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HomeMy WebLinkAbout570 CENTRAL AVE_ (2) 1lrofictAddress 570 Central Avenue - iTnft tl Jr.•� f CIMOF LAKE ELSINORE CONSTRUCTION PERMIT, llsaiesor s Parcel No.J 7 7-150-080 " 1�pPlicant to fdl in a0 spaces except thm-witftir,Frealry border finis and sign all appropriate declarations - t xname genfness Park 1e674-7823 PERMIT 7RACT Q UNITN0. NG. LOT H Address - #:aAr - :CA `.C.?��(Z - `T✓,/2 - - - - - Arch/Eng. $QII.A R_ie6t _Lilt&.No. "- Z6jk__, T►rEOF=NMWM -❑ NEW 1 1 hD0 (] e-- a . DEC 11'EATr01t aadreu_ ? 4nE50 L O REPAIR 1�(ie ? M Contractor•sNam Bxookstone DeyelopmentDhonek4-7823 S- AP - _ Address f-risir ) P.O.:Box 939s T FMaintBuilding: Accessory Building: Zone Z rag Lake Elsfnore.CA 92330 TREOIPERMR ❑ GRAMG :❑ f17UNCJitTN)N ❑ STfiUCTU3111 -------- City License No _7!/18 - - ' 'EtfIMT_ ❑ ELEC(RICu 0 PLUMBIJIG ❑ MECIUMiru A Rear LICcNSE7 CO:iTRACTOR DECLARATION ❑ OTHER -- N 1-ftdeby alum gnat 1 am ucensea antler prorslons or Charter g(commencing P.ROIECT OESIytIPTrOM: So.fL.�G,V- / —' K Rot t T#lh s0-010h 700J) or Division 3 of the Business and Professions Coot!,and 'Cenfhct6te N DIY!tCense is In full forte and e`fect_ ! - - : tlVe /y i'.ede - - iatop se �04386 _ Wkabnj,. }VC'C PC* �f Acres S a T— -� -M ,, Dates signature •� � T Parki 8 y WORKERS*COMPENSATION DECLARATION ��� Rewarks J'� _C�� r f I hereby affirm that$'have a Certificate of Consent to self4rifure or a cartaiCate --�- •� Planning Notes Sii i i' �tti1 QS� / of Workers' Comprinzation ins-urance• or a Certified cdpy twyretlf(S,rCtjoA_Y / 'J i - /i 3800. Lab. — — - - _ �r0034_03-RQ t �. -/ Politj nlo. t ompsny State Fund 4 ` �7.7 S �Lr1i EK-�MRIF !M ®_r•.::sa COPVT1 hereby furnished. ti Cer/If' s fated with[he city B���� � �- C , -- Date rApplicantUaseo!-� ♦ _ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION ! - r! ! ' - (Thitsection need not be completed it the Permit isfor(We hundred(Sw0)� /—l - - less)•.. - - -1 Cert:fy.that In the Performance of the work for which this permit is issued.I shall (.) employ any person in any manner so as to became subject to like ,.=� PLUMBIkG - - - Workers'Compensation LAWS Of Cahforma. FEES ELECTRICAL _ FEFS MECHANICAL FEF..S' Date _signature '(Alter Re it _ Generator❑0.5KW❑5-15KY� - -A GIABIIKFEES -NOTICE:It,otter making this aoC,aratian,you Should become subject to the B011ef workers• Compensation Provisions of the Labor. Code, YOU must forenwi:h ArltO Wss6 Construction Pole Sub. _ _ Dutt•Uttder Ground" Cut, Cu•Aros. comply with such prOrrsiOns Or this ,CONSTRUCTION LENDING AGENCY Permit shah be-tleemea rerrxcd.. Baekflow Preventer Cookin Unit _ flp: _+DYC�•StfUCLUfai —cu.]afdf Y nereby affirm that there is a construction lending agency for the^ertormance Baekflow Ina lion Pole Light FaPi• 3101 Plan awed Feet; -. a! the work for which this permit is issued (Section 30b7 Civ. C.) _ Clarifiers _yentila:ino Lenf)ers nia,ne .___ _ D ers❑Gas CElectrie I Exhaust S em ___ 3225 ?amitftx j Lent%ef s Address Dishwasher Fan _ , Eva Last S e Cooler Total fps j OWNER BUILDER DECLARATION Fixture Traps ea. -- 'f herlLy affirm that I am exempt from the Contractor'.License Law for the- F.AU. r Heating System&Ducting following reason (Section 7031.5 Business anJ Prnfessional Code:Any city Ot _FJoOr Drains Fixtures _ county v hich requires a Permit to construct,alter,improve,den,,olish or repair 1 00 tOrJ 000 BTU❑100.000 BTU any structure,prior to its Issuance,also raqutres the applicant for such permit Floor Sinks Outlets HoO+' 10 file a Signed statement that he/she is licensed pursuant to the provisions or ,Or Candor •Seiawlagof hrnrAho ' Di Contractor's License Law(Chapters(commencing with Section f/sa.7000)of Gas Semite OUfle:f _ i SVV;tChM T • f] Type(I ❑ ��/7•p� Division 3 d. the Bushes:and Professions Coot) or that he/alto.a exenpt Interne tors 31?0 BslWifrl /!j. therefrom and the basis for the alleged exemption.Any violation of Section -�_ dieter n u to Z00 am s� R'trigeratian System 7031.5 by any. applicant for a permit Subiects the applicant-to a civil P=TIe 3pp1 PIurM�nA� j — Menalty 0!not more:han five hunafed collars(5500). P MetM OYe/2 amps r�Ti 1�0�0'JO BTU❑100 000 BTU - ,,:, as ..caner c! the property or my employees with wages as their sole Roof Oraira Sub panel hir_epliFast.Bit.fC60 # 3_22 Ekc.ra"_._ compensarjn.; ajpl;ao brae work.and the structure rt not intended.or offered �� -roe-sale-tsection 7,Oaa, Business r,nd Protessionat Code: The Contractor: iraile►'Sem Cl 15.50KW�� - i2?S Mettw,lul Lir_nse Law does no;apply owner of a property who builds or improves Sewar Cap - Transformer System Repai,/Alteration _ i thereon,and wno tloaS :Lain wr,.a'ti,mseu/Herself or through his or her own _ _��50+KW Fire Dampers 322i- Retvihen j employees.provided that such Improvements are not Intended or offered for SeYYer runAeCtion BId i sale. If,however,the building or improvement is sold within one year of com- g• _ Motors 0 OT, i1P❑U •!£ Registers _ ^3�1 iMiP Res. j pletton,the owner wilt have the burden of proving hejshe did not build or im• Solar Collectors �__ Inc. Solar J9.15 HP❑16.15+ incinerator Y302 I SAIPCgti. prow for the purpose of$ale). Solar f71 In ❑ 1,As owner of the property.im exclusively contracting with licensed con. P 0 $inf�/FaM.fetes. � kiss. _-r '3225 '.OIGa _ lra•;Ors to Construct the Projdct(Section 7044.Business and Professions Code: pier Tank �" j — Trio Contractor's License Law does not apply to an owner of property who Multl'Fam.Res. _ build$ or improves triprenn,al•d who Contracts for such projects With a con. Swirnmj___a9 PoOI/ a _ i Swimmin Pool/S a 1ieel MOfPlanON%Fan tractor(,} license pursuant to it,*Contractor's LICense Law). I am aware that -- a :-ja01 Baildiat j __ Proof d then Worker's ComPoNsa ,on insurance Should be Provided to me. Water Heater _ ❑ 1 am exempt under Section B.3 P.C.for this reason (SSUe Watejbiej i_ f �' Plu Date __ Owner --Neptic System Electrical j 1 herebyy Certify thjit I have feed Iflk applicallOn acid stale that In@ above �. I �/ Mrtlye.:a1 $ information Is correct. 1 agree to comp:y with A-1 City and county ordinances -�i (/r/ 3Ilia and State laws Totaling to buildhg ton •ruction,and hereby authorize repro. 3aiilgfl/paeo111)_. � O j fentatiWf of chi tY t0 ntel uP !hf above•manlionad property for �y, �` - inspection purp ^e �l - Sigr!aturu date �'" �F�aNelllrMeol "-" _ _OsM O t112 PlinRlllp f DrIlwis'license or SS 7f IpUe % � lvhih•Buildirg,CoWle1AQperl file Copt;PiAh Assessal:G01400tod•ApOiCant „ T11f11 FaM 0u /•r��e •t�(� - ( W C � - � I ►= f � - W Z W I W Q o I > c r e Y c AL a CO LL U. I 1 11 1 f f i.. ..r �1 O -� F' W .� LLI d ul�O _ Z '� Q z 1 I f s C �Oy c y _ -I � I..:a W d GC) .r Q dus 3 . cv a Q Q v I w Q O .g 4 p�.q� m! woe >f_ °y3 W w a c N E a ¢ d 3 ¢ 3I ., i - O j ¢ .► s _O '� J `� `' �!:�5F/!i i sC& p , o .-d o .'^ u d vq l a C w _u a .O L V W J Q --� LL W Q dl W N IL -.Q ..�` O O lu C O e W Zv4k - o ; 7 - - cj'' 'IF Z o d W c� .O ! I = G Z I _ _E rm C7 a 3 c 4 I ' QVyz�FVL->ObJQ1 FW;?'.i Oc ::4�rO$ii.•- :iC/I C7 '�wca OZQ - _• - -, .-�q 1d K -:�C. ':'a��n'�'.NAcJ _� `@e7 i oyj O, C� ,aaC►�{,..�Cm_ $c>1• CC- •A s.LLAAZ' jtni' m«uc m`Cry I J'-=.r. Z~Jm.Q� ,NQZp(¢•�(.`'IZ�C2Z1L7.'f,� a'u�~oc uco et I. C �' 2 ° LL u a)o c oC d r C? s - 7 A C C a O � > ca cc O LL Q 1 o ! adtrma. i1 9 Jd OO CS C Z,E g c , m O 0 U. W �mNppo72 0 O U. K cc 2 0. (C ¢ c� - f i CITY OF LAKE ELSINORE CONSTRUCTION PERMIT / Asso-or s Parcae Applicant to fill in an species except those within,heavy border likes and sign all appropriate tietlantiotu 0-h-o•s Name Ceti ml v.7._Park Irm ._rs�ry__�7A�7Q77- -: PER- ftaln_ -- — • •� / TRAf.T NO. LOT NO. UNIT NO. :itiwess _V,O - — �(�� Arch/Eng.__KQnrad pa;9" _L�sa Mo. TMOF0092i� ALTERATIN MEM [r AOC�` -- C COMYERSIOM '7 OEsfr3 M -C 0 ER J REPUR Address r 1�1 -Contractor':r7an DeVe7 674-7823 EIESCRJPTIN OF troRlt/'uSE OF 8 M--..I o-i., �- # Z ne o ----Phone E Main Building: Accesso Builds /tdarfxsatrhng) �.0. Ebx ,39 L.E. TYPEOF►aalrt � cRAans TaM IfRAI - City License No. 418 T i`ront z Z C �It'�T ? FIECTRICAI i=° PLUMBING C i1FCHAMICAL e Rerlr 0 LiCCNSEO CQNTRACTCR OECLAPNTION !✓ OTHER A �- y f hewebY affirm that 1 am ticenseo u--der pfovisiO'Kof Charter 9(commencing PROIECTOESCRIPTION: Sa.FL Oaspal,c). C Right 1 wrath setti;:a 7000) of Division 3-:d the Business and Protessicns Code,and K 1 Iny hctr-.e Is in fsl Qrce and effect. -�rK�O I1D` Zone fK s �h 11 G L:c.nse Class 17�L _ Na.5QQ386 _ VaMa7pu j �j�O(� P+.I Date �.Q�}— signat%ge Pin Ref.# Parks Req.ftovided R WORK^rA NSATION ir£CLARATION Remarks - E I neleby affirm that I have a certificate of constn,to self-Insure or a certificate Planning Notes, _ o, Wam.ens• Compensation Insurar or a tertifted i - - i-- _ _ _ •M 3800. b. C.) '�'- Y thereof (Section La - Pdlity No. -3 0034 3.901.'�� c ,tps•+y _ " 'i e�"E-��3?�=• i E%:T Ok e�.i£i 1`I S�:. •S ^ertifita copy is hereby furnished. - rertihed COPY is filed wi-111-the city oate.�f� APDlicarll _ EI(EMIfFI$�pR M WORKERS•COMPENSATION DECLARATION JThls section nerd not be compfiteC.ff I"permit is for one F less:). un•dre0($100)or - 1 candy trial in the performance G/.ehe.work for which this permit is issueO,1 - PLUMBING FEES ----l not emplOV any person in any manner So as to became subject to the P workers•Compensation Laws of CaNfdtnia. snai ELECTRICAL FEES MECHANICAL FEES Date Sgnamrt Alter,Repair Generator 00-SKW n 515KW ACCT.e\. ORROIRCFM NOTICE:If,alter ma..ong this deCLiratiOn.You shoulp become subject to the Boiler i w workers' Compensation prowssons of the Ubo;-Cc*c. yoi. .dust forthwith Au10 Wash Construction Pole Sub. Duct-Under Ground Cat: cu"lugs Comply with such provisions or :nfs peln•it shall be deemed revoked. Backflow Prnenter CONSTRUCTION LENDING AGENCV Cookin Unit Duct-Structural Fill: _ _cu taros 1 nereay affirm that there IS a construction lending agency for the performance Baekflow Irri Lion PBIe Lc I Fan 3/01 Pun Cheri Fee j _ Of the work for which this permit is issued (Section 3097 Civ. C.) i -Ventilatin Lender's rwmt , CI?rifiers Dyers Gas CEleeiri(- ExhaustS stem 3225 PerdutFee 3 _ OWN s Address OWNER BUILDER DECLARATION Dish*QShe; Fan EYaporairY&Cooler Total Fees 3 _ i-TrdiTs es. _ F.A.u. ---- f hereby a/Iran that 1 am exempt from the Contractor's License Law for tnt _ i —, ;w35'��fetn t011Owinq reason (Section 7031.5 Business and trufe:Sitnal Code:Any clty or • F)oor Drains runty which requires a permit:o construct.after.Improve,demolish or repair Filetufes 00.100 000 BTU r-1 000 BTU any structure.Prier:to ds isstianc• ?r<..:_�y,,;;;;,t appncant nor such permit'- �Ivii-S%%�S- Outlets wrr !^ face a signed;rg!_:-:,,rot tnri-ne•{tu-is licensta pursuant ro tea provslons of ,. - Hood or Canopy Saw"of PalliitFees tit Coni.�:rsrs 4cense Law Chapter 9 commenci�� --- ( ( ss�iiori r000)of C-+.i6i.i:2 Outiets Switches T pe 1 O Tvoe it O Cnvis.an 3 or the Business and Prottisrn i:ode) or that he/she fs exempt Interceptors 3220 Building ..j "thsrelrOm and the basis nor the alleged exemption.Any violation OL Stet ion Meter❑ u t0 100 amp; Relfigefati0n System 7031.5 by any applftant for a permit supjltcts Ica applicant to a civil P-Tra 321i Plumbing iaenalty of not more than five Hundred dntlais(5500). _ Meter Over 0000 a� 00.100 000 RTU O 100 000 BTU _. 1, as owner of the p.Ope.ty a. m: ...••.��,�Q; wren w;gas es tneirsolt Roof Drains Sub panel 3222 Eleti;x!l j -_ - ...iron,wn•oo the work,and the suutture is not intended or otterae — Fire I/Fact.81t.ICBO # __ __ — nor sale I Caon 70a s, Business and PrOfesun..m r-..._ +.: Trailer Selmer —.0 i5 50KW System Repair/Alteration 3123 Mechanical j License Law does not angry „-.vrrrer 61 prf•ptrty woo builds or improves �yylq Cap - Transformer thereon. and and wS.,,-Jots such W.+.k him"IfA*Melt or through his or her own _ ❑ 50+K%V Fire Dampers 3224 Reteltm j employyt_. pro,ided that such i�•rprovtri�ionis are not intended or o.Ieied for - SeWer Connection Bldg Motors 01 HP CIYz•$ sate. I1,however•tht building or improvement is sold within one year or com• R Iaeff 230f SKIP Res. pletiOn,tit owner will nave tit burden tsf I'rOviriq he/she did not build or im• Solar Collectors Inc. Solar(]9.15 HP Q 16.15'F Prove for the purpose of sale). Intinerator 2302 SMIPCom. j U I,as owne,of Iht OfOperty,am exelmively Contracting with licensed can. Solar Piping Sing/Fam.Res.factors t0 construct the protttt(%ether,/044,Business anC Professions coat: Solar Tank MIS• 3225 Other j Tne Contractors License Law does nQl apply to an owner of Orono".,woo Multi•Fam.Res. _bhi Ids Or improves thereon•a•:d who :onlrar1i for Stich projects with a Con- ,,act C t.o..`�PIaR 5 -- or(s1 license pursuant to the Contractor,, L'Cers• Law).1 am aware that vWlmmin P001/ a :iwimmiD Pool/Spa $$•''w�^^^•�••i!! �!�-?- Proof o their Worker's COmOensat.or insuronLe should be protidod to rise, Water Heater _ 3401 Building j I am exempt under Section__ — B.L P.C.for toils reason —' Issue PlYmbing 'j -•^ - -� W'i2i ary Ce _ "—'� - Date Owner _- iC Electrical j t hereby10,mal certify that 1 Haut read This appl.cattOn ano state teat the above OEgELOPMERTSERIII SREQTh'REItENTS: Mechanical j inlOrmahon IS correct. I agree In Comply with all city and county Ordinancef --- and start laws reletin 10 building coR;?he r'IOn,.and herrlby authorize repo• >IaaGIgEIMlwellliy_—_- Ilab 3403 Other j stnfatlWf OI whit lo_ , uP abOve•manlfontd oroptrly for. SignatureInspectio purpo ( D!N - 3/12 Planning Signature oato._6�26�90 — — issue Alfa hale b --_�Uate Drivers'License or SS! �._ _ TOM Fad Dad TThlta Blnldlrlg Gnarplemperaq file Coy.Pa[t•Assessa:Soldenrtddpp(lunt j 9 IT 1 I. W= o, Z { �i W [-6 , � J c a ¢ o c O c 0 q u; z W Q O W •p ._D . Y L c_' = O QI yi y -i � o_ p O L F- W p c w —I a 4= 1 w o aZf S I i c eA� I au jr 4j .` c�i l LL E _ -- . Q r @. p _> � O w c � WIi ¢ C � 1 FVL J U TC 0 E J oLL a1 J W rm r I > w 0 a� a U m NI O N o as a ? � q W p c U3 Z =i Z I 1 ! oZS E U cn o=I COC Y I Y cn ` Q i J ¢ cr t U in Q " v d a v s d r, W E = c d• O. tL a �, W c� •l. �� d m �' d p o dt O1 c > X �7f ,,u! a( LLj ! I I l Q a° LL w _c Q I w C7 to I Q m I H: w fn LL Q 1 a D O S � u, O�i X (2! { I i ! Wzu I w ! I 1 ( r I r, l Q Z - ui Z ! O d I I W C Oi c W 'd -I I i i .j CL o S �I QVs7Z 'y� t•IW•• V+S co c«n I O LL to c aQ � o O U l —1 cn�I JmJF I yiOiGS C�7� U Cc W o t w � tit `` C Q p 0 c a c d Z a � m ¢c � LLal tm a aa In Id c} U c D n Q ° CQ E O o C 2 it _ ii - . 7 O Z2 a = d C mc ° u Z 3 6 F L — O O m m 7 QO O O plL p c C W W i_ iz :c LL � cm to o co J y LL O W ' I 1 II { C"OF LAKE ELSINORE CONSTRUCTION PERSfh"!T Protectl�ddress _i�� �t.v��wL i . 1 3 j Assassor•*Parcel No.__- - _ Applicar:t to fir in a0 spaces exc4•p,.those within heavy border firms and sire all appropriate decisratiers 4s,ttvsrranr �31•t3•�•-S_}r.r,e�._3____`'Phone_— — PERM111BG (� TRACTHO_ LOT NO. UNIT IVO_ n 7itrcis _.�Q.—�st—wL V;•��.-So-7�L. 'L�_.:w✓r[. `l� I ArchrEny_— _ License No. . TI1PEOFLYNSTINCF)011 4 i NEw ALIERATtON EEPNIF Address _ WMERS" ' OfF%m. - 0 NIR A.P. Gdntrxtar sNarrte ••a �A+7tSc.. flax ( - �'"c a rJEIPTggOFM10RK�USEOFl3!fF �`�% t� - L --� t,.ri� S S I Zone _PhOnI- �� —� _ E Main Building: Accessory Bs:;ding: Address frrrsilingl►. ��Q.Loj - 1 �_,- _ TTTEy►f1tY1T' GRIFUING FOUNDATION _ Stoncl tR:. - Tt Profit E i p City License No. _.=� � _ TiMJINT ELECTRICAL - P!Ul1BINC 1lEGtillft{R T LICENSED CONTRACTOR DECLARATION q ;tear -- I - j 1 nereGy[ll,rm that t am licensed seeder P,Ov,s:crs.at Charter g(commencing PR{i%=CIDESCRilriwx rL Opc,;Wa'-1 h. Right ( N meth section 7000) of D,ris,on 3 of Ine Business and Professions Code,and < tiD` ��V —_ K my license IS in full rcity lord effect. t�JaCttOo Zone Aires - -� g Lef* — �- -- G License Clast, -.:v License Nog 3 9 Q __ r:':aome s fie — —_ _ R Date$b,2 ' _ s,9natvre ` — W.ng. Ref-�# _ (Parkin RLg_/srovided E WORKERS'COIMPENSATION DECLARATION Remarks Plarnitg Now O I hereby al/frm that I slaves certificate of consent to self4rt•.ure era certificate -- - - of Wor,ap;• Compensation insurance, or a certified copy thereof ;SectionT 3S00. Lab. {y q 7 S Polity Nu. C L.F . Company-i--=1 Pe Fes:Certified copy copy is nertby furn.sheo. ,�, Ccr�nll3 CFpCyIs led war.the city ivading Division. _ --- F r � F 2 catt -uJa.t_`�S L_-. ApP,,WniLt`s•::�Lw'��`_4.st-.2� P SG AIXT4 100-3222-101D EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - -• -- T•r>-` y 7 Th+s seC:.,r.need no:be Cnmv elect if the Permrt IS for%)."hundred(s)00)Or 1 ccfc,ty Ina' an the PCrfq•ma^Ct'+:he wJf: for Wnicn tits perm.f,s 3S¢ed,t -- _--- . Snarl not employ vnv person t•, anv mor,ner so as to•3ecome Sub, :l the PLUMBING ICES ELECTpIt:AL FcES MECHANICAL _�- FEE$ V.'15 ers'Comperisat:on LavvS of Ca,rfO:n,a. -- - it(xT.r< t 6R1iDINCFEES D,le -_--- _ s,naa•c _ �Aitsr,Repair —+ — Genera:ur'�0.5KW 51F!:N( Boiler_ _ __VOTI[E:L•,aaer mttrin :list dnrj -,:+s.a,you inov-]bCcom� fuD;et: ip the Ault)Wash ; ( ��� .,-Cu yards :InrF 2rs' Cmmpensatinn prov.i ncs ,-+ :re Lanni Cana!, you .east forth.,,,to {------._ Cansirtrtion PGie Sub. � Duct-Ender Grounr!fnrnp:y wan sued t'r0. Sion1 ,• c'i,s pe,m,t Shan Oe .ycemtu "revoked- L'aekflaw Preventer — ! Cooking Umt - OuCt•St'UCti:•at f'li _ .-_[u ya'ds LONSY P.liCT10N LENDING AG£NC'I --- - I I.ereby arfum toes there Is a :CIMV-ucl,�.n rending a�kncy for it,*perfo,manx p3Ck11ow ifrl bon, POIe LigatFan `' �— 340I PgnGle::kfte S _ of 1hC work for at,.tn t^is CCrm+: ii ,ssuse ventilating Lr-rider's Fume (Scttin 3Ug7 Cr+- C.71 -_ -- _ Clai: cPrs Dryers uGas�=E�llctncc•cnaust_y stem 3225 1 Permit File j — >endtr s ndd,ess OishMasher Fan Eva Oraiive Cooler — TotalFFIs S OWNER BUILDER DECLARATION Fix tute T�s ea. F.A.U.1 nerchy aft.rm that 1 am exem,f film, :h.f Con•ractor's Lrrr La". for trig - +. - -_ + i Heating System&Ductirg .onow,ny reason (S-Ction 703:.5 Butroess and Prnfess,onai _vac:Any coy or Psai Drains Fixtures ' 00.1_00 000 BTU�J100 000 BTU Cr1unty w•liC:reQra,es a permit i 1 cOnftruc#.alter,•�,r• we•demnnsn or repair anv urtoOur%prior M its issuance,alsr•to;uses f' Uphtant :ur Su[h c rmrt i Floor Sinks__ ! Outlets y - -- SaOlmafTM Permit Ftes s„rile a Sag CI Vateme It that he,sne I$licc+sec om ,ant to file prov'sic-,:•;f - OOd Of Canopy the Caniractor's L,rense LAW(Ch.Pter g'Commel,cang With Sect,!)n 7000;of Gat$eO.nCe Outlets SWItche- r (3,ws+on 3 of the Susrness and Frotcs:icns Code) or that he/she evempt - T-Y e I �_ Tjge 1� the;carom and file has's fcr the ane;ao ect „ptin•,. Any vlulat,.• o' Srstion . Interceptors _ Metera up To200am s �� 3210 �- Refrigeration Sysu:m 322i PIumDIr4 7031.5 by any applicant for Sri, Subjects the a;Ip,:_ant ;o a civil P-Tra i Meter over 200 amps _ penalty of not more than hvc n..:jreo r,allars(E1,00). }---�.- _ 1 _ . ❑0-100,000 BTU Li100,000 BTU I f eitricai -` -_ 1, as owner Of the property ,r my emoloyees .illi wages as their sale ; Roof Grains �_ I Sub panel Fire I/Fact.Bit.1C __ __ "r2 grim pensaliUn,will do Ir,e wrlrk,arl0 :he SlruCttve is not intend,.p or orfcfcrl , Trader Se met --- __ - 3213 Mechanical j — for site (Sect,- 70a6 Uus,nrss aria Profri,tona: Code: The Contractr•'s - _ _�__—_ I] 15 SOKW System lee air(A,irrstion _ l_,f env Lay.Ahe� :apPiY:n an nwn4•r•:,;n rnne,ty who b,;rlAS or impff,ves $ear�p-"�'- Transformer -__P_.__...._ --- ' wn•, ,h,cs sue' wnr. 11-n,• -:f;herself '), :n,o,.;gn n,s or her ,vov _ ' _ El 50+KW Fire M.Impers 3224 Relenhnn j empr,yeas, eve,acd ;hat such im�rOvc-�cnts are t:ot ,n:cnncd ••, nt•r!reo fr.., Sewer C.n�iettion•Bldg. -- Motor:E,0.1 HP A 1%•—�- -�'---- �•—� say, u,nawevu, tnc bu.a na ..,,mpt,,,emeil:,s snid v. Il„n one ,ea, r:con,• -1•— t�-'—� Registers SIA:P Res $ c ,-'----- ------� — j - ,e trig o,vnnr win na•<tna bI, aen Ot proving he/she ma ndt Use id ni rm- ,i .+fat Collectors ; Inc. Solar(19.15 HP i�116.15+ Incinerator �- 2302 SMIP Com. — — n+vve`o,u,a nwpnsC r•:sale). - j 1, as owne, „I :,Ih procer:y.am e.e,,Isw,ly c„olracting with ocer.sed cr:.• Solar Piping_ -�- Sing/I=am. Res. --- _ 1y1'I-----_-'.'------_ 3125 Other f -----•-'�_ -- traclorsl0 cd+,i.rucl the project t5cr-hop 70ac,8us,ness and p O:ess,un:Coae: �SOlar Tank MOIIi•Fam. Res. ---}--`-- rile Conti sci•n'•. License sew din' not apply to an owner nr prngoty who I____—_— •-�T4 SaaltuarT Of Plan CAed Feet -- 0weds •r nnprriveS tn*,enn,aid won cnniracls for surn profec';-in a con. $YAmmin Pool/Spa $WIRIR11n POOI/$ d - - tracinr(f/ hcenta purSuan. to Inc Cr1ot,aCIOf's L,ceaSe Lay.•. i am ai+are ensl ----- - -�--�• ------ - 3401 owWmA j - ,Irnof O the'-r Wnfter% CnmienSation +nsuranro shravla be prov,ued 1+1 ma. - Water Heater Issue - __ -___- ia saint rxempl tinder Sethnn .. _ -- "'--r - -" --- — __ B.&P.C.+nr In,s•aason PlumbitQ S Water rv _ IMIP FopAp vale _ ---`7wnar - -- __—_--- _ _-- �_Se tic S.iL' iem�_.. -, $ -. .-� Mechanical j — I hereby cerl,ry ;I,at I nave roan ants aPpi'catIon and state ti.al file above t Mite. OEMaOPM[NTSEAKESREQUIREMENTS:mfnrmaLnn if cnrr21 t f aerer .1 c Inp;y with an city and county Ordinances I -_ 3403 Oltier = - and state .lows elatmne, •,0 Su,,7,r,q construchnn,and hereby authr,fraa *Ore. fillagArptstedBy - ,.Dice _ _ sentatwas nr c:•, to renle upon the aoova•mennoned Oln0erl for ---- "' - - --•--• ms/Wctton pur r _ ITlfff6nlAlMwedk 4 V — ___.__.WU Q �j1�•-� 3417 Planning signature _�i�< v' ^ Da•.etZ�J`ti� iSSue ApufltadellheaeABy _ _Ogle _L2�I_ L_tc/ Drivers't.,censa or 55 e - _ - -- - I TOW FeesD.0 _ Wf:Se•8u Idiot Caney Tempaaly rile Copy.P(nk-Assessor.Gohienrod Apptipnl _-® .�. ' 7-1 C i 1 i f T s s j id� ' i ! T � ` 1 ; 4 � e ! 1 _ { i 1 j 1 • I � ' i � I 1 i i E ! f i I I �.. I} -� I -��.. - �- -- -•+- � i 9 i i j i y � f I ( + � � � I i i (3� i f , t ! � j R i j i i 7 i fl = - 1 •' f � ! { ; � ¢ j ° � ? � i f i I � � i ` j ! i ! (`- ! W t ! f I WI fl j 7 c : t I f t O� OI ( I + W� J I I t i I u. 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To�RtT 'ib Lvr _t - - J ..:.5 _ i � I ; , ! - •--•---i -; _� .�- -- � _. __.. _ .-_-- ._ '1iIL�T. Tar11T' - - ._ tx.f ti sy:\t� C, If PEPJA T ,t.. � tcote;own"* $wi.DING '. 1. CEN7RAL MUS04ESS P91�K S70 p , r r• - ProlecI Address--s//U NTiP�4G/�lJ� Zlw,r CITY OF LAKE EISIN©RE CONSTRUCTION PERMIT Assessor's Parcel No. _ Applicant to fill in all spaces except those within heavy.harder lines and sign all appropriate declarations ' t74vner's Namt, -79A+ _ TMOF0011SINUCi1011 NEW C' ADD 0, ALTERATION n REPAIR Addresf 17 CONVERSION D DEMOLISH L OTHER _ -` DESCRIPTION OF WORK/USE OF BLDG.- JL'(�U.t% ,( A.P. # Contractor's Name. Phone-_ _ rare " - E Mair Building: Accessory Building: 1 Address(mailing) t TYPEOF►ERMIT ❑ GRADING ❑ FOUNDATION V STRUCTURAL T• Front Z City License No. _ ✓_ __ r' TENANT L) ELECTRICAL ❑ PLUMBING 13 MECHANICAL _ _ p LICENSED CONTRALTO D LAR TI7N �� C OTHER A Rear N r�reby affirm that I am I ten d er FrOvriions of Cha eCr 9(comrencing PROJECT DESCRIPTION' L �� a Right Witt section %000) of Ory Sion 3 01 fhe Business antl ofesfians Code,and �j/J�// DCCUrancy _ N " license is in full force and effect. COriitruut!On type _�_3�_ lone _ Acres K Left - -- — G ::,tense Class _ V3117afi0nS dDt� ' S L.rc se No.- -�---• PCE Pln . Ref.# R Oa7e Signature __ — Parkin Reg./Provided E WORKERS'COMPENSATION DECLARAT N v Remarks Planning Notes _� Q t hereby affirm trial i have a certificate or nsent to say•insure or a certificate - _ � O' workers' Conipensa?ion Insurance, r a certified COPY thereof (SectionAS 3500ZD, n Lab. C.) - `• Hi•t^� . V. sy No. Company - Oe z02-10L63/WIlLIpMlo MACHIhtE, I Cerhlietl Copy Is hereby fur shed.Certiheq copy Is tlletl wi fire city Building Division.- � �e._ _ _ Applicant _;NpT10NFRO►1 RKERS'COMPENSATION DECLARATIO,S section need n he tom toted if the ermit:;for one huntlred_ P p ($100)orrtit that try —�Y e pefformance of the work for which this permit is issued i 5 not o y any (crows if any manner so as t- become su5lect to the PLUMBING FEES ELECTRICAL,ers'Co penSatio.r Laws o/ Cahtomia• FEESMECHANICAL FEEa— ---Signature Alter,Repair ❑Q•5Kls!(� 5.15KW i ACCT.N 6Rftne6FE.E5 iC .If,af!ei .oakmg this declaration,you should become Subject LO ttte - _ Boller�. Compensation pr9ri SiOnf t the Labor Code, you must IorthWith Auto Wash Construction Pole Sub. Duct-Under Ground Cut' Ce.yafdS y with suci, provisions or this permit shall be deemed revoked. BeCkfl�yv P(eYenfef l :. _STRI;CTION LENDING AGENCY Corikl�Ln:,, Duct-Structural Fill .yards eby worm coat mere rs a construction lending agency!or the oertormance Baekflor,irrigation POIe l; h _fan .rJentilatino - 34ot Pian Check Fee j he work for vh1cft this permit Is issued (Section 3097 Civ. C.) i; - Ltr+der's Name __ Clarir.ers 6�rcrs GGas GE1eC'tric I Exhaust System 3225 PermaFee $_Le _ndcr•f AdtlreSs __ Dlshv�.ct"er Tan - Eva orative Cooler __ j OWNER BUILDER DECLARATION Total Fees -1 ; •-.ereby affirm that I im exempt from the Contractor's Fixtam Traps ea. F.A U. Heating System&Ducting :c sa ying reason Licefise Law for the _I F.A. (Section 7031.5 Busine;s and Professional Code:Any city or Floor riraini Fixtures _I __ ❑0 100,000 BTU tbun!y ,,hich rerlu.res a permit to construct,alter,improve,demo!,s'r or repair -- t..- i_7100,000 RTU my structure,prior to Its issuance,also requires the applicant for;,th permit F100f Si751;y - Outlets t Summary of:,r +:•e a signed statement that he/she is licensed pdrsuant 60 the 01.;vrsions of '"-'�'•'" ---- _ Hand Or Canopy nn Contractor's License I,aw(Ch;iptar 9(commencing with Section 7000)of Gas Ve iCE--1)utleIS Switches I T e O Type II ❑ -! S 1�t� D•�s,-•t i of it;( 6ufness and Professions Code) Or that he/she is exempt InterClLlfO 311D Budding j ^ v 703;..om anq th3 .nlwa for the alleged exemption. Any violation of 56ction - Meter unto tMi am S _ refrigeration System 703;-5 by any �opheant for a permit subjects the applicant to a civil P_Tra r Oler 2 __ t 3221 I Plumbing $ t, of not rose than five hundred dollars($suo). ? ��- MetePrl 4�0 amps _ 00-100 000 BTI1 ❑100,000 BTU I- 3212 _ -- as owner of trio pr•perty rn my-employees w•th wages as their sole Roof fJraitlt Sub 8D81 _ _ Fife 1/Fact Blt. ICBO # E�ctnwl $ cOmpenSadon, will do the work,and the structure is not intended or offered -•-� _ 'or sale (Section 704.t, Business and Professional Code: The Contractor's Trailed 3ey:er ,fJ 15 50KW System Repair/Alteration 3223 Mechalucal $ _ L tense Law does not apply to an owner of a proper) who builds or improves Trar, or ter _ tncreon, and who does such wort. himself/herself or througli his or tier own ��r CAE 1 � Fire Dampers - 3124 Retention $ ern Ployees,provided that such Improvements are not intended or offered for ter. - - - r "-`•""-" _ Sale. If, however,the buildingor improvement i SE`fYr ,On.lai;lion•Bldg. i Moiots t_7,) HP f-'1%•p i Re Islets 322 I$MIP Res j f fold within n.'�C year OI COT• •�•-• �. 8 ple!,on, lhC owner will have the burden of proving he/she raid not build or Im• SOIar l l i9r,cots ! 'fig, 5bl,ir CJ9 i5 HP C 1615+ prove for the Purpose of fa!e), �.�.-•--...._, - t;._.._ Incinerator as owner of the property,im exclusively contracting with licensed con- .tl)iaf,ITr,r:IJ Sln�/i•pr.,. Res. I MISC. L I _-----_-�._� 1�3' SM PCom. ar,ors 10 construct the project (See!,nn 70a4,C,useness and Professions Code: -`r -� -' """" �1 =-- - _ 3225 Other T I Contractor's license Law du. fi- 'Priy Ni an owner of propertywho SUIa 3:7it _ -;•i14.:iib•Fam. Res. _ -- tra os or improves rsa nt i and , in cn:.tracts 'Or such -._._.,_..,._._ - �_ SeetmaryofPlanCheckF projects aware a con• Swima.in Pool/S r; _ - Swim nln PIxJI/S a �� tractor(sl license pursuant to me CO,;r�ctui's License Law). I am aware that -9••-�-�--� --i 3401 Building S pr:o+ oII then Worker's Compen„tliun insurance should be provided to me. Water IfB3TCr �{ - �--'�- 1 am exempt under Sectio:,__ --••--••{••---.••--• Issue Plumbing t B.6 P,�C.for tn,s reason Water Se;Iviii:4 - Pli"f_ _._....� :T._.__� Plumbing T DaveO _—}���W� _ G��� SP, fIC S1L• ! 1 neroby cerli!y that t agree a ins a;plicatlon and state that the spays YeDEVELOPMENT�111 ICE$ IRE EMIS: Mechanrtal S - mrarmatiOn is correct. 1 agree n comply with all city and county ordinances '--'- and Date laws relating to building constructlon,and hereby authorize repre• ^'>, 3403 Other j senhil"ves o rS city to ente► upon the above•m ntli,netl Properly for — -- "'- �il�� ��� - -..... --au insoert. . r _ pe(e C412 Planning 3; ,r s.gnarurc it -Issue ApORraUnp land !)Dr,'n•s' •ease or SS gr Tefal Fes DIN : L,^� 7� drBwldmg.Gnary•iemporory Fde copy; ink•AsusSor;Goldenrod-Applicant -f-L-�._-_ A I I 1 � I � � • i I I _I '' f 7T ,F TF us O d� C7( cI a cc - W W I I I I ' 1 �.� � � .'• W F. O Y iLL ;� 0 cc U. ixJ N fft CL H � o �, oZf COj ? Q' d O I a ( 'O Q a W W G z W p 1 c m c a O o �, LL E c I h oC t- ¢ U. E a c v Q m A v- O v� o O J a n F' c �( F) a� N E a > a = w i a� ._..I w I uj 0 Q c `c °° Q cg ❑ .= at o7i j �i LL m Q a C9 i v�i I t! 0 Q Z: t .� G eyo °� C i� vh Co � 0 4 W ego a0i �I H Z �E �j� Z O O m O d m m d Lu ro Q) m ¢ p C 4 O fL C i ? �' X y(Uy W Q a Vi LL w Q W =3 m Q m 2 2 W V3 LL Q a O Q O I - -�- tu a I W -�- IFT - o I � WrA co z a =1 ( l ~ I , ► f f a I ( cs� �y rZ O ) I I W I C OI I I x a > 1 0 I I W .� -o I I J Yi `aI ( tY r U c I _ c .« IEl O - F- i v z I a` z a R ci a I i Z: .a ► I c I ( f TI o! c( N a r I C �I IO ` I Q ti c � c + ! c O O c F- t; I U I I cf) f LU z cfI -�( - a rn v I V ? �_1 4 rni dS W _ I I �I c' Ci ( J W -� 3 E WI o+� - �.� _ �S CI !'I -{ p; I Q vi L �� -I r' O' �i J 7I Q O) OI --; :. -c _I rl -I rnl I I ayI F- > I _ RI LLr cl -+ QI ji NI .O C I A.C = O/ C m� r t C al �� LL Cl %I p+� a r + iJ J W O O 4 "O 1 g q� o -s. I I t > r�31 Z U _ N r � C U Oi 4 t LL V "1 + LL( cc C `m � � �, a (� � �� (a. v� � m -ac'i _a u .a v n � � y -� � aZS� ^1 Z� O. •;I C iiI tr+l �I .�i �� ar:'a1_`I m� U. y pp c a O _o "o a W w .r ) . � y c t� '� o, -! �- o a a6i o ? 0 3 � o f y y z =L a LLm I Z I rn T �1 0 m cI o� io O w C7 o a � o �I c�i J Z Z a E - a �� a 'o o d o o > > > - i� $ �o E c + ; Z z N J Z I ` O a pp o ao a I ( o o .o ti a I i r O '� Q O O O O i7 G O to G O O m ro r N ?1 Yi C C C_ L' `^ m V v G I COQ Q( u 6. W (q C7 u, /Tj Q LL CC a cr W, cc U' LL F• LL J C( �) O W LL LL LL = LL 7s I C7 to m m J V=S u.i C. W i (� - � iI � ► Pad CITY OF LAKE ZLSINORE BUILDING DWISION O W N E R - B U I L D E R V L R I F C A T I O N A city or county, which is required to give notice pursuant to Section 29830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion-4nd require the return of an owner-builder verification. Attention Property Owner: An "owner-builder" building permit lace bion applied for if, J,,ur name and bearing your signature. EL'Q building I-,,* it V,,. kl issued a;:, t� xhis verification � received. 1. I personally plan to provide the major labor tnd materials for i�nstruction of the psopoaid proper:;y, improvement. t_ Yes No 2. I (have/have not) signed an application for a building permit for the propose.`c work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone ( ) Contractors Lie. ' 4. I plan to provide portions of the work, but I have hired the r following person to coordinate, supervise, and provide the major work: Name Address Phone (714) Contractor's L F4 5. I will provide some of the work but X have contracted_ (hired) the following persons to provide the work indicated: Name Address PAM z= 2z Work (If additional space Is required attach subcontractorslist. ) I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have complete the above information to the best of my personal knowledge, in eom litnce with this Staten Law. Signed: — Dater 9�.�_�.� Name: _ o Lc�l Ja�•n-C (Printed or Typed) Drivers Lic. # or sac. Sac. LAKE ELSINORE UNIFIED SCHOOL DISTRICT 545 Chaney Street Lake Elsinore,CA 92330 (714)674-7731 CERTIFICATE OF COMPLIANCE Hate 1 Vl8/89 Type ofPermit it of L e Elsinore Permit s Owner Name Cenral Business Park Investments Log# Job site Address No. 57-�_ ghvet Central Avenue City Lake Elsinore zip 92330 study Area APN• 377-15"-7 Tracts 247�'�51 Type of Development Commercial Lot itsquare Ftage 43ii57 Comments .�I�II � —� No.of units 10 —._. — --------------- --------------- At the present time, the Lake Elsinore "vnific:d School District does not collect fees ara es/g g carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. it has been determined the above-named owner is exempt from paying school fees at this time due to the t following reason: EXEMPTION NOT APPLICA.ELE This certifies that school facility fees imposed pursuant to Government Code 53080 _in the amount of .26 X 43,057 or$ 11,194.82 have been paid to L.E.U.S.D the property listed above and that buildingfor this square foe permits and/or Certificates of Occupancy for Cage in this proposed project may now by issued. Type of Payment Check Fees Paid By Brookstone Develo ment Name on the check or voucher ac if . lauje Telephone 67¢7$23 t+P -' By Michael T. IhfcCarty As� ::$uperirtendent,Businesa P"°011 tea by Marcia Schmitt Signature Couector. Attach a co ' Ori npd r P only or City plan ch�,t application form to District copy. + $ 2 emboend copies-Nveloper II ' LAKE ELSIN'OR,E UNIFIED SCHOOL DISTRICT 5 Chaney Street Lake Elsinore, CA 92330 (714i 674-7731 CERTIFICATE OF COMpI,LANCE Date 1 $9 No- 8901555 Type of Permit CC_y of Lake Elsinore Permit N Owner Name Central Business Park Investments Log � Job Site Addrep No. 571 meet Crane Street City Lake Elsinore zip92330 Study A.;�a APN# 377150-076 Tract g Lot/ ** Square Footage 430{j$ T�•p►of Development o merci Comments EllilliuL75 A_.i_ T nta � No,of unite 10 t At the present time, the Lake Elsinore Unified School District does not detached accesss, coverer patios/walkv ays, residential additions under 500 collect foes on detached accessory- structures or replacement mobilehome3. It has been the above-named owner is exetti t from a square feet, following reason: P Paying school fees at this time due to determined L MiiI ION NOT APPLICA"LE This certifies that school facility fees imposed pursuant to Governme in the amount of .26 X 43 058 or$ nt Code 53080 11,195.08 have been paid to L.E.U.S.D. for the property listed above and that building Permits and/or Certificates this square footage in this proposed project may nok• be issued, of Occupancy for Type of Payment Check Fees Paid By Brooksto ne Develo went Name oa the check or voucher if appli�ble Telephone 674-7823 By Michael T. McCart perintendent,Bndner. Fee collet p by Marcia Schmitt Signature Collectors Atf.•,b a Copy oUnty or City Plan Original strict 2 mbossed copies Developer application fora#o Diatr:et copy. �r RIVERSIDE COUNTY �,►. �. FIRE DEPARTMENT 1 yS'1�of CALI�O+�' CTSUNSrY '� IN COOPERATION WITH THE Ii CALIFORNIA DEPARTMENT OF FORESTRY r►sesilrl .:. „:: AND FQE PROTECTION I C. RAl HEBRARD FIRE CHIEF Planning&Engineering Office 46-209 Cusis Street,Suite 405 %nnins&Friboxing Office Indio, CA 92201 4080 Lemon Street,Suite 11 L (619)342-888,5 Riverside,CA 92501 (714)787-6606 DATE: TO: { PLANNNING DEPARTMENT SURVEYOR'S OFFICE BUILDING & SAFETY ---------------------------------------------------------------------------------- The Riverside County Fire Department he:-ehy releases Located at: / CHECK ONE: - - FINAI. RECORDATION FURTHER DEVELOPMENT FINAL FOR OCCUPANCY ------------------------------------------------------------------------------------- CHECI: ONE: FEES PAID FEES NOT PAID FEES NOT F.EQUIRED If you should have any questions regarding this matter, plep.se do not hegit:ate to contact the Planning and Engineering staff. RAYMOND H. REGIS Chief Fire Department Planner BY:_ LJ L A R E E L S I N O- R E BUILDING DEPAR.'MENT : FEE RECEIPT NAME: PLAN CHECK # JOB ADDRESS: (3224) 100-3324-000 Plan Retention 70 io (3412) 100-3412-000 Planning Division Rem vew-10 (3401) 100-3401-000 Building Plan Check (3403) 100-3403-Go0 Grading Plan Check (3403) 100-3403-000 Overtime Plan Check , (3225) 100-3225-000 Special Inspection (3220) 100-3220-000 Reinspection B (3222) 100-3222-000 Reinspection E $_ (3223) 100-3223-000 Reinspection M (3221) 100-3221-000 Reinspection P $ (3821) 221-3821-000 Paris Capital Improvement $ i (3811) 211-3811-000 Storm Drain Capital Improvements $ 77. � P (3801) 201-3801-000 Street Capital Improvements 100-3440-000 Sale of Maps and Copy Fees (3461) 100-3461-000 Admin. Fee (including i,�,t gook! $ (3831) 231-3831-000 Library Mitigation $ -r Miscellaneous $ PEUE IVEJ IMP. WE ELSINOfc'E y i+i CT�k:1 Q0-2999 F:t;r>Tt�:p�.G5228iBP�?t'Y.STQNE DEVELOPMENT 8-4-89 CIVIL ENGINEER CERTIFICATION FORM City of Lake Elsinore BUTTERFIELD ENGINEERING & 130 South *fain Street Froin: SURVEYS/THE KEITH COMPANIES Lake Elsinore, CA 92330 P.O. Box 1049 Lake Elsinore, CA 92330 Date: NOVEMBER 20 1989 Attention: Building Department Parcel 4 PM 23710 x GPC No. Tract/Subdivision/Lot Nc. Rough Final Project Name: BANK SITE, PAR 4 PM 23710 Project Address: Casino Drive. Lake Elsinore CA Owner/Developer: BROOKSTONE DEVELOP14ENT Type of Project: BUSINESS Tract Drainage Commercial X_ Other Industrial — RECEIVED Yardage for Project: 'J ` 1989 Cut _ Borrow Dept. of Bldg b 6afey Fill X Export _ I hereby certify that the grading for this project is in compliance with the lines and grades as set forth or. the City's aP-1 roved grading plan. Any de�riations from the plan are set forth below. I further state tha` all areas exhibit positive surface flow to public ways or City approved drainage devices,. Description of Changes: This verification is for line and grade of pad only, Conpany_Butterfield Fncrineering & Survey Name: FRED W. CROWE License No. : 3698 (RCE/LS) Signature:_` i CIVIL ENGINEER CERTIFICATION FORM City of Lake Elsinore BUTTERFIELD ENGINEERING & 130 South Main Street From: SURVEYS/THE KEITH COMPANIES Lake Elsinore, CA 92330 -- r.0. Box .1049 Ljk Elsinore CA 92330 Date: NOVEMt3ER 27, 1989 Attention: Building Department Parcel Map 24751 x GPC No. Tract/Subdivision/Lot No. Rough Final Project Name: CENTRAL BUSINESS PARK Project Address: S.E. COR. CENTRAL & COLLIER Lake Elsinore CA _ Owner/Developer: BROOKSTONE DEVELOPMENT Type of Project: INDUSTRI:XL Tract _ Drainage Commercial Other Industrial X R E C L E V E U —. Yardage for Project: `1 1 1989 Cut Borrow Aept, of B!�&. & Safety Fill Export I hereby certify that the grading for this project is in compliance with the lines and grades as set forth on the City's approved grading plan. Any deviations from the plan are set forth belo:•:. I further state that all areas exhibit Positive surface flow to public ways or City approved drainage devices. Description of Changes: The Pads were built to 0. 5 below finish floor + 0. 1. Company:Butterfield Engineering & Suurvev Name: FRF;D W. CkOWE License No. : 3698 ____(LS) Signature: