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HomeMy WebLinkAboutGRAPE ST 31700_00-00000517r City of Lake Elsinore PERMIT NO: 00- 00000517 JOB ADDRESS . . . . TENANT NBR, NAME DESCRIPTION OF WORK OWNER PERMIT 130 South Main Street 31700 GRAPE ST WAL -MART ADD OR ALTER NON RESIDENTIAL SCHLEUNIGER ARNOLD POTTER LUCILLE CONTRACTOR DATE: 4/10/01 SMITH CONSTRUCTION 28 JORDAN'S PLACE, SUITE 4 CHICO, CA CHICO CA 95927 530 - 332 -9595 LIC EXP 0 /00 /00 A.P.# . . . . . 363 -140 -038 0 SQUARE FOOTAGE OCCUPANCY . . . OFFICE, RESTAURANTS, MISC GARAGE SQ FT CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR VALUATION . . . 300,000 ZONE . . . . . BUILDING PERiMIT QTY UNIT CHG ITEM CHARGE BASE FEE 895.00 200.00 X 5.0000 VALUATION 1000.00 ELECTRICAL PERMIT QTY UNIT CHG UNIT CHG ITEM CHARGE ITEM CHARGE BASE FEE 30.00 BASE FEE 30.00 15.00 X 1.0000 SWITCHES / 1ST 20 15.00 20.00 X 1.0000 RECPT,OUTV -T / 1ST 20 20.00 26.00 X 4500 RECPT,OLrP -TET / OVER 20 11.70 20.00 X 1.0000 LIGHTING FIXTURES /1ST 20 20.00 5.00 X 6500 LIGHTING FIXTURES /OVER 20 3.25 2.00 X 27.2500 100- 200AMP SERVICE <600VLT 54.50 1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00 SP) 1 0 PLUMBING PERMITS QTY UNIT CHG ITEM CHARGE BASE FEE 30.00 1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00 2.00 X 8.7500 FLOOR DRAIN 17.50 1.00 X 4.2500 ALTER OR REP. DRAIN, VENT 4.25 FEE S M e lARY CHARGES PAID DUE PERMIT FEES BUILDING PERMiIT 1895.00 .00 1895.00 ELECTRICAL PERMIT 159.45 .00 155 517 $2111.20 BP PLUMBING PERMITS 56.75 .00 Da1S6.4119/01 10 Receipt: 0004981 CHED( 7380002442 00000000000000 CONTINUED ON NEXT PAGE * ** City of Lake Elsinore Building Safety Division Post in oaisp1Cua pl,acx: on the ob7 You must furnish PERMIT NUMBER and the JOB ADDRESS for each respective inspection: Approved plans must be on job at all times: Please Read and Initial: 1. 1 am Licensed under the provisions of Business and Professional Code Section 7000 et seq. and my license is In full force. 2. 1, as owner of the property, or my employees w /wages as their sole - compensation will do the work and the structure is not intended or offered for aale. 3. 1. as owner of the property, am exclusively contracting with Ifcegsed contractors to construct the project. 4. 1 have a certificate ofconsenttose lflnsure ora certificate. ofWorkens Compensation Insurance or a certified copy thereof. 5. 1 shall not ernploy any person in any manner so as to become subject to Workers Coompensation 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, you must forthwith comply with such pro- visions or this permit shall be deemed revoked. Code Approvals Date Inspector EL01 Temp Bec Services PI-01 Soil Pipe Underg round EL02 Elec Conduit Underground B1301 Footings BP02 Steel Reinforcement BP03 Grout BP04 Slab Grade PL01 underground Water Pipe SS01 Rough Septic System SW01 On Site Sewer BPO5 Floor Joists Root Frafnino Rod Sheathano EL04 Rough Electric-Wifiry EL05 Rough Electric -T -Ber ME01 Rough Mechanical ME02 Ducts, Ventilating Rough Gzas AmTest P102 Roof Drains, BP12 Insulation BP13 Drywall Naili SP11 Lathing & Siding PL99 Final Plumbing E1-99 Final Electrical ME99 Final Mechanical SP99 Final Building Code Pool & Spa Approvals Date inspector OTHER DEPARTMENT RELEASES r DepaMnernt Approval required prior to the building being released by th CityP001PoolSimiReinJForms P001 Pool Plu ess. Test P003 Pre- Gunite Date Inspector EL06 Rough Pool Electric Planning Sub List Approval Landscaw P004 Pool Fencing/Access Finance P005 Pre- Plaster I E ineerin PM Final Pool( I City of Lake Elsinore PERMIT, \TO: 00- 00000517 JOB ADDRESS . . . . TENANT NBR, NAME . DESCRIPTION OF WORK FEES: OTHER FEES PLAN CHECK FEE TOTAL PERMIT 130 South Main Street 31700 GRAPE ST WAL - N.ART ADD OR ALTER NON RESIDENTIAL SPECIAL NOTES & CONDITIONS CONTINUED) 1421.25 1421.25 .00 3532.45 1421.25 2111.20 REMODEL WAL -ART FF DATE: 4/10/01 PAGE 2 City of Lake Elsinore Building Safety Division Past in =L-p1CL"7 p1 acx- on the obJ You must furnish PERMIT NUMBER and the JOB ADDRESS for each respective Inspection: roved Tans must be on bpp at all times: please Read and Initial• 1. 1 am Ucensed under the provisions of Business and Professional Code Section 7000 et seq. and my license is in full force. 2.1. as owner of the property. or my employees w /wages as their sole compensation will do the work and the structure Is not Intended or offered for sale 3.1. as owner of the property, am exclusively contracting with Ilcertsed contractors to construct the project. 4. 1 have a certificate of consenttoselfinsure ora certificate ofWorkers Compensation insurance or a certified copy thereof. S. 1 shall not employ any person in any manner so as to become subject to Workers Ccompensation taws 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. you must forthwith comply with such pro- visions or this permit shall be deemed remked. Code Awrovels Date Inspector EL01 Temp Elec Services y 3C3 -O I ©- X O '0 #9cK PI-01 Sod Pipe Under round EL02 Else Conduit underground BP01 Footings BPO2 Steel Reinforcement BPO3 Grout BPO4 Slab Grade 197- A/•f'1.! 1n/,9-L -L 0Je— /p% .,)T PLOt Wedogacmd water Pipe K S e SS01 Rough tics stern SW01 On Site Sewer 4 -SRS =off /r = Se p =i Roof Framiag n' J'05 e- s ?'` EL04 Rough Electric-Wiriry EL05 Rough Electric -T -Bar ME01 Rough Mechanical ME02 Ducts, Ventilating h Can PiwTest P1 (32 Roof Mains o l DE12 hulation BP13 Drywall Nailing1 Bpi Lathing b Stain PLW Final Plumbing EL99 Final Electrical ME99 Final Mechanical BP99 Final Buil Code Pool a SpaAwovels Date inspector OTHER DEPARTMENT RELEASES Department Approval required prior to the building being released by the CityPo01PoolSteelRein./Forms P001 Pool PtumbinGfllress. Test P003 Pre- Gunite Date Inspector EL06 Rough Pool Electric Plan6ng Sub List Amoval Landsca PON Pool FencinotAccess Finance P005 I Pre- Plaster Engineefing P009 I Final PooVSoa eo • 39id -Tdl i fj APPLICATION FOR BUILDING PERMIT VALUATION CALCULATIONS LNG C ity of Lake Elsinorsel 130 South Main Street _ Ist FLOOR SF / 2nd FLOOR SF I 3rd FLOOR SF GARAGE SF STORAGE SF DECK 6 BALCONIES SF OTHER: oM ltta+G SF GRADING CUT CY FILL CY VALUATI FEES BUILDING PERMIT PLAN CHECK I 1r/-r t ADDITIONAL PLAN CHECK GRADING PLAN CHECK MICROFILM COPIES IMPRO FEES C SCHOOL FEES L: PAID DATE cerxTy tt-w I have reed thss appltration and state that the abo.tc irdormption is catrec:. t Clgree to comply with alt city and county ordinances and state lows relating to bWuhng construction and harebT outhmize representetwas of lhts ctly to enter aeon the above- mentioatd property for inspec- tion purpose-$. d L9l --- FS_ == Signature of Appltcan or A r I Dote AGENT FOR _f CONTRACTOR X6WNER AGENT'S NAAAE t l — aartt-'Tgndered nr_rKIT•c 1421.25 7 5 1A.-tk- APPLICATION NO- APPLIC REC DATE SY 11malfto a002E al p{a1RLT 1 1C( IOI:PI•Rf ll Y/ -n IAti C'LA.Ss- L SaLCJ 1 1 T'R'I!C !Ilan 11r• 1 N.' 4.- .A . -1.' nr>w•1N^\ P1 Cf+CP'•1 91•pn•n•prt'np r11A 50<11Pn SOLI •a D....,e.. 1 .+ •ti• Ovttm•1: -1 P- 1466 -1 Cnd. —d Tr 1lcons4 I A 1.11 tn. Tr_- r+ln1 art" s C1T•:".-4 ASS 4.'1 CI.1S u c o AaoQUe C•TY --- .- SI•IF 211 t3 t tilclesstw•nrlt —" DAtr 1rn . — •..._— KFNSE o 5 3 t llT :IA tI GP Pi1pNF NEW _REPAtIt OCC GRP./ CONST. DIVISION- TYPE: ADDITGN t 1MOVE NUMW OF NUMBER OF STORIES: BEDROOMS: a1ALTEgATtON - DEMOLISH OTHER ZONE HAZARD AREA) YES NO JSINGLE FAMILY vrih APARTMENTS units 3CONDOVJNIUMS un•h SPRINKLERS REQUIRED YES NO PROPOSED USE OF BUII DING. PRESENT USE OF BUILDING: ILTOWNHOMES units COMA +IWU46i I. STRtAt JOB DESCRIP110tt Operator: COUNTER 10e 0t : 00007077 Total Pa )fit ttdat_1105 l — aartt-'Tgndered nr_rKIT•c 1421.25 7 5 1A.-tk- HL Tom risdale Fire Chief Proudly sw4ing the urt nnorpotzind arras o! Riverside Cotmty and the Cities of Banning Beaumont Calimesa Z Canyon Lace 3 Coari,ella O LXsm [lot Springs 1. Indian Weds r. Indio f Lake ELinore a La Quima Mo=o Valley 4 Palm IkSL71 O Fcrris s Rercho Msrage J San Jacinto Temecula I( 04 :I_I Hy co r I E E r X NO. °0 °9554336 P. 1 FIRE DEPARTMENT In cooperation with the California Department of For "and Dire Protection TO: Fire Protection Planning and Engineering, Services 4080 Lemon, Street. r Floor • Riverside. Catitornia 92Mi . (909) 95S -4777 • Fax (9119) 9W>4MB DATE: SURVEYOR'S OFFICE V L&tf 4Q v`1C' BUILDING AND SAFETY TRACT /PARCEL MAP NUMBER: PERMIT NW4BER: L-e — GC 109 SITE ADDRESS: j 1.70 O- ` FINAL FOR RECORDATION RELEASE FOR BUILDING PERMITS SHELL FINAL ONLY (NO TENANT) FINAL FOR OCCUPANCY FINAL OCCUP. TEMP. EXPIRATION DATE FEES PAID FEES DEFFERED FEES NOT PAID FEES NOT REQUIRED Board of Superviso Bob Buac. Maria I IF YOU SHOULD HAVE ANY QUESTIONS, PLEASE CALL THE RIVERSIDE COUNTY ota Tavjpjionc, FIRE DEPARTMENT, PLANNfNG SECTION AT THE ABOVE NUMBER Diana 2 Jim Veru,ir; FRANK KAWASAKI, BATTALION CHIEF Diaries 3 - Q Kitson. RELEASED BY: Roy GLC G- Diruis 4 Emm/10 -6.00 Tun MuUon. Diana 5 MRR 23 '01 1104 9099554886 PAGE.01 i•;Q Y tom lg3FS - X09 IfIqL-, City of Lake Elsinore 110 Crntth Mnin CtrPPt REV. DATE 11-1-90 APPLICATION NO. APPLICATION FOR ELECTRICAL APPLICATION RECEIVED PLUMBING PERMIT DATE MECHANICAL AP- By I certify that I hove read this application and state that the BUH0114G ADDRESS 22 700 C obove information is correct. I agree to comply with oil city J 4 cJ and county ordinances and state laws reloting to building TRACT BLOCK AGE 'OT ,PARCEL construction. and hereby authorize representatives of this city to enter upon the above - mentioned property for inspec- NAME tion purposes. A Z YAtttNG y' /G - o ! o ADDRESSdob CITY PHONE STATE ZIP444414 A 1 Z Signatur of Applicant or Agent Dote 1 hereby ofivm that I om licensed under provisions of Chapter 9 (commencing wrth Section 70M) of Division 3 of the Business and Professions Code, end my license s in full force AGENT FOR _ CONTRACTOR Y and oitoc t t, OWNER s ttcrusE: / CITY BUSINESS Z AND CLASS f TAXn j( A ..,{_ AGENT'S NAME j X61/ 5-1,, AGENT'S ADDRESS MAILING & ADDRESS rCa G- 3 j CL STREET CITY City STATE ZIP C kt d c. STATE ZIP PHONE S'j -t _ 35Z_ CONTRACTOR'S SIGNATURE DATE BUILDING PERMIT NO. ELECTRICAL Quan PLUMBING Quart 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 1 lst 20 Private Septic System Unit Heater / Wall Heater Switches / Over 20 Water Heater Vent Install / Relocate / Replace Vent Recpt. Outlet / Ist 20 2O Gas Piping System 1.4 Outlets Ventilating Fan Recpt. Outlet Over 20 12 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 r Outlet Solar Collector per Panel Air Handler 10,000 CFM 100 -200 Amp Servicit -4 600V Grease Trap (interceptor) Air Handler -4 10,000CFM 200.1000 Amp Service -4 600V Install. Alter or Repair System Fire Dampers Service Over 1000 Amp or 60DV lawn Sprinkler System Registers Misc Apparatus, Conduits. ETC Backflow Device Smaller than 2'° Boiler / Compressor to 3 H.P. Signs Backflow, Device Larger than 2" Boiler / Compressor 3 -15 H.P. Sign Branch Circuit Floor Drain Boiler/ Compressor 15 -30 H.P. Buswoys / EA 100 It Floor Sink Boiler /Compressor 30 -50 H.P. Temporary Power Service Voter 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 I H.P. SWIMMING POOL Motors / Transformers 1.10 H.P. Swimming Pool Public Motors / Transformers 10 -50 H.P. Swimming Pool r Private Motors / Transformers 50 -100 H.P. Voter Heater - Vent Motors / Transformers 100 H.P. Replace Piping Replace Filter Misc. Replace Gas Piping REV. DATE 11-1-90 0310 ? / P_'01 17:20 5 ?L?- 5?3 -75 9 ?V L FINIS PA&F 01 P00LE INSURANCE SERVICES 2560 Olive Highway Oro wi l Ie , CA 95966 Lori D. Poole #0831373 530 -534 -1927 hI SUKED MITzi CQhS R}CTIO! 28 Jordan's- Place Suite #4 Chico, CA 959'3 Ali TRISCERTtFtCATE IS tSSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO WOWS UPON THE CERTIFICATE HOLDER - THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED Dr TREE POLICIES BELOW- CL IAMV ALol cowwe BLFrFOi CCWrANY G. LETTER CCWAKY DLPTTIM CoLvAw EEWER COMPANIES AFFORDING COVERAGE STATE COKPENSATION INSURANCE.'FUND apm URS AS TO CERTIFY THAT TO POLCIF5 OF WSLRANCE OWED BELOW }RAVE SEEM ISSUED TO THE IN$VRED M4UED ABOVE FOR THE FOFJOV PER100 OfMCATED, NOTWRTHSTAKDlNG ANY REOWREAiENT, TUN OR CONDIDON OF ANY CONTRACT OIi OTHER DOCUMENT WITH RESPECT TO WHICH THIS C£ATTFOCJ.TE MV,Y se v5sveD co Wl$kY VONIAtt THE s+3v:W4Ci: A7+C In THE POL =E.9 Zf,3CR18E9 "SvdEi% WS Z%YwECT TO ALL 11t1E TEAIUS, D(CLUStONS AND CONOITiQ OF SUCH POU(XES. Lf.WTS SHOWN MAY HAVE BEEN QED BY PAID CLAWS- TYPE OF KZLW"N(`E FOLCY KUUBER roLFcr FIFECTnF iOUCY E]LPIAATRON U&mTSLTR . owcF p..ASnr.) o+.cECUi+ioorc l GIVE RAL tsessm GOW30Y. AGGFCE13ATE E WLPAOAL GE?49V . LtoatfTY 04KI. CLAAAS MAM Cr=SL PStSCXiAI a Aar. •4krtTY i OW S" t CUF+TRaGTCT•tS PP.OT FAC H OCL NCE s F&W OAMA"E (Any orc fca) S WED. EItPE14SE (ARV one pew —) S LfV m0W.4E UJ Y CO IBDtFU Sn+fCa ANY AUTO iLaut s i n.L O—Z-0 AUTOS LTOLNLY Itu-my i ;O TXA.ID liiT06 n} pe. Person} R4545D AUTOS 90OILY IKAfRY OVINED AUTOS G Q&CZ LWALgT PROPeRTY DAMAGE S E xcm Lhkaa Y - - EACH OC.CLWENCE S twAMIEL1A POrO+ AGGFEGATE f OTRIR TRAM LA GRO La Fear IOiR+C8i9 X - --.. .. ... 5rnruTORr Luats A ALTm #1579061 1 /O1f01 1/01/02 0 -- . ....... b1,aou .O_U.o a co rRRS LrASatrr DLSEASk- - POLICY L"T 1 , 0.0 0 , .000 a;E a - > Aa+LQ \FE s .l , 40 U , 0 0.0 OTHER o T•TTtT+T of o raTr sn.ocAt..srT e ssseciAC nets s2T I N S U RE D T S COPY SHOMD ANY DE THE ABOVE DESCRIBED POUGE$ II£ CANCELLED BEFORE THE a EXPM4770TY (MTE THEREOF. THE TS=NG COMAANT' M-C ENOFA1,M TO L:. MAIL 3O oAys YVRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE a LEFT. BUT FAILURE TO TAAk SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR U,$IUTY OF ANY U9Qti THE COMP AGF;NT$ REPRESENTATIVES. va ACORD ??59 19E0ACOAD:. CORP.ORA710N" 03/09/01 18:44 TX /RX NO.6978 P.001 0 Our most Important job is yours' January 24, 2001 SMITH CONSTRUCTION 28 JORDAN'S PLACE, SUITE 4 • CHICO, CA 95973 530 - 332 -9595• FAX: 530- 332 -9222 E -MAIL: smithll@aol.com RE: Authorization to sign all documents To Whom It May Concern: LICENSE #422969 Rodney Behunin is our authorized representative to sign on our behalf' for any and all documents pertaining to the \ \IAL *NIAR'1' job. 4teven.mith Owner Smith Construction QL s d 3 Z w U UJ w L w Q o Qj e V I j luut