HomeMy WebLinkAbout4072 CRESTVIEW DR_ (3) 1y p�4
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CITY OF L.A �.
KE ELSINORE
BUILDING DEPARTMENT BUILDING
674-3125 4 617 PERMIT- APPLICATION
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CON AA -TOR �- TYPE L /ST
ES
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CONDITIONS '7
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STATE TEL NO A(
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A RCi1iTEC;T OR ---�= eL�LO:Nc •`
ENGINEER -- SETBACK J YARD j NWY sTALCT NAy [
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�DORESS ----
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CITY P L
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-_E_ NO RE4R
STATE i L
I NS N IL4YN�NG DV.PT
APPROVAL DATE
LOT 1 [hG�NCg4 ihG —�--
BLOCK --- A TR6��
—�-CT / -.[ALT. OE/T —�_
LOT S'ZE NO SLOGS APP43YAL Dar[
USE CF NOW ON LOT FIRE DEPT BU'LO'.__G APPROVAL DATE
CONSLAUC-NON IFNOEit INFCS
MAi1CJN A PPR
NAME __ OVALS i
-- __ DATE
BRANCH. 'NsrccTOR r
TR"'S_ION LOf.aT ON` SIGNA rUR[
'—�— MAT
ERIALII
ADDRESS :O;ST$4'--�---�_— G'RO[RS
a.It.:A_E LOCa TiON ,
DESCRIPTIOWORK — DUCTS
NEW ADD aL7IA I REPAIR -��— rRAy'NG
i DE MOC'SN SOCC'AI-
OCLC �aTN OR GTI$UM
S,Z( -- _ LATH
SQ 'rT NO.ROOM$ ��----
NO STORIi:t ZATE— ROB
ElT WALU -
N WALL COVfR.NG
�f//jam i I RQDr CgvER.NG
USE
OFF ST STRUC: UUSE --
RE � AG� {/Jf�•jf�Q� ---
-- __-- City Of
- KQ �°
VALUATION �-
PLAN CMEC.. 10,
I� OUSES_. _ ILO� O4r[CTI NaY( Aq lLLY REaG D NCD rntStCG[/ F,Hr, INAL ----
T'-[ SAME TO ec TRUE AND CORRcrT APPROVAL
ANO O4DIHANCCs r Y[4NIN All PRO V,, N. O' _
AL ED WITH G :U'ACING CONSTquLTION wllLTSC COMS
MO ►[RiON Will 'E (M►LOVEO ,N VIOLATION
I •sOR OW C TNl" STAT. or ,AL TOgN1A I AGREE NOT TO OCCII PY `
O4 .LLow occ.I., Or S NATURE
NCY OF ANY eU 1011c AUTN AGREE OF OWNER
uN:iL FINAL eL:Lc.NG ,Nv[cno�`�P►RDY.L NAS ecEY Rr:Ewlo OR AUTHORIZED
•Y THIS ►-g M,T AGENT
This is a Bui;ding�gm W ADDRESS __— -
Man Cheri; Validation 4 P ElY filled out, sign
Cd v ,. - — - -
aNdated.
White-tnsPeetor's Co IerRrt Vyiae/Ien
PY Canary- S
Finance COPY Green-Permitree'c PY GC,ldanrOd-PuWle Ssn'ILv SPY
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r
. _ I
DEPMFMNT OF BUILDING AND SAFETY
CITY OF I.AM ELSINORE
NOTICE TO APPLICANT
In eonforating w:.th the provisions of the State of Califc1sT4a Labor Code section 3800,
the applicant shall have on file or filed with the Cit;rof Lake Elsinore Department
of Building and Safety a Certificate as designated in I'U�l I or II below, or shall
i.:dicate item III, Iv or V, whichever is applicable.
CERTIFICATE OF APPLICANT
Please mark the appropriate block:
I. Certificate of Consent to self-insured issued by the
W-rector of Industrial Relations.
C� II. l4.rtificate of workera' Compensation Insurance issued by
ar admitted insurer.
- Copy on file Copy submitted
C� III. The cost of the work to be performed is $100.00 or less.
L_1lJ IV. I certify that in the performance of the work for which
this permit is issued, I shall not employ any person in
any manner so as to become subject to the Workers' Comp-
ensation laws of California. x fux-ther certify that,
in the event I become subject to the Workers' Coepensatiotl
provisions of the Labor Code that I will comply forthwith
with the provisions of the Labor Cc<de Section 3800, et seq.
and understand that, if I do not comply, the permit shall
be deeezed revoked.
V. I ��rtify as the owner (or the agent of the owner) that
in the ;erformance of the warn for which this permit is
located I eve engaged _
c:,mtractor. (Contractor
aunt have on file, cr submit -Aatifictta required by I
or IE ve) ,
APPLICANT'S SIGNATURE , 'c- �� DATE =-4'a—
po it Bhmber
Lill
ADDRESS AND LOCATION M WORK IS TO BE PERFORMED _ CJ �
2t;,4-141 Rev. 3/78
,*1T Y OF LAK*
BUILDING DEPARTMENT
r� �
674-3125 E39I L D I N,
+.VNEq PERMIT-APPLICATION 1
MAIL
-ADDRESS■
ADDDDESS 4072
NEAREST �Te$tvie_;a_
CROsi STREET
CONTRACTOR R �� wi•No .-
GROUP rr•
ADDRESS R_3 E cOtitr
V •Roctsstp sY
ZONE s►�c„It
CITY coNo'rloa.!i
STATE No
1 GROUT' -��-
N CITY 9'.� ��---
ARCHITECT OR
—�^I
ENGINEER 0�� aE'LO:NG
snswcK •own Nw '~4
ADDRESS ►woNT - i srRtzr .114E
• L EX,sTIND
DYI�
CITY
s'�
• L.
STATE TEL- NO. REAw
"U TIN ING Dew-
LOT 7 -•••ROYA
_�TaaE i2786 ELECTRICAL FEES L
LOT slzE�-443 N PLUMBING FEES��
t No SLOGS I
USE OF E11STJI G NOW .-"'-�
BUILDINGS err _ Meclianica'
Fan I M_echcnical -�
DESCRIPTION OF wGaK 1 'smoke des,
NEW Ate '
ALTER KF•,M— 5 Inspection Cali _
wOL1N i 5•EC IA � - .--� --.-
occ7- Drier Grain
slzE I ••NCV - i'iping
Rip -- ARetor �Qrinkin c
2728 No srORr—� H P. main
EDIT 6 I Ls - '-M.1tor H P Urinzr _
W4LL COVERING' INT l -
( r eLL covulNc' 1 4R!+..loior H.P. _`_�r E'rain9
StLtCL'O I ROOT COYERIN{: ��IOTJr
PRO —DrX�all H-P. FIo3r Drain ,
OF n UCT RE IJSE —�Od/S- S Fi7RUret _� --�-w �SU Softener
U E
S e Fain'T Dwe11 it QLJutlets ' I WasherfAuto!(DisF)
c — _ Fixture Tee I Garbag,,Qisoosat
—�_ Laundry
-6�_!_ Garbage Oisposzl _y Tray'—
r DEPOSIT Kitchen F Kitchen ir�-'—i--�
Coast cost —�-_ An �. S -- .00
257.00 1- ' Cishwashe��— Water Cloa -4
Plan Check00
Range and/or Q-ren LaY`tC;
28 Q -�tL owe~' --4 00
T5:0:(Ej0 _ Water Heater Sh
01
zlil..t Space Heater 2 , 6a1tl Tub —
Pluribing^ 52.00 _�__ — one `_ Water Heal, -` —.4.00�
Grad in 10.00 2 i. "ef1ryce ErttrancE x+vage Di~is 00
Houseuse S Disposal
1
S M Sou_p ej-_ --�
VALUATTOIV S.g3 -�_ef-Mit Fee as Pipn9
Plans checked 6y Fee ? PeaF�-- j
>x?�4z665,p0 — �` — � $ Pla is cher�ed by , �I
ti S 52.00_J
.gutter anil
SIG,yATu E OF �J _ 'Walk th
AO NER OR AUTI NT I>ef lI pre.3,1 CU ,
fOR12ED AGE--
DREss Or � p;x
*'If be issued,y{Permit
eu
This is o 1!u➢Idin
ititice_PIG" Check VI,� g Fermis whin ri°p*dY fillet Out, :) EL$►N®R
I-Iapector's Co 9 and v.olidated.
Copy
.ar>�ry-Finance Copy Green
-Parmittoa's Co PrisNi VcgiMIMw
pY Goldenrod-Public service Copy
on NUNN=—
P�rl `tom
a;��e ylvinor�, �F� 523"sie
Isot�e -r_ Accordance rlith c�z>ct ranee
L No, d6p and as a7ru-yded.
DEPARTMENT OF BUILCINk�
CITY OF ELSINORE
CERTI ICA E OF FINAL COMPLETION AND OCCUPANCY `
Elsinore, California, _- �''c£''"' --i9 ` ' Building Pe",m�.t No.
--
This certifies that the building located at SZ7L west Crestview Drive _ _
7-
Locality, on iota-' Block
has been inspected and found to conyly with the provisions of Ordinance No. 469 and reia.ted
ord:.nances and laws.
STREET STREET
BUA.LDING PLASTERING !+ ELECTRICAL PLLN21NG HE.AT11iG 1-kND TISE RIGVT OF WAY IMPROVEICh'T
Date: 14
�' Initial. �� �. J) �J,'0 '� �
BUILDING, NtlIMi�T CIIECK L;ST
(OKOINANCI �l2) tC t•..`I _•f:'._ Ilt�l!'i'!'l:F ( CITAY yr L.A"L' ELS 1 NORC � Dahl tCownor Nam
4Ji1.1i1• _i+!•1j Fy
Address
i13a/t Check) City.
Location Address or VQ t,
rdypo or Confittuations 1 +
::3 ty. x eqa,l "rcri,ptions
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W►t►•sllsw N•+IrtlaO fatr+9 tt•a No••al..♦ lh{r.tpt lqw N•y- •a t•t•wr na N•w.es WetrlytlOa a.pwna luWt/1•a etpli•r
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(Vial s:•w� vtatt ltrsot
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esti
AV.{1 1 lot 1
rl•t P1ew y` Wt 0••d • -, t•r.QI.1• ,•e�rw..
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I•wt• lot*, tl b
+a• rrwt l/ t/•tAY MYa �ZLt7 ,Cotal $uildiilr frost � tt
•�@• t ra•r R roll Ityr•s�tAlt
••retws leas• ?j .wnlr
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• t•adwvrlM
lt.wDu+t a'1 Ill3
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t•i+l.t t•IPri,ro.lawt itlwA ENCROAL.IMEN'I• "" ForaRm"r N2
3rd 1Lt1Mw1f.t Cr..e.•r<1.1 two if Ywlts 1st.) .
y�tlr NJP•o0/WIt ' t)••MIF11in UMt ti{teR Owbortllly G►t
./1L tt/ u. t
«i1A120/.!. Ftwl c11061{!tx tAl"FA4.00
Oka Low SSOt�/Cd. w„r virlrwti+tdlr►+o0otwnF�� �'
$500/ea. tt.b.Ctlri•and
.c•Iwtai..qa� 0.01I!I tOt
(•rlC.t 0.0! Ullt►.
II•Iw{Mawta� 0.01 Lt/tot llr vows 11 r atlarlt
r...�.�r..rwr
Vote Y0.to/SI ♦t /ti<Itli/tto
S6 • St0/+•
fvt Lalwp tiwllwttts+ewl
1M.I1< so-Ol/lt tot* t70ls.
W.Ot/e! k.t INbedik,"t, n.," t S4 I StIwo
0/..,
lacer,• 10.01/?/ ltrt
W•t• Lw•IA 4+ OII SI
{0 O2 Ultit
livadw• Gtoltttr Sao#%Wtoo i/
C 1,r,'Raceipt: No. Yt; ;was
Parut AC J%P C.C. itOrS.111to0 911
M.twatl<ttt
,W psowilts Sto •S.10/SF
• PLAN CHECK DEPOSIT DATE: �� Sowav""a
• %Iait.n 1Lwtn 910•S 701t.F
I -A. School ReCC!ipt Nu. 1"w"It""'t"Ile
wtttl C. 1t
' . CONSTRUCTI:`1 FEE lal►1+a•Iw, •w ta,
• • • • • ,• • S 10•rlMr cr►rt Sf.uc1. ;?OJs•.
�. PL. CK FEE kr—„__.•ESS DEP-. S —T. DUE. S %st••l tillhto =4./a•.
". STRONG MOTION FEE won e�. opt
. • • . , • • •$ Ilwplol v,twp•fi0 N 016440 imp.
' TOTAL DUE ;4 BUILDING FEE . •$ • 7.
Tom-
CAPITAL IMPROVEMENT FUND. . ,• .
CHG. PLAN CtaECK •- ENCROACHMENT P RMIT AND INSPECTION FEE. . . . . . S
TOTAL FEES DUE S
' LEis CAPITAL IMPROVEMENT FEES TO BE PAID BY VOUCHER . . . • • ' • , $
TOTAL. . . . .
.1.4I1t.r/Contractor an aware i f tly r C • a qui• •ntl, aredeletud; pl4na will bt
e/ecttd with out refund. c
1