFORNIA. PARK MANAGER SIGNATURE FORM AA111 SIGNATURE I + uAU. i Iz2 1- C r t ! fm' s 1LO.= a .M ' N+•6•vTL Ia) rbVt Ra'Y a TR C2r iTtO:J s PERMIT # 9 t Y fwM l! • :'_..•9i.:•. `1 v ._ Y °••.,', /ice. M.._ — µ al ('.: N.'Jr . O u) .•• ..W '+.aCC1 - -0oc SwC.:.>[....p,. .r 1w w....• - '?'— L ' 1 e.YY- .M'I / GL Oaf ".,'..IY' - ••.•• IM'7(' . sa.. 1 Stfl.. •!.'. RS,. o`1+.-w ~.c3. i.lr- w...I -.p j.M tY•. i • SECTIir. : J .'mot T ~= _ "_.. =C77 : N T...a. _ , y T• f J! nl•! rY.. _:mil !".. MDf Y gala' ns. :" 1•... I "x.11 l_y/ —• .,,,, .+ S 1 I LImmD 1 r.. M.mep...... >•..r )• '_ w Ir — t - o+ m• t rrON aT.FC Nt• F'. .. ._.- --- _ --... t i _'4t: r7C11•, s•+Ila.l ... • t t g lraracl crr r.tyt 1. 7 Sr{ • -- s I • S ._ tr .awn . w w•.. NL ORq DCrAj .w.,. sa..,. 3 - I •} -- •. J r.._... -.. - _ N __- ......•. N.I.IIN ffw J.. M - •.• . ••.• ti.S&YL_tFL1TF."s ii I '_ " 5k` a • J _• - .... ,,..... _ •' M . ,,...... y(}(, E+I e ledttgLR, 4 Y 1 ns..w. e~-. - wsCIALJau•±4 u+ t t ! 1 c:0. ly)R_ 1 ., ....... _ ..... .. r.... • f. R. ,.....l... ivunp OMeINyCRr_r"'t:T_ qtr. ,.._..,.,...._,..........,_„ Z w.: non' t• v I 1 f y ., I,,j I Sr{ • -- s I • S ._ tr .awn . w w•.. NL ORq DCrAj .w.,. sa..,. 3 - I •} -- •. J r.._... -.. - _ N __- ......•. N.I.IIN ffw J.. M - •.• . ••.• ti.S&YL_tFL1TF."s ii I '_ " 5k` a • J _• - .... ,,..... _ •' M . ,,...... y(}(, E+I e ledttgLR, 4 Y 1 ns..w. e~-. - wsCIALJau•±4 u+ t t ! 1 c:0. ly)R_ 1 ., ....... _ ..... .. r.... • f. R. ,.....l... ivunp OMeINyCRr_r"'t:T_ qtr. ,.._..,.,...._,..........,_„ Z w.: 121, to X, vw* Xl-2r, CRVA.16& orl ACE DE:. AV'- wr; La-,b, Fa. W 4 Pt 22 k q Z 12 A: sm4. '111--t 47 nn op" nz 7L r4 yl_ 4. J4—9. . AL iC?'&U -A ;pw t. TA • oo, 7 7 4 c oo ajrw,— BRUCE 0 CHALLMAN CIVIL ENG:.NzhA IF226 —4,1. •.,. P., 4. vlli;. ."I VIST CHEYLF14ME AVZNUIE As, Mv E0115 1Y 11 Sb: vm;v t ctor. ( DO I :f, x, A bo• 4c(g- ID C,;77- ia 4-a- r aw z lb' . 1 — w. OF Am IIL OFW - 0. CHALLMAN 15421 EAST CHErE%NE AVENUE 115 zVILENGINEERL4-4 —e— to"$ .a -Tito c- aLLar•' I I - — rcm Z-mr- prq..! Address 14 = 7 CITY OF LAKE ELSINORE CONSTRUCTION PERMIT J4ste »sor s Parcel tVo. _ . __ __ _ _ ApPliant to tilt in all spaces except those w in farad border lines and sign all appropriate decfittationsC1%rftt,', "lrrfe TCstV prone -- PE rIT f1! TRACT NO- LOT NO. yfs i UNIT NO. Archer rsg. _ _ Lic-er:te No. itin:ractor "SN.. r ON ! } r Address tr- irbrsgl .__, f ^^ L LICENSED CONTRACTOR DECLARATION t nt'eby aflrr.n Inat f am I,cCntt9 under prOV.HOnt -31 Cnarter -2 (com! -_entinqwithi'oft,on 70001 bl r)iv:uon 3 of Inc BUS :nCti and ProfessiOnf C"Oe. andmy •,crnu is la full +C,rCe a[,d erfect. License !•Iasi .- ! u CkK^ - J• Date,j JS_ S gna:ur- I yyORKERS' COMPF_lCSATION p CtCt AN KL4/sa'.3- i te:ea. At "is' that : have a Cettl(.Cate o' Consent to Se,rdnsure Ora CbtilicateIofWurl.en' ^or:Persat•on tnsuraate, of a Certified3800. Lab. cppY tntrtof /Spot +On11 / Qrwl,Cr ILO = Gam•— _Onwziny s cnpv Is hereby furnished. Late Irt,e% r COP e— ith the Crt y ui in Appl,CAn: ExEMPT;ON FROM WORKEPS' CO AA TIOq + OC ATIONIThK%ect,un n"el not be ct.mpleteJ if the Perin.: ,S for one hundred (Sloo) less). 1 ceri.ry that n the Pethuman CC of the r.af. for wh+Ch this perrrs,l is rssueo, ttrailn01employanyPersonina'.y manner $O a% . t0 become S+!blee to thY: ,:.r kern' compentatton t_:vrs of Cahfot Ma_ NOTICE: U, alter rr.ak,nq tbK decra•ation, you should become subject to shehors. e+s' G.mPens_; ::on orn`S10.,t at the Libor Cnde. you mus: for:hwanr^ r,47y w.:h NJ. ornv,sron; o' :h "e'nilt snail be deerneo revokea. ONST RUCTION LENDING AGE14CV ire +teY aff,-m that :n¢re -%a construction teno:nq aaen-y for the 3rrlC::Tdnr -eTheworklot- Nh -cn tf•.,s Perrot is issued (SCCtror. 30 ?7 C+v. C.) LonCtr's N4ml! _ _ IOWNER BUILDER DECLARATION 1 I:ercny affirm that I am oNernt)* f,n+-i :he Contr4 tor's License Law for ehter,i+n, A3 fta,or. (Sceth:n 7031.5 B Sinc%s anti Pr.;lcsSinral Code: Any City orcountywhirr; ter J,tes a ;lrmlt to construct• allot, imp•tiee, 0emolisn at repair any S,ri -:,ye. 'P.Or I -•.i its Issuance. also reauires tha Apo,-cant for so,., permit10r.:e a %,grit r, t•ateny tt !::at hiershe is lice,, sea pu: s.:3nt :o the Pfov.%:ons OffheCO"'IfACter's' cc•,u I_as. tL;.aptu 9 (crmmencing with Saclron 7000) ofD.v,tn)n _, fit the Business and PfG :et;ians Coax) or trial ne /she is excmG: Ihv31.5 and i!:C Posit rOr the .):te5Cd VXI'mption, Any vn7lati, n of SgCtion7b93.S by any apph Ca n: for a perm,; subirca the applicar.: t0 a civilIChi:Ly n! not -pore Ihe. f+vc :rundrec. riotlars ($500). I, at owner of t;,c DropCrIY ,ter n. y employees v.,tr. v.agcl as inC+r saveumDC, talon, '.:,n do thr. worl., and the atr„rtu+e is not intended at offeredforSalatrect,on /(44 PUS -nets ono Pru.ess.on.tt Cr-de: The Contractor'sLr -;+ 4 Lrow duet no: aPPly '.O an nwner a properly who b;litds r,r itrlprOMSCLercon, and who tfde% tech wrr, h,mtClf;herSelf or through nit Or her own e•.:p;0VCe', PrOV:ded that %u :r. ,m prnrcmon,s ate r.-,L nten eu or offered in, salt. If, huweve , tte hu,d,ag If ,mprov2men: -s srna w.thir. aC year of ^on,- motion, ine ownci wrtl have trio burden of p:os•inq hC;son di[l .61 hu;td or Im- prove for t%t pdrpCSr of sale). J 1, as owner of •rc pr :pert y, 'n exclusively tn•Uraciu,q with ncer.Sed !nn- Ira UUrt IL' lentil uCt IhC •V,CCt (Section 7044, 8,,S,nes: And $hnfess,ons Corte• The COn114C :M's 1_,Cen;., Law Cnes no: apply to an nwrier of property whobu!10% or inlprnvts thereon, an: whn Contracts rnr s, f.h p, nleClf Wi1n a CO•f- IriCtOl(t) tCf nSe PurSuarl to the Cnntrat :,r'f - ,onSO L.aw)• 1 am .v.atc IMtproofofThenvrorker'S Compet+sat.on nlsirance should be ninvided to me. L I am Cxampr under Sect,cn _ `._ B. & P. C. for th, s •casnn Date Owner I ne, eby certify Ihat I have ICad sins aripuratinn and stele that the A00veinto-viarron Is Correct. I agr.te t mpiy with all City and county nrdn+anrCSandstatelawsrelatgjgtoofnq +,StfuCflnn, and hureb f aul1101,74) rerre- senta!ives of in,$ 3ely n up. n the above•ntenhrvled Pr oily orhsspectidnoutn F.Oraers' License a: SS t _ t4Rtle.8'vdmg, CinaryTtaimary FII! Copy, Pink•Asms)ix. Goldearoi•ApplKant ^ - -- I- CDRNUtS'M B= t - tX "IEFAT Nr C RFPAtd 101KO TYPE OFPEtYfT s GRAMIG FOUKATIM TRtI iUiAt ETA i zFCTR.:JtL PLUkiSIk4 : - YFCItA7 irk PROJECT UES RIP110fF_ Sq. FL r C0QstM.!rxt type YiisatloeSt PCs Remark$ - YLUM81(+I133 F'c Alter, Repair f Auto Wash_, - arkflow Piwentel _ Backflow irriat!ion -- Pixl rains ent_r;:a tors - , t- Try - -- - -' • - - Root Drains Sewer Cap - - 7 - -.__— _ i Sewer C ectonnion - _Bldg. I Solar toilectors - Solar Plpirlg Solar Tank Acres W r-- ELECTRICAL _ Senerater 20.51(W 0 5 -15Ky Cr3rtS- r-.LctiO'1 Pole Sub_ CsOki aU iit Pole Li ,t - - - - -_ Doe s E-Gas DEleciric Far. F.A.U. Fixtures Outlets_ 155tT1G1te1 --- - f Meter up to 200 ampr--- -_ Meer : over FRO amen _ Sub anel T-arisformer 0 15 SOKW 0 50 +KW Molols r1 01 F;P Ci 1'f 8 Inc. Solar :19, -15 HP 016-%* Sinn /Faro. Res. Multi -Fam. Res. A.F. 4 E11119:111 Bui T Front e Rr-ar - r. r Right S Left Plea Rri. Nores R MECHAi Oiler i uct- Stluct,rral `— Evaporative Ccoler qHeatingSystem & Ducting 0-1 BTU J1C.0,000 BTU Hood or Canopy I T pe 1 D Type i; u ir:eeration System — I-LQP! tact. Blt_ICBO System Re a r /Aiieration "- Fire Oampefs - R Incinerator - -- Acm.sory Building: CITY OF LAKE ELS ACCT. a 1 GW;NG FESS Cut _Cu. Ards F:L' cu. yards 3401 Plan Check roes 3.25 Perron lee S1ToldFeest - -- 322' . 3401 O WtOPAIM SERVICES I!EqUI UENTS: - 3403 Rail,lft AW401N RF _ -- _Otte 3412 Other stimmaT G! Permit Fees 3Lr0 Building S _ /.t2• ozi 3221 Plumbing 3222 Electnc)t T 3!23 mechancal j 3224 Retention j ^ i22-c - 2301 V? Rex. 2302 SMIP cm. 322' . 3401 O WtOPAIM SERVICES I!EqUI UENTS: - 3403 Rail,lft AW401N RF _ -- _Otte 3412 Other S Semtutry of Nall Check Fees duiding j _ _ lumbing j —- fkcUlcil frtcc hanicil j — -- Ctntf Pynnmg j 1e1e1 INS Due j _ /• /" ' 2 0 1 N G W r t 1 F= ia E m C IJ ! c! a' 01 t z Q J C' tF-I a a tl m s Y m° i 1 , C t I I z A•: f z t r of CL) s i g hI W" zi Q o Z CL > c W J v a 0 U 03 all 5 E c a 0 5 ul ii c mac- I O Q al c F.n m E Q Ubb o i io! L o 7 I« a 2 L Q I (L t'A LL W t t Q 111. WI 1 i t 1 F= ia E m C IJ ! c! a' 01 t z Q J C' tF-I a a tl m s Y m° i x U Ul 0 0 F Q 0 cc aa Q Mao 9' ' t y I, t 1' p 1 F 1, Y t- t p. s i:• I i t ul i- I LU LL - I a J H; z' CL a LL. I ff rili ° i > 3 j LL ° ocl OI E H 1 0 a > w' Q 3 Y t i Q+' -1 N a3 >r a Oi j 1 1 ! tn'! c Oi o! 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OC F- u` c O w ii ii LL 2 r LL I I i { i ! 1 , C t I I z A•: 4) I I ! of CL) s i Z 2 I o3I c i IQNF.n r i d F N of T I c l ca 7 F O x U Ul 0 0 F Q 0 cc aa Q Mao 9' ' t y I, t 1' p 1 F 1, Y t- t p. s i:• I i t ul i- I LU LL - I a J H; z' CL a LL. I ff rili ° i > 3 j LL ° ocl OI E H 1 0 a > w' Q 3 Y t i Q+' -1 N a3 >r a Oi j 1 1 ! tn'! c Oi o! Q -Z. c N E ' Ooi aL } al I > X m aj utj v°fi U- a a l I s O: OI O! u{ 41 is dsl LL ui LU WI - i =I O s i ` ' 'c r I i I r E' I I I I j { Fl EI } mi LL > tY: Ui ztff } t zi m m I s`_ r Of «.'ll W) LLo$ II ZTf i ! ca C' t ' •'+ fT ~ 1_ 7 pi LL t _ , ci • -- tt -)L V ` " V. i I o! •n c r'! I - c Q ,' ` t1 o; c ul ,i --1 `1 Z QI I r` I I •M ! _ 'c M ai LL I } r cl Zt - i i 1' _' r,+ LL , ` ` ui NI I I of u ' ml 2 F 21 Ci ts. c zi a U M, NI crI Ei . E , a' ' CA m; _o o, r, !J `} d c. 03 F.. a L, ,01 I -Z- J' p _ -• H. ai ; c:i , f I of a l ufl W W > d i LLj I of cI al O `-' uf ` C7 a iif. O; I - ' QI z CC col ' u' x c ' c I I as a, r vr} if i • } i o $ o tt A = T! [) c c of cl -° Q' O v' 0 0 , 0 0 O i a} I Chi f mj uJ Cr G _ x IT OC :t IC J I C7 I u. OC F- u` c O w ii ii LL 2 r LL I I i { i ! 00BILEHOM( INSTALLATION f FORMATION K E Vi NA r L f_ un. SPACE A4'r PARK EADDRESS l E OR LICE'IS r CONTRACTARNAM £ I0. % ADDRESS, ikii s MI6 i F' MOGILENOME i w Lo LINE LOT PLAN LOT UTILITY SERVICES MOEILEHOME DATA GAS: NATURAL k__ _ LPG SIZE: LENGTH (ft) 'rIIDTH (ft RISER SIZE t 4 MANUFACTURER: ` rw DRAIt! INLET: SIZE 'V VEHICLE SERIALlHCDWATEROUTLET: SIZE 4 INSIGNIA OR HUD LABEL NO: IGAS SUPPLY INLET 11 ! I SIZE: ELECTRICAL: GAS CONNECTOR: MATERIAL CAPACITY EQUIPMENT RATING ? (amps) 3 UH DRAIN CONNECTOR: II1ATERI r. CIRCUIT BREAKER RATING (amps) MFG, — WATER CONNECTOR: MATERIAL 0 PERMANENT M- POWER SUPPLY SIZE , /•, ELECTRICAL FEEDER ASSEM9 WIRING CONNECTION -_ -'_. CORD CONNECTION RATING _ _amps CONDUIT SIZE RECEPTACLE, RATING WIRE SIZE & TYPE amps) ELECTRICAL P014ER SUPPLY -0 RATINGSE3PERMA4ENTOR PORARY STEPS am s' MOBILEHOME ELECTRICAL PROVIDED AT 1' ME OF INSTALLATION NAMEPLATE WING r amps). 77 HCO 538 MHi APPLICATION - SUPPLEMENT -9- I mom PIER SPACING -- F (3.-o- ...w.wr.- o.. — i,. ....0 GOLUMN SUPPORTS M 0131 LEHOM E SUPPORT FLAN rnESIGN OBIL.EHOME DATA LOAD BEARING SUPPORTS RER' c INSTAL AION "INSTRUCTIONS FtANUFACTURED SUPPORT BLE? t!d'Ye; ©no LISTED A'6 LABELED CAPACFTY (lbs) ANUFACTURE •- f5- Q FIELD ASSEMBLED SUPPORT OF LIVE LOAD (asf) DESiG' CAPACITY (lbs) DES IGI WIND LOAD _ i (Ps') MAXIMUM ALLOWABLE PIER SPACINGJ,21. (ft) --- REQUIRED PIER CAPACITY 2- (lbs) FOOTING MATERIALS REQUIRED COLUMN CAPACITY ,. -- (ibs) REQUIRED TIEDCI''}J SPACING V (ft) x PRESSURE TREATED LUMBER REQUIRED TIEDOW ?J CAPACITY (lbs) SIZE] tW CAPACITY 0 315" THICK CONCpETE SITE DATA SIZE _ _ CAPACITY (Ibs) I OTHER APPROVED MATERIAL LLOWABLE SOIL BEARING PRESSURE 4W Ppsfj 3ATERIAL ESTABLISHED WIND PRESSURE AREA ) (Psf) ' "`- — I SIZE CAPACITY albs) IEDOWNS REQUIRED? Yes 0 no - -- REQUIRED ROOF LIVE LOAD __ 2 (PS) i NOW LOAD MAINT. PROGRAM C1 ye T I EDOWNS PARK APPROVAL. MANUFACTURER r ( ; RATED CAPACITY (lbs) INSTALLATION f 1 PPROVED _!_ -- SPACING ' I.__,. -- ift) PARK OWNER/OPERATOR/MANAGER 10- PERMIT NO: 971- 00000388 cit of Lake E 130 South Main Street PERMIT DATE: 4/10/91 JOB ADDRESS . . . . . : 32900 RIVERSIDE DR TENANT NBR, NAME • . : SPACE #69 DESCRIPTION OF WORK . : MOBIL HOME CONTRACTOR - OWNER GARY LEE GRI'LTON EL iyiQRO INVESTMENT CO— 20440 G'JFFY LANE 8H 11 COAS`1' HWY LAKE ELSINORE, CA 92330 LAGUNA BEACH, CA 9'1551 714 - 674 -2178 LIC 539287 EXP $/31/92 SQUARE FOOTAGE 0 A.P.# 379- 060 -001 0 OCCUPANCY HOTELS /APARTME:7T HOUSES GARAGE RN L . FIRE SPRN1iLR CONSTRUCTION TYPE V- NON RATED ZONE . NA VALUATION . . . 25,000 BUILDING PERMIT ITEM CHARGE QTY UNIT CHG 123.00 BASE FEE 23.00 X VALUATION FEE SUMNLARY ~_ CHARGES PAID DUE PERMIT FEES - 120.00 .00 120.00 BUILDINDI EPGERRMIT TOTAL 120.00 .00 120.00 SPECIAL NOTES & CO_ N DITIONS MOBIL HOME 7,NSTALLATION IN BUTTER FIELD MOBIL HOME PARK YHHS IS YOUR RECEl" 4-10-1991/ HEN MACHINE VALIDATED 2109 P'M/$120. ACC1D:100- 32.20 -C 02- f4C24/MTRAIL- OUST ? #9L-4 REV. DATE 11.1.911 M me_ Please Read ond;nitlolg F Ci'iy of Lake Elsinore ;. 1 am Licensed under the peovl :ions of StolfMil 0(4 ?ti»fesslanal In full force BuildiiYg aftty j ?iwisirll Code Soctien 7000 of seq. and my licvnse Is . 1. I. as owner of the property. or my employsiss tk/vvages as their sole compensation will do the work and 1110 Ittuclure is e Post in conspicuous place not intended orc'fbred for sot*. 3. 1. os owner f the property. am exclusively ce`OtF ,a;titig voith onaL ofC licensed contractors to constrict the project. I hnve a certificate of consent to seifinsure or . re tificoie YOU must furnish PERMIT NUMBER Workers Compensation insurance oe a certified copy thotreof_ 4*_45- end the JOB ADDRESS for each 1 shall not employ arty parson it any momer so as to become respective inspection' subject to Workers Compensation Laws in the performance of the Apptoved plans must be on job work for which this hermit is issued. at all times' Note: if you should become subject so Workers Compensation after making this certificol:on. you must forthwith comply witht such previsions or this permit -:roll be deemed revoked. Code Approvals Date inspector - ELOi Temp Elec Services PLO; Soil Pipe Underground ELO12 Elec Conduit Underground SPOT Footings SP02 Steel Reinforce rent epOCi Grout t OPO4 Slab Grade fL01 Underground Wafer Pipe SSOI Rough Septic System SWOT On Site Sourer PLO3 Rough Plumbing EL03 t Rough Electric- Conduit El 04 Rough Electric- Mring EL05 Rough Electric -T -Bar ME01 Rough Mechanical u _ ME02 Ducts. ventilating P144 Rough Gas Pipe -Test PLO2 Roof Uroins EPOS' floor Joists BPO61 Floor Sheathing 8P07 Rcof Fanning BPOS Roof Sheathing, 8P09 Shear WCII 8 Pre -Lath Bp10 Fromino 8 Flashing 8P11 Lathing 8 Siding BP12 Insulation 8P13 Drywall Nailing PL" Final Plumbing EL" Final Electrical FME591 Final Mechanical BP99 I Final Building Code Pool 8 Spa Approvals Dote InIspeclo, 1 Pool Steel Rain. /Forms 2 Pool Plumbing /Press. Test 4 Pool Fencing/Accts: S Pre - Plaster RoughPoo;;aeciric? F;nol Pool /SOa 9 Final Solar Sub lilt Approval a F i E_ City of sake Elsinore 130 South Main Street APPLICATION FOR BUIILDING PERMIT VALUATION CALCULATIONS I st FLOOR SF 2nd FLOOR SF 3rd FLOOR SF GARAGE SF STORAGE SF DECK & BALCONIES SF OTHER: SF GRADING CUT CY FILL CY VALUATION: ? L FEES BUILDING PERMIT $ -_ PLAN CHECK -- ADE)ITIONAL PLAN CHECK — GRADING PLAN CHECK _ MICROFILM —_ COPIES _- IMPRO FEES SCHOOL FEES i_d PAID DATE i certify that I huve reuo this oppiica ;io i $nu >3 1-fEnt -fhe._ above informoti*n is cor-eci. I agree to comply with oil city and county ordinances and state lows relating to building construrtion, and hereby rithoriie representotiv 'ts of this city to enter upon the above - mentioned property for inspec• Con purposes. Signature o; Aoplicam or Agent Dote APPUCA PION NO. q1— W __ AF'PLICATI ECELVED DATE - -LI—t /y II y y LATLS ACT KOCK /PAGE' LOTlPAR, AA Poo O CttY/ .• /, SIATEiZIP 173 3 hire o!tirm that 1 orr ficertsed .dons of rhWer 9 (cu with Section DOD7 d D+rislon 9 of tha eutiness rotesslons C..Ae. mi my license is in full force a< o-•d eF}ec1. XTW_S a I f My XU NESS AND CLASS .'73 , `• TN[/ iArAM55.2At)eRE55 cep -7 1/r -' 1 `. att -- TE. zIP PttOkE 7iv =d CONTRACTOR'L ATURE DATE' NA1AE LKENSE e uZ ssra.itlt,4b iF< STAFF ,2rP PHONE NEW .REPAIR OCCGRP., coNST. DIVISION: TYPE: ' ADDITION _MOVE NUMBER OF NUMBER OF STORIES: Z9__ BEDROJMS`' ALTERATION __:DEMOLISH ZONE: G 1HER X&NGLE FAMILY units HAZARD AREA? YES NO APARTMENIo unitF — t CONDOMINIUMS units SPRINKLERSREOUMEO? YES OWNHOMF,S units PROPOSED USE OF BUILDING: COMMERCIAL _INDUSTRIAL PRESENT USE OF BUILDING. JO9 DESCPiPTIOPI - -- AGENT FOR LJ CONTRACTOg.,c*`10WNER r,i 'T ti AGENT'S NAME ..— „e_— _ 5.e— r.— . - - - - -. goy =>,b AGENT'S ADDRESS _` STREET CiiY STATE ZIP REV. DATE t t -1.90 o 7' PERMIT NET: 91- 00000759 City of Lake Elsin.ore-1 PERMIT JOB ADDRESS . . . . . : 32700 RIVERSIDE DR J -5 DESCRIPTION OF WORK . : DECK, WALKING OWNER PALMER ERVIN PALMER CAROL CONTRACTOR OWNER 130 South Chin Street DATE: 7/19/91 A.P.# . . . . . . 379- 070 -007 SQUARE FOOTAGE 0 OCCUPANCY . . . . DWELLINGS, LODGING HOUSES GARAGE SQ FT . 0 CONSTRUCTION : TYPE V— NON RATED FIRE SPRNKLR . . VALUATION ZONE . . . . . : NA BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 45.30 1.00 X 9.0000 VALUATION 9.00 FEE SUMMARY PERMIT FEES BUILDING PERMIT OTHER FEES PLANNING REVILW FEE PLAN RETENTION FEE SEISMIC GROUP R PLAN CHECK FEE TOTAL CHARGES PAID 54.00 .00 DUE 54.00 1 10.0 0 3Ll rte 00 lD- tln 0 0 _ __ 10.0 0 3Ll1.50 00 1.50 50 00 50 35.10 00 35.10 101.10 00 10 10.- THIS IS YOUR eECEIr7 0'J -W DMAINE i ACCT *:104- 32'0 -30 oz- +sus Il 1gg1s , . z 32•- 1g 3E5 UnTiS OIx` NWMV ALAN REU1Ev R£d -75 REV. DATE 114.24 Please Rood and Initial: - City of Lake Elsinore 1. 1 am Licensod under the provisions of Business bed Professional Gcf Cudn Settle- 700,1 of seq, and my license is in full force. Building Safety Division q, I, as owner of the property. or my employstes w /wages os their tole compensation will do the work and the structure is Post in conspicuous place not intended or offered for sole. 3. 1. as owner of the property, am exclusively contracting with n t1L1 o licensed contractors to construct the project. t have a certificate of consent to selfinsure or a certificate You must furnish PERMIT NUMBER C eAN of Workers Compensation insurance or o certified copy thereof. and the JOB ADDRESS for each •i! S. I shall not employ any person In any manner so as to become respective jnsoRction' subject to Workers Compensation lows in the performance of the W work for which this permit Is Issuvd. Approved plans must be on job Note: If you shou!d become subject to Workers Compensation at all times: after making this certification, you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector ,- EL01 temp Elec Services --- PLO) Soil Pipe Underground — EL02 Elec Conduit Underground SPOI Footings BP02 Steel Reinforcement OP03 Groul BP04 Slab Grade Pi.Ot Underground Water Pipe SS01 Rough 13ptic System SW01 On Sitc sewe PL 03 Roug +Plumbng ELM Rough Electric - Conduit ELOf - Rough Elac : ric- Wiring EI. Rough Electric -T -Bar ME-01 I Rough Mechanical ME-02 Ducts. Vanidating PLO4 Rough Gas Pipe -Test PLO2 Roof Drains BPOS FioorJoisis j- BPu6 Floor Sheathing BP07 Roof Fruming BPGe Roof Sheatning BPO9 Shear Wall 8 Pre -loth BPIO Froming 8 Flashing BPI 1 Lathing r3 Siding 8P12 Insulation BPl3 Drywoll Nailing t.99 Final Plumbing EL" Finai Electrical MF.99 FinalMachonrcot BP99 - Final Building Coda Pool 9 Spa Approvals Do!a Inspector 11001 Prol Steel Rein. Forms P002 Pool Plumbing /Press. Test P003 To Gunrte P004 PoolFersing /Accts, P905 Pre - Planer EL06 Rough Pool Electric PM SL99 FinnlPool /Spa Final Solar Sub list Apps Duel T r __^_ -- Fit APPLICATION FOR BUILDING PERMIT VALUATION CALCULATIONS 1 st FLOOR SF 2nd FLOOR SF 3rd FLOOR SF - GARAGE SF STORAGE DECK & BALCONIES SF SF OTHER - SF GRADING CUT CY FILL CY VALUATION: FEES BUILDING PERMIT PLAN CHECK VJ DANA 1,,I;. A99fTK)NAt+LAN CHECK GRADING PLAN CHECK s D Ir-10 MICROFILM COPIES IMPRO FEES G SCHOOL FEES G City of Lake Elsinore PAID __ DATE C 1 certify th+vt i have rood this application and state that the above information is correct. I ogree to comply with o!I city and county ordinances and state laws relating to building cons ^ruction. and hereby outhori:o representatives of this city to enter upon the above - mentioned property for inspec- tion purposos. 3ignoture o Applicant r Agent D AGENT FOR G CONTRACTOR 0 OWNER AGENT'S NAME AGENT'S ADDRESS _ STREET CITY STATE ZIP 130 South Again Street nr c 5/ DATE By LotrrAacEL UK PHONE +" -- - ADORESS / LJ.I J / W .I% j2- _ 1,'1 CITY STATEIZIP -- I hw by e}Firm fhei I em Ikenwd undo[ p[avi[bm of CMopter 9 konanen[In wIl!I SecikYl 7000) of Dlvfswn 3 of 7h410 Mnlneu and Prafanlom Cade. end my 11ccner s6 In IuII to" and aftaN. 2 ucENSE P CITY Sus(NESS AND CLASS TAX u NAME Cm CONTPACTORS FU , PROW DATF LICENSE s PHONE NEW REPAIR OCCGRP./ CONST. DIVISION: TYPE: ZADDITION 0MOVE NUMBER OF NUMBER OF ALTERATION DEMOLISH STORIES: BEDROOMS: _ GOTHER ZONE: SINGLE FAMILY units —' - - - HAZARD AREA1 YES NOAPARTMENTSunits _ EXONDOMINIUMS units SPRINKLERS REQU'RED? YES NO TOWNHQM ES units PROPOSED USE OF JUILDING: E:CCW1 MERCIAI. INDUSTitIAI PRESENT USE OF BUILDING: I JOB DESCRIPTION '490 c Y K X REV. DATE 11.1.90 Project -3 q ay t i!['IS aAe t - _ 9 ' y_ CITY OF LAKE ELSINORE CONSTRUCTION PERMIT' c*! No. _ Applicant to fill in all spaces except thost within heavy border line; and sign all appropriate declarations t vvne, syName Lcf. l 1LR JQ_ /i7 f Phone ± PER T NO TRACT NO Outlets Address I LOT N0. UNIT N0. Arch/Eng. _License No. Address TTPEOFCONSTRWr" X NEW ,' ADD ALTERATION O REPAIRCCONVERSION n'' Contrar .or's Name17 y [ 1 R /T !1 jir , J'- Pi,ons _3 a' DEMOLISH 9TER D SCRIPTION OF WORK /UST; OF BLDG y X 30 i4 cut/ 9 xr0 —'-- - A.P. # Address If»eitingl.3 0i1iZ /YC f J/ G il r, Tom- W-, . G TTPEOFPERAIrr GIRDING s E Alain Building: Gty i.:rof ,, No. _ 73 FOiJh'DAT1ON .t - $rR(1CTURpE r TENANT 7 ELECTRICAL T Front I LrCF_NSEt] CONTRACTOR DECLARATION PLUM9tNG L MECHANiCAI OTHER g Rear1 , r.ereby 3ffie r. chat I am licensed under provisions of Charter 9 (commencingw,th section Icon) of Division 3 of the Business and Prcfessiors Code, PROJECT DESCRIPTION $Q F }. -- — Occupancy —_ AA Rioht altomylicenseisinfunforcetnQeffect. ConsOuchoa Ape Z"e r K LeftLcenstclass {; = I tb 8— d Siur.ature il`i valuation S 3, C[`O P - _ g WORKERS' COMPENSAytON DECLARATION Remarks Ping. Ref. # I hereby affirm that 1 nave a certificate of consent to self-insure or a certificatef j Alter, Repair AUTO Wash Planning Notes o, esii s L•Code Law for mefoi!o,v,nq reason (Section 7031.5 Bus,nes; antl- hr6) rc or S ai Code: Any cry mcnuntywinchrequires 0 WOrke•s Compensation Insurance, of a certified copy thoreof (Section iC Lab. C.) Po:CePO! No. Company cepy,s hero'nyrurnrshed. 3; - Fixtures Heating System & Ductingapermit issue to, Onstru[i, altar, imorlce, demolish or repairanystructure, prior to '•S issuance, also requ,rOts.'tr,t appl.,"a11 for such permitton ;e Outlets cettrfi¢tl Certified copy Is filed with the city SuOdin 4 Division- a signed statement that ne /she ,s I,ccnsetfp...,suaw , . the provisions oft'-e Contractor's License Uw (Chapter n (comme i,inq cairn Section 7000) ofDivision3 A Y a' Hood Or Canopy r— liAe ter C up tb 200 amps ate _ Applicant by any applicant for a permit subjects the applicant to a civildandifyofnotmoreroanrivehundredloiterscasacj. EXEMPTION FROM WORKERS' COMPENSATION DECLARATIONThisSectionneednotbecompletedifthe P•Tra 1, as Owocr of +Ire property ar my employee, v.,tn wages as In eir SOIL will UO IhC wOrkr antl the structure it nr,: ,r,tenaed or offered Mm S41Co, sale ROOf Grains permit is for one hundred (5100) orless). Sub panel 4 1 Certify that in the performance of the work for w`,ich this pet it ;Sfi,suedfhallnotemployanypersoninanymaiwerO System Repair /Alteration such work hims¢If ;h¢rseil r: tnro cn ha o• her own empioyeef, provided that such improvements are no: ntcr leu or offered rbrsale. If, however, the building 0 50 +KW SObj t to tI,Colkers:_•eompeqlsatlon La of canto( - ate - =7 0 y PLUMBINGi FEES ELECTRICAL _ r FEES 41ECHAli: '.; snatu.e tY hS " r"' ` - -- NOTICE: If, alter making it decld ration, yOp ShOUtd bei0me Subject to theWorkers' Compensation provisions j Alter, Repair AUTO Wash Inc. Solar 09.15 HP 016.15+ Generator L 0 5K'N C 5 15KW Boiler as owner of the properly, am excns,.eta nnt,aCtirl; «r•. -,ce, sea con- 07sto lnnstr Uct file project (Section 7044, Business an3 Pr ;fess,a,,s Code: The Contractor's Of the L3bdt Code, you must forthwith Comely with Such provisions or this permit shall be aeemed revoked, CONSTRUCTION Backflow Preventer fConstructionPoleSuh. Duct -Under Ground, SWlmniiD Povl/ EN6tNr AGENCY I ne *eby affirm that there ,s a cr,nsirucann tendie 9- agency !pr the performance7ftheworkforwhichthispermit BaCkfIUW Irrl 1i0r< ^- Cooking Unit Pole Li ht ' Duct - Structural rs rif 6tl (SechOn ?,t797 civ_ c.) Lenders Name Clarifiers Fan •Ventilating Lender Address _ Dishwasher W er service L Dr ers C1 CElectric t Exhaust_ Systemy _ OWNER BUILDER DECLARATION - -- I hereby affirm that l am exempt ,rnm 'he c Fixture Trans ea. fan F-- l_- -,i___ f Evaporative Cooler o, esii s L•Code Law for mefoi!o,v,nq reason (Section 7031.5 Bus,nes; antl- hr6) rc or S ai Code: Any cry mcnuntywinchrequires Floor Drains 3; - Fixtures Heating System & Ductingapermit issue to, Onstru[i, altar, imorlce, demolish or repairanystructure, prior to '•S issuance, also requ,rOts.'tr,t appl.,"a11 for such permitton ;e I Floor Sinks Electrical Outlets i_70•1U0,000 BTU 0 G a signed statement that ne /she ,s I,ccnsetfp...,suaw , . the provisions oft'-e Contractor's License Uw (Chapter n (comme i,inq cairn Section 7000) ofDivision3 Gas Service OUlIe1S Mechamcal SWIfChei Hood Or Canopy of the Business antl Pro,ess,Ons C spe` nr that re ;she is exempttlRrefrOmandtheba"S (Gr the alleged axerr,pt,pr , Any v olati,,n Of Section7031.5 Interce tors r— liAe ter C up tb 200 amps Type 1 O Type II ; by any applicant for a permit subjects the applicant to a civildandifyofnotmoreroanrivehundredloiterscasacj. Refrigeration SystemP•Tra Meter L over 200 amps 1, as Owocr of +Ire property ar my employee, v.,tn wages as In eir SOIL will UO IhC wOrkr antl the structure it nr,: ,r,tenaed or offered Mm S41Co, sale ROOf Grains Sub panel 0100,000 BTU ( 100.0 fire I /FSCL Bit. ICBO # Ten, Sect-on 7044, Business and P,ofess,ona, C,ce: Tr.e Contractor'sLicenseLawdoesnotapplyf0anownerofaprope., r ,.t.,, ou,l:;s or improvestne,acn, alto who does Trailer Sew,( Sewer Cap Transformer t1 15 50KW System Repair /Alteration such work hims¢If ;h¢rseil r: tnro cn ha o• her own empioyeef, provided that such improvements are no: ntcr leu or offered rbrsale. If, however, the building Sewer Connection • Bldg. g• 0 50 +KW Fire Dampers m improvement is soic within one year Of coin• plet un, the Owner will have tho burden of pro Ping hi :,Vie r d not bill,, or Im- for Motors C7 0.1 HP 01 /n- $ RegistersSolarCollectorsprovethePurposeofsale). Inc. Solar 09.15 HP 016.15+ IncineratorSolarPipingasowneroftheproperly, am excns,.eta nnt,aCtirl; «r•. -,ce, sea con- 07sto lnnstr Uct file project (Section 7044, Business an3 Pr ;fess,a,,s Code: The Contractor's Sing /Fain. Res. Mise. Solar TankLicenseLawdoesnotapplytoanI. ryn• _; ,ri --ucrIy who1) 111S nr ,r,prnvcs th¢renn, and v.nn contracts for sot^ pin Oct$ with a con. t fact Or(9 license SWlmniiD Povl/ MUI}I•Fam. Res. I Swimmer Pool /Spapu,suant to the C,nntfacl OJ•s License Law). t am aware thatproof0he, Vror er'S Compensation g-- insurance should be provided t0 me. 1 am eecntpt under Section P. for Water Heater tSSU2C. this reason Owner W er service Se tic System 0EIOPMkNTSERVICFSREQUiRF.I UM: Maneanon ,s fenrrect. fl agreerl "h OmP1Yppl'h allrcityandaco my ord1 ancesi,ndttl41, laws I x relating tr, buntl,nq Const,u inn and hereby author'tsc JtaniagIntahvoso. this coy to ¢ t¢r >` ab •mentioned Property for AP:fRT _DatR _ S- 9natilre Pu' ,,(r sQQ(( b long 4PfM4 BS,gnatlt'e `±!'t1.."' gr __ Date3_,7a ISSUe AWKSWObNdB) Drivers' License nr SS'fr !%/ N(u!e•Bmkitng: Grcen•tempaafy File Copy: CanaryAssessor. Plnkdpplicant. Goldenrcd•Accounl,Og NN N G k_ in Req. /Provided 1 E O ACCT. p' GRADING FEES Cut - Cu. yards i9 ---- - - - -cu yards 33f0 3370 Plan Check Fee $ -- 330x3312 Petmnfee S — total Fees S _ 3309 -3312 Summary of Permit fees dwtdmf S - r —TCl !iU S Phimbing Electrical Electnca! Mechamcal S — -- Other S HI-2 31 SMIP Res 110,32 SMIP Com M60 3370 1 Summary of no (;Tali Fees 3603315 + Ptaae,ng S Toth! FM we S -6-0, 6_ PturD,ltg S Electrical Other S — -- 3603315 + Ptaae,ng S Toth! FM we S -6-0, 6_ WI I Z. .i w ca LL N ml ,. V +'I ~ W LL oa ail c sl rj O a ti — Q , . W o. ya . • 1 I 1 ;_ I O N n ;? c h+ c ,' , as , v n.' j. iQ y >, .O '. S :I' ( - • Q C C m j a) Gl J J aCi LL{ 4•!Q y ? - .O.....- a `-, .•'- z'• ui •m — >( -j c Q r tnI _ .m }du Q p c S o a yI J w A i I I °iS tL H `- O `- a o> io' i o c to - 6 vaf w ° m per-. _ I c 0 li J { + ! 1I . r t s. {{ p v m C3 to - a I I Q a o LL w m a w (7 m Q l im 1 u N ti Q LL_ c > X W Z Z iIODOuO( = is ti k CL ti A I y i zQIw o 0 0 W u Z o O k i Q C9 1 r7 i I I CL > 1 O G c Q C I I pC Q U y .a 0 C m U 'j z I N m L• ( I I Z C G I aCi U O . 1 y O I A ca I _ I c{ ( Ir,' O W 'a •p y I i rn ti — ail ' •G I ! G t!! 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CITY e ' CUiTRNAME C-: .._ STATE kG L,,/DR tiAlAE fl r!'7 e yJ C 6Qr i/ SPACE N,1 PLOT P PER Iw#) HIS IfJ(3'tt Wt5i Al fit! miCTISM " 1 i i I i I I i is, a 7Y' d.. i I I I r f ss - - - -- c 2 r i STREET o I , x ( i r I t r" s i I r y SPA NO. o. - --.H Nf- THE UNDERSIGNED HEREBY APPROVE THE INSTALLATION OF THE ABOVE S7AUC:TUkE - _ - -- - _ -- AND IN ACCORDANCE tviTH APPLICABLE PROVISION OF THE HEALTht AN U SAFETY CODE AND RELATCD RULES OF THE STATE OF CALIFORNIA, 5) AND AGREE THAT THE INFORMATION IS CORRECTTENANT PARK MANAGER SIGNATURE F -OP•M AA111 -- - --- '- SIGNATURE -- S here"On' ant" the bas's for the Al"t-1 exOmptirn• Any v, )la :ion, of Saclion interceptors Meier a up to ?Cb arlDS Refrigeration7031.5 by ar,y applicant far a perm,; SUti)ects tnC aPG+icanr so .urn geration System penaity ni not mere tnaa rive nundren uol,ars (5500). _ P -TrB_ _ I Meter ! ! over 200 amps I OD 100 000 BTU ^inn non RTnIs - as owner Of the PrnpCrty of my ecnoloyees wrlh ,vA2 *S as their sole RaO. Drains _ .Sob 371e1 -- - som„ensallon, will d0 the walk, ano the structure 'S not I.ltended or cffered I -- — u Fire GFaeI. Blt. ICEforsale (Section 7044, Business and rr)fessror.al Code: The Contract Tfailar Sewer M1 D 15.50KW Systen Repairr'AlterLicerseLawdoesnotapplytoanOwnerOfaproperlywhobuildsOrimprovesSewerCap , Transformer I'- ereOn. dntl whu does such Work h,mselfjner ep or ?"rough his or her own C1 504-Kw _ Fire Damperscrnpfoyra, provrd.d ;her sucn Improvements arc not intended or offered for Sews Connection -Bldg. 1 fV10tOr5 i 0.1 HP [] jX . 8- talc. lt, nO waver, ene building or :mDroveril @lit it !Old within One year of co in• - - - v -- i Ni!ItSterSp?e6on, the owner •r„n nau ire burden of n•uvi a heisle ore not ourd or 9m• Frolar Collectors i Inc. Solar [!9.15 HP 016.16+ pruvo turine purpose Of sate). _ __` Incinerator _ r, as owner Of tl:e prope,ty, am er.C:usfrcly contracting with licensee con- SGT.:' Piping _ ' $inglFam. Res, Ira--tor, Ia constract tilt p•ojec' (Section 7344, Bus ness and Professions Cede: SOlat Tank --' —V' Mise- he Cnnlractrf'S License Law vies not app,y tD An owner M property W'10 ' Illuiti -Fam. Pies. flacy nr mlprnves Inereon, and v.nn contracts ' -: sucn proleca witn a con. Swimmi'ngPool /; 1a I SWinmiDg ?001 /$pa - - IrA[T.,r(S iii ante rl.wsuant r0 'lie Cr,nirdC Cr'S L•Canse Law)- I am aw7re that I prop! n lI' I.r Worker's ::0m0er,;at,On insurance Should be OrCov'ded to me. I Water Heater — IssueIamexemptunderSect,On ___ -_. _ e. L P. C. fOr this reason x I 1 rVICe - — Date _ _ ._ Owner - - —— — - —_ -- i Se tic S ateiil f Hereby ccr!,ry teat I nave read [lots apnnzalinn 3110 slate that the aboaa _ ist- ___ _ l>EIEIDPrE TSER/N SREQbIREMENTS: on to ,r correct. I agree to con,piy Allr. ail colt antl [J•; ntV Gty.n..nces , -- astl state laws re lal on to but 111 rg c Iructinn And nerM y aclnrroaa in /AMr/esd 1JSa1talivesnrIhrfCrttoenteruOnthtpro• — InS,laClron purpoia 4 db nve•man Nr•netl Properly for AWO*d4 •-. + r/_' %% Sigr aturo _. -'t - __ 0011e _ 1 Dart /i 5rG Is:ua AOpftatwalsswdly -- Dr,wtrS' UCanSa !.r SS Wlhte-651Ahet. Caoary•Temporary File Crpy. P114•Atseisor, (iddenrcd-Applicant -_ ACLT. 0 3401 3215 11 3222 3223 Met 7301 2302 3225 3401 3403 3412 I, . WCE1VIE0 1342 3'!1.'f 134.00 Z N G A i./Novlded _ e PA r T S1 SNOff? FEES Cut ca. yards Fih' _ - - - -cu. yards Plan Check Fee S Permit Fee 5 _ -- Total Ffh.,.'r s - - Saa weary d limmit Fen7!EF Building $ ZZO •O Z) - Plumbing s Electrical $ - Mechanical S Retenhm s -! SMIP Res S SMIPCom. S -- Other $ — Ssminary Of Filsn Check Fete Building $ _ -- - Plumbing $ - Electrical S _ - Mechanical S - Other ; _ - Planning TOW FENS ON $ _ r I r ` - pQ CCITY OF LAKE ELSINOPE CONSTRUCTION PERMIT assessor's Parcel No. _ AApplitent to fill in all spaces except those within heavy border lines and sign all appropriate dr aratirns Owvner's Neme ! 21 Phorse __ PPE IT NO • TRACT N0. LLOT No. UAddressJGyJr _ 7 I1 " -- UNIT AIO. 7 a TYPEnFODTISTTQ1i.T a NEW C ADD :! AITE ATIJN L7 REPAIR g _ E p E . " Cc nrnctor's Vamae_Lphl}"Ii1'b )t' D OF BLDG.___ _ S Jima,ling) S E - FrontLL {ENART 0 ELECTRIiiil 0 PLUMBING ;_ MECHANt„AL - l.fCENSED CONTRACTOR CIECL.ARATION _ ! OTHER -- AA RRear - t ±:ereby affirm that I am iicense0 under prOris:ons of Charter 9 (commencing PPROJECT DESCRIPTION: $r!. Ft /-St. — (}etupancr _ C RandPrAfiesslonsCnde, and C C LeftLicenseClass _ 1 'e , rp, Valuaticit _ pCy -- g ' C SiTnaturc "', ' Remarks Pl Ref. ale WORKERS• COMPENSA. ION DECLA ATiON R Planning Notes O l 3 Insu!"Icc- Of a certified copy thereof (Section PPolicy `10. —'a— ' __ Company _ w 1 \ Ts• I"r. i_ . y CCcrtrf:cd COOy Is hereby furnished. _ y ( is .- h . 1 f I rerUfy that in the performance of the v'Ork for wricn this permit is slued, I hall Gat enplOy any person rn any manner so as to become subject to the P t,/ = uws of Cahrcrr.ia. FELECTRICAL _ FEES MMECHANICALSlgrt,turc _ A A Alter, Repaor _ G BGilef _ CONST w•:h s:rCh prOV•S,OOS Or tors Oermi; snail bR deemed revoked. BBaekflow PrpVenter - GookirA Unit D Duer•Under Ground i II rereGy afti -m 91149 theft I$ a const: u[tiaf• le o:nr agency for the performance BBaekflow Irrl ation Pole Licht_ _ Duct•StructJral — o 8 t_ - Clarifiers — e?rs Gas CF.ipctric F Lender's Address _ _ Dishwsher _ Fan _ II Evaparat re Cooler 1 hSreny Affirm that ,err. eftrnaf ht r, Inc Contractor* License Law for tie FuseT r rr- Floor Drains Fcounty , ,hlrh reou,reS a perm:! to trnV luck. after, vnpfcive. Oerrloiis' or r._pair - Fixtures - CC0- 100,000 BTU X100.000 RTU with ;action :000) or G Switches _ i hhypo } ,'_T a II as owner Of the PrnpCrty of my ecnoloyees wrlh ,vA2 *S as their sole RaO. Drains _ .Sob 371e1 -- - som„ensallon, will d0 the walk, ano the structure 'S not I.ltended or cffered I -- — u Fire GFaeI. Blt. ICEforsale (Section 7044, Business and rr)fessror.al Code: The Contract Tfailar Sewer M1 D 15.50KW Systen Repairr'AlterLicerseLawdoesnotapplytoanOwnerOfaproperlywhobuildsOrimprovesSewerCap , Transformer I'- ereOn. dntl whu does such Work h,mselfjner ep or ?"rough his or her own C1 504-Kw _ Fire Damperscrnpfoyra, provrd.d ;her sucn Improvements arc not intended or offered for Sews Connection -Bldg. 1 fV10tOr5 i 0.1 HP [] jX . 8- talc. lt, nO waver, ene building or :mDroveril @lit it !Old within One year of co in• - - - v -- i Ni!ItSterSp?e6on, the owner •r„n nau ire burden of n•uvi a heisle ore not ourd or 9m• Frolar Collectors i Inc. Solar [!9.15 HP 016.16+ pruvo turine purpose Of sate). _ __` Incinerator _ r, as owner Of tl:e prope,ty, am er.C:usfrcly contracting with licensee con- SGT.:' Piping _ ' $inglFam. Res, Ira--tor, Ia constract tilt p•ojec' (Section 7344, Bus ness and Professions Cede: SOlat Tank --' —V' Mise- he Cnnlractrf'S License Law vies not app,y tD An owner M property W'10 ' Illuiti -Fam. Pies. flacy nr mlprnves Inereon, and v.nn contracts ' -: sucn proleca witn a con. Swimmi'ngPool /; 1a I SWinmiDg ?001 /$pa - - IrA[T.,r(S iii ante rl.wsuant r0 'lie Cr,nirdC Cr'S L•Canse Law)- I am aw7re that I prop! n lI' I.r Worker's ::0m0er,;at,On insurance Should be OrCov'ded to me. I Water Heater — IssueIamexemptunderSect,On ___ -_. _ e. L P. C. fOr this reason x I 1 rVICe - — Date _ _ ._ Owner - - —— — - —_ -- i Se tic S ateiil f Hereby ccr!,ry teat I nave read [lots apnnzalinn 3110 slate that the aboaa _ ist- ___ _ l>EIEIDPrE TSER/N SREQbIREMENTS: on to ,r correct. I agree to con,piy Allr. ail colt antl [J•; ntV Gty.n..nces , -- astl state laws re lal on to but 111 rg c Iructinn And nerM y aclnrroaa in /AMr/esd 1JSa1talivesnrIhrfCrttoenteruOnthtpro• — InS,laClron purpoia 4 db nve•man Nr•netl Properly for AWO*d4 •-. + r/_' %% Sigr aturo _. -'t - __ 0011e _ 1 Dart /i 5rG Is:ua AOpftatwalsswdly -- Dr,wtrS' UCanSa !.r SS Wlhte-651Ahet. Caoary•Temporary File Crpy. P114•Atseisor, (iddenrcd-Applicant -_ ACLT. 0 3401 3215 11 3222 3223 Met 7301 2302 3225 3401 3403 3412 I, . WCE1VIE0 1342 3'!1.'f 134.00 Z N G A i./Novlded _ e PA r T S1 SNOff? FEES Cut ca. yards Fih' _ - - - -cu. yards Plan Check Fee S Permit Fee 5 _ -- Total Ffh.,.'r s - - Saa weary d limmit Fen7!EF Building $ ZZO •O Z) - Plumbing s Electrical $ - Mechanical S Retenhm s -! SMIP Res S SMIPCom. S -- Other $ — Ssminary Of Filsn Check Fete Building $ _ -- - Plumbing $ - Electrical S _ - Mechanical S - Other ; _ - Planning TOW FENS ON $ _ r Sa 1ta lives nr Ihrf Crt to enter u On tht pro• — InS,laClron purpoia 4 db nve•man Nr•netl Properly for AWO*d4 •-. + r/_' %% Sigr aturo _. -'t - __ 0011e _ 1 Dart /i 5rG Is:ua AOpftatwalsswdly -- Dr,wtrS' UCanSa !.r SS Wlhte-651Ahet. Caoary•Temporary File Crpy. P114•Atseisor, (iddenrcd-Applicant -_ ACLT. 0 3401 3215 11 3222 3223 Met 7301 2302 3225 3401 3403 3412 I, . WCE1VIE0 1342 3'!1.'f 134.00 Z N G A i./Novlded _ e PA r T S1 SNOff? FEES Cut ca. yards Fih' _ - - - -cu. yards Plan Check Fee S Permit Fee 5 _ -- Total Ffh.,.'r s - - Saa weary d limmit Fen7!EF Building $ ZZO •O Z) - Plumbing s Electrical $ - Mechanical S Retenhm s -! SMIP Res S SMIPCom. S -- Other $ — Ssminary Of Filsn Check Fete Building $ _ -- - Plumbing $ - Electrical S _ - Mechanical S - Other ; _ - Planning TOW FENS ON $ _ rTOWFENSON $ _ r C' Project Add( pss 3- 225) Atreetior's Parcel o. Owner's Named c_ LC ± :`, _a horw Address! Arch/Frrg, ._ Cconl, .-': Nam p dFiAfii'lriT iC"i1"} T r !_tom'_- Pho'l. Address (mailing)_. City License No. LICENSED CONTRACTOR DECLARATION thereby affirm that t am licensed under pcovssions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and MY ticpnse is In full force r:d effect. a License Class I ceP 71 - Date —L Signature -- WORKERS' COMPENSATION DECLA ATION I hereby aftrrM that 1 have a certificate of consent to self4nsure Or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C. Q w-r Palle.y No. a' W L"e — Company . LMT44M :D_ ertilled copy Is hereby furnished• erlillto copy is filed with the city alt ng i iii Data..) - ._rr_ APplicanl — EXEMPTION FROM WORKERS'COMPENSA710 DECLARATION Thissection need not tie completed it the permi'. is for one hundred (5100) Or Mess). I certify that on the performance of he work for which this permit is issued, I shall not employ any person in any manner so at to become subject to the Workers' Compensation Laws of California. Date -- — Signature NOTICE: It, after making this declaration• you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply viith Birch provisions or this permit shall be deemed revoked. CONSTRUCTION ;_ENDING AGENCY I hereby affirm that there is a construction lending agency for the performance or the work for which this permit Is issued (Section 3097 Civ. C.) Lender's Name - _ ---. -- Lender's Address _ OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law our the following reason (Section 7031.5 Business and PrOICSSiOndt Code: Any city of county which requires a permit to ConStruCt, after, improve, demolish or repair any structure, pri ^r to its issuance, also requires the applicant for such permit to lite a signed statement that ne /she is licensed pursuant to the provisions of tfie Contractor's License taw (Chapter 9 (commencing with Section 7 )00) of D. vision 3 or the Business and Professions Code) or trial he /she is exempt therefrom and the basis for the alleged exemption. Any violation of SQCFion 7031.5 by ar•.y applicant for a permit subjecti the applicant to a civil penalty of not more than five hundred dollars ($500). L: I, as owner of the property or my employees v-ith wages as their sole compensation will do the work, and the structure is not intended or offered fnr sate (Section 7044, 3us.ness and Professional Code: The Contractor's License Law does not apply td an owner of a property who builds or improves fherenn, and who does such work himself /herself or through his or tier own employees, provided that such improvements are not intended nr offered for sate. if, however, the bus!aing m improvement is Sol(; w3hin nn( year of com- pletion, the owner will have the burden of prCving he /.he did nut build or im- prove for the CUrPOSC Of Sale). j 1, as owner of th, property, arc, exC1uslvely contracting with licensed con- tractors to construct the Oroti:Ct (Section 7044, Business and Professions Conp: The Contractor's License Law does nor apply to an owner of property who builds or improves thereon, and vino cor•tractS for such protects with a con. tractor(s) license pursuant to the rontractor's License Law). I im aware that proof of their WOrker'S Compensation insurance should be provided to me. 1 am exempt under Seclian -- — B. 6 P. C. for this reason Gate _ Owner _ - -- I nereby certify that I have read this application and state that the above inlnr matron is cnrre :t. I agree fa comply with all city and county ordinances and state laws relahn to bundmq c traction, and hereby authorize repre- sentatives Of tltrS Or to enter ra on the above- mentioned p.operly for inSpection puipOSe Signature -_• Date= '7_S.' LDrivers' t.J:ense or SS IF _ ' While-Bu-!ding. Canary•Temilwary file Applicant CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Apr :Want to fit! in all spaces except those within heavy. border linos and sign all appropriate declarations - PE IT NO. TRACT NO. LOT NO. UNIT NO, 40/ 1843 P11 ,4134.0) TTPEOFODI(3TRCC%14 "EM v ADD O ALT TION REPAIR tITY OF LAKE F_LS1I1A3RlF_ G CONYERSt(NI ' /OEMOIISH — — s< e.._ A P. # MET a OiiscmniosiOF WORK, •`SEOFBLDG._ E Main Building: Accessory Building: TREOFfERMIT G GRADING FOUNDATION J STRUCTURAL T Front a C TENANT O ELECTRICAL C PLUMBING C, MECHANICAL Rear ACOTHER — PROJECT DESCP.IPT'.ON: Sq.FL Occupancy i _ K Right _ NN Cans(rucbon type one Acres S Left va!wticeS PC# - -__ Ptno. Ref. # Parking Req./Provided Remarks Planning Nrrti.s M J PLUMBING FEES ELECTRICAL FEES MECHANICS \L FEES AM p gR FEES Cut. _ cu. yards Fill. cu. yards Alter Repair Generator 00-51(W O 5.15KW Boiler Auto Wash Construction .'rile Sub. duet- finder Ground Backfiow Preventer Couking Unit Duct - Structural 3401 Flan Chxk Fee f _— Backflow Irril tion PCIe Light 4 Fan - Jentilatlnu Clarifiers Dryers Gas GElectric Exhaust System 3225 Permit Fee f — Total Fees fDishwasherFanEvaporativeCooler Fixture Trams ea.__ F.A. U. Hpating Systel.; & Ducting 00-100 COO BTU [1100000 BTUFloorDrainsFixtures C 1` 3211 3222 w Mary ofPermit Fees gtl;brg S - l ,i O D Plumbing Electrical S 2`>?Q_ Floor Sinks _ Outlets _ Hood 3r Canopy Tvpa y FI Type II Gas Service Outlets Switches _ Interceptors Meter O up to 200 amps_ Refrigeration System 00-100 Ot) k3 ?U L7100 t700 OTIf Firoul /Fact- Blt. ICBO # I P -Trap Roof Drains i Meter over 200 arcps _ Sub panel Trailer Sewer_ 15 -5-3KW Transformer CJ 50 +KW System RL Alteration Fire Dampers Registers — 3223 3124 2301 302 Mechanical E Retention f _ —° SMIP kes f _— SMIPCom. Sewer Cap Server Connection - 31dg. Motors 0.1 HP 01% • 8 Inc. Solar N -15 HP 016.15+ Solar Collectors Incinerator 3125 3401 3403 3412 Over — Sammaq of Plan Check Falls Bailding S — Plumbing f Electrical f _ Mechanical S Other f _. Planning f _— TeTotal foes Dae f - / MOD Solar Piping Sing /Fam. Res. - -- Misc. Solar Tank Multi -Fern. Res. _ Stvimmin Pool/Spa Swimming Poo!/;pa T i Water Heater Issue _ Water Servicg. — DEVELOPMENT SI:R MSAEQU3REMENTS: bailiff AW"W g - - Baiidjn &Approved By —. Application IAwd Illy — Date Day __ Date Se ti& Svstem Issue Cc 7, T CL I c 4 r I i I H I rd a' BI LE HOME INSTALLATION INFORMATION PARK t{0. SPACE _ TENA -4 PARK - NAME _ a 1 i's.'____ ADDRESS '-'L..SLL: ff -x.: i LT, E - CONT T R LICENSE C014TRAC? RRAMSADDRESS` I MOBILENOME I r- I L!NE ` fir PLOT PLAN r w w ac L LOT UTILITY SERVICES 11 MOBILEHOME DATA -I GAS: NATURAL L,- LPG P.ISER SIZE DIL4It{ INLET: SIZE 114ATER OUTLET: SIZE ELECTRICAL: EQUIPMENT RATING 0 (amps) CIRCUIT BREAKER RATING amps) PERMANENT POWER SUPPLY WIRING CONNECTION CORD CONNECTION RECEPTACLE RATING 0 PERMANENT OR TEMPORARY STEPSmpS) PROVIDED AT TI F. OF INSTALLATION SIZE: LENGTH 4— (ft) WIDTH (ft MANUFACTURER,:! 2 _ VEHICLE SERIAL NO: 6564 HCD INSIGNIA OR HUD LABEL'FiO g}g} GAS SUPPLY INLET F'.ZE: /y GAS CONNECTOR: MATERIALk CAPACITY STUH DRAiN CONfECTOR: ;{ATERIA / Z MFG. WATER CONNECTOR: RATERI L y SI7E ELECTRICAL FEEDER ASSEMBLE: - RATING (amps) CONDUITSI7E WIRE SIZE & TY ELECTRICAL POWER SUPPLY CO D: RATING _ 1!2-1(amps) MOEILEHOME ELEECTRIGAL NAMEPLATE RATI ? {, - am p s 77 FICD.538 - Mlil APPLICATION SUPPLEMENT -9- PIER r SPACING COLUMN SUPPORTS MOSIL.EHOME SUPPORT PLAN A LOAFDMOBILEHOMEDATA BEARING SUPPORTS 1 t1AUFACTURE4' S ItSTAL TION INSTRUGTIOIS t iRCTURED SUPP1RTAVAILABLE? F yes no DATE OF ttANUFACTURE AND LABELED CAPAC ITY,! Via' (? bs ) DESIGN ROOF LIVE LOAD o j F .,SSEIABLED SUPPORT DESIGII WIND LOAD ! ft: (psf) DES10 CAPACITY bs) MAXIMIM ALLOWABLE PIER SPACING; -:' (ft) i y REQUIRED PIER CAPACITY _ 2 ^ (Ibs) rL:"TllICK G MATERIALSREQUIREDCOLUf4NCAPACITY -' (l bs) _ REQUIRED TIED0Wt1 SPACING T ( ft) TREATED i UflBER REQUIRED TIEDUWN CAPACITY (lbs; CAPAGITY v'(lbs) 11CRETG SITE D ATA CAPACITY (1 bs ) LLOWABLE SOIL BEARING PRESSURE L (psf) C] OTHER APPROVED l 4TERIAL ESTABLISHED WIND PRESSURE OF AREA D< (psf) => r1TERIA,l. IEDOit " -'5 REQUI RED 7 [dyes Cl n' SIZE CAPACITY (lbs) REQUIRED ROOF LIVE LOAD o r-, SNOW LOAD MINT, PROGRAM © es f) i IEDOWNS PARIS APPROVAL. t MAWFACTURER v/- INSTALLATION , jj1 %, .--- - RATED CAPACITY ` _(ibs) 1PPROVED — ; PARK OWNER/ ERA R' Ith r,ER/ SPAGIIIG ___... C C) 10- roject Address J Asseasor's F'c:cel No_ - Owners Name 3(J r L %4(' Address Arch;Erey. - 7T -- - --- . * License No.f - Address Cortractor'sName. 4a1'C(1Cc J ,L V, ._—, hone Address Ifr„3,lin I City License No. LICENSED CONTRACTOR DECLARATION 1 hHtby affirm Mat I am ti!enfea under provisions r -f CtIarter 9 (commenGnswithsection7000) 0r DiviS:0n 3 of the Business and Professions Code, andMyi,ctnse Is in full terCif and of rent. cense _lass (:__ •'<L, -enye N.o_ 11 ( 73 7 _ 3 -- rl a +e _2~' - cif Signalu *e l• ORKERS' COMPENSATION E)ECLARATiON ef eby aft',m that I have a certificate of Cunsent to se!f-rnsure or a certificate1c. f Workers' Con,pensat,on In ;- ,ranee, or .3 c-ertif,ed copy thereof (Seth"• 3606, taD. C.) P;L•cy No. j_LS y iC 'i r.l'__-CCom anc yPLJCerdf,eO coey 1s hereby fur m;nea. j Certified CoD ti filed with the cs :y ur' nS is Y Date. ' EXEMPTION FRIM WORKERS' COMPENSATION CECLARAT NTr-.i& section nerd net be completed it the permit is to, one handrec' (S10o) oress), t ccRtly that in the pert•>rn'ance of the work to, which this permit is .,Sued. Ishaftnotemployanypersoninanymannersoastobec0!ne SubICCt to thtL7orkers' C0rnpe,tsa :ion Laws of California, Date _ _ NOTICE: 11, artcr making this declaration, you anould become suDlect +- fliesWO-&-ers' Lompenw,: - - -n provl'IOns "f the JhOr Cr :Ge, you mast ldrir w,tnC,,mply w,trl such "rov,flons t./ Inis 4er mil $nail tt deemed revoked - CONSTRUCTION LENDING AGErgCV i VereLy affirm that there a constioclmn lending )yency f r the ptrfbfmanCeljtheworkfurwhen 'his permit rs sued (Sect*on 3097 Civ. C.) ll.ndc,% Name _-- ___ -- - -- LcnaC,•tAdd,ess - - -- OWNER BUILDER UECLARATIjM f hereby arfum that I am exempt from tre Co :tractor's Licen%e LJw for thefr, IwMn; reason 'Sect""" 703E -5 Business ane P --olt SSiona'- Coax: Any erty urcnun:y v.r,dch rtauues a perm•, to rin-,;fuct, ar!cr, :rijrrbye, damohsh or ropes+; an ; ; iruclt,r C, oiler to dt ,ssualiCe, a:sfl ecawrrs the anpl,cant to- such pefmltr. a % :gnea statement that r.f' she Is l•cc'ls!d Dursuanf to the otov:sicns ofitContrJCtr-r's LICCase Law (Cnaoter 3 (commer.crn-a w,;b Sect,nr. 1000) ofD.vronen of We Gu Sini.tt and P-u!ess ;opt Codei )+ tnal Fie /she ,S exemptthuel5all13thebasisforthe „fir.,ea exempt,or. Any vicla trop df $Action031.5 by any applicant fnr r perrn,t sublecfs [ire applitant to a civil malty of not m.,re than five rfucdte-j 1.3ilars (S5oq 1. %% owner "f the properly of my employees -.Ill wages as the, sot! Icompensation, will do the won,, and Itie Vruv art •s n"i In'en7cd or offeredfor 'aft (Secl,,n 70a4 Eu%+nrss and Proles' -oral Cr,au: The Contractor-sL'Ccnse L.-w does nIt apply to an owner. of a property who huilds or improvesthe•con, and vrhD d0cs Sutn 'w"rk h,ms^_lf. :,erseir of inr O; h,s er ;icr n:.n ealC'laYOC =, or,.v,ded 'hat such 1mprnvemer.•s are not ,me, ed "r offered forsafe. If, navever, the building u- imrao.efnent ii soul within r,ne yea, of COT• oie :.un, the owner wall leave file hurden of wnv,nq I;C /;riC d,a not built', or jr,. prove for the pwoo :e of sate). owner of !Fie pro Derty, am exriutiveiy contra• -hr.'f w.tn hc,tn;ta cor,- traC1r rs t0 construct the project (Sects .- 70.44, Business aiv Protestrnnse Code - The Contrac[nr s license Law ones net b7oiy in an owner of urrdel'y wnoands0. ,nip,oves tna,cun, ann ;,n,, r• "tracts for svcn p-ofects w,tn a zf, 1 ©clor(s) nctnse pursuant 1n ere Contractor's License Law) I an, proof of roe" L'!n•:,ert . mret-sa:won Insurance :hnutn be orr,videa totmd. 1 am Cxcnspt ti "der 9ec::nr. _ -- P t- P. C. fur this reason Owner — - I ne•et,y ccrlAy that I IIread Ill's appt;cahon and data that the abovernlor.na :,,,n ,s (.erect, l aglge In comp:y with an r.,ry and county oryinanctsandhatetawsrelahr19tobuilding ;ontfruct,on, and htrtby outnor.[C rtpre- SClttt!i•as n. -fwaF ily 1n eiltcr iipoo Fit above by prnCerty fornsptttron ? pos - S,gna:ure _... -_,i CVr 1 /Date j -/` crG Drlvers' License of SS 6y - Wh.faElvild,n2• CanarpTErtiWar File Coll. Plak•A -V dr. G0Ideadd Applrur. . CITY OF LAKE ELSINORE CONSTRUCTION PERMIT AppliLb,[,t to f0! in all spaces except those xrithir, heavy border Bites and sign all appropriate declarations % l PE NMI r NO' TRACT NO. LOT NO. UNiTNO. TYTE fi C>)IGST!' , 1CT1011 NEW i .. ADD ": ALTFRA3IGN r REPAIP. ' UNy6.:I0N VMOLISH C OTHER 0ESC4tPTN)h Of IVORIL USE OF $LDG - —~%`- i = / ` A.P. # e E Main Building: rAczessory Building: TYPEtOFiMMIT ;3 GRAGING I--- FUL'NCAttOt _ TRUCTt1RAL ` 1T ELECTRICAL C FLUMBING MEp1JWl;Si 7 Front -- z O HER _ :leaf - - -- _ d PRO:ECT:ES'ilPil,)ft Sp -R - - - - -- N Ca h at:a: , Qtcu3axy _ C Right Lau +kra K a - -- N F C! S Let - - - - -- - - G Remarks - Pln .Ref # - ki,,g Rcq• /Provided Planning Notes T IF PLUMBING FEES _ ELECTRICAL i FEES - I Alter Re Ir r° - - - _- MECHANICAL FEES' f— - —_- Generator 00.3KW El 5 -15KW gt,;ler -- AM-A GNM14GFEESAutoWashfConstructionPoleS :5- * - Cut: - Backhmi, Prevenier - -- Buct•Uncer Ground J _- .- cu.rafd; Cat Ring Unir Duct - Structural f FillBackflowFrrtian ' Pole L" ht --- -- -- --- - - - -cu )aids C(arfiers - - "-'- I f3_n 'dentilatino - -- -- 3 /0I Py- Crr;, Fee s -_ Ul ers Gi as J Etemric I. xhaast :i ten —_- - - -- - 3115 I pent: Fee S - Dishwasher U; is _ v tora5ve Cooler - -- (total ft- y -- Fixture Tla sea - -_. _ F. A. i. - --t -- - - - - -- - - - -- Floor Brains 1 nQatinc Sy-in & Oucting bullets t C0.3fi4000 BTU E_ c(!p01 -t, 3TU _ Floor Sinks -- 4--- _' bullets ____ -_ -- -t- Gas Servii a Cutlets i °'vitcS_s '- - -- Hood ur Canopy SolxiturFaFPatrttFttt Enterceotors - _ _e i u _le 11 3222M - L. up f0 20(1 am-trt? i _ er tf )n S J - -- Bvlei;,: $ iiR &riy 4 yitemFTra - 12 L "OYZ 2 ; 3m - -- f70_tOG Ol!0 BTU 100.000 ETU 3121 i isotng sRoofDrains -_1-- Sub ape! -- -- - 7 . F _ I _ Fire l Fact_ On. i_reo _= 312. Elx .ai fTrai!er Senor i - '- 3113 f kec;a :, ; Sept p - -3 - - -• 7} 15 jOK%V I system Re32ir /Alteration - E -_ Transformer r KW1 Fire Damptlr: - - -- 327.1 Reten +.ln sSewerfonneclinn - BBldg. _ - rGlotors ^ 01 !iP 1'%, - g - -- - - --i -__ _ _ - -- Solar ColEect_urs ` Re isters 1301 SNIP Rr, Inc._ Solar Jg -15 HP 16-15 +1 -- --- IncigeraiorSolarPipiny - Fam. Res. -- -_ _ 2302 I SRI ? Coin sSingf, Misc. - - -- - - -- -- -- - -- Solar Tank Multi•Fasn. Res. _- - - I - _ -- --- - - - 3215 OU!er t Swimming Pool Spa ---t -TM $ Wimmin Summary of PUChat &Ft" - ° -- Water Heater _ _ -- , - -- '+- -- - - __ - 3401 Rutidira $ -_ -- ISSUeWatefS,rvice I _ - -- - - -- r - -- - - - -- - - -- PturDied S _ Spnirc S stem - ---- -- - i" -- - - - - -- L Ei:;rca: j DEUELWMEaTSEXIIXTSREQUIREMENTS: wetlunicat S -- 7aptliApperod Ely Date - - - -- 3103 I Other S L If1,Pf11t AF•tirmd ft -_Date Issue ,---- - -__- AWKiltioehWdBy _ - - - Dab _. 1i G _ 3411 i'I n.rfnE i - .__- - -- 1 Dale 1 Too Fars Etw $ F.__.- . 4 43 ti I n a z 0 f f I CO Cl. i H I c' J E P n 0 Q 5 I ci i U.. Or O i i 01j d 1 o a ijla {Iii I 1 i w' r !' D i s i w 1 I !{ f '• i UJ i LLI m a sl a ` _ "' Qf ' > ; z { c. zf Ij { ti , ! I 1 f ;,, O a - i • J d O ! u] Q aI E"I W " _ u- ui Qi 'i U]I ca L °- I ci ! D a rte' I .c I .. LC p- O $ I c W tEi of O v,{ E. CL j I , jai .0 OF c O c F" Q I ! c i "i aI c_ a o a r J 0 d OI J ° J a > ii E S Qi 1` E V i J Q dSi Ni mi u, i o O! 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''^"•, ) „_iK v 1_.^1•. ^^ - n , a.= '.w. -y i '' Qa, OIL GEG'•.S .. CI' /LL ENG I, JiCRryN ..^+.< i <17i ,,f • i „< ,Y.:; Yar•?aie 4v[. •al..`• 1 r... • , = --T_ - 1 .. `. Isf. Drier urni r+a•r.pa I c _ 1NZF 5421 EASF a• ^NYYa NNE AVENUE +r•b.' 9IVEGA 0 2 S" i J- ' - rdto 12 i CD)' Nrm,r A*., "k. K fl 71 Er) 7 B4 4 1'V Z l Z 1.11 T> 4 0; 1c. L-I c lil A LLMAN CIVIL R e C., I$,. 5421 FAST CHEYE14INE AVLNUE LA V 'g, LAS VEG AS. NV 09115 M '. 0, am "4-mol rch Eng. No. 01 LICENSED CONTRACTOF DECLARATION I' - se'sm Wit force And eff-ct C. 41 SWO , 'i- A!TION DECLAIIIATIMiA fit OWNER BUILDER DECLARATION tyi C, Ija Mos U_ U r- CITYOF LAKE ELSINORE CONSTRUIC TION wn/*mtmm|ao wc=v^mn m`m~xo hemvovm^ xm and paxovump^o«=qu^n^ " AP0 IJ r f T---- -' ~° n^.mwmm xmmo m nxo uonmxa 01omnxmrmn^'oammm_-% nsm,mwn m/m/~r muk.ommw "Moommwu ---------------- muCS*zm omm--'- -------'---------- mmaf DESCP!ni0N i w"«'"c:c" ,+" -_ lone. uou ------- Remarks r 1 Summary fit Permit Fees S Main Building: in emtwu I lE,p:cu $ Coo king c Right xoo/ Clarifiers Dishwasher Fan Drains Ftxture 1! Floor Sinks Outlets Interceptors Meter to 200 amps Sub pane! 50+ KW S-11TY-i— tors Solar tank Swinimino Pool/Spa SwImming Pool/spa W _14e Boiler a ------------ u000m i !sm".st &=Psm-----'----------1 om-jaz Evappralive Cuoler ' 1 U 7U Hood of Canopy ' Refrigeration SVsieni 6TU `_ 100 000 ETU System Repau,-.Alie.aIicn flegisteis incireralof wu 906n& Approved By APIiI --~^~ - f-- - ----»m^ GRmmnES Permit Fee uovoo 1 Summary fit Permit Fees S Main Building: in emtwu I lE,p:cu $ c Right xoo/ 7din Ir Boiler a ------------ u000m i !sm".st &=Psm-----'----------1 om-jaz Evappralive Cuoler ' 1 U 7U Hood of Canopy ' Refrigeration SVsieni 6TU `_ 100 000 ETU System Repau,-.Alie.aIicn flegisteis incireralof wu 906n& Approved By APIiI --~^~ - f-- - ----»m^ GRmmnES Permit Fee uovoo 1 Summary fit Permit Fees emtwu I lE,p:cu $ 10-43 xoo/ Sw.pxo ; hS0,3370 1 Summary of Plan Chect Fees Build ni; r^rrl,lX ; ow^w 3 __ . _'-- uw;i.-*u v mw $ Total Fen Due S 17_!_ do ^`. T -_ _ Ll t_ { —.__ I j' _ _. 1 1 , •1 ~ 1 'Z' J/f J ; .,. , ti i ' 1 I ) Ja1y , f y 1--- }-- .'- .- ._._.. j -. - _1 '_;i• 'f 1. i 1 _ I j t ` )) i r ? ! ,! 1- .9_ j i 1.,i W a W( ' co ca I c °I mli U' I c^t F, ' 25 0. 3 LLi i ! al Jr vj ip. f } tl J' J : y I -:•} t ! ! r I ) E i t 1 a : -r cjI d a_I c OI E; i ! Q + wI 1 r ° Zi" ,Cf, -12 + 1 r O Q c o, -I J( c s" tti ' u F- l - j iZj wo) ` r m) E' Q 4 ill ate! ° c'! E1 ' to } i r ZI- ` O m + •o Q` _ > v7, Q! J , 'D' a W! U f ! ) r f , i•1 OC ' i i ` -'f r O o r_ >I ! - = W. QJ ; c+ S + i ~ .J a WI E u I ii 3` a+ 3 n! _u N > ) w t of z, Q a ci) LL o! " m ; AI._ ) uI t E' Li cci .s+ x rn L' or rn( Z rl a Zf j y I ) ! I ) ! i .l' ..1•- ! w Q w p do! Q mJJ 4D o O ,Iaa1j j > >• x! c:j I I ! p p oil ai - u' w I ! f U. of x1o f I ! i-- iCL i ) i I W + ; I i i ) • uj l 0 O lij V o xI I Wl t t ) I i° c WiOfCII + f _ i I r r ! f f f m ) I O Ii x `a I I i I I y i TI d`r 1' JI r - - . GI C! c, IDo } r ! J 1 IIi ` w i a: Q Ot a? i I , I • n, p Q w j sl Ui o`I ! f cl tI ' m 0. 11 y : i J' , m. 5I c' ) — i ' w! ' v ? ^ I — r. K Lu I r wl F- > c) o H ,r of ul I cn , 9 m m o c ¢ n I LL, _t ) .Ei Qi o;a 0,-. E o! i i I , I I Z c a E ai O. ° D a L. tu, w = ml a,! EI •vl : a! tnj ro ' ul + a• O a > m a a Z! C> ^ I ! JOayi' o o t g % Zi o'I I ; s, c t Co U i r s °ZSi OC [ a l .`vl Dj . I , ! chi si w) 1 n' ro O! o{ p' 0, i 3 M f (i, j t of c, F- c al Ul E. l LL in L3' u CrIl" 0:1j c+ a a° o`a! °1 00+ o° .m ) _ ) y o II u'+ zl u o`y 'i r`- Ll ) ' i t I - Q c u at txl i` u1 3J c+ ' O yr c cl c of ! I = ; i _ r <I ZZ EJI1 ii ii' U- I x ; ii r ? I m 1 ! z I (' o: LJL j I 1• iA r Arl c C' ae -, ! .n -1 w' -.,y_ r . `, -.ri li i it ' i :r,...vw..r< i i-y IC I'M AR T. A—— Zv c' Ti r4 7-0- 1 .•,.•..., 1,)'. 1 ry s I t - 1, tA I M IT # - HIS NN"ZF-R APPROV 01 6 AS—NE)INSED ... ........ City of Lakc Elsir-ore Building Dept. kvJR IRV TO-T, IR r-- rr ZOO az IJLa Li at okc IV ne_ Att U36 I