HomeMy WebLinkAboutSPRING STREET 501_03-00000875C City of Lake Elsinore I
PERMIT NO: 03- 00000875
JOB ADDRESS . . . .
TENANT NBR, NAME .
DESCRIPTION OF WORK
OWNER
SCHWARTZ
SCHWARTZ
909 - 825 -4624
LIC EXP 0 /00 /00
377 -241 -004 2 SQUARE FOOTAGE 4955
GAS STATIONS,MINOR REPAIR GARAGE SQ FT 0
TYPE II- NON RATED FIRE SPRNKLR
42,550 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG
BASE FEE
18.00 X 9.0000 VALUATION
1.00 X 5.0000 PROFESSIONAL DEV FEE
ELECTRICAL PERMIT
QTY UNIT CHG
BASE FEE
20.00 X 1.0000 SWITCHES f 1ST 20
2.00 X .6500 SWITCHES / OVER 20
1.00 X 16.2500 MISC. WHERE NO OTHER FEE
1.00 X 5.0000 PROFESSIONAL DEV FEE
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
ELECTRICAL PERMIT
OTHER FEES
PLANNING REVIEW FEE
PLAN RETENTION FEE
SEISMIC OTHER
PLAN CHECK FEE
CHARGES PAID
519.00 .00
72.55 .00
118.50
9.00
8.94
444.38
TOTAL 1172.37
ITEM CHARGE
352.00
162.00
5.00
ITEM CHARGE
30.00
20.00
1.30
16.25
5.00
DUE
519.00
72.55
118.50 .00
00 9.00
00 8.94
444.38 .00
562.88
Date 9I1li/83 26 Bewipt no: 2662
2883 875
SPECIAL NOTES & CONDITIONS BP BUIlDI336 PMIT 1 9669.49
STEEL CANOPY (FUTURE ADDITIONS TO Trans nuier: 72298
FOLLOW LATER. PC FEES PAID ON FUTUTE
Cif (M 21M 97M1.49
Trans date: 11/28/63 Tice: 12:69:41
CONTINUED ON NEXT PAGE * * * 'IAA,
t[ 11t I ;e {= l lnttrr
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on the job
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Please Read and Initial '
I I am Licensed under the pro%isions of`Business and Professional
Code Section 7000 et seq and my license is in full force
2 1 asou- neroftheproperty or my employeesw /wages as their sole
compensation will do the work and the structure Is not Intended or -
offered for sale
3 1 as outer of the property am exclust%ely contracting with licensed
contractors to construct the ro ect
4 I have a certil3cateof consent to selfinsure ora certificate of Workers
Compensation insurance or a certified copy thereof
5 ]shall not employ any person in any manner so as to become subject
to Workers Coompensatmn laws to the performance of the work for
which this permit is issued
Note If Nou should become subject to Workers Compensation after
making this certlficauon you must forthwith comply with such pro -
istons or this permit shall be deemed reaoked
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OTHER DEPARTMENT RELEASES
Dec h- s::-, o Deparmaent Approval required prior to fire
building being released by the CityPbCP3-0i S-ee Re- Fo-S
FIX Poo P_ a -. Pess Tes
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C City of Lake Elsinore
PERMIT NO: 03- 00000875
PERMIT 130 South Main Street
JOB ADDRESS . . . . . 501 N SPRING ST
TENANT NBR, NAME . . DOWNS COMM. FUELING
DESCRIPTION OF WORK . ADD OR ALTER NON RESIDENTIAL
SPECIAL NOTES & CONDITIONS (CONTINUED)
ADDITIONS. RECIPT # 5044, DATED
5/06/03).
DATE: 11/20/03
PAGE 2
C it, C)f Lal•e I- kinore
ti C[• I)I I`IY iii
llost In conspicuous place
on the jot)
PE R%11 I Nt %iBER .ind the
ii )B \F)DM I,,-. cd,il ic`j z [I c In`he [IY n
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Please Read and Initial
1 I 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 employeesw /wages as their sole
compensation %%III do the work and the structure Is not intended or
ofrered for sale
3 1 as owner of the property, am exclusively contracting with licensed
contractors to construct the project
4 Iha% ea certificate ofconsenttoselfinsure oracertt ficateofWorkers
Compensation insurance ora certified copy thereof
5 1 shall not employ 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 cerdficauon you must forthwith comply with such pro-
visions or this permit shall be deemed revoked
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Goee Pool s Soa Apycea s Da e vs ec or
OTHER DEPARTMENT RELEASES
Dep Vs- -o Department Approval required prior to the
budding being released by the CityFIXPoolS-ee Re- Fo—s
POO Poo P_ a---- P°ess Tes'
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PC113 F ce Pao Sce
City of Lake Elsinore ------------
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
130 South Main Street
1 st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE _ SF
STORAGE
Cly V
n,A,
DE _Wc&-B*rC0N0
4za
F `r
OTHER:- r Ll nl_
VALUATION:
FEES
BUILDING PILRMIT
PLAN CHEC 5
ADDITIONAL 04
qa5l o
MICROFILM
COPIES
IMPRO FEES SCHOOL FEES
PAID
DATE
1 certify that 1 have read this application and state that the
above Information is correct. I agree to comply with all city
and county ordinances and state laws relating to building
constructio a
Signatu a of Applicant or Agent Date
AGENT FOR CONTRACTOR OWNER
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP
APPLIC TION NO
0_s
APPLICATION RECEIVED
DATE
AP
6;Vl By
BUILDING ADDRESS
50
TRACT BLOCK /PAGE LOT /PARCEL
NAME //
O W S
MAdLING ONE
ADDRESS /1 .-- 7 '7 —C
CIT _ / ATE /ZIP
I
I hereby affirm that 1 ain licensed under provisions of Chapter 9 (commencing with Section
1000) of Division 3 of the Business and Profe9sions Code and my license is in full force
and effect
LICENSE # CITY BUSINESS
AND CLASS TAX 0
MAILING ^
ADDRESS yG r
CITY
CONTR iOR SIGNATUFA
I
Z3
Im
Z Z ye" 2-
BATE
LICENSE p
Z
v
MAILING
ADDRESS
rcQ CITY STATE /ZIP PHONE
NEW REPAIR
OCC GRP / CONST
DIVISION TYPE
ADDITION MOVE
MAILING ^
ADDRESS yG r
CITY
CONTR iOR SIGNATUFA
I
Z3
Im
Z Z ye" 2-
BATE
LICENSE p
Oner:
Date: 5/06/83 86 Receipt no: 5899
Total tendered 5562.88
REV DATE 11 -1 -90
ghs
Z
v
MAILING
ADDRESS
rcQ CITY STATE /ZIP PHONE
NEW REPAIR
OCC GRP / CONST
DIVISION TYPE
ADDITION MOVE NUMBER OF NUMBER OF
STORIES BEDROOMSALTERATION DEMOLISH
OTHER ZONE
SINGLE FAMILY units
HAZARD AREA? YES NO
APARTMENTS units
CONDOMINIUMS units SPRINKLERS REQUIRED9 YES NO
TOWNHOMES units PROPOSED USE OF BUILDING
PRESENT USE OF BUILDING
COMMERCIAL INDUSTRIAL
JOB DESCRIPTION
Oner:
Date: 5/06/83 86 Receipt no: 5899
Total tendered 5562.88
REV DATE 11 -1 -90
ghs
City of Lake Elsinore
11A Cnnth Main qtr.-Pt
I/ - IV
v __.- __
APPLICATION NO.
APPLICATION FOR 3 - Y-7
ELECTRICAL
APPLICATION RECEIVED
PLUMBING PERMIT DATE
MECHANICAL BAP #
Z 7 7 2—qr I — Ohl L Z'
y
V "(
I certify that I hove read this application and state that the BUILDING ADDRESS
above Information is correct I agree to comply with all city
and county ordinances and state laws relating to building TRACT BLOCK PAGE LOTIPARCEI
construction, and hereby authorize representatives of this
city to enter upon the above mentioned property for inspec- J
NAME
tion purposes
Z MAILING PHONE
ADDRESS
O
CIfY STAfEr ZIP
Signature of Applicant or Agent Dale
I hereby affirm Ihot I am I,censed under provisions of Chapter 9 (commencing w Ih Seciwn
7000) of Oivnion 3 of the Business and Professions Code and my license is to fall force
AGENTFOR CONTRACTOR
and
OWNER LICENSE,
eNect
CITY BUSINESS
Z AND CLASS TAX,
NAME
AGENT'S NAME
MAILING
ADDRESS
AGENT'S ADDRESS
STREET CITY
CITY
STATE ZIP
STATE %ZIP PHONE
CONTRACTOR S SIGNATURE DATE
BUILDING PERMIT_
ELECTRICAL Quan PLUMBING Quan MECHANICAL Quan
New Resi I Family Fixture or Trap Furnace up to 100,000 BTU's
New Residential Single Family Building Sewer Furnace Over Iiri7,000 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 r Water Heater / Vent Install / Relocate / Replace Vent
Recpt Outlet / I st 20 Gas Piping System 1 -4 Outlets Ventilating Fan
Recpt• Outlet / Over 20 Gas Piping 5 or More Outlets Exhaust 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 -200 Amp Service -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 600V 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.
Busways / EA 100 It 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 I -10 H P Swimming 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
REV DATE 11 190
NOV -'5 -03 WED 3'37 PM RP CO FIRE P &E FAX NO 9099554886 P 1
Tom Tisdale
Fire Chief
RIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation -with the
Califomia Department of Forestry and Fire Protection
Fire Protection Planning and Engineenng Services
4060 Lemon Street 2"O Floor • Rrverside. California 92501 e (9W) 966 -4777 . Fax ((309) 865-1886
DATE. I ( - S -C) 3
Proudlv .urving the
r0.
unincorporated SURVEYOR'S OFFICE
arc,'ts at Rn•ei side
C:owuv and the
Citim n1 C i!:` OC LP"-- &-5 1AJQ(Z-0' BUILDING AND SAFETY
Banning
PL01 °1011 TRACT /PARCEL MAP NUMBER.
ahntcwi L 03 — 0 3 7SPERM11' NUMRF;RA.OT d: (
T.
umo l.xke
J013 SITE ADDRESS:
FINAL FOR RECORDATION
Ikstt I lot 1pnngc
A
Indiun Well%
v " RELEASE. FOR BUILDING PERMITS
Wilt)
4 SHELL FINAL ONLY (NO TENANT)
Iaike l.lsulorr
FINAL FOR OCCUPANCY
La puimu
FINAL OCCUP. TEMP. EXPIRATION DATE
Morello Vsllw
POlnt fk.x`rt
PCITh BUILD PLAN CHECK FEES PAID
Rancho Mir.tge MITIGATION FEES PAID
San Jacinto MITIGATION FEES NOT PAID
e
L(rieLula
FEES NOT REQUiicEu
11wrd of Cuperviv)
11nn IiYVR IF Y01) SHOULD HAVE ANY QUESTIONS, PLEASE CALL THE RIVERSIDE COUNTY
FIRr DF'PART MENT. PLANNING SECTION AT THE ABOVE NUMBER
Jilin r,iuso nc
lAsIrd 1 FRANK KAWASAKI, BATT ION C [DIE
nn, %enable
U,ana 1
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