HomeMy WebLinkAboutGRAND AVE 29355_01-00001069 CAY of Lake Elsinore
PERMIT 130 South Main Street
-
PERMIT NO: 01-00001069 DATE : 12/17/01
JOB ADDRESS . . . . . 29355 GRAND AVE
TENANT NBR, NAME . . MCVICOR PARK SITE
DESCRIPTION OF WORK CELLULAR ANTENNA
OWNER CONTRACTOR
CITY OF LAKE ELSINORE OWNER
130 N MAIN ST
LAKE ELSINORE CA 92530
A. P. # . . . . . 391-260-032 0 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 50, 000 ZONE . . . . . . NA
BUILDING PERMMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 352 . 00
25 . 00 X 9 . 0000 VALUATION 225 . 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 1 . 0000 SWITCHES / 1ST 20 1 . 00
4 . 00 X 1 . 0000 RECPT,OUTLET / 1ST 20 4 . 00
6 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 6 . 00
1 . 00 X 27 . 2500 100-200AMP SERVICE<600VLT 27 . 25
1 . 00 X 16 . 2500 MISC. WHERE NO OTHER FEE 16 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
2 . 00 X 13 . 2500 FAU/FURNACE/DUCTS/VENTS 26 . 50
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 582 . 00 . 00 582 . 00
ELECTRICAL PERMIT 89 . 50 . 00 89 . 50
MECHANICAL PERMIT 61 . 50 . 00 61 . 50
OTHER FEES 0¢erator: COUNTER
PLANNING REVIEW FEE 115 . 40 115 . 40 Date: 12/.10'01 17 Receipt: 0002306
Total Paycent $741.50
*** CONTINUED ON NEXT PAGE ***
City Of Lake Elsinore
Building Safety Division Please Read and Initial:
1. 1 am Licensed 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. ]have a certif3cateofconsenttoselMsureora 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 taws in the performance of the work for
at all litnes: 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 A rovals Date Inspector
ELOt TempElec Services
PL01 Soil Pipe Underground
E 002 Elec Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BPO3 Grout
BP04 Slab Grade
PL01 Underground Water Pipe
SS01 Rough Septic System
SWO1 On Site Sewer
BPO5 Floor Joists
BEQ7 Roof Framing
BPO8 Roof Sheathing
hElectr;c-Conduit
EL04 Rough Electric-Wiring
EL05 Rough Electric-T-Bar
ME01 Rough Mechanical
ME02 Ducts,Ventilating
PL04 Rough Gas P -Test
PI 02 Roof Drains
Framino&Flashino
BP12 Insulation
BP13 Drywall Nailin
BPtt 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
P001 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
Po04 Pool Fencing/Access
Finance
Po05 Pre-Plaster
En ineerin
Po09 Final Pool/Spa
Ciiy of Lake Elsinore
130 South Main Street
PERMIT
PERMIT NO: 01-00001069 DATE : 12/17/01
** PAGE 2
JOB ADDRESS . . . . . 29355 GRAND AVE
TENANT NBR, NAME . . MCVICOR PARK SITE
DESCRIPTION OF WORK CELLULAR ANTENNA
FEES : (CONTINUED)
PLAN RETENTION FEE 3 . 50 . 00 3 . 50
SEISMIC OTHER 5 . 00 . 00 5 . 00
PLAN CHECK FEE 432 . 75 432 . 75 . 00
TOTAL 1289 . 65 548 . 15 741 . 50
SPECIAL NOTES & CONDITIONS
ADD 12 LF 6 ' BLOCK WALL, EQUIPMENT ROOM
AND ADDITIONAL ANTENNA TO EXISTING CELL
SITE
r
City Of Lake Elsinore
Building Safety Division Please Read and Initial:
1. 1 am Licensed 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 a certificate of consent toseltlnsureoracertificateofWorkers
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 MY
?i !•
BP01 Footings S-Q
BP02 Steel Reinforcement sb
BP03 Grout �e7- r� Pa Ar
BP04 Slab Grade -
PL01 Underground Water Pi -
SS01 Rough Septic System
SW01 On Site Sewer
BP05 Floor Joists
2-S-OZ C�QD IxS� k�IMET � U'F
h Electric-Conduit
EL04 Rough Electric-Win no
EL05 Rough Electric-T-Bar
ME01 Rough Mechanical
ME02 Ducts,Ventilating
PL04 Rough Gas R -Test
BP10 FraminaRashino -0
BP12 Insulation '(1 VA-le
8P13 Drywall Nailing
BPtt Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical -p 2.IZKc-
BP99 Final Building }E
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 dte City
Pool Pool Plumbing/Press.Test
P003 f Pre-Gunite
Date Inspector
EL06 Rough Pool Electric
Planning
Sub List Approval
Landscape
1`1004 Pool Fencing/Access
Finance
P005 Pre-Plaster
Engineering
P009 Final Pool/Spa
Cityof Lake Elsinore
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT '
APPLICATION RECEIVECF
DATE /o— 3Q 0/
VALUATION CALCULATIONS AP 0 By
Ist FLOOR SF susao�GAacetss S'
2nd FLOOR SF MACY SLM'PArf UWPAAM
8rd FLOOR SF
GARAGE SF Lac r •ly, c� fl, !L Q _ _ 7 d"P'
STORAGE SF ` Aaoirss jo3r
DECK&BALCONIES SF a AILS df G'n
14
tm � stATt.zn
OTHER:
SF t twabr a km+ft.low Www"a-ftn r«:.:oM d t t�aew {c«w�wKMq inn Me.:.n
GRADING CUT CY 1=1 a o:e4yn!a an we:w.s.�d Feelo eiem code.OW„�Ys«w is M Owl Ira
0011e60".
FILL CY ,�f`OCLAU t ; u
VALUATIO : t+A01
FEES 00 IAM.0
Azeem
BUILDING PERMIT S cnr STATE ZIP nteoetE
/ � r sSONATwE aATI
PLAN CHECK4/6
ADDITIONAL PLAN CHECK /57�
"A"'"4
GRADING PLAN CHECK = ADMIM
STATs•11► selauE
:SYVI
�Nfw CDREPAIR TYPE
2 OCC GAP./ :
DIVISION: TYPE:
MICROFILM J --:ADDITION L;MOVE NUMBER OF NUMBER OF
OWERATION !-;DEMOLISH STORIES: BEDROOMS:
COPIES :OTHER ZONE:
SINGLE FAMILY units HAZARD AREA? YES NO
LMPRO FEES Q SCHOOL FEES D :APARTMENTS units
:CONDOMINIUMS units SPRINKLERS REGUIRED? YES NO
tOWNHOMES units PROPOSED USE OF WILDING:
PAID :CDWAERCLAL i :INDUSTRIAL
PRESENT USE OF BUILDING:
DATE u �
LOB pF3C1IIPTION
0 1 certify that i have read this application and state that the �"
above information is correct.I core*to comply with all city Q St� 1
and county ordinances and state lows relating to building
construction, and hereby outfiorin representotivrs of this
city to enter upon the above-awntion*d property for Imp_ )/
t ion purposes. C P
W r JV
Signature of Applicant or Agent pate
AGENT FOR D CONTRACTOR 0 OWNER
.1ra or: YTER
AGENT'S NAME ()U'r t 1 Date: 10/30/01 30 Receipt-,
rdya;eht $548.15
AGENT'S ADDRESS
STREET CITY STATE ZIP REV.DATE 111•140
City of Lake Elsinore
130 South Main Street
APPLICATION NO.
APPLICATION FOR 6 p6
ELECTRICAL APPLICATION RECEIV ,
PLUMBING PERMIT DATE Z— r�
MECHANICAL AP If By
C I certify that 1 hove reed this application and state that the BUILDING ADDRESS
above information is correct. I agree to comply with all city
and county ordinances and state laws reloting to building TRACT BLOCK/PAGE LOT/PARCEL
construction, and hereby authorize representatives of this
city to enter upon the obove-mentioned property for inspec- NAME
tion purposes. a
Z MAILING PHONE
ADDRESS
O
CITY STATE/ZIP
Signoture of Applicant or Agent Dote I hereby allirm the'1 am licensed under provisions of Chapter 9(commencing with Section
700m)of Division 3 of the Business and Professions Code,and my license is in full force
end AGENT FOR ® CONTRACTOR C OWNER a LICE CITY BUSINESS
Z AND CLASS TAX
0 HAW
AGENT'S NAME
MAILING,
ADDRESS
AGENT'S ADDRESS CITY STATE/ZIP PHONE
STREET CITY STATE ZIP
CONTRACTOR'S SIGNATURE DATE
BUILDING PERMIT NO.
ELECTRICAL Quan PLUMBING Quart MECHANICAL Quon
New Residential Multi Family Fixture or Trap Furnace up to 100,000 BTU's Z/
New Residential Single Family Building Sewer Furnace Over 100,000 BTU's
Private Swimming Pools Rain Water Sys per Drain is Floor Furnace/Vent
Switches/Ist 20 Private Septic System Unit Heater/Wall Heater
Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent
Recpt.Outlet/1 st 20 Gas Piping System 1-4 Outlets Ventilating Fan
Recpt.Outlet/Over 20 Gas Piping 5 or More Outlets Exhaust Hood
Lighting Fixtures/1 st 20 Dishwasher Fireplace
Res.Fixed Appliance/Outlet Solar Tank Commercial Incinerator
Non-Res.Appliance/Outlet Solar Collector per Panel Air Hondler► 10,000 CFM
)OD-20D Amp Service-4 600V Grease Trap/(Interceptor) Air Handler-4 10,000CFM
2OD-1000 Amp Service-4 600V Install,Alter or Repair System Fire Dampers
Service Over IODD 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 then 2" Boiler/Compressor 3.15 H.P.
Sign Branch Circuit Floor Drain Boiler/Compressor 15-30 H.P.
Busways/EA 100 ft 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 H.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
/�/ �/,r�� / �• 5-0
REV.DATE 11140