HomeMy WebLinkAboutGRAND AVE 29355 (2) CITY OF inkG°� cSE
LAI-E LSIIYa E BUILDING & SAFETY
DREAM EXTREME-rM
130 South Main Street
PERMIT
PERMIT NO: 09-00000534 Zg-3'6-6 %y DATE: 11/10/09
JOB ADDRESS . . . . . GRAND AVE
DESCRIPTION OF WORK CELLULAR ANTENNA
OWNER CONTRACTOR
CITY OF LAKE ELSINORE BERLINER COMMUNICATIONS, INC.
130 N MAIN ST 14270 ALBERS WAY
LAKE ELSINORE CA 92530 CHINO, CA 91710
909-597-8304
LIC EXP 0/00/00
A. P.# . . . . . 391-260-032 0 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . 80, 000 ZONE . . . . . . R
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 580 . 00
30 . 00 X 6 . 2500 VALUATION 187 . 50
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 55 . 5000 200-1000AMP SERV <600 VLT 55 . 50
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 767 . 50 767 . 50 . 00
ELECTRICAL PERMIT 85 . 50 . 00 85 . 50
OTHER FEES
PROF.DEV. FEE 2 TRADES 10 . 00 10 . 00 . 00
PLANNING REVIEW FEE 153 . 50 153 . 50 . 00
PLAN RETENTION FEE 32 . 70 32 . 70 . 00
SEISMIC GROUP R. 8 . 00 8 . 00 . 00
GREEN BUILDING FEE 3 3 . 00 3 . 00 . 00
PLAN CHECK FEES 575 . 63 575 . 63 . 00
TOTAL 1635 . 83 1550 . 33 85 . 50
SPECIAL NOTES & CONDITIONS
RELOCATION AND INSTALLATION OF A NEW 80
FT LIGHT POLE THE PROJECT WILL CONSIST
OF A NEW 8FT CMU ENCLOSURE TO INHOUSE
,apev. CU_1111TER2
D te: i i,•iti1;;q 18 Receipt no: �3I3
*** CONTINUED ON NEXT PAGE *** Total ±e-nrered
Tai•� �a;�en1 �58..4
r
City of Lake Elsinore Please read and initial
Building Safety Division 1.I am Licensed under the provisions of Business and professional Code Section 7000 et seq.and
Post in conspicuous place my license is in full force.
on the job 2.I,as owner of the property,or my employees w/wages as their sole compensation will do the work
You must furnish PERMIT NUMBER and the and the structure is not intended or offered for sale.
JOB ADDRESS for each respective inspection: 3.1,as owner of the property,am exclusively contracting with licensed contractors to construct the
Approved plans must be on job project.
at all times: 4.1 have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
Inspection request(951)674-3124 ext. 239 or a certified copy thereof.
before 5:00 P.M.on prior workday. 5.1 shall not employ any person in any manner so as to become subject to Workers Compensation
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,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
ELO I Temporary Electric Service
PLO1 Soil Pipe Underground
EL02 Electric Conduit Underground
BP01 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PL01 Underground Water Pipe
SSO1 Rough Septic System
SW01 On Site Sewer
BP05 Floor joists
BP06 JFloor Sheathing
BP07 Roof Framing
BPO8 Roof Sheathing
BP09 Shear Wall&Pre uth
PL03 Rough Plumbing
EL03 lRough Electric Conduit
EL04 lRough Electric Wiring
EL05 Rough Electric/ T-Bar
MEOI Rough Mechanical
W02 Ducts,Ventilating
PL04 Rough Gas Pipe/Test
PL02 Roof Drains
BP10 Framing&Flashing
BP12 Insulation
BP13 Drywall Nailing
BPI I Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Division Approvals required prior to the
P001 Pool Steel Rein./Forms building eing released for occupancy by the City
P001 Pool Plumbing/Pressure Test
P003 I Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing/Gates/Alarms Finance
P005 Pre-Plaster Approval Engineering
P009 I Final Pool/Spa Tumf
CITY OFAlt
4 f LAKE Or--) LSllioR,,E BUILDING & SAFETY
DREAM EXTREME,.
130 South Main Street
PERMIT
PERMIT NO: 09-00000534 DATE: 11/10/09
** PAGE 2
JOB ADDRESS 29355 GRAND AVE
DESCRIPTION OF WORK CELLULAR ANTENNA
SPECIAL NOTES & CONDITIONS (CONTINUED)
THE ELECTRICAL AND TELCO EQUIPMENT
CABINETS NEW
ADDRESS TO BE 293
City of Lake Elsinore Please read and initial
Building Safety Division 1.1 am Licensed under the provisions of Business and professional Code Section 7000 et seq.ang
Post in conspicuous place my license is in full force.
on the job 2.I,as owner of the property,or my employees w/wages as their sole compensation will do the work
You must furnish PERMIT NUMBER and the and the structure is not intended or offered for sale.
JOB ADDRESS for each respective inspection: 3.I,as owner of the property,am exclusively contracting with licensed contractors to construct the
Approved plans must be on job project.
at all times: 4.I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
Inspection request(951)674-3124 ext.239 or a certified copy thereof.
before 5:00 P.M.on prior workday. 5.I shall not employ any person in any manner so as to become subject to Workers Compensation
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,
Code Approvals Date Inspector you must forthwith comply with such provisions or this pe sh 1 be deemed revoked.
EL01 Temporary Electric Service t l Z y h
PLO Soil Pipe Underground
EL02 Electric Conduit Underground J/•�f L t
BPO1 Footings -
BP02 Steel Reinforcement
BP03 Grout 1Z'7�� '� -L• -L
BP04 Slab Grade b`L`-71 C1
PL01 Underground Water Pipe
SS01 I Rough Septic System Z Z y
SWO1 10n Site Sewer
13P05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
EPOS Roof Sheathing
BP09 Shear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 Rough Electric Wiring
EL05 Rough Electric I T-Bar
MEO I Rough Mechanical
ME02 Ducts,Ventilating
PLO4 Rough Gas Pipe/Test
PL02 Roof Drains
BP 10 Framing&Flashing
BP 12 Insulation
BP13 Drywall Nailing
BP11 Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 IFinal Mechanical
BP99 IFinal Building
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Division Approvals required prior to the
P001 Pool Steel Rein./Forms building eing released for occu2ancy by the City
P001 Pool Plumbing/Pressure Test
P003 I Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing/Gates/Alarms Finance
P005 Pre-Plaster Approval Engineering
P009 I Final Pool/Spa "htmf
C I TY OF ifn
LASE On LS I 1`�O1 ,E
DREAM EXTRE M E sM 130 South Main Street
APPLICATION#IF-171
APPLICATION FOR PERMIT BYPLICATIOIiiyATE:`�'G
AP# BY: ,r Lt /
ELECTRICAL/PLUMBING/MECHANICAL
BUILDING ADDRESS Z 9 3 SS
I hereby certify that I have read this application and state that the
above information is correct.I agree to comply with all city and county TRACT BLOCK/PAGE LOT/PARCEL
ordinances and state laws relating to building construction,and hereby
authorize representatives of this city to enter upon the above-mentioned O NAME
property for inspection purposes. W
N MAILING PHONE
E ADDRESS
R CITY- STATE/ZIP
Signature of Applicant or Agent Date
I hereby affirm that I am licensed under the provisions ofChapter 9(commencing
C with Section 7000)ofDivision 3 of the Business and Professions Code,and my
(circle one) O license is in full force and effect.
AGENTFOR: CONTRACTOR OWNER N LICENSE# CITY BUSINESS
T AND CLASS TAX#
AGENTS NAME R NAME
A
AGENTS ADDRESS C MAHJNG
street city state zip T ADDRESS
O CITY STATEIZIP PHONE
R
CONTRACTOR'S SIGNATURE
ELECTRICAL Quan PLUMBING Quan MECHANICAL Quan
New Res.Multi Family/SQ.FT. Fixture or Trap F.A.U./Furnace/Ducts/Vents
New Res.Single Family/SQ.FT. Building Sewer F.A.U./Furnace/Misc./>100000
Pool Electric System,Private Rain Water System per Drain Floor Furnace/Vent
Switches/1st 20 Private Septic System Chit Heater/Wall Heater
Switches/Over 20 lWater Heater/Vent 11ristall/Relocate/Replace Vent
Receptacle Outlet/1st 20 Gas Piping System I-4 Outlets lVentilating Fan
Receptacle Outlet/Over 20 Gas Piping 5 or More Outlets lEvaporative Cooler
Lighting Fixtures/1st 20 Dishwasher lVentilating System
Lighting Fixtures/Over 20 Solar Tank lExaust Hood
Residential Fixed Appliance/Outlet Solar Collector per Panel Fireplace
Non-Residential Appliance/Outlet Grease Trap/(Interceptor) Commercial Incinerator
100-200 Amp Service<600V jInstall,Alter or Repair System Air Handler>10000 CFM
200-1000 Amp Service<600V ILawn Sprinkler System Air Handler<10000 CFM
Misc.Apparatus,Conduits,Etc. Backflow Device Smaller than 2" Fire Dampers
Signs Backflow Device Larger than 2" Registers
Sign Branch Circuit Floor Drain Compressor/Heatpump-3 H.P.
Busways/EA 100 FT Floor Sink Compressor/Heatpump 3-15 H.P.
Temporary Power Service Water Service Compressor/Heatpump 15-30 H.P.
Temporary Power Distribution System Alter or Repair Drain or Vent Compressor/Heatpump 30-50 H.P.
Motors/Transformers Fire Sprinklers per Building I Repair/Alter Misc.HVAC
Motors up to 1 H.P. Swimming Pool Compressor/Heatpump Over 50 H.P.
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
J
Ct+TY OF
c +
LADE LSI1 A0P-.,,E BUILDING & SAFETY
DREAM EXTRE.METM
130 South Main Street
PERMIT
PERMIT NO: 09-00000534 DATE: 11/10/09
JOB ADDRESS . . . . . : 29355 GRAND AVE
DESCRIPTION OF WORK . : CELLULAR ANTENNA
OWNER CONTRACTOR
CITY OF LAKE ELSINORE BERLINER COMMUNICATIONS, INC.
130 N MAIN ST 14270 ALBERS WAY
LAKE ELSINORE CA 92530 CHINO, CA 91710
909-597-8304
LIC EXP 0/00/00
A. P. # 391-260-032 0 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR .
VALUATION . . . 80, 000 ZONE . . . . . . R
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 580 . 00
30 . 00 X 6 . 2500 VALUATION 187 . 50
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 767 . 50 . 00 767 . 50
OTHER FEES
PROF.DEV. FEE 2 TRADES 10 . 00 . 00 10 . 00
PLANNING REVIEW FEE 153 . 50 153 . 50 . 00
PLAN RETENTION FEE 32 . 70 . 00 32 . 70
SEISMIC GROUP R 8 . 00 . 00 8 . 00
GREEN BUILDING FEE 3 3 . 00 . 00 3 . 00
PLAN CHECK FEES 575 . 63 575 . 63 . 00
TOTAL 1550 . 33 729 . 13 821 . 20
SPECIAL NOTES & CONDITIONS
RELOCATION AND INSTALLATION OF A NEW 80
FT LIGHT POLE THE PROJECT WILL CONSIST
OF A NEW 8FT CMU ENCLOSURE TO INHOUSE
THE ELECTRICAL AND TELCO EQUIPMENT
CABINETS
f13er: C t# F; Tv re: DF Drawer' I
Date: 11I10103 10 receipt no: 21c5
Ck t.HE�l 91,7 $'91i.i0'
T, .s gate: i1!in/i' ime: i":1 :1;
City of Lake Elsinore Please read and initial '
Building Safety Division I am Licensed under the provisions of Business and professional Code Section 7000 et seq.and r
Post in conspicuous place my license is in full force.
on the job 2.I,as owner of the property,or my employees w/wages as their sole compensation will do the work
You must furnish PERMIT NUMBER and the and the structure is not intended or offered for sale.
JOB ADDRESS for each respective inspection: 3.l,as owner of the property,am exclusively contracting with licensed contractors to construct the
Approved plans must be on job project.
at all times: I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
Inspection request(951)674-3124 ext. 239 �✓ or a certified copy thereof.
before 5:00 P.M.on prior workday. 5.I shall not employ any person in any manner so as to become subject to Workers Compensation
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,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
EL01 Temporary Electric Service
PLO Soil Pipe Underground
EL02 Electric Conduit Underground
BPO1 I Footings IV
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLOT Underground Water Pipe
SS01 Rough Septic System
SWOI On Site Sewer
BPO5 Floor Joists
BP06 Floor Sheathing
BP07 JRoof Framing
BPO8 Roof Sheathing
BP09 Shear Wall&Pre-Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit
EL04 lRough Electric Wiring
EL05 Rough Electric/ T-Bar
ME01 Rough Mechanical
NIE02 Ducts,Ventilating
PL04 Rough Gas Pipe/Test
PL02 I Roof Drains
BPI 1 Framing&Flashing
BP 12 Insulation
BP13 Drywall Nailing
BP1 I Lathing&Siding
PL99 Final Plumbing
EL99 lFinal Electrical
NIE99 lFinal Mechanical vtJ-
BP99 lFinal Building -
Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Division Approvals required prior to the
P001 Pool Steel Rein./Forms buildingbein released for occupancy by the City
P001 Pool Plumbing/Pressure Test
P003 Pre-Gunite Approval Date Inspector
EL06 Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing/Gates/Alarms Finance
P005 Pre-Plaster Approval Engineering
P009 Final Pool/Spa Tumf
CITY OF P
LAKE E
C
DREAM EXT R-E M E TM 130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT APPLICATION IVED e�9
VALUATION CALCULATIONS 391-830-011 BUILM�G ADDRESS
BY
1st FLOOR SF 29355 Grand Ave. Lake Elsinore, CA 92530
2nd FLOOR SF
3rd FLOOR SF O NAME City of Lake Elsinore Contact: Ray Gonzales
W MAILING 130 S. Main Street
GARAGE SF N ADDRESS 951-674-3124, x26
STORAGE SF E ICITY R Lake Elsinore STONE/Zip92530-4109
hereby affirm that I am licensed under provisions of chapter (commencing
DECK&BALCONIES SF with section 7000)of division 3 of the business and professions code,and
C my license is in full force and effect.
OTHER: SF O LICENSE# CITY BUSINESS
N AND CLASS TAX#
T NAME
VALUATION: $80,000 R
A MAILING
C ADDRESS
FEES T CITY STATUZIP PHONE
O
BUILDING PERMIT 1 R u
PLAN CHECK l� NAME Connell Design Group A g p
PLAN REVIEW R MAILING
C ADDRESS 4685 MacArthur Court, Suite 480
SEISMIC H CITY Newport Beach, TE'ZlP92660 949.753.8807
PLAN RETENTION ❑NEW OCC GRP./ CONST.
❑ADDITION DIVISION: TYPE:
FIRE SERVICES ❑ALTERATION NUMBER OF NUMBER OF
OTHER STORIES: BEDROOMS:
SINGLE FAMILY ZONE:
❑APARTMENTS
❑1 certify that I have read this application and state that the ❑CONDOMINIUMS HAZARD YES
above information is correct.I agree to comply with all city TOWN HOMES AREA? NO
and county ordinances and state laws relating to building COMMERCIAL SPRINKLERS YES
construction,and hereby authorize representatives of this INDUSTRIAL REQUIRED 9 NO
city to enter upon the above-mentioned property for insp- ❑REPAIR PROPOSED USE OF BLDG:
tion purposes. ❑DEMOLISH PRESENT USE OF BLDG:
JOB DESCRIPTION
Relocation and installation of a new So ft. light pole_ The
Signature of Applicant or Agent Date project will consist of a new 8 tt. CMU enclosure to inhous
the electrical and telco equipment cabinets.
Agent for ❑ contractor ❑ owner
Agents Name Sequoia Deployment Services, Inc (Mc nica Moretta)
Agents Address I Venture Suite 200 ,
Irvine, CA 92618 01'er: F-OU TEF2 Type. ";F "^,
,,_. L4 aer:
gp Lli?t nI1J� FEM '"9.13
Ch CHECL '3 720-13
Total tendered S729.13
-.17-a
Tot,-.T payment �cJ,i_
City of Lake Elsinore
130 South Main Street
APPLICATION#
APPLICATION FOR PERMIT APPLICATION DATE:
ELECTRICAL/PLUMBING/MECHANICAL AIV 391-830-011 BY:
BUILDING ADDRESS
I hereby ce dify that I have read this application and state that the 29355 Grand Ave. Lake Elsinore, CA 92530
above information is correct.I agree to comply with all city and county- TRACT BLOCKIPAGE LOT/PARCEL
ordinances and state Eaves relating to building couskuctioa;and hereby
authorize representatives of this c1ty to enter upon the abov&mn rationed O NAME,
property for inspectionpu py City of Lake Elsinore Contact: Ray Gonzales
N MAILING 130 S. Main StreeVONE 951-674-3124, x266
;D ,- Lake Elsinore CA 92530-4109
I hereby affirm that I am licensed under the provisions ofChapter 9(commencing
C with Section 7000)of Division 3 of the Business and Professions Code,and my
(circle one O license is in full force and effCt.
AGENT FOR- CONTRACTOR O WD1ER N' LICENSE# CITY BUSINESS
T AND CLASS TAX#
AGENTS NAME Sequoia Deployment Services, Inc. R NAME
A
AGENTS ADDRESS 1 Venture Suite 200 C MAILING
meet city state tip T ADDRESS
Irvine, CA 92618 O CITY STATEIVP PHONE
Contact: Monica Moretta R
949) 241-0175 CONTRACTOR'S SIGNATURE
ELECMCAL. Quan PLLIWi 1NG Quan MECHANICAL Quern
New Res.Multi Family/SQ.FT. Fixture.or Trap F.A.U./Furnace%Duets/Vents
:Liew Res.Singie"Family./SQ.FT: Building Sewer F.A.0/Fumacc/Ivtise./> 10000.0
PQol Eiettrie.S.Sem,Private Rant Watelr System er Drain _ Floor=Furnace l Vent_ .
Swit+clres/Ist 20 Private Sc tic System ilciit Heater/Wall Heater -
Switches/Over 20' Water Heater/Vent Install%Relocate/Replace Verit
Re poptacie Outlet/Ist 20 Gas Piping System 1-4 Outlets Vepfilating Fan
Receptacle Outlet/Over.20 Gas Piping 5 or More Outlets c Evaporative Cooler
Ughting.Fixtures I Ist.20 Pishwasher Vcntitating'System
Ughting Fixtures/Over-20 Solar Tank
Exaust Hood .
itesideatiaFFixed Appliance/Outlet Solar Collector per Panel Fireplace
orAgsidential Apelidricie/.Outlet Grease Trap/(interceptor) Commercial Incinerator-
100-206 Amp Service<600V 1 Install,Alter or Repair System Air Handier>i0000 CFM-
200-I000 Amp Service<600V Lawn Sprinkler System Air Handler<10000 CFM
Misc.Apparatus,C6nduits,Re. Backiloty Device Smaller than 2" Fire.Dampers
Signs Backnow Device Larger than 2" Registers
Sign Branch Circuit Floor Drain Compressor/Heatpump,-3 KP.
Busways/EA 100 FT Floor Sink Compressor/Healpump 3-15 H_P..
Tetuporary Power Service Water Service Compressor/Heatp2 ,IS 30 H.P.
Tmnporary Power Distribution System Alter or Repair Drairi or Vent Compressor/H p eatpump 30-SO.H.P:
Motors/Transformers Fire Sprinklers per Building Repair/Alter Misc.HVAC
Motors ug to I H.P. Swimmin Pool Compressor/Heatpump Over 54 UP. .
Motors/Transformers L=10 H.P. Swimming Pool./Public
Motors/Transformers 10-50 H.P. Swimming Pool/Private
Motors/Transformers M-100 H,P. Water Heater/Vent
Motors/Transformers>l00 HY. Replace Piping
Replace Filter
Miso Replace
Gas Piping
AUG-20-2009 THU 04� 19 PM FAX NO. P. 01/01
a�sAuiu �r RIVERSIDE COUNTY
FIRE, DEPARTMENT
F It) coopertttim with the
Citli mil i DeparimeW of Forestry and Fire Protection
2300 Market St, Ste. 150 ♦ Riverside, California 92501 ♦ (951) 955-4777
♦ Fax�951) 955-4886
77-933 Las Montafiae Rd Ste 201 ♦ Paim Desert,CA 92211 • (760)863-8666 • Fax(760)669-7072
John R. Hawkins
Fire Chief
.1
Proudly scrving the
Unincorporated pgTE;
Areas of Riverside
County and the
Citics of. FAX TO: LA ELSINORE ► 471-1418
Banning SURVEYOR'S OFFICE
13caumont BUILDING AND SAFETY
Calimesa TRACT/PARCEL MAP NUMBER:
Canyon.We PERMIT/LOT NUMBER: e/ —
o°
Coachcila JOB SITE ADDRESS-
haven Hot Springs
v
Indian wt:ps FINAL FOR RECORDATION
trtaio RELEASE FOR BUILDING PERMITS
Like Elsinore SHELL FINAL ONLY (NO TENANT)
FINAL FOR OCCUPANCY
Morcno Vol icy FINAL OCCUP, TEMP. EXPIRATION DATE
fi
Paim Desert
Perris
BUILD PLAN CHECK FEES PAID
Bch° imgC CONDITIONS OF APPROVAL
San Jacinto
RESULTS OF INSPECTION FAIL
Temecula RESULTS OF INSPECTION PASS
FogrdofSWPwroisor8 FEES NOT REQUIRED
13°b Buster,
Distract 1
John 7bvaglionc,
n,mrict2 If you should have any questions, please call Riverside County Fire Protection
Jel�'Stnnc,
uisirict 3 Planning at the number above.
RQy Wilson, Tracy Hobday, BATTA ON CHIEF
p151Rct �
Mari Ashley, RELEASED [3Y;
District$ S-30-7 aiw /
CITY OF
SAKE �,SI C) E BUILDING PERMIT RELEASE FORM
V (Planning Division & Engineering)
The Owner/Developer is requesting a Building Permit for construction at:
29355 Grand Ave.Cad McVicker Park for Royal Communications Eduipment
(Site Address)
Applicant: Sequoia Deployment Services (Monica Moretta)
Address: 1 Venture Suite 200 Irvine, Ca 92618
Telephone: (949) 241-0175 _
CityEngineer. Ken Seumalo
City Planner. Kirt Coury
Date Sent: 11/2/09
The Conditions of Approval have been reviewed All Planning Division or Engineering conditions of approval
have been met and the Planning Division or Engineering Division now authorizes the release to issue building
permits.
Date: P or Enginee ivis. Approv
6v����
OT TO B UILlLlI1�G UXU7Sl0 znov the fguo Local I?evelo megt tion Fees
Xvrir�e6wtrzg�t; a.
❑ Exempt from MSHCP Local Development Mitigation Fees.
❑ Exempt from Affordable Housing In-lieu Fee
❑ Exempt from Library
❑ Exempt from Parr
❑ Exempt from DIF(City Hall,Comm.Center,Marina,&Animal Shelter)
❑ Exempt from Fire Facility
❑ Development Agreement:$ per SFR or Commercial
xempt from'TUMMF
xempt from TIF
Exempt from Storm Drain Capitol Improvement Fund Fees
Additional Comments: �" �� N V� z�
f�. G
� r17 '
Form No.PIS 60-Revised 12-31-07
Page 1 of 1