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HomeMy WebLinkAboutLAKESHORE DR W 16746 (1) CIY OF /-1"�. 70 LAI,E (�:32LSIrinIZE BUILDING & SAFETY DREAM EXTREMEw 130 South Main Street PERMIT PERMIT NO: 09-00000992 DATE: 12/15/09 JOB ADDRESS . . . . . 16746 W LAKESHORE DR # D DESCRIPTION OF WORK ; ELECTRICAL OWNER CONTRACTOR DOAN TAMMY T OWNER NGUYEN LINDA TAI A. P.# . . . . . . 378-290-017 3 SQUARE FOOTAGE 0 OCCUPANCY . . . . GARAGE SQ FT 0 CONSTRUCTION . . . FIRE SPRNKLR . VALUATION . . . . ZONE . . . . . . NA ELECTRICAL PERMIT " QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 5 . 00 X 1 . 0000 SWITCHES / 1ST 20 5 . 00 10 . 00 X 1 . 0000 RECPT,OUTLET / 1ST 20 10 . 00 4 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 4 . 00 PLUMBING PERMITS QTY UNIT CHG ITEM CHARGE BASE FEE 30 . 00 3 . 00 X 8 . 7500 FIXTURE OR TRAP 26 . 25 1 . 00 X 11 . 0000 WATER HEATER OR VENT 11 . 00 1 . 00 X 11 . 0000 GAS PIPING SYS 1-4 OUTLET 11 . 00 2 . 00 X 8 . 7500 FLOOR SINK 17 . 50 FEE SUMMARY CHARGES PAID DUE PERMIT FEES ELECTRICAL PERMIT 49 . 00 . 00 49 . 00 PLUMBING PERMITS 95 . 75 . 00 95 . 75 OTHER FEES PROF.DEV. FEE 2 TRADES 10 . 00 . 00 10 . 00 PLAN RETENTION FEE 2 . 96 . 00 2 . 96 TOTAL 157 . 71 . 00 157 . 71 SPECIAL NOTES & CONDITIONS ADDING ELEC AND PLMB FOR SPORTS PIZZA tluGr: I 'TEK 'type: L'! DrauEr: 1 Date; IZ115/05 IS Rc Eipt t.tu: bGB Zi9. 0� EP E;AIL DI <t PERV1 I MI5?.71 Trans nuTibcr: ;"aD135 Ir&ns date: 12II 103 f iIDe: 3:SZ: 5 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 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.I,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 selfmsure or a certificate of Workers Compensation Insurance Approved plans must be on job or a certified copy thereof. at all times: 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. ELO I Temporary Electric Service PL01 Soil Pipe Underground i Yi EL02 Electric Conduit Underground BPO1 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PLO 1 Underground Water Pipe SS01 I Rough Septic System SWOT On Site Sewer BP05 Floor Joists BP06 Floor Sheathing BP07 Roof Framing BPO8 Roof Sheathing BP09 I Shear Wall&Pre-Lath PL03 Rough Plumbing EL03 Rough Electric Conduit EL04 Rough Electric Wiring EL05 Rough Electric/ T-Bar ME01 Rough Mechanical ME02 jDacts,'Ventilating PL04 Rough Gas Pipe/Test PL02 Roof Drains BP10 Framing&Flashing BP 12 Insulation BP13 Drywall Nailing BPI I Lathing&Siding PL99 Final Plumbing EL99 Final Electrical .y� ME99 Final Mechanical -17-47 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 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 CITY OF LAKE LS I I` O P,,,E D REAM E T RE M E Tm 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT APPLICATION RECEIVED DATE AP# BY VALUATION CALCULATIONS 1st FLOOR �� Z SF BUILDING ADDRESS C� lD�� r S4 2nd FLOOR SF TRACT BLOCK/PAGE LOT PAR L �' NAME / 3rd FLOOR NSF W GARAGE SF N lere ESTORAGE (O SF R0,rmtMat am XcenseFunderMf commencin 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# / TIT CITY BUSINESS USINESS _ N AND CLASS l r l �Q R NAME VALUATION: 10 YL1/!/j GY� A MAIL C ADDRESS FEES TO CI G Q�� ST TE/ZI P ONE `S 2 BUILDING PERMIT $ R NTRACTQ '3 A URE 1 PA1rc- PLAN CHECK N M LICENSE# A PLAN REVIEW R MAILIN C JADDRESS SEISMIC H CITY STATE/ZIP PHONE PLAN RETENTION Cl NEW OCC GRP./ CONST. ❑ADDITION DIVISION: TYPE: ❑ALTERATION NUMBER OF NUMBER OF []OTHER STORIES: BEDROOMS: ❑SINGLE FAMILY ZONE: ❑APARTMENTS certify that I have read this application and slate that the [I CONDOMINIUM HAZARD above Information is correct.I agree to comply with all city O TOWN HOMES AREA 7 and county ordinances and state laws relating to building ZCOMMERCIAL SPRINKLERS Y construction,and hereby authorize representatives of this ❑INDUSTRIAL REQUIRED? NO city to enter upon the above-mentioned pr arty for insp- ❑REPAIR PROPOSED USE OF BLDG: lion purposes. ❑DEMOLISH PRESENT USE OF BLDG: (:�] JOB DESCRIPTION Si ature of Applicant Agent Date PP or g Agent for ❑ contractor p owner Agents Name Agents Address CITY OF LAKE LSII`i.OP--,,E D REAM EXT RE M E„� 130 South Main Street APPLICATION# APPLICATION FOR PERMIT APPLICATION DATE: AP# BY: ELECTRICAL/PLUMBING/MECHANICAL BUII DING AD REss // / I hereby certify that I have read this application and state that the ( �o L7 Dry 1 r, k 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 pu W N E R Signature of icant or Agent Date I hereby affirm that I am licensed under the provisions of Chapter 9(commencing C with Section 1100)of Division 3 of the Business and Professions Code,and my le on 0 license is in full force and effect. AGENT FOR: OWNER N LICENSE# CITY BUSINESS T AND CLASS J TAX# AGENTS NAME R NAME A l� AGENTS ADDRESS C street city state zip T ADDRESS �� l�a lJl�'lJ 0 C[TY STATEtZIP PH R r r D O CTOR' SIGN ELECTRICAL Quan PLUMBING I Quan I 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/I st 20 Private Septic System Unit Heater/Wall Heater Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent Receptacle Outlet/Is!20 Gas Piping System 1-4 Outlets Ventilating Fan Receptacle Outlet/Over 20 Gas Piping 5 or More Outlets Evaporative Cooler Lighting Fixtures/Ist 20 Dishwasher lVentilating System Lighting Fixtures/Over 20 Solar Tank lExaust Hood Residential Fixed Appliance/Outlet ISolar Collector per Panel lFireplace Non-Residential Appliance/Outlet Grease Trap/(Interceptor) Commercial Incinerator 100-200 Amp Service<600V Install,Alter or Repair System Air Handler>10000 CFM 200-1000 Amp Service<600V Lawn Sprinkler System Air Handler<I0000 CFM Misc.Apparatus,Conduits,Etc. Baekflow Device Smaller than 2" Fire Dampers Signs Backflow Device Larger than 2" Registers Sign Branch Circuit lFloor Drain lCompressor/Heatpump-3 H.P. Busways/EA 100 FT Floor Sink Compressor/Heatpump 3-15 H.P. Temporary Power Service Water Service lCompressor/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 Repair/Alter Misc.HVAC Motors up to I H.P. Swimming Pool Compressor/Heatpump Over 50 H.P. Motors/Transformers l -10 H.P. Switruning 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 Pretreatment Program Division P.O.Box 3000 31315 Chaney Street Lake Elsinore,CA 92531-3000 (951)674-3146 ext.9326 or 8327 Elsinore Valley Municipal Water District Fax:(951)245-5946 Date: December 3,2009 Facility Name: Sports Play Pizza Interceptor Sizing/inspection Requirements Facility Address: 16746 Lakeshore Dr. Lake Elsinore, Ca. 92530 Jubran Sarkis, This letter is to serve as(1)confirmation that the environmental compliance review process as required by Elsinore Valley Municipal Water District's Pretreatment Program Division for the above referenced establishment is complete and in compliance with Elsinore Valley Municipal Water District standards and(2)inspection of your facility is required prior to receiving final approval. The existing interceptor system of 750 gallons, Including the sample, box will be sufficient for the facility. Field inspections of the facilities grease interceptor system are re_ guired. All inspections must be scheduled with the Pretreatment Program Division (refer to telephone number listed below). A 24-hour advance request for inspection (weekends and holidays excluded)is required.The following is a list of what needs to be inspected at your facility: 1. Inspection of crease interceptor and sample box system: Schedule the interceptor system and sample box to be completely pumped and cleaned out within ten (19) days. Once a cleaning is scheduled, call the Pretreatment Program Division to coordinate an inspection during or after the cleaning. The inspection must be performed when the interceptor system is empty,this will allow the District to inspect the interior condition and plumbing of the system in order to determine if it is in proper working order. 2. Inspection of the facility: To verify the facility information outlined in the submitted facility plans and wastewater discharge application. The Class III Waste Water Discharge Permit package will be delivered once final approval has been granted.The approved food service facility will be required to follow the terms and conditions of the waste water discharge permit and will be subject to at least one inspection per year to verify adequate maintenance of the grease interceptor system,waste hauling records are available for review on site,and all required signs of the permit package are posted.The facility will be billed the Annual Permit Fee and all subsequent inspection fees or revision fees when routine inspections are performed.The fees associated with permitting and inspections are as follows. • Annual Permit Fee $180.00 • Routine Inspection Fee $180.00 • Follow Up Inspection $180.00* • Non-Compliance Inspection $460.00* • Non-Compliance Sampling $180.00* • Non-Compliance Meeting $180.00* • Failure to Allow Entry $180.00* • Permit Revision Fee $90.00* *These fees are only charged if the facility fails to make required repairs in a timely manor,or requires additional inspections beyond the routine inspection and one allowed follow up inspection.Or if the permitee fails to follow the terms and conditions of the Discharge Permit and additional enforcement is necessary. Failure to comply with the any and all EVMWD interceptor system requirements and/or discharge requirements shall result in enforcement action up to and including termination of sewerage service. For inspection scheduling and billing questions,please don't hesitate to call me at(951)674-3146 extension 8327. Sincerely, (Zh— �� cc: Riverside County E.H.S.Department David Oates File Environmental Compliance Inspector City of Lake Elsinore Pretreatment Program Division P.O.Box 3000 31315 Chaney Street Lake Elsinore,CA 92531-3000 (951)674-3146 ext 8326 or 8327 Fax.(951)246-5946 FOOD SERVICE FACILTY INSPECTION& FEES FOR SERVICES FORM To the Owner,Lessee,Manager,or other erson(s)having charge of the following premises: Company: <�> arts P6 rl2za Contact Name&Title: Service Address: 1(,-) -714 (g I-Akesho(e Ot. �ctkq El.;,,'not e CA, qz ri s d (Street) (City) (State) (Zip Code) Telephone: Permit Class: III Permit No: _____�Perrnit Exp: Purpose of Inspection: n/IConstruction Ll Routine/Follow-Up LJ Non-Compliance L3 Other FACILITY INSPECTION INWECITED VIOLATIONS Is Interceptor/Sample Box Accessible? Yes [<No [ ] N/A Yes[ ] No [/f Is a FOG Rendering Company Used? Yes [ j No [ j /A Yes[ ] No [ Are FOG Waste Storage Containers Used? Yes [ ] No [ ] N/A Yes[ ] No [ Are Drain Screens Used Inside Floor Sinks? Yes No N/A Yes No Is Interceptor Pumped According to Permit Conditions? Yes No N/A Yes No Is an Automatic Dishwasher Present? Yes No N/A Are Fryers Present? Yes No N/A Is a Garbage Grinder Present? Yes No N Does Establishment Have a Valid Waste Discharge Permit? Yes No /A Yes No N N N N N A A A A A A A Water Treatment System(s)-Water Softener(s)? Yes No [ /A Yes No FOG Prohibition&BMPs Signs Posted? Yes No NI Yes No Waste Hauling Records Available Onsite? Yes No [ N/A Yes No Valid Interceptor Waiver Issued to Facility? Yes No [ N/A Yes No Interceptor/Sample Station-Excessive FOG/Solids? Yes No [ N/A Yes No Interior Interceptor Piping Condition Yes No [ N/A Yes No Sampling Station/Box Condition Yes No [ N/A Yes No [ Other(specify below in comments section J) Yes No [ J N/A Yes No Facil!i Seating Caqi�(indoor&out) Yes No [ N/A [ Total Number of Seats: Int ceptor size:— Gallons Yes No [ N/A [ H2S Reading: PP Other/Comments: K+a(CC 0 fir SV5 �Y" '1%.S P e I'tN to ,I,, b 0 or A lAe yt eV cG < Dw (A 42 t'tl SO PL Jr1( f re 1A ICI G 0 e Please call to schedule all follow up insp ections,for required repairs at (951) 674-3146 extension 8327 FEES FOR SERVICES El Construction Inspection$ Q Routine/Follow-Up Inspection $ El Annual Permit Fee 'a- on-Compliance Fee/inspection$ Q Total Amount Billed to Account: $ * ALL APPLICABLE FEES,AND/OR PENALTIES WILL BE BILLFD TO THE APPROPIATE WATER/SEWER ACCOUNT.UNLESS OTHERWISE NOTED,PAY THESE FEES WITH THE REGULAR EVMWD WATER BILL WHEN THEY ARE RECIEVED.ACCOUNTS WILL BE CONSIDERED DELQUENT IF UNPAIDED THIRTY(30)DAYS AFTER DATE OF WATER BILL INVOICE(PENALTY FEES MAY APPLY) Employee Name: Job Title: (PRINT) Employee Signature: EVMWD Inspector: -Date Served: Warning:Violation of the EVMWD Ordinance No. 160 is prohibited.Failure to comply can result in additional fees and/or termination of water and or wastewater services. Service Commitment Letter#2273-0 Fri ft Deoernber 04,2009 P.O.thw 3ooa—31315 Chawtr s1.—t.akae Ets- CA IZW fibh we Valley ftinkrpal Water PSI)67431a —FAX(951)674-75N I Sports Play Pizza Resta xwa kit of Dols" 4 Location_ 16746 Lakeshore Drive,Surftes Cf,Lake Elsinore,C Aeraaw �1 zunieg: Commerical Tract IMF AM 378-290-017 Phones (714)705-9425 Fay Jubran Sarkis wel serve tees Palk $75.00 16746 Lakeshore Drive,Slates GF Lake Elsinore,CA 92530 Pala fie: 12M1009 __--.._--__-- Attn:Oua fw check r R e,i if M Visa145069 Water Fees Efkctw Date 7II&M t D 1?l3IMM . Prc'dYVl[LNOTBESERIIFDfar#hefpbb+rin reaso Parcel is served by Bmnore Warr District ------------------------- Sewer Fees Effective Date 7I112009 to 1213V2009 PrtV ct is eg1e for service based on the foillowsg cond kms. The account reflects serer capacity for 18 seats or 3 edu"s were paid in the past Mr_Sad=stated that he will currently only instaN 18 seats when the restwxant opens so#%at no additional sewer cagy fees wit apply at this � time- If Seating capacity wig be increased in the future, Mr.Sarkis aWees to contact EVMWD to pay all applicable sewer capacity fees Please note that on-site inspections may occur penodicatly througtxxxt the year to verify seating- Total Rnal Water and Sewer Fees: $0.00 ... .... -... .. -.... __. y ......- -._........ ... .. .......__._...... -..- ........_. ........._..... .. ,�W�Fee Inforntalkm _...._.. ..._... .. .._._............._.-.__...__..........._..__._...._-.........._....._.._........._....-_._.._.-_...-__._......_.....- .................._- ............. ...._._. A wter and/or sewer service app�ian must a000mparythe prpw t of fees to the Meer Depairwr4 moil of Stela Butler at eod 8222. A$10 service oF*m iw charge per new socoM wit be bled our yow fist watedsewer bill- District Standards allow far a 30 day installation period upon payment for meter connection fees. Generally, meters are mstalled within 14-21 working days. The O strict requires seven days notification before wknbon to dealer paymerd in order to coordinate the most dficoent placement and/or connection to facifibes. Meters must be installed and Connection to sewer fad must occur whin sac mods of purchase date or any subsequent fee locneases are applicable_ tf water service is being rested,a water mew location stake will be provided for placement on your parcel at time of payment- R is the nnpor y of the custmw to place the stake on the parcel. The District will not set the meter waW stake placemeriL This date does not coNain an estimate for any engineering deposits or Bees related to plan dwx*M or inspection related deposits other than Eateral inspection. Please contact the District Engloeer at 674-3146 with arty questions Service Commftent Letter# U73-0 Friday,December 04,2009 P_O.8M 3000--31 315 Chrawy SL-Lake Qs�CA 92M BSU?Or>°Wd/ey ll�rNr W ,r Distiid (951)674-3t46 - FAX (951)674-7554 thist you may haw. Current water andlor sewer connection fees are subject to charge without notice by the Board of Direckirs and fees wiN be based on the comer$fee in effect at the time of fee payment Please note that all moons must include APN numbers. The District reserves the rijht at any time to re-evaksate,revise and update the Service Availabilty Leiter_ The District considers the conditions to have expked automaticafty two years from the issuance date of the Letter. (Section 3901 EVMWD Administrative Code) Additional Design Reger3mmeats Bore ZOne: Mnknwn PSI: Maidmu n Pad ElevaWn MaIdmUm PSE ( WkWdSewer Fee Parner*s i J r, paw Dale: t C�k#: ! c: Paid: Authorized by Date: 12/4/2009 Paul S.Carver, P.E. Director of Engineering I RIVERSIDE COUNTY COMMUNITY HEAI...TH AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH FOOD ESTABLISHMENT PLAN APPROVAL NOTICE Plan Check# 16917 Date 12-14-09 sor�S I Z Z2. Project Name Address 16746 Lakeshore Dr. #D E & F Lake Elsinore CA Plans Submitted by Jubran Sarkis Phone 714-705-9425 Owner SAA Address SAA Phone SAA The plans are now approved subject to the conditions listed below and the attached compliance sheet This approval and subsequent inspections are subject to all corrections listed on the onsite inspection of this facility dated 9-3-09. Additionally, the following must be addressed: 1. Provide a minimum of 32 lineal feet of storage. 2. Ensure that the prep sink has an integral 18" drain board. 3. Provide an 8' barrier between the mop basin and all other operations. A 3' or greater separation will satisfy this requirement as well. 4. Provide a certified air balance report including exhaust and make up air. 5. Provide a tankless water heater that is able to provide a minimum of 6.5 gmp. 6. All finishes will be evaluated onsite— see attached plan check guide for details. 7. An additional hand wash sink may be required — will evaluate on site. 8. Provide a grease interceptor sizing letter from the local water district (EVMWD) prior to on site inspection. Note: On site inspection fee $145/hr. will apply to all inspections. CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be made at least five (5)working days in advance. A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid. Request for inspection should be made at least five(5)working days in advance. PLANS CHECKED BY Phone I acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: Signature Date Company am DEH-SAN-178(Rev 2/©6) Corona Hemet Indio Murrieta Palm Springs Riverside 2275 S.Main St Suite 204 SW S.Sanderson 47-950 Arabia St"A" 38740 Sky Canyon Dr 2500 N.Palm Canyon Dr 4065 County Cir /n—\III nl An fn \Icc 101A /7Ln\nc7 01n7 /nil\ AGl n'+nA JIC '111n—An /n C-1\'fen Cl Y'f