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32900 RIVERSIDE DR_ (2)
ProjecfAf3dress 32940 Riverside Drive CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Assessor's Parcel No. Applicant to fill in all spaces except those within F.eavy border fines and sign all appropriate declarations O►yner's Name F1 MarrO 1 UP_S tment Co=phone PERMIT NO. I TRACT NO- LOT N0. UNiT NO. Address RAIL m h ast High Laguna Beach CA _ Z.� Arch/En . TCPEOFCORSTRUCrIOX E. NEYI L7 ADD TERATIO ^ iiEPAIR 9 License No. --Address LI CONVERSION G DEMOLISH ❑ GTHER t�bi 1 e omit �nStal 1 at1 on A P DEW.IPTION OF WOR!t,USE OF BLDG. Zone Contrector's Name —Phone Main Building: Accessory Building: AddressImailing) TYPE OF PERMIT ❑ GRADING 11 FOUNDATION ❑ STRUCTURAL T Front Z O City License No. _r.. TENANT ❑ ELECTRICAL ❑ Pi.;MBING G MECHANICAL B -- LICENSED CONTRACTOR DECLARATION l_: OTHER A Rear _ I 1 hereby affirm that I am licensed under provislor;c'Charter 3(commenr.ng PROJECT DESCRIPTION: SQ.FL Occupancy C Right N with section 7000) of Division 3 of the Business ana Professions Code,ana Consthriben De K' G fry license rs In run force and effect_ 4 Icne A:.tes —_ S! Left License Class license No.. valuation$ PCa --_--- Pln . Ref.# Parkin Req./Frrivided F_ Date Signature Plannin O RKERS'COMPENSATION DECLARATION Remarks De1..I1��0 bring files up to date. Planning reby affirm that 1 have a certtficate of consent to self4nsure or a certificate Perviously 1 nS eete others. T Workers- Compensation Insurance, or a certirieti copy thereof (Section S 08CO. Lab. C.) 3-10-88 _ Policy No. Company 8 Certified copy IS hereby furnished. Certified copy is tiled with the city Building Division. T it J1 Date __Applicant __._ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION (Th,ssectinn need not be completed if the permit is for or., hundred($100)or -- less). -- I certily that in the performance of the work for which this permit is issued,t shall not employ any person in any manner so as to become suolect to the PLl1MBlllG -- EES ELECTRICAL FEES MECHANICAL FEES Workers'Compensation Laws of California. — �— AMT.4' GRADING FEES Cale .—Signature i Alter Re air i Generator 00-5KW O 5.15KW Bailer _ NOTICE:If,after making this declaration,you fhould DecomA sir.�ie!t to the Attto Wash Construction Pole Sub. Duct-Under Ground Cut.— --cu.yards Workers' Compensation provisions of Slit Labor Code, you rnuti forth w.t', comply wile such provisions or this permit ;halt be deeme.i .e voketl. Backflow Preventer i' Flit T CONSTRUCTION LENDING AGENCY Cookie .fist — Durt-Structural _cv. aids I rtereGy affirm:rut there,s a construction lending agency for the Performance Backflow If,igation Pole Li:ht Fan -ilentilatino Lentler's Name 3360-3370 Plan Check Fee S _ Of th_ work for which tGiS 1`trmit IS istuetl (section 3097 C.V. C.) Clarifiers Dryers 0Gas OEIeLtric Exhaust System Multiple 3JM3312 PermtFee $ ' , Lendet's Address — Dishwasher Fan _ Evaporative Cooler Total Fees $ OWNER BUILDER DECLr RATION Fixture Train ea. F.A.U. I hereby affirm that 1 am i. --mot from the contract it's License Law f,Sr the Heating System&Ducting loltowing reason (section 7031.5 Business and Protess'onal Code: An, city of ' Floor.r1-ains Fixtures 00.100 006 BTU 0100 000 BTU County which requires a permit to construct.inter,imps,)ve,hems:.::.Cr rep r -- —' 3360.3311 Summary 0)Permit fees any,StruCtUrC-Prior to Its iSSWnCC,NSO rtOinrCf the appi.^: '�;SUCh plrma FfOOr.SlnkS D'JtletS Hood or Canopy to Iis a Signea statement that he/Snit is licensed pursuant 1•, provisions of S 1 e Contractor's License Law(Criaotcr 9(commenring with Sect -,70001 of Gas Service Outlets I Switchei Type 1 0 hLatq_0 Building vision 3 n the Business and Professions Code) or that hell,c i< .empt Interi:Q Interceptors I M"er 0 U t0 1002m SSystemg ;reftom and the basis for tic a.legrtl exemption.Any violater,: �csion p P Refrigeration 131.5 by :ny applicant for a permit sub:ect; the applicant to a civil P•Tra Plumbing $ malty of not more than five hundred dollars(s500). P Meter Cover 100 amps _ 00.100�BTU El100,000 BTU Roof Drains _ e _ _ ` C60 # Electrical S 11 I, as Owner of the Property or my employees with wages as their soic „Lab pan Fire I,Fact.Bit.! compensation,will do the work,ane the structure is not intended or offetea Trailer Sewer — Mechanical S to. sale (section 7044, Business and Protessi-nai Code: The COntraCtnr'f 0 15-50KW System Repair/Alteration ic. sa Law does not apply to in owner of a property who builds or ifs proves Seyyer Cap Transformer 11 50+KW Firs Jam Otter $ _ theteOn, and who does such work hirnSetf/herself or through Ill — net Own _Dampers employees,provided that such improvements are not intended di offered to, Sewer Connection.Bldy. Motors 0 0.1 HP Ol%-8 R2 esters 110.231 SMIP $ sale. 11,however,the buelhing O•improven,ent is fold within One year o4 com• — g -- ptetion,the owner will have the burden Of proving he/She did not builrr Or rot. SOIar Collectors Inc. Solar 09.15 HP 016.15; Incinerator prove for the purpose of sale). Solar Pi In CJ 1,as Owner of the property,am exClusivcly contracting with licensed con. ( ping SinglFam.Res. Misc. tractors to construct the project(Section 7044,Business and Professions Code: Solar Tank 3360.3370 Summary of Plan Check Fees The Contractor's License Law does not apply to an owner of property wha _ Multi-Fem.Res. builds or improves thereon,and woo contracts for Such projects with a con. Swimming Pool/Sa Swlmmia Pool�Spa — B4ading tractor(S) license pursuant to the Contracinr'S License Law). i am a+vare tnat �.. Proof Of their WOrker's Compensation Insurance should be provided to me. Water Heater _ Issue 0 1 an:exempt under Section Plumbing B.6 p.C.for this reason Water$eNlCQfill;_— _ Electrical umbin Owner 61 $ -- Date _ __ Septic $t item Mechanical = I hereby certify that I hays read this apphcalloii and state thou Intl above _ OEVELOPMENTSERVICESREQUIREMENTI information is correct. I agree to comply with all city and County Ordinances 2dlIMgA�fOre/l� Other S and State laws relating to builo.ng construction,an hereby authorize recre. d h _-Matt•--_ sentatives or this city to enter upon the abavo-mentioned property for Inspection purposes, ffOfl6agA)rpwtlllltg pt� ,,00.3375 Planting = o� ,k Date _ � — Signature.__ Date. Intuit Drivers'License or SS 9p TOW Fin Drt S Wtnte•Bmlding; Green•Temptxary file Copy:Canary-Assessor; Pmk•Applir 11,Goldenrotl•Accounhng CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Pro(ect Address �2900 Riverside Drive A7pliWnt to fill in all spaces except[hose within Assessor's Parcel No._ pa p heavy hordar lines and sign all appropriate declarations tTivicer's Name F i MQrr1 InVeStment CQPhor,e PERMIT NO. TRACT NO. 1 LOT NO UNIT NO. Addle" _8311 Cnagt {;iahray Lague each CA � Arch:Eng. _License No. _ TYPE OFCORSTRUCT10ft KEW AM ff/�,lTERAllof C RFPAIR Address _ -' WNYERSIDN DEMOLISH G OTHER tibblle dome Installation A.P. DESCRIPTION Of WORAtUSE OF BLDG.- 7one Contractor's Name Phone E Main Building: Accessory Building- Addressimaiong) TTPEOFPERMIT 1-1 GRADING L] FOuNDAT10Y ST4',;`TURAL T Front Z L TENANT C ELECTRICAL L PILIMBING MECHANICAL B t City License No. Rear — N LICENSED CONTRACTOR DECLARATION C OTHER — A� I nereby afrirm that I am licensed under provisions of Charter 9(commencing ?RO!ECT DESCRIPTION: Sg.Ft. Occu:nacy — C Right �N —th sec:iori 7000) of Division 3 of the Business and Professions Code,and Construction type Zone Aries _ Ki Left G my licens.-is it..furl force and effect. — _S _ License Class License No. latuai::n j PCf Ping. Ref. �F R 9 Parking Rey./Provided E Date ATIO ore Remarks Planning i Ct ' ORKERS'COMPENSATION DECLARATION P�e-C1Tf1� to brim-files i nq fi 1 es E1D to date. S Notes � reby affirm that I have a Certificate of consent to self-Insure or a certificate pe3"violJS l Y 1 FIS E?Cte others. T Workers' Compensation Insurance, or a certified copy thereof (Section _— 5 3800. Lati. C.) a —3-10-'88 — Policy No. �__ Company -- �,7 ---- r^-1! Certified copy is hereby furnished. a Certified copy:s filed with the city Building Division. I D. �J 3� Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION (This action need not be completed if the permit is for one hundred($100)or -- — --- — '--� less). I cert,ry that In f"o performan-a of the work for which this permit is issueo.I ;nail P.7t employ any perY.n in any manner so as to become suLject to the PLUMBING FEES ELECTRICAL FEES ME"HANICAL FEES T.x GRA✓nIGFEES Workers Compensation Laws of California- - Date _--Signature i Alter,Re air c r. g I Generator E30.5KW L 5.15Ky. Boiler Cur _cu.raros NOTICE:Ili after mal.Ing this declaration,you should become subject to tr:e Auto Wash Construction Poll?Sub. Ducl•Undsr Grourid WO:"erf• ':nmpensat,On provisions of the Labor Code, you must tortnwitn _CU Y.IdS comply wi:'+ suet• provisions Or this permit Shall be deemed revoked. BackflowPreyenter U Fill. --- Cookie lilt _ Duct-Structural _ _ CONSTRVC710M LENDING AGENCY Fan -Ventilating 33a33,"O PiancheckFeej i nerety afbrm Ina'mere K a cnnStrucliGf lending agency for the performance I Baekfiow Irrigation Pole Lighc_— _ of the work for which this permit is is•ucd (Section 3097 Civ. C.) ';Ciarfiers Dryers CGis OEtetarie Exhaust System Multiple 33M3312 Permit Fee 3 Lender's Name —� Lender's Address — — Dishwasher _ Fan I Eva erative Cooler fi Total Fe_s 3 OWNER BUILDER DECLARATION Fixture Traps ea. F-A.U. Heating System&Ducting I hereby affirm that I am exempt from the Contractor's License Law for the — Y 9 following reason (Sect"lion ,031.5 Business and Professional Code:Any c•ty or Floor drains Fixtures 00-100 00C BTU 0100.000 BTU county whrCh requires a permit to construct,aver,improve,demolish or repair —` 3360.3312 Summary if?ttmitFea any structure,prior to its issuance, also requires the.applicant for Such perm,k Floor Sinks Outlets _ Hood Or Canopy ry to Me a signed statement that hellne is liCen Sed Pursuant to the provisions of Gas Service Outlets -- he ConlraclOr's License law(Chapter 9(commencing witn Section 7000)of _ $WI[Ch1S Type 1 ❑ —ype II U vision 3 of the Business and ProfeAions Code) or that fit/She is exempt T— — - Building 3 e-from and the basis for the.alleged exemption.Any wolatrun of Section Interce tors _ Meter Q up to 100 amps Refrigeration System Plumbing j onalt f anyrethan applicant for n permit SubiC50 the applicant to a civil P-T!ap Meter Oover 100 amps ❑0-100 000 BTU 0100,000 BTU penalty of not more than live hunure0 dolla•s(E500). — EIC[tnpl j ❑ 1, as owner of Inc property Or my Cn,piOyees with wages SS their tote I Roof Drains Sub panel Fire liFact.Blt-ICBD # corapertSaticn,will do the work,and the ftiurlure is not intended or Gifered - Mechaniral j roe Sale (Section 7044, Business and Pf..ressional code: The contractors ' Trailer Sewer O 15-50KW System Repair/Alteration -- License la,v does iol apply t0 an owner of a property who builds or imprnvos Transformer — 11,ereon, and who does such work htmself/herself Or tnrough his or her o.rn I Se_x�er Cap , _ O 50+KW Fire Dampers Other $ — employeeS, provided '.fiat such improvements are not inteneca O:oftered for Sewer Connection-Bldg. Motors O 0.1 HP 01%•B Registers 110.231 SMIP S sale. if,however,the building or improvement is sold within one year of com• -- — pletion,the Owner will nave the burden of proving helshe did not build or ran• Solar C011ecturS prove for the purpose of sale). I Inc. Solar Ci9.15 HP❑tti•15+ Incinerator ----- —_— . ' ❑ 1,as owner air rroperty,>fm exuslvtly contract:mf with licensed can. Solar i�ip ing Sin9/Fam. Res. Mist. tractors to construct tit project(Section 70'14,Business an:- •-r ;ions Code: Solar Tank ---1------- 3360.3370 Summ4rfof Plan Check Fees The COntraclOrS Licen Se Law OtmS nrt apply to an own,!. +fOperty who MUlti•Fam.Res. _ builds or improves Inarton,and who contracts for such lrol,rcts with a can. SwimmingPOoli$ a Swommin Pool/S a Building fra Clor(f1 license pursuant to the Contractor's License Law). 1 am aware that proof 0 their worker's Compensation insurance should be provided to me. Water Heater Issue _ 1 Plumbing j — U I am exempt under Section .9.b e.C.for this reason Water Service I �h Electrical j _ Daze _ ,._ Owner _ Se tic S sl. _— kterhanical S -- 1 hefeby Certify that I have read tills application and state that Inc above 11fIlSL.— j_._ OEYELOPMENTSERVICESREQUIREMENTS: inforrP.alOn is correct. I r-,ree to comply with all city and .ounty ordinances "— Mb Other 3 and state laws relating to building construction,and hereoy authorize repro• ZDIIMIgAppf0lNilY— sentatives of this city to enter upon the above-mentioned eruporty for ReilfeltAp ratelff, _ —�U 336113375 Planno.9 j ion purpose'.. Signal — — f>eeed Bydq L Signal ore Date.— Issue _ Drivers'License or SS W —__ _ _ _ — Tefal Files taw I White-Budding;Green•Temperary File Cope Canary•Assessor. F Aocilrant:Goaenrod•AcconntrnR ProiectAddrr:s-3L?OQ Riverside Drive CITY OF LAKE ELSINORE CONSTRUCTION PERMIT .Assfassor s Parcel No._ Applicant to fill in all spaces except thrise within heavy border lines and sign all aporopriate declarations Owner's Nam, F1 Pinrrn invest nent Co.P►.a, PERMIT NO. i TRACT NG. LOT NO3, a I UNIT NO. Address -Sale coact jighway,1aguno-Beach CA ArchlEng License No. TTPEOi CNSTRUCTION .- NEW - ADD iF.4AI PIPAIR Address U CDltv£RSV3N ._- DEVOUSH OTHER I'tobile-,E InstallAtion A.P. # DESCRIPTION OF WOPxrIiSE OF Blr)GZone Contractor's Name Phone S'Main Building: Accessory Building: AJdress(mailing) TTPEOFPERYrT E� "UDING ! FOUNDATION STRUCTlibl s Front a Dry License No. _ _ iFY+.NT t_' P.ECTRIFJL' � PLUirbinG N£CUmCk B i --y N I LICENSED CONTRACTOR DECLARATION L: OTHER A��r ! (J I herebyaftirm that I am ocensed under Fd0)ECTDESCRiPT1ON- Ft. CI Right prcriilOns o•Charter 9{COmminCing SO OCC.•paeq with `.ecrion 7000) of Division 3 oe the Bossiness and Professions Ccae,and Cwstfactfad l0e - lone Rues S� Loft G my I.c,nse.s.n full forte and effect. License cuss �E. Ping.Ref. Parking Req.lProvided Date Signature Remarks Planning Q RKERS'COMPENSATIONDECLARATION Permit to bring files UO to date. gNat.s M ,eby Afrrrm that I hare,certificate of consent to se.f•Insure or a cerlficate perviously i nspecte others. T Workers' Compensation insurance, or a Certified copy thereof (Section 3900. Lab. c.) 3-,Q-sa — — S Policy No. Company •-- Cert,f.ea copy is Hereby furnished. CertititO Copy Is filed with the city Building Division. I D. Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION — (Th.ssect,on need not be completed if the permit is for one h-inared(Sloo)nr less;. 1 ce'Iffy that in the performance of the work for v:hjch tens petn.: %,$sued.I shall not e.np'oy any person in any nanner so ar to become subject to the PLUiABI;JG FEES ELECTRICAL FEES MECHANICAL FEES ACCi a 6RAD(N6fcES Workers' Compensation Laws of California. oaf! ------Signature __. _ Alterr,Repair Generator 00 5KW 0 5 15KW 80iler_ NOTICE-It,after making this declaration you should become subject to the Auto Wash I Cut --Cu )dads wofl-irs• Compensation prnv,s:ons of the Labor Coce, _ Construction Pole Sub. _ _ roll Must forthwith Dust-Under Ground_ _ i co:-•c:, A.tn such previsions or Ines permit shall be deemed rlvOkeP B:-KilowPreventer i Cooking Unit 1 t_Guct Structural_ fill —_cu-Trios CONS:RUCTION LENDING AGENCY •{-- I rcriity affirm that There,s a construction lending agency for the performance BaCkf;nw Irrigation I Pole Liyh[ �— I Fan •Ventilatina 3360.3370 Plan Check fee$ of •-e work for which this perrr.,t is issued t%eco.on 3097 Crv. C.) li -- Clari.iers 3300.3312 Perm:tFez $ under$ name _ Dryers CGas C!Electfic Exhaust stem Mu!'i IlJ e _ — Lenaer's address _ —'— _ Dishwasher Fan _ Evaporative Cooler _ ! Total Fees $ OWNER BUILDER DECLARATION Fixture Traps ea. F.A.U. _ Heatin I rereDy J'fam that i im exern,it from the Contractor's License Law for tau g System f$Ducting I foliov,mg reason (Section 7a31.5 B,,:inessand Professional Code:Any city or Flnot Drains Fixtures CO 100000 BTU G100,000 Bii'County nn.Cri repu,res a permit to Construct,alter,improve•i:!mobsr or repair - — - _ any suuru,c,prior to its issuance,atw raaWrlf the iCnLiar„for such permit rI00t Sinks L 3360.3312 Summary of Permit Fees r Outlets Hood or Canopy °7 to hie a s.7nea statement that he/she is licensed pursuant to the provisions of Gas Service Outlets Switches I le Contractor's License Law(Chapter 9(commencing with Section 7000)of T e 1 C Type If ❑ Building j vision 3 of the Business and Professions Codc) or inat he;see is exempt Iruerte Pots rerrom and ;ire has,%for the alleged exemption.Any violation of Sec:,on _. , p• _ Meter 0 up to 100 amps Refrigeration System halt f any re than ecr n pl:mil sub:ects the applicant so a civil o-Trap Meter Dover 100 amps ❑0.100 000 BTU 0100.0(tC BTU ;_ Ptumbint j ��eenasty or not more than rive nunatca aol:ars(tS00). ,oof Drains - —7--- Electrical j tJ 1, As owner of the properly or my employees with wages as their :le _ Sub panel _ Firept/Fad BIt.ICBD 1— - c3rripensntion,will do the work,and ttic str jcture is not intended or nrfc:cd T,.r Ter Sewer r I Mechanical j rnr sale (Sectinn 7oaa, Business and F Ofess„nai Code: Tne Contractor's __r 0 15.5CKW S_ys.em Repair/Alteration , --• License Law aoa•nc•' 3ppiy to An owner of a property who builds or improves Sewer Ca Transformer tt'--�7 _ thefean, and ,.:iv d": such w,rk him$elfMcfself or tneou7h his Or net Own p LI 50+KW Fire Campers other $ employees,vrawd+^1-a' such inprovemenes are not nitendea or offered for Sewer Connection•Bldg. Motors O 0-1 HP 01%-B Registers —� It0.231 SMIP Ulm. of.noway eliding or improvement,s sold within one year of Com• li j pielior,the own:. „ ,t have Ine burden o'proving heisne did not build or m• Solar Collectors Irc. Solar 09.15 HP❑16.15+ Incinerator prove for the purpose Of sale), -- 0 1,as owner of the oroperty,am exclusively conttactiny with licensed con• _ Solar Piping Sing/Fain,Res. FdiSC. tractors to constr•,ct the prujer;(Section 7046,Business and Professions Code: Solar Tank - — /36033370 Samn1317of PIaA Check Fees The Con:Factor's License Law does not apply to in owner of pr:)ptrty who _ Multi-Fam. Res. builds or improves the.ton,And vino contracts for such projects with a con• r Swimming Pool/Spa a Swimming Pool/Spa _ Building Y lractor(s) license pursuant to me Contractor's License Law). I am Swart trial proof of fhe+r Worker's Compensation ,nsur3nce should be ofovtded to me. Water ifeater Issue Plumb:nT S I am exempt under Section---_ B.6 P.C.for this reason Water rviZ n —•— Date — Owner _ _ _ Septic System Ekcuical j AlKhamcal $ I hereby certify that 1 have read ems y with a[: and $tau that fire AOovsantes isC..__.._. OEYELDFMElIiSERYICESREQUIREMENTS: Information is correct. I budIte to comply wrtn ar, city and county tine repro. �R���� Other S and $tate laws relating in benter consituction.Anti hartby f71nO,ite ropes• _Dato sentaiivos p1 ;his crly to enter upon tiro abrva•menironoa property for NiA6aEApOraelBT _pall 33603375 PlarnlnF j Signature purposes. AwicatimfuNiBy — Driveruie Oita. Issue Nis Drivers'License or 55 y —. _ Toth fNs Deo j White•Buildinl, Groei Teniijoraq Fite Coy:Carar)-Assessur. Pink-Applicant.Goldenrod-Accounliq Prp;ectAdd:ess _3?900 Riverside DrivE CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Assessor i Parcel 1\0. Applicant to fill in all spaces except those within heavy border lines and sign ail appropriate declarations . 0-va •:Name F_'( K-IrrG Ii::eSt jl �0.phone PERMIT NO. TRACT NO. LOT NO i UNIT NO. Address. Sal I Cnafct Highway Beach CA i ArchJE TtPEOFWNS11WIIOE ;- NEW AW �tiER+Tt Addre s _ - Lcctnse No. L: CO�RSIOS � DIMOVSH :1 OTHER Flo bi l e !loot lnsta l nation A.P. � DESCRIPTION Of tfORPUItSE OF FJ 6G- Zone Contractor's Name Phone E Wain Euilding: I Accessory Building: Address(mai ling)_ TTPEOFPERMIT E GRADING 0 FOUNDATiO"f - STRUCTUSAL T Front I Cry../License No_ L TERM [ ELECWCAL ^ PLUMBING ti MECKWAL a LICENSED CONTRACTOR DECLARATION OTHER A. _ p PROJECT DESCSIPTICN: F C. ghf N 1 hNtby affirm Mat I am IiC6nStd under pixlvfSlOOi Of C.r4r!!1 (commencing SQ. [ Occu;axy N with section 7000) of Division 3 of that Business and Professions code,and crosuichoo type teat Acts _ I Lv%; _ I my license is in full force and effect. — R License crass Ucense No. �atMUoa j_ PCB Par-. Ref. I Parkin Req.lProvided E Date ATIO Signature Remarks e e bri n files es U to d?te. Planning Notes M RKERS•COMPENSATION DECLARATION 9 P reoy affirm that I nave a certtftca:e of consent!o seif4nsure or a certificate Pery iousl i ins eete others. T Workers' Compensation Insurance, or a Certified copy thereof (Section _ 3-10-88 s 3e00. 11b. c.) — Pr_Ilcy No. Company.. Cerinfnel Copy Is hereby furnished. Callihtd Copy Is Geed with the arty Building Division. I D�# Dale_ Applicant EXEMPTION FROM WORKERS•COMPENSATION DECLARATION (This section need not be completed if the Permit is for one hundred(s100)or :essl. I Certrf t that in the performance of ins work for whicn:his permit is isfuCd,I snap not employ any person in any manner so as to become cub,ec:to the PLUMBING I FEES ELECTRICAL FEES V CHANICAL FEES ,t, M 61TADIM6fE;5 W6rk�r S'COmpenSallr,n LA.S of CaldO:nia. _ Dale .signature Alter Repair — ;eneratar 00•SKW 0 5-15KW _ Boiler NOTICE:V.ahor making this declaration•you should occome subject to me Aute LYafh - f_. G:J cu Tams woroers• Compensation Provision: of ine Lat)cr code• you must frrtnwiti. C rostruction Pole Sub. _ Ow Under GroL..d Fiji f Comply w.M ti:Ch pt 7rislOnf or this Pet mkt snap De deeinep ra>:oked. Backflosv Preventer CO trio Unit D:ICt•)ifUClUfdl »CC aid; CONSTRUCTION LENDING AGENCY `'- — --t-- 336;i•3-170 Plan I hertCy 8I!nm that Ihor?K a constrttGtirn tending agency for the DortormanCe Baekftnw Irrigation Pole Light Fan -Ventilating f j of file work for which this permit .s issued (section 3097 Clarifiers _ D trs OGas El i Exhaust S diem Multi le 330a3312 Perini Fee j — Lender's Nagle _ Lenders Address �_ _ Dishwasher i Fan Evaporative Cooler _ Total Fen OWNER BUILDER DECLARATION Fixture Traps ea. F.A.U. HeatingS st &Ducting I hereby affirm that 1 am exempt from tilt C7nt•aCtor's License Law for trio — yem g tonowirg reason (Section 7031.5 Business any Processional Code:Any city or I F!oor Drains _ Fixtures 00.100 000 BTU 0100.000 BTU count orwnlet:reoLLires a permit le cons!ruCt,alter,improve,demolish or repair Flea. Sinks 3360.3312 Summary of Permit FM any ttru!tufe,prior 1.)its issuance•also requite%trt^applicant for such perms; t1 Gullets Hood Or Canopy to flit a i,gntd statement that ne/she K licensed pursuant to the provisions Ofrfn >$afV,Ce OUi!etS $W11ChCS e Crntractor's License Law(Chapter 9 fcommens:wq with Section 7000)of T e 1 ❑ Type 11Bufklnvision 3 Of the Business and Professions Cnde) or that he/sne Is exempttefCe IufS fAeter =up To 100 am f Ieretrom ar.A the baftt for ;he alleged exemption.Any violation or 5ct:on � P Refrigeration System03l.5 Dy any apphcaM for a pumr, suDjech the applicant to a avii Tra r r Plumbirjnalty dt no.mo•e than firs nuntsrea dcuars IsSoa). .-P Meter_over IDa am . ❑0.100 000 BTU 0100 OOG BTU It. 00f Drains Electrical j 1� 1, at Owner of the property or my employe" with wages as their sole Sub panel _ Flre !/Fact.Bit.ICBO � —'• compensation,w.0 do the work,and the structure is not intends.'. or offered ailer Sewer Mechanical j for sale (�ecttotl 7044. Business and Professional Cnde: The contractor's — Transformer 15.50KW System Repair/Alteration - Urense Law does not apply to an owner of a properly who builds or improrss wer Cap 0 50+KW Fire DampersOthe: j "het Cott, and who does such work himself/hefsell Or through his Or her own — — 1i4231 SSIIP CRiploy ees,Crowded that such tmprovemonls are not intended or offered for " Sewer Connection-Bldg. Motors 0 0.1 HP C711r-a Re isters j sale. 11.however,trio bill Tins Or improisiment is told within one year of cons• -- pletio-1•thy Ownel will havt the burden of proving he/she did not build or sm• Stflar COIICCIOrS Inc. Solar p9•15 HP C716.15+ Incinerator Prove for the purpr:se of sale). $g{ay.Piping �— '— ❑ 1,as owner:)f the properly,am exclusively Contracting with licensed Con. p 9 I Sirg/Fam.Res. Mist. tractors to construct the project(Section 7044,Business ants Professions Code: Solar Tank 33%3370 Sammaryof Plan Check Fete 'rile COnlraClOr'S License law dors no: apply to an owner Of property who Mlil',i•Fam. Res. D urlds Or improves theruon,and who et.nlraejs for such projects with a con. Swimming P001/Spa SwimmingPool/Spa RectorO License pulsuan1 to life Cn �tfaCt O:'S Li Cense Law).1 am aware that proof o thou Worker's Compensation insurance Should be provided to fine. Water Heater Issue Plumbina l l I am exempt under Section_... — B.a:P.C.for this reason Water Service EIlCUKat Date Owner Se tic $ stem Mechanical j ^� I hereby Certify that t have read Ihlf applicallon and stale that the Abovf CELOI YEMENTSE"ICESRiQUIREMENiS: information is correct. 18916E to Comply with all city and county ordinances bainAwavell Other S ano state laws totaling to building construction,and hereby aulhnfite repro- y !��' '— �. seWAlwes of this city to enter upon the above•:nentioned property for Rlug IIAAW@W4 336433IS Planning j In grialuto purposes. _ �IBy y •'�� S:gnaturo— ___ _ _ Date, Issue turivers'License or SS'6 — — ` _ Total FNs bet S WI le•BuildiaR:&"ji-Temporagf fife Copy.Canary-Assefsx: Pink-Applicant:Goldenrod-ACCountinc e®_ CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Project Address�29_p0 �i vers i dt= Drive .Assessors Force?No. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations 0,-%ner's Name EL Mnr)a Investment Co . PERMIT NO- 'TRACT NO- LOT NO.3 . UNIT NO. Address -13 ') -Chest Hiowa}L_L gstr?L_geach CA ArrhiEni License No. WE Of CONSTRUCT" REW ADD TERA:IO RiPAR Andress [2 (Tim-PSION � DFMOLiS4 C OTHER i'bbi I Ato-rle l�nstal 1' tAM A P —' DESCRIPTION Of YYlOOVI SE OF UtDG- Z nr Comractor's l:anr Phone V S I Mai Building: At.cessory Building: E Adirm(PQ,I:Nf TTPEOFPEItVIT GRAWNG t_: FOUhi� ZITION STEXTURAL T Front City License No_ u TEOLN, 11WRICAI. C" PEUMSING MECHANICAL e rt --�— LICENSED CONYRACTOR DECLARATION i� GiHER At Reaf O I nrreby affirm:that t am I:censeo under previsions of Cnarter 9(commencing PROJECT DESCRIPTION: Sf1 Ft OCccF•arlcy C, Right N with section 7000) of Division 3 of tht Business Ara iNO:tSsions Coate,and CGrz(ralkkt [Yjx iCp! Aces X Left Ili my license is in full fczce and effect. license Class _ YA!LJltrw S _PC1 Uttnst to. _— p tale signature Ping.Ref.a Parkin Reg.Ffoyided E aKERS.COMPENSATION D£CLARAT:GN Remarks r i t to bri no fi i es U�to da te. Planning Notes C reay anifm lrat I have a certificate of consent to setfinsurt or a ce•tillcate Ferviausl_y ins e�te others. M Workers' Compensation insurance, cr a Certified copy thereof (Section T Iaeon. Lab. C.) 3-��-sa Policy No. Company_�.._ ._ - — III {.: Certified copy is her►ty furnished. B Certifrt.Copy IS filed with I"Uty Building Diviven. Date Appticant- :D•'t Ct/, J EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - - - (This section need not be Completed if the permit is for one huntlrad(5100)Or IS -- — I Certify that in I"performance Of the wo.k for w�jicn this rermi:i%issued,t snarl not employ tits. person in any manrtr so as to Deccme suD;ect v�"ors,4rs'Compenuticn laws Or California. to the PLUMBING FEES ELECTRICAL FEES MECHANICAL I FEES_— ACCi.R .SRAG)Nu'FEES Date vgnaturt _ Alter,Re air GenLrato•`�(}5KW 515K'11; 8oiter NOTICE:If,after rraktnq tnj;aeuaration,:au sr.owa Decema subject to toe in —�— �� CO, Viorl.crs• Crmpenu:'on provisions or the Labor Coca, Vol, must fertnwr:n Auto. ash Co-tsiruc(ion Pole Sub. Duct-UndEr Ground _ - corr.pty with Such pro%iron% or :nit permit snail be aeematl revoked. BaCkfloty Pttvontcr h Duct-Structural F`) CONSTRUCTION L£NO:NG AGENCY • Cooking Unit I _co Tads Back'iowlrrj (ion ----'"-- 33b03310 PIa3CAKk Fee f _ I reret;y affirm that tr,cre fees eonstruetjan lenomg agency for the Performanvs �_ P171e Li fit ) Fin •Ventilatin L the wok ror which this puma is issued (Sec:•an 3097 Civ. C.1 Cla ifiers Dryers GEIeC[rit 33Gfr3312 Permit Fee $ LenCer•s Name _ i Exhaust System em Multi ie Lenacr•s Address _ - Dishwasher _ Fan Eva ore±ive Cooler inlet Free $ OWNER BUILDER DECLARATION FIX[Ufe Tra z ta. F-A•U- �--•- I hrrehy affirm that I Am exempt from the Contractor's License Law to:ine —p----}— 1 Heating Sy. 8 Ducting fouowmq reason (Section 7031.5 Business and profeSsional Cade:Any city or Floor Drains j _ Fixtures �_ I�0•i00,000 BTU IOr�,000 BTU county whKh rtgwrtS a ptrmn to cOnS:ruct,anti,i nprova,acmol+sn or rcnau _ any Structure•prior to its issuance,also re.Quires the applicant for Such permit Floor Sinks —�_ Outlets '-" 3360.3312 Summ7nof permit Feet Hood or Canopy to Ire a signed statement ana( htKlie i5(Commencing p ing with to chi pro 000) Of Gas Service Outlets —+ _ Switches T e 1 T 2 ll �e Contracol s 4c use Law and Pr le•j(Commencing flan Section is exe ri vrslon 3 or Lin Business and atltgC ex Code) or :mat latent is excrnpt InterCeottors 1 Meter[I up to 1A0am S Bu;yleR S Crefrom artO the oasis for arie allegCa Cxertpt10e.Any violation of ;Qchon _ (,_-_"_ P Refrigeration System 031.5 by any appiiCant ror a Perrmi: subjects the applicant to 3 rivil P-Trap I M?(e(Qover 100 am Plumbing $ txnatty of not more Man five hundred dollars($500). - -•f— pz ❑0.1Oi000 BTU Z 100 000 BTU - 1, A$ owner of tr.t _hoof Drains p i Fire I/FacT.Blt.ICBO = flectrlca: S properly or my employees with wages as their sole SUb anzl compensation,will n the work,and trie Professional structure is not intended or nctor.s 1J f5.50KW System Repair/Alteration for sate (Section 7n44, Business and Processional Cede! Tne Contractor's Trailer newer MKharrC31 S Licens.. Law does not apply to An Owner of A properly wnn builds or improves Sewer Cap Transformer Omer S _ tnereon, ana who (lots Such work himself/hCrfNf or ihrOugn his Or her . ,n __ ❑50+KW Fire Dampers _ e'nployees•pro�idtd that Sacf.improvements are not If tenaed or offerra for Sea^r_C_onnection-Bldg. idlotOrs G 0.1 HP.71 Yes-8 Registers 114i31 SHIP S . ale. if,nowever,the building or IniprovemseM is wild within One year of cnm• pietion,the owner will have the burden of proving he/she die not build or im• $oiar Collectors Inc. Solar L-39-15 HP L..i16-15+ incinerator prove for the purpose of tale). - - i C3 I.as owner of it_property,Am exclusively contracting with licansed con. Solar Piping—' Sing/Fam. Res. Mir ---- tractors to construct the orciect(Section 7044.Business and Professions Code: _Solar Tank I -- - -� '+364-3370 Summary of P{anLlte:!fees Tnt Contractor'% L•Ctn%t Law Dots not apply to an owner Of properly Who I I Multi-Fam, Re:. build% Or ImprOves tnereon,and •'+fro Contracts for sucn projects With a con. t' 1...__ -� - .,wimminy Pool/Spa Swimming Pool/Spa a _ euttoint i tractor(s) ticente purtWriT tc In* Contractor's License Law) i am aware that � p proot o/ their wor:er's Compensation msurarce should M provided to me, Water Heater toile - -0 1 am exempt under Section —B,a,p,C.ror this reason _ Water ervici Plumbing S Date ----. Owner _ _• - _ Sep is System Electrical $ ...,. f hereby cef:rty that I ha,e read this application and state trial Ins abort (disc,,,_ DEVELOPMENTSE.RVICESREQUIREMENTS: NKhanttal S �_ and st ahOa is cnrrecr. I uuj'tc to comply with all city ana county orainances 7eltiw!<Ao/f �_ mh Other S _ and slaty laws stating to venter construction,and hereby authorl7e repro. _ snipsen! Cvts i,r toss city to enter upon tha above-mentionotl property for �— Ralltla Awaited -may � 3360.3375 Pbmm�l S Mspettlon DurpofCs, Signature Date• Issue AOOlvetielthaledlT Drivers'License or SS sI TOW illaOae : Wh.ft,gaiklial;Green-Te•npclar,File Coplr,Canary•Assersor; Pink Apphunt.Goldenrod"Accogntlnt Prosec+Addfese CITY OF LAKE ELSINORE CONSTRUCTION PERMIT -Assessor's Pcrcel No. A,PPEcant to fill in all spaces except those within heavy border lines and sign al:appropriate declarations Ottin-r•z Name Qphone__ PERMIT NO. j TRACT NO. LOT NO UNIT NO. A•!dren -8311 COP'St igbway Liigo each CA i ArCh,&%Z License No. MEOFCONSTRLViOn -- hfle _ A�0 - SLiERAikig " RfP+lR address F_ ter.:ERJ�( DE!!DL'Sif f-3Omit Ik,bi'leSome iIriistaIIation — I fs RtP:;r;N OF+mar I�sT uF Bra; A-P Zone l:Ortfr7ctLr'z r,arrie Prune __ __ _ E Main Buiing:_ (Acceuor{Building: Address(mailing' _ —. _ TYPE OF►EQiiR GP�(IIYG n FOUYL'Ai10K SFRt>CiUs[ T Front -- I G:y Lrceny.rtc_ _ _ iF'tAfYI E.[CiRitla P[UMBINO MEG4As1)1IL B LICENSED CONTRACTOR DECLARATION ` O19ER Al Rear "— }- I hereby at-irm that i am licensed unav p.e.rs•ons of Ctiartrr 9(co cin� PRO)M L~SCRiP7104: Sit-it. Occp�;,t7 C i Rigitt N E tn section 7000) Of Otr::lore 3 Ot tree Business 3n3 Professions Ccce,and C-Avrictw type __ —_ zone K. y tictnse is In fort force sod errcci. Acres _ g! Left r ---�G cense Gass_ Lice-a Ya'czCnn S PCR — L_ A'e s=ynture _ Ping.Ref.= -Parking Req!Prorided Remarks =.,� grin files up to date. __ Pianm!)gNotes _ n RKERS'COMPENSATION DECLARATION Fe fi �_ rE i or affirm thtt 1 Wait• insur.nte Of concert t t is crnsu�e o•a certiricrte Pert/rous t`� i nfvt�n Workers' Compensation insurance, o: :erii.'ie5 cagy trerto! (section �T 3e03, Late. c.) 3-ILl-S3 s Policy No. _ _. _ Company HCertified copy Is hereby furtished. Ctttifit6 CODY IS filed w tot city;3uilG mg UIYI$IQlI, --- T n•i C>itc Ap APphun2 �._ fC_7a� EXEMPT10f:FROM WORKERS'COMPENSATION DECLARATION — (Th.s section need not be Completed it the Dorm.,.s for Ohe nundied($100)Of - toss). 1 Ctrt=fy that In Ine performance of the warl. rcr wnlCh tnis permit is issued,I Sra:l not -moloy any person in any inanner sa as to become sub;ect !o the PLUMBING I FEES 1•fa=4e't•Comotnsa:ton ..aws of California. ELECTRICAL FEES MF HANICAL •FEES Date Styrtature i Alter.ReP;ir ; Gt:nera)or p0.5KW O 5.15_KW •a GRADING FEES NOTICE:if,after making this Otelaration,yeu Srouic rsetamr saDlect :o ine Boiler »o.e•s' Comr:ansatton (Auto Wash Dl ri Under Ground _ �t cu.pros provisions of the LAcor Coce, you must tar:^with Construchen Pole Sub. comply w=In curh provisions or this pttm-t Shan -J, deemed tev[ke1. Sackflow Prey1 rite_CONSTRUCT.ON LENDSNC AGENCY Cooking Unit DUCI-$tfUCtufa! ___Cu pfd<. 1 COthe wo'kaffirm tr-at tnca is a construction:en 0:rig sgency for the txrtormance i 63Ckflow If:i ti0n Pole Li ht Fan �— 3ib0 3370 Pon Checi Fee r rise wo•k to: whrcn this Permit n isweo (Sec:ton 3Cd7 Crv. C.i Fan�----- -Ventilating S Lenoers Name Dryers i_7Gas ilElectrir. Exhaust System Multi !e 3330-3312 PermiiF±e j Ltnccr s Adaress _ Dishwasher _ Fan _� .yap Foul pas S — OWNER 8UU-DER DECLARATION - Eorator Cooler r Hereby attirm that I am exempt t:om the COnira:toes. License La.v rcr trio Fixture Trap;ea. R ! F_A.U. _ ! Heating System& Ducting ir. lownlg reason (Section 7031.3 Business ana Professinnai Cade:Any city or Floor 0Faim _ COor,ty which Frowns a Pei:-lit 10 construct,ace's,.mD•ose.Cemoli,n or:epair S--- DO•!OP 000 BTU t__iOG 000 BTU — any structure,poor to its ss::ance,alw rebuires tne applicant tar such permit Floor Sinks Outlets _—� 37503312 Summuyof PamilfTees to the a signed statement that he/sue is hce.=u.pursuant to the prOv=siOQs Of Hood Or C3lOny - t COntraUcr's License. Law(Chapter 3(ccmme:.ttng war. Section 7000)of Uas Service Outlets � __ SwitclieS _��� Tvpe 1 j] T,(De li L� vision 3 of Ine Business and Professions co7e) Or that ney;he is exempt '- ` j trefrom and the DJISis for file alleged exemp'.�in. An violation of lnioree�tors 031.s D any applican' lot r section _ Meter D up(0 100 amps _ Refrigeration.System ! Building - y permit suD,ttis ir,e applicant to a civil P•Tra _ Plumbic, penalty of not more:nxn five hundred dollars 15500). Meter over t00 amps ❑0 100.Ct00 BTU i0GAC0 6TU Q j 1, as owr er of the Pr1werly or my em0'OYees with gages aS their sale _ Ronf Drains — $uh Canel __ Fite I/FOCI.Blt_IC90 s Ekt:rKtl j compensahcn,will do the wink,ana Me Structure is not intended or offered for sale (SeCtion 7044, Business and P(ofrs;.r:ca; code: The contractor's Trai!er_Sewer D 15 SOKNJ rR m Re:air!Alterasion Mtctianical j License Law does not apply to 3•1 owner of a property i•,rO burids or impro.Ys Transformer emp'jn, ana who dohs such work n=msettFherseir Gf thrOLgh his or he: Own Sewer Cdp 0 50+KW ampers OtherIne-to emp,yeet, provided tfdt such imp•avrmen:s are not iniencled at offered for _Se_W?r C_on_nectio—n-Bn dr, _ Motors CJ 0.1 NP ;'/,-E safe. If,h•iwever,the but toing er imorovemen: is soil w.tn.•t one year of com• erS 110.231 SMIP j pletson,the owr.nr will have IhC burden of proving he:sna d-C not build or=ill Solar Collectorf i^prove rot the purpose of sale). Inc, $Olaf�.!9•i5 HP D16.15+ rator as owner of the Proberty.am exclusively -Ontficung with licensed con• olarPiping SingYFam. Res. tractors to consitsrct the pro,ect(Section 704c,Business ana Professions Code: Solar Tank 33b03370 Sammsi)o1PItrICMtlFta The COMractor's Licehte Law toes no: apply :o an owner at properly who I i�lulti•Fam. Rev,--- — DwsOs Or improves thereon,and .•ion contracts for Stich pro;ecls with a con.. $fnrimmirr PoollS a trauor(s] license pursuant to tno Contrac:Or's Licanit Law). I am aware that (-----�-- Sw)m1111n �'04113� —� proof o/then Weir Conponsation insurance snnuvi ere provided to me, Water Heater — Buildirg j am exempt under Section.,_ B.s P.C.for this reason --- Issue Lip Plumbing j _Water secvicg_ - _ Date .—_ owner _ — 31! title n stem r E►ectrical j I hereuy certify trial I have read nos 3001.4allon arse start, treat the above _ DEYELbPMENTSEt7yliESSEQIIIREME[RS: Mechanlc�l j inforrt'ahon is Correct. t agree It,comply with ail city and county ordinances - and ol state taws isaGng to DuilJing conflruCtfon,and hereby aulnorize rtPra• WingAtpf v# sespecti f of this coy to enter upon the a bove•ntentioned Ptopotly for lbaft prmd4 inspection purposes. �_Daq Dale.__Signal ur 33bC-33)S Pbrntnj s ti►_ _ _ _ 1SSUa �PPBfarriNi(SiiMl It arlwr/'License or SS 1/ -DD61 tYltlts B�Idi G'ten•itmpixair file tow Saes on S M Copt CanarT•Asseswi, Pink-Applicsnt•Coldenrod•AccountinR �— Proiecf Addraas 12gQO Riverside i de Drive CITY OF LAKE ELSINORE CONSTRUCTION PERMIT _.r Applicant to fill in all spaces except those within App pa p heavy border lines and sign all appropr:a:e decuaraticins .Assessor a Parcel No. Owrer's Namse F1 Micro I nvestmeAt U.rhorte PERMIT NO_ TRACT NO. LOT NO UNIT NO. Address _Ac311 Coaet ![iahway—Lagur1iL_8eaCh CA Arc,/Eng. L,cenxNo. TYPE OfCONSTROCWN NEW _ ADD TERATIOy E PIPAIR Address _ C CONYERS10N ^ OWL:% c 0712E?. Piobile H"O",M Installation A� t DESCRIPTION Of WOR1vU_t OF B!DG. Zone Cor.ra c*or s Narm Pilone E(Main Bu:lding: Accessory Building: Address(rsaitin9) — TYPE OFPEkYR GFRDIMG [✓ f07N0ATi0N STR!)CTERAE T' Front Z TEtutiT J ELECTRICAL C PlU1dBING = MFCHRNILAt B, O City License No. Rear N LICENSED CONTRACTOR DECLARATION OTHER A. — I I hereby&(firm trial 1 am licensed under provisions of Cnarter 9(commencing PROJECT DESCRIPT169. Sit Ft Occupancy Right N with sect kin 7000) o' Division 3 of the Business and Professions Code,and Cotutrectioa type Icne Acre$ K Left r' ms license is in full force and effect. —' S Ft YalsatroeS PCB Pt Ref.st Parkin Req./Provided E License COSS License No. —_ G¢znatur RKERS'COMPENSATION DECLARATION Remarks Peo Ai t o bri ng files up to date. Planning Notes AA reby affirm that I have a certificate of consent to self-Insure or a certificate Perviously inspect ethers. T Workers' Compensation Insurance, or a certified copy :hereof (Section �_�O_o� S 3e00, Lab. C.) O Policy i No. Company -- y.,i Cart-ford copy is hereby furnished. LJ Certified copy is filed with the City Buirdinq Divis'da. Cale Applicant EXEMPTiCN FROM WORKERS'COMPENSATION DECLARATION (Thissection need not be completed,f the permit is'or one nunaree($100)or _ less). I cer,,ry inat In Ilia perfortnan.e Of the worh for which this permit,s issued,I FEES snarlt•not emolcy Ray Person in anv manner so is to become sub:ect to the PLUMBING r FEES ELECTRICAL FEES MECHANICAL Wurers' Compensation Iaws of Cabfi,n•a. r - 03.N GRADING FEES Date ____Signature_ _ Alter Repair Generator 00.5KW 5.15KW Boi!er _ C_ __ cn.-ards NOTICE:n,aster s3tion this so-IS Oftne you snouts become must f t to the i At,td Wash Construction Pule Sub. Duct-Under Ground t'rer..r n' Compensatidn pronswns of the Labor Codn, you must fo:Ihwith -- — till Cu (aids Comply wrrh seen provisicns Or tnis Permit shalt be seemed revoked. Backflow Prirvenler a.00kl1 Unit Dutt-$trul:taral CONSTRUCTION LENDING a AGENCY BackflowIrri ton Pole tl it Fan -yentu2;in0 3360.3370 PltnCheckreeS 1 neseCy:rfir(G tries(thereere K a construction9 Iend,n agency for the perform,)nce i -- of tr:e work for whtcn :s tr, permit is issued (section 3097 Civ. C.) Clarifiers O ors L7Gas OEleetric Exhaust System Multiple 33003312 Permit fee j Lender's Narne _ Lender's Address Dishwasher —_ I Fan Evaporative Cooler Tpht Fee f OWNER BUILDER DECLARATION Fixture Traps ea. F.A.U. —� Heating System& Ducting I nereny afrytrn that 1 am exempt Isom the Contractor's License Law (or the founwing reason (Section 7031.5 Business and Professional Code:Any city Or 1 Floor Drains Fiztt'_res _ I OIL IG0 000 BTU G I00,000 BTU county wr.sch requires a perm•t:o construct,after,improve,demolish or repairFG oor Sinks 33%3312 SommatTd Permit Fea any structure.Ono,to its issuance,also requires the applicant for such permit Out1e., Hood or Canopy io Ne.,signed statr rent rtsat he/she s' I.censed pursuant to the provisions ofs Service Outlets Sw7tChes T e Contractor's Ltce.ise I aw(Chapter s)(commencing wttn Section 7000)of T e 7 L. yp!1l U Building _ vision of in-2 ^,siness Ana Professions Cone) or that he!she ,s exemptterco tors Meter O up to 100 amps Refri tton S stem erefrom od the basis for the alie•7ed exemption.Any violation or S`ction r y Plumbing S 031.5 by any applicant for a Permit susiccfs the applicant to a civi. Tra Meter Oever 100 amps 00-100,000 BTU❑100 000 BTU _erlalty of not more.than live hundred ao'lars(S500). Electftral $1, as owcrtr a( the property Or my employees ,+ ts wages as Milt soleof Drains SUbpanel Fite I;Fact-Bli.ICBO #conpensaCon,will do the work,and the structure is not Intended or offere ailer Sewer Mechanical S forsale (Section 70aa, Business and Professional Code: The Contractor's 15-50KW System Repair/Alierati0nLiense Law does not apply to an owner of a properly who builds or improveswer Transformer — --hCloan, and who does such work himself/hetsalf Or lhrOugn his Or her Own p ❑ 50+KW Fire OampelsOl1et employees, provided that such improvements are not intended or offered for wer Coanection-Bldg. Motors 0 0.1 HP 01 I-8 Registers IIC,231 SMIP S Sale. If,however,the building O'improvem4nt,s sold within one year of com• Matron,the Owner will have t'+r burden Of proving he/she did not build Or im• Solar Coilectors Inc. Solar 09.15 HP 016-15+ incirerat0r Oro"for Inc purpose of sale). ,. --— i7 1,as owner Of the property,am exclusively contracting with licensart can- Soiar Piping Sing/Fam.Res. Misc. tractors to construct the protect(Section 7044,Business and Professtor.. _ode: Solar Tank - --— 3360.3370 Summary of Plan Cksckrolls The Contractor's License Law does not apply to An owner Of prOP"rty who _ Multi•Fam.Res. but°ds or improves inereen,and va o Contracts for such projects with a cor.• Swimming Pool/Spa Swimming Pool/Spa tractor(:) license pt,.suant to me Contractor's License Law) I am aware that Building S proof o Iheir Workers Compensation ,nsutance should be Provide to me. Wa.sr Heater Issue Plumbing S 1 I 1 am exempt tinder Section—_ H,&P.C.for this reason I Water Service Nam VOID — Electrical 3 02I1 _ _ Owner _ $e tip C SVSI rt) MKhanigl $ I hereby cefttfy that I have read this application and state that the above DEVEWUNTSERYICESREQO:REk1E@ITS: $ infOrm&I,On is correct. f agree In comply with all city and counly ordinances ZIfl��By Detf Other sentatives lot:t relating tt tobenter gupont Ilia construction, ment)o and nedu D operty for ba"MAWOPW 4 �b 3360.3375 Plannint $ Sig Inspection ourpnsas. '--�� Signature,_ Oates, (SSu! — Drivers'License or SS 1P ___ __ 7 r TOW Ftfta DN = Whitcdullding.Green-Temporary file Cop)c Unary-Assessof; Pinkd(pplicant:Goldenrod•Atcarnbnt CITY OF LAKE ELSINORE CONSTRUCTION PERMIT ProjedAddnaa �2g00 Ri�rerci�e Drive Assessor's Parcel No. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations Owner's Name .__Cl__MQj'1•o Trlt/EStmeMt CO•Phone-- PERMIT NO. TRACT NO. LOT NO UNIT NO. Addre.s -W7..1 Coact Nia l�una Beach CP, Arch/Eng. _-License No. Tr►EOFCONSTRUCTION C NEW C ADD Q ALLTERATIO ❑ REPAIR Address ❑ CONVERSION U DEMOLISH ❑ OTHER I+Mbi l e rI( a Instal l at10n A.P. # DESCRIPTION OF WORK/USE OF BLDG. Zone Contractor's Name— Phone S Main Building: Accessory Building: E Z Addresstmailing) TYPEOF►ERMIT O GRAPING ❑ FOUNDA?ION ❑ STRUCTURAL M T Front City Licenar:Na. F TENANT ❑ ELECTRICAL G PLUMBING ❑ MECHANICAL 8 Rear N O LICENSED CONTRACTOR DECLARATION ❑ OTHER _ A _ I I hereby ah ism that I am licensed under provisions Of Charter c(commencing PROJFCT DESCRIPTION: Sq.FL Occupancy _ e P.ight N with section 7000) of Division 3 of the Business and Professions Code,and Construction type Zon! _ Atre; g Left G my hcrnse is In full force and e:9ect. Ucense Class — License No. _ Valuation f _Pt r _ — Ping. Ref.# Parking Req.!Provided E Date signature ldemarks O RKERS'COMPENSATION DECLARATION a [1 1 n fi I es U to date. Planning Notes - --�--- —�-- S M reby art+rm titer I have a certificate of rdnsent to salcopy re er a f (Section Perviousl tr i nspeCte � others. T Workers' Compensation Insurance, or p cerlltied Copy thereof (Section $ Policy Lob. C.) 3-10-3� Policy No. _ _ Company- J BI1-�iI Certified Copy Is hereby furnished. Certllled copy Is filed with the city Bwtd.ng Division. I U n Date .—Applicant___- EXEMPTION FROM WORKERS'COMPENSATION OErLARATION — -- (Thissection need not be completed it the permit is for one hundred(Si(110)or less). — I certify that In the performance of the work for which this Permit is issued,1 shalt not employ any person in any manner so a5 l0 beCvmP. SubjtCt to the PG _ FEES _ ELECTRICAL FEES MECHANICAL FEES Date _signature Alter`Reoair, workers' Compensation Laws of California.prrda• er, ACCT.It GRAWNG FEES _ _ Generator❑0.5KW D 5-15KW Boiler _NOTICE:if,of-, making this declaration,you should become subject to the Auto Vlash Canstructi n Pole Sub._ Cut — — cu.yard, Workers- Compensation prOv.iiOris of the Libor Code, you must forthwith Duct-Under Ground Comply wrlr wCh provisions or this permit shall be deemed revoked. BackflowPreventer Cookie Unit Fill: cu.yards CONSTRUCTION LENDING AGENCY �_. Duct-Structural I hereby affirm that tnere is a construction leading agrncy for the performance • Back!low Irrigation`+ Pole Light Fan •Ventilatin 3360.3370 Plan,Check iet3 —_ Of the work for which cats permit is issued (Section 3097 Civ. C.I Clarifiers I_ —_ Dr ers 0Gas OEIECtfiC Exhaust Svstam Multi le — 33003312 Pe:milFee ..3 Lender's Name _ _ Ltnder•s Address -- Dishwasher an _ Eva ordtive Cooler Total Fees $ OWNER BUILDER DECLARATION Fixture Traps ea. F.A.U. _ Heating System&Ducting I hereby affirm that 1 am exempt from the Contractor's ucense Law for the following reason (Section 7031.5 Business and Professional Code:Any city or Floor Drains_ Fixtures _ ❑0.100,000 BTU QIOG•000 BTU county wh:Ch requires a permit to COnStruCt,aqur,improve.demolish or sepal: Floor Sinks_ Outlets 3360.3312 Summary of Permit .-Sany structure,prior to its issuance•aisn requires the applicant for such permit _ Hood or Canopy to file a signed statement that he/she is licensed pursuant to the provotsons of Gas$ZrYICe Ogtlet� N.5 ontractor's License taw;Chapter 9(commencing with Section 7000)of .switches Type 1 D Type Il ❑ Building = ion 3 or the Business for and professions Ccde) or :eat nation is exempt InterreFltors Meter D up to 100 amps �` Refrigeration System vision and the basis for the Profallesied exemption.Any vioiat+on or sgclion f any ae the nt for n permit subjects the cap licant to a civil P-Trap Meter Dover 100 amps ry T Plumbing $ Wally of nit more than live hundred dollars(S500). DO•I DO O.0 6.U❑100,000 BTU $ — 1, as ov:rer Of the property Or my employeet with wages as their ,oi• Roof Drains _ Sub panel Firepi/Fact.Blt.IC80 #k Electrical cdnioensatio iy will do the work,and the structure is not intended Or cffereu Trailer Sewer r MtchanlGi 1; _ for sale (section Agee, Busk ens and Professional Code: The Contractor's O 15 50K1h System Repair!Alteration Licen a Law does not apply to an Owner of a property who builds or im crows Sewer_Cap Transformer thereon, and who doe-; such work nl mself herself or tnrou r,, his or her own - Other/ g — D 50+KW Fire Dampers _ $ — employats, proviced that snort improvements are not intended or offered nor Seaver Connection-Bld Motors D 0.1 HP D1%-$sale. If,t.owever, the budding or Improvement is sold within one year of com• -I 9' 4Re inters 110.231 SMiP $ pltlion,the ownei will have the Wirden of waving he/she did not bull tl or im• SOIdf COIICCtOfS ' :'IC. Solar D9.15 HP L�16-i5+ Incineratur Drove(Or the pur _ p,)Se or sale). Solar PI ra 1,as Owner io .he property,am exclLion sively7044, contracting with licensed con- ping Slny,st am.ReS. _ _ Misc. 3360.3370 Sur^madyof Plan Check feK 1.'is Co to cOnstreft the OrOjetl(SCCtiOn 7044,Business aril Professions Code $Oily Tank Multi•Fdm.Wes. The Contractor's License Law does not apply to an owner Of property who busl•,s I r iriproves thereon,and who contracts for such projects will, a con. SwimmingPool/Spa SrrimminyPool/$ a trauor(f) license pursuant to the Contractor's License Law). I am aware that Building j —_prOCI o then Worker's Compensation insurance should be provided to me. Water;Teater Issue _ I l7 I am exempt u„i:,,f Section-.—_ Plumbing Y -B.d. P.C.to,,this reason Water Service _ I-- Di1e — Owner _ _- Septic System _ _— Electrical $ r_ 111VOLy Cerofy Ina, I have read this p.pplication an.1 state that the above DEYEL6►MENT SERVICES R1I)MIEMEWS: Mechanical S _ Information Is correct. 1 agree In comply with.all city and county ordinances "-' - Othef and stale laws relating to building construction,and hereby authorize repro- 2mingAppotivdlfy _�� — santatrves df this city to er.ttr upon the above•mentinnatl property for NYilipgAPpfgNpy _ _0yq .3603315 Planning $ inspection purposes. _ Signature —_ Oatc Issue -- ApOkatkin bleed 4 _ Dr+_vs'License d:55 1► _.-- __---- TMalfeesDw $ Weite•B•nkfing: Green•Temgonry file Cotirr,Cane;Assessor: Pink•ApplicanC Goidenrod•Account., Project Address 3 q00 Riverside,Drive CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Assessor i Parcel No. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations owner's fJatt^e -E] P1rlrro Investment QQ PEP ..MIT N0. TRACT NO j LOT N0. a UNIT N0, ary Phone I Address -aa Cnac_ Wtay i Ana _Beach CA Arch/Eng. License No. TTPEOFOORSTROCTIN r, NEW 0 ADD r) LTERATIO Address — G CONVERSION G DEMOLISH O OTHER 140 11e Rome �nStdT1at�lcn Contractor's Nanr_ DESCRIPTION OF WORK/USE OF BLDG. A.P. # Zone Phone S Main Buill'in : Address imaitingl TTPEOfPERMR G GRADING ❑ FOUNDATION D STRl1Cr!RAL E 8 Accessory Building: City License No. — _ ❑ TENANT C ELECTR.CAL � B Front 2 PLUMBING ❑ MECHANICAL O LICENSED CONTRACTOR DECLARATION Cl OTHER — 9 Rear f hereby allion 7 that I am licensee under provisions of Chaper 9(commencing PROJECT DESCRIPTION: C with section T000) of Division 3 or the 8usfnes5 and Professions code,and �'fL _Octup3n[y C Right - I my license is In full force and effect. Construction type — lane -' K I N License Cuss License No. Valuation$ PCN Acres — S left G Date Signature Ping. Ref.# Parkin Req./Provided R RKERS'COMPENSATION DECLARATION Remarks p j b�T ng fi 1 zs tip tC date. Planniag No(eS E tell affirm that I have a certificate of consent to self-insure or a G,rtlfitate Q Workers• Compensation Insurance, or a certified copy thervaf (Section Perviously iT1�Uei te- Others. M 3800. Lab. C.) 7 n o T Policy No. Company 3-yV->3a S 8 Certified copy Is hereby furnished. i Certified Copy Is filed with the city Building Division. Dat¢ Applicant E%EMPT!ON FROM WORKERS'COMPENSATION DECLARATION (This section need not be completed if the Permit is for One hundred($10o)Or less). f certify that in llie performance or the work for which this perml,is issued 1 _shall not employ any person in any manner $0 AS to become subject to the PLUMBING FEES n vrOrkets' Compensation Laws of Callforrria• LLECT,iICAI FEES h1Et;HAN11;1+iL FEES Date Signature Alter Re air _ GRADING FEES NOTICE:If,after making this declaration,-Ou should become subject to the _ Generato_C0.5KW O 5-15KW( Boiler AM. Workers' Compensation provisions of the Labor Code, you must forthwith Auto Wash _Construction Pole Sub. • comply with Such Provislons or this rCt•Undef Ground Cut' yards CONSTRUCTION LENDING AGENCY Permit shall be deemeu revoketl. Backfl0vl Prevonter C •-- ooking Unit 4�Duct-strllrwral Fill: cu.yards l nereby afork that there,sacs per it lending agency for the performance BackflaW Irri4ation Pole Li htof the work fof wMCh tms permit iS issued (Section 3047 Civ. C.) - an -Venhlatls 3360.3370 Plan CheckFeei Lender's Name Clarifiers Or ers OGas OElectric `Lenders Address _ Dishwasher — xhaest S sy tern Multjole 3300-3312 Permit Fee $ _ OWNER BUILDER DECLARATION Fan _ Eta�rativ2 Cooler Total Fees = I hereby affirm that I am exempt from the Contractor's License Law for the Fixture Traps ea. F.A_U. _ _following reason (Sort ion 7031.5 Business and Professional Code:Any city or Flour Drains Heating System&Ducting county ,vhi-C requiprior 10 a permit t0 construct,aver•improve•demolish or repair Fixtures — 00.100.000 BTU U 100.000 BTU any StrUCIUSC,prior f0 its isfU20Ce,a110 Iegrr6ef the appi,ca,lt 10, ,rich permit Floor Sinks to rile a signed statement that he/she Is licensed pur=uant to the provisions of Outlets Hood or Canopy 3360.3317 Summarlof Permit fees tie Contractor's L•censc Law(Chapter 9(commencing with Section 7000)or G8S Service OutietS __ $WltCheS _ r� ..Sl.n 3 of the Business and Professions Code) or that he/she IS exempt T e 1 ❑ TYae I; O erctrorh and the basis for the at, exemption.Any violation of S,cdon Switches tors fAeter❑uP W 1Cf)ampt Bu:bmQ S — 031 5 by any applicant for a permit subjects the applicant to a civil P-Trap Refrigeration System - penalty or not more th.n live Hundred dollars(ssoo). Meter Clover 100 amps OO.100 000 E3TU 0100 CQ0 BTU Plumbing $ ❑ as owner of the property Or my emplo•,ees with wage: as their sore Roof Drains Sub a11QI compensation,will do the work,and the Structure is not inteaded or offered -- Flfe I/Fact.8lt.ICBO # Electoral = for sate (Section 70A4, Business and PfOfeSS,Onal Code: The Contractor's Trailef$eys'Or - License Law does not apply to an owner of a property who build$Or improves Transformer O 15.50KW System Repair/alteration Mechanical S theteon, and who does Such work himself/Herself or th:OUgh his of her Own Cap ❑ 50yKW employyees, provided that such Improvements are not intended or offered for SP.w'er CUnneCtlOn-Bldg- i I Fire Dampers _ Other j sale. I1, however•the building or Improvement is$old w,thin One year of corn• 9• Motors O 0.1 HP O1/:.8 Registers i10.13! SNIP = -- pletion,the owner will have the burden of oroving r c/she did not build Or fill. Solar Collectors prove for the purpose or sale). _ Inc. Solar 00-15 HP O 16.1 r+ r 1,as owner of the property,am exclusively contracting with licensed Con- Solar Piping r - Incinefdtur traCtor$10 construct the project(Section 7044,Business and Professions Code: r SinyiFam. Res. Mise.The Contractor's License Law does not applti to an owner of PfOOerty whd SOIa Tank +--` 3360.3370 Sumniary of plan awk Fees builds Of improves thereon,and who contract. for such MU!(1•Fam.Res. _ tractors licenssContractor's Protects with a con. SwimmingPooUS a _ Swimmin Pool/Spa O Worker's to Ina Contra etor a License Should be 1 ov jed t that �_- - pfOOf or Ihelr WOr ker'5 Compensation Insurance ShOUIa be pfO ViJetl t0 m1. Water Healer Building ❑ I am exempt under Section -- S.& P.C.for this reason Issue - -- Water,,ervic� Fop Plumbing $ Date _ Owner S�tIC System Eletui:al =1 hereby Certify that I have read 11:15 application and state the; MC above Information Is correct. I agree In colnp:y with all city and county ordinances L--------• � O iSERY10ESREQUIREfdEKTS: Mechanical j and stain taw$ relatrnq to building eonsLruction,and hereby author+s+i repie- _ pehjllOAPperyed�_ -^ fientsllvef of this r.+ly to enter upon the above-nientioned properly for Other S Inspection purposes. lWilliing (Ierosed Rj 6t}3315 Planning = Signature A Dato Issue __ 4vf atw Issued Drivers'License or SS jp _ .__.—_ — By33 — . Wb(QBu11dmE; Green-Temporary file Con Canary•Assesw; Pirk Applicant;Galdenrrtd•Accounting _ Trial Fees Oaa I CITY OF LAKE ELSINORE CONSTRUCTION PERMIT ' Project Address Ri VerS i de Drive Ve — Applicant to fill in all spaces except those within heavy border lines and sion all appropriate declarations Assessor's Parcel NO.-- -- ---- Owner's Name El lAorro ITTV�$t_0t CO- hone. PERMIT N0. TRACT N0. LOT N i1N17 N0. Address 8a Cnast_!L. way L each CA Arch/Eng.------LicenseNo. — TYPE OfCONST1tI1CTt0if El NEW Q ADD l] ITERATIO ❑ PEPAfR El CONVERSION 0 DEMOUSH U OTHER i40bi 1 e tic Nstal l at:on A P , zone Address DESCRIPTION OF WORKiUSE Of BLDG. S _ _ _ Main Building: Accessory Building: Contractor's Nartx— —_Phone E t3 Addressfmailingl �—_ iT'PEOFPERMIT O G3AOING O FOUNDATION 0 STRUCTURAL T Front _ Cl TENANT Ci ELECTRICAL ❑ PLUMBING Q MELHANICAL A Pear N City License No. ----•— -- OTHER LICENSED CONTRACTOPI I_DECARA-TIOV C Right N 1 hereby affirm that I am licensed under provisions of Charter 9(commencing PROTECT EIESCRIPTION: Sq.FL_ Occupancy — — K _ — G with section 7000) of Division 3 of the Business and Professions Code,and Car-liuclion type Zone Acres S Left R my license.,;in full force and etfact_ vz;uatton$ PCP _ / License Class _ License No. Ping. # Parkin Req..Provided E oats signature -- — Remarks — e lit to bring files up to date. Planning Notes _ _ sa PIKERS'COMPENSATION DECLARATION — T reby affirm that I have a Certificate Of Consent t0 self-Insure or a Certificate Perviously 1—is. �Cte others. $ _— Workers' Compen$ation Insurance, or a certified copy thereof (Section 3800. Lab. C.) —�0—$a i PoNcy No. Company — (r7 Certilied copy Is hereby furnished. — — lJ Certilied copy is tiled with the city Building Divsior._ 1D. leg Date Apolicant—_ — EXEMPTION FROM WORKERS'COktPENSATIC'N DECLARATION (This section need not be completed if the permit is for one hundred($100)o- less). I certify that In the performance of ins work far which this permit is issued.I shad not employ any person in any manner so as to become subject IC the PLUMBI LFEES ELECTRICAL FEES MECHANICAL I FEES NG GRADING ACCT. FEES workers. Comoe.i"lion Laws of California, AlteiRepair I Generator 00 5KW❑S-15KW Boiler Cat. [U.Yards Date — Signature — ----T--- NOTICE:If,after making this declaration,you should become subject to the Auto Wash Constfurtion Poie Sub. Duct-Under Ground 'workers' Compensation provisions of the Labor Code, you must fortnwith Fill: cu.yards comply with such provisions or this pernilt snarl be d-remed revoked. ° Backflow Preventer I Cooking Unit Duct-Structural CONSTRIJCTION LENDING AGENCY BacY.110w Inn tlOn _ Pole Light Fan Ventilating3360.3370 Plart�hetkfte$ 1 nereby afiirrel that there is a construction lending agency for the performance --� -of the work for which this permit is issued (Se:tlon 3097 Civ. C.) _ Clarifiers --I Dryers QGas ❑Electric I Exhaust Svstem Multiple 3300.3312 Permit $ _ Len O#''s Name --- _ _ _ Dishwasher Fan —T Evaporative Cooler Total Ftes $ Londe s Address F.A.U. Nesting System€,DuctingOWNER BUILDER DECLARATION Fixture Traps _I I hereby affirm that I am exempt from the Contractor's License law for the Floor Drains Fixtures ] ❑0.100 000 BTU 0100,000 BTU fuliowrrig reason (Section 7031.5 Business and Professional Code: Any city or — 4- _ 33603312 Summary of Permit fees cou::ly which requires a permit to construct•alter,improve,demolish Or repdrr Floor Sinks Outlets Hood or Canopy any structure,prior to its issuance,also requires the applicant for such permit _-- 10 file a signed slatRment that he/she is licensed purstnt to U^e provisions or Gas$eNICe DUtIeIS _ Switches 1 e 1 ❑ Type 11 ❑ Bul:dlny j e Contractor's License i�sv(Chapter 9(commencing with section 7000)of _ ——_ -- vis.on 3 of the Business and Professions r_cde) or trial ae/she is exempt _I Interceptors Meter G Up to 100 aoips Refrigeration System Plumbing f erefrom and the baslS for the alleyed exemption.Any violation of 54ction 031.5 by any applicant for a cerniit subjects the applicant to a civil 1?•Trap Mete.❑nvNr 100amps _ 00 100,000 BTU ❑100,003 BTU Electrical S penalty of not more than live hundred dollars($500). ROOt Drains Sub grist Fire l/Fact.Bit.ICOO # U as owner of the properly Or my employees with wages as their Sole _ Mechanlra!1 cOrr.pensat:on,will do the work,and the structure is not intended or offered Trailer Sewer O 15.50KW System Repair/Alteration + !or sale (Gectior 7044, BUSmets and Prolessinna! Code: The contractors — — Transformer Fire Dampers T Other License Law goes not apply to an owner of a property who builds Or improves Sewer Cap l] 50�KW P thereon, and who does such work himself/hers6f to through his Or her Own 110.231 SHIP f _ Iemployees. provided that such iriprovements are not intended or offered for Sewer Connection-Bldg. Motors O 0.1 HP 01%-8 Registers ---_—��—^ sale. if,h(.wnver,the buiidlny or improvement is sold within one year of com- pletion,the owner wilt have the burden Of proving lie/she did not build Or im• _— —_ _ --+—�— prove for the purpose of sale). Solar ro.Piping Sing/Fa Res. Misc. U 1,as owner of the property,am exc:usively contracting with licensed con. 3360.33I0 SgmmagrdPlanCbeckFnx tractors to construct the project(Section 7044.Business and Professions Code: Sofa;Tank Multi-Faro.Res. — — -- The Contractor's License LAW does not apply to an owner of p:(rperty who builds nr improwis thereon,and who contracts for such projects with a con- Swimming PoollS a S++ililmin Pool/;,Pa �� I Buildmg $ sl l Iractcrlicense pursuant to the Contractor's License L•sw). 1 am aware that prdOf o Iheir Worker's Compensalir-i insurance should be provided to mo. Water Heater Issue Plumbing j — I ❑ 1 am exempt a Idvr Section..._..._ P..& P.C.(at this reason Wvef eNtCe !tSje Fop Electrical j —_ Date _^, owns ——�_ Se)tic Svstem _ mechanical f __ I hereby Certify that I have read this application ana state that the above INKUWfENTSEWCE.SREQUIREMEM: - Other S ..�_ information is correct. I agree to comply with all city and County Ordinance$ ?A*g AWmatl By —_..— and state laws relating to building CortstruCtion,and hereby authorize reore• - --— ! -- 3360.3375 Planinnif Santa"vas of this city to enter upon the above•menlioned property for �— Bmlilial tw�gsy —Palo ---- InsaeCtion purpose-,. AQPFKafio fuels By _—Nis Signature ___ pate_ _--__. Issue ptiwrs•License or SS Y _-s----- �. TaW Fens 0" ; Wbite•BWlding; Giten•Temporary,III,,,Copy.CanaryAssesue,rPmk•APplicant,Goldenroodreountmx CITY OF LAKE ELSINORE CONSTRUCTION PERMIT F eject Address_32=_R i viers i de Drive ^sessor s Parcel No. - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations Owner's Nan.> Marro 11'_5f Stmont Cp,Phone PERMIT NO. TRACT No. LOT ND,. I UNIT NO. Addret. AR11 rr~��,r „, y Lag�lna Beach CA Arch/E.q, _— License No. 1ttEOFCONSTRUCTION ^ NEW Li ADD r! iERAT10y C REPAIR Address C CONVERSION U DEMOLISH ❑ OTHER Mobile tome lnstdllanon A.P. # Contractor's Name P DESCRIPTION OF WORIVUSE Of BLDG. Zone none _ E Main Building: Accessory Building: Address(mailing)• TTPEOFPERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front I City License No. C TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL a O LICENSED CONTRACTOR DECLARATION ❑ OTHEk A Rear N hereby affirm that I am licensed under provisions of Charter 9(commencing PRO)ECT DESCRIPTION: Sq.Ft Otcupanq C Right N with section 7004) of D'vlslon 3 of the Business and Professions Code,and CansUJtiion type Zone K N my license is In fart force and affect. Acres S Left ucerae Class _License No._ Valuation f PCN N Date Signature Ping. Ref,# Parkin Req./Provided E RKERS'COMPENSATION DECLARATION - Remarksin files U to date. Planning Notes O rebY affirm that I have a certificate of consent to self-Insure or a certificate Perviously j nspecte others. AA workers' Compensation Insurance, of a certified COPY thereof (Section - - T 3SG0, Lab. C.) 3-1C-$8 Policy No- Company s— {�Certlfred COPY Is hereby furnished. y J Ceitil!od COPY Is fil6d with the City Building Division. Y D.T. Dale----APDlican; EXEMPTION FROM WORKERS'COMPENSATION OECLARATiON (This seciion need not be ccimPlated if the Permit is for One hundred(=100)or less). ! :ortify that In -the performance of the work for which this permit is :ea I shall not emptoy any person In any ma,mer so as to become subject to the PLUMBING FEES ELECTRICAL FEES wors,ers'Compensation !aws of Calitorria, MECHANICAL FEES Date his declaration. Aher Re airwor Generator❑0-5KW❑5.15KW AMT.9 GRADING FEES NOTICE:If after making;his ions of t you St'-Ould become subjec: to the Boller comply lrS' ill, such Pr provisions or t the Labor Code, you must fOr!hwith 'Auto Wazh Construction Pole Sub. Cut: cu. ids comply with such provisions or tots Duct-Under Ground yards CONSTRUCTI permit shall be deemed revoked. ; BackflowPrPienter Coakin Unlit Fill. ON LENDING AGENCY ----• DUCt•$IfUCLUraI CU.yards I hereby affirm that there Is a construction lending agency for the performance B2Ckflow Irrl ;ion PoOe Light Fan -Yenti{atin 3360-3310 Plan Check fee Of the wank for wh±rn this Permit is issued (Section 3097 Civ. C.) CloflflRrS Lender's- Name — D ens❑Gas ❑Electric Lender's Ada Exhaust System Multi I@ 3300•3312 Permit Fee = OWNER BUILDER DECLARATION Disf+washer Fan Eva orative Cooler Total Fees S _� Fixture Traps @a. ' hereby affirmm that 1 am exempt from the Contractor's License jaw for the F.A.U. Heating System&Ducting -T—Floor Drains FIX1Uf@S following reason (Section 7031,5 Business and Prof^ssianai Code:Any city or toumy wrier requires a permit to Coe;truct,alter,improve,d mO:ish or rep air 00.100 000 BTU❑100,000 BTU any structure,Prior to it:issuance,also requires the applicant for&icy,permitOf Floor rinks to file a sinnedOutlets Hood Or Canopy 336t)•3312 Summary of Perinitfees statement that he/she is IIClnsed pursuant to the oravisions e Contractor';License Law(Chapter 9(commencin,with Section 7000)of Gas Service Outlets Switc' Type 1 ❑ Type II ❑ .Islon 3 or the Business anu Prufessions Code) or that he/she is exempt interceptors Building S refrom anc the basis for the allecsa exemption.Any violation of Section Meter D up to 100 amps Refrigeration System 31.5 by any applicant for a Permit subjects the applicant to a civil Refrigeration M@t@7❑OYFr 1OO amps Plumbing f ` s�enalty of not more than file hundred dollars(ssoo). ❑0.100 000 BTU❑100 000 BTU o 1, n owner of the properly or my emuctures not wages as inerr snie ROOF Drains Sub earl Fire I/Fact.Blt.ICBO # Electrical S compensation,will do . yrork,an, the structure iS not in ages or offered �— ~�_ — for sale (section 7oa., But and Professional Coca. The Cont.acter's I_7raiier..ewef ❑ 15.50KW System Repair/Alteration Mechanical S License taw does not apply to en owner of a property who builds or impr„ves Sev*;Ca Transformer -Mercer, and who does such work himstif/herse'/or through We or title own p __❑ 50+KW 'rive DMin Dlti!f cmpio••ccs, proridld the! such improvements arc art rntendea or offered ►Or $eVrer C•Onnecti0n-Bldg. Motors❑0-1 HP O 1%r-B sate. tr however,lh.-bltiirling Or improvement is solo within one t Ofyezrt or rem• 110131 SMlP j piCtiar,,the Cwnef will have the burden Of proving he/she did not build Or im- Solar Colle.tnis ( Inc. Solar❑9.15 HP❑1(;-15+ uvc for the Purpose Of Wit). — tJ 1,as owner of the Pro.erty,am 4xClusively contracting with ucensaa con• FSolar Piping j Sing/Fam. Res. Trio tractors t construct L the project(Section �0aq,Business and Professions Coae: Tank 3360.3310 $anmaryWPlaaCAatfees The Contractor's Lrcensa i.aw does no; aPD-Y to an owner of property who Multi-Fam. Res.outran or rnspro•res tr:areon,and who Conrracts for sues Projects veitir a ton- iPool/t•actnr(s) license pursuant W the Contractor's License Law). I am aware that Swimming pod proof O44their WOf:(Cr's COmpensalron insurance should be provided to me. r Heater Buikhng a l� 1 Alen oxemp;under Section-. —B•&P.C.for this reason -�-- - Plumbirr, j Water IVICe _ Dale — -^ Ovrner _ _ r Septic $Vfterl�—` Electrical j 1 hereby certify that i h.1ve read tells application and stale that Ile above DISC_ O�YELOPktEMTSEIRYIC:SIiEQUIREMENTS: Mechatnal intOrmation Is correct. t agree 1.)comply with all utv and c4unls ordinances and slate rases relating to huslding construction,and hereby authorize ropre•senta _ �I�jg ApPfer.Yrl — Inspe tvos of this City t0 rarer upon rho above•rnentlonert properly for insPechOn purposes. -signature — Date - -- - WitW*"Ittipd� w_ —fib ► 3360.3313 Pbmmnk >< --- Drivers'License or 55 V< __ !slue h a,h Bwkli T"Feu Mo = White• ng; Green•Tfinpaerf HM Cl.pY Canary-Assessor. PinkAPOIZIN,Go enrod•Attoun(ing - - CITY OF LAKE ELSINORE CONSTRUCTION PERMIT ProjecIlAzie es:_3,2900 Riversift—Drive Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations .Assessor's Parcel No. Owner's Name i 1 Mnrrn I[tV(`StMerA Co•Phone PERMIT NO. TRACT NO. LOT N0. ' UNIT NO. Address AA11 co kc;t_iahlrav _!_agouti act�r,A Arch/Eng.— —License No. TTPEOi CONSTRUCTION ❑ NEW 21 ADD ❑AL TERATIO CJ REPAIR Address _ U 'XNVERSION ❑ DEMOLISH ❑ OTHER Mobil e t10lne �nstal i anon A.P. ;CRIPTiON OF ihvRB1USE Of BLDG. Zon e OF Contractor's Names Phone E 1 Mar in Building: Accessory Building: Addressl;naiiing)_ I TTtEOFPERMQ U GRADING ❑ FOUNDATION O STRUCTURAL T Front — z City License No. L TEkANT O ELECIRICAL PLUMBING ❑ MECHANICAL 13 Rear N LICEN>ED CONTRACTOR DECLARATION ❑ OTHER A I hereby affirm that I Am licensed unaer provisions of Charter 9!Commencing PP.OJECT DESCRIPTION: Sq.FL Occupant• _ C Right N wins section 7000) of Division 3 of the Business and ProfesSf1ni Code,and construction type lone Acres S. Left G my licence is In full farce and effect- yyt,atia,S_ PCII R License cuss License NO. Ping. Ref.# Parkin Req./Provided E Date_ Signature Remarks Permit_to brin files Uil tU d3tA. Plarning Notes M K£RS'COMPENSATION DECLARATION 9 _rebyaffirm that t fieve a certificate of consent to seltansure or a certificate 1 eFervioLlsr�i ins Beta_ others. T Workers' Corntlensa[ton lnsu.ance, or a urt!tied copy thereof (Section fR 0. Lab. C.) 3-10-88 Policy No. Company 8 Car titled copy Is hereby furnished. --" Certified copy!s filed with the city Building Division. Date Applicant - - I D D.# EXEMPTION FROM WORKERS'COMPENSATION DECLARATION (Thtisectioa need not be completed if the permit i5 for One hundred($100)or ...�_ less). i ce.all oryno that in the performance n file workfor as to ec Perm;.is issued,l i UMBING FEES EL ECTRICAL FEES MECHANICAL FEES Shall not employ any person In any manner s0 as to become sublet: t0 the Pi Workers' Compensation Laws of California. ACCT.I GRA91N6FEf5 Date signalure__ Alter Repair Generator 00.5KW 0 5-15KW Boiler NOTICE:If,after making this declaration,you should become subject to this Auto Wash Lai:-• cJ.ya:ifs Workers' Compensation provisions of tree labor Code, you must forthwith . COnstruttion Poi,;Sub. Ooa-Under Ground comply wtin such provisions or emit o Cookin Unit_ Duct-Structural )'II — cu.yards o v permit shw be deemed revoked. BackiloW Prev_ert_r CONSTRUCTION LENDING is AGENCY Backliaw Irrigation ,Pole Light Fan -Ventilating3361.33E Nan Check FeeS t hereby alhrm ilia!inere IS a Coil itru[Iinn lending agency for the performance or roe work for which this Permit is issued (Section 3097 Civ. C_) Clarifiers D ere OGas ❑Electric Exhaust System Multiple 331 I?:2 I Pfrmi:Fee S Lender's Name �..�_ Lenders Address iDishwasher Fan Eva oratire Cooler Total Fees S OWNER BUILDER DECLARATION Fixture Traps ca. F.A.U. Heating System& Ducting I hereby affirm that 1 am exempt from the Contractor's License I-aw for the f FIOrIr faln5 ollowing reason (Section 7031.5 Business and Professional Code:Any city or O Fixtures ❑0-100 000 BTU 0100 000 BTU ,,.only which requires a permit to coaatruct.alter,improve,demolish or repair 3360.3312 Summary of Permit Ftes Sinks Any structure,prior to its issuance.S.Iso rtquiref flit applicant IOr such permit Fioor Sin Outlets Hood or Canopy to rite a signed statement that ne;she is licensed pursuant to the provisions o/ Gas Service Outlets SWIICheS e Contractor's License Law(Chapter 9(commn acm U g with Section 7000)of ,- Tvoe 1 ❑ Type II ❑ Building $ _ ision 3 of list Business and Professions Code) or fiat hejsne is exempt Interceptors Meter 0 up to 100 amps Refrigeration relrom and the basis for the alicgeo exemption.Any violation of Section System Plumbing $ 31.5 by any applicant for a perntil subircts the applicant to a Civil • P-t raap Meter Dover 100 amps L70100 000 ETU 0 r00 Oi10 BTU penalty of not m.rr:than five hundred dollars(S500). - Electrical S 0 1, as owner of the property or my employecf with wages as their sole Roof OraiGs Sub panel Fire I/Fact.Bit.IC80 # compensation,will d0 the work,and the structure is not Intended or offered ; Trailer Sewer Mechanicat $ for sale (Section 7044. Busino<t arid Profeistnnai Code: The Contracl�r's Transformer 0 15-50KW System Repair/Alteration _ — Llcense law does not apply to an Owner of A prcporiv who builds of!mproves Sewer Cap ❑ 50+K1N Fire Dampers Other $ thereon, add who does such work nimsel'/11_:Self of through his Or he.Own p employees,provided that such Improvements are not intended or offered for Sewer fonnection-81dg. Motors 0 0-1 HP 01%-8 Re esters 110.231 SMIP S scale. If,however,the building or impro,fement is sold within one year of com- ---' pletion,the owner will have the burden of proving he/sne did not build or im- Solar COliertors Inc Solar 09.15 HP 016.15+ Incinerator prove for the purpose 01 Sale). Solar Piping❑ 1,as owner of the property,am exchrsively contra_ling with licensed can- g _ Sing/Fam. Res. Misc. trail Ors to Construct the project (Section 7044,Business and Professions Code: Solar Tank - 3360•33T0 Summary of Plea Check Fees The Contractor's License Lay/ does not apply to an owner of property who Multi-Fam. Res. _ builds Of improves thereon,and wno Contracts for Stich projects with a Con- Swimming PoolMna Swimming Pool/S a Bulldln traClor(s) I;Cen Se pursuant to flit Contractor's License Law) I am aware that g S -- proof or their :Yorker's Compensation insurance should be provided to me. Water Heater _ issue Plumbing S ❑ I am exempt under Section B.& P.C.for this reasonWater$etY1Ce Itluss refs I Elettriral j Date Owner -r-- Septic System_ Mechanical s I hereby certify that I have read !Ills application and state that the above DEVELO MENTSERVICESREQUIREMENT3: In/ormalion is correct. 1 agrtt to comp!y with all city and county ordinances �a Other and slate laws relating to building construction,and hertoy authorize repre• 41111fe11011114-- sentatives Of this City to enter upon the above-mentioned property for 9111"algAQfr11e1111114 peso 33%33i. Planning S Inspection purposes. ' Signature Date Issue — Drivers'License or SS if TNaI FM DM : While-Building;Gfeen•Temporary file Copy.ranaryAss SM. Pink-Applicant Goldenrod-Accounting Prot«tAddress 374110 Rive -de Drive CITY OF LAKE ELSINORE CONSTRUCTION PERMIT rs Assiessc.is Farc@I No. _ Applicant to fill in all spaces except those within heavy border lines aped sign all appropriate declarations Owner's Name Fl Morro T nveS1 ent_rQPhane_ PERMIT NO. TRACT NO. I LOT N�UNIT NO. Address - 8811 Coast-Highway— Laguna Beach CA J Arch/Eny. License No. _ TYPE Of CONSTRUCTION 0 NEW ❑ ADD 0 P/t,LTERATIO n REPAIR Address Li CONVERSION ❑ DEMOLISH ❑ OTHER Mobile Home �nstallatlon "— DESCRIPTION OF MMUSE Of BLDG. A.P. # Zone Contractor':Nam► __Phone _ - S Main Building: Accessory Building: Z A:iortg(msiljngi TYi'EOFPERMIT r GRAOiNG L] FOUNDATION ❑ STRUCTURAL T Front O City License No. _ — ❑ TENANI G ELECTRICAL ❑ PLUM81MG ❑ MEQ4ANICAL H Rear N LICENSED CONTRACTOR OECLARATIOr4 ❑ OTHER A l I he•eby affirm that 1 am licensed under 9-ovisions of Charter 9 icommencing PROJECT PtSCRIPTION: Sq.ft. OccuDanq C Right N wish section 7CCO) of Division 3 of the Business and Prc:essions Code,and Construction rypt Ion! K N .Y license is in fun force and effect. -- Acres S Left Lictnsa class License NO.— Valuation S PCa # Date _ Signature (Parkin Req./Provided i E Ping. Ref. aKERS'COMPENSATION DECLARATION Remarks Permit tc bring files_up to date. Planning Notes Q ,tby affirm that I have a certificate Of consent to self-insure or a ce•tlflcate M Workers' Compensation Insurance, or a certified cNay thereof (Section _—Perviously inS eCt Others. T 3800. Lab. C.)Policy No. _ 3-10-88 S Company _ CeftifitJ copy Is hereby furnished. Certified copy is filed with the city Building Division. T D•u +�� 1�^Y Date— APPllcant—_ 1 D.A 7 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION (This section need not be completed if the permit is for one nunared($100)or —• ,ess). — I certify that In the Performance of the work for which this permit is i6SUed,I sr,all not employ any person in any manner so as to become subject to the PLUMBING FEES ELECTRICAL FEES MECHANICAL FEES Vvort.ers' Compensation Laws of California. AMT.I GRADING FEES Date signasark AltEr, Repair Generator 00.5KW❑5-15KW Boiler NOTICE:11.after making this declaration,you should become subject to the Auto Wash Construction Pole Sub. Ceti 1 workers' Compensation D•OviS10rIS Of the Labor Code. you must forthwith Duct-Ulider Ground —cue aids comply with such provisions or this permit Shall b. deemed revoked. Backll0'v Preventer� Cooking Unit DUI:1-$trL'CtOfal Fill. CU..rattlS CONSTRUCTION LENDING AGENCY 3360.337D PIanClleckfteS I hereby aft!rm that Ihet2 is a construction lending agency for the Performance Backilow Irrigation POIe LI h[ Fan -Ventilating of the wort; for which tilt' permit is issued (Section 3097 civ. c.) Clarifiers Dryers❑Gas 0Etectric ExhaustSrLsteinMultiple 3300.3312 Permit Fee Lender's Nsme Ltndef'f Atltlreis �_ Dishwasher _ I:ya orative Cooler Total fees j Fan OWNER BUILDER DECLARATION Fixture Tra s e; F.A.U. Heating System&Ducting 1 hereby .flirm that t am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional•:ode: Any city or u Floor Drains Fixtures_ _ ❑0100 000 BTU 0100 000 BTU county which redu,res a permit to constrct•after,improve,demolish or repair 3361t3312 Summary ofPtrmilfelts k Floor Sins r1 any Structure,proof to its fsstiance,also requires the applicant for such permit DU et5 Hood or Canopy to file a signed statement that lie/She is licensed purSu]nt to tree provisions Of Gas Service DUtIe1S r 03' Contractor's License Law(Chapter 9(commencing with Section 7000)of Switches �_ y!?_ 2n 3 of the Business and Professions Coce) or that he/she is exempt , — Building efrom any the basis Nor the alleged exemption. Any violation of secion Inter_eplors Meter❑up to 100 amps Type 1 ❑ T r,II ❑ g $ ,, — _. Refrigeration Systerri 1.5 by any applicant for a permit subjects the applicant to a ci%•fl ,•Trap Meter Dover 100amps t Plumbing j _ nasty of not more than five hundred dollars(s500). CO 100.000 BTU ❑1U0.000 BTU = _ 1, as owner of the properly or my employees with wages as their sole Roof Drains 'Sub panel Firepl/Fact.Bit.ICBG compensation,will do INC work,and the structure is not Intended or offered Trailer Sewer r Mechanical j for sate (Section 7044, Business and Professional Cede: The Contractor's D 15.50K System Repair/Alteration License LAw does not apply to an owner of a property svho builds or improves Se4Vnr Cap Transformer Other tntreon, and who does such work nimseif/hersetf or through his Or her Own ❑ 50+KW Fire Dampers I S em not tes, provided that Such improvements are not intended or otft:ed for Sewer Connection Bldg Motors O 0.1 HP❑i%a.8 F e isters 11G•231 SMIP Sal W. hnwever,the butfaling Or improvement is sold within one year oI tom• __ Diction,the owner will nave the burden of proving he/Sine tlitl not build or im- Solar Collectors �Inc. Solar❑9-15 HP❑16-15+ _prove for the purpose OI talc). - ____ Incinerator _ Ll 1,as owner of the proper:y,am exclusively ContraCling with licensed con- oin� inylFam.Fes. Misc. Lectors to construct Iht protect (Section 7044,easiness and Professions Code: So. ank -- s3Ti0.3370 SgmmarydPlan G'Ittck Fee The COnt.a:101's License Law does not app:y to an owner of property w'ho _ Multi•Fam.Res. builds or improves thereon,and wno contracts for such projects with a con. F wimMing Pool/Spa swimming Pool/Spa __ -" tractor(:' license pu-suant to the Contractor's License Law). I am aware that — _ Building proof o// their Worker's Compensation insurance should be provided to me. Water Heater ISSUe — L7 I am exempt uncle,Sectinn_— B.& P.C.for this reason Water Service ----- �- Plumbing 11 _-- ___ I Date` Owner _ Se tic sr�.., Electrical S I hereby certify that I have read tills application and state that the above _ isc_ OEYELAIMENTSERYIG£SREQUIREMENTS: Mechanical S .foand Station is Gelatin I agree to comply with all City and ycotinlyauthorize OizeIff _es ZMiagAppwed4 �� Other S _ and State laws is city tt benter q Cpns(rucllon,and hereby iutho,lze repte- _ untatrvas of this uty to enter upon 'hit above-mentioned property for Rbilfi>tElblrttatd� — e,p 3340331i Planning 5 _ Inspection purposes. A111MR1 n Signature Data• Issue )rnlall y Jule _ Drivers'!Iconst or SS V Ttlfal FM DtN : White•BuMing: Gften-Temporary File CW.Canarr•ASSesSor, Pjnh•ADDIIant.Goldenrod-Accounting , Proiect Address ) Riverside Drive CITY OF LAKE ELSINOIRE CONSTRUCTION PERMIT Assc;sc„-:Parce!H0. Applicant to fill in all spaces except those within heavy border lines and sign aB appropriate declarations Owner's Name _F1 MnWMA It1tJ et(n�t CQ phone PERMIT NO. Address �811 f Oast Hi hwa TRACT N0. LOT N0. UNIT N0. 9 I gMna Beach_CA Arch/Eng. License No. __,_ TYPE OFCONS1ttUR1011 C. NEW CD 0/LTERAT y Address ❑ ro"VERS10N C D!MOLISH ❑ OTH R -140bile Home101�nstallation Contractor's N mz_ DESCRIPTION OF WORK/USE OF BLDG. _ — A.P. # hone Zone Address(mailing) _ S Main Building: TTTEt7!°ERMR C GRADING 0 FOUNDATION C STRUCTURAL E Accessory Building City License ON L TENANT C ELECTRICAL a KUMBING 0 MECHANICAL T Front Z LICENSED CONTRACTOR DECLARATION U OiitER _ a O I hereby affirm that I am licensed uncler provisions of Charter 9(commencing PROJECT DESCith'TI�N:�-; A Rear N with section n lull of Division 3 of the Business aro Professions Code,and Q'FL— Occupancy C Right my licensesclass a In fun forte and effect- Cons7uchon lypt _ _ I License Class -- Zone Acres K N Date_ License No.__ LRemarks ns PC — S Left to Signature RKERS'COMPENSATION DECLARATION Pin . Ref.# Parkin Req./Provided R reby affirm that I have a certi'tut-of consent to self-i•:sure of a e•rtifteatee o bring n files U t0 date. E wukers• Compensation Pervio�sl N 1t15 acts Planning Notes a pensaUon Insu.am.r, or a certified cq*p+y tharerrr ;Section others. 3e00. Lab. C.) oo 8 Policy No. — Company 3-1�—$a T FA Certified copy Is hereby furnished-Certified COPY Is filed with the city Building Divisi,,,. S Date Applicant I D. EXEMPTION FROM WORKERS'COMPENSAT:;11 y+~k;CLgkAr,ON Iss)t Section netts not be completed i1 tt:e per.r !,,; 7Pe runc.,ed($10C)or I certify that In the Performance of the work for •. Shall not employ any person In Pity manntf SO c', r -s m�T�s�SSuetl I workers Compensation Laws of Califmannornia. j becorr!e subject to the PLUMBING FEE$Date Signature ELECTRICAL FEES MECHANICAL NOTICE:it.after making this declaration,you shoufd became sdD;ect to the Alter Re air Generator CA I,❑5-15th KW FEES Wori•.ers' Compensation pros of the Labor Code, Auto Wash Boiler ACCT•M GRAOIN6FEES comply with Such provisions or this permit shall be deemedf revoked, p Construction Pole Sub.CONSTRUCTION LENDING AGENCY Backflow.reventer Duct Under Ground Cut. cu.yards 1 hereby affirm!hat there IS a construction larding agency for the performance Cookin Unit Duct-Structural of the work for which this permit is issued (Section 3097 C,v. C•) Backflo._ wlr_�ioation Pole Li tit Fill: cu.yards Lender's Name Clarifiers ran -Ventilatin 3360.3370 Plan Check fee Lenders Address Or ers as ❑Electric Exhaust System Multi le 3�00-�3t2 Permit Fee OWNER BUILDER DECLARATION Dishwasher Fan —� S f hereby affirm that I am exembt from the Contractor's License Law for the Fixture Tra sea. Evaporative Cooler Total Fees S following reason (Section 7031.5 Business and Professional Code: An cif Or F.A.U. County which requires a Permit to construct,alter,improve,demobsn or repair Floor Drains Heating System&Ducting any structure,a for to Its issuance,aise requires the a Fixtures 00.100 000 BTU❑100 000 BTU to file a signed statement that he/She is licensed Pursuant Cta the Provisions of FIOJr Sinks _ Outlets e,Contractor's License Law(Chapter 9(commencing with Section 7000)of Gas Service Outlets Hood or Canopy 3360.331Z Summary PerptitFefx �sion 3 Of Ste Business and Professions Code) or that he/she is exempt SwITCheS refrom and the basis for the alleged exemption.Any violation of Switches tors T e 1 ❑ Type 11 ❑ 31.5 by any applicant for a psrmil subjects the a �criO" Meter❑up to 100 amps Building = natty of not more than five hundred dollars(S500)• pPl!cant to a civil P-Trap Refrigeration System 1, as owner of 00 the the Ptooerty or my employees ure is with •vageS as their sole Roof Drains Meter❑over 100am s ❑0.1Q0 d00 BTU❑id0 000 BTU Plumbing 3 for saleS(tSecjion117044. Business randhProfetsional Code not , The lCont Contractor's offered Sub anal Trailer Sewer Fire IiFact.Bit. ICBO # Electrical = _ License LAW does not apply to an owner of a property who builds Or improves ❑ 15-50KW — tncreon, and who doff SUCK work himself/herself Or through his Or iter Own I Sewer Cap Transformer System RepairRePair/� Alteration Mechanical = cmptoylet, Provided that such improvements are not intended or Offered fo. ❑ 50+KW Fire Dampers $ale. If, however,the building or!mprGvement is sold within one year of com• Sewer Connection-Bldg. Motors❑D•1 HP❑lyr•$ Other j Pletion f r th owner will have the burden of proving he/she did not build or im• Solar Collectorse ister5 Prove for th!D�Irpose of sale), IncI Spear❑9.15 HP 016•i5+ 110-231 SMIP =❑ 1,as owner of the property,am exclusively contracting with licensed con Solar Piping Incinerator tractors to construct the project(Section 7044.Business and Professions Code: Sing/Faint. Res. The Contractor's License Law does not apply to an owner Gf Solar Tank Misc. builds Or improves thereon,and who contracts fur such Property who Multi-Fam. Res. 3360.3370 Summ "actor(t) license Projects with a con• Swim in P001/S a aryol►gnChetltFees Proof o their Worker's COrtpensallo 1,�:urance shoo d pe- I am await that Swimmin Pool/S a 0 1 am exempt under Section a .fOvlded t0 me, Water Heater Building f B.d P.C.for this reason Water Service Issue Data Plumbing S -------_ Owner _ �_ $eptlC SVStem I hereby certify real 1 have read Itils application and state that the above Electltcal = _ Ir.Tgr motion if correct. I agree to Comply with all city and county ordinances '�VELOPMEIITSERY a,a state lawf relating to bulld!ng construction,and hereby authorl" repre- ICES REQUIREMENTS: kl¢chaniGl = .motives Of this city to enter upon the abov!•mentioned property for ��APOspWfi1 Inspection Purposes. thty Other = Signature____ R1131iagApprowdb I oriwrs'LIc•nse or SS 1!< — D71°' Issue AOpGtrtiOe Igor/!y O+4 3360.3375 Planning = ---- '--------___-__ era White-Building; Green•Temrarary File Copy:Canary-Asx'ssor. Pink•ApplicanC Celdenrod•Accnllnhnv TOW Fm on S Proie:I Address g. 0 Ri venl CITY OF LAKE ELSINORE CONSTRUCTiON PERMIT dg Drive Assessor's Parcel No._ ,—_ Applicant to fill in all spaces except those within heavy border lines and sign ali appropriate declarations Owner's Name F1 M.Arrtl investment CO Phone PERMIT NO. TRACT NO. L 1T No. , UNIT NO. 1 , Address _W.U_Caast Highway_J_d9A each CA Arch/Eng. License No. TTPEOFCONSTRUGION ❑ NEW ❑ ADD ❑ LTERATIO O REPAIR Address _ J CONVERSION ❑ DEMOLISH O OTHER Mobile d ' ome �nstalMY0fl Contractor's Nam. A.P. # CESCRIPTION OFWORK/USE OF BLDG. gone phone E Main Euildinp: Accessory Building: Address Imailingl _— TYPE OF PERMIT 7 GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front Z City License No. n TENANT ❑ ELECTRICAL CI PLUM81NG ❑ MECHANICAL B 0 LICENSED CONTRACTOR DECLARATION 0 OTHER A Rear N I hereby affiri-.:that I am Ecensed under provislons of Charter 9(commencingPROJECT DESCRIPTION: $ .FL - C I 1 with section 70001 of Divislon 3 of the BustneSs and Professions Code,and V Occupancy Right N 'Y license is in full farce and effect. Construction hoe ___ zone Acres g Left G License Class —License No.—_ _ valushon S_ _Poi R Date Signature — PIn . R,f_#& __Parkin Req./Provided E Remarks RKEFS'COMPENSATION DECLARATION a �]t tO briny files UP t0 ate. Planning Nute; 0 reby affirm M-at I have a certificate of consent to sell-insure or a certificate PerV10US1 1 nS eC b others. M Workers' Compensation Insurance, or a certified copy thereof (Section - _ 3800, Lab, C.) T Popsy No. 1 _ f .� 3-10-88 — s Company Certified copy is hereby Turn:shed. - Certified COPY IS filed with the City Building Division, u.u Data --Applicant l 1 A — EXEMPTION FROM WORKERS'COMPENSATION DECLARATION (This Section need not be completed if the permit is for one hundred($100)or ���-- less), _Aiiiiiiiiiiiiiim� 1 Certify that in the Performance of the work for which this permit if issued,I ShaWnrj not employ any person in any manse, sc a5 10 become Subject to the PLUMBING FEES ELECTRICAL FEES Wr_rk•.rs'Compensation Laws of Calirorria. MECHANICAL ' FEES Date signature_ Alter Re air Generator[70.5KW O $-15KW goiter '•X GRADING FEES ACC NOTICE:If,after making this deClaratlon,you shoc�ltl become subject to the AU10_Was , Cat: Workers' Compensation Pfovisians Of the Labor Ceoe, you must forthwith Construction Pole Sub. _ Duct-Under Ground ---Cu.yards Comply wrtn such provisions or tnis permit Shan be deemed revoked. BoCkfIOW PfeVenter Conlon Unit_ Fin: CONSTRUCTION LENDING AGENCY Duct-Structurel Cu yards I hereby affirm that there is a Construction!ending agency for the performance BaCkfloAr Irri troll Pole Li tit Fan -ventilatin 3360.3310 Plan Check Fr_; at the work for which lhiS permit is Issued (Section -097 Civ. C.) Clarifiers Lender's Name Or ers OGas uElectric •_Exhaust System Multiple 3300.3311 Permit fee S Lender's AddressLD .DE Dishwasher Fan Eva orative Cooler Total Fir--, $ OWNER BUILDER DECLARATION Fixture Traps ea. _ F.A.U. 1 hereby affirm that am exempt from the COniraCtOfis L:Cense Law for the Heating System&Ducting county q mason (section rmit t Business and Professional t Code:Any city or Floor Drains Fixtures ❑0.100 000 BTU J130 000 BTU county v.hl[h requires a permit to construct,after,Imt:•rove,demolish or repair any SirUr.tUre,prior t0 i nompomwi ts issuance,also requires the applicant for such permit Floor Sinks Outlets Nood or fanopy 3360-3312 SuminaryofPermitFees to fi,e a signed statement that he/she is licensed pursuant to provisions of +' G e Contractor's License Law(Chapter 9 icommencrnq witil Section 7000)c' as SetYICe DU11etS Switches T e 1 IJ T.—II 0 vision 3 of the Business and Professions Code) of that he/she is exempt Intercept-6 tors QUlkling ; erefrom and the basis for the alleged exemption. Any violation of Section _I'_ _ Meter O up to 1G0 amps Refrigeration System 7031.5 by any applicant for a permit Subjects the applicant to a civil Plumbing penalty of not more than five hundred dollars(s500). P Trep r 6leter Oover 100 amps _ UO 100 000 BTU r 100•n00 BTU g ; tJ I, as wner of the Property or my employees with wages as their sole Roof Drains Su:j anel I/Fact.Blt,ICgO re # Eletttltal : — compensation,will 10 Lhe work,and the structure is not intended or offered Fi�_ +or Salt (Section load, Business and Prufess•onal code: The Contractor's Trailer Sswar ]5.50KW System Repair/Alteration_ •— Mechanical ;License LJw does not apply to an owner of a property who builds or improves Sewer Cap Transformer _ - — thereOn, and who does Such work hin1StIf/htrself Or :hrOugh his Or her Own U 50+KW F're Dampers Other ; employteS, provided that such improvements are not intended Or offered for Sewer Connection•Bldg. Motors r7 0.1 HP 01%a- sale. 1 however, the buddinq of improvement is sold witnin one year- cool• B Re islets I10.231 SMIP ; — pletion,the owner will Pave '.he burden Of Proving he/sne did not builst or im• I Solar Collectors Inc. Solar O9.15 HP l�1fi-15+ Prove lot the Purpose Of Sale). - incinerator — I] i,as owner of lire Property,am exclusively contracting with licensta con• Solar Piping Sing/Fool. Res. trac•or%to construct.Tie )foleiq(Section 7044.Business and Processions Coon: — —� MIr". The Contractor's License Lai dot•, not apply to an Owner Of property who Solar Tank Multi -am. Res. +--- 3360?370 SumisagofPlanCheckFees; builds Or improves thnre0 and who Contracts for surh projects with a con- Swimming Pool/Spa a ! tNtI OI(S� license pursuaSwimmingP nt to the Contra Ctor's License Law). I am award thatogl/S — Pr"of O their W.�rktr's COmpenSalion insurance should be provided to me. Water Heater Balding ; LD I AM exempt under Stuinr. —.B.3 P.C.for this reason - ' Issue i'17mh:nt+ _ _ ___ •_ Wafer$efVlCe _ ---�--- _— Electrical ; 1 hereby certify that I nave read this app Se tic S stem liCatlon and state : infdrm3tion is Correct I hat the above OE1fELOPMENiSERVICES AEQUlAEkENTS: Meth:vita! ; -- . ith all city and county prdinancvS -�-�and state laws ra,.7+np to 7wlainq;_nnstruagree to Comply w ctlon,and hereby authorize repro• ZaflingApptaM$By Other + sentatives of tills ;Ity to enter upon the aboae.mentionea provor•rl for NaUrxegAppraedbr Inspection purposes. JIa4' 33603375 Pgoning ; Stgnat ore bate, -• Ail0 tatiee lsswd h -- -- Urivofs'!_unu or SS w - Issue -._..� m�- r_ White•Building'. Green•Tempaarr ftk C, Cana Assessor; Piak-A f 1�Foes die S M: rn DO:ant;GobenroA Accounting ----•— �r e CITY OF LAKE ELSINORE CONSTRUCTION PERMIT ProjectAddrwEs -32-qQ� Vey Cide ��iVe Assessor's Parcel ho. --`— Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations awner's Name F1 Morn) 1[1VP-S:tMej1_CO_Phor..— — PERMIT NO- TRACT NO. LOT NO. UNIT NG. Address IJiQt](+[dV ` na Beath CA Arch/Fn . _ License No _— TYPE OFCONSThXTIOP ^ NEW g — . u ADD D ALTERATIO ❑ REPAIR Address G CONYERSEON ❑ DEMOLISH L OTHER hOblle 11( �_n_StallaciGn — DESCP.IPTIDY OF WORK/USE OF BLDG. A.P. -- Zone Contractor's Name Phone— __ — — E,Main Building: Accessory Building Address(mailing) TYPE Of PERMIT 0 GRAD)HG C FOUNDATION ❑ STRUCTURAL T Froni Z City License No. — U TENANT =: ELECTRICAL 0 PLUMBING D MECHANICAL a I7 OTHER ARear N -- - 1 0 LICENSED CONTRACTOR DECLARATION —_ I hereby affirm that I am licensed under provisions of Charter 9(commencing PROJECT DESCRIFIION: Sq.Ft.--_ Occupancy — —_ C Might N with section 7C00) of Division 3 of the Business anu Professions Code,and COMIr_ ';Dn t1lie Zone Acre,,, — S� Left G my license is in full force anS effect. _ Valuation PCf — Ping. # R License Cuss— Lrcerse No.�. —� Parkin Re Date— Signature _ Req./Provided E Remarks pit t0 bring riles up to date. Planning n RKERS'COMPENSATION DECLARATION M ,eery affirm that I have a certificate of consent to self-insure or a certificate �el"V10U51 V 1 n5 t?Cte -others. T 'NOrkefs` Compensation Insurance, or a certified copy thereof (section —b _ _ S 3e00. Lab. C.) 3-J.0-$$ Policy No. —_ Company _ "'-- 8 Certrfiea Copy Is herehy furnished. — — Certified copy is filed with the city Building Division.D are Applicant IR�VV EXEMPTION FROM WORKERS'COMPENSATION DECLARATION — (Thrssection need not be completed if the permit is for one hundred(Sloo)or less,. - -- -- ---_— r Certify that In the Oarformance of the work rnr wnicn this permit is issued,i shall not employ any person in any manner so aS to become subject to the _ PLUMBING _ FEES ELECTRICAL FEES MECHANICAL FEES �)N ;,RADINGFEES Workers'Compensation Laws of California. — Date Slg.iature_ 1 After,Repair _ Generator GO 5KW C 5 15KW Boiler NOTICE:It,after making this declaration,you snouln become subject to the Auto Wash Cors•ruction Pole Sub. W _ — Cut-------Cu.yards ,np o,$,crs• Compensation provisions of th Li e bor Code, you must forthwith t' Duct-Under Ground_ --Cu.yard. • CQty wi!h such provisions Or this permit Shall be deemed revoked. Backflow Preventer Cookin Unit Duct-Structural Fill' CONSTRUCTION LENDING AGENCY I nerery affirm that there is a construction lendingagent for the performance Backf low Irrigation tion Light Fan -Vrn!iiatin 3360.3370 Flan Check Fe►S�_of foe work for winch this permit is issus agency 3097 Civ- C.) ^' Pole Li 9--- -- 3300.3311 Permit Fix — t iarifiers Lenders Name Dryers OGas f�Eieetric Exheust_ System Mul�le _ S ILender's A!fdress Dishwasher _ Fan _ Evaporative Cooler TotalFets S _ OWNER BUILDER DECLARATION — Fixture Traps ea. — _ 1i I hereby affirm that I am exempt from the COn!-actor's License L-v for the - I JFixtures _A•U• I Heating System&Ducting following reason (Section '031.5 Business and Professional Cone: Any city or Floor Drains I JO-100 000 BTU��1UU 000 BTU cOUOiy wnicn requires a vermit to construct,site_,,improve•demolish or repair y- 336D•3312 Svmma ofany structure,prior to its issuance,also requires the applicant for such permit Floor Sinks utlets -- ? PormilFen to ice a signed statement that he/she is licensed pursuant to the provisions of -- Hood 0r Canopy e Contractor's License Law(Chapter 9(commencing with Section 7000)of Gal$eNl[P. OUTIets Switches T e i O Type If 0 vision 3 of the Business and Professions Code) or that he/she is exempt - Building = _ icrefrom and the baSrS for the alleged exemption. Any violation of Section Interceptors Meter 11 up t0 100 amps Retrigerariun System — 7031.5 by _-iny applicant for a permit Subjects the applicant to a civii P-Trap Meer!]over 100 am S i�0•T00 OLIO BTU^�100 000 BTU Plumbing penalty of not more than five hundred dollars(S500). p $ - -- ..: 1, as ovSner of the property or my CI:iplOyeCS with wages as their sole Roof Drains Sub panel ` Electrical -- Fire I/Fact.Bit. iCBO # _ romIIensah[n,will tlU the work,and the Structure is not i!ttCntlCd Or Offered Trailer Sewer Me::jamcai S for sale (So:lion 7044. Business and Pfofessionai Code: The Contractor's O 15.50KW System Repair/Alter3tion License Law eats nut apply to an owner of a property who bui!ds or improves Sewer Cap _ Transformer f•� -- ---- Other thc!eon, ono who does such wort, hlmSetl/her Self u: if:rough his or her own U 50;Kw Fire Damper ----•— --s _ -employees, — prov.ded that such improvements ere not intended Or offered for Sewer_Connection.B!dg. Motors L7 0.1 HP❑1%•8 Re liters 110.231 SMiP sale. It,however,the building or imcrovement is fntd within one year of earn- - i —,G _ o;ehOn,the Owner will have ine burden of proving he/she did not build or im. Solar_Collectors ! Inc. Solar 09.15 HP❑16.154 f-lncinerator I pr%,.ve for the purpose Of Sale). Solar Piping L t as owner of the property•am exclusively contracting with licensed Con. _p 9 Sing/Faro. Res. _ Misc. 33 60 3 3 711 SummagstfPurtChtckFets tractors to cons•ruct trie wol"t (Section 7044,Business and Professions Code: Solar Tank Mlllti•Fam. Res. The Contractor's License Law does not apply to an owner of property who :4 Cwlds or improves thereon.and who contracts for such projects wan a Con. ,C,wimm10�P001ISpa Sw_im(',1inp,It001/S a - Building Z tractor(%) license pursuant to the Contractor'S License Law). 1 am aware that ._-_ proof O/ their Worker's Coripensrtion insurance shoalq be provided to me. Water Heater Issue - G I am exempt under Section- B,y o•C.for this reason _ Water Service Plumbing f i -�- Date — - septic Sy;tem f Electrical $ Owner -- accham:al S _f heritir certify teat 1 have read this application and state that the above 'r TD� ►tdENTSERy(CESREQIIIaEAIEfITS; mlOr .manor, i5 Cgfr C[t. f a4PeC In CO n1pIy with Arl City and county ordinances Dthef = antl State laws relating tobuil7rng ConStruCtron,and hereby aulleorize repre• ptxoseA lY F sen`atives of this city to enter upon the above•manlioned properly for ApprmisIliil y 3360.3375 Planning Sinspection purposes. �signalureIssue 4IWAII By Drivers'License or SS t0 Isla(Felf Flsa = _ While-Budding: Green•Temporary file Copy:Canary-Assessor, Pink Appifrani.raiden(M-Accointiap Prnjecl Addresf ,2GZQ��r0 b yeX"je Drive CITY OF LAKE ELSINORE CONSTRUCTION PERMIT 1 -Assessor's Parcel No. — Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations Owni 's Name EL Iill)rt"a 1 IMPS.iMaIlt-0--Phone PERMIT t10. - i RACT NO. LOT Nt LINIT NO. Address - �S coast I�1�hpay Lam(mod_ eac7 �A l Arch/Eng.- —Licenx No. - TYPE OfCONSTRUCTIDR U filly " A07 n LTERATIO ^ REPA:d Address CONVERSION Cl DEA(DLISN D OTHER I_kbi1e Rome 1�r,Stallat:OFT XP # - -� DESCRIPTION OF WORK/USE OF BLDG. Zone Ccrntrac+.or's team._ —Phone _ S I Main Building: _ Accessory Building: Address(mailing) _ TTFEOFPERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T I Frort _ _ ❑ TEhAIIT ❑ ELECTIiI !3 PLUMBING ❑ MECHANICAL B U City license NO At Rear LiCFNSEO CONTRACTOR DECLARATION f` OTkEP. _ _ t I heretl•affirm thtt 1 am+icensed under PROJECT DESCRIPTION-- C� Right N > provisions of Charter g(commencing $Q.ft. �_Uceupan;y g t with sett ton 7000) of Division 3 of the Business an4 Piafessions Code,and C0.'ISneCIi09 line loot K,---� N my license Is In full force ar+tl effect. -_ Acles S• Left License Class __ License No.-_ Va)92tm 5....._ _PCp - R Date Signan,re _ -- _ Ping. Ref. # Parkin Req./Provided E Remarks r 1i KER5'COMPENSATION DECLARATION _ Pgt VQ bring files Up to Cra te. Planning Notes raby affirm that 1 have a certificate of consent to self41tsure or a certificate ti - AA '.varkers' Compensation :nsuranch, or a certiffed CJpy thereof (Section Perviously imecte Oth rs. - Y 3870, Lab. C.) _3-30-8$ ---_ — - s Anlicy No. - Company - - - ter, 9 Certified copy if hereby furnished. — Certified copy is filed with the city Building Division. T t��.}t��JZ ! y Date_-- _Applicant-- 1 U tr EXEMPTION FROM WORKERS'COMPENSATION DECLARATION (TarsO section need not be cmjolettd if the permit is for one hundred(SI00)or less). I cerh•y that in the performance of the work for wnicn this permit is issued,I snajj not employ any person in any manner ;tl a:to become subject tc the PLUMBING FEES ELECTRICAL ( FEES MECHANICAL FEI Workef;• COmpensation Laws of California. GRADING FEES Date Signature Alley, Repair I I Generator�0-5Kt'd L7 5_T5KW Sailer NOTICE:If,after making ill's declaration,you should become subject to the AlrtG Wash Cut.----Cu.:aids Workers' Comimmalsoa Orov:Sinr.L OI the LiDOr Cady, y'Olr Inuit rnrthwrtn _ Construction Pole Sub. Due:•Under Ground _CONcomS won a,ch provisions •)r thri Permit -11I be deemed revoked. : 8ackllow Preventer Cooking Unit + fill:CONSTRUCTIO"1 LENDING AGENCY -t---- -- Duct-Structural —.—:u.p!dS (hereby affirm trial there rsa cnns'•uction tending agency for the performance Batkflow 46 tion ___ Pole Light �_- ( fad •Ventilating 0 PI2nCfletiFetS Of ter worst for can:cn ems permit issued ;Sac?ion 3097 Cfv. C-) Clarifiers_ — 2I PermitFee ; Lender's Narne 1 Dryers❑Lias ❑Electric Exhy!t S stem Multiple — Lence,N Address _. _ — Dishwasher (Fan $ — OWNER BUILDER DECLARATION — - Evaporative Cooler TlltalFees Fixture Traps ea. F.A.U. _i hereon ar aso that + am exempt 4nm the Contractor's Litania Law far the HeatinG System&Ousting (oNawm.r reason (Sr-ctron 7031.5 Business antl Professional Code: Any city OrFloor Drains _ Fixtares Ci0-T00 000 BTU L7TC0.000 BTUcounty wnicn requites a permit!a construct,alter,improe,tlemofun cr res*air i ]5(i-331? SvrnmaslOiPtrmitFtfs any structure,prior to its rssuarcz,also recu,res the applicant f :such Flow s nks DUtl.tt per —! Huod or Canopy to rite a Signed slatemant that he,snt is ticansetl Pursuant to the provisions or GdS S2NICe DUtieti _ ^-1 , e Cc factor's ucansa Law{Chapter 9(commcocing with Section laGO)Or !— $witches I Ty�2 T u Type tl ] _�__ 'visi0n 3 of the Business and Prcte•spons Code) or that he/she is ezemal n - -'H-� - Building _ ieretrom and the basis for :na alleged exemption. icon violation a! SCction l (ntetC_ tOrS _ p Refriaeration System _g _—£� Meter L7 up to TCO amps Pli;nb!nF ; io3/.s sly any applicant for a permit sublects the app+ir:ant to a civil :Trap I Meter paver IOOamQs — GO 100�[I00 BTU Li00,000 BTU penally of not more than five hundred donar;(s5CO). __ .J 1, as owner of the Property Or my employees with wag s as their sr le Roof Orairs Su ap net - I Eleclacai $ _ Fired.Fact. Bit. ICBO #compensation, will do the work,and the structure is not in ,.red Or o!rr rid I Trailer Sewer i Mechanical ; - for salt (Section 7043, Business and Professional Code: Tile C-'+ntrarl0r's ��.�__ Transformer 15-50KW I System Repaif/Alferati0n License t..aw saes not apply to an overer of a property wt•.o builds of improves Sewer Cap — tcicraon, and who does such work himself/herself ur through his or her own 50+KW_ _ Fife Dampers Olher S emnioyeas, prnwdctl that such imprOvaments ore not ntantletl or effereO for - Sskvcf Connection-11Jg. Motor;(]0 1 HP G1%••S i Registers _ - I10131 SM;P ; $ a 16. If,nOwtver,the building Or rmprOvrmen!IS Sold within one year fir cam- -+•----- plation,the owner will nave the burtlur.Of Proving he/in¢did not baud or sm. Solar Coliectoti Inc. Solar 03.15 HP 01G-15f _ prove for the p�rposo Of sale). - - _ i Incinerator Solar Piping $in — -fT-Mis-c. C] ! as owner of the Ofrs"fty,am exclusively cnnlractrng will,licensed coil. _ g/Fam. Res. tractor%to construct Inc project(Section 7044,eusiness and ProfrsirOOL Coda: Sufar'fank s `- "-- --(-- — --- ;360.3370 SwinafyofPlm Check Fees The r:ontracior•s License Law does rut app�y to an owner of prnperty who - Multi•Fam. Res. builds O' improl•es incision and wn0 sic^tracts for such project% wit a con- Swimming Poul/Spa SW rjjMTinT Pool/5pa tractor(•) i;cense pursuant to tna Cnntrac!nr s License Law) 1 ;m aware this - - proof of lien Worker's Compensation insurance should ba provided to me. tNater Heats•* ISSU@�_ t-i mpi under Section.--- B.6 P.C.for this reason Wafer Service 1 am txe - Plurabmy j ----- Owner -- _'_ Se)tic $y�1erT: I hereby ctftify that I have read tills appiir.ation and state that the ahov¢ _ {S( _ DEYELOPIIESTSFRyt( SRE(2tAREMENTS: Mechanical f - tnformatron is correct. I syrea to COmpty with ad ri!y and COUMy OrOinances --"- DtILH $ and stare laws relating to buriaing construction,and hereby Suthori:e ropre- IeflatApr'w�d01 —Dill or tors city to enter upon the above-mentioned Properly for lbMa)'Aptlrtlwd01 _ _--r--- 1360.3315 Planning iMpeSrton purposes. Signature data Issue ApAtcatioa bawd By ^- Date LOn refs'LicsiI or SS;f-= _-- TOW FM PH ; Whitt Building Gitendrmporary File rrnv: 41u-Asstsni.Pink Acplrgnt:Ga✓emce Ar.rounhnt -�- Project Address—MOO River Drive CITY OF LAKE ELSINORE CONSTRUCTION PERMIT side _ Asse+sor s Parcel No. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations owner's Name _ 1 Mnrm i ny st1pe fl Co•pn.,ne PERMIT NO- Arch/Eng.Address License No. TYPE OFCONSTRUCTIO71 G NEW ❑ ADD 1l TERATIO f- REPAIR Address _ C CONVERSION C1 DEMOLISH ❑ OTHER Flobile home Installation Contractor's Name_ DESCRIPTION OF WORK/USE OF BLDG. A.P. # Z.vie— Phone C Main Building: Accessory Building: Address irnsiling) ?TPE0FPERMff C' G.",ADING ❑ FOUNDA-ION C STRUCTURAL T I Front Z City License No. G TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL 13 _ O LICENSED CONTRACTOR DECLARATION C OTHER A Rear N I hereby affirm that I am licensed under provisions cf Charter 9(commencing PROJECT DESCRIPTION: a FL_ C I with seulon T �fi Occupar-f Right N 000) of Division 3 of the Business and Professions Code and Caastniction try _ Iola K, my license is in full force and effect. Axes $ Left V G License Class License No. Valuation j_, PCf Date Signature Ping. Ref.# ,Parkin Req./Provided ^_ RI:ERS'COMPENSATION DECLARATION Remarks p rmi t to bring files U Q reby affirm trial 1 have a certificate of Consent to self4nsure or a certificate I) 1tJ date. Planning Notes �YOrkers' Compensation Insurance, Or a Certified copy thereof (Section Perviously inspecte others. _ —_— M Palo, Lab. c.) 3-10-88 — s Policy No. Company � —� i LRQ Certified copy Is hereby furnished. Certified copy Is filed with the City Building Division. ID. -- Date Applicant 1 7 Lr EXEMPTION FROM WORKERS'COMPENSATION DECLARATION ) +� ��� _ (This section need not be completed it the permit is for one hundred $100 or ffa—=— trs;). I cell*y that in the Performance Of the wank for which ina permit is issued,1 •'- shall not emPloy any person in any manner so as to become subject to the PLUMBING FEES ELECTRICAL FEES _ workers'Compensation Laws of Cai,fcrnia. MECHANICAL FEES Date --Signature c!a _ era Genet rajor❑_0.5KW❑ 5-15KW _ `-•;lei - ��-y GRADING FEES NOTICE:U otter making lhi;dre:aration,you should become subject to the f AU1J Wash ��— I vJO.Atrs• Compensation provisions of the Labi;r Code, you ,.just forthNfth COnitfuCtiOn Pate Sub. f')uct•i,:lder Ground _ CAI CU.T7rCs Comply won cucri provisions or this permit shall be deemed revoked. Backfinw Preventer Cookir, Unit fONSTRUCTION LENDING AGENCY Duu—Siructural Fill. -- cJ taros I nereGy affirm that t�- a.s a Construction lending agercy for the performance , Saekfl3w Irrigation Pale Light Far -Ven(ilatin0 3360.3310 Plan CSeck FesS of the work fr, •.n:ch this ,m.t is ISS.red (Section 3097 Civ. C.) Lenders Name _ Clarifiers Dr ers❑Gas ❑tleetric �— Exhaust S,rstem Multiple 33W3312 PermitFre $ Lenders Address Dishwasher Ftn $ -- OWNER BUILDER DECLARATION t Evaporative Cooler � __ TaUI Fees I hereby affirm that I am exempt from the Contractor's License Law for the F'xture Traps ea.� ' Heating System&Ducting — F.A.u. Couowmq reason (Section permit t dusineu:ntl Protesfio.+al Code:Any uty or Floor Drains Fixture` CO 100 600 BTU C1Ql�.OQO BTU , county whlCh req cirri a Permit to conit-Lict,alter.Improve,demolish or repair any structure,prior to its issuance•also requires the applicant for Such prrmit F:ocr Sinks Outlets Hoed 0 0011 -- 3•)'('-33'2 Saxma�e(Permit tots to fife a signed statement that he rsne ,s licensed 6ursuant to the Provisions of e Contractor's License taw(Chapter 9(commencing with Section 7000)o: Gas Service Oulle(S ,$witchef 1Type 1 ❑ Type 11 G i visio•i 3 of toe Business and Prorrs:.ons Cnar) or that he/she is exempt Ince:re tors BabiOQ j _ Crefrom anG the basr_for the alleged exemption.Any v:olatlon of Section Meter C1 up to i00 amps _ I Refrigeration System Td31.5 by any appliCant for a perm., SubjeC:s the aPPll:ent to a civil ( P•TraP 1 PlamblBg j — — �analty of not more than flvc-hun,1red d011ars(S500). Meier Clover 100 amps I UO•lOQ t,QO BTt1 100 OQO BTU _ -- �,J I, as owne• of the y y y .�_••__, j p:cCflrl or m ere?jo ers with wages as their sore I RcoF Drains _ — iub�ne! __.1—_ FireplrFact. Sit.ICBO ?# Ei:ctraai rDmpenslQCn•will do the work,and the %Ifu cline is no: intruded or offered fur safe ;Section T04G Business and Professional Cody: The Ccnlractor'S Trailer Sewwr - --- a(r.Lan:ral j ___-`-- -1---- 015.50KVi { System_Repair/Alierat:on ticense Law does not apply loan owner or a prrperty wrier builds or improves o Transformer I _ Sewer Cap _ G:rzr :nerron, and who odes such work tiimscurhersett or mroug:i rigs Or tier own u 59+KW Fire Dampers j employees. provided :hat such improvemenTs arc not intencieu or oftc•ca for '; Setter COnneChnn-Bld n sale. It,however,the building or improramenl is Sold with,s one year of com• I ( MDtors❑Q•i HP❑1n•8 Registers 110-111 SAPHP JiCfiOn,the owner will nave ere burden of Proving he/vic did lot build or in.• Solar CfilleetorS trove for the purpose of safe). __ Inc. Solar❑9 15 HP❑i6.15+1 -t Incinerator - ❑ I.of owner Of the P,c lie::y,am euC,usivel con:ra[fin with i,crnsed con- Solar Piping ' Misc. y 9 r �__ _ I Sing/Fain. Res. The"orS I COnytrucl inC ptdlCCl(Section Toas,Business and Prorrsvnns render I Solar Tank _ 3360.33T0 SommarrolPlanfhtekft s The Contractors License caw does not apply to an ownr• of properly wno — -, Multi_Fam.Res. i —'bu.:cis or Imptaves lr.ereon,and wnD contracts (cr such ,,,OlCcls with a COn- t.acsor s) license Sr.;rmmin Pool/S•a Swimmin P001/S a — —.-�--' — 1 Pursuant ro Incthe Contractors License Law). 1 am aware that -� -- —� � __ BciWing j _ t p=oi'7r o chili yJutker•s Compensation Insurance srsoufd be prdviueJ :O me. Water Heater Y - - --- �— _ I ❑ I am oxempt una-r Section_ issue !t— PivmbtnY j C.for:his reason Water Service "�—"— -i---- oafe own_: . —_— r Seolic System _ 1 Electrical 3 ._- I hereby certify that I have read tills applicatlon and state trial Ina avow ism DEVELOPMENT SERVICES REQUIREMENTS: krtharaal f _ in d sfa:.on is G)rfcct. 1 igloo 10 comply with all city and county Ordinances --- —• - - _. antl stare law, relating to building construction,and hereby autflonle repro. ?Ming 1PO WW al Olkl j senlatives cl this city to enter upon the above-mentionea properly for — inspectionpurooses, lAIRr'iaRApDlOVadllF _pat, 3360.3315 Planning j _Signature Data R�Rc7tioa h„wtJ "' Oliver%'License Oi SS!!' •"'-'— issue W1ule•BmiOm ol Fin Dw Y E Grao-Tempej:a-f FIk Cope Gnary.Asessa; Plnk•Appticant.Gol4enro0•Accounhny To -- __. CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Project Address 32900 Riverside Drive I Applicant to fifl in all spaces except those within heavy border lines and sign all appropriate declarations -Assessor's Parcel No. _ Owner's Name F'1 Marra Investment Co. hone___ PERMIT NO. TRACT No. LOT N0. UNIT NO. Al:dress -_8811 Enact Highway Laguna Be?Ln CA Arch/Eng, —License No. TYPE OFCIN(STRUCTIOR NEW E; ADD ❑ATERATI l3 REPAtR Address ❑ COMERSION ' DEMOLISH 0OTHER flloibi 1 e HOille instal l oa n A.P. DESCRIPTION OF WORIVUSE OF BLDG. Contractor's Nam, —Phone E n*+ Alain Building: _ Address(mailing) _— TYPE OFPEINIff ❑ GRADING ❑ FGUNDATION ❑ STRUCTURAL TI Front City License No. TEkANT ❑ ELECTRICAL L PLUMBING ❑ tAEt)iAtUlJtl ��Rcar LICENSED CONTRACTOR DECLARATION �- OTHER A ?RO)ECT DESCRIPTION: Sq-FL _Occupant C 1 nerxby affirm that 1 am licensed under provisions of Charter 9(co.-menr,;rig 7 K with sect ton loco) of _ivislon 3 of the Business and Professions Co:.e,and Ccmrru-!!or ty?e Zane Acres S t Left my license is in t!;force and effect. : Lit. =Mass License No. _ a uatt S PC# Pla Ref.# Dale Signature Remarks permit to bring files up t0 date. Planning Notes RKERS'COMPENSATION DECLARATION reby affirm that I have a certificate of consent to self-Insure or a certificate Perviously inspected--by ethers. Workers' Compensation Insurance, or a certified copy thereof (Section 101, ^^ o� --� 3800. Lab. C.) 3-1L-00 Policy No. _. Company — 8 Certified copy is hereby furnished. Certified cop-is filed with the city Building Division. T D.If L C7 Dati -Applicant -- EXEMPTION FROM WORKERS'COMPENSATION DECLARATION G _ (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:s issued.1 shall not employ any person in any manner so as to become subject to the PLUMBING FEES ELECTRICAL FEES faECHAWI(.AL FEE workers'Compensation Laws of California. Date Signature ___ Alter, Repair 62nerbtor❑&5KW❑5.15KW Boiler NOTICE:It.after making this declaration-you should recomit subject to the AUtO Y>tash ,Construction Pole Sub. Duct-Under Ground ' workers' Cnmpensatton provisions of the Labor Code, you must forthi ilh comply w,-n such provisions or Leis permit Shalt be deemed revoked. �_Backf(rw Preventer CookinQ Unit Ouct-Structural CONSTRUCTION LENDING AGENCY ' Backfl�::Irri tion I Pole light r'an •Ventilatin 1 nerety aftrrm that there is a construction lending agency er the ueAO:r•fante �''' ___t_ Of the work f... which this petmit is issued (Section. 3097 Civ. C.) I Clarifiers Dryers❑Gas ❑Electric I Exhaust System Multiple Lender's '.,me Lender's Address __. Dishwasher — Fan Evaporative Cooler_ OriNeR BUILDER DECUkRATIOCJ Fixture Traps 2a. F.A.U. Heating System&Ducting I hereby affirm that I am exampr from the Contractor's License Law for the . Floor Drains _ FIXWreS ��— _ ❑a1Qo,000 6TU❑1000D0 BTU 1 _following reason (Section 7031.5 6u%iness t Sid Professional CGOe:Any city cr county witch requires a permit to con,!ruct.alter,improve•demol:sr.or repair Floor Sinks Outlets Hood Or Canopy any structure,prior to its issuance.also requires the applicant for such permit io the a sinned statement that ne;snt is licensed pursuant to the Drovis•ons of Gas Service Outlets Stvit[hes T'+ e 1 ❑ T !11 ❑ eContractor's License Law(Cntpter 9(commencing with Section 7000)of _vision. 3 of Mil Business and .vofesstons Code) or teat he/She is exempt Interco tors _ Meter❑up(o 100 amps Refrigeration System erefrom and the basis for the aileged ext^iption.Any violation of Section - -#---- 031.5 by any applicant for a reumit suojects the applicant to a civil P•Trap Meter Dover 100am S 00.100000 BTU❑100000 BTU no natty of not more than five hunaret dollars($500). 1, as Gwnef Of the prOperty Gr ri^y employees with wages as their sole Raof Drains Sub panel Fire !/Fact.Blt.ICBO # compensation,will do the work,and site structure is not intended or offered Trailer Sewer ❑ 15.50KW System Repair/Alteration fir sale (Section 7044. Business and ProfessionA: Code: The Contractor's Transformer — Lfcense Law does nut apply to ui o.vner of a property who builds or improves $ewer G7u ❑SQ+j(W Fire Dampers thereon, and who does such work himself/herself or through his of her Oven --�--- - employees,Pros:ded that such improvements are not intended or offered for l Sewer Connection-Bldg. Motors❑0-1 HP❑1%-B Registers sale. If,however,the bmiding Or improvement is sold within one year Of com• — - c•letion,the owner will have the butcen of proving he/she did not build or im• J Solar Collectors _i Inc. Solar 09.15_HP❑i6-15+ Incinerator _ Drove for the Purpose Of sate). Solar Piping Sing/Fain 9es Mlsc ❑ 1,as owner of the„rbperry,am exclusively contracting with .licensed con- . _ tractors to cnnstruct the Protect(Sei.tfon 7044,Business and Professions Code: I Solar Tanr, Multi•Fam.Res. The ConlrrCtnr's LiCente Iaw doe: not apply to an oo.ner of property who --- huilas or improves lhereon,ai.1 wen contracts for such projects w.th a con. Swims POpIf$pa Strimmin Pool/Spa tractors' license pursuant to the C intractnr's License Law). I am a xare that - prof of their worl•er's Comp}nsaiion insu-ante should Do provided to me. Wier Neater IsSuB 0 1 ain exempt under Section B.6 P.C.In,this reason Water Service Cate __-- Owner — Septic.System I :.areby ceri,ry that I have rea9 'his application and state that the above Mist. OEYEIOPMENISkRY1LES1EQSflNEYEMIS: Information is correct. I agree to comply with all city ar,d county ardi, antes jaaill AWe�W f and state laws relating to builcing cor.'!ruCt;on,and herehy authorize repro. - - SaMatives or tr.s city to enter upfn ",A Above.man tlonea property :or &fiingAwesa/of _mow inspectlan Purposes. Issatd IN Signalure _ Date, Issue LOtivtrs'License ov SS if _ While-Building. Grces•Teraporary File Coot:Gnary•Atsesta: Pii!k•AOCii'.ant:GoWenroA•Actounhng ION PERMIT CITY OF LAKE ELSINORE CONSTRUCTION PERMIT is P heavy border lines and sign all appropriate declarations LOT UNIT N0. IZZ2 Dtdol�ileorrennstallat ion # Zone — A.P. # r Z ne in Build:rig: _ Accessory Building: Z E Main Building: Accessory Building: ` iit 0 C STRUCTURAL T Front 0 Ir H E: MECHANICAL B Rear N I AI "'It G _Occupancy - K Right G t B _ Aaes g Lek tR lef.# Parking Req./Provided E Ping. Ref. # Parkin Req./Provided E ig Notes M s up to date. Planning Notes M T others. T ^� s 3-10-88 S IECHANICAL FEES ELECTRICAL FEES MECHANICAL FEES ACCT.7 GRADING FEES - ACCT.i GRADING FEES aerator 00.5KW!- 5-15KW Boiler —+-- hut: ,cu.yardf —�. .. Cut: cu.yards rr Ground � utruction Pole S,rL. Duct-Under Ground F.-I!: tu.yards fill: cu yards :tural Wing Unit Duct-Structural dating 3360-3370 Plan Chuk fee S e Light Fan -Ventilating33603370 Plan Check fee$ stem Multiple 3300-3312 Permit Fee i - iers❑Gas r'Fl±ctric Exhaust System Multiple _ 3300-3312 Permit fee $ �e Cooler TOW fees $ 1 Evaporative Cooler Total fees S vern&Ducting i.U. Heating System&Ducting 00 STU 0100 000 BTU , lures ❑0.100,000 BTU 0100,000 BTU anopy 3360-3311 Summary dhrmitFees :lets Hood or Canopy 3360.3312 Summary of Permit Fen 1 Type II ❑ Building S _ itches Type l ❑ Type II ❑ t ,rldrnC S on System Plumbing 3 — •er❑up to 1 OC amps Refrigeration System Plumbing S 10 STU❑100 Q00 BTU e-❑o-er 100 amps 00.100 000 BTU 0109,000 BTU Elecnrca! S _ Electrical S [.Bit.IC80 # r panel fire l/Fact.Bit.ICBO $ pair/Alteration Mechanical S _ ❑ 15.50KW System Repair/Alteration Mechanical $ _ ers Dar S __ _ nsformer ❑ 50+KW Fire Dampers Other S -` 110.231 SMIP $ — .ors❑0.1 HP❑1%-8 Registers 110-231 SMIP S r I Solar 09.15 HP 7j1&15+ Incinerator c Mi Res. s . 33�-3d10(Srmmui of No Check No /Fam. — 331i0337C Summary of Plan Check Fens i ti-Fam.Res. Building S nmin Pool/S a Building $ Plumbing S Issue Plumbing S Electrical S Electrical $ Mechanical $ Mechanical S Other S ,OPMEAT SERVICES REQUIREMENTS: Other S _ Refs IAI'prowdBy _ Dale 3360.3375 Panning i of Awaeed BT mb 136C 3375 Planmeg S 15"hind g _ Dab Tow Few on : Total Fen We S ,_ pw-- se'se" ProlrcIAddress 31.2Q`l�iverside Crive CITY OF LAKE ELSINORECONST�c�f`T;Ls�; PERMIT Assessors Parcel No.— Applicant to fill in all spaces except those Within heavy border Gales and sign a!!appropriate declaratipr s Onvner's Name _El Marro Investment CO Phone PERMIT No. TRACT No LOT N0. UNIT NO. Addrm —Flail Ctast N�ghr,! y—L&gwi Beach CA - Arch/Em; License No. . TMOFCONSTRUCFION C NEW ❑ ADD aL7 LTERATI ❑ REPAIR Address ❑ CONVERSION ❑ DEMOLISH ❑ OTHER I�iohi_e Aome lin_,tallaft tion DESCRIPTION OF WDRI(/USE OF BLDG. A. # Zon MINI:I Controetor s Nance Phone S Main Building. r i Address(mailing) g , .1f.,vs;rr;nuilding: 1YPEOFPERIaR Q GRADING ❑ FOUNDATION ❑ STRUCTURAL E --- -- — T Front '— Z City License No. C= TENANT G ELECTRICAL ❑ PLUMBING ❑ fdECHANICAI O Rear O LICENSED CONTRACTOR DECLARATION t OTHER A t !i I hereby affirm that I am licensed under provisions cf Charter 9(comr.,enctng PROTECT DESCRIPTION: Sp.Ft. ,=tupancy � Right with section 7000) of Division 3 u/ the Business and Processions Code,antl —" )( N my license is in full force and ef!ect. Construction Fix Zone 0.aes Left G License Class License No. Valuation S PGy — $ cote signature — Ping. Ref,# Parkin Reo./Provided E RKERS'COMPENSATION DECLARATION RemarksPermit tit) bring files UQ t0 dote. Piannicg Notes E .reby affirm that I have P certificate of consent to self insure or a certificate M Workers' Compensation Insurance, or a certified copy thereof (Section Perviously ins ecte others. 3800. Lab. C.) T Policy No. Company _ 3-10-88 S 8 Certified copy is hereby curnished. Certified COp:f is filed yr th the city Building Division. T�. Date APp!;cant 1 This section need not be comolotEXEMPTION FROM WORKERS'COMPEN less). SATION DECLARAT101•: G i:d if the p ermit is for one hundred(S100)ar _— less), I certify that In the performance Of the work for which this permit is issued 1 shall not employ any Person in any manner SO as to hecome subject to the PLUMBING FEES ELECTRICAL Workers' Compensation Laws Of California. FEES FdECHANiCAI FEES Date Signature Alter Re air Generator 00.5KW O 5•15KW Boiler ACCT.0 GRADING FEES i -ker NOTICE:Compensation after making this declaration,you SriOultl , come subject to the Auto ilyash _ Workers'wilt, such provisions provisions of the Labor Code, you must forthwith Construction Pole Sob• Cut: [empty wino such provisions or tnls OtICt•Urider Ground cu.yards CONSTRUCTION LENDING AGENCY permit $hail be deemed revoked, Backflow Preventer Cooking Unit Dlttt Structural Fill: _ cu,yards I Hereby arnrm that there is a construction fencing agency for the Performance Baekflpw Irri Lion Pole Light _fary 3360.3370 Plan Cheek fees n! Inc work for which this permit is issued (section 3097 Civ. C.) Ventilatina Gender's Name Clarifiers Dr ors OGas OEleC Lender's Address tric Exhaust S stem Multiple 3300.3312 Permit Fee S ~DiShtrashPf OWNER BUILDER DECLARATION — Fan EVa oratiae Cooler Total Fees j I hereby affirm that I am exempt from the Contractor's License Law for tre Fixture Tra sea. F.A.U. Heating System l 'luCting following w reason (Sec�ian 7031.5 Business and Professional Code:Any city or FIOOt Drains —"'COi:nty which requires a Permit to construct,alter,improve,demolish or repair Fixtures 00-inn 000 6TU ❑i00 000 BTU any$tructu.e,prior to +ts issuance,also requires the applicant for such aerrnit Floor Smks Dutiets 3360.33)2 Summary of Permit Fees 10 file a signet-staternert that he/she is iicensed 1—suarit to the provisions Of Hood or Canopy e Contractor's License Law(Chapter 9(commencim;with section 7000)of Gas Service Outlets Switches T eat 1 l� Ty II p S vision j of In! Business and Professions Code) or that :re/she is exempt erefrom and the basis for the alleged exemption.Any violation of sgcteon inle.Ce tots Meter O Uri to TQQ amps Building j 7031.5 by any applicant for - permit subjects the applicant to a clvil _ Refrigeration System penalty of not more than five hundred dollars($5oe), P•Trarl __ Meter Orivef 100 amps ' 00 100,000 BTU 0100,QQ0 BTU Plumbing j i� I, aS owner of the property or my employees with wages as their Selo Roof Drains Sub anel Electf'ral j cOm Pen sat non,will do the work,and the struciLre is not intended or offered b p _ I Flre I�/Fact.Bit.ICBO # for sale (Section 7044, Business and Professional Code: The Contractor's Trailer Sitwef G 15.50KW Mechanical $ _ Licen" Low does nat apply to an owner Of a property who builds or improves -- Transformer System Repair/Alteration lnercdn, and woo goes such work himself/hersell or thrOttgh his Or Her ouch Sewer..ap _ C7 50+KW _ FirP,Dampers Other j employees, provided that such Improvements are not intended or offered for SPwef C:,,ineeti0n BId , sale. If, However,the building or improvement is SOId Wilhni one Veer Of cOm- g- __ Motors O 0-1 HP 0 i/:•8 f?eglsters I102a: SAtIP j I"., f,the owner will have Inc burden of proving nc/she did no:build Or im• SGlar COIIQCIOfS _ Inc. Solar 09 15 HP O1fi 15+ prove too the r of thPuIPOie of sale). IfIClnefatOf ❑ I,as owner Of the Property,am exclusively contracting will:icenfed ton- Solar Piping Incinerator 'S I'1eS tractors to construct the Project (Section 704a,Business and Professions Cone: Solar Tank — '-i �� MI;C. Tne Contractor's L•ceAle Law does not apply to an owner of property woo I Fdulti•Fsm. Res. 3360.33]0 SulamaRolPlaaChedFees builds or Improves thereon,and who contracts for sucn projects with a con- $Wlmmla r001/$ a o tractor(sl license pursuant 1is the Contractor's License Law). I am aware that SWif l(filn P001/�Gd proof O(r tneir Worker's Compensation insurance should be provided to me, meter Hratcr - --• Building j Q I am exempt under Section —B.6 P.C.for tlis reason — --- Issue S ` Wa(�r Seryi=e _ Plumbr Date Own., _. "•— Septic Svste.I I ilectrlc; j I hereby certify that I have ,pad lids application and stat a Information is correct, 1 agree In comply with an coy and county e roar the theord above ove "Xuf�MLNTSE RVUSREQUIREMENTS: Mechanical S And stale taws relating to building construction, nances and hereby authorize repre- Lxsin(>lpprolsdOF Other j seMatives of this City to enter upon the above•mentioned properly for Wb _ insPe<tion purposes, — -atldm[Appre>'tABF Data 3360.3375 Planning j Signature _ Date r`u�a btseiA Cy LDfivers'license or SS M Itsue -- _ q While-Building. Green-Temporary File Copy CanafyAswssiv. Pink Applicant:GoldP-.ud kcoi..anr Tool Fan ON j 1 CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Proled Address 32900 Riverside Drive Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations Assessor's Parcel No. Owner's Name F1 61nrro Investment CO•Phane PERMIT NO. TRACT NO. LOT N Address 8811 enact Highway Laguna Beach CA Q. UNIT N0. Arch/Fng. _i icense No. 1TPEOFCONSTROCTION ❑ NEW ❑ ADD ❑ LTERATIO (^ REPAIR address 1] CONVERSION ❑ DEMOLISH ❑ OTHER 14obi 1 e Home Nsta i 1 ati on Zone A.P. # DESCRIPTION OF WORX/USE OF BLDG. — Contractor's Name_ ---- Phone _ — S Main Building: Accessory Building: MEOFPERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front z Address(maiGngl .-- 0 TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL a NCity License No. r OTHER A Rear t _ LICENSED CONTRACTOR DECLARATION PROIFCTOSCRIPTION: Sq.ft- _Otto n C Right N 1 hereby affirm that I am licensed under provisions of Charter 9(commencing Occupancy N with Section 7000) of Division 3 of the Business and Professions Code,and Construction type Zone Acres S Left my license Is In full force and effect- R License Class License No. Valuation] �PCN PIS .Ref.# Parkin Req./Provided c Date Signature RKERS'COMPENSATION DECLARATION Remarks frm Remit t0 bring files up date. Planning NotesM reDy affirm that I have a certificate of consent to self-insure Or a certificate Perviously i nspecte others. T Workers' Compensation Insurance, or a certified copy thereof (Section — S 3900. Lab. C.) 3-10-88 Policy No. Company 8 Certified copy is hereby furnished. 1t ^� _ Certified copy Is filed with the city Building Division. ID.# Date Applicant - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION �ilL Z Z 3 J 7 (This Sect on 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 shall not employ any person in any manner so as to become subject to the PLUMBING FEES ELECTRICAL _ FEES MECHANICAL FEES ACCT.+1 GRADING FEES Workers'Compensation Laws of California. Date Signature Alter, Repair Generator 00-5KW❑ 5-15KW Boiler NOTICE:If,after making this declaration,you should become Subject to the Auto Wasti Constructir,n Pale Sub. Duct-Linder Ground Cut' cu.yards workers' Compensation Provisions Of the Labor Code, you must forthwith Fill: cu.yards comply wrin such provisions or this permit Shall be ueemed revoked rk_I . BaCkflow Preventer C0 ;I( Unit _ Duct-Structural _ CONSTRUCTION LENDING AGENCY BacicflcW tiff ation PoIE LI ht I can -ventilating 33603370 Plan Checkfeei I hereby affirm that there is a construction lending agency for the performance cf she wwk (of which this permit is issued (Section 3097 Civ. C.) Clarifiers Or vers GGas ❑Electric Exhaust 3 stem fAulfi ie 33DD3312 Permit Fee 3 Lender's Name _— _— Lende.'S Address Dishwasher Fan Eva orative Cooler Total Fees $ — OWNER BUILDER DECLARATION Fixture Traps ea. F.A.U. Heating System&Ducting I hereby affirm that I am exempt from the Contractor's License Law for the Floor Drains Fixtures 00-100 000 BTU❑100,000 BTU foI[owing reason (Section 7031.5 Business and Professional Code:Any city or county which requires a permit to construct,alter,improve,demolish or repair — — 3360.3312 Summary of Permit Fees any structure. prior to Its issuance,also requires the applicant for such permit Floor Sinks Outlets Hood or Canopy to free a signed statement t.rat he/she is licensed pursuant to the provisions of Gas Se ice Outlets Switches _ T• e 1 ❑_Type II !Contractor's License Law(Chapter 9(commencing with Section 7000)Of — Building S 'vision 3 of the Business and Professions Code) or that he/she is exempt Interceptors Meter FJ up to 100 amps Refrigeration System crefrom and the basis for the alleged exemption.Any violation of 5gction gPlumbing 3 7031.5 by any applicant for a permit subjects the applicant to a civil F-Trap _ Meter Cover 100 amens_ ❑0-100 000 BTU❑lU0 QUO BTU natty of not more than.five nundred dollars(S500). Roof Drains Sub Ganef Fire_p1/Fact.Olt.I_CBO_ # Electrical j 1, as owner of the property or r:.y employees with wages as their sole _ — compensation,Will 00 the work,and t1a structure is not Intended or offered 1 for safe (Section 7044, Business and Professional Code: The Contractor's Trailer Sewer O 15 5oKW i System Repair/Alteration License Law does not apply to an owner of a properl who builds or improves TinSfOrmer r Sewer Cap _ ❑ 5&FKW _ Fire Dampers Other j thereon, and Who does such work himself/herself or through his or her own — — employees, provided that such improvements are not intended or offered for : Sewer Connection-Bldg. Motors❑0-1 HP D IYS-8 Rimers 110.231 SMIP $ sale. If,however,the building or improvement is fold within one year Of com- -- pletlon,the owner will have the burden of proving he/she did not build or im• Solar Collector$ Inc. Solar 09.15 HP 016-15+i Incinerator prove for the purpose Of sale). $Olf PI Slr� ❑ 1,as owner Or the property,am exclusively contracting with h a In censa0 con- Piping g/Fam. Res. — Misc. 3360.3370 Summary of Plan Check Fees tractors to construct the project (Section 7044,Business and Professions Code: Solar Tank Multi-Fam. Res. The Contractor's License law does not apply to an owner of property who ^ h"as or improves thereon,and wno contracts for such projects with a con- Swimming Pool/Spa Swimming Pool/Spa Buil6ing $ "actor(f� license pursuant to the Contractor's License Law). I am aware that -- proof 0 Iheir Worker's Compensation insurancd Should be provided to me. Water Heater_ _ Issue _ _— Plumbing $ 0 1 am exempt under Section,— B.6 P.C.for this reason Water Service I Electrical S Date __ Owner . Se pill. System Mechanicll j _ 1 hereby certify that I have read ..Its application and state that the above OEYELOPMENTSERVICESREQUIREMENTS: Other S information is correct. I agree In comply with all city Arid county Orr.inances loii)a6R671owdflT� clots _ and state laws relating to building construction,and hereby aulhori;r.1 repro• 33603375 Pllnfun.Q j ,sentatives of this city to enter upon the above-mentioned property for f�i ilding ApprMe�By _ _-jN(a Signatureinspectio purposes. �ppllCatiaRttfOedBg ___ ^_,Date_ Signature Date_— IuUe ------- Drivers't_icenus or SS 7I TI►fai Fop Doe j While-Building; Green-Temporary File Copy;CanatyAssessor: Pink•Applicanf;Goldenrod-Accocntins CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Prcioct A2dross_324L0 plyer5-_de Drive Applicant to fill in all spaces except those within heavy border lines and sign ali,appropriate declarations Assessor's Parcel No. + PERMIT NO. TRACT N0. I LOT NO UNIT I UNIT I'D y� Os,rner's Name 11 farro Jn LP k CO'Phone a l 1. Address ' ' ;ist Highway_.-Ld-U11a Reach CA --- TTPE OF CONSTRUCTION 1- NEW ❑ ADD ❑ LTERATIO r ArchlEn License No. - rlob i 1 e �olne �nstal 1'a L t. Zone g.- L CONVERSION Cl❑ DEMOLISH iJ OTHER A.P. # Address DESCRIPTION OFWORK/USi OF BLDG. - S Main Building: Accessary Building: z Phone E Q Contractor's Name TYPE OF PERMIT ❑ GRADING �l FOUNDATION ❑ STRUCTURAL T. Front N Address(mailing) ❑ TENANT 0- E:ECTRICAL LJ PLUMBING ❑ MECHANICAL a Rear ' City License No. ❑ OTHER - C 1 Right - _ - N LiCE.NSED CONTRACTOR DECLARATION PROJECT DESCRIPTION: Sq.ft. _ Occupancy - — G r hereby affirm that I am licensed under PrdviSICAS of Charter 9(commencing Lone Acres Left _ R with section 7000) of Division 3 of the Business and Professions Code,and Construction ype E my license is In full force and effect, valuation=_ PC# Pln . Ref.•"r Parkin Req./Provided License Class - License No. Date Signature - Remarks Pe 11 Ito bri nq f i 1 es Up to da te. Planning Notes — fill RKERS'COMPENSATION DECLARATION •reby attirm that I have a certificate of consent to self-insure or a certificate � Perviously i nspeete others. — — Workers' Compensation Insurance, or a certified copy thereof (Section - , -10-00 3800. Lab. C.) Policy No. _ ComDanY / -/ Q --- --- - G certified copy is hereby furnished. ID y �jAG Zl� �j J 7- / ll Certified copy is filed with the city 9uiltlin9 Division. 1 tt c/ fi — — Uate —Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - (Thrssection need not be completed if the permit is for one hundred($100)or fese)- I cert.fy that In the performance of the work for which this p^rnl•t is issued, I — ACCT.If GRADING FEES •�.n not employ any person In any manner so as to become subject to tee PLUMBING FEES ELECTRICAL FEES MECHANICAL FEE workers• Compensation Laws of California• Aster, Repair Generator CO SKW 1] 5 15KW, _ Boiler r,�;: __cl.suds IDate _- -Signature — _ Duct•Under Ground ! —- NOTICE:If after making this declaration,you should become subject to the AU1D Waih Construction Pole Sub. Y FI!I: . cu.ya+ems wo.kcrs• Co.ncensatlon provisions of rhC Labor Code, you must fortnw, CookinJ( Unit Duet-Structural l Comply with such provitions or this Permit shall be deemed rev)ke^. _BackflowPreyenter I ---r- 3360.3370 f•IanCheckfee$ CONSTRUCTION LENDING AGENCY Backflow Irrigation Pole Light rtFan -Ventilating ---- . -- -_-_ I r.ereby affirm that there is a constructtrn lendir.q agency for the per'orrnance —' Exhaust System Multiple -- 3300.33!2 Permit Fee $ of the work fcr which this permit is issued (Section 3097 Civ C.) Clarifiers _ Dryers OElectric _ Total fees $ ---•- Lenders Name - — Dishwasher Fan Evaporative.Cooler Lender•s Adores, _- - -- Fixture Trapsea. F.A.U. —__ , Heating System&Ducting OWNER BUILDER UECL.+RATIOry _- - T I hereby dlfr.n that 1 am exempt from the Contractor's License Law 10•Inc rF -f Drains Fixtures C�C•100.000 BTU CJ100,000 BTJ� 3360-3'12 Summary of Permit Fen following reason (xct'�n 7031.5 Business and Professional Cody- Any City or �� Hood or Cannpy CO which requ.rCI a vsrmil t,construct,alter,improve,demolish Or reealrSinks _ Outlets i _ any structure, poor In its issuance,also reoriires the applicant for such pe•"`ntNICe DUtIetS SWItChe$ -�type 1 CJ Typ2 11 O i _ Budding $ l0 foe a signed staten.ent that he/N,e it licensed pursuant to the provisions n' - N e Contractor's License Law(Chapte-9(cnmmencng with Section 7000)o+ Meter C up to 100 ampsI Refrigeration System Plumbing $ __- ioision 3 of the Bisiness and r o assions Code) or that he/sne ,s exemz: plots serefrom and the basis for the alleged exernption.Any vroiaticn of Seel =n , Meier Cover 100amps_ _ CJO-100000 BTU ❑100,000 BTU I Electrical $ 7031.5 by any applicant for a Permit subtecls the apolicant to a ci��l - - FireQl/Fact.Blt. ICBOpenalty of not more than five hundred dollars(5500). Drains T— Sub panel - -. - -- Mechanical $ .- L1 1, as owner % the property or my employees won vdages as their ,o e _ — 0 15.50KWSystem Rrpairi Alteration Coln Pensation, vdi do the work,and the '-tru Ciure is not intended or offercc trailer Se.Yer Transformer Other $ for sale (Section 70aa, Business and Professional Code: The Contractor's L7 50+KyyFire Dampers -_ License t.sw does not apply to an owner of a property who builds or improves Sewer Cap _ - ((p.y3) $MIP $ thereon, and who does such work hlmself/her SClf Of through his or hir 0w Sewer Connection-Bldg. fdotor$❑0.1 tip r]1 y]-B RCglSterS -- I employees, pr—Cle'1 that such �rnpro4ements are not •mended or O•+cred for _ , sale. If, howeve.,the building of improvement is sold within One year 0f Cem• Solar r.01IQciDfi Inc. Solar 09.15 HP 016.15+ Incineratorpletion,the Owner will have the burden of proving he/She did not build❑r im- --' --i M15e. prove fcr the Purpose of sale). Solar Piping - Sing/Fam. Res. - _ — ._--- 3360.3370 Summary of Plan Check Fees LJ 1,as owner of the prOperty,am exclusively Contracting with IiCe.lsed Con• ---- tractors to construct the pro,Cct(Section 7044,business and Professions Code: Solar Tank I Multi-Fam. Res. _ -. —._—_ l'hC Contractor*. License. Law does not apply to a, owner of property v.hd LWa—'1, PooliS a Swimming Pool/Spa Building - huilds or improves Hereon,and wn•�cons iris for sucn protects with aeon• - T' vacrdr(s) license Pursuant to the Contractor's License Law). I am away¢ foal ISSUe Plumbing $ __---- proof of their workar's Compensation insurarce should be provided to me. ater I am exempt•vrdcr Section_ - -- B.b P.C.for M15 reason vice Electncal b ---------- stem Mechanlc3: SDate __ Owner _- --- DEVELOPMENT SERVICESREQUIREMENTS: Other1 here'y Certify that I have read :iris application and state that the, abov0 - Dateinrofmatlor is correct. I agree to comply wan all cit•,•and county ordinances 7anintApprlwotlBF— 3360.3375 Planninga.ttl state laws relating to building•;onstfuCtiOn,and hereby authorize repro•sentalivas of this city to enter upon the above-mentioned Property forinspection purposes, ApplicationIssutd B7 Signature ToR,ItFeesOusensoorSSyWhile-Buf)dmg: Green•remoors,y file Cop;:Canary Assessor. Pink•Aoolicant.Golde-und.4!counlln; Project Address 11�i�ers Riverside Drive 17 CITY OF LAKE ELSINORE CONSTRUCTION PERMIT �9 Appiicant to fill in all spaces except those within heavy border lines and sign all appropriate deciaretions ,Assessor's Parcel No._ — _ I PERMIT N0. TRACT N0. LOT N033 UNIT N0. Ovvner'i Name . El MOM) I nyest lien t CO_Ph,ne Address A311 Cnas - Fii9hWav LLag_U LiLJ$-cach CA I ArchlEhg. License No. -- TYPE Of CONSTRUCTION C; NEW C7 ADD '?/iLTERATIr� �7 REPAIR Andress _— — C CONVERSION O OEMOLISd O OTHEP. t'igbi 1 e Ome nsta11 anon A P # OFSCRiPTiON OF WORK/USE CF BLDG. Zone Contractor's Nam' -- Phone - —-- E Main building: Accessory Building: Z Address(mailino) _ IYPEOFPERM(T D GRADING 0 FOUNDATION t= STRUCTURAL T Front 0 City Licen-e No. _ t-i TENANT I ELECTRICAL CJ NUMBING `J MECHANICAL A Rear N LICENSED CONTRACTOR DECLARATION C O.HEH - I rierebrr affirm ihat I am licensed under provision_of Charter 9(commencing PROJECT DESCRIPTION: Sq.ft. ^Occupanq —__ _ -- C Right-- — )V 111 with section 7000) of Division 3 of the Business and Professions Code,and Construction type Zone Aires S Left G my jicen se is in full force and effect. R Licecu ciao Vaivabon$_ PCv— License No. _ Ping. Ref_4 Par';i�Req./Provided_ �E Date Signature — Remarks i f'1 es t1 GO date. Planning Notes 08000. RKERS'COMPENSATION DECLARATION Pe I i . 0 bri rig ,.. _ p febpaltirm That I hive a certificate of consent to se:rInsure nr a certirlca:e —Pervious1-y inspeete v others. T Jvorkers' Compensation Insurance, or a certified copy thereof {Section — -- S Lab. C.) -- P-o7licy No. — Company y Certified copy is hereby furnished. — ---- -- t_1 Certifier copy is'tied with the city Swirling,li•,ition. I p.# .1-1 H- 3g Dale_ Applicant— -- --- ---• — EXEMPTION FROM WORKERS'COMPENSATION DECLARATION iThit section need not oe Completed if the permit is for one hundred($100)or --- less). _ I certify that in the performance of the w,)rk for which this permit is issued,1 span not employ any persot: in any manner so as to become subject to the _ PLUMBING TFEE$ ELECTRICAL FEES MECHANICAL FEES AST-q GRADING FEES Wcirsers- Compc.satlon Laws of California. —'--t"— T •—` Date —_Signature Aiter_Repair_ — j— _Generator Gt0.5KW Q 5-15K'W Boiler _ ___ — Cur --cs yards NOT.e E:if.after making this declaration,y-3u should beco -, subject to the Auto Wash ( Construction Pole Sub. Duct-Under Ground yr OI..ers' Compensation provisions of the Labor Code, you must forthwith �• -- -- F01 cu.yards Comply with Such provisions Or this permit shall bt deemed :evoked. Backflow Preventer Cooking Unit Duct-Stitraural i CONSTkUCTION LENDING AGENCY — _ '--'-- 3360-3370 Pia.,aeckFeeS Rackflow Irrl ation Pole Light Fan -Ventilatin ----- 1'iereCy auirm treat there is a construction lending agency for the performance —g--- --_ -- �—_—� of the work for which this Permit is issued (Section 3097 Civ. C.) Clarifiers _ I 3300-3312 Pe:ntflFee S _ — _ Dryers OGas GElectric Exhaust System Multiple Lender's Namr. --- Lenders Andress _ Dishwasher V Fan _ Evaporative Cooler Total Fees $ OWNER BUILDER DECLARATION Fixture Traps ea. F.A.U. -- _— Heating System& Ducting I hereby affnin trial 1 am exempt from the Contractor's License Law for tree �— -- Iollow,nq reason (Sp:tion 703).5 Business and Professiona:Codr.:Any city or Floor Drains_ —_ Fixtures_-- ❑0.100,000 BTU C100 000 BTU 1 , county w111M requires a permit to Construct,alter,improve,demolish or repair Fluor Sinks Outlets Hood or Canopy _ 3361.3312 Summagp.Permit Fats sny structure,prior ifs Its issuance, aiso requires the actol•cant for such permit _ IO filit a signed statement that hC!She is licensed pursuant to the provisions of Gas Service Outlets SWItChES Type 1 ❑ Type II C t _ he Contractor's License Law(Chapter 9(commencinq with Section 7000)of — BGlidrnt f rr'Lor. 3 of the Business and Professions Cedcl of trial he/she is exempt Interco tors Meter❑up to 100 amps Refrigeration 5 ste.1 refrom and lne basis for the alleged exemption. Any violation of SCclion —�--• — - g V �— Flunbing $ ___-- 31.5 by any applicant tot a permit subjects the applicant to a ui.lt —' P•Trap _ Meter Clover 10C amos_ 1110.100,000 B:U 13100.000 BTU f penally of not more Man five hundred dollars($5091• properly R07f Dta;ns Sub FireI/Fact. Bit.lC3f) # p EiK:hcjl e C t, as owner of the operly or my employees with viages as their sole — _ _ _-- _— ompensation,will oo the wurk,a,id the structure is not intended or offered Trailer Sewer 0 15.50KW System Repair/.Alteiauon $ —'�----- ror site (Section 7044, Business and Professional Cone: The Contractor's Transformer -- ----�'-- Other $ License Law rloes not apply to an ovine,bf a property who builds or improves I Sewer Cap O SU+j(;y Fire Dampers _ — —• ^ . and wria joef Luch work hlmsel f fh erself or through his(it tier own --1— , - -- --� 114231 $fitlP = — empioyc t, provided that such improvem:nts are not intent.d or offered for Sewer Connection-Bldg. Motors[_l t 0.1 HP 01l 2-8 Re islets -- sale. If, however,the building Or impidvement is Sold within one year of CPT• -- --�—' pletion,te )r: 1 .ter wilt nave the burden of proving he/She did not build or irn• Solar Collectors _ Inc. Srlar D3.15__HP_1 16.15+ Incinerator prove for the purpose of sale). Solar Piping Sing;Fam. Res. !v1isc.� 1,as owner of trie property,am exclus'+veld contracting with licensed con- _ _ _ -- 3360.3370 Summary ofI Ian Check Fets tractors to construct the p.Jject (Section 704:.Business and Professions Cone: Solar Tar.k Multi-Fam. Res. I The Contractor's License Law dOCs 'rot APPIV to art owner of Property who _ —.— --_ - buildt or Improves thereon•aid who contracts for Such o ejects with a Con- Swiillm:ng Pool/Spa Snimmin Pool/spa _— tractnr(S) license pursuant to the ConitAttor's License L..w). I Am aware that - proof of tnmr worker's Compensation insu•ance should be provided to me, •Water Heater _ -- Issue —_ —Y�-_ Plumb ris LJ 1 am exempt under Section. ______—. a.d P.C.for this reason _ Water Service _ _ I fiecthcal $ _^— Date --�--- Owner -- --- I Se tic SY�err�! _ Mechamcat S -^•__,__----- I nereoy ,:erdfy that I nave read this application and stale that the above __j�j$G,__ —, DEVELOPMENT SERVICES REQUIREMENTS: Other S infornNtion is correct. I agree to comply with aH city and county ordinances 2onin OW Ill •--and stale laws relati^r to buildsn r __ I tABJK y t q construction,and ncreby aulnuruc /care• 33643375 Ftanrtmt S _ sentatives of this city to enter upon the above-mentioned proporfy fur Building Approved By ___ _—_ —_Date ---- — inspettjon purposes. - — --- ApplicationfrwedBy Signature—•---_— Date. _-- Issue — '— ^--- Drivers'License or SS I — —.--__ ToWFasD" $ M_ — White-Building,rateen•Tempivaty File Copy,Canary-Awisor, Pink Applicant Gotdelirw Atcountmt - CITY O�LAKE ELSlNORE CONSTRUCTION PERMIT Proj«t.1ddr•ss�3 q_2._ b0 Riverside Drive Applicant to fill in all spaces except those within heavy border lints and sign all appropriate declarations .Assessor it Parcel No. - —^ PERMIT NO. TRACT NO. LOT NOe UNIT NO. Owner's dame -E T Morra 1n�� hane- f AddleSs BAD Cna.t- Hi a� Y LaQ!Ina Beactl CA_ i License No. TYPE 0FC01i5iRL1CT10N := NEW _: A+Y) /LtERATtO 1� REPAIR A:ch,Eng- Lt CONVERSION ❑ HMOLISH f] -,HER �'�0bile'Home�nstail;Aion _ A.P. Address - -- - -' DEtCRIPi1ONOfWDRR/USEOFBLOC._ -- S Main Builliing: Accrssory Building: _ Conirartor's Name--- phone - ! �— -- Z Ad9resslmrilingl_ TTPEOFPERMIT 0 GRADING ❑ FOUNDATION STPUC.TURAL T From O TENANT G lECTRICAL C: PLUMBING "' MECHANICAL Ai Hear 1 _�N City l icense No. - - li' 0?HER -- -^- - A!---- 1 LICENSED CONTPACTOR DECLARATION PROJECT DESCRIPTION: Sq.fi—_ _CccupatlL7 _ C Right -- _"-�N I I:ereby allnm that I am licensed tender provisions of Charter 9(commencing ! G with section 7000) cf Division 3 of the Business and Prolessions Code.and Construction type _ Idil! _ Aires S1 Left _ FL my license is In tun force and elect. P&e _ _ License No. Valuation$�_ Ping.Ref.a# _ ,Parkin Req./Provided E License Class__— n Date___—_.— Signature Remarks Planning Notes _ —_-_jM RKERS'COMPENSATIONDECLARATION Permit to bring files U11 t0 date. -_ ' reby affirm that I have a Certiticate of consent to self-Insure Or a certificaie Pervi ousl�/ 1]ls eCt2� others. -- —�$ o-kers' Compsrisation Insurance, a., a certified copy thereof (Section 3-1 0-88 -- 'n0, tab. C.) Policy No. ___—_- Company PCertified coot'is hereby furnished. --- y .! Certit:ed copy Is filCd with the city Duildinq )ivislon. ID tt 4_OC,11- —2 _ Date_—__-- _Aoulicanl -- F=•���-- EY.£MPTfO; ROSI•:,OaKERS•COMPENSATION DECLARATION - r (T.",ssect,on r-ced not be cornp!eted if the permit is for one hundred(1100)o- eresl. - - — ccrtify roar in+lie performance of the work for which tnIs Perm-t Is Issued,1 e FEES MECHANICAL TEES sr•.art not ernpioy any person in any manner so as t. become sur.ect to the PLUMBING FEE ELECTRICAL_ ACCT.R GRAD1%GFEES wa-,.ers' Compensation Laws of Ukfo-4- Alter Re-(air I _ Generator"'0-5KW D 5_-15KW Boiler - ` Dare _---signature— Cot _[u.pfds r3oTle :If,afstr n:akl^g Ina declaration,you shou!0 become sub;ect ;o the Auto flash i Construction Pal c S.b. Du-t Under Ground s:cr..crs' -ornptn•,�tion provisions of tee ueor Code. you must tonhwith - _ Fill _— _-W.1ird5 Duct St:ueturai i 3350•331G Plzr Check Fec S co,-s;,lv we!n siren vrovtsions or tort permit snap be deemed revoked. BaCkflOv�Preventer •�CO�kinU Unit t_ � CONSTRVCTIGN LENDING AGENCY Ba ckf'o-,&,lrriga:ion I Pole Ligilt-- I Fan •Veatilali:T t l>.e.tcy arf.•m:+at there,s a co•Ist+uc•ion ISnd.ng agency io-the performance - _ 33%303312 Per7dFtt j o! ae WJfk tot Will this permit is issucA (Section 3097 Crv. C.) Clarifiers 1 Viers LiGas ❑EIBCtfic _�_____ I Exhaust System ARUIti E_i ----_ Name Dishwasher ! , Fan I 1 E'.- orative Cooler --�— TfJt31 Ftt5 $ _- i Le^L'C'S hdr:fttt __ - OWNER BUILDER DECLARATION Fixture Traps ea. ' _ U. --_ _ I Nearing System£k Duitiny 1 ne,eby'aRu. that 1 am exemo! fiom the Contractor S License Law for the F --�---' c ,c,,..inv rcas•sn (Section 703:.5 Business and Professional Cooe: Any city o• IjGai Floor Drains i Fixteres L'0.100,01rJ BTU C100,000 BTU -- 33f0-3312 Summary ofPermilftes co..nty welch requires a permit fa construct,alter,improve,demolfih or repair Df$inks -- Outlets flood 0:Canopy � any S:,ucture•pour I its issuance,also requires the applicant for Such pefmit -- •— to I. :.signer. itatement that lie/she Ii!.cense0 puttuar.t [o the prOv'SIOfiS Of Service Outlets ��Switches --Type t iJ Ty— a II�) Building i - ,hp Cnatrartor:i.icense Law(Chapter 9(commencing with section 7000)of -- Con 3 to Inc Business and Prcressions Ccde) o: tnat lie/she Is exernot erccdtors i { Meter up 10 100 amps —_ -T-— Refriyera:ion System Plumbing'Sion - •t!rom and tee basis lot the a+tegtd exemptinn-Any vioi>i,on of Section - —r— •- I I CD-100,000 BTU'Q100,000 BTU e 31.5 by any aapl+Cant for a permit subjects the appl%cant .0 a civil P•Trep _ Meter C,over 100 amp— --- �ItttfK4l ♦ _,� 1lecalty of n.t more than five hundred dollar•.(S500). F(OOf DralnSi- Sub anei -� Firepl/caet.Bit.IC30 * -,I,_ as owner of the property or my emp'Oycet with wages AS their sn:o _ tit!claalc71 S --__ con,pemtaron,••,m eo the work,and Inc sou•:ure is not intended of offered Trailer Selvar _� i G 15 50KW System Repair/Alteration liner _ ibr tzic (Se-ction 7044. Business and Professional Cede; The Contra-ctnr's •----- Transformer ! -1- -- LUCtnse Law does not apply W an•YNntr of a OrOperly whL builds Of lmproct: Sewer I.aF _ ��_ ❑ 50+KW _ Fire Dampers_ _�-- thereon, and wno does Such wort :vrr!seff/hers-if or through his or her own LIO.23? SfdIP $ -- empinytes, P'Uy,dtd th•i sun, mot a•e not intended or offered r„r Sewer Connection-Bldg. ! ( Motors C 0-1 HP C71%-B last. If, however,the• 3in6 or im proverrient is sOld withm One year Of COM- !tic. Soar pj6UUn, the Otvn@f will have the OurdCn Of provprovinghC/rho did not build Or Im• Solar CiollectorS � _C9.15 HP L i 6.15+1 incinerator. -_ prove Ion the purpose of sale). Solar Piping Sing!Fam. 33o03si0 Sufamagef►IaaChectFea Res. _ Mist__ - _ -_ :::, I.rs owner of Inc Property,am exctusivOy contracting witn ltcensed con- _ I tractors In construct tits ornlect(section 7044•Business and Pioressions Code: Solar Tank _ I Multi-Fam.kes. _The ConlraCtor's License .Jvv DOGS not apply to an owner oT propury wno �-- Swimm,n RooI�J a hultds or ,m�roves tnefeon,and v,nn contracts for suck prolec's with a Con- SwimTliri�Pool;SQa _ ���P_ _ - aiaaine S tractor(s� I,c@nse pursuant to tilt Contractor's L,CC-S@ Law). I am aware that --_ - Iiiue_ Plgmbing T -- prOal n :lien worne,rs r-,mp@nsatinn msufanct should be provided td rr.a. Water Heater_ _ ---t-- L1 I ant evempt under Section rs.L P.C.for'his reason - Water Service n ' — ' Electical $ — __- $eD11C $VStenl Mechanical S Date ----..�--_ Owner _ _.-- ---_ �-- I hereby certify that I have read this application and state that the above - lsC- OEYELDPREpTSfrt1110E;RE.QIfIAEfAEKTS: 011ie, $ _- ,niorrnatron Ii correct. I agree h)Compl/ with all city antl COu,•ly ordinances 7aliinApprvwd91 .13fi0.3375 Planning $ _ and state taws relating to cu;fOmg corstruCtron,and hsrehy authr•rite repro- —._.. ILtliltm Appfand s@ iiZvts of this City to enter upon t m he above- entioned property for - �G -�— inSpeCffonpurposCs. A$ FIG�tNJa bswd ty s,gnalwe _. — — Dal*__ Issue TOW Im On t — WAite.8;i4int. Aottn3enr,Cfaf►file Copr Canary•ASKiSN. Pink•App!ica:II.Goldenrod•Accoun;mg Prot«t Address 329QQ Riverside Drive CITY OF LAKE ELSINORE CONSTRUCUON PERMIT . — Assessor's Parcel No._- Applicant to fill in all spaces except those within heavy border lines and sign ali appronriste declarations owne•.'s Name -E 1 MhrrtJ loye5tment Co.?.-one PERMIT NO. TRACT NO. LOT NOZ -' UNIT NO. Address _R 13 CaasT Highway Laguna Beach CA _ ArchlEng.-. --License No. TYPE OF CON 3TRJCF!OP - NEW ADD ITEnAT10 ❑ RfFAIR e CONVERSION c JiMOLIS11 0 OTF£R NbbiI POrre �nst:711ation Address _ A.P.DESCCR!Pi1CN OF WORK/USE OF ULDG. '# ---_-�._ Zone Contractor's Names _Phone_ E Main Building: _ Accessory Building: Address(maiSng)-__ TYPEOFPFRMIT C-1 GRADING C FOUNDATION E7 SiRICTURAL T Fron! Z _ O Ci,v License No. r TENANT Q ELFCTRIUi G °lUatEING 2 JAC'I(ANICAI. R Rear - N LICENSED CONTRA.^.TOR DECLARATION G OTHER > 1 I hereby affirm is al . rn ftcenitd under gr)visions of Charter 9(Commencing PROJECT DESCRIPTION: Sq.Ft Ouap3ricy _ KI--R•ight W, -_ -- ILeftre with settion :OCO) of Cisfsion g of the Business and Professions Cole,and COts!il;cCOl1 type Zone Acres my license is in fuel force a-71 effect. S License Class _- License No. yaluaZim$ PCIP PIn .Rcf.# Parkin Req.(Provided —��E Date Signature ;1emark- e1 to brio files u! . g RKEP.S'COMPENSATIrN DECLARATION � �� � —_�to date Planning Notes - _ reby affirm that I navi a certificate Of Conte.t t0 seifdnsure of a Cc-tificate r v Workers' Compensalloi. .r:urarce, or a certified Copy thereof (5dctlon Pert iousl y lnspeCte others. _ 1s 3900. Lab. C.) r 3-10-83 Policy No. Company - -- - - 8 Clrtifted ropy Is hereby furnished. _- ---- _ — — CertiPed copy is filed veA the Cnly BtplUing Jivisian. I n U-4 �•� Zr Date p APhcant !'7� EXEMPTION FROM WORKERS'COMPENSATION DECLARAI ION (Thisse^Lion need not be completed if the permit is for one hundred($100)or — - - - --- less). f certlly that in the performance of the wore for wvhlch this Permit is issued,I Shall not employ any person In any manner so is to become suotect to the _ PLUMBING I FEES ELECTRICAL�FEES MECHANICAL FEES �;T_3t GRADING FEES Yorkers' CompensaetOn Laws Of 6aenl0rnla• — Oate __ S,gna:t,rc _Alter,Repair ' Generator[39.51(W C 5.15KW I _ Boiier __ Cut: .Cu yards RD 1 TICE'U,prier making Ilia:deNaratiOf.,you should Detome Sublttt t0 the Auto Wash I Construetior!Pole Sub. Dua-Unber Ground - _Ytorkelse :Onipensa[ion pr0v+stOnS Of the I—bor Cole, ycu mast forthwrt.) comply wren such provisions or this permit Shan be seemed revoked. Backffow Prevents>-r Conking U,1it _ _ ' !lutt•SttuCtura! Fiji —cu.yards CONSTRUCTION LENDING AGENCY 33tiO.33I0 P13fl:hfxkFilej I nerety affirm Irat them,s a construction lending agency for Inc Performance i Backflow If!i lion _ I I Pule Li0t Fan -lientilatina Of th¢ work for wh,th this permit ,s issued (Section 3097 C,v. C.) Clarifiers Df eCs 0Gps OE!ec!riC Exhaust Systenl Mult�7le 33*3312 Permit Fte $ ,- Lender's Na,re ---.— TOtat Fe- S Ltnar.•s acdross _- Dishwasher -` -1 Fan F.vapo•ative Caoler _ OWNER BUILDER DECLARATION Fixture Traps ea. i F. Hearin System Ducting I hereby atfnm that I am exempt from the Contractor's License Law, for the - y Y g Ioflhw,ng,_asun (Section 7031.: Euvriess anc Professional Code: Anv city or Flrior Drains FlxtuieS -�- _ i county which requires a permit to construct•an:r,onp,ove,demofisn•or repa„ - - ❑9.100 BOO BTU U 1O0 OOQ 3Tt; a+7y structu,e, Is .Or to its to tree a signed iss.fance,alit reau.res east Applicant for Seth permit FiOOr Silks OUIi?(f I Hood or Canopy 3369-33I2 SYtamafJO(PttmitfeK .Or that he/She is Iscensed Pursuant to the provisions of Gas S°.NIGe Outlets :Switches - _10,31.5 Cont,actor':L,cerrse -I-(Cnacitef 9(Commf,ecng with Section 7000)of - T Fe 1 11 Typ II Cl 3u!Idln •iswi 3 Of the 9u S,n,:ss and Professions Castle) O, that he/$:Ie is Cxtrnpt - j $ Interco toes Meter❑u to 100 am s refrom and tree basis for the alleged exempinon.An viclatrcn of Seclson -�- - D D RPlrigeration S stem PlunDrlP $ by any appi'^ar.: for a perm,t sun:ects Ise applicant to a civil P-Trap 7 penalty of not more loan five hundred Dollars?ssn0). y p __ Meter Clover 1�0 zm s ! C10.100 000 BTL 0100100 BTU !1 I, as owner of the y r g Roof Drains - EI!cing. S -- r•roperl or my employees with wages as their sole _ Is panel fire 1%Fe[t_B'•t.ICBO # ,:Or-ii AS' Lion,YCIU 00 fh! +,)rk,and :hC StruCtll'! iS not Intended or nettle- —f'—' — Altcham5al $ _ for sale (Section 70Aa, Business and Professional Codc: The Contrac1,ns's 1 Trailer Sewer_ !] 15 50KW i System fiepair%Alteration 1 - — L,cenae Law does not apply to an owner 0i a property who builds or Improves Tsforraec —t-- -- �Selver Cap _-�-- 4�7"I"107,0"rs ❑50+Kell 1 FiieDam ersthereon, and who tl0lS 7uth work hnm'elt/1CtEClf Or through h.S Or her .)ion -- a emplOyeeS, provider. that SuCn improvements are not intendeo or oft¢red enr Sewer Connection-B!dg. - 0 0-1 HP D 1%••8 _ ._Repasters 110.231 Sul? $ Sa1C. :f,Novi)yrN,the bui Ding.)r rmprOrlmlrt it SOItl r.,thio O;e year Of COm• -- _�7---.—.—_�_ --"— piel,On,the owner will have the burden Of proving he/sne did not buiij or nm- Solar Collectors _ I Inc. Solar t]9-15 PP JiS•15+ Incinerator Drove ref the purpose of salt). SOI3r Pi ant D e i Sin /Faro. Res. Mrisc. l7 1,as owner of ,tie P,ODerty,am exciusivt,y,c inirachng with licensed con- 7 336033T0 gamma tract)rsto-Onstruct the Drn,ect(Seetwn 70•34,Business and Pro'ess'uns Cutlet Solar Tank - --� ryofFln Check Fen The Contractor's License Law does not apply tC in owner of property wrc _ I _ Multi•Fam. Res. _ tit.Ili's or lmproves tnereon,and w.o contracts for such pro:efts with a con- ;w,mminG pool/Spa--rt - Swimming Pew/$�a- _ gutWcE j _OfOOFvactor(il h[" orkpurer's t0 tit Cason nsf a cq si,! Law). I ov aware that - - - - -_ prOhf o tier, Workers Compensation rnsuranca sl,ouw Ce provided to ma. Wa[L ?feater Issue P:umDroQ j ..r L7 1 am exemp!under Section-_ —_ B.G C.C.for th:s reason t//atP.f$eNICe Eletuical j Date ---_-___ Owner ___ --- ---_—_ Se tic System Mechanical j — ---- I hereby cerr,fy that I have rear. [fill appiiCaticr and state t'lat the above WAWMENT3ERYNESREQUTAEMEWS: j - -- —' informsrnon is correct. I agree. 11.comply wit h a il ty and county ordinances EA—^— Other And state laws relating to budding Construction,And hereby aulhof,re repre- IafieRAHlgseflRf- - Date -� sentat,ves of this city to enter upon the abovt•n7•-ntiOr,Cd property for --- WillingApprand4 � Dale 3360.3375 Planrir.R $ inspectior.Purposes. A�FictltigllirwQRJ ----'- Signature--- -..--- Cata. _- ISSUE -- Drivers'License or SS 10 --_ __ i Tow INS on f Waite•Su6Unq Green•Ttmpaary File Copy.Carary-Afossor, Psnf•Aypl,caal,Golden= iLLOUnlrnl! CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Project Address 32900 Riverside Drive 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations -Assessor's Parcel No. Owner's Naine FI Morin Invest CO.Phane _ PERMIT NO- TRACT NO. LOT N UNIT NO. Address 8, 11 rnac+dghwa- I aq►na_ Bush CA r%v ArchiEng. License No. FTPEOFCONSTRUCTION r; NEW = ADO ❑ TERAitO ❑ Rf?AIR Address G CONVERSION ❑ DEMOLISH C OTHER Mobile ome �nstallat�on A.P. �# Zo::e_ t ESCRIPTION OF WORK/USt OF BLDG. Main Building: Accessor Buildin Ccntractor's Nance_ _Phone — y 2: Z Address(mailing' TYPE OF PERMIT _1 GRADING L i FOUNDATION G STRU°TURAL T Frent O City License No. 0 TENANT 0 ELECTR!CAi 0 PLUMBING G MECHANICAL B Rear N LICENSED CONTRACTOR DECLARATION ❑ OTHER _ A 1 I hereby affirm tnat 1 am licensed unde+previsions of Charter 9(commencing PROJECT DESCRIPTION: Sq.F',- Occupancy _ K�Rlght N with section 1000) of Div!Sion 3 of the Business and Professions Cods,and Construrlion 4pe Zone Acres S i Left G my license is in lull force and effEct. License Ctasf _ License NO. YDIWtrn$ PCs Ping. Ref.r Parking Req.;Provided _ E Dot.. _ Si-.rature __ Remarks f' Plannin N RKERS'COMPENSATIONDECLARATION ermit tQ 11r3n0 . i�PS UI) tt) dafie. g otes �—_ _ M reby affirm that I have a certil!,.ate or consent to self-insure or a cert!ficaie Perviously inwecto4x others. T Workers' Comper-ation Insurance• or a certified copy thereof iSection 3e00. Lab. C.) 3-10-88 Policy No. Company .-- certified copy is hereby furnished. �yy ' C-rtif IS copy is fi:ed with the city Building Dii'•'sion. ID.A Date Applicant - EXEMPTION FROM WORKEPS•COMPENSATION DECLARATION (Thdsection ne!d not be completed it the permit is for One hundred(S100)Or — tess). I certify Thee in the performance of the work for which Iris permit,%issued,t snap note iDL:y any person in any manner so as to become Subject to the PLUMBING FEES ELECTRICAL FEES MECHANICAL FEES workers•Co mp•-nsation Law- of Catifcrnia. Alief, Re AMT. GRADING FEES Dote _—Signature _ pair i Generator❑0.5KW C 5-15KW Boi_er NOTILE:If•afitr m;..:na thlS dcclaratiOn. sou ShOWd Otc9ma subiec: to the - Cut: CU.yards tvork:•s' Com:ensatl;n revisions of t Au:o Wash Construction Pole Sub. _ • Duct Under Group.'_ C LSDor t:Ode, you m75I forthwith ` Fr!i: ca.yards comply with such provision, nr This permit ;hail be deemed revoked. Backf low Preventer CCokin Unit _ I Duet-Structijral CONSTRUCTION LENDING: AGENr'y Backflowlrri Irrigation Pole Light Fan •Vent:laiin9 3360-?370 PknCheckfeeS — I nerecy a:n:m:not the-c is a c,i:struclinn:end.r•q agency for the performance of the work for whim I,, r•_rm,t is .ssu-d (section 3097 Civ. C.) Clarifiers ' Dryers CGas CElectric Exhaust System Mdlti le 300-3312 Perm!tFee $ Lender's Namt - Lender's Address _ _ ___� Dishwasher_ Fan Iva orative Conler Total Fees $ OWNFR BUILDER DECLARATION Fixture Tra sea. _I F.A.U. ( Heating System&Ducting I hereby.'fern that I am exempt from the C,-ntractor's License Law for the f r,ilow,ng season (section 7031 5 iisrness and Professional Code:Any city or Floor Drains ? Fixtures CIO.100,000 BTU 0100,000 BTU cnt.nty wnicn reriu,reI a permit.0 ns-,r.ic:.aitcr,improve,demolish or repair -- 336C-3312 Summary of Permit Fees any structure,poi.,.to its issuance.:vsz.requires the applicant for such permit FIOCf Slnk, Outlets Ho;d or Canopyto lice a signed statement '.hat he/s'- is licensed pursuant to the provisions of _Gas Service Outlets 1 Switches T/ e 1 n T s e Contractor's License Law Lnaot- 9(commencing with Section 7000)of VL-II I (' I g Bmld:ng S lion 3 of the Business and Professions Code) or that he/she is exempt Interceptors Mete:f J up to 100 amps Refri oration System region and the basis far the alleged exe,npton.Any violation of S¢ctio^ -- gPlumbing S 31.5 by any applicant for a �t•mi subjects the obeli^ant to a civic P-Trap Meter mover 100 asps 00-100,000 BTU C 109,OOf,BTU $ Wally of not more than five hundred dollars(S500). Electrical 1, as owner rf the property or my employees with wages as their sole Roof drains S.:b panel H�Fire�plffact. Bit-I;'BO #campr,nsaliOn, will d0 the work,and In,• ;iructure is not intended Or Offeretl C �- , MechanicalTrailer„elver , C 15 50KW e air;A.IteratiCnfor sale (St!Ciion 70da, Business onoPrefess,onat Code: Tire Contractor's pTransformer L,cen. l.+w dots r:ol aupl�r tO an Owner of a F•"hefty who Duiltli O*irttprovCi Sewer Cap _ C3 50+KW e Dampers D!pzr ir.crCun, and who does Such work hirn Seti he,.,_Ft Or through h{5 or her Own _ _ emplovees,provided that such imprnvemenls are ring intended or offered for Sewer Connection-Bldg. Motors❑0-1 HP❑1'/• S Registers 110-231 SMIP sale. If, however,the building or imprrvement is sold within one year of com- pletion,the owner will have Inc burden of proving he/she did not build or im• SOIaf COIIQetOfS Inc. Solar 09.15 HP 1316.15+ _ Incinerator prove for tree purpose of sale). Solar Piping Sin i Fam.Res. Misc. L7 1,as Owner of the Property,am axcius,vei> contracting with licensed ton- g _ 3360.3370 Summ of Plan Check Fees tractors to construct the project (Section 70a:.Business and Professions Code: I Solar Tank ;he Contractor's License Law does not app;v to an owner of property who Multi Fam.fief. builds or improves thereon,and wno contracts rnr such projects with a con• Swimming Pool/Spa Swimming POOI Spa ___ Building $ _ tractur(S) license pursuant to trip Contractrr's License Law). 1 am aware that •-- proof of flits Workaf's Comnansation in:urnice sfiould be provided to me. Water Heater IssVE Plumbing $ ❑ I am exempt under$"Iran — S.A P.C.for this reason Water Service ? Electrical f Date Owner �� �.eetic System Mechanical S 1 hereby certify that 1 nave flail tli{S aPPlitatlOn and slate that lire above 'st DEYEIOPMtS'tT SERVICES REQUI?tEMENTS: 0 her S inforrna ion ii colic Cf. f agfee In comply with )n city and county ordinance.% 7saif1AA00regdEl O<U --'and state laves relating to building construction,and hereby authorize repre- 33603375 Pla..a,:a S itntal:vtS of This city to enter upon ilia aDOVC•mantloned property lot Boling Apprated aa)e inspection purposes. pppflca_1ssaldNy —Date _ -- Signature Dato• lSSUe Dflwrs'Licents or SS'f' _ T Ail Fen Dye S Whete-Building: Green•Tenpuary file Copt:CanarT•Assessa: Pink-Applicant.Golden,od•A'roun'.ing i I CITY OF LAKE ELSINORE CONSTRUCTION PERMIT ProieclAddruss-32900 Riverside Drive 1 Applicant to fill in all soaped except those within heavy border lines and sign all appropriate declarations Assessor"s Parcel No. —_ _ Owner's Name —EL-10= t1VeS.111I�1Lt—..•v•Pi:one PERMIT NO. 'TRACT N0. LOT N0. � UNIT N0. Address . 8,11 Coact Highwa__„v Laguna Beach CA11 t Arch/Eng. _—License No. T11°E^FCONSTRUCF(ON C '2 NEW All 13 LTERATIO ❑ REPAIR (' CONVERSION 0 DEMOLISH ri OTHER i�lobi 1 e Aome �nstal 1 ati on A.P. Zone Address — — — DESCRIPTION OF WORK/USE OF BLDG. Contractor's Name Phone E Main Building: Accessory Building: Z Address(msiling) TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front p City License No. _ Q TENANT ❑ ELECTRICAL U PLUMBING G MECHANICAL B Rear N Q OTHER — LICENSED CONTRACTOR nECL.ARATION C Right N 1 hereby affirm that I am licensed under provisions of Chartr r 9(commencing PROTECT DES""eiPT10 N: Sp.FL Occupancy — K G with section 7000) of Divlsi011 3 of the Business and Professions Code,and C)nstruction type Zone Acres $ Left my license is In full force and effect. R Ucunse Class —License No. Valuation$ PC# — Ping. Ref.# I Parking Rea./Provided E Date. signature_. Remarks Permit t0 bring files up to date. olaaning(Votes eA RKERS'C^MPENSATION DECLARATION reby affirm that I e-ve a certificate of consent to self-Msure or a certificate Perviously i rs ecte Others. T Workers' Compensation :nsurance, or a certified copy thereof (Section S 3901�, Lab. C.) 3-10-88 c Policy No. Company 8 Certified copy is hereby furnished. — �u{ Q Cert ified copy is tiled with the city Building M-Asiun. I D.m Z.Z 4.(9 / Date__ _Applicant_ — EXf.AIPTION FROM WORKERS'COMPENSATION DECLARATION (Tr.rS section need not"completed if the p,.rmit is for cite hundred(5100)or -- less). 1 pert:fa that in the performance of the work for ,vhjch this Perm-t is issued,1 shall not emp!oy any person in any ;manner s3 as to become subject to the PLUMBING FEES ELECTRICAL FEES MECHANICAL FEES ACCT.M GRADING FEES woi.,e:s'Compensation Laws of C.irforn.a. Alter Repair Generator 00 5KW O 5 15KW Boiler Dale _.-__ signatere _ _ — Cut: cu.yards NOTIc2::f,after mrking this declaration,you should become subject to the Auto Wash I Construction Pole Sub. Duct-Under Ground Workers, Compensation provisions of tie Labor Cose, you must rnrinwitri Fill: —cu.yards comply with such provisions or ':ris permit shall be seemed revoked. BackflowPreventer Cooking Unit I Duct-Structural CONSTRUCTION LENDING AGENCY Backflow Irri tlon Pole Light Fan -Ventilating3360.3370 Plan Check Fee$ I hereby,attrrm that Itieie is a construction lending agercy fe,the performance — of Inc work for whrcn lnis permit .s issued (section 3397 Cn.. C.i Clarifiers Dryers OGas OElectrit Exhaust System Multiple 3300.3312 Permit Fee $ L"der's Narie __. - Le,ders Adore!% _ Dishwasher Fan Evaporative Cooler Total Fees $ OWNER BUILDER DECLARATION Fixture Traps ea. F./t.U. Heating System& Ducting 1 here')y aerator !hat I am exempt from the Contractor's License Law for tnE Floor drains Fixtures 00.100 000 BTU (7100 000 BTU loilowg reason (suction 7031.5 eusmess and Professional Code: Any city or county which requires a permit to construct,atler,improve,demolish or repair Floor Sinks Outlets food or Canopy3360.3312 Summary of PermitFLes m any st•ucture,prior to its issuance,ais0 reawres the applicant for such permit to fire a signed statement that he/she is licensed put want to the provrsions of Gas Service DUtlets Switches T pe 1 0 T C II ❑ Building $ e Contractor's Llccnse Law(Chapte'9(Lommencing with section 7000)of g .;Sion 3 of the Business and Prolessions Code) or fiat tie/she is exempt Interceptors Meter O up to 100 amps Refrigeration System. Plumbing •refront and the basis for the alleged eaemptioc.Any violation of sitction g $ 31.5 by any applicant f;r a permit subjects the aoplicant to A civil P-Trap Meter Oover 100 amps 00.100 000 BTU 0100 000 BTU Electrical S eenjiny of not more than five nunarca dollars(S500). -- 0 1, as owner of -he property Gr my employees with .ages as their sole Roof Dra;ns Sub panel Fife I/Fact.bit.ICBO # compensation,wiA d0 the work,and the structure is n:rt intended or offered Trailer Sewer O 15.50KW System Repair/Alteration Mecnanfcal $ to: sale (s.clion 7044. Business and Professional Code: The Contractor's Transformer License Law does not apply to an owner or a property who builds or improves Sewer Cap 0 50+KW Fire Dampers Other $ thereon, and who does auU-.work nimself/hersell or through his or her own — i 110-231 SMIP $ employers, pfovrde.7 trial such improvements are not inter dea or nirefed for Sewer Connection.Bldg. Motors O 0.1 HP 01/a•8 Registers Sale, tf, however,the building or improvement is sold within one year of com- pletion,lne Owner will havC the burden Of proving he/She did not tiuifd.it Im- Solar COIIEC1ofS Inc. Solar 09.15 HP O16.15+ Incinerator prove f-.•the purpose of sale). Solar Piping Sing/Fam. Res. Misc. L- i,as owner of the property,am exciuslveiy contracting with licensed can. 3360-3370 Summary of Plan Check Fees irarwi,to construct the protect (Section 7044.Business and Professions Code: Solar Tank Multi-Fam. Res. The Contractor's License Law does not apply to an owner of property who burins or improves thereon,and wno contracts for such projects with a con. SwimmingPool/Spa SwimmingPOol!S a Building $ tractors) license pursuant to the Come,. lot S License Law). I Am aware that proof 0/ Ihoir Worker's COmpensa-.ion insirance should be provided to me. Water Heater Issue Plumbing $ i 1 1 am exempt under Section— _— B.& P.C.for this reason Water Service Electrical $ Dare owner __ ,— Se tic System Mechanical $ I hotel)y certify that I have read wis application and state that the above Misc_ DEVELOPMENT SERVICES REQUIREMENTS: - Other $ Information i;correct. I agree to comply with An city and county ordinances ZmialApprmelBy and Stato laws relaiing to Ouiioi,ig const.uction,and hereby authorize repro- moo owr! 3360.3315 Planning $ sentauves of this City to enter upon the abovo•mentlonea properly for ADPf 4 hate Inspection purposes. WWIIBy Da(e S'gnature Dato, __, Issue TOW FmDW i LDrivers'Llcanse of 5S V Vilitte•Bu;1i Green-Temporary Fire Copy:Canary•Assessof; Pink-ApOicaret,Goldenred•Acr.)unting CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Project Address a 2900 !?i vers i de Drive _ Assessor's PtlfCe:No. Applicant to f'll in all spaces except those within hearty border line and sign all appropriate declarations Cri ner's Nome ET Morrn T n - V Stment CO Phone PERMIT NO. I TRACT NO. LOT N0. UNIT N0. Address ...8&—Coast Hi;hway l aqunaL Beach CA I ✓�� Arch/Eng. License No. — TYPEOFCONSOW*ION C, NEw Lt ADD 13 ALTERATIOy C7 REPAIR Address ❑ CONVERSiOy O DEMOLI:H G OTHER Mobile Home Instal l atTon A P #� DESi•RI�TION OFW�Rf(/Else CF BLDG. Zone Contractor's Name — phone - — S Main Building: Accessory Building: I=_ 1 z Address(mailing) TYPE OfPElMIT FOUNDATION ❑ STRUCTU GRADING p P,.�L T Frost t City License No. C. fENAhT C t'.ECTRWAL C PLUMBING 11 PEC IANICAL B — ---- U __—LICENSED CONTRACTOR DECLARATION C OTHER A Re2r N_ t hereby affirm that I am licensed under provisions of Charter 9(commencing PROJECT DESCRIPTION: SQ.FL__— ___DCcupanq, C Right — N «itn Section 7000) of Division 3 of the Business a..ci Professions Cade,and COnstruch0fi •type Zone ACfes B I Lett N my license Is in full force and effect. -- �Le Lir:anse Class .License No. _ Yalw4onj__ —PC# P(n 'ref.# R Date_ Signature - g• 3e __ Parkin Rea./Provided !_ Remarks tbring f�i1es UP to date. Planning Notes t] RKERS'COMPENSATION DECLARATION Perfni t M re (Section by affirm that I nave a certificate Of consent to self-insure or a cortlflcate PervieiJs 1 1 ns eCte others. Y workers' Compensation Insurance, or a certified copy thereof (Sti 3800, Lab. C.) 3-10-83 _ S Policy N,% Company. _ - _ BCertified copy is her*L•y furnished. Certified copy IS filed with the city Building Division. T D.�f ,�j,�„ //Z Date Applican:_ _ i 7t 1-4 EXEMPTION FROM WORK•_^S'COMPENSATION DECLARATION (Thissection 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 shall not employ any p.^tson in any manner so as to become subject to the PLUMBING FEES _ ELECTRICAL FEES _ _ MECHANICAL fees Workers' Compensation Laws of California. - — ACCT.N GRADING FEES Dale Signature—__ Alter Re 2ir G� enerator i?9.5KW❑ 5.15KW_ Boiler_ NOTICE:If,after making this ciectaration,you should become subject to the Auto Was(: Construction Pale S:jb. _ Cut: —cu.yards Workers' Contpensatiori Provsions Of the Labor Code, yciL, must forth-with Duct•Jnder Ground _ _Wmply with it_h provisions or this permit Shall be tleemed revoked. [TBack(lowPreyenlCf COOiCIng Unit Duct-Structural _ Fi1' cu.raros GONSTR UCTt ON LENDING AGF_NCV1 nt:fety ennm that mere iS a cOnslructlon landing agency for the performance __ aek_fi_ow Irrigation Pale li lit - 3360-3370 Plan Check feeS 0I the work for which this permit is issued (Section 3097 Civ. C.) --y---- Fan •Ventilating _ -- Lender's Name Clarifierjea �: i Dryers QGas ❑Electric Exh;1,ust System Muliip(e I 3360.3312 Permit Fee s Lender's Fiddres�LD Dishwas1 Fan __ __ , Evyforat.Le Cooler Total fees $ CWNER BUILDER DECLARATION Fixture ea. F.A.U. , I hereby affirm that i am exempt from the Contractor's License i_aw for the Heaving System$Ducting following reason (Section 703I.5 Business and P.ofessional Code: Any city or , Floor DFixture$ viU-100.OU0 BTU !✓IQ0 000 BTU County which requires a permit to construct•alter•improve,demolish or repay 33ti0.3312 Summary of Permit Fees any structure.Prior to it;issuance,also require.the applicant for surh permit Floor SiOutlets HGod or Canopy to file a signed statement that hC/She is licensed Pursuant to the provisions of ----- e Cnntractor's License Law(Chapter 9(commencing with Section 7000)of Cos ServOutlets Switches _ is'on 3 of the Business and Professions Code) or that he/she is exempt — — ly -Ee 1 O -►�I�n Buiidin Interco g $ is' and the oases for the alleged exemption.Any viol.tt:on of Section � Meter O up to COD amps R•?frjgefatl0n System -- 3I t f any applicant for n permit surjects the applicant to a civil P-TrapMeter Mover 100 ampsCJO.100.000 BTII Ci 100 000 6T11 Plumbing j _ en 1.5 b not more than live honored o t su($50!jests . 1, as owner of the property or my err..oloyees wrtn wages as their sole Roof DrSub Panel _ El0'1/Fact.BII. )CB Electrical 3 _ compensation,will do the work,antl the structure is not intended Or offered Trailer S _Inv sate (Session 7044, Business arid Professional code: me contractor•: ❑ 15.50KW system RepairiAlteration Mechanical 3 — License taw does riot apply to an owner of a property who builds or improvesTransformer — thereon, and who does Such work NinSelf herSelf or through his Or her Own Sewer C — S _ � ❑ 50+KW Fire Dampers Other employees, provided that such improvement-are not intended or nfteredfor Sewer Ction-Bldg. Motors C7 0.1 HP C 1%•8sale. If,however,the building or improvement is S01d within tine year of com- Re isters 110.231 SMIP S pletion, the owner win nave the burden Of proving heiShe aid not build Or im- Solar Cors Inc. Solar�9.15 HP C716.15+ prove for the purpose Of sate). Incinerator ❑ 1,as owner of the property,am exclusively contracting with licensed con. Solar Pip _ $Iny, 'ram.Res. Misc. a tractors to construct the project (Section 7044,Business and Professions Code: Solar Tank � 33ti0.3370 Summary of Plan Check Tells The Contractor's License Law does not apply to an owner of property who _ Multi•Fam. Res. -- builds or improves Inereon•and who contracts for such prc.iects witit a con- Swirilmir Pool/spa S wimming Pool/Spa tfactor(s) license pursuant to the Contracior's License Law). I am aware that -9 gPo _ Building j — proof O/r their Worker'S Compensation insurance ShOuld be provltlt" to me. Water Healer I Issue t] I am exempt under Section B.iL P C.for this reawn Plumbing S — Water Service --- Date -- Owner _ --_- -Septic System Electrical $ _ I hereby certify that I have read 1111S application and state that tha aboveMite- TSERYICESREQUIIIEgENTS: Mechan,cai S information is Correct. 1 agree to comply with an city and county ordinances _ Other S y _r ana state laws relating S0 building construction,and hereby authorize repre- dbT fit• ;er.tati Io u this city :o enter upon Ino at.ove•mentioned property roe oliedlF n —'- 3350.3315 Planning = i,ispaction purposes.Signature Date_ ItSUe — --" tued5r --- Drivers'License or SS ir TOW feasDue >j _ White•Botlding: ,reen•Temporary file Copr Canary•Awssor. Pink Appl,carl.Goldenrrd•AccocnhnR Protect Address—12900 Riverside Drive CITY OF LAKE ELSINORE CONSTRUCTION PERMIT _—_ Assessor's Parcel No. Applicant to fill in all space,except!dose within heavy berdei !i l-,s and sign all appropriate declarations Owner's Nsune _EI-!~Morro Investment Coco-F :one--- PERNAT NO. TRACT Vq. LOT NO UNIT NO. Addles= _ 8U Coa&t_iL.ghway_ L,gull each CA _ _ I Arch/Eng.-_ -License No. - TYPE OF CONSTRUCTION NEW E. ADO L7 LTERATIOy r REPAIR I is 1-1 CONVERSION c DEMOLISH ❑ OTHFR _Mobile Aome_1_nstall•aiTon Address __— OESGRIPT(ON OF WORit-ust OF BLDG-- A.P. # --.- Zone Contractor's Name-- -Phone _ - --- - S I Main Building: Accessory Building: Address(mailing! -- - - TYPE OF PERMIT 1-1 GRADING-. ❑ FOUNDATION ElSTRUCTURAL � T Front U C ty License No. ____ CI TENANT L ELEC!RICAL 1:1 PLUMBING ❑ MEC:IANICAI 9 Rer,t �- N I t_ICr:NS£C CONTPACTOrt DECLARATION r; OTHER _ --_— —_ _ A _.— — — I I hemp ,.flrm trial I Am licenser,untler g PROJECT S Ft. Occupancy _---- CI Right y prcvis!onsot Chtrter 9(commends 7 (ken nc K!-- N vi"!h section '000) of Division 3 of the Business and Pi3feSSIOns Code,and Construction a Lett G !YG Zone Acres my licen,e r,in full force and effect. ----- S License Gass_ —License No. _— Va:eati0n$ —PC>: _ _—_• -- R Plny. Ref. # I Parking Req./Pruviaed E Date - Signature _--__-__-_ Remarks �� F' p RKERS'COMPENSATION DECLARATION — --- Permit 'C—bra n_l�i files U,... C��aLe• Planning Plates reDy affirm that I have a certificate of consent to self-Insure or a co-''1lcate Perviously ins erte Others. Workers' Compohsallon insurance, or a certltie4 copy thareof (Sects-n — S 3800, Lab. C.) 3 10_�1a Poiic No. _.— Compary_—._— _. -- -----' Cer;iiled copy Is hereby furnished. B v �_— ,;ertified copy is filed with the..sty BUCCirlq D;:•;.,;;r.. _ Date.-- -- Applicant _ _ __— -_-- —_ EXEMPTION FROM WORKERS'--^.OMPENSATION DECLARATION (This section need not be completed if the permit is for a-•e hundrer,(514:)or --- --- -- --- _— less). i certify that In they pe,manse of the•.vo a !or s to this permit ,s issued,oth —_ — -- snap not employ any uers,n in any manner so as!O become S�bteCl IO the _PLr.i 1G FEES ELECTRICAL FEES_ MECHANICAL FEES Q M GRADING FEES Wort:ors' Compensation Laws of t-dblornia - •-- Date Signature_ titter, f?f i I Generator❑0 5KW❑ 5.15KW 1- Boiler NCTICE.it,afte, making this declaration,you should become subject t0 the a<•,OtO Woxh I — C�! -------.—cu.,afds Workers' Compensation provisions of th,. Lator COdc, you must forthwith —_ CJflxIrilC!IGn Pole Sao, i Duct-Under Ground cumpi wilt, such �OOkln Unit Fill. yard; CONSTRUCTION y provisions Or this permit shad he tleemeu revoked. Backfl0ly Pfe 'ater Q al UCt.$trUCti!r31 ------- CONSTRUCTION LENDING AGENCY "--- --s-- — -- 33b0-3:70 PfanCheckFeei -I Hereby arfrrm that there is a construction lending ayenc!•for the perrormance Backflow irrioatiol) I Pole Light Fan •Venhlatin�— — of the work for which this permit ,s issued (Section 3097 Civ_C_) I Clarifiers f - 330"3312 Permit Fee $ _ -f Dryers uGax CElectric_ I Exhaust System Multiple l.entler•s Name — Lendrr's Address _ Dishwazher I _ Fan -{I- _ Evaoordtivi;Cooler Total Fees $ — OWNER BUILDER DECLARATION — — —� Fixture Traps ea. - F. U. I -- -, Hearin System&Ducting I hereby affirm that I am exempt from the Cortractor's Lir .se Law for thv' - — _ g y 'mowing reiSon iSect:on 7031.5 Business and Professional Code: Any city or Floor Drains Flxtur2s tJO.1G0,000 BTU 0100,000 CTU county which requnes a permit to c(,nst:uct,alter,improve,demolish or repair "— —'-- ------- — — 3360.3312 Summary of Permit Fees any structure, prlpr to its issuance,also requires the applicant for Such permit _ Floor Sinkt Outietx �- ry Hood or Canopy to nle a signed statement that nc,':he is licensed pursuant to the provisions Of — r Contractor's License Law(Chapter 9(commenriny with Sectior 7000) of Gas Service OUtie15_,_ — _°Witches — Type 1 ❑ Type II Cl •ision J of the 8nsiness and Professons Co(•,) cr that he/Sl is exempt - 9udding f _ refrom antl the basis for th alleged exemp'.mn.Any v,ulatrcn Of SCctinn _ Interceptor$ Meter U up to 100 amps Refrigeration System - -- lumblrig S 31.5 by any appiscani for a ucrmu sur,ects the applicant to a civil P•Trap ____! Meter❑over 100am s ❑0_1CU,000 BTU�100,000 BTU enalty of not more than five huno:ed dollars($500). — -- — �- — Roi,f Drains T- t-- - Electrical $ - 1, ,s Owner of the property or rn•/ Cr,pioy CCs with wa;s as their sole ! Sub anel i — — - corrlpensation, will do the work,and t).r Aructure is not intended or nffered �- 1% -`-- — -- Fire I:Fact. Bit.ICBO # _- r ailer Sewer _ ❑ 15-50KW I System Repair_iAlteratinn Mechanical $ _ for sale (Section 7Tt0, F3usinea ai,.. Grolesssonal Cotle: T`.e Contract• �'s TranSfOrUler License Law does not aopiy to an owner of a p:uperty who builds or improves ' Sewer Cap -J�— Other f Ihcreon, ant' who ioct Sur'% work himself/herse!f f r tr.rcunh hit or her own --- _ ttl�', ___ ❑ 50+KW Fire OaMil fS _ empl,ryees, )rcsvrdi.d that uch improvements are not in!enried or offered for Sewer Connection Bldg ors❑ 0.1 HP U Ty,.8 i Registers 110.231 SMiP $ - SdIC. If, 4^never,the hu-Uing or improvement i5 Sold within One year of com- pletion, '— pletion, li:e owner will 'irve the burden of proving hC/she oitl not build or im- Solar Collectors _ Inc. Solar 09.15 HP❑1S•15+ �_hicirerator Move frr rho purpose o sdi,-). "dial Piping---�- -- - -- _._—_-- E� i,as ovr•1e. of the prrprrty,am exclusively contracting with s:censed con- — _ ~� /Ft.m. Res. _ _ �� Misc. 3360.3370 Summary of PlanCheekFm tractors to till•;h!tr'-the protect (Sec:Ion 7044,Business and Professions Code: Solar Tank __ �_ Multi-Fain. Rel._ _� —�_ _ ry The Cor.lrac'or's /.JCC nso Law does not apply to an owner of property ^ho _ _ builds or imn•uve: thereon.And wr,. centracts for Suct, projects vile a c.m- �' _ SWimmill Pool/Spa a — _ — _ u)) Swimmily Pool �a - p I _ Building S — iraGor(sl licrnSC Curt udnt to the Contractor's I_I Dense Law). I am oriole that --.--.--_ �.— — pro)f o, their Worker's Cornpensat.on imurance should be ..fovided to me. Water Hc' e' E� - I Issue Plumbing S - --- -- —�-i------- --- L7 I an.er;rmpt under Scc:u;n O.G P. .l(n this reason Water Service I F!ertnCal $ Date _..—----`Owner _—_-- --- .�----- ---_ SeptixlEn! M:Charucal S .. _�- I hereby certify that 1 have read tills application and state that the above —� -SG- — DEVELOPMENT SERVICES REQUIREMENTS: !nforrnalian is cnerect. I agree. to comply wilt, all city and county ordinances — Other $ — _ Zmlinf Appraised By and ltiv' laws relating to humor conStructlon,and hereby aatno per repro. 3360.3375 Planning slsPflC v61 Of this city to enter upon the above-montionctl pruperty for -' Building Appl-fed By _ -���_._Aae infpeCir,n Purposes, __ _I - Signature Date. ISSUE — AppliGtios InwdBy Crivers'License or SS y1 _.-� .__._.� ----" — Total Fen Duet Whlte•BulWing; Gfeen•Temporary File Copy:CanaryAzsessor; Pink Apphcanl.Goldenrtd•AcceunhnR ?rd;.:fndaress_32900 Riverside Drive CITY OF LAKE ELSINORE CONSTRUCTION PERMIT _ Assessor's Porcel uo._ Applicant to fill in all spaces except those within heavy border lines and sign a!i appropriate declarations Owner's Name _El Morro Investment CO—Phone— PERi4IT NO. TRACT NO. TLOT NO J j UNIT NO. Address _$311 Coast Highway_1yutla Beach CA Arch/Eng. License No. TYPE OF CONSTRUCTION " NEW , ADD LTERAT10�1 i " REPAIR L! CONVERSION ` DEMOLISH C OTHER 1'Iobi l eCJ/On!e nsta I 1 atI on Address — - --- A.P. # � Zone DESCRIPTION Of WORK/USE OF BLDG.- Contractor's Name Pnone _ E Ma( in Building: - Atte;sory Building:- Address(mailing) TTPEOFPERMIT CI GRADING O FOUNDATION E_l STRUCTURAL T Front Z O City License No. _ ElLl TENANT L ELECTRICAL C PlUMd1NG MECHANICAL E Rear K LICENSED CONTRACTOR DECLARATION A -- - -- t hereby alfl-m that I am licensed under provisions of Charter 9(commencing PROJECT CESCRIPTION: Sp.Ft _ _Occupancy K Right with sect ton 7000) of Division 3 of the Business and Orofessions Code,and Construction type _ lone Aces y S I Left my license is in full force an.:effect. - License Class_ License No. Valuation$ PCN _ R Pi Date- Signature Ping. Ref. # Parkin 4' Re /Provided E __ _ - '- --Remarks -- Planning Q Permit to brig files uo to date. giyotes _ M RKERS'COMPENSATION DECLARATION - --- T reby affirm that I have a certificate of consent to self-Insure or a certificate PerviousOy i nsLecte others. - - Wo•kefs' Compensation Insurance, or a certified copy thereof (Section -- -- $3800. Lab. C.) 3-10-83 _— Policy No. Company -- -- -- ---- Certified copy Is Hereby furnished. Certified copy Is filed with the city Butfding Division. — D Ite.A_ Applicant 1' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION �r� `� (Thissection need not be completed if the permit is for one hundred($100)or -- -- _ _— — .-- less). --�— I cetif ry that in the Oetf Ormance of the work fcr-which this permit is issued,I — sha❑ not employ any person in any manner so as to become subject to the PLUM FEES ELECTRICAL rFEES MECHANIrAI FEES T.rr r Workers' Compensation Laws of California. .-t- -T _ GRADING FEES Oa'e _.__.__-____slgnaturc Alter, Repair Generator C6.5KW El 5-15K►'1 i Bc,ler Cut:__ cu.yards �IOI'iCE:If,utter making this tleclarallOn,you s^dole beco.ne subject to t!i'a Auto Wash Construction Pole Sub. I I Duct•Ultder Ground Wor:.ers' Compensation provisions of the Labor Coce, you must forthwith _- � - -- - ----- Fill - .-Cu.yards comply witn such Crovisfons or this permit shalt be deemed revoked. Backflow Pfevonte' E00kln�Unit ! DUC)•$1fUCt Urdl CONSTRUCTI6N LENDING AGENCY ackflowlrri I i 3365 370 Plan Check Fee -I nereEy affirm teal mere n a construction lending agency for the performance gallon Pole Light ` , tan -Ventilating of the work tot which this permit is issued (Section 3U97 Civ. C.) ClarifiP(S Of Qf5❑Ga5 CElectrie — 33003312 Permit Fee Lender's Name _ _ _—_!____— �_ Exhaust Svs)em Multipf -- - Lcnder;Address _ Dishwasher i ' Fan Evaa:,rative Cooler Total fees $ OWNER BU11_DER DECLAPATION - -i--' - -- - Fixture Trans ea. I _ F.A.U. ; Heating System& Ducting I hereb�,,atrirm that I am exemp: fram the Contractor's License Law Tor the ----� �---- g y g it)�,vtng reason tSection 7031.5 Business and Professional Code: Any city or Floor Drains Fixtures I 'F10.100,000 BTU C3100 000 BTU ' county which requires a permit to construct,alter,improve,demolish or(coati -- --- - `--•- 33603312 Summai of Permit fors any s:-ucturrr, pt..r to its issuance,also root Tres the applicant for such permit Floor Sinks Outlets _ Hood or Canopy T to 1ne a signed slateme,! that he/she is licensed pursua,.' to the provisions of Gas Service Dl11QIS 1 _ e C.in'rat'pr's License law(Chapter 9(commencing with Section 70 10)of - _- . Switches Type 1 CA Type it ❑ Building sf.n 3 Of the Business and Professions Code or Ilia, he sne is exempt --�— s --- -- rcltom and the basis for the alleged exemption. Any violation of Section iJterte_7�TOfS _ Meter C tip t0 100 amps _ ___ I Refrigeration System 31.5 by any applicant for a permit subjects the applicant to a civil P-Tra � Plumbing P Meter Cover if10 amps CD-100.000 BTII C1100 000 PTU _ ppenalty or not more than five hundred dol;ars($500). ----�—• ---- -s-- -•- E!ecd a! j _ L7 1, as owner o1 the property or my employees with wages as their so:-. Roof Drains _ Sub panel Firenl/Fact.Bit,IC_BO # _ com pensattori,will do the svo•k,and the structure is dot intended or offeretl 1'raiier Sewer_ r I -+— L Mechanical $ !or sale (Section 7044. ausiness and Professional Code: The Contractor's i LJ 15.50KW I System Repair/Alieraficin - — L:censc Law ones not apply to an owner of a property who builds or improves Cower Cap "j-'— Transformer + - - -- Other $ thereon, and who does Stich wo-k himself/herself Or through his or her own .. -- 0 50 KW i Fire_Dampers — emoloyces, provided that such improvements are not intended or offered for Sewer Connection-Bldg. Motors❑0-1 HP U1%-B Ze IetefS — I I!0231 SNIP S _ Sale. It, however,the building or in provement is sold within One yeai of com• - _ ! __ plet r. w u ion, the owner will have the burden Of wing he/she did not build or im• Solar Collectors Inc. Solar 09.15 HP 16.15+ Incinerator prove for the purpose of Sale). — Solar Piping Sin /Fam. Res. _� Misc. tr !,as o con tr the property, Se Cxcfus044, contracting with licensed con g 3360.3370 Summary tractors l0 COnSUUr,i the protect (Section 7onn,L3usmcss and Protesstor.s code: Solar Tank " — "' - "- --'�- -- ryof Plan Chick Fees 'rho Contractor's License Law does not apply to at, owner of prooerly who Multi-Fain. Res. I i Ja,l(Is nr improves thereon,and vino contracts lot such protects with a con. Swim minS POoI/S a SwimmingPool/Spa -? _ -� 9ufIAmQ $ _to the Contractor's License Law). I am aware that Proof o(s? license PkjTSUa11tproof otheir Wor o rnpenso t ion insurance sliou,7 br, provided t0 me. Water Heater _ _Issue Plumbing U I am exempt under .3tC0on-._-.._.___. ._ B.& P.C,for this reason _ - ater Service _ -- - - --- W Cate owner S etc-S LSt_m- Mechanical -- I Iletcbv certify :hat I have read this appiicaflon and .late that trio above - !^ljil _ DEVILOP,MENTSERVICESREQUIREMENTS: Other $ -� information is correct. I agree to comply with a.i city and county ordinances IOnintAppro dSf_ and state taws relating to building construction,and hcieby authorize repro. re "-"-" sentahvas of this city to enter upon the above-mentitinee property for - -- Building ApprondBy __ —Date � 33603375 PlammnZ $ Signature e inspection purposes. Date.- ISSUe •-- - "Iowa Issued BT LS _ _ -__ _ -. ..�.- L,t,rs• LlcatiSC or SS y>• —"- ,_ ---____ _._. -' Total Fees Due S ._ White Building. Green•Ttmpcfary File Copy:CanaryAssessor Pink Applicant.Gold enird-AccolmImp CITY OR LAKE ELSINORE CONSTRUCTION PERMIT ProiectAddress-3290SLR-iver_slde Drive 1 Assessor's Furcet No._ - App:icani to fill in all spaces except those within heavy border lines and sign all appropriate declarations owners Name F1 hinrro -mve:,ifflt4nt C-0.phone __ PEWIT NO. fl?ACT NO. LOT NO9, UNIT NO. Address ._i1:2'i 1 Cnac r Hia,�y Laguna Beach '-A I i i� Arch;En TYPiorCONSTRUCTM hEYi ADD G/11.TERATI0.' RfPAIR g _--__ l-icense No ----- } I CONYERSiOR DEra01)S)f G' OTHER Mobile time Instal iatlon Adores - -- -•- -- A.P. # C=SCRIPTIGH OF WORK;USE OF BERG. - Zone Contractor's Name - _-Phone E Main Building: Accessory Building: Address 1wi s it g)_ _ TYPE OF P::kliT G'AGlhG CJ FOUrtDATIOH S(RIILTUFi 1 y n: -- - O City License No. _ [_ Till �EEECTRIC.M. --; PLVMBiNu" n k(ECHANICAL B Rear J N C OTui A LICENSED CONTRACTOR DECLARf.TiON ---- -- ---..-.-_-- --- - --- - ( hereby affirm that I am licensed under provisions of Charter 9(commencing PROTECT OE&. :�;'2\ Sg Ft 0,cupaecy C%_~___�_`_ it _ N with section 7000 of Dior slon 3 of the business and Professions Code,and ,. KF - -- G Coestrua.cr. tT•- Iart — _ Acas _ MY license is in full force and effect. ---- - S I ..%JI License Class _License No.—� Yaluatien j - PCd _ P!ng. Ref.# Parking Req./Provided E Date_- - Signature - 'r R KERS'COMPENSAT ION DECLA RATION Remarks Pernl7i--Ag bring files dp to date. PlanningNo5es _ reby affirm that I have a certificate of consent to self-Insure Or a cer tlficate : M Perviously ins cote ethers. �s Workers' Compnnsation Insurance, or a certified copy thereof (Section - -- --_- - 3800, Lab• C.) __ '�_1(i_8a Policy No. Conioany------- -' - --- - Q certr feed of I$hereby furnishetl- _ --- 'J Coil ed capy Is tiled with the city Building Divlsmn, ID.M 7-� Date,-----.-Applicant- r --���" --� "•'•-? £X£MPTtON FROM WORKERS'eOMP£NSATION DECLARATION -� _tl( -.2- (This sect Wn need not be completOd if the permit is for one aundred($100)or - ress)- I ter tt'y that in the perfor:narce o:the wo for whirr.;his perniR is issued,I snail .lot employ any persin in any marts so as to become subject to the PLUI4!BING ' FEES ELECTRICAL FEES MECHANICAL FEES ACCT. GRADIhbfEES Workers' f_Ompensatl.n Laws of Caloo:wa. -T Altef, Re _ -}- I - Datti _ -Signature _ _- pate __I Generator❑0-5KW❑ 5.15Y-.LJ I Boiler _ _ ___ NOTICE:if,after making this declaration,you shoultl DGCOme Subject to the AUtO_Wif4h )- - � Cut. ---cu.ya.,is Workers' Compensation pros:sions of the Labor Code, you must torthw.tn Construction Pole Sub. _ i Duct-Under G;nund torn 1 with such provislons or this 'pY permit shah be deemed revoked- � Back COOfri6 Unit i C,r,• I --rc.yard S CONSTRUCTION LENDING AGENCY _ g _ -L- DUCt_t•',.(Ufa. I 1 hereby affirm trial mere is a construct:on lending agency for the performance W4Ckr ,O Irffgnl100 POIQ Li lit ; �Frsn 331i0.33iu PlanChtekFet•j -. of ;ne work for which this permit is issued (Seciioh 3097 Civ- C.) ~ i- - -Ventilating Lender's Name _--__ �Clari. ors ___ li Oryefs❑Gas ❑Electr_ic � Exhaust System Multiple 33CA•33!2 Permit Fee S Lender's Adores _ __ {1-Gis-hw_asher _ I Fan ' Evaporative Co _ TotalF�c-s j I OWNER BUILDER DECLARATION - - I Y1:wll Traps ea.- �•t]- Heatin S stet,. ctin l hereby affirm that I am exempt from the Contractor's Llcense Law for the g Y � g fr,nowrrig reason (Seclion 7031.5 Business and Professional Col Any r.ity or I Flour Drains _ Fixtures ' :JO.104,000 BTU I�100 004 BTU county which requires a permit to construct•alter,improve.demolish or repair F - 3360.3312 Summary of Permit Fete any structure,prior to its rssuartre,also reau:re::is asp::-i%nt for Such perw.t luor Sinks Outlets C to I,ie a srgneo statement that lie/she is licensed pwsuan• to the provisions of - _ 1 - I Hood or GarrCpy 03rel,, Contractor's License Law(Chapter o(commencing with Section 7000)of G3S Service Outlets I Switches Type 1 ❑ FYpe Il ❑ BwAin Sisidn 3 of the Business ano Professions Code) Cr that he/She is exempt Interceptors _ hl2ter C]up to IUJ amps Tvpe oration: stemFfrom and the basis for the alleged exemption. Any vtolati,t) of Section -- g y by any applicant for a Permit subjects the applicant to a -,vit P••-raR_- _ i__ Meter Cover 10Camps ' C�0 100000 BTU❑100,000 BTU Plumbing j penalty of not:note than five hundred c llars(L500). -- - j Roof Drains Ltcctr:cal U 1, as owner of "he property or my emnlovecs �rrith ..ages as trey sole _ Sub one( Fitepi/Fact.BIL ICBU # ---- rOnipensation, will do the work,and the structure is not intenoed or offered --� - - -�"- MlCrli!n:Cd! Tfa'lei Sever 5- T o $ f•)r sole (Section 7044, Business and Proressinnal Code: The C.ontractdr's I ❑ 1„50K-+Y System R.palf/AltefBtlCn -'•-• Transformer j Llcense Law ones not apD1Y to an owner of a property who builds or improves $QW2f C3 J 50+ [- th:reon, and who does such work himself nersclf or through his or net O+.n p �_- r _kw 1 Fire Dampe°r_- enlp:ovees, provided that such improvements art. not intende0 nr nffrle(1 fur $ev,'er Connection-Bldg. I !motors❑0-1 HP L3 IXx•B rRQ IsteS$ 110-231 SMIP s _ seta It,however, the building or improvement i.Sold withinone year of cum• --- pletion, the owner will have Inc burden of proving he/she did not butid or im- SOiar Colleit rs , Inc. Solar 09.15 HP 1316.15+1 Incinerator _ prove for ine purpose Or.Sale). ---- -- --i----- .- �-- -__---• L1 r,as Owner of the propetty,am exclusively contracting with licensed con- Solar Piping _ Sing/Pam. Res. -�I misc. t ra cl ors to constr ucf the or ojerI fSec to on 7 04 4,Qr.:mess and Pt ofessions Code: $Olaf Tank -�t---- -- --� 3350.3310 Summary Ol Plan Check fees The Contrartor's License Law, does not apply to an owner of property who - Multi-Fam. Res. _ T� builds or :reproves thereon,and wise contracts for such projects with a con. I Swimming Pool/Spa I' SW)iTlr,1i�F000l/Spa 1' B lkhnp j tractor(s) license pursuant to pe Contractor's.,aura ce sh r: is be 1 ov aware that - �- - ---�- proof of rneu )V ur ker's Compensation insurance should be Crdvlded to me. _ vilaf8f Healer Issue __ LJ 1-1-"Csl(l under$ectinn--_.____-_. 11.& P.C.for this reason _ Wa,_r-SeriiCQ � Iturit, Fpp Plumbing = llv P bttal Datev_-+_- _- owner -- ?PLLI Sys:em ktethanital S — I heresy certify that I have read this application and state that informal i c the about _- DEVELOPMENT SERVICES REQUIREMENTS: informas orrect. I agree In Curiiply vi aft city and county Or,onanca 7piint;Appraed8) Dale Other and state laws Ili in btaluing corstruclror,,ar:d hereby authorize retire. ---- - v -^� svntat...es o' this city to enter unon t110 atlnve-rtlenItoned property for —' hiluitdirgApprotadBJ 3360.3]]5 Planning j $ig inspection purposes, --- rlppligtionlivNdBJ _ - ----- _ r .31u -_- Dd[C Issue sate - Drivers'Ucense or SS sF —_- -.i — -� Total Fen Due $ _ While-BaF]mg. Gree n•Temporari File Copy:Canary—Assessor. PifibApplicanl,Goldenrod Accounting pip CITY JF LAKE ELSINORE CONSTRUCTION PERMIT ProirctAdd-ass __..LWn-Ri -erad2 Drive Applicant to fill in all spaces except:hose within heavy border lines and sign all appropriate declarations .Assessor's Parcel Noyy._"�,,,,, T.���p _ C%vr,er'%Nnmrt -L1-r•Jrr rcL i nyes!it t-CO�Ptione.--.-_._ PERMIT NO. TRACT 110. LOT NQ —� UNIT NO. Address . )Jai Caast Highway Lag.I,fna__Bearh CA ..� ArchlEng, License No. _ rfPE OF CONSTRUCTION E,' NEW LJ ADD r LTERATIO•' REPAIR CONVERSION [] DEMOLISH ❑ OTHER t'lobile home knstall�t3on Address -- DESCRIPTiON OF WCRll;USE OF 61 DG. A.P. ! Zone Contractor's Name- Phone - - E(Main Building: Accessory Building: Addresslnusibng'— _- _ TTPEOFPEAUTT - GRADING J FOUNDATION 0 aTRUCTURAL — T Front Z T'NAhT Ci ELECTRICAL PLUMBING ❑ MEDUU(1CAL B _ O City License No. -__ -__•. i Rear N LICENSEC CONTRACTOR DECLARATION E G;hFR _ _— A - - - I I hereby affirm drat I am licensen under provisions of:hartef 9(commencing PROJECT DESCRIPTION: S7 Ft _Octupz'cy C Right N with sec t:on 70:0) of Division 3 of the Business and Professions Code,and Cerytctt'a type ?One -_ Acres S Left �' my license is rn full force and effect. --- License Class _— License No..— -_ va'uat'zr$ —PC# --- -- Ping. Ref.w !Parking Req./Prodded E. Date Signature. Remarks Pennit to brio files u to date.~ _ _ Plannin Notes ' RKERS'COMPENSATION DECLARATION � - 9 I1 g _ M reby affirm that I have a certCtcate of consent to self-',Isure or a certificate Perviously i nsptGte . others. — — T Workers' Compensation Insurance, or a certified copy thereof (Section - $ 3800. Lab. C.) 3-10-88 Policy No. _ _ Company — -- -- — ❑ Certified COPY IS hereby furnished. L-! Certified copy Is filed with the city Bui'dirg Division. I0 i Ito _Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION �?'�y ':nissecl.On need not be completed if the permit is to-one hundred(S100)or ------- -- less). --- 1 certify :hat in the performance of the v.or. for which this permit IS Issued,I shay not employ any person in ar.y manner so as to become subject to the PLUFABING FEES ELECTRICAL FE: La ' MECHANICAL FEES y;,i,T•x GRADING FEES %Y..kers'Compensation ws of California. -- - - Date -Signature _- Alter, Repair Generator❑0.5KW 0 5-15KW� Boiler NOTICE:It,after making this deCUrabOn,you snouid becnm: suuject to the Auto Wash Cul: -Cis.yarai :'+orf.e•s' Compensation FCvsSIOrs of the Labar Code, you muss 10rth-th --! Cun;truction Pole Sub. Quct-Ilnder Ground comply with such provisions cr this permit %hail tit deemed revoked. Backflow Prev enter^ f,00kin Unit Duct-Strcctural Fit!----- cis.eras CONSTRUCTION LENDING AGENCY -�-'--'—. — I P.erety affirm•-at tfi re is a construction lendingagency for the performance Backflow irrrgali0n Pole Li ht F'r 3360-337G Nan iee3 9 r 9 a Veniilatina _ — ci Int w'O-:• r which tors Perm" Is issued (Sec:Inn 3697 Civ. CA C!arifiers Of ors GGas ❑ElectflC Exhaust System h;Ult;ple 3300-331i Permltre^ Lender's Na, _ Lenders Ardte.� i Dishwasher Fan _ Eva orat;ve Conler I _ FoAI fees $ OWNEF:EI Lr_I-_ , DECLARATIONI Fixture Trapsea. I hereby affirm ILIA I am exempt from the Conir,ctor'i License Law for the ?F.i)x,l .A.U. - Heating System&Ducting +ouo,nng reason (Section 7031.5 Business and Professional Code:Any city or Floor Drain; ures ❑0-100,000 BTU❑100,000 BTU county which requises a permit to construct,after.Improve,demol•sh or repair -- - 336t�3312 Sumfra M Permit Fres ::ny slruc7ure,prior to its is%nance,also regwres the aPPlrcar.l fur such permit Flnpr Sink, Outlet' � , Hood or Canopy - ry Ent a signed sta:intent that hC/she Is licensed pursuant to the provsssors Of Gas Szrvrce Outlets Switches � Type 1 ❑ � e.P.—'f - 0#3 Cnntrac:nr's License Law(Cnaoter 9(commencing wsti•Section 70001 of - _ ) 0 i is, 3 of cite Busrne•s and Profession: Code) or That he/she Is exempt Intef[e tors —� i U tG 100 am S `� BmedmY S — rCfrOm. and the bass for Flit zliefje•'exemption.Any violation of Section p Meter J p p Refrigeratiort System 1.S h an applicant for a , applicant to a civil P-Tra, Meter Oliver 100 am s - ❑ + I Tr• Plumbing _ Y Y pp permit Subjects the a 0-.OF OG'R. ❑100 000 BTU = - - nilty r,f not more than five nuntlrCd dollars(S500). -- �- �, S - F] Roof Drains I -f Ei ctr.cal 1, as owner of cite property or my employees with wages as their sore Sub pant! ____ Firep: - -_ICBO # _ -- cnmpensatiOn,will d0 the work•and the Structure is not intended or offered Trailer Sewer f P•,�o. I` , Mechanical y for sale (Section 706d, Business and Psofessicnas COOL: The Contraclor'S . ❑ 15.5OKW 1 t_ .:I�fatl0n -- - L,cCns^ Law does no:apply to an owner of a property writ bus'is or improves Selvef Ca Transiormer -- -- - :nercOn, and who does such work rintieafiher,e:f Or tnrough his or hl:t Own r 50+KW ___ F€r' Dz:. Other $ _ - employecs, provided trial Such img- rvcrcents are not Intended or offer w for -TSevrer COnnet.ipn-Bldg. 1 Motors 0 0•i HP❑V1.1-8 Flincineialor `sitr• _ � liJ�2i! Sh o ; laic. I1.nowever, the building of improvement is sold Witnin one year o:cum- ---- -_ -__�___ .. .- p.",on,ilia owner will nave the buaCn of Proving hC/ShC qld nOl Duia Or Im• YSOIar CGIIeUOfS Inc. Solar❑9•f 5 HP❑16 f 5+ Prove for the pur Pose of sale). - -_.-_ i I Solar Piping Sin /Fam. Res. misc. I,as owner :' tilt prOpCrty,am tx[IdSivCly Contracting with licensed con- .- g I - lractOfstO conSt,,,ct the Project (Section 7044.business and Professions Code: SOlzr ink -` �•— -- 3360.3370 Sum-iagof Plan Check Fit 3 The Contractor's License Law does not apply to an owner of property w1:0 -• Multi-Fam.Res. buudS or Improves thereon•and who contracts for such protects wl"' a con- Swimming Pool/tea Swimming POOI�S r: ffacfur(s) license pursuant :O the Contractor's license Law). I am aware tnat �---• -__�_- Buibinj $ ......-_-�__ pronf Of their worker's Compensation mslrranue should be provided to me. Water Heater _ issue. Piui.tE•n2 j l] 1 am cxrmpt under Section-�_-._.� B,t>P.C,for this reason yIrate. SO,VICO f - �- I Electrical Date ------ Owner __ _-----.�----- _�Sen'tic SZSIEm Mechanical S i hereby Cert1ly that 1 have read mis application and state :hat tre a:,Ove jE(�-__,_ DEVEWMENTSERyiCESREQUIREMENTS: OtMr = _ mfdrmatl,n Is correct. I agree In comply with a1I city and county orninarl:es 2onpl[ApyfoNdRT -- -pats_, aid State laws relating to our".ng construction,and rinrebv autriorize Terre• - -- sentauves of this city to enter upon the above-mantiono0 Property for - — - bidding 6T _� — —pale 3360.3375 Planning $ Inspecarin purposes. - Appliudoalswa06ir _ —•------Date Signalwat- Dare Issue �Clflvtrs'License or SS 71'—_ - __ _._.�� iotalfsdOut S WNte•i3rbma. Giee -Tull aay File Cope Canary-Asseisor. Pink Applicant.Goldenroa•AccT ,,I CITY OF LAKE ELSlNORE CONSTRUCTION PERMITProject Addtess 32°A�iygrs i�e Drive _ Assessor's Parcel No -�-_ _ _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate deciarations Owner's fo ame Fl fsO n I n}tQS Me11t_CD Phone- PERMIT NO_ TRACT N0. LOT . UNIT N0. Address Ba l 1 rnast-aighway___Lagunal_.Beach CA — Arch;Eng,___ License rao. _ TTPE OF COX STRUCTION NEW C ADD LTERAT!0' REPAIR CONVERSION ' DEMOLISH [_J OTHER flobile None Installation Andress — - DE-V-Ri?TION OF WORK.US'OF BLDG. - A.P. '� Zone Contractor's lame phone E Main Building: Accessory Bvi!uing: I Address(mailing) T"E OF PERMIT 71 GRADING C FOUNOATIUH G STRIF'?URAL T Front _ Z i City License eJo. _ _ _ TEN Atoll C EIECTRIC.W. [l PLUMB!NG [_ MECHANICAL B Rear — LICENSED CON7 RACTOR DECLARATION - CTFER _ A -- --- — -�I I hereb•affirm that I am licensed uncle. DRt:_ I LEFCRIPTION- S FL— Oru a•_ C, Right s provisions or Charter 9(commencing Q D +7 with section 7000) of Divts+Ont 3 or :ne Business and Professions Code,and % CLtiwl tip! Zone Acres K j_Lel) - my hcen;c rs in fun fore..and afar c_ S ^j--- Ucer,se C(..ss— License No. aE:a:'0`S PCN Date Signature Ren•ark; Ping_ Ref. tt Pi arking Aeq,lPtovided ,F RKERS'COMPENSATION DECLARATION � enn-_—__-- ---- � it to bring es U n files to e. g date. Planning Notes_ _ _ 1 a — - - p _ aeby afflrh r a that I have a certificate cf ccsent to selfansure or a certificate derviousl.y i ns►�eete others. ..-----..IIItt11I T wart.ers' Compensation Insurance, or a certified copy thereof (Section - S 3soo. Lab. C.) _ 3-10-83 _- - Policy No. --_ Company--- --• - -- ____ +� Cer die copy Is hcret)y furnished. -- — -- -- L I Cett-lied ropy Is filed with the city Bumming Division, -- Cater Applicant— 1 U x EXEMPTION FROM WORKERS'COMPENSATION DECLARATION _ •Tnrs sect ion need no:be Completed i'the permit is for one hundred(Sloo)or ` certify that in the performance Cf the o.o• for which lhit permit is issued.I era not employ any persun in any,manner so as to become subicct to ;ne Pl UMBING -- FEES --ELECTRICAL FCE$ MECHANICAL FEES AMT. GRADING FFES I svors,ers'Compensation Laws OS Cato fo'nra. ^-_-- --- --kter, --.-- 1 )_ - e care S•gna:ere i+!ter, Repeat G.nerator`0.5KW❑5.15KPJ ! Boiler -- Ca! NOTICE.C after Compensation rO declaration•you Ir Co become UStfo to the Autn Afash I l onstructi0n Pole Sub. i Doct-Under Ground':::r•kcr S' COmpcnSatldn Dre•nvonS of the ubcr Cola, you must tnrthwi:n --- - -- -I} -}----• — "r,loly with such provisinnS or 'nos De.mit Shall be deemed rCvakecl. ----; BackflulyPrventer CoakirgUnit Duct-SFfULtiJral -- CON'.(RUCTION :_ENDING AGENCY - "--�-- 33603370 Plan CheckFceS i rc-c•ty affirm that there is a construct.cn lending agency for the performance 63Ck f!OW arrogation I Pole Limit- ' -yfan •a✓en!i!atino --- - taf the work for which tns Permit is issued (Section 3097 Cry. e.) L'larif.zrs Or ?:s LGas �!Eleftrie _ I Exhaust System Multiple_ --� 3300-3312 Feiriltfee $ tender's r�ame -- - -' .-- - —. -.-- - � _ Y -- Lf^cr•r f Aa,cress _�_____ -' O'S'wasnet - 1 F•,r. ! Eva nrative Cooler I Total Fees S _._.- OWNER Br•ILDER DECLARATION _— --- - o - --� -T- �'--- -T - f F:%,1r_Tlans ea. i _ _r,A.U. ► Heatin System R Ductin i I ncrebs at arm that I am axe nip, from the Contractor's License Law for the - _- g y g rly.r Drams t _ l)ut'AYnq reason ( fCS an 703).5 Buttress and rotets,rove Critic:Ar,y r city a, —L_— ! Flxlu:zs ❑0•100,C00 BTU 0100,000 BTU c��txy wnrcn requnes a eermit to construct,after,improve,Uemoflsh tar rCDa�r --'- 3360d311 Summa a,y structufe,prior to its issuance. also reoutfes the applicant 101 such Derc,t F'cor Sinks Outlets ~Hood or Canopy ryas Pttmil Fals :n fate A S:-,)ed sta:ernert :nit he/sre ,s licensed pursuant fn the provlT•nns of r "* e Contractor's License Law(Chapter %(Co•nmencmg with Section-000)Of Gas Service Dtfllets Swatches_ —{i _ T CLI ❑ �i,pe 11 0 BUild-nj $ soon 3 Of the Business ant; Professions Code) or that .ic/she is ct:empt IriterLeptOrs _ CiCr Ll tip to 100 amps _ Refrigeration System Pt,,mh•n r e'rorr. any one basis for the alic;co exemption. Any vrolatr„n of 54:ction �_ _3:.5 by any appirrsnt for a permit subjects the appltcant to a civil P Trap Meter Cover 100 amps i $ penalty of not more than five hundred doliars(S50U), -+---- -_ p Ci0.10Q000 BTU C71BO.0 00 BTU ; i Roof Drains —�! Electnca! ,..: t, a: owner of :he property or n,y crr.pinyecs with wages as rncar sot^ .____ Sub panel � Fire I!FaCt. Blt. ICBO +� compensation,will de the work,anr, ;ne stiuctsre is not intended or fiifered - — lietharncal for Talc (Section 7044. Business and P,ofesstona; Code: Tile contractor's IrailerSewer L i •50KW S,;stem Repa'rlAlteraiion - - a License L.iw does not apoli to an owner cl A itcoerly vino!wilds of improves SeAer Ca Transformer n ---- $ •^etcnn, and who does such wtark nimse=',nerseif nr througn his or hit own --:- P -- C' SO+KW Fire Dampers tither - e•*,Dlcyeel, prov,dco trial such, lmprOvemCn!S are nut intended or filleted for $ewer Connezfi.ln-Bldg. -I V13tarS L_ 0-1 HP❑1 it-P, Registers 110231 SMIP S sale. If, Dowever,inn bud dtaq or or,,. _neat is sold within One year r-f corn. pie:aOn,Inc owner wall have the burden of provinG he/she hid not U:jihd Or rm• Solar Collectors Inc. Solar ❑9•15 HP❑16.151 I Incmerwor prove for the Dorpos•:of stile). $0'3r Piping - —T--" 1, as owner of the properly.am excia,stvciv contracting with l,censen con- �--_p g __ Sing/Fam. Res. ---_�-- --_-j misc. 33603370 Summary of Plan sheen Fees tractors to construct the project (Sects-)n 70:4.Outmost and Professions C..de 1 Solar Tank r Mulfi•Fam. Res. I —__ _ ?Tne Contractor's License Law enrs r.Ot apply to Jr.owner of prcpetty who A _ bu,lds Or imrstr ves thereon,.and v.� , contracts for Such Dfolecti with a con. Swimml -Pool/Spa SwimmingF^01,$ a -�=- _ __ Building t t,tr;or(sl license pursuant to the Cron Pact or's License Law). 1 am aware that - -- proo, o// ,hear, WOrkCit's Compersation insurance should Lc provided :o me. �1later Heater ;SSUE__- - — _ Plumbing $ —, i� 1 am excmpl u'der Section-- B,L P,C.for tnis reason I Water Service � ! EhUrltaf $ Date _--_-.-- Owner ..-_ _ __.Fa-pticSvslem ---- Mechanical S _ I hereby cerltfy that Ina, read tliis apphcal+on and state that the above !.�11SC.___ - `- tnf0'ma:ion it correct- I agree to '.Om Ply with e i city and county ordinances DEVElOFMENTSERYICESREQLNREMENTS: Other $ - and state laws relating to Dow ainr, consiructtun,and hereby authortre repro- Zoning ApprandBy Tentah... of tots cat,' t0 enter upon the abnvc•mentioned property lot Buil6ngApprowdBy -Dale - 3360.3375 Planning $ S4n utnaturtn nurposcs. _ Data_---- ISSU2 �IE ApplicationlssutdBy tg -_-- _ � _ - LOfivers•License nr SS gI —-_. _� _ — --_ Total Fees Due S While Building. Gfeen-Temporary file Copy:Caraly Assow. Pirk Ap;:irant,GO!reorod Accounting I gill MW Prbierc,Address CITY OF LAKE ELSINORE CONSTRUCTION PERMIT �24Q0 Riverside Drive- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations Assessor s Parcel No. Owne•.'s Name E1 Morr- ImteStfneJtit CC1 Phon PERMIT NO- i RACT NO. LOT N UNIT NO. Address -_Bali coact Highway__ aquna_eat fl CA 7 Arch/Eng. ---License No. TYPE OF CONSTRUCTION C NEW E.' ADD C./�tifRAllOy - REPAIR C CONVERSION n DEN0IiSR i OTHER I'Yoblle Gm� nstallatIon Address DESCRIPTt-'N OF WORK JSf OF BLOC. - A.P. # _ Zone Contrac•or•s Name - Phone - _ - E Main Building:- Accessory Building: Address(mailing! 111 T(PEOFPERMIT :] GRADING J FOUNDATION C7 STRUCTURAL T F:cnt Z G C::y License No. C TEtfAN? F: fliCiRICAL rJ PLUMBING 1,7 MELHANtCA1 8 Rear N LICENSED CONTRACTOR DECLARATION C 01nER _ _-___.--- A I t hereov affirm trial I am•:censed under provisions of Charter 9(commencing PROIfCTOESCRIPiif ri: Sj rt Otrupanc) C Right l N wrtn section `300: of Division 3 of the Business and Professions Code,and C;r,Slfvctrn n�pe _ Zone Acres _ Ki Left G r my trccnSe as rr full tOfCS and effect. - S — License Class --License No. Y1tua!lonS PC# Ping. Ref-#`r Parking Reg,/Provcded E Date _ Signature _— Planning Y - g RcmarkS Permit to brio files up to date. gNotes _ eA , I Rs;£a5'COMPF_NSATION DECLARATION g r.±hy attrrm that I nave a certificate of consent to sell-insure Of a certificate Pervious!, 1 nS ecte _ at�lers. T LYorkers• Compensation insurance, or a certified copy thr:reof (Section - 3-�C-$2 — S ,a07, Lab. C.) Policy No. Company ' Cert-lrtd C.py is hereby rurnished. _ CertitroC Copy 1;fried with the City Building D:viston, TDI © _ - -- EXEMPTION FROM.WORKERS'LO:APENSATION DECLARATION -3 (Th,tsection eeC no;be copreted rt th n e pern s t for one hunarea(1,100)or ass). n m ccr rty twat in :he y person n or!hC untie.fso as to t c nie subject a . tuna,1 PLUMB114G FEES ELECTRICAL FEES MtL. ANICAL FEES that' rot C- moo any her ws :n any manner so as to 7eCOme sub1CC[ t0 Lbe __ T vror.e•.s' C•,r�pensatipn Taws of Carrtcrn:a. 1 -----t- t }•(� p 'DING FEES Data -- _-$Ignaturt —. t Alter, Rc r ` ��� ! Genpra•or 00-5KW 0 5.15KVi Boiler NOTI-CC:If. Vic, at.fr,rr this rJ,cla,alson,you;hpuid become suolect to the r --�--� � - � Cut. —CU. 3tCS Attu Wash j I Con;tfuchor.Pole Sub. Duct Under Grouuti _�E_ r stor;e•s' Lnmpensatien prnv,s,ons of the Labr f Cnde, you gust fnrtnwrih - ----- curr•�ry wnh st th prnvisi Llls nr ;ri t; permit snarl De ticemea res•c:aed. ! �aCkf)ov/PfevenlerCo! f ' Fdt. i.U.yards I n Uni, Duct Structeral coNs RlJ_TION LENDING AGENCY - I _ j -- — 33b0337C Plan CheckFeei I hereby art'rrn that ihere rs a cbnstructinn Ic.-.Crrq agency for the performance Backf low lrfigatiun Pole Light I Fzn -Ventilating _ - C' trio warn for which Inns permit .s rIisucrl (Section .1097 Civ. C.) - ' �t,rjf;et, _s z t 33Q03312 Permit +' Lr r.tier-S rvamc -- -.___-__ i Dryers❑G 1]Electric Exhaust System Multiple { ----- lft S_hwasher I Faa 1 Evaporative Cooler Total Fees S - OWNER BL.iLDER bECLAkATION----•T^ � -- ---- +- -- Fixture Traps ea- _ F.A.U. Heating System&Ducting l Hereby atr,;m !hat I am r.xcmnt from tr..t Con:rtc;m's Lrcens•_ ew for trio following rptsen (Section 7031.5 Business and r'.ifessional CoCC: Any City of I Floor Orairs Fixtures 1 00.100 000 BTU 0100,000 BTU U Cbt.nty wntCn rlquirn_s a r err-•rt to constrict,alter,rmpfove.'rCrnnlisn or r(pa•T —r— ---"---T—'--" j 9 �� I Hood or Canopy i .36(i•3 12 Summa n1 Permit Fees iii any S;ruc:ore prior to rtE rssuDr:r_,at5u re:hrt es the Jpptica•a for such pervir[ floor Sinks I UUIIe1S ry to foe a signed statement that lic/she a hrensea pursuan' it.the prnv,srors of (jai S2NICe Dllilels Oil Contractor's License Law(Crrariter 9(commencing v :n Sectrrn 7000)n _. I Switches T e t G Type 11 ❑ BUlAIa'r,,o ? Ot the BL.i,neft tnJ r3rbfessiont cutic) Or that he;sne ,f Cxempt a a --- ----- etrom anf e bars!a ts.c al!cyctl exam.?'inn• An vrolanon ut lnterce torsMeter 0 up i0 100 amps iy sextior. -- --___._ Refrigeration SystemP!umbtn`by any applicant far a Permit sub;,•-,fS the apphean7 to a civil ! a Tr3 - g $ _ "natty n p _ Meter L.-.over 100 arras—�— ❑0.10[Ir000 BTU 1 100,000 BTU —_ rlec;,cal $ r rwt mo,c than five nuntlrca anlrars;3'•CO). --}----- -_ 1• is owner of :ne property or my empioyees antra wages as their _1 Root_Drains_ _ Spb anel t Fife I/Fact.Bit.ILOO # - I;o,, sat•On,wi,l Co the work•anti trio t!rV:Spr-. rt nnc ,r;CntlCra or Offer ea I T(ajler SP.We( ~ o f Mechanical $ t•r aye (Section 70d., B:)srncss aria Professrgnal I:ocr, the Contractor" f C 15.50KW System Repair,Alteraiion — L,cen;e L.a.v does not apply to an;,wrier of a oreperty wno builas or improves o r Transformer ❑ 50 KYJ $ p S.Li4f .a Other :ncrcnn, ane won ooc, such wort, nrmsc!fiPers,if Or tnrougn his or her own �— p + ---- Fife Dampers _ em plGy6os, pfo.dad !ha: such Inlrruvements are nor ,n:enaea or nftefed in, + r 1 Sewer Conncrtj�l•Bldg. Motors❑0 1 HP❑1/a 8 Registers tr023! SMIP $ Sa1C. If, rib wl`Ie r,the bu,ldrna or unptnr•!mrnt r;tG:d wrtrun r,ne year o:cam• — o'ei on, fnr- n.;ner win nave trio bur;•n of proving h^;she arc not bur!tl or rm• -J Solar cou CeI0, _ Inc. Solar 09.15 HP J 16.15+ Incinerator Iprove'Cr Inc purpose of sale). SOlaf piping J I as cwner of file oloperty,am excuiVvely contracting witn itcersed con. 13 _ Sm_g/Fam. Res. Misc. •,actors to co: ifuct the p•a,ect(Sec!rnn 704-1,riu;rn^ss and Professions Code- 1 Snlar Tank -- 1 -• 3360.337•^ Sumnary DI Plan Check Fees Tr.c COntNClut-t L,cc-•sv Law does no* abply :u an cwner nt property who _ _,�,_�._ MUlli-Fam. Res. b•rrlat Or nnprr ves thereon•and vrnr L6n;•dcts far suUr prn!ecC•,with a C,In• S limmlf:r POW/S a .SWrlilrrT11:1 Pool/S a -- !r7L:nr t license -..---_3pa Q.�p-.,_ -�- Building t 1 vursuarrr to tr•c :-nnNactr,r's L,�ensc Lar,)- 1 am award tn;,t g = ----�-. Profit 13 tna•r Worker's Compensation insu•ance sn:)uld ne brovsCea lO mc. 'Water Healer ItSue _ Plumbing S — 0 1 em exempt untie, Sec::pn —_ p,y P.C.:i" Inis reason Water Service - Plumbing S -_-_ _ Se tic S st m - Mechanical S Dale ..- -.�. Owner _ _----------^^-- — �. _��_.--.`._ I nertDY CCIl•fy that I hay. rrtrd tills appi,C]tibr and state l:rat the .-ove �r11SC..—._— IIEVEI.GFMENT SERVICES REQUIREMENTS: Other $ w'qr mate:,I, rt correct. I eMae I,, comp•Y with an coy a:lb couirty ordrnanens omg APpraed 8)_.-- _�-paU and ata:[ laws refatmg to brulaing consnucuon,an.1 ficreby auth.)rite repro• ?3543375 Planning S sec•atw-s of thus city to enter upon the above-mantionen properly for —� ilcM1gApprtrrtd8} �� _—Dab _ --- inspect ;,purposes. _ Aq?fKAtaa lsiWd By — Dab --- S,gnature .--- _- _-__-- -- Uzte,--� [Zile _. 0raefs•I ic•nsc or S5 r1► _-- — _- _ _ .-_-- Total Fees We S --- Waite Bwtdrrg Grcnt•Tenrpa.rr h!a Cf�T.f.,n.yAsesm_ Pok sp;liv:n!.Cro;de-uf,,Accnunhnt C,TY OF LAKE ELSINORE CONSTRUCTION PERMIT Proiect Address .3 900_Ri varsLde Drive i ,applicant'o fill in all spaces except those within heivv border lines and sign a[I appropriate declarations Assessor's Porcol No._ rF'tRMlT N0. TRACT N0. LOT N( /—~UNIT NO. Owner's Nnniy _.El_Owner's rro .IIlYEr`tII1�.lLtc_yV•Phone_ j(O Address 8d1L Coast HT�vrL&qu►-a—Beach Cat Arch:Eng, _.�^ - License No. - TYPE OF CONSTRICTION iJ NEW El ADD J LTERATIO F_ REPAIR C CONVERSION ❑ DEMffLISH ❑ OTHER i OM :- Aome installationJA A•n• # Zone Address --- DESCRIPTION OF WORK/USE OF BLDG. Contractor's Names - _ —-Phone - Main Building: P:cessory Building: — Z Address Imeiling) _ TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL Front p City License No. __ _ - TENANT ❑ ELECTRICAL ❑ PLUMBING O MECHANICAL Rear N LICENSED CONTRACTOR DECLARATION �� OTHER —_. I hereby affirm that I am licensed under provislons of charter 9(commencing PROJECT DESCRIPTION: Sq.Ft. Occupancy _ i Right - — _ —— G with section 7000) of Division 3 of line Business and Professions Code,and Construction type Zone Acres ; LP�ft G my license is In full force and effect. License Class_ - License Na. ValuaCcn$ PCs — ing. Pei.# I Parking Req.,Provided E Dale sfghaturc �__ Remarks lannin Notes 0 ORKERS'COMPENSATION DECLARATION Pernli O bring fi 1 es UQ tO date. -- g M reby affirm that I have a certificate of conse,tt to sr :-insure Or a certificate Perviously inspect" others. _ _ T Workers' Compensation Insuraoce, or a certitfer. COPY thereof (Section � 1D_Oa $ _ 3800, Lab. C.) _- _ -- Policy No. . Company _ r.{t Certified copy is hereby!urnishrzl. Lt Certllled copy is filed with the-.icy Building Division, Dale _.:plicant -- EXEMPTION'7ftOM WORKERS'COMPENSATION DECLARATION (This sectic- ;d not be competed if the permit is for one hundred($100)or — Ies:;. _ I certify it.., in tht pef!ortr.an!c r,!the work cur which this permit is issued,I shail not employ any person it any m3iner so as to become subject to I PLUMBING —� FEES ELECTRICAL FEES ° MECHANICAL FEES AGCT.r GRADING FEES workers' Compensation Laws of California. Alter,fair _ Generator❑0 5KW❑ 5 15KW Boiler Date Signature - —�- - Cut. cu.yards NOTICE:If,after making this tleClaration,you should become subject l0 the Auto Wash Construction Pole Sub. LDuc•If- ''f Ground worf.cr%* Compensation provisions et the Labor Code, too must forth•.vith - --- Fill —cu.yards comply with such provisions or th.s Permit shall be deemed revoke... Bd[kfIOW PrBVenlef _ _ Coo!;in• Unit _ Ourra! CONSTRUCTION LENDING AGENCY - t� 3!60.3370 Plan Check Fee S _ I hereby afbrm t'iat theca is a constru-ion iendt:!g agency for the OerfGrmarce i Barkflnw irrigation _— Pote Light _— Far_ ,ttin of the work for which this permit is issued (Section =097 Gv. CJ Claflfl?(S Df ?t5 -]Gas ❑EIECJIIC ixhaust S stem Multi I,; 3300-3312 Per,TirtF•e — Lenr7er's 'ime ----� --- --- Y---- -- -1-- r_encier's A,,d,ess -___ t Olsilwa;her F,,-w _ __- L Eva orative Cooler _- - Total Fers $ --- OWNER BUILDER DECLARATION I Fixture Tra s e3. _ - F.A.U. Pealing System&Ducting I hereby affirm that I am exempt 'rom the Contractor's License Law for the Floor Drains Fixtures L711.100,000 BTU�1�0 OOt7 BTU f:,liov.my reason (Section 7031.5 Business and Professi„nal Cade:Any city or _ --- _ _ county which •equines a pe•mir to construct,alter,rmprov-,demolish or repair 3360.3312 Summary or Permit Fees any it, poor to Its .Ssuance,also requires the app' Canl for such permit Floor Sil" Outlets I Hood or Canopy -- to fiie a signed statement trial he/the is or^nised pursuant to the provisions of Gas Service Outlets —� Switches Type i ❑ Type 11 ❑ 03.1.5 Contractor's License Lvw.(C:iapter 9(commencin,with Section ?000)of �— __....�P----� Bci•:Sion 3 of the Business and Professions Code) or that h4/the exempt Interceptors ��ter❑u(:to 100 amps f Refrigeration System prcfrom and the basis for the alleged exemption, Any violation of Sectiont lumbmg by any applicant for a permit si,,,ects the applicant to a civil P-Trap Meter Mover 100 amps 130_10�000 BTU❑100,000 BTU panel i f Drains Sub FircpllFact.Bit.ICBG # M �_ penalty df not more than live hundred doctors(5500). ec S l — Uemployeesi, as owner of the property or my employees with wages as their sole Roo I Mechanical $ _ compensation,wilt Co the w,,fk,and the structure is not intended or offered ! T _ilex Sewer ❑ 15.50KW ~System Repair/Alteration for sale (Section 7044, Business and Professional code: The Contractor's - - Transformer _. ----'--' Oilier $ License Law Jnes not apply to an owner Of a property who builds Or improvCS 1 Sewer Cap _ _ ❑ 50+KW I rlrc Dampers --� ----- therecir., ano who doe c S suh m work niscif/herself or through his or her own - -- - --- - --- - -- emptoyees, provides trait such improvements are not int.nded or i.'irred for ' Sewer Gonnertion-Bldg. Motors❑0.1 HP DIV-8 Registers lifr231 SM1P S — sale. If,however,the bu.iding or improvement is sold within one year of com• - - ----- -� pietion, the owner will nave the burden Of proving hC/sne did not bui•d or im• ~$Olaf Co�IdClO'S Inc. Solar 09 15 HP 1-116.15+ Incinerator prove for the purpose Of Sale), 1 Solar Pipi;tg Sing/Fain. Res. Miss. ❑ 1,as owner of toe property,am exclusively contracting ,'th licensed con- _ �r- 3360.33I0 SummaryplPlanCheciiets tractors to construct Inc proiect (Section 70.14,Business and Professions CCde: I SO!ar Tdnk Multi-Fam_Res: 1 The Contractor's License Law does not aPPI, to .n owner of property who -- -- -- - -}--- nunds or fmproveS thereon, n 0 eren,and wn contracts for Stith projects with a con- Swimrnina Pool/Spa Swimming Pool/S a Building $ tract Or(s) license pursuant to the Contracicr's License Law). 1 am aware that - -- �-�'---- �-'--- '- Proof O/ their Worker% Compensation insurance Should be providCO t0 me i Water Hester - Issue Plumbing E •_ �, I:] I am exempt under Section___ _ B.t. P.C.for this rrasor, I Water Service jaw l °p Electrical $ Owner _ -_ -^- +- Septic System-- Mechanical $ ._._- 1 hereby certify trial, I have read rats applit.ation and state that the above DEVELOPMENT SFRvICESRQUIREMENTS: Omer _ _ inlormahon is cnrreet. 1 arto r.,-Ce to with all cSh/and county OrtlfiiancCt - and state laws rrlahng to bun niog construction,and hereby authorize topic- I lalinSApprowdB)-- _" --_ -Die! - ti6fr3375 Planning S _ sehtatives f,f this City to inter upon Ilia above-mentioner7 property for PaildingAplirc:edBy ,D.1e -" --' inspection purposes. - Applitalion Raged By _ _-__ _ _pats Signature _ DaIO, �- Iul'e Uhl FmDue $ �Orivers_L copse Or SS 4 _ - -_ ------ - WhdcBuildinp Greet,remporary hfg Copy;unary•Asse;sot, Pink Applicant,Go)d:nrod•Accounling