HomeMy WebLinkAboutSPRING STREET N 501 13-2747C i T Y CAF
L' KE c(f22LsllA0RE BUILDING &SAFETY
DREAM EXTREME,.
130 South Main Street
PERMIT
PERMIT NO: 13--00002'/4 TftTr— te!'at/j
JOB ADDRESS . . . . . 501 N SPRING ST
DESCRIPTION OF WORK . MISCELLANIOUS
OWNER
M&D PROP
1296 MAGNOLIA AVE
CORONA CA 92879
A.P.# . . . . . 377• -241-004 2
OCCUPANCY . . .
CONSTRUCTION
VALUATION 10,000
BUILDING PERMIT
QTY UNIT CHG
BASE FEE
8.00 x 12.5000 VALUATION
BUILDING PERM!'],'
ry-py UNIT CHG
RASE FEE
8.00 x 12.,5000 VALUATION
FEE SUMMARY
PERMIT FEES
BUILDING PERM _T
BUILDING PERMIT
OTHER FEES
PROF. DEV. FEE I TP-8.,DE
PLANNING REVIEW FEE
GREEN BUILDING FEE 1
PLAN CHECK FEES
PLAN, CHECK FEES
TOTAL
SPECIAL NOTES & CONDTT'TONS
CONTRACTOR
A & J ENVIORMENTAL, SERVICES IN
OUT OF TOWN BUSINESS
7000 MERRILL
CHINO, CA 91710
SQUARE FOOTAGE
GARAGE SQ FT
FIRE SPRNKLR
ZONE
ITEM CHARGE
63.00
100.00
ITEM CHARGE
63.00
100.00
CHARGES PAID DUE
163.00 00 163.00
163.00 00 163.00
5.00 00 5.00
32.60 32.60 00
1.00 00 1,00
122.25 122,25 00
122.25 00 122.25
609.10 . 154.85 454.25
INSTALL 2000 GALLON ABOVE GROUND DIESEL
EXHAUST FLUID TANK 2 DISPENSERS
NON--REGULATED SUBSTANCE
0
0
NA
m ( 13M .25
City of Lake Elsinore
Building Safety Division
Post in conspicuous place
on the job
You must furnish PERMIT NUMBER and the
JOB ADDRESS for each respective irtcpertinn; a
Approved plans must be on job
at all times:
M Please read and initial
P - 1. I am licensed under the provisions of Business and professional Code Section 7000 et seq. and
my license is in full force.
2. l,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. l,as owner of the property,am exclusively contracting with licensed contractors to construct the
A .1 project.
I t 4. 1 have a certificate of consent to selfinsure or a certificate of Workers Compensation insurancea,
I
or a certified copy thereof.
5. 1 shall not employ any person in any manner so as to become subject to Workers Compensation
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,
I you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector
EL01 Temporary Electric Service
PLO1 Soil Pipe Underground
EL02 Electric Conduit Underground
BPOI Footings
BP02 Steel Reinforcement
BP03 Grout
BP04 Slab Grade
PLO i Underground Water Pipe
SSOI Rough Septic System
SWOT On Site Sewer
BP05 Floor Joists
BP06 Floor Sheathing
BP07 Roof Framing
BPO8 Roof Sheathing
BP09 Shear Wall & Pre -Lath
PL03 Rough Plumbing
EL03 Rough Electric Conduit 12 • /
EL04 Rough Electric Wiring
EI,05 Rough Electric / T -Bar
MEO1 Rough Mechanical
MF,02 Ducts, Ventilating
PL04 Rough Gas Pipe / Test
PL02 Roof Drains
BP10 Framing & Flashing
BP 12 Insulation
BP13 Drywall Nailing
BPI Lathing & Siding
PL99 final Plumbing
EL99 Final Electrical
ME99 Final Mechanical
BP99 Final Building 1 • l
Code Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building being released by the CityPOOIPoolSteelRein. / Forms
P001 Pool Plumbing/ Pressure Test
P003 Pre- Gunite Approval Date Inspector
EL06 lRough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing/ Gates/ Alarms Finance
Ur1rK o.,,.,aster n_.._._....i
Yt, — Engineering
P009 I Final Pool / Spa
CITY OF
L-i.
r LS 1 NOTE
1...:m DREAM EXTREME .
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER: SF
VALUATION: , G f11b
FEES
BUILDING PERMIT $
PLAN CHECK
PLAN REVIEW (l
SEISMIC
PLAN RETENTION
1 certify that I 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
construction, and hereby authorize representatives of this
city to enter upon the above - mentioned property for insp-
tion purposes.
Signature of Applicant or Agent Date
Agent for contractor owner
Agents Name
Agents Address
Street City State Zip
130 South Main Street
laM! •i1J F6FhJ
Trws rufil r: 170118
CK DER l-T? $154.85
Trus dfflee 3/10/13 Tillie.* 11.e.31
APPLICATION NO. `
APPLICATION RECEIVED/
DATE °
BUILDING ADDRESS
TRACT BLOCKWAGE LOT /PARCEL
NAME
W
N
MAILING PHONE
ADDRESS I'L 1 L iYl: iM1a'L1 o,, ,GLV ,
E
R
CITY STATE /ZIP
Cc Ct,,7 w
C
O
N
I hereby affirm that I am licensed under provisions of chapter 9 (commencing
with section 7000) of division 3 of the business and professions code,and
my license is in full force and effect.
LICENSE # CITY BUSINESS
AND CLASS L '700 0 TAX #
T
R
NAME yo_ A A 3 E-y) V , (-Uv1 yyvv0C
A
C
MAILING
ADDRESS 3G? C%5 W1 1551c» )'-2;5
T
0
CITY STATE /ZIP ONE
R CONT CTOR'S SIGN DATE
A
NAME LICENSE #
R
C
MAILIN
ADDRESS
H CITY STATE /ZIP PHONE
NEW OCC GRP. ! CONST.
DIVISION: TYPE: ADDITION
ALTERATION NUMBER OF NUMBER OF
STORIES: BEDROOMS: OTHER
SINGLE FAMILY
APARTMENTS
ZONE:
CONDOMINIUMS HAZARD YES
AREA? NOTOWNHOMES
COMMERCIAL SPRINKLERS YES
REQUIRED ? NOINDUSTRIAL
REPAIR PROPOSED USE OF BLDG:
USE OF BLDG: DEMOLISH 7PRESENT
JOB DESCRIPTION
i WAc LL 2000 C, LL,,n bo rex n2.-
J]tSPG T,LLY)
5L)'03 t t ! c,,-
yp . I;1= I#r: m 1
2013 M
EP BUzL W PERMTT
laM! •i1J F6FhJ
Trws rufil r: 170118
CK DER l-T? $154.85
Trus dfflee 3/10/13 Tillie.* 11.e.31
I ". C ' 1 (
QUALITY AUDITING INSTITUTE
16 -211 Schoolhouse St, Coquitlam, BC V3K 4X9 Tel: (604) 527 -8378 Fax: (604) 527 -8368
puftlg Bud3linghsiitctc
Website Address: www.pai.orp E -mail: Info @gai.org
Puregreen Equipment Services, LLC dba Blue1 USA
3883 Rogers Bridge Rd, #205A
Duluth, GA, 30097
USA
Listing Number: E10353
Attention: Mr. Adam Polak, VP Operations
Subject: Listing of DEF Dispensing Units, Models DEF Mini -Bulk & DEF Tote Cabinet to
CAN /CSA C22.2 No. 14 -10 & UL 508A
Dear Sir
We are pleased to confirm that, effective the date noted below, we have Listed the subject
product in the QAI Directory of Listed Products. Attached is a copy of your product listing as it
appears in the Directory.
The subject product is eligible to bear the QAI Logo with the C and US indicators in accordance
with the QAI Listing Agreement dated April 25, 2011.
The cQAI Logo is recognized by the authorities having jurisdiction in Canada, the same as they
recognize the CSA, cUL and other similar Logos.
Products for end use in Canada may be required to have marking in both French and English. It
is the responsibility of the Applicant to apply bilingual markings as required by the applicable
evaluation reports and in accordance with Provincial and Territorial Regulatory Authorities.
QAI is accredited by the Standards Council of Canada as a third party product certification body
operating a type 3 certification system (ISO /IEC Guide 67).
Yours truly,
QUALITY AUDITING INSTITUTE LTD.
14
Oct 14, 2011
Lawrence Gibson, President Date
Encl: Copy of entry in the QAI Listing Directory
ED0003 Listing letter Page 1 of 1
To verify that this listing is current, please visit www.aai.orp and look up the listing number in the directory of listed products R7