HomeMy WebLinkAbout15049 LARSON RD_ (2)
a
City ®f Lake'Eisinor
ERMI
T 1308outh Main Str6et'
PERMIT NO: 91-00000685 ::•SATE;, 7/19,191
JOB ADDRESS . . . . 15049 LARSON RD
DiESCRIPTION OF WORK : ADDFOR ALTER - RESIDENTIAL
OWNER CONTRACTOR
ERISER .,TAMES OWNER:
ERISER PAMELA
A.P.# . 379-080-022 SQUARE FOPTAGE, 1296
OCCUPANCY DWELLINGS, LODGING HOUSES GARAGE SQ FT 0
CdNSTF.<JCTION TYPE V- NON RATED FIRE SPRNKLR d 4y
VALUATION . . . 17,107 ZONE R-1
BUILDING PERMIT f
QTY UNIT CHG ITEM CHARGE "•
BASE FEE 45.00 ' .
16.00 X 9.0000 VALUATION 144.00- ;'' I
FEE SUMMARY CHARGES PAID DU
_PERMIT FEES
BUILDING PERMIT 189.00 .00 189.00
OTHER FEES
,PLANNING REVIEW FEE 36.00 36.00 .00
PLAN RETENTION FEE 3.15 .00 3.19
SEISMIC GROUP- R .50 .00
PLAN CHECK FEE 122.85 122.85 .00
TOTAL '351.50 158.85 102.69
SPECIAL NOTES CONDITIONS;
PORSE ,SARN
my
is R NECEIrT
to �� •S. J'(r _ 4 __�J .Se,.. f ;y,_ 's ... '6�Mr�,MSM \
Ptease fiaad and lnftivl: i , 0
City of Lake tts pore 1. 1 am 04risod a ndiO this provlalo6s of Ikmlaeii 0l 1101M9sionnall
/, }Bl�ilr Safely 17lvls:on = ;+ Code S1 ction 700O et a".and my Ilcenas Is1a7 full 4araa`
a$;owner of`Ihe property, or my pisyees orlwaget ae >.
' their ioie compenaotion will do the wo_ `ard tha, nialure Is
i`'o t in car ►�icuovt. Idce f :
i� � not intended or offa�red foroie.
i`. I, as owner of iho property, am exclusively`montrocting with
orr.ihe i0b lies,4dconsractan,toconstructtheproject.
A.-I five a certificate•of consent to sellinsure 4r a certificate
You must furnish PERMIT NUMBER of Workan Compunsation insurance or ri certified copy thereof.
and the JOB ADDRESS for each -8 S,'l shall rbT:-+nplGy"any ffarOOmin uiiy manner so bo to become
respective'inspectiotr: subject to Workeic Compentl3flon lows in.the perlonriance,of the
�!pproved plans mus#be on;ob workfor which this F,e:.,if Is issued.
at all limes: Note: If you should' b*a;ate subject to Workers Camponsgtlon
after mokoig this cartillcallo,.,You must forthwith comply with
such pr.wisions or this permit shali shade-n+ed revoked,
C¢Go Approvals Da��Inspector _ "—
E1.01 Temp Elec Services
PLM Soil Pipe Underground �� Y
EL02 Elec Conduit Underground —
BPOI Footings _.
IP02 StvlReinforcement
AP03 Grout
SPDs Slab Grade
PLOT Unde,ground Water Pipe
SS01 Rough Septic System
SW01 On Site Sewer '
PL03 Rough Plumbing
EL03 Rough Electric-Conduit
EL04 Rough Electric-Wiring
ELOS Rough Electric•T-Bor
f ME01 Rough Mech:inlcal r W
ME02 Ducts,Vr/ntilating �—
P1.0/ P.uUp,!rGas Pipe-Test
PL02 Reaf Drains
IPO:tFlaor Joists
IPA 'Floor Sheathing
SPO7 Roof Framing..
OPoe hoof Sheathing
�.i', IPOtI Shear Woll ah Pro•Lath
I1010 Framing✓R Fioshing
iPl 1 Lathing i Siding _ —
SP12 Insulation
I SP13 Diywoll Nailing ----
1 PL" Final Plumbing
EL" final Electrical 1 lid
ME" Final Mechanical
SM Final Building -6^—
Code Pool&Spa Approvals Date Inspector
PWI Pool Steel Rein./Forms / _� �..•._
P002. Pool Plumbing/Piess.iost
POW Pro-Gunite
P004 Pool Fenalhg/Access
Pro-Plpster
P$ol low
c �—
$LAM► Final Solar i
.r sub list Approval
i
City Lake Elsin ore .
q y� FOR
South Main Street
APPLICATIO �T FOR [Zi-LICATION NO.
EI DING PEl MIT c 1- _ _4T_
AP?LICATION RFtC,.[iVE�
DATE
VALUATION CALCULATIONS AP
lU+SD�Nii�UDRESS ''
1st FLOOR �
2nd FLOOR SF TRACT' —� a --
---- eEocK/rncE LOTIV7,`RCEt.
3rd FLOOR _ _SF
GARAGE _ `SF NAME
STORAGE _ SF
DECK B BALCONIES �__SF ADORES. I
OTHER: CITY
_ SF 1 tr nby oRirm thol f o:.:llu,.w�`d w,Qw"pr„aoRof cM:e�r (eam„nj xsny wl�rh4SreJek••'i'
r`")of CM216n S of 011 R1ylnass one Pr�taEEl�m Cody.wy rey IiwnH Ii 7n!oll fora
GRADING t ----CUT CY
and 916a.
EICENSE/
FILL CY ANDCIAss QTYNUSINESs
VALUATION:`3e T~1 Q --_ TAxr�_- _4 �� .•_._
FEES 'd�l --
ADDRESS
-BUILDING PERMIT $ ____ �Tv — STATEirls vN9NE
PLAN CHECK CONTRACTOR'SStLNATjRF �7AiE
XM-W=PLAN CHECK _ -/IL' �X.J NA�EE _— ECnElr -
GRADING PLAN CHECK _ _ _ 3 AooRRA
FITY — --
� �STATe/21P-- pkO.yf`
,. ❑NE1V ❑REPAIk oC _ _ OCC(a?,/ tOaN
DIVIS*BN: TYPE:
I NUMEROF
e�nroslis
NUMBER-OF
❑ALTERATION ❑DEMOLISH STORIES: �IWORO))ms: `
COPIES COTHER ZONE:
❑StNG0 FAWN units HA?A>fp 1iRSfi.7 T4 YES NO _
IMPRO FEES 0 SCHOOL FEES O DAPAIRTMEN`Ts unite _
2'CONDOMINIUMS units 5PP.1NWRSREQU!RfD9 YES NO =
CTOWNFtOMEi units .2ROPOSED USE OF BUILDING:
']CCyWERCteI LINDUSTRIAt
PAID PRESENT USE OF BU v"'NGs
MATE
.JOB DESCRIPTION APIXT1R:100 ;.
❑ 1 certify the;!have rood this application and state that the
above information is correct.I agree to comply with aii City 81JILDII a PERMIT 1I9,1—EPi5
and ccunty ordinances and stote laws nlofing to building ----- -- __ —
constructioa, and hereby authorize representatives of this
city to enter upon the obove•mentioned property for)nspoc•
t,an purpoRes.
Signafury of Applicant or Agent
AGENT FOR O CONTRACTOR ❑ OWNER
AGENT'S,NiAME
4k17? r,.., $0
CITY
s
CITY QE LAKE-ELSMORE CONSTRUCTION PERMIT �- )"`Z wIN
O_o � Applicant to fi,(in.tl spam ax>apt those within heavy bordaf littea and si;n all eppropriata declaration
Y�saassoc's Pdreai i'to._at-�.- ...:...b..�..�_ .....- ^+ r) _
C�svW-i Narne . x J s' _ - lSEfc',— .-Ph�r, PER' TNrJTN' f ' TRACT i)f�, LOT NO.
rrhlEnu. _ ____ _License(40. _ NEl1 ❑ ADD Al TI ❑ REPAIR
!, CONVERSION L DfMOLISH C OVER: 'g ✓- A.P
• •A rest .. �. -- ---- ---
DESCRIPTION OF Y ORK/USE OF BtDG.
Cont ctor'a PJens� -_.-_ �—___- here_- �, 6i e !- Main Building _ Acc4uory Building:
___ _-. —^_��,t• ` TMOHUNIT C GRADING 0 FOUNDATION,..- OWTURAL T Front - .T �
Address tiit+ng)_ _ ` _,•_
City License•ru. ._-__._ ^�.. _� I ❑ T1 HINT CJ ELECTRICAL ❑ PLUMBING 1 MFC MIG(
6dCENS;SI7 C TR9:Tt`Ar %aC..�RRFION C/ OTHER __--_ A t
f berabY afplrin: t f em Ilwnsad under prgvlslenc of C!Brier 4(coe a+encln9 K PROJECT DESCRIPTION: Sq.Ft rkti'r�srxr - Rtgh �
prllh tacit '7005)` f tltvlfion 3 if is 6uttr. saes arcrasx+ens Coae,.-nd Cot>3lruaian __ ___ Yore _ Acres -
my license i3 In f it fa and effect. ---
cense Class Icansa No. -_____.� Yalestxs i ,PCs _ z_ ��___ ._. Ping.Rol.At Parking 11.. .!Provided it
pate^ sig. ura Rarnarkt �j� ---y
WORKERS'Cf3MPIStI$ATIO E LA It 1 ���r Planning Natw G
I hereby affirm that 1 nowt a cart to of on nt l If nSure or a certificate
�� �f vlorkers' Compent4tion Incur r a Vitt d py thereof (section
800t Lah. r,.l � - - � --_�_ --- -- SGGE;�E-Fd-�.�.- _ _._" T ' c ��. _•t.
Policy No. _ ---- ay
6 Vartified Copy Is herduy furnishetl. - _.- ..Y - - - wr.,;:..,-�:_�.+.:L..,.3u,1'
-CJrtitled COPY Is filed wlth the city#��{( }I141.).
Applicant -__
_ - - --i
EXEMPTI�IfJ FROM WORKERS'COMPE AAT Ci_ARATION
(Thirwctiori need not tic complet9It if the;r6rmtf or one hundred($100)or '-
test). __
I ceQ(ify that In Che pciformanca of thr..vb(k for vent this permit Is issued I TRICAL FEES A6ECHANlCAI. GEES shalt not ernploy a,:y vrr,on In uny manner so.as to come sut:aaet to the PLUMBING GEES ELEC _ Am. GAAWINeFEES
Workers'CoMP!1 •-(ipr, 'aws of Cv::fornla' Altar, Repair Generatnc❑45YMV❑5 T5V1M oiler
• Date _._ �_---Srv„a:'ire —� _ - — Cut
NOTICd:If, %ter making this deCinrdtlon,you should new\decd
to the Aute Wash Construction Pole Sub. _ -� Duct-Under Ground
Yorkers' f_nmpan53tlen prov{sior:; o! the Labor Codir, yothwlth -- - '- fiR:-----Co.pldf
comely w.+;i such provisions ,r this ,permit :halt be voked. Backllo Proventar� Cooking Unit ; ueI Stn'�tufal CONSTR,t,ICTION LENDING AGENCY 3401 PlanettectFeeSI hareby affirm that there k-a corstructlon landing agency formanci ; BesktlJtW tri olio!! _ o!e Li t .:r aft ,Vontilat_ingof the work for which"this pdrm)t Is Issued (sectioIV. C.r. Clerit' r< bryefs❑vets C3Eieetric Ei,.heust&Vstynt _ 3225 PurnitFee ;
t ginger's Name �lfllWaSL er Fan Eva nrgtrvw Cooler - TOttl Fees S
• Leitdpr's Address. _-_ -. -_..� _-.�..._- �.,�- ._,�.....�-
0WhiER&IlUll-011,11t C£C'LARATION Fixture Trips ea. F,A.U. _' Nesting Wern&Ducting
i itreby affirm that I am a.<ompt from the Contractor's Lleonfd Law for the
+IOI+:irrl:�a reason (Saction 7,031.5 Business and P,ofessinnal Code-Any city ar Floor drains Fixtiltes 00-100 0 BTU❑100,009 '>TU
tf r/iy whten requires-d perm` 'ccon_yfuct,alter improve,�emullsh or repair Floor Sinks UU� i,HOad•0f Canopy SaQltaorlelFtltfttllFflf
. `any structure,Mena to its(asu.,cs ai,n requires the apMfunt for Ruch permit - - ,//
jc life a Signal stat.mant that i41 nr,is licensed pursuant to the provisions 0'1 ego smic Outlets switches — Yeti 1 ❑ Type 11 � rw�_.O0
the C mtractpr's'cen*!aw(chapter 9(comdtenclnp with Sq!:%ion 7000)ct 3220 Beilding _ ^.
•' , Ivilion 3 of tho Business and Professions Code) or ttlat he/she Is exempt Ia(tefCiptat r NleTet. y W st)1�3 - Refr)y tlonSystem "
'Fh refrom bnd thb basis for tn: 7t hge�lkempaun; Any violation of!iectlon —--�L - 3221 Plumbing
_
�.7t 1s by any.apPiiCent for trmrR cubhcts the applicant to a! .plat -T Mllter air ;tmpa _ �fJ i017, 0 TU❑1Q0`000 BTU 3222 Eketriui i
penalty of ctnt men than true huadrrc rr)tars f500). � "-
^U (, as owner of the prai�er<y or mV er,�'ovee5`virtn wagef ac iluir sale Robt tTr9iiti r I SU_b�nel _ fi'8 Fact.B Ica �
mrtponsatlon w'n do Ina work,end.,w sh'u.:ura i not Intended or o;(ered trail r:Setitaf I �i} 1S�rJOKW �� `' g 9tS!n R 9!F,Alteratictli 3123 ltathsniul S �f
r w Nld (Section 7040' BuVr:ns5 wt,d Wdfealon + coder The Coptractorli -- -- {TransforlRS3r 1', -a' — V24 ReteMigt $
License Law does not apply:o an owner lit a prorsit;.who builds or improves _�p 4 �'� + f e n
thudon, and who i3 05 s,.ch vjo*k 111mrsff/herself or to Oupyh his or Aar awn '2301 SMIPRaL. S
empiovL,;,tifovided Ina: Such Impra,remonls are not intr,Aed or offered for 2WAQ l.Onnactibn•31 Motors❑0 P❑13h-tI t`~' RRQIliltff
5 %. If,however,thu brllding Or,lmprovvment 11 sold wtthln.-ie year of corn 2302 SMIPCOtn,'
pletlon, the owner will have ho ourr:gn of prov n0;!,r`sho did net bJild or Im. !u liifeetbrs� _ Inc. solar❑9 f5_ HP G16.15+ :nGrt rater _
rove for the purpow of sale)• ualaf ping_—_ z v� _-
I,a5�w,•er of the property.E:51 enCluitvely contract6ly with licao..,ed Con- _ :3215 Ott S �. —•
tractor%to constfµct rlsr preyed Section 7044,Uusiness and Prriftssinns Codu: (dr Tank Mutti-Fatty.RV& Siat>i"of FlaC, It _
Thu CC'ntracto►'s License Law 4es not+µply to an owner of property who - -
"Uiids of 1'1proves thareon,and who contracts for such protects with a eon- S9fllntrnitlg PoaIISQa I Swim!OfLPt701isob �. 3401 • BuiWI%
traf,;or(s) ,icentlif Pursuant to the Controc Z ld'' License L6w). I am *ware trtel. - - •� _,
roof a/ thylr Worker's ompensatton insIItSwo thtwW be moulded to +rw. WaterHeatef
-i-am exempt under 6etti0ri-.- - B P.C.for ink reason _
�4--
Palo "x_^L -t�-ire � / a: Rt �� Ificht{iNcal f
- ---,
noraby car',fy that 1 na,. rea!l Is epPllcatlon and ytate that ilia above' •' _ 'a0S Offer. ;
Infgrmaltnn Is con'ect. t ag O natt� With all Nei and county orAlnancw '- f� /. ,gibs
of, stela la tvs relating Io 11 ldlnq ftiftf nuUon,ann nefehv autrorlae/7pre-
1 "Atalives 211"t
city to a'nt .lipon :he atiovo-mentlonarl p*c{wrty for _ -� SaNJlagiT/pettii6l - CIHo` 3ff2` Planaitq� ;
+nspgcSig c.•'lateit i S%'1 9P __ _____— -- - i •' - 14M ffi6►fAle ..,,(1•
uildinC GxaryTrmperary file Copy;Pink-Akimr;Gddefuod-Applican!
- � _ _- .� �C'�,,:•RifN( ;;�1's'. r.�,!; s. ��_.' �:�• .�. 7_�! y-,•� _'v?'.t_,�. aN .i''�lDd. --
4 �..
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CITY OF rAn ELSINORE t
BUILDING DIVISION
ON 9ER - HQII, D2R VLRI FICI4TION
A city or county, which is required to give notice
t t
}Section 19830, sham. attach to such notice, and, as a condition pre46
to issuing a building permit, require the cosdpletion end requirs the
Of ar: owner-builder verification. return
Attention Property Otmer:
Ar: 4owner-builder" building
t has beMMLt �pF�.ied for in
and bearing your signature. ld b, "aU� your Hams
ificatio:i ra�ce___�_iv---ems= y� th3.s
i
I personally plan to provide the major labor and materials
(7for construction of the proposed property improvement.
Yes No
/. I (have/hava not) c r�igzied an epp�,ication for al
builaing permit for the �,rolaosec work.
r. 3- I have contracted wit, the following person (firm) to
provide the proposed can -':Xuctian:
f Name
Address �= --
Phons )
Contraetr��s Imo. `c; _
1111�4. I plan to provide
por
tions of the word:, but I have hired the
following person to coordinate, supervise and provide the
major work;
Name
Addre-as --
�_: hone (7 TT
14) � C� ��� actor�s 1 c,
5. I will ` provide, some Of the work but I have contracted
(wed) the fal� ng persone to -provide the work indicated:
-----
--------------
(I f addHi nal Space s required e:ttach su)acontra;*t ro
I hereby affirm that I have receiv*d a cO net
forth in section 19s3o of the Stact,a of Californ9a Health &n Of the dnfSafetionCode
and have cOmplate the above information to the ,beast of my personal
?,cro rledge, in compliance Yerith this State Law.
J an
(Pr to or
.,`givers Lic. or Boa sec. -
GI TX Ole Ta BLB XN0RB
BUILDIH;G DEPARaM N''T_
PEE RECEIPT
NAME: r� �i Z/ S �.�t p r' 0Z--
� CHECK �
JOB ADDRESS:
(3224) 100•-3224-000 Plan Retention
(3412) 100-3412-000 Planning Division Revi.FjW 10%
(3401) 100-3401-000 Building Plan Check $ �,�•�
(3403) 46 00-3403-000 Grading Plan Check,
(3403) 100-3403-000 Overtime Plan Check
(3225) - 100--3225-000 Special Inspection $ `
(3220) 100-3220--000 Reinspection B
(3222) 100-3222-c-Anr_._ Reinspection E
.(3223) Rp: i4
100-327.3-000 Reinspection MCITY 0-0-- LWE �,
(3221) 100-3221-000 Reinspection P ACUM 100-2401
(3821) 221- 3821-000 Park Cap.tal Improvement �
(3811) 211-3811-000 Storm' Drain Capital Improvements �
(3801) 201-3801-000. Street Capital Improircments
(3440) 100-3440-000 Sale of Maps and 'Copy FAos _
(3461) 100-3461-000 Admin. Fee, (including Lot Hook)
(3831) 231-3831-000 Library Nitigtktion -
Miscellaneous
TOTAL
l
8-�4-89
+`. q- Y i --� ti ✓t 'vp
•.� i � <r-,IC'i *�mil„ , s- ;�•. 1.:
tlldtkds$. I SGJ'�F'� ���r�t►s x c Sir'R1
:O!! Y.
•��• �/td Mgm
> ; �_ '1-_Nit
;�',=----=---'!'---�--.•-_ 4Sc9isae NtF.'._..-. �' �1�, ,_►y_ .� err..we,cts��.�..p1
ww
' --� r�' W1.f '� .�- "�J. k,-•_ i � flu w111
tot's OF f 9(j
Iinlq) _ r_# - 3? I!' q y1 IT zfAAl "�,,----
� a' `-''/�-+ • " --«-=� - _���i� f l•f�7• i;i � i3 a'f.Eait6tt[.11. . ' . -
CLARA 10.E
ys.tN uaa��rr vtov►atqusw';c1tr;t.r 9(eoronfortetug . ?{dil1! iiPTiON Sq.fi �' '� ,�7
reaf 1n tut! uoh' af�Yha tttu:lrt sand Dratax.tofis • ne
�d YNoct. +to ' td f!Ctf21e• "S; , Y
..Sip Ur!• Y a Y�,A
l�Attlal`�a �r
K14i1 COMPCi418ATi0 taatR t 1J '..
0 nt tf` 11
kaa �Clrmpe(ttaltorf lnlut r a tlti d
Iltgtl: .iAy IS hereby Pyrnlspad,
tPlatt}vb tlialq,war,t esity' ull
s----ir.�----,�ibt�tfpnt _ i
rfC11 tesoar w� -'4'`
.rasai'C rm t t:At[7CttiSli< `/
Ra�h
4 rrssaa
crafn fiaW ndt ba c.11 Stil if he vT - or 040 hund (E100)or
'taablp the Paiformancu;af th's umrk Ic(wh KtHktsovmt IF 11sk"41 1toy
s MP61 my prrta to any manner sP•as t0.. otrw.su )ast t�'tha • P! ; 'R1 L ---
C�mpensakton t Av1i or calTt4rnie. — A F� g
1pmttna ____._. _ -• i � ._.r.,r7 • I t.�,rf C](!' ` 6r•1SKW ,' el
tr tliilttrakf\fq tr{jo 0e�riv4tioe,r YOtt Should t� r\ ^r
1 Cgmtrrnsatlo Pfcfv! ups of the I.ahor catla a aMt rtoothyyEth
t Trait, ppYovfbdrs or fhtt Pprmlt• shall" bpf,. Panut{ad, .- OiGltflOW f' �pl' .,. - RS=ry
ft W.Y'►fnaIQN t t_tC6401 a A:Q%NCY
tt � coo#trwtlOr Oncy4w s
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