HomeMy WebLinkAboutCAMPHOR WAY 15116_02-00002361 i - City of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 02-00002361 DATE : 12/12/02
JOB ADDRESS . . . . . 15116 CAMPHOR WAY
DESCRIPTION OF WORK PRIVATE SWIMMING POOL/SPA
OWNER CONTRACTOR
RAYNE GORDON MASTER POOLS
RAYNE CYNTHIA 25195 JACKSON AVE
15116 CAMPHOR WAY MURRIETA CA 92562
LAKE ELSINORE CA 92530 909-699-1171
LIC EXP 0/00/00
A. P. # . . . . . 387-452-009 2 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 13 , 600 ZONE . . . . . . R-1
BUILDING PER-LIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63 . 00
12 . 00 X 12 . 5000 VALUATION 150 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
. ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 44 . 2500 POOL ELEC SYSTEM, PRIVATE 44 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
SWIMMING POOL/SPA PLUMBING
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
1 . 00 X 54 . 2500 PRIVATE SWIMMING POOL 54 . 25
1 . 00 X 11 . 0000 WATER HEATER OR VENT 11 . 00
1 . 00 X 4 . 2500 GAS PIPING SYSTEM 4 . 25
i FEE S dUMl' ARY CHARGES PAID DUE
PERMIT FEES
*� BUILDING PERMIT 218 . 00 . 00 218 . 00
_ ELECTRICAL PERMIT 79 . 25 . 00 79 . 25
WIAI�MING POOL/SPA PLUMBING 104 . 50 . 00 104 . 50
'HER FEES
1 •NNING REVIEW FEE 42 . 60 . 00 42 . 60
RETENTION FEE 3 . 50 . 00 Qper3COWER
T C GROUP R 1 . 36 . 00 Date 1iWed
82 12 Receipt no: 2952
+CK FEE 159 . 75 . 00 •�Tbt�Y pt
*** CONTINUED ON NEXT PAGE ***
A
City Of Lake Elsinore `
Building Safety Division Please Read and of Initia
1. I am Wcensed under the provisions of Business and Professional
Code Section 7000 et seq.and my license is in full force.
Post in conspicuous place 2. 1,as owner of the property,or my employees w/wages as their sole
compensation will do the work and the structure is not intended or
on the job offered for sale.
3. 1.as owner of the property am exclusively contracting with licensed
contractors to construct the project.
You must furnish PERMIT NUMBER and the _ 4. 1 have aceruficateofconsenttoselftnsureora certificate ofWorkers
JOB ADDRESS for each respective inspection: Compensation Insurance or a certified copy thereof.
5. 1 shall not employ any person in any manner so as to become subject
Approved plans must be on job to Workers Coompensation laws in the performance of the work for
at all times: which this permit is issued.
Note: If you should become subject to Workers Compensation after
making this certification•you must forthwith comply with such pro-
visions or this permit shall be deemed revoked.
Code Approvals Date Inspector
EL01 Temp Elec Services
PL01 Soil Pipe Underground
EL02 Elec Conduit Underground
BP01 Footings
BP02 Steel Reinforcement
BP03 Grout
BPo4 Slab Grade
PL01 Underground Water Pipe
SS01 Rough Septic System
SWoi On Site Sewer
BPQ6 Floor Sheathing
BP05 Floor Joists
EL04 Rough Electric-Wiring
EL05 Rough Electric-T-Bar
ME01 I Rough Mechanical
ME02 Ducts,Ventilating
PLo4 Rough Gas Pipe-Test
PI OP Roof Drains
BP10 Framino&Flashinn
BP12 Insulation
BP13 Drywall Nailing
BP11 Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool&Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES
Dep.Inspector Department Approval required prior to the
Pool Pool Steel Rein./Forms building being released by the City
Pool Pool Plumbing/Press.Test
P003 Pre-Gunite
Date Inspector
EL06 Rough Pool Electric
Planning
Sub List Approval
Landscape
P004 Pool Fencing/Access
Finance
P005 I Pre-Plaster
Engineering
P009 I Final Pool/Spa
of Lake Elsinore
PERMIT 130 South Main Street
City
PERMIT NO: 02-00002361 DATE : 12/12/02
** PAGE 2
JOB ADDRESS . . . . . 15116 CAMPHOR WAY
DESCRIPTION OF WORK . PRIVATE SWIM-MING POOL/SPA
FEES : (CONTINUED)
TOTAL 608 . 96 . 00 608 . 96
SPECIAL NOTES & CONDITIONS
pool , spa and sound wall
.p r
i
City Of Lake Elsinore V
Building Safety Division Please Read and Initial:
1. 1 am Ucensed under the provisions of Business and Professional
Code Section 7000 et seq.and my license is in full force.
Postin conspicuous place 2. 1.as owner of the property or my employees w/wages as their sole
compensation will do the work and the structure Is not intended or
on the job offered for sale.
3. 1.as owner of the property,am exclusively contracting with licensed
all
ntractors to construct the project.
You must furnish PERMIT NUMBER and the _ 4. I have a certificate of consent to set fln sure oracertiAcateofWorkers
JOB ADDRESS for each respective inspection: Compensation insurance or a certified copy thereon.
5. 1 shall not employ any person in any manner so as to become subject
Approved plans must be on job to Workers Coompensation laws in the performance of the work for
at all times: which this permit is issued.
Note: Ifyou should become subject to Workers Compensation after
making this certification,you must forthwith comply with such pro-
visions or this permit shall be deemed revoked.
Code Approvals Date Inspector
ELOi Temp Elec Services
PLO1 Soil Pipe Underground
EL02 Elec Conduit Underground
BP01 Footings 4D )=0?: --se,
BP02 Steel Reinforcement
BPo3 Grout L ��—
BPO4 Slab Grade
P1.01 Underground Water Pipe
SS01 Rough Septic System
SW01 On Site Sewer
BPO5 Floor Joists
Roof Sheathino
Shear Wall R Pre-1 ath
:—
h Electric-Conduit
EL04 Rough Electric-Wiring
EL05 Rough Electric-T-Bar
ME01 Rough Mechanical
ME02 Ducts,Ventilating
PLO4 Rou h Gas Pipe-Test 'O'D
PI n? Roof Drains
BPIO FraminaI hi
BP12 Insulation
BP13 Drywall Nailing
BPtt Lathing&Siding —d 0
PL99 Final Plumbin
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Buildingd
Code Pool&Spa Approvals Date Inspector
OTHER DEPARTMENT RELEASES
Dep.Inspector Departrnent Approval required prior to the
Pool Pool Steel Rein./Forms building being released by the City
Po01 Pool Plumbing/Press.Test
P003 Pre-Gunite
Date Inspector
EL06 Rough Pool Electric ,
Planning -
Sub List Approval
Landsca
Po04 Pool Fencing/Access
Po -� e 9f 05 Pre-Plaster FinanceEn ineerin
P009 Final PooVS
A
City of Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT d
APPLICATION RECEIVEDD�
DATE 12—1 2 --V 2
VALUATION CALCULATIONS AP# 3 _ 2_lYti � By
�-CJ
1 st FLOOR SF B1ftD1 fi r
Oki
2nd FLOOR SF TRACT BtbCK,PAGE LOT/PARCEL
3rd FLOOR SF
GARAGE SF NA-ME
STORAGE SF z .An,rrc I ICi HONE
DECK&P60t-IL
CO SF ADDRESS 1 v
OTHER c'T` STATE/
�
rSF 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
IWO)of Division 3 of the Business nd Professions Code,and my license is in lull force /
/ ar and eiiec:/'—) /� V/
UCE.YSE• �J A�ti1/n f '(.�� CITY BUSINESS
Z AND CLASS LJ�� ►t(/ �,�/ TAXa
VALUATION: o NAME '
FEES 4eA1LING
ADDRESS
BUILDING PERMIT S CITY I S T ZIP PHOJ q ry
CONTRACTOR'S SIGNATURE J l_v\ `' 1
PLAN CHECK ►'"`-"L�/ "r`
ADDITIONAL PLAN CHECK ` N0. Co , ,p„ LICENSE-
ADDRESS r p A
u WC�x- =,0 d
z 1^,� 0 1 �A AItc
V QLO
V
a
< an Eizl PH i O
000
::NEW :REPAIR OCC GRP./ CONST.
DIVISION: TYPE:
MICROFILM ±ADDITION MOVE NUMBER OF NUMBER OF
ALTERATION :-DEMOLISH STORIES: BEDROOMS:
COPIES OTHER ZONE:
SINGLE FAMILY units HAZARD AREA? YES NO
IMPRO FEES SCHOOL FEES 0- APARTMENTS units
CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
-TOWNHOMES units PROPOSED USE OF BUILDING:
COMMERCIAL --INDUSTRIAL
PAID PRESENT USE OF BUILDING:
DATE
JOB DESCRIPTION �� I
C I certify that I have read this application and state that the
above information is correct.I agree to comply with all city
and county ordinances and stole laws relating to building
construction, and hereby authorize representatives of this I/
city to enter upon the above-mentioned property for inspec- Q
tion purposes. ,1`
�f
1 a
Signature f pplicant or Agent U Dote
AGENT FOR f CONTRACTOR Ci OWNER
AGENT'S NAME 00
AGENT'S ADDRESS Z51q5 JaCL<6'1 U
STREET � STAj1�`�-;JP Z REV.DATE tt-T 90
City L
o af keElsinore
130 South Main Street
APPLI TION NO.
APPLICATION FOR
ELECTRICAL APPLICATION R CEIVED
PLUMBING PERMIT DATE ,(2 -C)2
MECHANICAL AP= By
I certify that I have read this application and state that the BURDING ADDR � I n _ , /)
above information is correct. I agree to comply with oil city (�� 0,(.
and county ordinances and state lows relating to building TRACT BIOCK'PAGE LOT/PARCEL
construction. and hereby authorize representatives of :his
city to enter upon the above-mentioned property for inspec- = NAA1
Lion purposes. or
ADDRESS 1l i/V\
Lp
_ O City r ^ , STAT rZIP
WWW��.V�i v .i
Signature o plicant gent Dote I hereby affirm that t am licensed under provisions of Chapter 9(commencing with Section
-' 7=)of Division 3 of the Business and Professions Code,and my license is in full force
AGENT FOR CONTRACTOR _ OWNER s LICENSE;d effect. (1 CITY BUSINESS
Z AND CLASS lti)`J TAXr
0 NAALE o
AGENT'S NAME
hSAILING
J
AGENT'S ADDRESS t
Shy/p�TE ADDRESS� ZIP CITY
T iZIP PNONE �
"�+' `-� ✓�L� CONTRACTOR'S SIGNATURE DATE
BUILDING PERMIT NO. Lrf.(i lR*q
ELECTRICAL Ouan PLUMBING Quan MECHANICAL Quan
New Residential Multi Family Fixture or Trap Furnace up to 100.000 BTU's
New Residential Single Family Building Sewer Furnace Over 100,000 BTU's
Private Swimming Pools Rain Water Sys per Drain Floor Furnace/Vent
Switches f 1st 20 Private Septic System Unit Heater/Wall Heater
Switches 9 Over 20 Water Heater f Vent Install/Relocate/Replace Vent
Recpt.Outlet J Ist 20 Gas Piping System 1-4 Outlets Ventilating Fort
Recpt.Outlet Over 20 Gas Piping 5 or More Outlets Exhaust Hood
Lighting Fixtures Ist 20 Dishwasher Fireplace
Res.Fixed Appliance "Outlet Solar Tank Commercial Incinerator
Non-Res.Appliance 4 Outlet Solar Collector per Panel Air Handler► 10,000 CFM
10D-200 Amp Service-4 600V Grease Trap 0(Interceptor) Air Handler-4 10,000CFM
200-1000 Amp Service*60DV Install,Alter or Repair System Fire Dampers
Service Over 1000 Amp or 600V lawn Sprinkler System Registers
Misc Apparatus,Conduits.ETC Backflow,Device Smaller than 2" Boiler/Compressor to 3 H.P.
Signs Backflow Device larger than 2" Boiler/Compressor 3.15 H.P.
Sign Branch Circuit Floor Drain Boiler/Compressor 15-30 H.P.
Buswoys 0 EA 100 It Floor Sink Boiler/Compressor 30-50 H.P.
Temporary Power Service Water Service Boiler/Compressor► 50 H.P.
Temp.Power Distribution Sys. Alter or Repair Drain or Vent Repair/Alter Misc.HVAC Equip.
MOTORS/TRANSFORMERS Fire Sprinklers per Building
Motors up to 1 H-P. SWIMMING POOL
Motors/Transformers I.10 H.P. Swimming Pool Public
Motors t Transformers 10.50 H.P. Swimming Pool Private
Motors/Transformers 50.100 H.P. Water Heater 'Vent
Motors/Transformers IN, 100 H.P. Replace Piping
Replace Filter
Misc.Replace
Gas Piping I j
REV.DATE 11-1-90
Mar 31 03 02: 50p p . 5
„ a e t I t i i
ply " IC 9p 6 � I � i
I MEl
I
1111
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t Y I ! t l i 1 t t
( M t I t 1
I
TEST SPECIMEN A 40 MPt2ESSIV=_STRENGTH DATA SHEET
ROJECT10AE: ^as,aes It:s?ECTGR-SNi;4E: Richard Luiz
PRO-I£':T A-DnESS: IS S Camc tor'May Ci=PECTCR3 LlCe..SE::O.: N1A
i
u ake Esirmre.CA INSPECTOR'S SIGNATURE: Cr,Fi.e
_ PERMIT NrU.'.BEA- 0?-MI ?3S: SET IDS;�tiGC.ATTOt ti:IS;B:R: NIA
t
CAST DATA(ATT+4CH JJTA S4EET OF OTHERS%VHE.N AVAILABLE)
CAST DATE I iriW4 D°SCR n0 1 Crx. Gom1 Vora- iS%m:re:e) t/ascrry Prism Jtrer'GuNlTE
1 i
CONTRACTOR tEaj ?2i^crF r35 SPECIFIEDF' SI t2.M_ CEMENT TYPE \r
SUBCONTRACTOR aurterGunite CAST E Y ( Jesse ADMIXTURE
U+t7.EER �CC+•.on NO.OF S4:P �I WATER ADDED .NIA
lis
j CONC.SUPPLIER tvNIA TOTAL YOS.I 4CEr ➢MIA SLU..:P N;A
�r Pi-A7.i iKiA TICKE'YUV NJA AIR CONTENT �,`A '
.SAC OESIG N`N0. �4 if2-i CAST ME \�rr� !AIRICOINC.TVAP. l tv^'
LOCATION IN SLOG.: i`Ditam Of a he_`N.i miag PaoI
VOTES: h NR=NDI Re;Wed
ISamps Cast Using;;:re mesh(r10 meld!S 616 :h?:2s`of2,�Iafftic:m_qui:¢meT.:5 of ASTil C.3`9-Cl ry aDplica:;e.
ICSr eatct-fation(approximate=)basedIn Vj rea of an o.+a]s ape_
A
: CO,,' ZESSIVE STRENGTH DATA
4
DATE SPEC 11ET.S REC°aD. 3fy TX � £CU.P.=.ES.i USED ,ome,DFt2000 -,---- _
REPORT DATE oar C3 SN Qr"EtiL?AC.JT ;S�i08� --
-- TEda\:CtA:INtAStE GC.Aen-quez-e.rp:r:rscr 'LA:Ls.;RECAL.DATE 18.0218-03
--"-'- SPEG_'.tE•N u A'GE f TES. TESc a TEbT SPEC VEN D'JE%S:CXS-N.- I AREA l_AD F'C 3—SkAK
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