HomeMy WebLinkAboutCENTRAL AVE 570_01-00000699 City of Lake Elsinore
130 South Main Street
PERMIT
PERMIT NO: 01-00000699 DATE : 8/13/01
JOB ADDRESS . . . . . 570 I-1 CENTRAL AVE
TENANT NBR, NA►MIE . . UNIT I-1/HEALTH CARE SYS .
DESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL
OWNER CONTRACTOR
B S W RANCH OWNER
PHARES DAVID
A. P. # . . . . . 377-410-026 4 SQUARE FOOTAGE 520
OCCUPANCY . . . 91-RETAIL, DINING.OFFICE GARAGE SQ FT 0
CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . 7, 800 ZONE . . . . . . M-1
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 63 . 00
6 . 00 X 12 . 5000 VALUATION 75 . 00
E ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
7 . 00 X 1 . 0000 SWITCHES / 1ST 20 7 . 00
9 . 00 X 1 . 0000 RECPT,OUTLET / 1ST 20 9 . 00
16 . 00 X 1 . 0000 LIGHTING FIXTURES/1ST 20 16 . 00
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
MECHANICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30 . 00
1 . 00 X 16 . 2500 AIR HANDLER > 10000 CFM 16 . 25
1 . 00 X 12 . 2500 REPAIR/ALTER MISC HVAC 12 . 25
1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 138 . 00 . 00 138 . 00
ELECTRICAL PERMIT 67 . 00 . 00 67 . 00
MECHANICAL PERMIT 63 . 50 . 00 63 . 50
OTHER FEES
PLANNING REVIEW FEE 27 . 60 27 . 60 . 00
PLAN RETENTION FEE 2 . 50 2 . 50 Dwrator: W2,19 ER
SEISMIC OTHER 1 . 68 1 . 68 pate: 8/13/0013 Receiot: 00Cu1=20
Total Paynnt $268.50
*** CONTINUED ON NEXT PAGE ***
City of Lake Elsinore Please Read and Initial:
Building Safety Division 1. 1 am Licensed under the provisions of Business and Professional
41
Code Section 7000 et seq.and my license is in full force.
Pc t 1n cats l �5' P am 2. 1.as owner of the property.or my employees w/wages as their sole^'�^T""l compensation will do the work and the structure is not intended or
on the job offend for sale.
3. 1,as owner of the property,am exclusively contending with licensed
You must furnish PERMIT NUMBER contractors to construct the project.
8ftd the JOB ADDRESS for ABCh _ 4. 1 have a certificate of consent tosdflnsureoracertlHcateofWorkers
fAS VA o Compensation insurance or a certified copy thereof.
Approved respective
must be Inspection: b 5. 1 shall not employ any person in any manner so as to become subject
P ID to Worker Coompensation laws in the performance of the work for
at all times: which this permit is issued.
Note: If you should become subject to Workers Compensation after
making this certification.you must forthwith comply with such pro-
visions or this permit shall be deemed revoked.
Code Axwovals Date InsDector
EL01 TemD Elec Services
PLOT Soil Pipe Under round
EL02 Elec Conduit Underground
BP01 Footings
BPO2 Steel Reinforcement
BPO3 Grout
BP04 gab Grade
PLOT Under curd Water Pipe
SS01 Rough Septic System
SWOT On Site Sewer
FWr Sheathing
BPQ8 Roof Sheathing
EL03 Rough Eiectric-Conduit Ilk
EL04 Rough Electric-Wifina
EL05 Rough Electric-T-Bar
ME01 Ro h Mechanical
ME02 Ducts ventilating
PLO4 Rough Gm PiwTest
PLIV Roof Drains
EE10 Framing&Flashing
BP12 insulation
BP13 Drywall Nailing
SP11 Lathing&Siding
PL99 Final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building
Coda Pool a Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES
Inspector Department Approval required Prior to the
P001 Pool Steel Rein./Fors building being released by the City
P001 Pool Plumbing/Press.Test
P003 Pre-Gunita
Gate Inspector
EL06 Rough Pool Electric
Planning
Sub List Apmoval
LandSCaDe
P004 Pool Fencing/Access
Finance
P005 Pre-Ptester Engineering
P009 Final Poou
Cily of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 01-00000699 DATE : 8/13/01
** PAGE 2
JOB ADDRESS . . . . . 570 I-1 CENTRAL AVE
TENANT NBR, NAME . . UNIT I-1/HEALTH CARE SYS .
DESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL
FEES : (CONTINUED)
PLAN CHECK FEE 103 . 50 103 . 50 . 00
TOTAL 403 . 78 135 . 28 268 . 50
SPECIAL NOTES & CONDITIONS
TENNANT IMPROVEMENT FOR HEALTH CARE SYS .
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 my license is in full force.
in =isp1Q ous PLale 2. 1.as owner of the property.or my employees w/wages as their sole
y� compensation will do the work and the structure is not Intended or
on the ld.J offered for sale.
7 3. 1.as owner of the property.am exclusively contracting with licensed
You must furnish PERMIT NUMBER contractors to construct the project.
and the JOB ADDRESS for each _ 4. 1 have a certificate ofconsent to sdRnsure or a certificate of Workers
respective Inspection: Compensation Insurance or a certified copy thereof
Approved plans must be on job 5.1 shalt not employ any person in any manner so as to become subject
at all times: to Workers Coompensation Laws in the performance of the work for
which this permit is issued.
Now if you should become subject to Workers Compensation after
making this certification,you must forthwith comply with such pro-
visions or this permit shall be deemed revoked
Code Approvals Date Inspector
EL01 Tern Else Services
PL01 Soil Pips underground
EL02 Elec Conduit Underground
BP01 Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLo1 underground Water Pipe
SSo1 Rouch Smfic Svstem - —D U /-- (/►/ /-ts SG
swot On Site Sewer G Gto 2
Floor Sheathiog
Root Sheath no
/C G'
_ELM_ Rough Electric-Co
EL04 RoughElectric-Wiri ?n t9) C-
EL05 Rough Electric-T-Bar &-
r
ME01 Rough Mechanical - �p
ME02 Ducts.Ventila6
Rough PiwTest
8-�G Ie
BP12 insulaWn cG
BP13 Drywall Nailing O fl
BPI I Lathing 3 Siding
PL99 Final plumbing
LMEEL19 Fines Electrical (J'99 Fins)Mechanical I
9 Final Buildica +[7
Code Pool&Spa Approvals Date Inspector
OTHER DEPARTMENT RELEASES
Inwector Department Approval required prior to the
P001 Pool Steel Rein./Fors building being released by the City
P001 Pool Plurnbi2eess.Test
P003 Pre-Gunite
Date Inspector 5
EL06 Rough Pool Electric
Planning "
Sub List Approval
Landscape
P004 Pool Fencing/Access
Finarice
P005 Pre-Plaster
Engineenl5l
P009 Final PooV
City of Lake Elsinore
130 South Main Street
APPLIT-0
NO/
APPLICATION FOR
ELEC?RICAL APPLICATION EIV D
PLUMBING PERMIT DATE — —�
MECHANICAL i°P a� _ O + a;?,/ By
C I certify th t I have read this application and state that the x I BUILDING AaDRES Cj
above infor Lion is correct. I agree to comply with all city
and county rdinances and laws relating to building TRACT BLOCK/PAGE LOT/PARCEL
constructiD and hereby out or' a representatives of this
city to ent uupon the a7- �ned, property for inspecto
NAME S
do purpo ADDING PHONE
ADDRESS
CITY STATE/ZIP
I SI Dt re f Ap i ot or Agent DateIey affirm,affirm,T � If+otI am l tensed under provisions of Chaprar 9(commencing wish Secr on
Ta00)of Division]of the Business and Professions Code and my license n m full force
AGENTFOR CO OR G OWNERand effeu INESSANDClA3S inx r
AGENT'S NAME v NAALE
ADDRESS
AGENT'S ADDRESS CITY STATE/ZIP PHONE
STREET CITY STATE ZIP
CONTRACTOR'S SIGNATURE DATE -
BUILDING PERMIT NO. -
ELECTRICAL Quan PLUMBING Quan MECHANICAL Quon
New Residential Multi Family Fixture or Trap Furnace up to 100.000 BTU's
New Residential Single Family Building Sewer Furnace Over 100,000 BTU's
Private Swimming Pools Rain Water Sys per Drain Floor Furnace/Vent
Switches/1st 20 Private Septic System Unit Heater/Wall Heater
Switches/Over 20 Water Heater/Vent Install/Relocate/Reploce Vent
Recpt.Outlet/1st 20 Gas Piping System 1-I Outlets Ventilating Fan
Recpt.Outlet/Over 20 Gas Piping 5 or More Outlets Exhoust Hood
Lighting Fixtures/1st 20 Dishwasher Fireplace
Res.Fixed Appliance/Outlet Solar Tank Commercial Incinerator
Non-Res.Appliance/Outlet Solar Collector per Panel Air Handler► 10,000 CFM �.
100-200Amp Service-4 600V Grease Trap/(Interceptor) Air Handler-4 10,000CFM
20D-1000 Amp Service-4 600V Install.Alter or Repair System Fire Dampers
Service Over 1000 Amp or 600V lawn Sprinkler System Registers
Mist Apparatus.Conduits.ETC Bockflow Device Smaller than 2" Boiler/Compressor to 3 H.P.
Signs Bockflow Device Larger than 2" Boiler/Compressor 3.15 H.P.
Sign Branch Circuit Floor Drain Boiler/Compressor 15.30 H.P.
Busways/EA 100 If Floor Sink Boiler/Compressor 30.50 H.P.
Temporary Power Service Water Service Boiler/Compressor► 50 H.P.
Temp.Power Distribution Sys. Alter or Repair Drain or Vent Repair/Alter Misc.HVAC Equip.
MOTORS/TRANSFORMERS Fire Sprinklers per Building
Motors up to 1 H.P. SWIMMING POOL
Motors/Transformers 1-10 H.P. Swimming Pool/Public
Motors/Transformers 10.50 N.P. Swimming Pool/Private
Motors/Transformers SO-100 H.P. Water Heater/Vent
Motors/Transformers► 100 H.P. Replace Piping
Replace Filter
Misc.Replace
Gas Piping
REV.DATE 11 1.90
FIR DEPARTNWNT
C ,. Fn cooperation vdth the
P California Department of FoppsI7 and Fire Protection
Fire Protection Planning and Engineering Services
4=il-emon Street,V Floor.Ritrerside,California 92501 . (909)955-4777•Fax(909)9554886
' DATE: - -
Tom Tsdate
Fire Chief -
Proudly serving the TO:.
urunc°rporated _ SURVEYOR'S OFFICE
areas of Riverside F ,
County and the -
Cities of
UILDING AND SAFETY
Baming
.y
Beauunont TRACT/PARCEL IMAP NUMBER:
DI D
Calimesa PERI`SIT i`RJit4BER: e'— --� -
Canyon� Lake JOB SITE ADDRESS: 7t�
Coachella
Desert Hot Springs _ FINAL FOR RECORDATION
0
3ndi Wells - RELEASE-FOR BUILDING PERMITS
mo
SHELL FINAL ONLY(NO TENANT)
Lake Elsinore
0 FINAL FOR OCCUPANCY
La Quinta -
I> FINAL OCCUP.TEMP.EXPIRATION DATE
Moreno Valley -
Palm Desen
Pans
9 - FEES PAID
Rsrrcho Mirage FEES DEFFERED
San Jacinto =
FEES NOT PAID
Temecda -
FEES NOT REQUIRED
Board ofSupmi=
Bob Bugs.
D)isfria 1 IF YOU SHOULD HAVE ANT QUESTIONS,PLEASE CALL THE RIVERSIDE COUNTY
FIR&DERARTMENIT,PLANNING SECTION AT THE ABOVE NUMBER.
Jahn Tavmegane
Disuia-2
run Varabte. FRANK KA WAS _BATTALION CHIEF
Distria 3 -
Roy Urdson, RELEASED BY ? t
Disrrica 4
Err"110-"Q,
Tam b4ullm
District 5
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