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HomeMy WebLinkAboutCANYON HILLS ROAD 29989_05-00003359 City of Lake . Elsinore 130 South Main Street PERMIT JOB ADDRESS . . . . . 29989 CANYON HILLS ROAD DESCRIPTION OF WORK NEW RETAIL STORES & CUSTOMER SERV. OWNER CONTRACTOR LOS JILBERTO' S TACO SHOP WORKMAN CONSTRUCTION INC. 29989 CANYON HILLS ROAD 212 W. TEDROW DR LAKE ELSINORE CA 92532 GLENDORA, CA 91740 626-914-3269 LIC EXP 0/00/00 A. P. # . . . 363-210-011 1 SQUARE FOOTAGE 1338 OCCUPANCY . . . OFFICE, RESTAURANTS, MISC GARAGE SQ FT 0 CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR VALUATION . . . 20, 070 ZONE . . . . . . R-1 BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 63 . 00 19 . 00 X 12 . 5000 VALUATION 237 . 50 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 ELECTRICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 20 . 00 X 1 . 0000 SWITCHES / 1ST 20 20 . 00 20 . 00 X 1 . 0000 RECPT,OUTLET / 1ST 20 20 . 00 20 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 20 . 00 1 . 00 X 55 . 5000 200-1000AMP SERV <600 VLT 55 . 50 1 . 00 X 5. 0000 PROFESSIONAL DEV FEE 5 . 00 MECHANICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 13 . 2500 FAU/FURNACE/DUCTS/VENTS 13 . 25 1 . 00 X 6 . 5000 VENTILATING FAN 6 . 50 1 . 00 X 9 . 5000 EXHAUST HOOD 9 . 50 1 . 00 X 5. 0000 PROFESSIONAL DEV FEE 5 . 00 PLUMBING PERMITS QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 5 . 00 X 22 . 0000 BUILDING SEWER 110 . 00 1 . 00 X 11 . 0000 WATER HEATER OR VENT 11 . 00 1 . 00 X 11 . 0000 GAS PIPING SYS 1-4 OUTLET 11 . 00 1 . 00 X 2 . 0000 GAS PIPING 5 OR MORE 2 . 00 *** CONTINUED ON NEXT PAGE *** City of Lake Elsinore Please read itial Building Safety Division 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.l,as owner of the property,or my employees w/wages as their sole compensation will do the work on the job and the structure is not intended or offered for sale. 3.l as owner of the property,am exclusively contracting with licensed contractors to construct the You must furnish PERMIT NUMBER and the project. JOB ADDRESS for each respective inspection: 4.1 have a certificate of consent to selfinsure or a certificate of workers Compensation Insurance Approved plans must be on job or a certified copy thereof at all times: 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 PLO 1 Soil Pipe Underground EL02 Electric Conduit Underground BPO1 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO 1 Underground Water Pipe SSO 1 Rough Septic System S W 01 On Site Sewer BP05 Floor joists BP06 lFloor Sheathing BP07 Roof Framing BP08 Roof Sheathing BP09 Shear Wall&Pre-Lath PLO3 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric/ T-Bar MEOI Rough Mechanical W02 Ducts,ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP 10 Framing&Flashing BP 12 Insulation BP13 Drywall Nailing BP 11 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 Department Approval required prior to the P001 Pool Steel Rein./Forms building being released by the City POO 1 Pool Plumbing/Pressure Tess P003 Pre-Gunite Approval Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landsca P004 Pool Fencing/Gates/Alarms Finance P005J Pre-Plaster Approval Engineering P009 I Final Pool/Spa City of Lake Elsinore -PERMIT 130 South Main Street ** PAGE 2 JOB ADDRESS . . . . . 29989 CANYON HILLS ROAD DESCRIPTION OF WORK . NEW RETAIL STORES & CUSTOMER SERV. 1 . 00 X 17 . 2500 GREASE TRAPS 17 . 25 2 . 00 X 8 . 7500 FLOOR DRAIN 17 . 50 4 . 00 X 8 . 7500 FLOOR SINK 35 . 00 1 . 00 X 8 . 7500 WATER SERVICE 8 . 75 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 305 . 50 305 . 50 . 00 ELECTRICAL PERMIT 150 . 50 150 . 50 . 00 MECHANICAL PERMIT 64 . 25 64 . 25 . 00 PLUMBING PERMITS 247 . 50 247 . 50 . 00 OTHER FEES PLAN RETENTION FEE 7 . 50 7 . 50 . 00 SEISMIC OTHER' 4 . 21 4 . 21 . 00 PLAN CHECK FEES 225 . 38 225 . 38 . 00 TOTAL 1004 . 84 1004 . 84 . 00 SPECIAL NOTES & CONDITIONS TENANT IMPROVEMENT FOR TACO SHOP City of Lake Elsinore Please read itiall Building Safety Division 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.I,as owner of the property,or my employees w/wages as their sole compensation will do the work on the job and the structure is not intended or offered for sale. 3.],as owner of the property am exclusively contracting with licensed contractors to construct the You must furnish PERMIT NUMBER and the project_ JOB ADDRESS for each respective inspection: 4.1 have a certificate of consent to selfinsure or a certificate of workers Compensation Insurance Approved plans must be on job or a certified copy thereof at all times: 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 1 Temporary Electric Service PLO I Soil Pipe Underground 5"U'a , 4," EL02 Electric Conduit Underground BPO1 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO 1 Underground Water Pipe SSO 1' Rough Septic System SWOI On Site Sewer BP05 Floor joists BP06 lmoor Sheathing BP07 Roof Framing BPO8 Roof Sheathing BP09 Shear Wall&Pre-Lath PL03 Rough Plumbing EL03 I Rough Electric Conduit 6-,2" pill EL04 Rough Electric Wiring EL05 Rough Electric/ T-Bar ME01 Rough Mechanical W02 Ducts,Ventilating PL04 lRough Gas Pipe/Test ZZ PL02 I Roof Drains BP I0 Framing&Flashing 'e BPI 2 insulation BP13 Drywall Nailing BPI] Lathing&Siding PL99 IFirW Plumbing �Jj• �j �C 'q EL99 Final Electrical ME99 Final Mechanical E�U-' BP99 Final Building / Code Pool&Spa Approvals Date Inspector OTHER DIVISION RELEASES Deputy Inspector Department Approval required prior to the POOI Pool Steel Rein./Forms / building ing released by the City POO I Pool Plumbing/Pressure Test P003 Pre-Gunite Approval Date Inspector EL06 Rough Pool Electric (((III 111111111 Planning Sub List Approval �J Landscape P004 1 Pool Fencing/Gates/Alarms Finance P005 Pre-Plaster Approval En ineerin P009 Final Pool/Spa FROM FAX NO. : Apr. 27 2006 10:38AM P1 - .f O YY, Cerritos, Ca, April 27'. 2006 City of Lake Elsinore Building Department Mr. Robin Chipman 130 S. Main St. Lake Elsinore, CA 92530 To whom it may concern, i I,Daniel Pascuale ARROW CONSTRUCTION CO., L-ic. 573067 , 18427 Studebaker Rd. , Ste 267 Cerritos CA. 90703, (562) 865 6476 transfer the construction permits, permits fees and approve plans to WORK► A.N CONSTRUCTION INC., Lic. #B-348438, 212 West Tdrow Dr, Glendora CA. 91740, (626) 205 1903. Therefore I am asking to change the name on the permit because they will be doing all the construction on site. The proyect is Los Jilbertos Restaurant, 29989 Canyon Hill rd Suite A-3. Lake Elsinore. Ca Sincerely. Danicl Pascuale Arrow Construction Co. APR 27 '05 10:45 _ `` PAGE.01 April 11,2006 CITY OF LAKE ELSINORE BuAding Department ' 130 South Main Street Lake Elsinore Re: Permit#05-00003359,New Retail Store, Los Jilbertos Taco Shop 29989 Canyon Hills Road Lake Elsinore, Regarding the above referenced permit. t request that it be transferred to my new Contractor of Record. Workman Construction Inc.as listed below. WORKMAN CONSTRUCTION INC Contr. Lic.# 349438 Exp. 11/30/07 t!2 V.I. ThawDabrn fld#jH2448$0 Glendora,CA 91740 Puink you, Signed v! C Marls V.R�igguez 6 l Adolfo Rodngue2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Z ss./�l� ��L�� On tacr'� 17 �'��, before me, Oate ,,/ Name and We of Officer(e.g.,'Jane Doe,Notary Public' personally appeared / Volt//4- '0� r� �tst of Signer(s)A 42 P,4- �IgR IG v4 I O personally known to me proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their sllvw B.v� authorized capacity(ies), and that by his/her/their Commhsion#1388775 signature(s) on the instrument the person(s), or the .-: �san�"C M CounOM10 � entity upon behalf of which the person(s) acted, R4yCorrlm EVkesDOC 18• executed the instrument. WITNESS m and official seal. Pk3oe tvoatty seal Above Signature of Notary Public PTIONAL Though the inlbrm ron below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Docu ent Title or Type of Document: XV fj -1S r L�� d �p.c�"T2.4C'z�✓� r--�ZT�� Document Date: A/Ii� �-� -*:D J� Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: Individual ® Individual 0 Corporate Officer—Title(s): 0 Corporate Officer—Title(s): Partner—0 limited 0 General 0 Partner—®Limited O General Attorney in Fad tsllaRb ® Attorney in Fact . Top Trustee Top cl0 Trustee of thumb here C Guardian or Conservator �f Guardian or Conservator r Other. J Other- Signer Is Representing: Signer Is Representing: 02004 National NotaryAmodawn•9350 Do SoioAve-P.O.Bmr 2412•Chalswonk CA g13i3.2402 Item No.5907 Reorder.Call Toll-Free 1-800-876-6827