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HomeMy WebLinkAbout18630 COLLIER AVE_ (3)C 0 it of Lake Elsin re PERMIT 130 South Main Street PERMIT NO: 91- 00000885 DATE: 8 /30/91 JOB ADDRESS . . . . . : 18630 COLLIER AVE TENANT NBR, NAME : UNIT B BIG A AUTO PARTS DESCRIPTION OF WORK : ADD OR ALTER NON RESIDENTIAL OWNER _ _ CONTRACTOR FRANK H AYRES & SONS CONST CO OWNER A.P.# . . . . . . 377 -080 -072 6 SQUARE FOOTAGE . 1560 OCCUPANCY . . . . RETAIL,RESTAURANTS,OFFICE GARAGE SQ FT 0 CONSTRUCTION . . . TYPE V- NON RATED FIRE SPRNKLR VALUATION . . . . 4,000 ZONE . . . . . . NA BUILDING PERMIT QTY UNIT CHG BASE FEE 4.00 X 9.0000 VALUATION FEE SUMMARY PERMIT FEES _ BUILDING PERMIT OTHER FEES PLANNING REVIEW FEE PLAN RETENTION FEE SEISMIC OTHER PLAN CHECK FEE TOTAL SPECIAL NOTES & CONDITIONS DBL FEE PERMIT ITEM CHARGE 90.00 36.00 CHARGES PAID DUE 126.00 00 126.00 12.60 00 12.60 1.50 00 1.50 50 00 50 58.50 00 58.50 3.99.10 .00 199.10 REV. DATE 11 f•99 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 inspection: Approved plans must be on job at all times: Cc do I Approvams EkOt Temp Elec Serv,ces PLOI Soil Pioe Underground _ EL02 Elec Conduit Underground BPOI Footings 6P02 Steel Reinforcement SP03 Grout BP04 Slab Grade PLOT Urderground Water Pipe SSW Rough Septic System swol On Site Sewer _ PL03 Rough Plumbing EL03 Rough Electric-Conduit EL OI Rough Electric- Wiring EL05 .rough UWplic -T -Bar__ MECI Rough Mechanical ME02 Ducts. Veniilating PLOT Rough Gas Pipe-' est PL 02 Roof Drains 8P05 Floor Joists BP06 Floor Sheathing 8p07 Roof Froming _ 8P08 Roof Sheott•.no P09 Shear •tall 8 Pre -lath BP'.0 From r:q d Fli shing 8P1l Lathing & Siding 8P12 Insulotion BP13 Diywoll Nailing PL99 Final Plumbing ELS"t Final Electnccl ME99 Final Mechancai 3c'99 Finol Building Date I Inspector Please Read oral Initial: 1. I am licensed under the provisions of Business and Professional Code Section 7000 et seq. and my license is intuit force. 2. 1. as owner of the properlw. or my employees "v/wages as their sole compensation will do the work and the structure is not intended or offered for sole 3. 1. as owner of the property. am exclusively contracting with licensed contractors to construr t the project A. I haves a certificate of consr.nl to :elfinaurrt or a curtiiicote of Workers Compensr on mswancp or a certified copy thereof. 5. 1 shall not employ any persrir, le, any manner so as to become subject to Worker, Cornpens01mri laws in the performance of the work for which this permit ,s »wed. Note: If you should becomr, %ubject to Workers Compensation after making this certificathnn you must forthwith comply with such provisions or this permit sho!l be deemed revoked. City of Yaks Elsinore PERMIT 130 ,.,Lith main Street PERMIT NO: 91- 00000912 DATE: 9/06/91 JOB ADDRESS . . . . . : 18630 COLLIER AVE DESCRIPTION OF WORK . s FIRE SPRINKLER SYSTEM OWNER FRANK H AYRES & SONS CONST CO CONTRACTOR ADVANCE FIRE PROTECTION 1451 WILAMBERT RD LA HABRA, CA LA HABRA, CA 90631 526 -000 -2231 LIC C -16 259936 EXP 4/30/93 A,P. . . . . 377 - 080 -072 6 SQUARE FOOTAGE 0 OCCUPANCY . . . . GARAGE SQ FT . 0 CONSTRUCTION . FIRE SPRNKLR . . VALUATION ZONE . . . . . . NA FIRE SPRINKLERS QTY UNIT CHG ITEM CHARGE BASE FEE 15.00 1.00 15.1000 FIRE SPRINKLERS PER BUILD 15.00 FEE SUM14ARY CHARGES PAID DUE PERMIT FEES FIRE SPRINKLERS 30.00 .00 30.00 OTHER FEES PLAN RETENTION FEE 1.50 .00 SEISMIC GROUP R —80 .00 I TOTAL ' 32.00— .00 3' yCCT # :100-3220- PCPT # —16747:HCIVAN:E FIRE PROTECT PERM I T#91-912/18630 COI.I_ THIS IS YOUR RECEIPT WHEN MACHINE VALIDATED J9 36i19y 7`.:0't PM /x0 RCPT#I: a2- 1EWlTTft4, 911.C.i" CO Pteaso Krod and Initial: City of Lake Elsinore 1 am licensed ,ruder tiro provisions of B-isiness and Professional rode Section 7000 e' seq- and my license is in full force. Building Safety Division Posh in conspicuous place on the job You must furnish PERMIT NUMBER and the JOB ADDRESS for each respective inspection • Approved plans must be on job at all time.: 7. t. as owner of the property, or my employnas w %wages as their safe compensation will do the work and the str•.xture is not intended orcffered for so ;e. censedcontroctors +o construct'heproject. W".. as owner of the propert-1- am exclusively contracting with I hove a certificate of consent to sellinsure or u cortiCcate of Vlorkers Compensation insurance or a certified copy thereof. i shall not employ any person in L any manner rf m to become f the subje+ to Workers Compensation laws m rise performance of the work for which this pen -it is issued Note It you St.--uld become subject to Workers Compensation offer nicking this certification you mint forthwith comply with such provisions or this permit sholl be dee:neci revoked. Code Approvals Date Inspector ELO) Temp Elec Services PLO) Soil Wipe Underground t EL02 Elec Conduit Underground BPOI Footings SP02 Steel- P.einforce,nen! SP03 Grout BP04 Slab Grade PLOI Underground Water Pipe SSOI Rough Septic System SW01 On Site Sewer PLO3 Rough Plumbing — EL03 Rough Electric- Conduit EL W Rough Electric- Wiring EL05 Rough Electric-T -Bor ME01 Rough Mechanical ME02 Ducts. Ventilating PLOI Ro••c`s Gr7s Ptpe-Test P102 BPOS Y BP06 t .sot Drains Floor Joists Floor Sheathing BP07 Roof Framing I BPO8 Roof Sheathing BPO9 Shear Wall 8 Pre -Latin _ BPIO Framing 8 Floshing BPI 1 t_othing 8 Siding BPI'. Insulation BP13 Drywall Mailing PL99 Firal Plurnbinq EL99 Final Elertricoi ME99 Finol Mechanical BP99 Final Building Pcol R Spa Approvals Dote Inspector ol Steel Rein. Farms ol PIs mhirg. Press. Test Gunn fFolFencing'At cess e - Plaster ugi1PoolElectric _ al Pool: Spo nal Solar - -- -- T - Suh Lnt Approvol City of Lake Elsinorel PERMIT 30 South Main Street PERMIT NO: 91- 00000402 DATE: 9/06/91 JOB ADDRESS . . . . . : 18630 COLLIER AVE DESCRIPTION OF WORK . : ELECTRICAL OWNER CONTRACTOR FRANK H AYRES Of SONS CONST CO LARRY N. *DIVINE ELECTRICAL CO LAKE ELSINORE CA 92530 LIC 339113 EXP 10/15/90 A.P.# . . . . . 3 ".7- 080 -07-4 6 SQUARE FOOTAGE 0 OCCUPANCY . . . . GARAGE SQ FT . 0 CWSTRUCTION . . . FIRE SPRNKLR . . VALUATION . . . . ZONE . . . . . . NA ELECTRICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 15.00 3.00 X .7500 SWITCHES / 1ST 20 2.25 8.00 X .7500 RECPT,OUTLET / 1ST 20 6.00 6.00 X .7500 LIGHTING FIXTURES /1ST 20 4.50 FEE SUW)ARY PERMIT _FF ES _ ELECTF rf PERMIT TOTAL CHARGES PAIN DUE 27.75 00 27.75 27.75 00 27.75 RCPT # :02 Please Reoa and Initial: City of Lake Elsinore 1. I p.n Licew.ed under the provisions of Business and Professional Code Section 7007 e! seq. and my license is in full force - Building Safety Division 2. I- as owner of the property. or my employees w,roges as their sole compensotbon will do the work and the structure is Post in conspicuous place not intended or offered for sale. r 3. 1. as owner of the property- am exclusively contracting with on # he job licensed contractors to construct the project. A. l have a certificate of consent to self nsure or a certificate You must furnish PERMIT NUMBER of Workers Compensation insurance or o certified copy thereof - and the JOB ADDRESS for each 5. I shall not employ any person in any manner so as to become respective inspection: subject to Workers Compensation lows in tho performance of the werk for which this permit is issued Approved plods must be on job Note. if you should beco.no subitio et. Workers Compensation at all times: after making this certification you n utl lorihwitb comrly with such provisions or this perms shall be deemed revoked. Code Approvals Date Inspector _ ` —__- E101 Terrop Elec Services PLOT Soil Pope U.rCerground — EL07 Efec Ccndtii! Underground — BP01 Footings 6P02 Steel Reinforcement BP_3 Grout BP04 SlobGrode PL01 Underground Water Pipe SS01 Rough Septic System SWOI On Site Sewer PL03 Rough Plumbing EL03 Rough Electric•Conduit EL04 Rough Electric- Wiring LOS Rough Electric - T -Bar ME 01 Rough Mechonical ME02 Ducts. Ventilating P1.04 Rough Gas Pipe -Test P1.02 Roof Drains BPOS Floor Joists BP06 Floor Sheathing BP07 Roof Framing 8P08I Roof Sheathing 3PO9 Shear Wall& Pre -Lath BP10 Framing $ Flushing Bpl l lathing 8 Siding BP 12 Insulation BP13 PL" Drywall Fading Final Final Plumbing EL9,, Final Electrical ME99 Final Mechanical BP99 Final Building Code Pool & Spa Appro 's Date inspector Pool steel Rein. forms POR2 Pool Plumbing /Press. Test p002 Pro- Ginite P004 PoolFencing:Wcess P005 Pre - Plaster EL06 Rough Pool l"!eclric P099 Final Pool /Spa I" Firio! Solar sub list Approval 1 PERMIT 130 South Main zoireet PERMIT NO: 91- 00001019 GATE: 10 /0' /91 JOB ADDRESS . . . . . : 18630 COLLIER AVE DESCRIPTION OF WORK . : ADD OR ALTER NON RESIDENTIAL OWNER CONTRACTOR FRANK H AYRES & SONS COSTT CO OWNER A.P.$ 377 -080 -072 6 SQUARE FOOTAGE 0 0 OCCUPANCY RETAIL,RESTAURANTS,OFFICE GARAGE SQ FT . CONSTRUCTION TYPE V- NON RATED FIRE SPRNKLR . . NA VALUATION 500 ZONE . . . . BUILDING PERMIT ITEM CHARGE. QTY UNIT CHG 15.00 BASE FEE FEE STl- RY CHARGES MAID DUE PERMIT FEES 15.00 00 15.00 BUILDING PERMIT OTHER FEES 50 00 .50 SEISMIC OTHER9.75 00 9.75 PLAN CHECK FEF TOTAL 25.25 00 25.25 SPECIAL NOTES & CONDITIONS MINIMUM PERMIT,INTERIOR SHELVING REV. DATE tt•b99 City of Lake Elsinore Building Safety Division Pos-1 in conspicuous place on the lob Y : ,,u must furnish PERMIT NUMBER and iehe JOB ADDRESS hr each respective inspec "i :)n: Approved plans must ate on iob at all times: E101 Tamp Elec Services PLOT Soil Pipe Underground EL02 Elec Conduit Underground BPOI Footing: s — BP(y2 I Steel Reinforzerrren! BP03 Grout OPOS Slab Grade PL0) Underground Water m Pipe SSO1 Rough Septic Syste S \ii01 On Site Sewer 71.03 Rough Plumbing EL03 Rough Electric - Conduit EL04 Rough Electric-Wiring EL 05 Rough Electric- T -Bor VIEOi Rough Mechanicc: ME02 Ducts. Ventiloftng P1.04 Rough Gas ?ipe -Test PL02 Roof Drains BP05 Floor Joists BPO6 Floor Sheathing BP07 Roof Framing SP08 Roof Sheathing BP09 Show Wall 9 Pre -lo'h SPIO Framing 9 Flashing BPI) Lollung a S:din9 BF12 Insulation BP13 Drywall Nrtling PL99 F'nol Plumbing EL99 F.nol electrical ME" Fi.tas Mechanical BP 99 heal Building Code Pool 8 Spa Approvals PCOI Pool Steel Rein. -Forms Fi02 Pool Plumbing /Press, Test P003 Pro- Gunite Po04 Pont Foncing /Access P005 Pre- Ploster E1.06 Rough Pool Electric P099 Final Pool /SPo SL99 Final Solar Sub Lis! Approval Date I Inspector Please Road and Initial: I. 1 om Ucensed under the provisions of Business and Professional Section 7000 et seq. and my license is in full force. 2. 1- os owner of the property - or rrry employees w /wages astheirsorecompensationwilldotheworkandthestructureis not intended or offered for safe. 3. 1, as owner of the property. am exclusively contracting with licensed contractors to construct the project. 4. 1 have a certificate of consent to selfinsure or at certificate of Workers Compensation insurance or a certified copy ereof 5. 1 shall not employ any person in any manner co as to becomesubject !o V, ")rkers Compensation Laws 'n the por!ormance of the work fu: which this permit is issued. nsction Note: If you should become subject to Workers Comp: r citer making this certification. you must forthwith comply with such pr;visior-s or this permit shall be deemed revokee. CITYOF LAKE ELSINORE CONSTRUCTION PERMIT P11 in all spaces except those within heavy border lines and sign, all appropriate declarationsAs&sso. s Parcel No. 0,.-er*s Name PERMIT TRACT NO. LOT NO. UNIT NO. ALTE 105 REPAIRTYPE0FCONSTRUcTIONNLWADDArchEn.) 'ja - COWiERSION DEMOLISH OTHER -4Z 1,(,.f A.P. # reL'^'"m,uw/p"^o"n*~o.~,.`,r`^`,v*a,"*='"^ u` m"*~ mov or m~~"" , "/ m"u,"~."-' ~`le,s,"" c^o° ^"* se^..'w. force and "o.... Uce-sec~° *=. _____- Acres S Left Si`~"'"'" - -____-__-- wmnEnS'coIApcwS^r'opcscLAm^nOw m.=''"^°"='u,.°*"'"""."'..,~^,^`",,~,=..a m° w =,~°s mm~=w" Insurance. or " . , thereof S" 3200, Lau- L1c,", No. _'-^--_ Compankilp C.."^.v Copy a='.o,'"'"'.".v. ` o",r/*v=n' * filed ".*m"city u"''"'"n `''v"", Da-,e --_-_-'_--__ ^""*°/ --_ _- --_---____-_--_- EXEMPTION FROM WORKER, pc ,AT n.4.OECLARArn' m)"' IT I. szclhonneed not OCIP"101C. 1,'," '°''^',~`'' ' ^''' m u^.` ~ - PLUMBING FEES ELErTRICAL MECHANIC, FEES 11", deCI.11jt;r,1,, i ': Z-t: Inc s uIcc, t I f, 'Auto Wash Cor7strumun Pole !iub. Duct-Un e %o- 1,,,, whir" 1!,, Per .... I, S,ct 3097 C,4, :1 Clarifiers Dryers !.Gas Electric I Exhaustsy Dishwasher Fin Evaporative Cooler WN A Suit-uL9 L)ECIL-ARATION Fixture Traps ea. F. A. U. Heating System & Ducting Orl 1', si,ch PC, -r Floor Sinks Outletsan, I Hood or Cano- tt-e I! S I ,!' 10 1) -,? 1 Gas Service Outlets Switches Type I E3 Typell Increfrum arld the hasi for the f Interceptors Meter .-. up to 200 amos Refrigeration System 70315 v ° ' ,, ''' ",'/` " o,' r«/\y".°"='"v"^., Meter over 200 m" m =^ .° ' '' ^ "="' ^ ` '^°' °' Roof Drains SuLlpanel Tile Coi,tirai:to,'S LCOCC's, LA lines nt,i anviv to an ,vnel (If " 1),ripev, Jr- rl bu.IaS or -ti,ovas Sewer Cap F-1 50+KW Fire Dampers CS, 0 I,V d .1 !.I'll such Impl, Jef cnt, ditt "I fl), Sewer Conr.ection - Bldg, Motors r -1 Hp I Viet :)jirddn )f jr,)vIpq r,.. ;-- n!r; in: unsin (it im. Inc. Soler [9-15 HP 1116-15+ Tn-cinerator Solar Piping Sing/Fam. Res. I,), s I I..nstlljl I It of"iect -.s a, j ins Cone: - Solar Tank -Fam. Res. Cc liar. or% )c, cities not ,inwy ti) a (If ),(,;)City Wilt, to The Contrac:o,'s . . ' _--__-_ ---.''': ---' - '— " WaterHeati?r . --^ . . . Issue . 1 30",',^~*".w"°u~" - - . & P.c.'nTm" reason y ! Wote'Smwo Septic System i ccri-ly Ifidt I ;,a,,- ,All this jprj1icat,,,n ani stal, 11"Al 1he I)EVELOPMENT SERVICES REQUIREMENTS: r, T,, mil authorize repro- 01-eW L,tallSe of SS Acce,ory Building. x o w w o n rwx vided s to M f r S ca -_-__- __---myard F.o 3360 3371 na Check xu, om«u| Pe, `.,ne x 3300-33'2 1 Summary of Permit fees nwwing S p."=b;nj $ xu v u.w"xw x w'° S xmu xx^Pis, $ xoo2 :u*L rn v - 1360 33 70 ummary oi Plan Check Fm at!Jdaig $ - ' _ -- _ plu*b;» x m+ $ m"`og x ---_--__- -_ Total Fees Duo 70315 v ° ' ,, ''' ",'/` " o,' r«/\y".°"='"v"^., Meter over 200 m" m =^ .° ' '' ^ "="' ^ ` '^°' °' Roof Drains SuLlpanel Tile Coi,tirai:to,'S LCOCC's, LA lines nt,i anviv to an ,vnel (If " 1),ripev, Jr- rl bu.IaS or -ti,ovas Sewer Cap F-1 50+KW Fire Dampers CS, 0 I,V d .1 !.I'll such Impl, Jef cnt, ditt "I fl), Sewer Conr.ection - Bldg, Motors r -1 Hp I Viet :)jirddn )f jr,)vIpq r,.. ;-- n!r; in: unsin (it im. Inc. Soler [9-15 HP 1116-15+ Tn-cinerator Solar Piping Sing/Fam. Res. I,), s I I..nstlljl I It of"iect -.s a, j ins Cone: - Solar Tank -Fam. Res. Cc liar. or% )c, cities not ,inwy ti) a (If ),(,;)City Wilt, to The Contrac:o,'s . . ' _--__-_ ---.''': ---' - '— " WaterHeati?r . --^ . . . Issue . 1 30",',^~*".w"°u~" - - . & P.c.'nTm" reason y ! Wote'Smwo Septic System i ccri-ly Ifidt I ;,a,,- ,All this jprj1icat,,,n ani stal, 11"Al 1he I)EVELOPMENT SERVICES REQUIREMENTS: r, T,, mil authorize repro- 01-eW L,tallSe of SS Acce,ory Building. x o w w o n rwx vided s to M f r S ca -_-__- __---myard F.o 3360 3371 na Check xu, om«u| Pe, `.,ne x 3300-33'2 1 Summary of Permit fees nwwing S p."=b;nj $ xu v u.w"xw x w'° S xmu xx^Pis, $ xoo2 :u*L rn v - 1360 33 70 ummary oi Plan Check Fm at!Jdaig $ - ' _ -- _ plu*b;» x m+ $ m"`og x ---_--__- -_ Total Fees Duo 1 30",',^~*".w"°u~" - - . & P.c.'nTm" reason y ! Wote'Smwo Septic System i ccri-ly Ifidt I ;,a,,- ,All this jprj1icat,,,n ani stal, 11"Al 1he I)EVELOPMENT SERVICES REQUIREMENTS: r, T,, mil authorize repro- 01-eW L,tallSe of SS Acce,ory Building. x o w w o n rwx vided s to M f r S ca -_-__- __---myard F.o 3360 3371 na Check xu, om«u| Pe, `.,ne x 3300-33'2 1 Summary of Permit fees nwwing S p."=b;nj $ xu v u.w"xw x w'° S xmu xx^Pis, $ xoo2 :u*L rn v - 1360 33 70 ummary oi Plan Check Fm at!Jdaig $ - ' _ -- _ plu*b;» x m+ $ m"`og x ---_--__- -_ Total Fees Duo t I i 1 c; 1 C7I Z jF' { °; c, cc Q'I W I i Z i j ( { + m W 21 CL p fA LL W V C cr l2 Q •°j " I I d 0 ?_ J ! - fit :., Fell- Proiect Addreas t0 ` 1 ' CITY OF LAKE ELSINOREAss .......Pdrenl " °...— ., =©l — __ CONSTRUCTION PERMITOwnersNam, _ - Applicant to fill in all space except those within heavy, border lines and sign all ar - -. Phone PERMi ,N 1 UNIT N0. Address _ j ---- _License No. _ i 1 3 TYPEOFCONSTRtI[tOn1 aiK -- j .rNEW Contractor 's Name.. ' CONVERSIAN J_ EIEy( AOD.' I A(TERATiON REPAIRJt ) tJESCP.IPTIOM'UFWOR?fiU $ iOFBtDG OT` ER= Address imailingl —1—i t _ hone= sL"YL 7; 1 1 Y 7 y. -r A.P. # C`tyLicenseNo. _ TYPE OF PERMIT-, - fJ GRADING FOUNDArtON _TSTRUCTURAL E Main Building: LICENSED CONTRACTOR DE i iENANi ,- - I hereby affirm that I am hcur;sad ncer Prov - - -- ELECTRtek, _ PLUM T FfOnt -------- 0) or ( 9 - OTHER ,NG? MECRANICALmylsenseis )nrJ01 of piyision 3 of the Uusiness and` parter 9 c ( _ goCOCO, rig PROTECT CESCRlPTION' Sq. Ft o (. "` -`" r-f r ' • A i Hear -- --- my license is in full r rrr and effect. 3 d'essions Cotle, andLicenseGass ___ Construction type - - Occupancy CLicenseNo.'11.,CC Zom Righl -_ Dafeg _ 51rnature L. T __ ValcationS_ / AcrestVORKRS' COMPENSATION D r -- PC., - -- S LeftIherebyaffirmthatIhaveateriE aLAR ON - Remarks - of workers• Com en t to of content to self -insure or a -` -• J--_ Ping, Ref. # I 3000, p cation lnzurante. Or a certrfle'J Cetilition \ -4-- _ _ Lab. C.1 coPY [hereof (Section %' „ Jr1'onCY No 01$T --- ., ZL l- Planning Notesa. -s-"1 1' Compa t,,1A, um Cn ,t C:,1Cn[ that nC /'h rCq ulre5 the apPhCdnt for nr rC ?d,r IVIC Lnntra {Inr'S tJLense S C Is ticenSed pill sudnI tO the r vi ? nsr f Division 3 of the P.uSrneS, a; rChFDler 9 ( conCotl c'r19 with Section 7000) Provisions of pJ 7031.Y b anq t d leg,!q OHS ) or that hr, !Site rz exempt7031.5 b the Pairs for Ilse d,le9 ^tl exe ^,ptnn. Any violation fYa^v •tnhllcant for .7 pern;rt st.Ulects lhs o Sectionaeriallyofnotntu,C than five hundred 701 tars applicant tO aas .,wne, of (SSo01. civil CO nr trrt pr3rC. *, - mt Crnp, ' S w,fll wdSCS a5 fhp9nialnm, yell d,r file work anc trre StrUd VVL rs not inages , , for sale (ir.rtu,n 7n.ta, BuS,ne SS and , err SOIC The, e i aw else% "„1 ro tetSlm,Jl Cnde: The r n. fCretl The, Carr, .ulre wM, ,, aOPIy t0 an Owner OI a pip a ContraCt Or'S employ ^n \, err, w.. 1I SUCh wOri. r,,m;L U;!1C ISel(COy who burlos Or improvesh•o that Such Imam•vCrilt•1tS are riot .Merl Cd is nIf }tier OwnP Sale. Coon, Irhr, ro WnCr nvrij t "IIC,nq Or imp•o ver•l ent i5 sold :yr thin Cr,g v creel for move 1n, t hu p,,r vC the burden Of rlrovmq nCisfre tlltl n, ^ , •. 0m• L•r,S1 or sale). UU,,. Or lm. I, di OvfnCr OI the, OrnpnrtY, ^• CxCI rsl\CIY COrlr ra iirdttrilllrr -nn Sh tie' hw Floo - • r 1 Fixtures r - -- Heating System & DuctingrSinks - - -_ 7 20_100,000. BTU 0100 00( 1 bas Service Outlets - - - -•- Interceptors Swifc- bex' - - - -' Hood or'Cwopy F•Trap Meer J up t0200 am 0s - r T ems- Type II P I Roof Drain ! Meter Over 20- 0- am — Refrigeration Systems - -T'- -- amps T_railer Sewer - -fi - Sus oriel r_ 0.100000 BTU D 100 000 15.50KW Fireel /Fact. IL ICBO #_ Transformer System Repair /Alteration _ Sewer Connection •'Bldg. ~- 50+KW Motors f7 0 1 HP , } Fire Dampers _ '- Solac Collectors D 1 /, • g I Pro,CCt (Section 70.,.1, c ' ^q vrltn +ire nc. Solar (]3.15 HP Registers - Thc Cuntrattul's L r,CnsC Pusrncss and Prn1 ^led Cr, n• —t —Solar ` img - '"___T_- 16 -15+ ---- _ bin trts n Imprhvcs then I' ") dyes riot It Pill to an owner of ess„rns code: - Sing /FainPactur (s dcen eon, and who contracts for Property wilo _Solar Tank - _ RIBS, -- - pronf Off Se IC 1. nt t0 Vie Crintrac, Such pr „lefts with a con. - - - - --- I M SC. ef a - att r Vrc,r L'dcrl.er ; Cnm Ors Lr;.en:e Law'. I om Ssvlmmin Pon u!ti•r"am. Res. -- - PQnsation Insurance shoo +tl be aware than .q_`•_ -- i am cxemp, ender Sechrn __ Provided to me. Swimmin PoOVS 2 -`- B. & P. Water Heater - - Did ,r ..._ --- - C. for Phis reason - WhIpr Service __ -- .V I hereby ce:lrfy that 1 hay -- - -- - Se 11C — _— `--t- -_- i -- Issue mfonnahO^ is roister, _ I C rend IhrS aPN r.rUun anu -- -- .. p System _ Gantlstatetawsrelahn. agree t•, romp's •t” all tit slate that th,; at) 1( -'- - -' -- -- Seniativas ut t n O br ,ItllncJ cons ir.! , dntlYherCdbC,nl mty ordinances --'^- --.__ -'•. rnsPCUrnr, p„rp s city t^ ,ter u , aum.)nrc rtJpre- OEYELOPMEN TSERVICESREQUIREMcMTS: epp 1./y (JQAjU Ihc• abq ve•nlellt irvruinat ' 'A 1 Cd PrnrlCr t 7 - --•- .- Zoning MPfrred IIILOP_ -veil• .. - L.j j ..- - Wilding ' Lleens r SS N 9elerCopyCanaryAssemr, P Apph,:nt, Goidentod.Accounling __ VDeI 11CC9SS^ 0 —ry B ACCT___'cu. FEES cu yards 3360cu. yams k Fee S 3300 - S 33003312 I Surrmary of Permit Fees z fO` /" Bm!Jing 31 Plumbing 3^ Electrical fir 110231 SMI Res 110.232 C s - Z. is s 33603310 Summary of Plan deck Fees 4dmg S Plumbing Eicutricel j W_ Mechanical Other It. 3360.3375 Pla I Z n J( IN G R E G M T S y, CL I I o I I TTI I I I I I 1I W1 LU LUf 'Wi Z W Fff ax If I 1 i \\ I ' t t . "I p I • I I I -o LU ZI l a C7 = DJj} NI y JO yJ C a aap c°'i o 4mc r_ o as i U I I °i' a o _ z H cI J o a J m LL t- dl C y' A. i LU I LL , ' 1 c ! a =I u I y a > ra 10 a I U. w J j I. I I ' IrdlIw I ( I i' I I W CL , I a Q I p 7 w m m t) I Q U s a > d U to L .., a 3 QI G co a, y rn C Er f " Co W al I c =i of ml cl DI EI V 1 • rnf i 47 W m 471 fA C .i 41j m LIJ v> c! y Q Qj LL( j V, ! •{ ILLi V)j y 1 rr 0 pp i0 W rn cr a to A C71 m t O. Q m m m Z O 7 a t U m -a•.0.i O1 LL } I > l1II > w vi + QI a; OI o1 I 5 LAJ u, U1I1 OI J 1 Cv i Wt j w I t I `.' 1 i f I i v i i I ( I ' I I I I t 1 —j I I I i f i 1, o I I I I y I s i `vI f I . i 1 I 11\ I .' 1 I I j ` I t I I f- I I f LU I 1 ; T I a Z Z z ao I cI I I j I Z WI I I rnl j ! I j I c I 1 C •6. { i I I iul 21 .CI - i , I JI 1 CI I aJ Z IQ 1Zi O u 3 I oI d f DI I I I I ` -0 I d I cE ( I LU z I U I I I f 'm - nl I C CI bi 011 mI I I o• _; I I ( F- I I ( I I U yl ~j QI O'I I I t0 S c rn rn I c C 1 m roject Address i- Assessor's Porto) No, Ownet's Nate 1rch /Eery, . ' License No, s Na Address Nailing; f{ City L'C'na a. ._ LICENSED CO TRACTOR DECLARATION 1 hereby eflnm t I am licensed Crder provisions of Charter 3 (commencingwithaction7000) 1 Division 3 of the Business and Professions . ^ode, and my license Is In !till for il :d of lect License That% ._ _` L_tcense No. - -- Oate. _ -_ -- — _ Slgna e _- WORKERS' COVIPENSAT1.3rd CLA A ns / I hereby affirm that I have a ccrtifi to f ctit to st<t- insure or a certificate of Workers' Compensation Insurar,c or ertifi eJ copy thereof (Section 3800, Lab. C.) Policy No. , -- Co.. y _ Certified copy is hereby furnish'C• Cerllhed copy is filed vvl!h the city Build "I vis n, Date. - -- --- --- Applicant EXEMPTION FROM WORKERS' COMPENSA 10 DEC RAr10.4 Tnis sec!ion need not be ConlplerCd of the per t is r One nd,ed fSIQO) o: Icss;, I CCrtily It'-it in the performance Of the wart, Or v .• permit 15 r5sueC I Sh ±il oat e m(,IOy any person in any m.ln her 'SO as to Come SOb1cCt to theWorkers ' Cornoensatlon Laws of California. Date _ _ -_ Signature NOTICE: u, after ma%img this c „ciaratron, you onl0 becG subject to theVvprker5' CO :npC -r Salion prOwSmnS e' ;tie Labor Code, ynt, .Kt forthwithcOmni. worn SU.:h prowsic -s Cr this pert „it shalt be deC CO rC Vokfd. CONSTRUCTION LENDING AGENCY I nere--y affirm Ina! ;here is a coosir uCl nn lendinq agency for Shf. p iorman Ce of t1.e work for which This Permit is I.51100 (Section 3077 _,v. C,) Lender's Name. Lcndc,'s Aawess -- OWNFR BUILDER DECLARATION — - I Hereby allurn that 1 am exempt from the CnnUaciur's License 1_aw \ rePa,. fr,unwtnq reason (Section 7011.5 Business and Professional Code: l,ny CnuntV vduc t: reawreS a Oeerlit to cor,siruct, aster, improve. demolish o any structure, prior to its issuahce, also rNO,rires the applicant for sucr, permtl W file .t Signed Statement that hC'sCc IS licensed pursuant I_ the provr Sio,,s Of the C•uilreClo••s License Law (Chapter 9 (commencing with Section 7000) of Drv,Su rn 3 of the Business ant! Prife;"Oris Code) or that helshC is exempt theretr0•n and the basis for the all,ged exemption. Any vinla!ion of Section 7031.5 by an•y an Pln:ant for a permit subjects the applicant to a civil penalty of net more than five hundred sonars ($500). i.. 1, as Owner of ILe property Or in, employees with wages as their soleCo1; as will 110 the work, and tilt SLruC-lure fs not Intended or nfrered for sale (Section 7044, Business ann PiofetSrnnal Code; The Contractor's License L.av, does nat apply to an owner of a Properly whO I)u,las Cr improves thereon, and wrta does Such w, rri• nimself/1-2rself or through his nr tier own empinyees. Prnvidea that sucr, improvements sre nut ,ntenaed or offared for Sale. If, however, the bund,nq or ,rnprovemera is sold within one y.;ar of com• pletron, flit r.wner will lave the burden of proving he;'she dip not Ourld or im• prtove G the purpose Of site). 1 I, as owner of t:ie prnp•.rry, am ex Clu Sfvr•IY a-, ;,tractuwq wi,h licensed con- tators to cont•ruct thq Clinic” (Section 704.1 Business and Professions Code: The COolfaCh,, : L,CenSe Law does not apps-, to an owner of Pronerly who burins o: IMP, nvlt wrier ei,ri, aon who Contracts (Or Such Projects with a con Ira Ctor(s) license Pursuant t0 the Conlyd Stor's License Law). I am aware that proof Or their Vlori -i's Coropensalran insurance Should be provir-ets In me. I I am exempt under Section_._._ _.. _..._,.__ f3. S P. C. for this reason Darr- carter,,W- l i hereby certify mat , f' Itave read tills tppl,Cat 0- d State that the above hforrnat,on is correct. I agree to comply w,Ih in cry and county ordinances and stale laws relating to Molding Ca- IStruclion, anti ricreby aulhorile repre• nlatrves of 11 s rIty to n}tr,,u?, rile abovc•mentinnett property for inspectinn p n s, Srrnalurc >t G7`', atc`f i Drivers' License or SS Whlle•Blnktrng. Canary Tempaary file Copy, Pink AssessM, Goldenrod A,,pllcant CITY OF f -AKE ELSINORE CONSTRUCTION PERMIT Applicant to fill in all spates except thus? within heavy hr.,--e, lilies anti sign all appropriate declaranons PER t NO. TRACT NO. LOT No. UNIT NO. TfPE Of COIl TR'JCTI011 -t-1 NEW C ADD REPAIRCONVEPSIONOEM011SHGOTHF4 — f A G.y . rAD"tSCRIPi tON OF R'OR : {7USE CF BIDG. uil ding: Accessory BuiSdinc: 5PEOFFERMIT 5 GRADING FOUNDATION RUCTURAL -- 2TENANTCELECTRICALT_ PLUMBING G MECHANICAL -- O OTHER - N PROlEC7 DESi+IPTiON: $p. Ft. Qu pan Cersextlonype . r 2onp : P Arras — _— G yalwtan S , FCk R # Remarks ParkinLRRe11,/r1IV! er! E otes 7 Ali PLUMBING r Alter, Repair Auto Wash Backflow Preventer _ Backflor,f Irrigation_ Clarifiers FEES t - I _ -_ ELECTRICAL Generator 010.5KW 0 515K Construction Pole Sub. I Cookino Unit _ - --- Pole Li ht I 0 ers C Gas Cl Elertric Fan F.A.U. Fixtures Olutlets y Switches 1deterL up to 200 amps FEES GRADING FEES Cut yards MECHANICAL -- Boiler Duct l;nder Ground I Duct- Structural fan - Ventilating_ Exhaust System Eva orativc Coolerate14eatingSystem & Ducting 00. 100,000 BTU L3100.000 BTU Hood Canopy hype 1 Type li FEES AT R 3401 3225 cu. Fill w. yards I 1 i Plan Check Fer 3 Permit Fee $ Total Fees E ._- Dishwasher IFixtureTrapsaa. --) ins Floor SinF oohs ±nks Gas Selvi a Outleis interceptorsp 3220 3221 3272 3223 3224 2301 230i 3225 3101 3403 3412 Srmmayof Permit Fria Burldin g - Plumbing $ k`trrra' _ - Mecharacat S Retention - -- S _ SNIP Res $ SMIPCorrr. - Other S _ - - -- - -•---- Summary ai Plan Check red , 8wk,a = / : g - Z-/c -- f :umbin g $ Electrltal S - Mechanical $ - Other $ Planning 3 t cwt Fm Dw S , 2 r- _ 441-System ration System 00 10Fi iIUO BTU 01100 000 Fire l /Fact. Bit. ICBO_# Re air!Alteretion - p r-- _ r?e Roof Drains_ 1 Trailer Sewer - T 1MeterGover200amps _ Sub panel O 15.50KW t Transforfrler I13 50 +KW I Motors i 0 1 NP ( 1'4 8 iInc. Solar 09.15 HP 016.15+ YYe1 Cap Sewer Conoection Bldg. Solar Collectors Solar -Pp-1i _ Solar Tank Fire Dampers_ Rtegisters _ Sing /Fam. Res. Multi -Fam. Res. Incinerator Misc. f - -- - - Swimming Pool /$ a Swimmi POOI /SDa Issue Water Heater Water Service Septic -SA em Mixe.__- BEVELMMENTSEXVXESREQUIREMENTS: BtlNin[AOMarN llr - Application Issuccd $I Date __ -- - -. - z L Q fJ L0 -EllE' `c 5 Q t d i 8 n Z a c; a IU I a o r N uiI wt v+ tl v,l ai OOi CC7I LLL I S S I O I I; ,; ` i ' I I I I I { 1 I t I II WO Qi j i f i z w Cc, 1 I I I i FBI Ci I i I c I I - i m I i t . I I z; iL c I I I I m u of lu, I aLO C I r •-• i I ia wiI C I ° I I - J W p I LL a Qf c?I ` a'3 Q TI I C+ ro WI CI rn JI i ° cl a c' n i m I iI LL ro0.1 o 0- u u,I m ml, ,01 F-I c av, I c~°, m UI E I .?8 1 Et a ; mt ~ ~i Z N I d c O w S I o; a { °I o cc l 1 of I °I —,; a z ml L , 2, QICiWll. it. lL SI lL =; O:' I ti Ci ,'. Z i sl c7 cn co CZ J E iZ! CL CITY OF LANE ELSI.-IORE BUILDING DIVISION O W N E R- B U I L D E R V E R I F I C A T I O N t A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion, and rewire the return of an owner - builder verification. Attention Property Owner: An "owner- builder" building permit has been applied for in your name and bearing your signature. Nc building Rgj -r.it will hg, issued until this verification is received. 1. I personally plan, to provide the major labor and materials for construction of the proposed property improvement. Yes i' No 2. I ,(h /have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name — Address Phone ( Contractors Lic. # f 4. I plan to provide portions of the w!rk, but I have hired the following person to coordinate, supervise, and provide the major work: Name - j;{ Address Phone (71_ 4) _ Contractor "s Lic. 5. I will provide some of the work but I have contracted hired) the following persons to provide the work indicated: Name Address Phone Tvpe of Work. i; /-74— ---- -- — __ If additional space is required attach subcontractors-first ) I hereby affirm that :I have received a copy of the information Get forth in Section 19830 of the State of California health and Safety Code and have complete the above information to the best of my personal knowledge, in compliance with this State Law. Signed: ! .!' _ Date: Name: Printed or Typed) Drivers Lic. # or Soc, Sec. # eft - Ttv' of take Y t t TOMMun VIM 19'ett'e, W its Cehti icate issued pu,uant to o Cade omtqying the AcqufAemeflts 4,q ettlofl 207 the CUIAMOfthefinle0j1.9suamet, I 14OAm Tuffdog ondinancQw 01 the (,jty r W Cornpeloneegupnt,.A9 buipd,. CoMbuctio" oft use. C'TM the with the vahlon YfWfowing. Use ClOssificat ion Group__ — _Bldg. Permit No, Type Construction_ Owner of Building Zone Build; ng Address -''- Owner's Address City -------- Bl'DCk--_TraCt_. StoteAssessorsParcelNo. --------- Zip By: Date_ E-;jfldin_&f ficiai POST IN A CONSPICUOUS PLACE 9 4.4 h. +sz '.m'a+ 4 0 ,.:ypv ti`,. i -t:' y p I rotect Address Assessor's Parcel No. Cwner's Name i'(!t +.% _ Phone Address C&4 ;K _ E!_ -- Arch Eng. --_ _ — License No. Address Contractor's Nam --! -Phone — Addr.'ss Ima,Gng1 - City .cnnsp No. LIh,ENSED CONTRACTO D CLA A ION 1 he> y afi :rm that I am ficeosed der provisions of Charter 9 (e`mmencing with ct:nn 7000) of Division of the Bu;rness and Professions Code. and r: -% licKmalis in tun force and effect. i rense,Class - License No. _ - - -.- Jaie -- Signature WORKE 5' COMPENSATION DECLARATION I heresy a ,rm that I have a certificate of consent to self - insure or a certificate of Aorkors Compensation Insurance, or a certified copy thereof (Section 3800• Lab. ) Policy No_ Company LJ Cef,ificd co is hereby furnished- L_ Cer'lfici.; copy's f:tetl With, the city Budd' ^g Division. Date-. —_ - - Applicant -- -- - ---. -- _ EXEMPTION FROM OgKERS` COMPENSATION DECLARATION Trissect,on need not . compieted if the ve,m,l is for one hunffrad ($190) or lets). i er!tfy that in the i.erfr ,,,ante of the :.u,: fo• wniLh :I..$ pe.rrot .s issued, I ua i nc: ^mpfoy illy per- ,n any manner ,o as to 7ccome sub;^_ct to the els' C-opetlsatr0,. Law of Cain„rn,3. m,. • ,•e - _ __ - -- - - - - Til I I W , I I i + c ~ a' _ I J W i W I I H,xl= F `° I W Q w I I G _ ; e CITY OF LAKE ELSINORE BUIS,DING DIVISION OWNER - BUT' D=? VERT FI CA i_I_ON City or county, which is required to give *notice pursuant to A Section 1 x, shall attach to such notice, and, as a condition precedent SeSe issuing :: LuiZ ina permit, require the completion and require the return of an owner- builder veri llca; ion. Attention Property C+wner: An "owner - builder" building permit has been applied for in your name and bearing your signature. Fo buildin Rg- iti will issued unt•l this ver__`icatio,-, L deceived. 1. 1 personally Flan to prcvide the major labor and materials foj construction of the proposed property improvement. Yes No 2. I (have /have not) .` signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the propose construction: N ame Addre Phones( ) contractors Lic. 4 _ 4. I plan to provide portions of the work, but I have hired the following person to cogrdina:e, supervise, and provide the major work: N ame —' Add -ess Phone (714) Contractor's Lic. f_________ 3 5. I will provide some of the work but I have con hired) the following 1,ersons to provide the work indicated: Name Add_ ess Rhone MMe o` 140rk If additional space is required attach subcontractors list.) I hereby affirm that I rive received a wopy of the information set ton-.h in Section 19830 of th state at California Health and fSafctCd and have comp the ove in_orma.ion to the best o.. MY Personal knowledge, in co ante with _h ;S State Law. Signed %- f I Date: Name: Printed or Typed) L)rivers Lic. or Soc. Sec. U '- ---- -- r I, f)-12,e ,'FWWIZR:5 - VAU.5 40 raiacl roses l ` / ..• ? 1 CiTY OF LAKE ELSINORE CONSTRUCTION PERMIT J Assossbrr', Parcel Nq _ RR I TRACT N0. LOT N0. U11T 0. 1 FCONSTRUCTiON - NEW ADD _ ALTERATI License No. _- Ad rsr3s - COhVERSIUN D pp REPAIREWOLISHOiHER %_ Cant aclat's Name DESCRIPTION OF WORE; uSE OF BLDG A.P. _ ZonePhone - - - - -- Address Imai! ;:y) -__ - - -- - —_ _ - uilding: _ _ I Accessory Building: TYPE OFPERIIA GEAGING - rOUNDAt!:,k UCTURAI A Front ZCity1_icense No: __ -- _ TENANT _3 "ELECTRICAL PLUiABI!sG YFCHANICAL I OLICENSEDCONTRACTORDECLARATIONOTHER _ _ — -- - - - -- - -- N1herebyaffirmthath'-am b'enweunder o,o4s.ans of ::: -aster 9 (commenting PROTECT CESCRIPTiON- $ Ft - -`- - -` Iwithsection7000) of OlvmcfO / 3 of 'tr- S lines, and Plofess,ons Code, ana r_.•- - N ,trucvc l t e ''-- - - - - -- my hcenir. i5 m full lorce and effect. 7R ACreS - -_ ' afhaP ^n s._ f ' -- - GL,Cense Class `- !_ -4 -- License No. S_- PCy Date -- S,nat„rt --- rkin e R WORKERS' COMPENSATION OECLARATIO I Remarks - - g R a_ /Provided ! EIherebyaffirmThalIhareacertif, c x •-1 -- otes _ - --i aiSelf- lrsure or a certificate —- - -- i 1 SYOriters• Compensation Insurance; orlon G i / J - - - - - a ert,flea cor thereof (Section " ' C ; ' / M. 3800, Lab. C,) --- - ` • TPolityNo. -_ COmP Y _ _ SCerhfietlcopyisherebyfurnished. ''ti 1-f - r . J -- - . Ceflifred copy Is filed with tr.e city eL:,ltling brvis:on, - Date. _ -- -- Apcl,cani - - - - - - -- - - - - -- - -- EXEMPTION FROM YJORKERS' COMPENSATION'OECLARATION - - Th,ssection need not be CUnlhleted :f the perr,,t IS fdr lode hundred ($loo) Or - - - -' - - less'. --- - _- - - -._ -- r certify that ill :he PefIl man Ce .-f the wor• ICr v,hrch tths perm+t is issued, IShannoten:; " y any Pelson in ary manner so as I, becoC,e subject to the PLUTJiEING FEES - — WO-* an• COn1PenSafiOn Laws of ,,4.Ifr:n.a. --.- _ -.- II _ ELECTRICAL FEES i1ti - .. - sr ;na ,•e --- - - - - - - -- - - - -- Alter. Rp atr --f - -- - - - -- - - — -- ----- ECHANI AL FEES1'___- _ - _ ~Generator f '.0 -5KW C; 5 15K4N '_ goiter _ _ -- -- - ACEI x GRADING FEESNOFICE: it ,leer nias.mg tn,s de•::•a:,,.c, y ;., ShGUId become s r,ject co ther:' r,.mPensJtihn Prov. s r•.s ;r :•e I Lb:,r Cade, you m..s! fnrth:•Ilh _: Auto I1,ash - i -, CanStr UCtlGn FOIL Sub. r omptf -,•i su, h ^ +ov,s, , s r - - -- - -- - -- -` - r DUrt•Under Ground _ -- -- - c:,l - -- - cu f>.;,se•mi• thtll ba deemetl :CVr:.ker„ iI : CONS7 nVC ION LENDING AGENCY Backflow Preventer - Cuokiry Unit- I,uf :•C rrt•, affirm that lne,e s a _.. - -_ Duct-ST ,ueiural __ __CU y >r6Sr. er, ^,. y age -neY irn ihr Performancen -Noce Bacl.flow :rli t ati0n PO!E• Li hl 'Fan 1 -e ____ I I or ilia .•. ,,. 4,r :vh,tr : r. srs e n r. ss ed (SC -cNOrf Son / Ctt c -) - -- = - - -- 9, - _ - -- 1- _Jentiletin9 -- - -- MAI 3370 PI1r, :h - -k Fee S -- - - L^naers Name - C.arifiers — • - - - -- - -- ids : _; Electrit. Exhaustr , rY2rs au t Sys.am 3300 -33.2 r' ,n••t Fit,! Sit_Cnncr••.nnn.ess - - -- -- -_ - _ _ Dis_n :yasher - - - -- - - -- - - -- . l OWNER BUILDER LIECLARA'rtON .._ _ _ - ) ttUfe - -- ._ -.- - - - - - -- -- - - -- -- -- - -- V afrir n loaf , :r_ ^v4r1L '• tr -- - - --- -_- _ -- -• 11431 StIaLIOr'S L,renSt. La:, ?or :nC - r f.,ter w, n„ rc.r.on ( : /ttic r, G3:.`. Gr ^•.S; - i+ry`}r ,n (' - -.. _. - - - - - -- '- ------ -._ ... - -.. -_ - -- __-_- Fait i F•a,.rat .- Cooler ' F Traps ea. ___. , -' F r, U T -t T one :.v ratty or FIOGr _ r Heajm S, "em Dur.tingiC•)hnly wr,tr, retJ.,,r6S Permit 1 a' Y _ D aril$ - - I g uen, eIt' TIc , dcir. -,hsr nr r• F y'J °'= 0 100 000 BTU )C10 000 BTIi ' di, f• &I, :: I ri, hr,!,r t„ ,,•s ,SS:, 'rl :... ?.!;', r• t 'St _ p Floor Sln)' < —. - _ ___ _ - - - _. _ _ -__.__ -..._ _ -. __! h, sue J r, J e s an: t nt for sou Perm",." -- -- _ --_ -- -- OLi ell /- - - -- iqn,tr: tL,4c nlsc e; ( f•• S ,i., .,cvJpursuant to Inc arn,vilonns a 1 --. - . r._.( -, i lij!O,4 Gr C3nopy - 31L 13312 °ummagof Permit FeestheC,.ntrac'-u's Licenses Lt:, (C ^::Pier o (- -- n- ,r stmu will' Siic!ron 7000) of GDS SerVICP OU11etS-_ S:';tCheS I_- T : G+v,Siun 3 ',+ .I,c Business and ?ry_i:.or.s C-.dcl v: •hal hC.ihe is exempt --- -- --- ---`---- - - _ - -._ _ ---_ -- _ ---_ -- thell!'ronl ahn Inc halos 'rr the a!!c :ro elf r,c. :,n•,. Any v,r,la :r.In Of scctrnn Interceptors __ - - - -- 1e1•- l P -- - - -- - --- BUdd:pb70.1., by an; applicant f, r , a•oo! 5 ,, -- -_, Me up to 200 amps YFE T Type 11 3 =; c 1.6 ji C•S Ile 1• pl,cant tr, a civil a rige :atron System -- enal l)l r• P- - ---- -- tY I'll! m6fe than five hunc-reo dollar; ( -5G01• Trap - _ Meter vet 200 1 1oamps1} t00J000 BTU i ' 100.00C,BTU t 1"mD' "s $ I, of Owner nj :he le v,r,rly , my cis P.n e. s r,r RUGF OraIGC -_____ _ -. - _ -__.- -_ -_ _.____ -_ _ _ _ rnm Sale ( ec will du the ijsinc and the struc!vte ,s •v,t ititcr ned or Oferecf _ "- - -+ - - Sub P ?• -e1 ; -- (F ir9D1 'Feet. Bel. I(,BO , - E "rlfiLd' $ _ / • or s.tic (5eti,nn 70•SC Tral'ef $ewer - - - - rr:.._ - t / BuS,nG4f a r y: Is al C dr.: The Con: ra -t "I'S - _ -_ _ ___ -_ -_ ' - _ _ _ _ _ _ License tiv, ones not apply l a,. t ,r Transformer j 15 50KN! S s Mechanca. t rperty hn 1,100 rr'"10 :bves SeSVef CaIIncrCOn, and whc (loci :urr, sail• r .rkl .,r Ihirtl,gh hi; Gr her G emplo vfeS, pin v,tlr:'I tr.at suet. ,mr r c re,- 5 Arc not nitenrlM nr n1tCrCd for _ -- ---- --- - -" - -- _ 5DtKW I F•ICP tSafe- If, nOv,.Cler, the Pwltlinq cr SP,sver Cilnneeuon -Bldg• tlinrors HI' 1 %i P - - -..- -- __ _ _ Repa I Alteration S C .!. nr ,t •s :',t7 v.,llnn One year of Com. - . plcLO l liltfli, pil, Owner v,in have file h., 3C= of [`nnd•nti hC; thr• aid not build nr im- Solar Collectors _ J ' - - - ret7f - -- - 1.` - Pr vC rot flit, purpose ill safe)' i 1 r r _ Inc Solar I J3 1 HP ; l6 15i , R I. as owns, o The -- - - - = - -- 10 231 NIP Co, 1 amne:s r S e9 slurs - - - -- - - - 110 ]qt SMie $ - P• .Perry, a r C , _ „n•ar,inp SOIa( Piping ` Xi10rs lO cn S11111.' r r .nn: f,cense.r cue- - Lj u__ Sing F ?m. Res. -'! MItProtct (S n 7: El.., ness and P ores,, ins Code Solar Tank - ThC Cnntrd C•r,r'S L,fl'n :i• Lay. d e of .1P1. / t., ar nwncr OI r --. - ___ _ - __ 11 - _ .. - -._. T $ T b•wns or n•:p, Property will) -_ -- - - --- - -- lt i -Fam. Res. f -- -- - -' - _r_ __ .._ 3b03370 Summary of Plan Check Fees rone • Ise. N. thCrt ,n, Jr.,l : n .,its r: , SVCO Pr„jects wtth a con• - :_cwlmmtn(1 P001 %S a _ _ _. - -_ ( _` - - -- - _1 - ..-___ __ - - -- - - -- -- -- - - --- 3 Ij IrJGInY(tl IfCnSC Pllril,aili ir) ire• I'"lr,tC:r.r's L_, -n „je 1_a Y. . i .lm -tf_ .- - _ _ _ JIr(i,nmtn Paol /S apro•Ij h. tha• Vl, ". •er'S Cmm en• .•U +• ,nsu•ar,cc SrtOUld tic prv,viaed to -me ' Water HearerIamcacm -- - - - uu-- -- -- - -- - - •-- - -- ---- -- - -- B.,10ingptantlerSeCh•n+ -'- - A —P._. __._ - f . C. for tMS reason 181P.r $erVife. _ _ -- L -_ - I - - - - -Y -- -- - __ i_ PL,mD r.F $ ._ 1 oat, 'F1t _ ]r R r_.4 {_t.t'C. lz/ - -- Sept,c_s em i - - - - - -- - - - I ': tectnrzl ; 3 I nerohv Ler!,fy that I !13'.f Carl •,,,s abet .a Ir and aa(z]Ina! the above ~ ~- - - -' 11ENELDkYENTSfRYICESREQUTAEMENTS: Mecfanicai j y - m•nr,nJl,,,n !,,r•t13 , w,•n ell uty and ,.ounty ordinances - Afi1SC.— -- •- and state taws r.; (. t, to build!n ctnst - t, .•, n, .•In l'trcb•: atrrh:.N/o repro- _ ZanialApkmredBy - _ _ Othrr $ InSpelives n, tttic City t:) c :u r .,Pct n, ,1nove- mentinnod Pruocft; for -j — . ._ Dale _ InSPectum pure Ives. - -- ----- .. -. _. - - -- -__ _ BuitdinjApproredBt _'.T%t. 3330331: ApPlicatiaa Planning $ Issue l ssuedBj.... Date./ -• Total Fete Dues ,z- 4' White Bulldira Green Tempo .ry file Copy Carwo A,.sessrr Pink Applicant ,;oldenfod Ac:ounbn2 V ,,,„ _. CL CD CO a J OIW U J d E C c a tZ a c LU C7 W O V O I( c c, .. , c I 0 O. Y: LL E F; W I O CI 0 Er a 0 LL cI d O a, m LL I E eo c u i >r,, O CLO. Q a W N Q a Q ff I W L j W O NI a i I I O I Z w w MlI W I i I 4 1 1 I IONJ O QtL > O m Q n W C m O c Q, m 0 E C U. cOCO tpCf o W E co, plm r J Q O OC Q Q ac c F- I m _ O J a, U I Q J oifILI' L > IIII v ai i C;6 2 CIa3m C5 m W i m d Q m u 0 m Q m _ I c T I IL N cn_ C `cg I a b a! m d W E N m p fn Q 0 o, i c U- LL LU W Q v.i _ UJ _OWr_ t i O 4 O N W J _¢ ;, O LL I a 4 11 mvM: .2 a E cc m I U( y({! ?I O I O O. CL0rin in I ul, r' J NI> a N Z O LL W U) u O a WI l a J Q S fn c, yam 0 t s Q L i ff I 1 I I I I I I I I I I C w I I i I 1 I I I I w z cn I j! I I I I I I i, to I CL f"J Cty IV3 v O' x+ I J C cal OC I n«Cil I I wlIx i II + V I 1 I -.;I Z' i ! I UI I I I - IC I UI I cn TIC U O1 c Q fi 1 I H I I 1 I I I ! C I I I Z` I U. 1I rvl I s f I I pi ! i U, + i I I I I 3 I;I m i I I JI m ; I I C LU I! O U J i > p Ch ¢ a U Q W m o n E o c y a y ! a`ro O d o v WI E o I E m v Y to I a U' I I wfI Q! I i J I OI Hi • Oic9, ° { O! -,I p 7_ I col ofu I OSS' _o °n_ LL , N Si O1 LL' a s 0. W a rn Io o, X uj tJl o, I o a c, W rn i o+ a rn E c, o cI c - c Q' b ! n tin! iLI r a c' z a °o C3 0 LL 0: I 7 ! c1 II •s yi =qr_ UV m m r s I I.L L a E o LL cI vl pZil I c "I y J ' c 1 z fs Q N Q Jd I rIOI O O w 3 ! O LLO . U w c c w LL nI Qi f-( r. o, l u cif ul 0 c c 2 1 C0 I C_y sj ,nl CJ E IWi sl ° z L n a cn ci c_: o cm LL LL LLI 3: c U. i 21 L e I I a C,, %S," a W-- a AilI T It SPFti;iir FQUI"STS 1•. / L •/ tt . + .. ' , yam 91 T CITY OF LMa EISINORE ` BUILDING DIVISION R Z is R I A city or CAtlr,ty, which is required to give notice pursuant to Section i98301 shall st t. requireotheeco - apletionaandorequire the return to issuing a building P of an owner- builder verification. Attention Prouerty Owner: An "owner- builder" building permit has been applied for ann bearing your signature. No_ buildzn permit wil.P sued veri " catj on s_ Leceived_ I personally plan to provide the major labor and materials for construction of the proposed property improvement. Yes No 1 (have /have not) J:v'< signed an application for a building permit fo%7 the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name ---- -- Address Phone ( 1. 2. 3. in your name until this 4. I plan -to provide portions of the work, but I have hired the following person to coordinate, superviser and provide the major work: Name Address Phone (714) Contracaor's Lie. 3. S will provide some of the work but I have cont=acted hired) the following persons to provide the work indicated: Wo_h Name ed-ess 10honp oz. addizional space is required attiach subcontracoors I hereby a --firm that I have received a copy of the information set F California health and Safety Code forth in section 19830 of the S.:ate o. f personal and have complete the above infarma`.,ion to the best o.. my p knowledge, in compliance with this State l,aw. Signed: >f'%, ,T Date; Name: pr, n.ed or Iyp d) Drivers Lia. f o'r Soc. Sec. , . .% 1 L1MP3 RAMPS 150MPs 45AMM IS AMPi. 15AMlPS Building V ;pt- z z q ACCOMPANY pfoRm 156.),AF`5 P' ISA". P-S Ao ij', w n 'ID Dili" qr.) r. V:X SUJ VALLEY MANU_FACi LURING 1NC. I5b3o COLLIER AVE. LIN ITA A STA. z210 ,4 WAREHOUSE S Wmi 1 110 A6W=u ELECTRICAL. PLOT fit ate of WrruvanrV, Mtv of Calm fliatuare. Una 4b 9 Cehtitieate issued pmquant to the hequihemenfs o Seetton 3Codeeeht' n that at the time 06 issuance 6 07 0 the CUni ohlx 'ButQdtng s oh y g this sfnuetuhe Was [n compQtara U111h the vahtousdtnaneeso the City heguQattng bujVding consfnuetion ON use. s oh the oQQovvin Use Classification Group ldg. Permit No. _; ouP— Type Construction Own - _ ZoneOwnerofBuilding_ : Building Address_ !• i.: a Owner's Address city _ Block -- ________Tract State No pAssessorsParcelZi Date Building Official 1r` POST IN A CONSPICUOUS PLACE r , roieteAtidrers 5 C CITi OF LAKE ELSINORE CGNSTRU PERMIT4assor`s ParCOf No. / .'I r0 L TIGNe3 %% -C C1 PER iT NO. 9 appropriate detiarationsAd,fress _ a I UNIT Net- I _ wf F 3i 0._ -lam OA c. I P t v. 2 ` T1Pf OFCOM iRUCttOtlAd:;ress SO i la __ .- -- S T .hElS - y' t L_ 'D1._- ` G M1rVERSIOri 1 ArkaiiERAI:OiI REPAIR !fk;° Con•ractor's Name_ _ '} r)fMI111SH OTHEP, _ rrn,if }C7 r - Phone 5.:.(' Z la6 t5 115. I;t NICC - A.P. kPIPFIO t - - TfPt OF PERMIT I GRADiNt -- - FOUhDAT10h TRU URA - -_ . Mam Building: Z neGtiLrcenscNo. _. - _- I LiC -"SED CDN`rRACTrOR DECLARATION - _ - •' IFNAAY EEECTWA( -' p - - - -__ ACCessory Building: - LUMniNG + CHANICx, T front m that 1 dm hcni,sPtl order D, r.vlS,O n; of Ch tier' ` B' -- v to Cction ?nG0) ul DrvlSlo,l 3 nl lilt Cj:lSrness'Ittl rOfeSSg ns,CoderC-r P4O)ECTD }L`RlPT10N Q -~ Lf _ crnsC Ism 1 rr. e an -•`Q : t -S - -- s:, Rear - _ O Lrc mass _ - - v effect. --- :.1 ^ sf :hoe typo _ - !1_ r r^ 170ri. a.-i- i -- -. - C t t 19h: - --- - . - -- N Dal,- ) e Y 1 J.. On c No l - -.a _ :,: Y- ! E =t _s mot -> ti,gh.,tr,ro Wit? U! JSt 1 i PCe / ry $ LEti - -- -- I NWORKErs- COMPENSATION GC 'sfx -- / - --- - - --- - - - -- -- 11G1r,.,rt - ;' Rernafks . Piny. Refer;•- - v a':,rm tndr r have J terl,r,ca of consent tosen - _ 67 Parking Req /P,OV v R 11 o: :JOruers' Com ensJtrr,u Insurance, or a cert,f,ea _o sure of J crrt,ffca:e. - ided38;•u, Lan- C.l p py thefeol (sect,. - Planfllhg Nate; --- E fi",r:cy rdo. SL Ld;'. rt-•- / q; cJ_a s7 Con,par,11s 1 ' M - - - G i-- Ce, ;,rretl copy is :r••reby furlll:hed. Y `' - ` -_ - -- y - 1 M Citified coo s Merl w4tn the city 8 n - ate 44 9.D vis1• SEXEMPTIOj/- t--- _- ?(APPlican: _ - rsy- 1,., j} --' -- NFROM WORKERS' COMPEN- 5gry'spN.dECLARq,IpN ^-- rFir tC- --__ TO section need not be rnmpleteu it the -- - QCCUflds ` - - --_ rsi). Del nl:t`ls IDC. one- f)undiea - - `_' -- -- - - _ Si00J or - fg ISS:J:,. V tJ? I a I IY tem ,n , per: nr n,a CCC Of file Work fOr.WhlGh this - -=- "'•'•`•M - - --- s - - lYOrl. SI employ lny peli0:1 ,n any n1J rner so as Pefm:t IS ,SSt,Ctl I - - - - - - -- _ -- _ - -_ `- - Compensation to vs of Callfor, a to becoma SUOIC t !t i,e 'PLUMBINGDJtr _ ' ; FEES ELECTRICAL __ NOTICE II after rnak.n Slgnat:ne - _ - -_y - - _ - -- --- .___ Ynrt, a u,ls t:eu „ra;,,,,, -- •- J. -___ _ alter, JR air ___ FEES_ h1ECHANICAi _ rrs Cr mpensat,on prov,sinnt a, :r Y. shOUld become- su,••ect ;he - I - -- Generator 0.5K;V _ !_TEES cu. :+IV wnr, such prr,v,slor; nr :t „s lab'.,r ^ntle. 1'nu must forth..•- _ `uto Wash -- - - 5-15KW I - -- _ - - -' -- - ACCi.?7CONSTF(UCTION LENDING AG pOrnut Sha'1 -- , Construction P +- - - - -- 6udcr ! GRADING FEESFNCVtic' eemetl ,e„ke,. ale Sub. + _ _ l ''` CY ar,,•m till: there Backflo v Preventer - -- I Duct•i;ader vround Catcnnst +uctlnn Ion rJ u,a ag, -ncy. •o• the _I -- Cu - lardsssGri. ft•r V.d,l'I this Pe"'I't rS issued {Sech,0' CCrrvrvan'e __ gert;f,04Vlrrigahnn ,- - - - -- -- Ltnri•r's !Yank _ _. - 3091 Crr. C, - -- - __ -- - -- --- _. ---- Pole Ltgh.= { Ducl-Structural - I rufarifiers - OSYNER - __._. _- -C yards f^ Fan u. ar L Ventilatin j, 336033'b pia, hBUILDERDECLARATION - - - -- Qtsfsyasher '-' - D!y°•s __Gas t cCL:f_, -- 9- Cheek r• +Cbs JI`n n, that 1 .ln, CxCmUt rr,,., :t.. - _..__ -_. - -- Fan _ -. - LXIIa USt St SfIP, m_ll Util le -_ -_ -- -. rte- 3jDUr'r:lareTra r I P —___ _ __ 331i P"'InJFee jctlr, „- Ct+: +tray, ti's I t•ns0 La.: •fir • ^.0 Traps ea. - -- - Evaporativ8 COOIe - _ I t ( ' y" t. t E3ntu,ess an:l Prq;• ss,,,m, Cntic: ,:n , - ---• f- 'C.:'_ - -. - F F.IJ.- _ __. __ _ 9U_ -7 __ -.__ , is r cn n,1•„res a uenn t '„ cnr•st cct, alter c F OOr Drains r j - + int3! Fees j a"t t , uIC, pen, L•. ,:s Issnm,r.0. IIS„ •:•gnuei I,,rrra:nl rcantcf”, 'll s' or . a . ... _?.. O NX'Urr,S I Heat, -g SyfTBL`t & D'JSt , rnent •na: h0; she ,s i,u „aC,: Cu,>,an' Suc . I ? - s :_ n:r. L 1:, {Cho t r t„ to nr .v s +, -,• - _ -_ _ - __. i00 OOD BTU - 100 LJti B7i1 - i,f 'i0 tnrsu,OSt ant, cp r,t , Cm^ vcln7 :.,”, Sec J- %OOui ,' riaS CCf`: I:C / K - 10Ut!et. - r't' ',n um ha:,t •o, ) Lila: nr s +c a, :a7.c_C- Switrhps - -- OQ flood Canopy 3360.3312 Summary ofPl!rmi.Ftrn•. JIIC .f C ( ,p .. „- .'1 •,y viola L, n •. ,. ' _.,lr. pt _ -_ _ __ , _ ___ - - _ _ - -. Y ., rly ., I. t- 'ICallt fn! 1 p(. 1 ]>;t' l.. 17. Ur` ,.. l _ D•` ^atty .,• not mnr0 tile•, 'r ', urt r0 r. -I' u, h c•t ;nr apnlic.u,ivc• a nwrer tit (- >• -'7 - Refrigeration - - -....— -- - - ---- I • P T z) i h'1 [er up to illU amps !` TYLP 1 Type I I n p,uvr:cs _ _--- - - - --- Meter System BuaCl ' '._,(/ ,• ' Is .. , .,nn ;n0 >tr „cturr ,nt c R fii Ora;rl, - - -- - -- ''- -- -- -- - - t,r,•,t, s. a P,.'• /7_; - ever 1_UO r :. D lot) 000 BTU_ PI l_.nv does n,t apW1 u, an ,:n,e r UI :Sr01 JI l •.tle: me ( -:r p. Trallaf S y a mks g ar : j 100 non R ru i A,rp YSewerLEC. _5_ Fire liFact Blt. ICBO j EIPCthca, c 86_i /opv, h•!t:rha'lsuch, n,• n„ ,••i 1 rSo l' tti 1! nrlluri'1'S Or e, rr.:: n C:..Lv_r-Lap - -. -• -- - T(an,forr. ar 15.5DKW j - 1 err, u ,. - :: 1 Salt I vel. :rlc n r U n, b „ t. „t 1 er - - - - - - - -- -- - j System P . )alr;Alteratlon _ !,;han,cr, YGrI. rn0+ ur nUr•. r.: ,,, .1 it. 5 ;: •. ,;,till., «S IWf CGOneClll Il - f /-_ - 50_Kib - h' , v. r b,,rren ,;' nc v,.,, r c .,.I ) _ Fire D pprolenrc,ur • „ n , ,., prnrtnr n q :1, -- __ __• .4ldg '.0 " '/h1n - - -. ant efSto ). t r,nlln . ,rn- Sniar Cn!laftors _ sr _- / to 0 1 HP 1'r, - Other Y - -- - - wnr• f K p p.': a., .r ,.l l d Inc. Solar - / .aj if'jlsters -`- n ct {St.,: •u, 04, y,, t. I .7 s'r, ' I,censec $:1:a. Plp1 tg 1.15 HP : 1Irt 4'iCf 0D irtcin11 ll ,[On'• :, •.: nn 1,1! r piv t s , c,.e - -- - --- - _. -, - -. Linn +Fool. Re - - -era s u• ,vr •, na a Swar s. or tt ,' r t : c e, Tafllt i ' t t +Jet Ir f >) cngr ' J - - - - -- -- - - rl IS r / C. prb DursnJ„' •, •': rJt;t>. ' , D,,,ISC r „ c•,n. - -- - _ h1111 i1 FJm. Res. C n - _ -> 136D3.11Uucnsatln• „n. .- rv.l,l_ a•.Jre••,at - .._..._.'y uu, /Spa_ iSWIMf7)InRPool$... - -- -- - Summa FrolPlan CheckfeesJr,u,cc su ,In :,C pr, n,r0.1 np -. - ' - I t:n 04empt untlL SOCt;r n' I ' Water Heater i - _ -_ ). - Fi, 8- P - -- -- - _ _ - -, IC, n ,s reason IM1'at r >IvIfP - -. - _ - - - I -.. . - -___ - - -' i ..i Is lie "r ; c;.t ,. .ry ir. ,' i r n, +a ,ns , p,a t '-- SePt'C SySfenl s r ,5 ( I -[ .SC• F ' ulg, Y "/j I r a ,.• tr, .Ilse•_-- DEVELOP - t „nlnrrl, n,r t ,a „,:•, MEMTSERVICESRE IR _ Ftecincal - sCf'J: et It,., ::/ 1r, Ile )n .InQ I I dll h:il,t runre. j -_ __ -_ QD EMEN S perpr,le S. •hC ah C. vC -r Ire r ,,.,1 -. -._ ,- - - --”. .••_ ___ _._ r I _ y err ur,p :ty rr„ XonirtApprortdtiT _ -- . /% /l M ^r.hanlcal Y . t,rl a I,_rn;t, ate / 141 -. _ BuildingApp(ftd p Date Olhrr - -- - es';.• PmkADM anl,i;c'denrndlrr.eunlr, - --- r F•. Tole) foes I`•le S - ?G9 O I I — t I i @ i ' F_17I n j j I 1 I 1 r ! 1 p i E i i I '; I '' 1 I 4 i I ! f i I 1 I ! 1 , 1 I @i' .I•t - I p q(. N N i ! s I I _; i f 1 1 j I I I i I ` v I I `' y \ . r' i' ! . - 1_ , ! ad Ii zy h! . r . p _ I cc C W c d' - Z LU cc oa v' E EI m' Oi V' p c u u•. i O ti ,y v . I• r. I i i a w n1 y, J EI v hi cl : F CL r = u, st ' a ¢ rg, ` WI d I aT $ I fl 2, ai °I i ; E; U ' o~ > ' u ` SUC'kii3:- ]+ +$ a1 Z1 ' C I `. CLd > i wi u 2; >O. '_ tj. c )',i fS'1':':$2: •!p;?1 y1Oi - of oOc I 3 _= of LL _ v' v'` ,t ci a' y` o m "ai U• r _f >'. Xj Z 1 a a1 w cn# LL `\ a o wI Q w, C7, Co! ' -', _ _? LL • a ; Ii Nj iJ• \ "( ` i 1 U PL LLJ o: I I C7' Ci G Ti _ _ _ J' W. C CO, CL cc Z ' c \ I O Y c? i '' cn ai — t Z ni cI J ; O. c• F_' `, , j. c = _ OI Q J U UY - {! _ •- rn, . Q ul > i LI- J ?. W _ '3 C C: N u! o7i F I G si LL C u• ' _ U LL _ ° , , LL cc 0 cal 4+ •, O; (n• - n, 0. In } y W u w T i 2 (n- LL! fnl UI Ni CI "i G' - _ Fes. I ° I ?'' O G r _ - - ° I w I `7 p a i ! O C _ =_ % r - _ a J JI Z 6. C• CT I EI L I { r01 G.I ( n U U C ml Z I Q r yl a' i u c. . Z i - 3 i.r, G -' [D ...I n >. pl ul c _i cl ° ci w m p +o, . 'I --f J' , O a I c. W in O' = z c' ; oc O; C7 LL 5 cr h; ii) c7 p ' ui. u i_+ u j T, I u y} c7l ink J v, a. n w, U a F-, rnI al w inl , LL crt aCi fll { I I I { r + j 1 t i I I i `— I r i i I I , y_- - - - I _ _ ( _ A_ I - Li Q t x fade E15iaaa.e CITY HALL 130 SOUTH MAIII STREET LAKE ELSINORE. CALIFORNIA 92330 telephone (714) 674 -3125 CERTIFICATE Of COMPLETION Street Address 18630 COLLIER AVE. This certifies that the Building shell constructed under the permits shown below is found to be in conformance with the plans submitted and approved. This certification is only for the design and details shown on the approved plans, and shall not be construed to authorize occupancy of any portion of the structure. A Certificate of Occupancy will be issued upon completion of each portion of the building covered by separate tenant improvement permits. Building Permit NO. Electrical Permit No. Plumbing Permit. No. Me:hanical Permit No. COMBINATION November 8, 1989 Date C -7693 - C -769 Chief Building Official S. 1W- CITY OF LAKE ELSINORE CONS RUCTION PERMIT aeclarationsborderlinesandsignallappropriateApplicanttofillinanspacesexcept ;hose within heavyProjectAA0!ess 4 r's Parcel No. ACT NO- LOT NO. UNIT NO 1T NO.,, TRACTPER CONSTRUCT?-' KFA:R I Zone 0-.%ne,'s Name L/ Ir. ADD ALTERATION o,, % o v OTHER A. ch E,,.l CONVERSION 7 S 1 2 OpW&K t;S! ',,)F 5M S hilain Building: I ssor- ilding; zI 11161sor% E 0 d- A lou k- P-1-0pr (etXi 0 Ti Front N TYPE OF PERMIT FOUNDATION STRUCtURAL Rear I PLUMBING WCHANICAL ATEhAtil !LrC1RJCAL N C Right G 0 NJIN G 1:ICENSEQ_r R DECLARATION K4 O?VrRACTO S Left CCr-!tlUz,1 Ere,en, dft.- That 1 .3 of tile B11W.CS, ana P.ole%Vons. CeOL-, 0 Parking Req./Provided f 0' r Jig no), ce.lsc I, ie torte an J effect. 3t,;Ti $ C-aso; Planning Notes Remat,_- T alk7n S TiON DECLARA IONM. P E 1,15 A I RK - ite Or consent to, a, a celtif.rate rri tivat I have 3 cert,f,c cc. on e,s , com:3ensaloor, . 1iftecl m,3py t1r:ereo (S aaoz L-10. 7 1 < - wa Po -cy No. _A= _ Z con C-1110led COW, , ne,elly furr..She,5, C-nl,ea -p IS Wed N -th :he City On i be - Aiintican' EXEMPTION 07 ROM vior-IKERS - COMPENSATION DECL RATIONneednotno, C-Itlirteled if tne per not s far C.--Ieht,rICIrCCI(t>100)")r-lf FEES AW, 1 GRADING FEESFEESies% 9H CTRICAL MECHANICAL Ince ,f !I- v-, .11 PLUM 1, S. CL;t cu yardsBode-. Der any niantivr so Generator 1 -10-5KW 5-1 KNt, J P Alkir, Rapair Duct-Unuer Ground fill _cu yards Construction Pole Sub. 5_0 lo Via shSLA%la". , !: e Ou-.1•Structural0,.C, rlt:c 11 . ? n I T ` cnr!e. 110t; -!Js. -1 1, 1; - —, ]IEO 330 Pian L -:1l, fee$ Backflow Preventer Fan - Ventilating— I Finit Light -A— -3312 PermiI.Frf CONSTR,JCTION LENDING AGENCY Electfic Exhaust Sygern Mu1!jR!qDrersL:.Gas, $ C., ; D I TOW i7atei I lo, ,!!,C1I 'It's pel.1111 C. q. Clartf iers _jvqporative Cooler4Fan Healing System & Ducting Fixture Traps ea. It F.A.U. I W, 000 BTU 0 wNE BUILDER L)ECt.ARATION Fix 0_100,00_0 BTII ------- 33693312 SwitinutiY41 Pirrmit FtP Drain; rL- Flow Futures , Hood or CanopyC, C,.v iiIt0`0FFlop( S.oiks TS,C! t', m±ji —LI-L. cart f Swilches —lype t ipme r----:, -P -t 0 Refrigeration System Plumbtrig $ Lnn,,) 100amps C"Je) ol it A! ,i Slip Iniefic plors _'o 100 0 0 000 BTU Ill-011cal sBTU1, 0 r OD f6l file Jile""i c-p! -Trap Meter :Tiver 100 ar psP -_ p - — - - — - ol/Fact. Bit. ICBO Mechanicz! $ hre tIvL titinfirol -t Roof Drains Traiier Sewer Transformery U,,oc, 1-1 15.50KW System RepairiAllerafion $ SI: oc. t Fite Dampers501KVV SIP t Sewer C - ap legSpiwerConnec!;on HP N - ski _Islers Tic. War 17,9-15 HP `11 InLineratUT16WarColl11111rs Misc. 11A., trip D-11111c, I I_ -I If "; - . f t1intriary of Plan Check Fees Solar Piping 91 :am. Res. 7e-:Y. 7:. 1-1 I_ for Multi-Far-ri. Res.— Solar Ta n k i ltlurnb:nj $ rte I : C Alin "In Is po, •S.A., Water Heatp-1- S i I st). ".0 :,. P - . - -_ 1 ' 4 1 Ituip FqPt t P. '. I. r, th,5 reols•', Water Service 0 $ 3. Septic 'Sy it. Olt.— $ DEVELOPMENT SERVICES REQUIREME zonitil Appimed By Date 3366-3375 Pianniq $ ar d MISC. 1 a" -I J —Date 1 1-121', Building Aprotted BYA. jw -. psi__ I, Ove-llln'1,11111:1 p-P-1V Date Y_-/ s, s r arty tr eniM ' %// App, ted By Total Fees Due SicalionWTI ide Crfy (_4na;r, till 1 - -- - -• n ` iU ' z _ LLI UJ V, dca Z: W ._ LL. i Q.'t . w0 ..._. ` LL I Q = = C c . u• Y . LL > - i + ,y !- CL. Q I ci - m E `ItQY /u _ -+ r u. U; LL W w _ w cc LL a - J - - _ YJIC ' ,t .,. .t_ *1 wl I al Gi nl 11 Wj I a- G• LL } + J Q- i Q •? ".'M A c LL w O N \ b j- _- -- •-. -. C - -- _.. 4. "---..._ ( \\ • {, to C • 11 Q - . - _ - ` - y Yom I „ _ I t 7 I i ' a m f W J T Q H - V - a - ` W I t-• = C - cr D! , L j t0 c c.) I i W •• [C w c U W W v _ = -J H w I . ' ' mi i al '1 ui ml mJ ml c `I fs! F, o =1 Vij I Qi = -I a i. l NI ' Tif N - rn! ri C - ^ a w w W _ _ -` c ot$ c Z I ° I _ J . j c, i = - CC Z ^ d n •-• - - - .. L 2 fn - I V ` Cf-) r t U) CO: GC w to t tg, in f1! a[t ! r _ V y r n 91 ej o! al Z al _ I Ji• U e z J Q _' U = L C7 LL CC' tr' F «I rujl cl I O a c_ c c c rl " j; 0 7 a I ' 1 1 Q, W LL LL LL I G' Pr r Rr. All I Cori i Ad i CC• L +1 1 r V D• W t ° 3 W 1 I - c I E c t M1 L` C. i I C11Y OF LAKE ELSINORE CONST RUCT ION PERMtT w I i't all spaces except those within heavy border lines ant! signal{ appropriate declarationsfillU'JIT N0. Aptlhcant to LOT NO. I ' TRACT NO Pro•19ei Addfess .. _ _ -_- w ' _, A L ALTERATION A.P. * i MEOFCONSTRUCFION ! NEW " pwner•s Nome f ` ( ' S Main Building: s itlEo U CONYER510N , DEMOLISH i] OThE - Address No. - - T FrontOESCRIPTIONOFWORK/USE Or BLDG- ` 1 ArchlEn9• - //r -` _ STRUCi11RAL A Rea`_ —- honei GRADING C }OONUATION J tAECtiANICALAddressTyPEOFPEaM(T1 ' PLUMBING - _ Right --- r, M 'f- r ]ENANT Cl 7 Contractor's Nam - 3I18fY Address (mailin9l - OTHER — Occupancy - - PROJECT CESCRIPTION: So Ft. pees - City License NO- TION ti -- Zone . = Pin .Ref. # CTOR DECLARATION Corstructron type , PCIO - " -'- -- LICENSED CONTRA ,icenvsd under provisions of CP ases oos Code. and Planning Notes I hereby affirm that t am Yalcabjn x---{- 7000} of UlYizion 3 of the Business and C, with sactlun lull force and etlect.? -- 6 p my Iltense is in + —_— Remarks 1 - t L ` License Class Signature -- s - - ttate% G TION OFCLARAT ON - -- t'JORKER5' COMPEN_A certified copy thereof (Section - V"10hereby altirm that ' HaY! a certificate Jt CdnSenl l0 Selt- {n•ur8 Ot a CBritt,Cat! — - - Ot W6rkefs' Compensation IrtSUranCe, Or a - - -_• _ 3800• L.."C, C.) ComPanY - - Pot icy N° F__ ' hid. -- _— _— .•- is 'rereby w.1, Certified copy Wtth the city ding Divisy l H NICArBCertfledzqlsiwAppncantFEES Cate RKERS' COMPENSATION DECLARATION _. F- E ELECTRICAL BtCer EXE R feted if the permit is for one hundred (5.00) =r PLUMBING 5-1 KW '' r s issued• ° Generator iJ0.5KW 5• Under around " T manner need not be comb _ Duct- . -•- lets)• the Performance of the Work for which this permit ' I AIte6,Repatr --' Construction Pole Sub. - __ DUCt"Sr! OCR- ----- 1 Ceflrly Lnal '^ erSJn in any manner SO as LO become SUDIeCt t0 the t:;. R! -- shat! not employ any p w5 of California. Nia_ Sr' - Cookin Unit Fat! •Ventilattng_ Workers' Compensates! ° = Signature - _ — multiple Date bo: Gntle, You must to *thwith Backflow Preventer pole Li ht Exhaust S stem act c t,r If making this declaration, you should become subl revoketl. IeetrlCN0T1CC: If, a rovisions Ofthis La deemed Gas i]El— ter _- NOTI rs• Compensation D , f rmit Shall be BackflOW lrria3tz 0n I Dryers- C3 Eva OratiVaa r comply with such Provisions or th s D • f , the performance coon 3097 C'°• C•1 Clarifiers -- I Fa_ -__ Heating System &Ducting CONSTRUCTION LENDING AGENCY 1 hereto affirm that there Is a construction lentlrr.y agency . ° Dishwasher _---- --r-- F.A.U, p0.1J0 000 BT It ;100.000 BT pl the Work for Whrcn this Permit i5 iSSUCO (= — — , - Fixture Tras ea•._ -- Fixtures___ Hood or Canopy Len•jer's Name _ ains a II S Lc•,de,-s Audress —_ gp.T10N F o--_ --r— i Outlets T e T nv city or t owr'Ea BUILDER DECLA• demotisn or repair Floor Sinks _ Switches _ - --1 RefrigeraticrBSystemexemptfromtheCcntraclo''s irCode: A" or Ital 1 am i SS end Professions 0 B- hereby affirm t coon 7031.5 taus ne alter, imPr °rr°• t ermit rolto ,,n9 reason (Se licant 1Or su: permit Service Outlets u to 100 amps I 0.100 000 BTU 100 00 county also requires the app — ti{QLer • P • v i whit" feq,'to aitsesuancecons , rI ce with Section 7000) ofanystructure, p Meter Cover 100 ant s Fire i /Fact. Bit. ICBO_ -- t0 rile a $i9 w ChaDtef 9 (cOmmencing AlterationOfthathe /zhe is exempt interce tors nctl SLuire nl Shat he /She r5 IrCented PUrSUant to Lhe Pr °'l' 00) uon. Any violation nr SCCtion p.Tra- -fi Su anei 81r the Conlrac'.ur's License Ira ( . a uv.1 -- System Division 3 of the 6us'ne'osrat c allcgd ezem eats the aPPlicanr i ]5.50KW _ ti •heretrom and the ba'•rs ermrl tub! ao). Root Drains Fire D_ amlers -- io31s by any aPV +rranl for a D Transformer C 50+KW - r employees with .ra3es as focii tole Tfailerr SBWe Register — enatty of nc' more Ihan true hundoedtdY clots (> intended O- offered f the pfopertY The Contract ;r's Sewer Call _ HP 1' /: 8 1, as ovrner o• Professional Code= r ,mptoves i iJfOtOrs 0"1 I friCi^.6idtOt -_ comPenSatiun6 wall do the wofk, and theProfessionalstructure ooe bJ h Or ter Owr. SOWer Connection • uldg. Solar D9 -15 HP 016.15+ ' for sate ($eciicn 70"46 Ruin anSONn r if a property r Offered for - r :ne. w does not app Y -— Misc. - - -`-( i License to such work nrmSeir /, argl of ShrOOgh t'' at of -om- Solar Collectors Sin /Pant• Res. 1YI tnereon• and wno dots u f__-- y _ - -- emP oY or mprovement is sold v rthm one Year S- olar PlPinglees, Pfov'eed coat such irnPtOVemeots are not intenA roving Keith! did not build or im• Multi -Pam- Res.. T Sale. 1r, ho- ever. the building Solar rankpletiof6u, Dart Will havee} the burden of D cdnVacting wnh licensed con- SWltllmia . Feo1 /S 3 Issue prove o ro !rt am exUus, very _ r —' — oCS not aPPIY to an owner or OroJty who JjI, as Owner of the P V y' ro eels ;ler• a con- stractOrs t0 construct the pro r (Scctron 7044, Business and Pwam as are that Water HCatP.t_ The Contractor's LICe, sb and wno Contracts for Stith P I - - builds Or improves tnereon. rov dad to me. - tracts Of license Pursuant to IIt8 Con aCto''S UCense Law - t _ B. & p. C. for this reason Water Servi- c? T SERVICES REQUIREMENTS: yet proOr o lhrnr Workers Compensation InSUranCe should be D 4 -n- - -- u Q 1 am exempt under Sacuon° _ -- IGSAKpp dg owner -- ft AW.0BF P=te - 1' I Date - -- - • —'— lrCation ar. and c8ountY Ofd'mods r_.•- c omPlY with all city ,authorize repre- Apphtitpn I-Awd By - — ccrt -fy Ina t I Crave read this aPP eteby1herebyconstruction, and n YU rty or _ rnl state It correct. +t gben ng f^ 1 Issue ri{ and slate taw• csatcf Y en r upon the above• mentlnnad jjP Pe - - -`- sentativits of t Iva•+ Vicen err, ' +-• ro0•AccounUng s D • --- -- '''and •Assessor. Pink•AppbfanC Gadu+ r n le ovary File Co ry Ythiie•BV+lding. G ef 7198$ ACCessOFY 00 1 rat G I i Q T S N 1 GRADING FEES O _cu. yards Cut: 3--- yardscu.y Fill• _ ---- -- 3360 3310 Plan Check 330e -3311 Pernit Fee Total Fees m -oI`- SumMSry of Permit Feest 3360.3312 Building $ Plumbing -1 - - - -- Electrical $ Mechanical b --' Other $ -- 110.131 SMIP S - - 3360.3379 StIMMiry of III" thrc'; Fees 4_ullding T Plumbing $ - _ - - - --' Electrical S Mechanical S - - -- - -` Other $ 3360.3375 Pla¢mng 3 - -"-- TCUI Fees Due i s CITY OF LAKE ELSINORE CONSTRUCTION PERMIT 2 D , e exce t those within heavy border lines and sign all appropriate declarations Vr•, ec! Address8JC -' ` - -- - Applicant to fill in ill . )acs p PEfliv11T N0. I TRACT N0. LOT NO. ; UNI IF NO. paessdr•s Parcel No. _ ,_ J_ - - -- / J t s Vame / yI- -S - -- -anon p:. % - -- -- -- - -- AGO ALMAT?0.4 REPAIR A, -I E•,a ! ,! U(e vo. - - TYPE OF CONSTRUCTION NEt+ CONVERSION DEMOLISH OF BLDG OTNE r• 2 a(.r . - i - - - J A.P. # — S i Main Building: _- c- DESCRIPTION OF'NORK:OSE 11/ _ ractor'srdame TYPE OFPERAl1TPl GRADINr FOUNDATION _. STRUCT;!RAL T A RealTENANT .CTRICAL PlUG181NG YECH4NICR! lrni Fees rnar6ngl _ OTHER -- - - - C Right -- ensr No. •..----- - - - - -- - - - -- - LICENSED CONTRACTOR DECLARATION „,,.er 9 wmmenc,n9rithatIanIrce"Ca untler Drovrs+nns c' c (- Pro esswns Code, and PROJECT GEaCRIPi!CN So it ._ -. Ccn;!tucucn type cCency __ - - --- — -- Zone _ A`-`es - { F} ( K LeftS Re!. # ne•r t aff of p,vr_.on 3 nl Inc evilness and 121 aGon.- Lt- Plog, m ' cerise is in fun force and effect. _, , __ -_ r.ca SMIP $ -- --- - - ---- 3370 Planning Notes —_- L:e:,se Class ?.._ y, -- - Remarks a•.,'_` Z..•I I!- S19nature 1- 1 1 _- 4 - HORKERS' LC) PENSATiON DECLARATION of ;t bkers'r'CnmpensatVOn insurance. or a certrt,e/c c0 pp), thereof (Section - -- J -- 3S10, Lab. C.1 y' itnln- P]t,Cy No)-_ -- - -- ComPan r, Cer Ufierl C•,Ul' is he,Cby furrn5h.d• na - Celtrfietl cTn.Y' 1rs I w,• Eip+itdr ..ti _ -_- -• -- __ Ga'f _ -J Z l + 1 - Applicant MIEXEMPTIO FROtO WORKERS' COMPENSATION CECLA ndred ( _ s;CCtron ,red not [)e comaie:ed it the perm,t is !r • ne r.undred 15100) or ELECTRICAL FEES MECHAN tied I FEES r n7z, L11- I1888 Accessory Building: J ylj, G N N G R Pat Ming Rpn. /Provid6d _ E M CJ css'. :.n c^ !'s permit s,.[) _ PLUMBING - - -- -- - - -- 1. that .n the p.:r "•r n:,:h Cf r lhf :.J:% t t. CCCn nle subject to the __. _ ____ _- 1- - Bolles - crt,vt„y any pees "" u, dny manr.:r so as Alter, RE aif- GecteratOr = 0 -5K1IJ 5 -15K'N i uct Under Ground s' Cumpensa;,nn Catrf Or rna. __ -__ - I Cnnsirurtl0n POIe Sub_ -_ -- Si,na e - -- - - -- s •cu c ce..:ne subject to the Auto Wash -- _ OT ICE: ., "er ma j.rr.q this deClaratrr.n, s nrth _ _ -_ --.- - - r - Uut t Structural - -__ s „in — Cookie Unit - — s cmaPensat!cn p:ov:srnns cf ;re L c> ^ - - z. ;oo ust t _ Fan •Ventilating wrrr ;:,[h hrnvisr;,n< or ;n;s per: -,r. sr,a” Dc dee,nrd revoked. J BackfloW Prevemer i I pole Liaht -_ - -_ - -_ -- Bac'tiow Irrlr ahon _ II - CON- TRUCTION LENDING AGENCY :the Derturmance - -- _ •Erg ua = E_e_trlC___- Exhaust System MUltlp!E _- _....- Icy aff.,:n tnat tne•c a o-tnstructn,n : n:lrrr; .,g ?tiCt 3097 C,v. C.) _ Clarifiers Eva Oralae Cooler -- r.r .vo:. ipr v.nrcn this Per rnr: is` rsueA - - Fdn __ .___ _ _ -_ p -- y - i _- e -eer'; Na c -- - Dishwasher ___ -_ -- - - --- I - - - - - - -- - -- - — - _ -- - i F./.UJ - - -- -_ - -- _ i Heating Syste n & U ctiny s Andress Fixture Trams ea. „ - — .100 000 3TU 100.000 BTU _ I'ONhLR BUILDER U E_LAR ATION _ `c",s, L.,,,, fi,'the F - - -- - -- __ _ - - -- Fixtures _ T atf rm 'het I u" e,empt 'mn- ! r .. c Floor D,ains ! Hood or Canopy nc reason (5 +rtr:n 1031.5 Buser ss A i' } - r•, Cove. /t',Y rr,y ro --- _ - I . • 1v- dfrnohsh nt ieparr Flo ,r Sinks - Outlets - - - -- -t l _ C r:'! rt: rt4 un et a De,mil ::, COn$puc., ,.I.f - - _- - -- ___- _ _ -- - .__ -_.- - T e II Switches Type 1 1 trnrtur GrrCrr t its rssu- ,r,.f. a s, rya tr.E :-r:. -ant ; ,r sr:u permit ( os Service Uudets Meter up to 100..mps _ _ f Refrigeration Systerc rte a 5,gned st.I'ern Cr,t tha' I,fisnC rs I, Co nsed Cu s .11. : ;lee pu, v,5rr; ns nt - -- - -- Sectu,n :000) nl - - -- - - -- -- _' -_ __ - --•- o•nrac;or nC;shf .s xcmPt 111Tcrce Mrs -__. _ -- }— - _ 000 BTU .100 000 BTU L 1 n. N „su ess and Pr.,tcs on C:,7e1. - - -_ - -- _ ;VTeter _,Over 100 and s -_ - L.1D•1f11r. - ti r %s r.,,•dtmn of S•:Clrnn _' thy: [)ISIS for 'nc :,uege f ,aa'icanl tr. a r'vn P Trap ! —^ - - -- - - -- — FlrepllFact. Blt. ICBG -_- y apPlrcant f,,r , perm s,o.c.- s Su+upanel - - - - 1 ,ratty nil mere t' „n hvt nur:r;,cd r ifs (s Root Drains -- -- T - -- 15 5OKW - _ _ System Repair Alteration- - r•, as tnr:u snie - st - --- - — 5 ,;,•.her n! tnC property r.r r, y ct PC,Y s ,,.,, , C,drd r,ffered J Tra•lel SP.t4rer Transfmt ^Er _Fire 0ampers _ Tn. C!•nt, drlr.r s - -- Y.- j Si1' KW _ - i pc'• +ati,.n, v.,r d:. r,f , , n 1 ; $ ewer Cap -- - -- - - - - - - - - - - -- - _ - sdr (S;•.:tAn Ir Bi,•.!h ss Inc - _ n•. d fns„ Inp15 m , n or ,p r , :.r ur!tl5 °`„ e r nit L' i -HP I, 8 Registers i _ ••• .r• , -,rs , , Sewer Conner.tion 81dg - Sot rs _- n o R enn rt r -rs s„ h : o _ or , er, ,.r fcr•d >• - _ __ _ -- _ Incinerator --- -- F : es, r•,v•,:, -1 s „cj mnrr• +r In , . , e year •,f rr,ln - Inc. Solar [ :9 15 HP _lli 15 i _ -- _ t : i Solar Collertols - se c. If, hrnacvr,. rr,, p,, I1 r A '•t t:nrlA nr - -Sing Fam. Res. MISC. r n,:f : IC be ^de t ',m ^ Solar Plpiag. -_ -.- - ..___ --- - - -__ - - -. - ---- ... ----- `- --"- D ove for IM: pruprSC'' sa•-' , e".r.: .nt• Ire Cns rt c,n - - -` Pvlultl- Fam_Re_s. __ _.j -- per'y. 8n, .rr j. ti• q f'i r.'f,ii Ins Cc .1C' Solar Tank -_ - -_ - - .___... - f lit C:r. , 1. A. r .ss :. 1 _ __ J _ __ -.. _ __ -- _ n :,r „r t. per,;• .:•,• property ,•:i ,n + $wimfning Pocl; Sna - l •i hr ee'•, ''• L een - I ay. drn • r,ttr ,'ts •, D'' will, t eon- Swimming P0C __1a -' c t c•, r h - - -- -- Issue- -- Ise ..as 1. t am a ::air that Water Heater t.;, Is) I r.r .r G.:'sud'•t , tI C pri, :rtler7 to o .r if t ,err ;r .•. c' „• pfns•tt,o. ls,:ranc.: s,. son opt unoer Sfc,,,•n E3 E. P. C. rn' this rea _ Wrlt r_SP.'VILE _• SntFr slerg 1 - - -- m r - p1 a t •nC h. iY t r r t 1 t - ; r.I I IvL r n dor ,t i t Vti'• rlaJs b .. 0 f •. h r i Can; .;Ir,9 A . p.r , vvp; c r ly n rq ( EyEIDfMENT SERVICES RFQUIR_ - E-b. . ENT - S _ Visc_-_ -- Zoning Approved By. __ Date slacc feet the Date 11 C., •Int+ Urnrna! , 1 y - - Building Approved eyrepro - Date 1 a. 1141 C,n.nr AO{I qn l5 s Byiprw •he 1- _ scr•d::vv' I 4 L ISSUP. spec: ,n pw e {r 1 1 itatk• I,r 1 - 11 - - --. -.^ - -- --.._ nit nn•w ie' •1rp r : (- N% a 6,.l,fing -c'•t”, Copy ,ana'y A;te” •..raur® ACCT it GRADING FEES SS G_ cu yardsCut f i J/ ydfds FIII _ -CU i,'1 3;1': Plan Check Fee $ F- - - - - 3300.3312 Permit Fee S ` • C `-> - lrni Fees 3360 33:2 Summary of Permit Fees Building $ - - - -- — Plumbing $ — - - -- EleCtriUll 3 -- -- - - ---- Mecharical $ - - - -- - - Othe, $ -- -- - -- - - -- i1013; SMIP $ -- --- - - ---- 3370 Summary of Plan Check Fees Plrmbing $ --- E(erercrl S _ Other $ - ori 3315 Ptarmng $ Total Fees Due $ 1 . _. _ _. ,. _.. _ .. •-- - I- _ - --• - - i__._.. -_J }- - - - -t I I _ ` ! I I I I I jI ( I `I 1 i f I I ! I I •Ji ` I I I CL Z J W W O C t_ .1 •S I W Z . 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I I I IIII 1 u ProjectAdgressr - - sessor's Porcel No. owner's Nance -- / _ Phone A,7,h .a .. rAr,.h. Log. --- '- -- "- -- '-- ----- ---- -- -L,Cer)Se %0. -- -- -- Arlrlrel5 I ContraCtlorrl' as i. Name- J} 35 Jkt;,,-i_ } 1- 1 Address phnnr -- r! t;,_ City LicenseLicense No. LICENSED CONTRACTOR DECLARATION I Melet'Y affunl that ! am licensed under prc'. s., •.S o' Cnar:er n fcom- encing wltrr, section 7000) of Division 3 of the us:cess anc Profess.nns Cooe• and my license is In rull fo•ce /,fld effect. License a ss _ c ^etc ;au.' Cat E. f_. ;Ignafure _. G.d---- - °- -- WORKERS' COMPENSATION DECLARATION I neren) aft, •Ill that I 113vC a certificate of conser'• : ,sear- rnSUre Jr d cert- -f.Cafe Of WOrkrr S- Compensatmn Insurance• or a CC'7,`C1 Copy thereof (Section 3800. t an, r.) _ Pnr,cs No k = n 75 >_17_t .. Company _'___C 17 f r_L Ce. I.hr•o c.,py' is hereby furn.Sned. _ L- C-I (I rrc /jJ io y //5 fried With the uty R 7w,5lnn Oa! 1, I'].f y F+_ APpucant - J-1 tt- -r EXEMPTION FROM WORKEnS' COMPENSATION DECLPRATION This section need not be Completerl if the oe• w •S for one honored j, 100) oriess). CCr I.ts that ill the pr.'nr; •anCC of L, or., ic. .. n.:h'.h.S oerm-t .r. issued, i in.711 nnl employ .toy Gerson .. an" man,',," 5o as to become subject to ine1V,,.Lir4' Coropens3UO', LIV S of Cahfor :,). D3(` NOC _ _ -- - Sl gnal-c E. Iftrr t h. s r rdLCa atinn .. s , sl r j came SuUlect to Ire W Orw t`r t' r'nmpdnT.V n.n 11,:7 V. sIn r1S n' :h9 r nu molt rnrfti.,10:T rA' : Is ' tl .,: n rr' V ..ns or this t'_ .,,r ., I q.' _pill C(7 r- evnlrrd• ONSTRUCTION LENDING AGENCY I : If,•n, tt.31 t•,:^ S 1 I.S :r ur;. , ' . tnC rerf..nua, cC C, tile .11311• fill ...0 thl5 pelrn.t I IS s ,_.0 In 3097 C,v. C.) Na Crr's A,10 rsS OWNER BUILDER UECLARATMN - I -her l .1 f f., •, r tt 13 ., Ur,.r ,P' :11. t, •n s•. L.111 :1,r 1111, r as. 1 ! / it r3 5 lest 'r C•xlr•- /,-)v t',• .0 C)Un ).,r -Ill, r . 7.1 •• s .. t., r, t.t ,u c.. , .ru ']r -m ,11411 or repa.r or .SS...1nrC, ats,, r(- - 1....1 " nt f1 r nC'. p1, rm, e s a cu s:1,•• •cnt 'tat nc;'snC. r, h c ine aruvr,u•ns nr n'. r. _c,.., . L. . r. .. ,, rrh,(,•, r, ,. c n Wool s a •.i 11". s.r r-SS` ,na Pr ,^ ss.•n 1 1 5 Is , rrnlut of re r . ' .fnd U)L [ ,vs 'n. :hC .tile t. r, e • ) S•,U uu. 1 i31 5 by a 1rul.(:.I flit a pl,m.' _ ,;,W. Can t .,. civic peralry of :",t e oar '.vc oUndr: f I . as ,v. nL tl e pro of. r I ur n,y , a,.5 .,JCS as (r.cn 4.,11• C Elsa:1 ) n..v.l• 'f. TI l' .:•,fro and till en(!r.l .). .,f lr r_•(1 f sale (Sect.n., 1171:4, Esu4.Iluss ne7 ?r. s .:i r. Cnnir3r ;ur's LJic'S L,,, Arles n aDGly in .ln r., n.r or rI, -' butte; or alpu.vei e',:. a!"" wl f - '.1 -.t J lrl f•.t ,4C -rs .1. I,I; (.r her 1, V,rl e r ')yc' 1;--c, 'a suet In',)•[ v1, r. C• 7 s• -•( '.r7 r r,lfr•rrd Inc ale If, ,t r. e.cr b. .•., Ol nl,p. "vL ill ..1., ,n. . )I e YCar 14 CW11 p c.. n r t. -, vv t. r Ivt tr.c burde-. „ nn': t c (: r, n1,1 Uun.1 c, - T1 ,C G, pelly, a Xr y .I: I 1 cr ,, ! cw. - irt. 1 '. of { - ly will, 1 C-, lI :l. ,, c ill. t ,:'. Is) c1,•,s( o,'sua tl' -C ( I1t 3;..13 st .3vr. 1 ao .1 —11C thnt p•n•' th.•.• .. .'•,' r r.,pet1 S.111nr ,rS, ., •VIC (7 . prl viderl !u me. 1 .m C *C•)1pt undr:• $ "c1. '.n ... _. _ 0. P. C. if" tills "MSnn r.('t`:.l (.•r t,r.7 ;1.3: •.lv, ,Ca (I :l.•. ,1011' = ]:•r.'. .7o 5:311,. In.it 111. ,1 ',.. vC 1: r• t r r Ml p''; x d y .1 (; ,1IRIV r,r d...lnrsr' f: 4'lt.• is :.s 11 , 1.1..(1 .. )1,'I. { I Sc `• Cs ..r 13j1, (/ y, r Rr /.jv!r t %y( •.rr r),rrelvw'_ /cN•L4 C / z'?! U/ iomse Wn te '_n,. G:een Temp': t'r r,1(: (.rcpt. Canall Attrss r r' I Ap;,l a' ! G';!Jf nrprJ Acclurilulg CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill ,r, ::II .paces except those within heavy border limes and sign all appropriate declarations PERMIT N0, i TRACT NO. LOT NO. UNIT NO. I Alter, Repair PEOFCONSTRUCTION NEW ADD ALT-,RATID.: ! REPAIR AJ C Wash ON4FRSIL'k CEMOL13ll A: OTHER A.P. # DESCRIPTION OF AORK LSE Of BLDG i Rackfloa_I_rnyatlnn 1 - S Main. Building: TYPE OF PERMIT- GRADING FOUNDATION STRUCTURAL E T Front TENANT ELECTP,ICAI PLUMBING MEC'tANICAL B F.A.0 OTHER - -- - A Reat FROIECT DESCRIPTION so. Ft -_ - Occupancy -- C 1 Right C- nstructlon •,.- Acres S Left v'alua:,_,n PCr - - - -- - -- - -- -- Ping. Ref. Remarks - - _ Meta up to 200 amps Planning Notes PLUMBING I FEES ELECTRICAL FEES I Alter, Repair Generator L0.5KW 515KW_._ AJ C Wash lbsructonneu {e_ Barkffow Patentor _ foolong Uni( Rackfloa_I_rnyatlnn 1 - Pole C1anf,r:rs _ Dryers L Gas ,Electric Dishwasher fan f. Fixture Trap ea. --- Fire Dampers F.A.0 f Registers Floor Drains - -- - Fixtures -- - -- -- Floor Sinks Outlets Gas Service DLJ:;IS Savllches Interceptors Meta up to 200 amps P -Trap Meter . over 200 amps Roof Drains Sub Ilanel - -- - - - Trailer Sewer C 15.50KW I Sewer Ca-P _'- Transformer .- C50' KI'V___ Sewer Connertipn - Bldg- r tl1ntors f ' 0'1 Hp rj iy7- F Snlar Coliectors Inc. Sniar 110 -15 HI' F, ) 1a+ Solar -iping _ - Sinq /fans. Res. — ---- - Solar Tank Morn Fans Res.--- - - - - -- i Swimming Poo!-,Spa mrnr*li-i- Pool %S - -1Ta -- Water Hl..r T- -- Water Service j p S,rptir.- System _ - 1 Misc. _ __ __ _ DEVELOPMENT 3.ERVICES REQUIREMENTS: Zoning,;pproreltBy '-__ -•- Building Approl' 4 By MECHANICAL 1 FEES Boiler Duct -Under Ground Duct -S r IIt1 aural - I tan - Ventllatinn Accessfiry Building- - -- Exhaust System 0 G I Heating System & Ductino 0 -100 000 BTU F--i00,000 BTU_! Hood or Canopy IyParking Re!;. /Provided R E Refrigeration System 0100,000 BTU 0100,000 BTU Fifepl /Fact. BIT. ICBO MECHANICAL 1 FEES Boiler Duct -Under Ground Duct -S r IIt1 aural - I tan - Ventllatinn EfutlC.tlg S _-- _. Exhaust System Plumbing Flrctncal E.aporative Cooler - I Heating System & Ductino 0 -100 000 BTU F--i00,000 BTU_! Hood or Canopy 1 TY1?el- -"T -- jy e u '- S -- _ -- - Refrigeration System 0100,000 BTU 0100,000 BTU Fifepl /Fact. BIT. ICBO System Repair /Aiter_ation__ Fire Dampers Tf Registers Incinerator Misr. I I Issue ----------------1------ Issue It OtteApplicationIs' le? By r AUT11n; GRADINOFEES Cut - -___. _ - —_ __ •• 7'"'- Fill - - - -- - : 7z 55 Plan Check Fee fnlal Feet $ - - - - S Jt'9 331? 1 Summary of Pefnrit Fees 76r, 3;70 1 Summary of Plan fherE fees Hu'Ihng S PI..n'fl pk 1' f Iu nn.al EfutlC.tlg S _-- _. Plumbing Flrctncal S _ Mechanical Other Other rlannajg S Bnt S -- _ -- - 76r, 3;70 1 Summary of Plan fherE fees Hu'Ihng S PI..n'fl pk 1' f Iu nn.al fatal Pees Dui S7 J i CT1 dr ..n aI f 3160;:775 rlannajg S fatal Pees Dui S7 J i CT1 CL 0- 0 0 0 cc R1. of Lll 81 U E E 4 yr crLU 0 0 a. I to LL LU I ' I I iJ ` 1 I t I II 1 I ' ' ' I i I I LLJ W W w1 rn I I- -I -' 'Y I 4 ! i 1 I I I I Lu al Ui LL, Cal lu 0 z Lu i — LLI LL LL 01dSl C: LL - i I 101, c Ol0 i c D C' 1--; cr I Z p LL g- 2:! - , 'I wE c jI >L- g1 - i > m 1 O. :-, j -1 J zuj rl 0 .2 m C6 761 ;- i 7 z<' rn . -1 C) W 0. .2 1cc U) c 6 - j 0 CL U. Q L 0- o CL u a. -Y 90C LL uj Li it Ol a, , I CE M: x C-) ujirjDmI < z O 0 z 0- C) Z 0 0C z CS, 0 Fj to 0 _3 D < QC > C) LO cz i 2 CL , i Z 1 510 (u u C, U ct LL Q CL 0 0 C, U- w 1 OZ uj: Ui' J, m U) I r ' I wl j ? j I I _ZI I . I wt 0- V c00; C ir W W; J, 01 LL LLc < Z) z! z< L) c V F LL crCLL-Li all a I R LL d NI 0- F. I - -- Ec 0 C3 NI 02 0 1 FL to -; zz c: 0 r Ir 0, _j c E li i w t.. i010WLLLLU-' M LL ir ac cc CC:, . C '. 0 Oz 0 -0 0' 91 6: '6 i i — LL al 6 u Ru I ; i II A-A