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Home My WebLink About200 GRAHAM AVE_ (2) IWAS I Ik e ..... sinore y 0 Ak El PERM IT 130 South Main Street -3PERMYT NO: 9Q ri�0001 7 _---DATE;: 11/14 9 O JOB ADDRESS 200,W GRAHAM AVErRi1�lG TENANT NBR, ;AM'E KNOWN AS,,109 S. ice', DESCRIPTION or- WORK ADD OR ALTER RESIDENTIAL, - OWNER _ CONTRACTOR R DAVID BULE�+i,.'Iu URAN �~ Y 0%14ER A.P.# 374-261-002 SQUARE _ OOTAGE 0 OCCUPANCY DWELLINGS', LODGING ROUSE; GARAGE SQ F11. 0 CONSTRUCTION TYPE 'V- NONRATED FIRE SPRNKLR : VALUATION .. 11000 ZONE . NA BUILDING PERMIT 7r - _ QTY' UNIT CHG ITEM CHARGE.' BASS: FEE 15.00 5.00 X 2.0000 -VALUATION 10.00 EL CTRICA.L PE .MIT QTY UNIT CHG BASE FEE ITEM ejL"GE " 4:�50 600.00 X .0350 NEW RES. SINGLE :�FAK /SQFT 21".00 1.00 X 3.0000 RES " FIXED APQL:OR OUTLET ?.00 1.00 X 19.510-00 10D-200AMP SERVICE<600VLT _ 1 MEt'HANICAL PEFcMIT QTY, ' ITNIT CHG ITEM 'CHARGE =' BASE FEE 4.50 1.00 :,X i fi,5000 EXHAUST HOOD 6.5�� PLUMBING PERMITS- QTY -UNIT CHG 'BASE FEE ITEM CHARGE 50 \`--- = 3.00 X 6.0000 FIXTURE OR TRAP - 13 pr004. 1-. i. i] 1.00/X 7.5000, WATER HEATER OR VENT - 7.50 1, 1.00;X 3.0000 INSTALL/ALTER OR REPAIR ' ,.00 FEE U M RY - THIS Is YOUR ImEl" CHARGES PAID D 1MH-Fes! 11, 'PEMAIT FEES i-i•t-19 � t:29 PMr,;.42. BUILDING PERMIT 25.00 25.00 ACCTNf A00-9401- -ElXCTRICAL PERMIT" _ CPT a02-il74t-,,,C.F- SRI 4 7.0 t1 4 7 0 0" f l.art Ct1OCF -FEE-D i M' CHANICAL'PERMIT .CONTINUER,�/�N.� 1 t. ]Pl G :« .r . N. ..., i . _.� .? r• . - ._ /� 1.... k; _ a....iw ( ``may �T �� ,• y,, •li.. — Please RW,'ond InMol: ; City of Lake Elsinore OW1. 1 omik:ensed under the/*avislons at,Bushes and Profassionol ! BUllditljj satecy bivlSiQ ctl tt code sean 7000 at seq,t. nd my license is th lull owner of the/�raperty, *- my rtloydes w/wapaf as —,N6 i � e�n��CUOUS p��Ce� c %olr sale compensotion will do the wo and the structure Po Ic �yy��77 not ir:ended.-or offerfA for ease. r on the job LdJ?_ 3. 1, as owner of the property, am exelu�;yili tracting with liven;id controcto�,s to constru..-►the Pr Diocf, You must furnish PERMIT NUMBER 4 I have a certificate of consent to aallintare or a certificate of Workers Compensntion Insurance at'a co tilled copy thereof. and t'ne-JOB ADDRESS for each 0—OW S. I shall".ot th"ploy any person In any,m4r ;;r,Ito'as to bowels; ' respective inspection: - . subject to Weri e-s Compensation Laws in thu,+er"ryrmd.,msr o!the ApproV!ird plans must be on job work for which this permit is Issued. atoll times: Note: If yeAr should become subject to V/;,Krim S:'.3ntpumr;otion after makln;, htis certification, you must fo ri;w'tl► comply with such provisions or this permit shall be deemol m� Code Appro,GIs Dnte Inspector —^ -- EL01 'emp eiee Serv.kes -' ---- - PLO) Soil Pipe Under ground EL02 Elec Conduit Underground —= OPo1 Footingn - Bf'02 Petal Rc:vtorcc-ment Few Grout SP04 Slab Grade — PL01 Underground Was ^ipe 5501 Rough Septic System - -" SWOT On Site Sewer PL03 Rough Plumbing EL03 Rough Electric-Conduit ELO4 Rough Flectric-Wiring f ELOS Rough Electric-T-Bor �-- I i ME01 Rough Mechanical - -- j ME02 Ducts,Ventilating PL04 Rough Gas Pipe-Test PL02 Roof Drains BM Floor Joists — SP06 Floor Sheathing --- BP07 Roof Framing BPOB Roof Sheathing -"- 13PO4 Shear Wall&Pro-Loth ONO Framing It Flashing -- — ' BPI 1 lathing R Siding - 8P12 Insulation -- OP13 Drywall Nailing --- '- Pl. Final Plumbing - - f EL" Final Electrital - ME" Final Mechanical ---- BP99 Final Building Code Pool A Spa Approvals Data 11nIPIK101 -�- POW Pool Steel Rain./Forms -' P002 Pool Plumbing/Press.Test - P003 Pre-Gunite' '-- PON PoalFencr7g//access '- P00S Pro-Plaster ----- EL06 Rough Pool Electric Pf194 final Pool/ _.t_,_ _ -�-� _" �•-•• SL94 Final Solar ---------+r- --- Suh List Approval N` ,.-'fir.^ 1�rv� .vi.os.n s.•. M v,.1..-�wos.�>.+w.tlf-:re',iyy,.fkei:rPwt�; ii*�. .++w.�..�+..�...��'"�"^^1I�F"'«.!�.""""`+!�w+�--.o........ . � ,..�. ,. ea Stu-Vk►� ,�, .. I,.tp { lK w.+�ithr+«..e.� : .r+a:�.wo.n.r:: b. _,r �� !� +i 1�+ '' r,. ��' ;,•R,r �'�J� .,.......,.e rwr+++.t�.M...rr��....�....r.i.......r�.yWrw.c+ �� r' ^: � �i,z ,h 'o+ :- a � u P r,t r.y !+ r•,�1 j, 4i1. s.( .i< !d"� " l � a 11` r ,r w i I t -ity f p Lake s nre 130 South Main Street PERMIT v�r�w�svar�� P;E RMT.'r, NO: 90-00000 17 DATE: 11/14%90 PAGE 2 JOB ADDRESS 200 W GRAHAM AVE TENANT' NBR,, NAME KNOWN AS 109 S. MAIN .ST. -. DESCRIPTIONv ,OF WORK ADD OR ALTER — RESIDENTIAL PLUMBING PERMITS 33.00 33.00 .00 .OTHER FEES _ PLANNING REVIEW FZE 10.00 10.00 .00 PLAN RETENTION FEE' .15 .15 .00 SEISMIC GROUP R .50 .50 .00 PLAN CHECK FEE 16,25 16.25 .00 TOTAL 1,12.90 142.90 .00 tY THIS Is YOUR RECEI" M"MACHINE VAUX EW l -- •Y - ' Please Read and initial: - City of Lake Elsinore- �.—.l- I am us,nsod under the?i ovisions of Buslntiss and Prole"In,ai i Building Safety DiVision Cody section 7000 of seq.and my license is lif ice!!forge. 2. t, as,owner of the property, or my ettspioys'es w/"a ,! cm their sole compensation will do the viork and the ottactu» Is Post in conspicuous Pface not intended or Offered for sole. _ 3. 1, as owner of the property, am exclusively contracting with on the job licensed contractors to construct the project. d. 1 have t certificate of consent to seifinsure or o certificate You must furnish PERMIT NUMBER of Workers Compensation insurance or a cartif led copy thereof. and the JOB ADDRIESS for each s. 1'a,Itoli not amply any person in any manner so as to become respective Inspection' subject to Workers Compensation Laws in the performanze of the work for which this pbrmit ho Issued. Approved plans must be on job atoll times: Note: If you Should 'become subject to Workers Compensation offer making this certification, you must forthwith comply with such'rovisiors or this psrmit shall be deemed revoked. Code Approvals Dote Inspector EL07 Temp"lec Sery_es ' PLO] Soil Pipo Underground _ EL02 Eloc Conduit Underground r.161 Footings ISM Steel Reinlom--ement BP03 Grout -- S M Slab Grade _ — -- PL01 Underground Water Pipe 5501 Rough Septic SysIum SW01 An Site Sewer 3'LM Rough Plumbing EL03 RoughEiectric-Conduit EL04 Rough Electric-Wiring EIOS Rough Electric-T-Bar M6B01 Rough Mechanical —. AK02 Duds,Ventilating Pi04 Rough Gas Pip*-Toss PE02 Roof Drains _ -------=� BPOS Floor Joists _ BP% Floor Sheathing LOOT Rod Framing — - -AS Roof Sheathing 0Pt19 Sh itor Wall M Pre-Lath SP10 Framing&Flashing /Pl1 Lathing 3 Siding spl2 Insulation i --- OP'13 Drywall Nailing _ _• _�^ _ P199 Final Plumbing _ _ XLM EL" Final Electrical A699 Final Mechanical _._• �_ 9" Final Building — esr — Code P"I&Sp`,Approvals t D6:3 Inspector P001 Pool Steel Rain.lForms "M Foal Plumbing/Press.Test -_ FM Pre-Gunite PM Pool Fencing/Accessr- t'00S Pre-Platter. _ �— EfM Rough Pool Electric P009 °inol Pool/spa $I" Final Solar ? livblistAppryvyl .,.- .�+rft.I,a�,�x.•iM..ewiw.... �w�..nrw .N ... �. ,_.,.. .Mw. ....�.. ��-. .. ... l,,. ... « r...�.Jr/JM11.4+•".�• ,.o-,yu .:v.., <...f �. elf (� r d t-Yno 130 South Main Street APF'.Y1IC.'$1 TION FUlt BUILDING PERMIT APPLICATION NO. A.°PLIuTIONRECES E DA � / � - VALUA710NCALCULATIONS AP r By e Tcrr j .�J 40 1311 FLOOR SF 2rtd FLOOR SF 3rd FLOOR u�"►AGE �" - �✓ .! tOrirAEce'� GARAGE SF NAJ�+E STORAGE SF — DECK&BALCONIES _SF OTHER: - SF GRADING C:JT CY tw"Mll wd r alaw M cod..erq) �nevfl�cr. mr Rcww,is in full bra Fill CY AMaLis MY 10UNEss VALUATION- —' _— rw�• .• + � r+Aa+t -- FEES Aaaetts 0 BUILDING PERMIT err - ��• PLAN CHECK STAATTE�Z "'� oATE T' AG�Ty ADDITIONAL PLAN CHECK r --- ticEwsEn C7`.ADWG PLAN CHECK �„ VOW IHOi'nE ONEW W&AlR OCC GRP•/ CONST. `A0+ Mll»ROFIiM ❑ADDITION DIVISION: DUMBEN: TYPE: ----� -- NUMBER OF f NUMBER OF OALTERATION ODEMOLISH STCNR ED IES: 1 SROOAIS: COPIESJOTHER ZONE: -- OSI,!JG;f FAMILY units --� IMPRO FEES 0 SCHOOL FEES 0 APARTMENTS HAZARDARkA? YES Iffy units OCONDOMINIUMS units SPRINKLERS REQUIRED? YES^ NO OTOWNHOMES units OCON4MERCIAL ❑INDUSTRSAL PROPOSED USE OF BUILDING: PAID '- PRESENT USE OF BUILDING: DATE S �- JOB DESC'RIPT:JN 1 certify that I have read this application and state thot the above Information is correct. I agree to cornply wit-S all city and county ordinances and state IoKn refaling to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspec• lion purposes. r- , ------ Signature of Applico or Agent D to -` AGENT FOR U CONTRACTOR OWNER ------------------- AGENT'S NAME - / __•__---ter........_ t, A6ENT'S AL)DRCSS , .CLiTY i 57ATE 1.'' .r ,ti< :.e. .,t. ,:_- f ,i .c yi •R�16.�/�7Y'�1 1.9p d i Yr ;I 7,7 City 130 Sc;uth Main Street _ d Sa r?�ICATION FOR APPiI IOK RO. D'/ �r LE--rAICAL PLUMBING PERMIT DATE ATjO(d REC�Iv�0 r PAEC"r/4NICAL Ae J �_ GATE �� +-�/ �-- I✓ By i I Ca,tily that I have read this application and state that the - abovrl�it.'ormation is correct. 1 o ray to comply ADDRESS 9 p y with all city and!:ounty ord!nonces a:.: state laws relo`ing to building tRACT aocx►wci— — construct'on. and hereby cutho•ize representatives o} this Eor PAMt city to en-or upon the above-mentioned er ro P p y for inspec- — taA NE rio'a purpcaes. ' SiAtE+d I t - ti•_�noture of Appfitan Agent Qote ''�Y dtirvn thtat 1 ipe 4 !� onsrrd undrrr a�a:om or�l.upl�,y(r� re..it+Sah i] '� Ivivyion 3 of try tllrslnr ss N�. ,•otet+lons Cads,.s.�n r Ikont+is in lull f�lon GE''NT FO U CONTRACTOR 4T0- WNi -ff.ts,ri. a uc"r CRY BUSINESS TAX 0 AGENT'S NAME �. � NAr41 /r r � � RIAIIUSC• �AGFNT'S ADDRESS ADDRESS STREET CITY STATE ZIP CITY tuiE.2r — ptpNr — BUI!DING PERMIT NO. cor+rZActos s stcNnulrE DATE tetiwn _ ELECTRICAL Ouan PLUMBING Ovon New Rusidentiol Multi Family — ---- MECHANIC/,L O rcr. Or, i-Ixture or Trap 3 ----- — No"Residential Single Family ;/siilding Sewer Furnace up to 100,000 BTUs �— _ Furnoct Ovor I W,OC'C BTU's P.W041,Aovimming Pools Rcin Water Sys per Drain -� — _ Floor Furnace/Vent Switches/1st 20 Private Sepfic s Sy tem _ Unit Heater/Wall Hooter Switches/Over 20 Water Heotrr 'Vent -_- cpt __^ 1` Install/Petocoto/Replace Vent Ra ,Outlet 11st 20 Gas Piping System 14 Ou'rfotd,�` __ Ventilating Fan Recpt.Outlet;Over 20 Gas Piping +or Mors Ourietc •--P g Exhaust Hood !?. Lighting Fixtures/I st 20 _ Dishwasher Res.Fixod Appliance 'Outlet v0 Solar Tank Fireplace Non•Res.Appliance/Outlet t Commercial Incinerator _ Solar Co.lector per Panel Alr Hondlsr► 10,000 CFM 100.200 Amp Service s bOpV •r Grease Trap/(Intercepter) �� --- 200-I000 Amp Service a 600V Alr Handler-4 10.000CFM Install,Alter nr Rcpolr!iystem Fire Dampers Survica Over 1000 Amp or 600V lawn Spnnk'er System _ Registers Mist:APparotus,Conduits,ETC Backflow Device Smaller than 2" Signs _ Boiler/CCompressorto ;;H.P. Bockflaw Device larger than 2" Boiler/Compressor 3.15 H.P. Sign Branch Circuit Flcor Drain 0 -- _ Boiler/Compressor 15.30 H.P.H.P,8uswtys/EA 106 It Floor Sink _ _Temporary Power Service Water Service Boiler/Compressor 30.54 H.P, -� Temp.Power Dlstri4yHcn S Boile►/Compressor►'-SO H.P. /'s Attar or Repair Drain or Vent Nepali/Alter Misc.HVAC Equip, MOTORS/TRANSFORMERS Fire Sprinklers per Building Motors up to 1 H,P, SWf V AAING POOL Motors/T-ensrormert 1•f0 H.P. _ Swimming Pool/Public Motors/T-onsformers 10-50 H.P. �— Swimming Pool/Private Moron/Tionsformors 50.100 H.P• Wafer Healer/Vent Motors/T'ansformen i• 100 H.P. Replace Plping Replace Filter -- Misc.Replace Gas Plpinfi '� '� t ,.�� RYV.ippTgll•i•QO: i N� L CxTY Of LAIC us=0� SM&Ma aS XXON Q � Ns � • � vszaa � � � e °t � � � � � � ax i-a city or county, which to requIved to give motive pursuant to Section 108340 shall attach to such notices land, as a Condition precedent to issuing a building permit, require the eccmpletlon and require the set%I:n of an owner builder verification. > ' Attention ftoperty Owners An *owner buildsr* building permit. bag been applied for to lour aame and bearing your signature. 12 haLi _� IMMUI atilt ba UFA" Wo= = Yication In 3. 1 parsonally plan to provide the major labor sad materials ;Paz construction of the psoposod property iap7Iovemsnt. f. I (have/have not) sign* d W 1Application for s building psrmit for tom! proposal work. 3. 1 have contracted with ths following, person (firm) to. provido the proposed eon truction: Name C., Address - E ,S phone (77/�C Coritractors 14c. ,� s d. 1 plan to provide portions of the work, but 2 have hired the folloving Vernon to coordinate, supervise, and provide the major vorks _ tame a' V • Addra'.'ss Phor'o E �. T will provide 1110me of the work but t have contracted (hired) the fo110 irg -Oxs003 t►a provide.-thkt work indieeteds ( ida tonal �xpaee o mega s�a�Y�is s.• cot. iac ors o i hereby affirm tb►at S 'have veasived a copy of the information set fo=.tPs in $or tiara 19230 of the at.ats six ChIlfforbia health and dafety Code area ?.'Ave complete the above Snforngtion to. the beat of my personal 1.9%f rledge, in ccoplianes wllth t fs• &'J:&tgJ \:AV, giVnaerl: 1 S 1.Z� Same: rd 6 6 Drivers Lied or doe. d Rc. 1 . b.o / . ■ ■bll.a �p f �Y i IidTARIZEC STATP,MEN:� OF RESPONSIBILITIt _ Bldg. )Permit � TO WHOM IT CONCERN: - This permit 109 SPRING STREET, LAKE ELSINORE CA. 92330 - - - �— Street Address AP P3umber A I, R. DAVID BULEN as OlMer in VUle,of the above referenced property, do hereby authorize. C.F. BRIGHT Name `- (714)674-942 Telephone Number 13._0 E- LAKESHORE DRIVE #S, _ S►_reet Aeidress LAKE ZLSINGRE _ r.;A 01330 City StatE= Zip to obtain permits in my behalf, a's owner/builder, foie the construction, alteration, moving, demolition or repair of the above referenced property. Should any person become as F o9ee engaged in the improvement of the property, I shall Immediately provide Wjr_ker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Lake Elsinore as required by State of California )laws. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any othe. person, company or corporation. I agree to indemnl�-y and hold the Cit of harmless fr Y Lake Elsinore and its employees or officers ' om any claim resulting in damage or persozial injury to myself or any other parties. R. DAVID BULEN _ OCT 3, 1990 Pri7,tted N Date ,Signature Vrate of California Ja aunty of Riverside ) SS �i City Of take Elsinore j iln this � day of +•. personally appeared before me known to me (or proved to me that on, they basis of satisfactory evidence) to be the person whose name is subscribed to this .instrument, and .acknowledged that he/she executed it. In Witness Whereof, I hereu o set jh nd of , seal »-.. OFFICfi L SEA1 • OARBAF3A J. BAKER . Ngiy RRjZ�t ._ MYCO►�. l l i77�ri lip. 01 199� S41 "I i Xt2'LED STATEMENT OF"RESPONSIBILI". f Bldg. Permit # TO iI80M IT MAY CONCERN: .: This Permit # • 109 ISFRING STREET, LAKE ELSINORE CA. 92330 St tr eeee Address -- -- AP Number d, R.DAgID BET1;N as Owner in Title of the above referenced property, do hereby, auttiorize: C.F. BRIGHT Name (.714)574-9452 Telephone Number 150 E. LAKESHORE DRIVE, -}51 �--rStreet Address LAKE ELSINORE CA 92330 City State Zip to obtain permits in my behalf, as owner/builder, for the construction, alteration, moving, demolition or repair of the above referenced property. Should any �serson become an a!1 to ee engaged in the improvement of the shall immediately provide Wb;ier's Compensation Insurance coverage Property, I certificate of that coverage: to be filed with the BuildingDivisionaof these of Lake Elsinore as required by StatF: of California la*as. As owner/builder in fart, I w-derse.and and accept that my responsibilities do not transfer to any other person, comPally or corporation. I agree to indemnify and hold the City of Lake Elsinore and its employees or officers harmless from any claim resulting in damage or personal injury to myself or a1y other parties. R. DAVID Bui,EN Fainted N• a OCT 3, 1990 - Date Signature State of California ) County of Riverside ;City of Lake Elsinore ) On th3.s _� day of � .` �, personally appeared before me known to me (or proved to that on the basis of satisfactor y evidence) to be: the perrmon whose name is subscribed to this instrument, and acknowledged that he/she executed it. In Witness Whereof, I h3reu o set nil of sea) 1 ,. kl �... OFFICIAL SEAL BARBARA J. BAKER RIVCMIDE 000N1.y �- lIJ i