HomeMy WebLinkAboutCENTRAL AVE 570_01-00000699f
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City of Lake Elsinore
PERMIT NO: 01- 00000699
JOB ADDRESS . . . .
TENANT NBR , NAMI E
DESCRIPTION OF WORK
OWNER
PERMIT
130 South Main street
570 I -1 CENTRAL AVE
UNIT I -1 /HEALTH CARE SYS.
ADD OR ALTER NON RESIDENTIAL
BSW RANCH
PHARES DAVID
CONTRACTOR
OWNER
DATE: 8/13/01
A.P.# . . . . . 377 -410 -026 4 SQUARE FOOTAGE 520
OCCUPANCY . . . 91- RETAIL,DINING.OFFICE GARAGE SQ FT 0
CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . 7,800 ZONE . . . . . . M -1
BUILDING PERMIT
QTY UNIT CHG
BASE FEE
6.00 X 12.5000 VALUATION
ITEM CHARGE
63.00
75.00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
7.00 X 1.0000 SWITCHES / 1ST 20 7.00
9.00 X 1.0000 RECPT,OUTLET / 1ST 20 9.00
16.00 X 1.0000 LIGHTING FIXTURES /1ST 20 16.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 16.2500 AIR HANDLER > 10000 CFM 16.25
1.00 X 12.2500 REPAIR /ALTER MISC HVAC 12.25
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
ELECTRICAL PERMIT
MECHANICAL PERMIT
OTHER FEES
PLANNING REVIEW FEE
PLAN RETENTION FEE
SEISMIC OTHER
CHARGES PAID DUE
138.00 .00 138.00
67.00 .00 67.00
63.50 .00 63.50
27.60 27.60 .00
2.50
2.50 pwrator: d,19ER
1.68 1.68 pate: 8/13/0013 Receiot: 00M520
Total Paynnt 9268.50
CONTINUED ON NEXT PAGE * **
City of Lake Elsinore
Building Safety Division
t 1i1 PyY1Q -ll 5' 1 am
T""
on the job
You must furnish PERMIT NUMBER
8ftd the JOB ADDRESS for ABCh
fes ve I
ACtIOo:
respective
must
ti
OnbApprovedPID
at all times:
Please Read and Initial
WV
1. 1 am Licensed under the provisions of Business and Professlonal
Code Section 7000 et seq. and my license is in full force.
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
offered for sale.
3. 1, as owner of the property, am exclusively contending with licensed
contractors to construct the project.
4. 1 have a certificate of consent tosdflnsure oracertlHcateofWorkers
Compensation insurance or a certified copy thereof.
5. 1 shall not employ any person in any manner so as to become subject
to Worker Coompensation laws in the performance of the work for
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 Axwovals Date Inspector
EL01 Tamp Elec Services
PLOt Soil Pipe Under round
EL02 Elec Conduit Underground
BP01 Footings
BPO2 Steel Reinforcement
BPO3 Grout
BP04 gab Grade
PLOT underground Water Pipe
SS01 Rough Septic System
SWOT On Site Sewer
Roof Fran ng
Roof Sheathing
Shear Wall A Pro-Lath
EL04 Rouah Electric-Wifina
EL05 Rouah Electric -T -Bar
ME01 Rough Mecherical
ME02 Ducts Ventilating
PLO4 Romh Gall PiwTest
PLW Roof Drains
EE10 Framing & Flashing
BP12 Irisulation
BP13 Drywall Nailing
SP11 Lathing & Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Medmnical
BP99 Final ina
Coda Pool a Spa Approvals Date Inspector
OTHER DEPARTMENT RELEASES
Inspector Department Approval required prior to the
building being released by theCityP001PoolSteelRein. /Fors
P001 Pool Plumbing/Press. Test
P003 Pre- Gunita
Gate Inspector
EL06 Rough Pool Electric
Planring
Sub List Approval
Lendsca
P004 Pool Fenci Access
Finance
P005 Pre- Ptester
Engineering
P009 Final Pool/Spa
City of Lake Elsinore
PERMIT NO: 01- 00000699
PERMIT
130 South Main Street
JOB ADDRESS . . . . . 570 I -1 CENTRAL AVE
TENANT NBR, NAME . . UNIT I -1 /HEALTH CARE SYS.
DESCRIPTION OF WORK . ADD OR ALTER NON RESIDENTIAL
FEES:
PLAN CHECK FEE
CONTINUED)
103.50 103.50 .00
TOTAL 403.78 135.28 268.50
SPECIAL NOTES & CONDITIONS
TENNANT IMPROVEMENT FOR HEALTH CARE SYS.
DATE: 8/13/01
PAGE 2
City of Lake Elsinore
Building Safety Division
in =ispZQ ouS PLace
y
on the ld.J7
You must furnish PERMIT NUMBER
and the JOB ADDRESS for each
respective Inspection:
Approved plans must be on job
at all times:
Please Read and Initial: ,,
I
1. I am Licensed under the provisions of Business and Professional
Code Section 7000 et seq. and my license is in full force.
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
offered for sale.
3.1. as owner of the property. am exclusively contracting with licensed
contractors to construct the project.
4. 1 have a certificate ofconsent to sdRnsure or a certificate of Workers
Compensation Insurance or a certified copy thereof
5. 1 shalt not employ any person in any manner so as to become subject
to Workers Coompensation Laws in the performance of the work for
which this permit is issued.
Now 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 Tern Else Services
PL01 Soil Pips underground
EL02 Elec Conduit Underground
BP01 Footings
BPO2 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO1 Under around Water Pipe
sS01 Rouch Smfic Svstem D U (// /-t; SG
swot On Site Sewer G G to 2
Floor Sheathiog
Roof FMrrliag 2 cJ Aa 14,241(S-
G'
Rough Electric-CoELM_
EL04 Rough Electric-Wiri C-
EL05 Rough Electric -T-Bar d/
ME01 Rouah Mechanical p
ME02 Ducts. Ventila6
Rough PiwTest
P1 02 a2at Dmins
8-iG Ie
BP12 insulaWn
BP13 Drywall Nailing
BPI I Lathing 3 Siding
PL99 Final plumbing
EL99 Fines Electrical
ME99 Final Mechanical I
BP99 Final Buildica 7
5
Code Pool & Spa Approvals Date Inspector
OTHER DEPARTMENT RELEASES
Inwector
Department Approval required prior to the
building being released by theCityP001PoolSteelRein. /Fors
P001 Pool Plurnbi2eess. Test
P003 Pre- Gunite
Date Inspector
ELO6 Rough Pool Electric
Planning"
Sub List Approval
Landscape
POO4 Pool Fenci Access
Finance
P005 Pre- Plaster
E irleeri
P009 Final PooV
cc
Yta C ity of Lake Elsinore
110 Cniith Main QtrPPt
NO/
APPLIT-0APPLICATIONFOR
ELEC?RICAL
APPLICATION EIV D
PLUMBING PERMIT
DATE — —
MECHANICAL AP q _
O +
9 By
n
C I certify th t I have read this application and state that the x I BUILDING ADDRES
t
above infor Lion is correct. 1 agree to comply with all city
and county rdinances and laws relating to building TRACT BLOCK /PAGE LOT /PARCEL
constructiD and hereby out or' a representatives of this
city to ent upon the abov - ned property for inspec•
NAME
S
C
do purpo
W
ADDING
6 ; ADDRESS
PHONE
O
CITY STATE /ZIP
I SigP.,1 re f Ap i o t or Agent Date
1 tgreby affirm that 1 am licensed under provisions of Chaplet 9(commencing with Section
Ta00) of Di.ision ] of the Business and Professions Code and my license .s in lull force
AGENT FOR CO OR G OWNER
and efiscr
NESS
ANDCUiS" —__ rnxr
NAME
AGENT'S NAME
v
MAILING
ADDRESS
AGENT'S ADDRESS
STREET
CITY
CITY STATE ZIP
STATE /ZIP PHONE
CONTRACTOR'S SIGNATURE DATE -
BUILDING PERMIT NO.
ELECTRICAL Quan PLUMBING Quan MECHANICAL Quon
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 / 1st 20 Private Septic System Unit Heater / Wall Heater
Switches / Over 20 Water Heater / Vent Install / Relocate / Reploce Vent
Recpt. Outlet / 1st 20 Gas Piping System 1 -A Outlets Ventilating Fan
Recpt. Outlet / Over 20 Gas Piping 5 or More Outlets Exhoust Hood
Lighting Fixtures / 1st 20 Dishwasher Fireplace
Res. Fixed Appliance / Outlet Solar Tank Commercial Incinerator
Non -Res. Appliance / Outlet Solar Collector per Panel Air Handler 10,000 CFM
100 -200 Amp Service -4 600V Grease Trap / (Interceptor) Air Handler -4 10,000CFM
200.1000 Amp Service -4 600V Install. Alter or Repair System Fire Dampers
Service Over 1000 Amp or 600V lawn Sprinkler System Registers
Mist Apparatus. Conduits. ETC Bockflow Device Smaller than Y' Boiler / Compressor to 3 H.P.
Signs Bockflow Device Larger than 2" Boiler / Compressor 3.15 H.P.
Sign Branch Circuit Floor Drain Boiler / Compressor 15.30 H.P.
Busways / EA 100 If 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 1 -10 H.P. Swimming Pool / Public
Motors/ Transformers 10.50 N.P. Swimming Pool / Private
Motors / Transformers 50 -100 H.P. Water Heater / Vent
Motors / Transformers 100 H.P. Replace Piping
Replace Filter
Misc. Replace
Gas Piping
REV. DATE 11 1.90
Tom Tsdate
Fire Chief
Proudly serving the
unincorporated
areas of Riverside 1
County and the j
Cities of j
Bartning
y
Beaumont
Cahmesa
Canyon Lake
Coachella
4
Desert Hot Springs
0
Indian Wells
10
Indio
4.
Lake Elsinore
0
La Quinta
I>
Moreno Valley
0
Palle Desert
0
Pans
9
Rancho Mirage
0
San Jacinto
Temecnt.a
Bowd ofSupenvim
Bob Bugs.
Dis3rict 1
Jahn Tavagwe
District 2
run Vatable.
District 3
Roy Urdson,
Distria 4
Tam ,hfutien,
District 5
RIVYRS COUNTY
Fl" DEPARTNWNT
Fn coopmtion With the
California Department of FoppsI7 and Fire Protection
Fire Protection Planning and Engineering Services
40MI-emon Street, V Floor . Riverside, California 92501 . (909) 955 -4777 • Fax (909) 9554886
DATE: -
TRACTIPARCEL MAP NUMBER:
PERN-11T NqJi64BER: L 0'
JOB SITE ADDRESS:
FINAL FOR RECORDATION
RELEASE -FOR BUILDING PERMITS
SHELL FINAL ONLY (NO TENANT)
FINAL FOR OCCUPANCY
FINAL OCCUP. TEMP. EXPIRATION DATE
FEES PAID
FEES DEFFERED
FEES OT PAID
FEES NOT REQUIRED
IF YOU SHOULD HAVE ANT QUESTIONS, PLEASE CALL THE RIVERSIDE COUNTY
FIR&DEPARTMENIT, PLANNING SECTION AT THE ABOVE NUMBER.
FRANC KA WAS _ BATTALION CHIEF
RELEASED BY• t
Etr"110 -"Q ,
d' - ..