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