HomeMy WebLinkAbout16528 SMITH AVE_ (3)
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CITYQFLP.KEELS!I�ORE CONSTRUCTJON PERcm f `1\' 1rtt�t
.r -?r0(etf A d:'e'is. '`:0�23 �^,�.t�..t `T-
to Gant s>ta+:rrta address -__- - Appli-ent to fill in a(i spres except rhose wirhin hew (;order[:rsrs and sign all appropriate dec'arations �,ttCC
I v S I is ha ERMIT NO. _ TRACT NO. LOT NO_ i UNIT NO- '.?(=� g� g• �E
C vner's N _ 5 ` �w$
1 p p RE
Address _ a SrfC �usit�
' IirEoFcmisT►um _: SEIN _ = n11FQ4;1^"r �PEPVR
Arch-Eng._ Lrc•_•nse No. -- _---
,- t�f,'i:.4Sl;�V = i`sM;iUSFi = OlYi:sn 4.P. .�`_ ' i one _
UE:ICAIPYONOFVYl -uSE 3FBLDG-- �- _ --- --- --
I Gar:rr• ;Tw.•e -- -Phone -- --- -— E I Mc.i o:ildiry: AcCessorf Buiiding: - Z
AddressIriiMe, _ _ TffEQFPEJtY6 __ _�.',^_Iti _ i'U!4 s1_`�c 7� STFiFiLPA Tl Frrnt ---- ---- —_`--- -j O
TE!tA9i _ 6'c_ BI Rear ---_ -- N
y - _ -- A —
j,izQN5E0 CONTPACTOR DECLAQATION 0T!ttF -- _ -- - -- - I .r
PRtt c(,TUESii!';'.� _C_ :an., r' Right N
s rereny ,ff, rn t\sa 1 a",ticensec c.n.ae' pre-.s o s. C-1ar•.er G(cornrrencfn^y - --- - .-, - K- - G
with k ^_n 7GC3- i:r rj . I::', 3 Sh^_ 9s,re s 3--- Ta•esi•ons Cede,ana Cfc-a'icC(':� iip"_ __ Crr _ -- _ AU., _----- S, .Eft
-,. li:en:i is In roil farce ant!tftect. - I ;E
UtenS !qo. p�r --- -� �-__--- -------- Ping. Ref. Pzrkira Req.,Pro-.•old E
.- ,_.._.. --
Da!t $•mature Remarks ;lacaing NCIEs< _ ,--- �IN
/+4KERr' ! GlaPErjSATI0NGECiARATION
mac;a :rat I[.are a�r.,'�:a:e of causer: •:sclf+r'i�re or a rrr: :.ca:e r n �•; '_xy...-.- �y BLS __..-- ----- - ------- S
._ Oi ':•�=e S C7mi7ensatl;n InssfAr Ce. Or 3 Ce•:,f•e1 mpV ihereOf (SQChan
d b V..G�"t•' � _ _-._�.-- -------.- -�_._..--. _ - i
7t r -Ccr: t-c.-DT,s Lere.i�f,;r n,shea. -- --- `----• ! - __. _-._ - _._-_�—.-...-------
Certjf,ed:Api 's T,:pC .v rth S',t L,ty B'_•ICinZ D•1;-an.
FxEaa P-;CI,7 FROM WORKGRS`COMPENSATION OECI.ARATKO. _ - ._- ,--.� --.__-.--- ----- --_ --__.._•.--
jTn.65.cL:,aa,leea not De rnmatetea,f the Ge'm�r,s for pile hundrCd(S`.OD)ar --- _
less;. -ti --.---
I ces..Iv it1a: ,n tr,c ner!or rsan:y of;he-zr. 'ter v,'t,tn tn,s;Wr'.•t ,s isY'a• I
l 1 rr•• .."lG:ter any pcf-ryes in a,, r,,ann-r so Es to become:,,a;cc:-Qb:ne 1`i-Uh?B'� FEES _ .j-1 IRICA l TEES M CHC.NICAL_-___—_�_FEES
(v:,r.r• rya u::bn �a�.s o Cai•fc,-:a. AfCc't, REpair --- GehereiLt�0 5KL'J_ 5,15K
W�- Floi!•r l._--
Dlke I
nOTscr ,+.altr ,u.,r, Ihr..yeu t• Does,You sr c.'d Data,le r:>tact to sr.e Aura W3:r. COnstrureer•Pole S')b. (iuct UeJeI Ground --.-_ -_ --- ----
Work eIS' T.ae'-';J,,7n rr��'f less r' trr :.,a: ,f [c•G•', you r.151*, f0•nA,:-. -r --'-
C. a.,; e• snap r v
be aee.•cd re.aea. 1Backflow Prevennr Coekic3 Jnii - ^uct Sirurtura!
J fONSTRUCTION
`n NeOiING aJ AGENCY.n teno r• qrs• rwt�e._rfara ante a; rt6w irritlation Poia 1_13hi -
n• w3-•k for W..-I -•s otrr'1r: F; rsSL:. '1'sn 3�^+ _,v. CA Cichncr5 -- -`}Er5_Gas _iclectri? -� E�thaust,riys*c mu;iip!e
Ler4& •; Nanc ._--_ .--_—=- .-----_ I Osl,ytra;lt>r f-an _ - --
E•ra oration Cooler
OyYNER SUILDER DECLARATION mixture Traps es._ _A.lj.. ?" i Heating System$Ductlro , I
I Monty a(f,rrn t.at I an cRe npt fson t�e Cr t ot:o•'i LKe:sc I..av 'r. Inc
I e:ttcw;ng re sson (Section 7032.5 Hulse:%ana Pr tass,:.ral Cude:Any elty or I i"-!3w Drains _ — �_ _ QJ•190,000 BTU BTU
scurry .r :n rrr:rrs a OV.-Il to cans:r1zV,a. cr,imp owe.aemonsr or rcoa.r Floor Sinks C -_— i Hood or Canopy —+ ° GRAD!ktiFfE$
am st•uc:we,pear to :•,r•uance,otso•eq,m nt ap r1CA'It'Of such; rrT,:: 1,- �-�— "' ---
L.e a tia,ca 57 s:erLer: •na! ttarttaa a I•^.e.nstd.unu,rt to Qhe orO•;,sons of Gas$efYiC(! Out"_+: S•aritcha .. I Type i �J T e 1! G+t -------_cu (eras
JW713e Contractor's L Ccnsr- t)y iC:•zpler S rtom:uencw; wijh Section 70R0)of - --:-- --- - yD" �e----'--'--- Fiil'-_ -__.—cu,alas
1.5
son 3 of :he Bua,rass trd K>TOICs!'3^s C.)ao) pr Mat '%,"S+e�I; a cemut {niQrce"tGii 11G2t5t.-up to 100amps � R 4ff',gBfatlC:r Sys?em 1J �!e•rom r^n the Gas; far tRC atte;♦ed eat sloes.A: v r.;. of S,Cti^� - - --- b. 7:1PIanC+e 4Fet T oy any a pllur.: Sor" a phrn,t wDpecrs tteayapptlr to a civa P•fi f3p -- i _, lteteC rcrer 10�2ff(pe- I CO-100 A0 BTU=10R,1100 9TU y Sr�_311 II Petr+_�Fm $ -
penalty of not more than five h�,�'•cd dr.Pars(S5JJ7. �' �— : _ -
r, as owner of :hs property or my empYsYtes v:it1 wage' as their SOfe Rouf r.]ral:.; i � r part,I -- � � Fii�/i'2Ct.Blt.)COO � Tpttl riCi $
campslsataOn,w,li Or,inn a.ld tn,t structure.s no: IntenrtrC Gr altered i d�lq_t �,t-� _ r F' 15.50KW I I Svn m P,eWrWtr_tation,-__ _.— "------------- -
' or fa a (_!(hoes 7 iac, auWICs, and I?rOf2WQnal Codes- Tile C„n:r:n•lor's - - --- TftTS.:1R fr r-.------
- F' S0 F kW - F!re Clam zrs Sufn-narl,t+d Pu,:r11 Fen
I,cen:e t_aw Gans r.o!apply loan owner Of a p•opetty who Da,id:o•rrr,proves �Setw_f>r3p _ P
thUlOn, and lv`,O Cars sucn wol;,M:r,H4;!1Cr;ttr .ir trroutn t•` o, her own t• y r - -r'.---- r
emD oyes, orOv,dra treat SU:h jrnprOreT qti are nfi, M a:M offered 'or -sett fr,r!rlectirr, M+)t�rs 0 1 f�tt t�1��i•B
sale. it. f.o, t-yf•r, the hd.lo,nq n, .mo;c.vernent•s:cad� tt Crw year C' -.orr,•
p1e',oh.:he ow-,,er '-N nave Cho burtlon of prwInq IMIShr 0 .nrrt bur:d�•im• Soial COliectars ; Inc. _Solar 09.15 W i�16•i5-r! Incinerator
_ —_..1-_-........- r- -r-----
ve ro�the p.,ruow of to-:i. ,War Pipmrl r+ft�1F31n. Res 1 �hflsc,
1,a;Owner 6• :me p,rroerty,ar,exci A,,very tcntractmy ,A,:' I ..ensE:ton• �.-_._.�_.-.»_ -.. ._-----. - -..- ---- '- -- .----•.-___-. '�(' 9
rectors to co^•sl,uct tic p•c,lect j5ec!Ion 104a,els,ness am!P ofrs.,ur,s Coder Solar Tank Muiv-F'ar•L Res. _ — 1 _— � �?i1 Su.ToW $
The Conlradar`c L,:eDse taw does not aC'ry to In'Owner td• rrnmrty tvAo --------'*'--'-- .-—_---- --�'- f-'-•
i Dltit4s Or Irt(I/Cvts 7Mrton,and «^G G).itritts for such pr•;.r_�s wr!h a con. SYYmrrrlsl Pryol; -- ___ __rT_-_ i ..-.� __- -__ �i�•13) J7A(P f. .-
ltraet:or(f IiaAnse GUrtuint in tr.e ("e+ntractor's License . 'col. I :'ri avert trips I rn- ,r 4--_..._ - -�--I-- Sul-41 tPL•I tteas �
Yt ter 11cat� i _ _ Re; Ion Fee ! Issu_s_ _ _
wool W(1,41 vvrs.ar't ersmpenulioo ,r,%A snOu,B r.e pn vi7td !o •ne. -__ _ �• __ uQ>!et� --
.."1 .arnaxtm,:-it J4.-sac.Ior-___ ��_ - II,yA... .., h,;.eas-r. _ wti?'�8tv[�;---- �.^ - i 8•In CCItO� Mprobml $ -----_ -_
['a: lr'.4•�. ()wrier�`• ._.--.._-_-._. . ��'��Ir:S.>ll'a-m-.____-.j._...._ _p � r MICAMrfef � ...--
1 ! r!Q Coil7 trial 7 have mao 1, aD i,� i-,n afld state the above t�,+lE.tOtltCllES£R410E5REi]tlIRER�ERiS: ------^-
r p - :;e
InrJ�t11a7ia.t is cnr t:t. I area in corn(11v wrjh is c••.y ano r.•r.I,lty .r/A nar•.ces _Dad ..-----.-.__.,._.. 3� ) ---'•'-•'- ^-
ird :at• tavl(
abpveNnantranla col,aa.t, test ��--- --__J �L a .-� .-- __ __ Aale __._ _- .__. _
T_ !AW 61
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fa,li�rr ►t+•naa of SS
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"49
- CITY OF LAKE ELSINC3RE VALIDATION
BUILDING � MECHANi t ..
BUMI?ING & SAFETY ,
` �17 574r 1521 f ELECTRICAL �, PLUMRiN,z P e�1 4 j
i i GRADING C ' SEWER OCT � s � it
B :' 2605
PERMIT • APPLICATION
li!du, Addrnyg __ ,z G;?._� iiril ill
9 ii Addr .,
City Tel.No. I t++t' 221
Cartreclnr B1.2rdiGk.S Con-qt. L.A. B1xr0igk 181oc.k
Address 7605 Mt?Yico Trait C.0 [[. Ur,t C A. _ Lnt Sira 5,000
Pv Buem Park, C,- 1, 'f. Tel. No. Assessor's For. No. I0„nk
State Lr^ No. B-435-736 C;ty Bus. Li; ;yr, Parcr,l Zone
Architect or Engineer 028
Addrss flld(I.Sothack Yard APproved Street Nome Ex.Width
city Te!. No. Fini. P.C.
State Lic.No Side P.L.
CONSTRUCTION LENDER INFORMATION Rear P.L.
NAME
-Inspaclod fly,
-------_�._.__..___ ,---- -- -- -
BRANCH ___ .___.- ._._. __ DESCRIPTION OF WORK
ADDRESS-----,-- Now I.',rltl. Alttr i Ropair Demolish ISpecial
I have carelully rear, aid examined this application and i,nd the same to be X _
I
true ari cur-ect. All provisions of the law,and ordinances governing build- Size Sq. Ft, Nn. Ruoms No.Stnriu
ing construction will bp cernplied with. No person will be employed in
riolsip'on of the labor code of the State of Calilurnta. I agree not to,�cr.opv o, - -2088 -- _-- --- --- ---= - -- - I ---- ._--2.
F 1 Wall Covorin i lot.Wall Covering Roof Goverin -
allirer oet;t,par►ey of any building authorized by this permil t,n.tl fin�sl ht�,lihng •� � � 0 � 41
inspection approval has been received. I certify tha! !am prooerly rag istered Orytvr,11
en61tx licensed as required by City of lake ,,senora and Stale of California Proposed posed use of strurloro F;i rr1 1<, F',tmi.l y t);vr l 1 i r, w
or that I am the legal ow+t,r,r the b�:e described r j!rrentlai properly 1 1 _
Signature of Permitee `�
_ Type. Cons. Prnt.ess:,d by � Plans chnr,ka;l by
1110 £LECTRI At. FEES TArnountrN�LNIECHANICAL FFES Amount No PLUMBIN61Fil Amount �4 GRADING FEES
Sing Tv.,o Fam Res. 1-43.Ro 11 FAU 0.100 Fri BTU j 6 r70 Rn;nwatcr Dram Cot: Co.yds.
(?Auiti Earn. ROIL FAU 1001M{ BTU Bl;lp. Snwgr Fill: Co.ytls•
Swlnlr i,- Pael _ Add,Alter, Repair Traihrr Sawa Parmil Flip,
Urnivels(Elect.) r Vent Frt - - ;(1Fixturo Traps on 40.00 Plan Chock Fan S -
1C Floor Furnace 1:Sapti,.Syste,., 30.00 jT0tnl IFee
lCarntvatls(Area) + ( (Space Hooter Add, Aiteir Repntr Grntlinp S
�-_ ----t- _r
s. .np Sir.Welal Gat 1.5 nuecnts 5.00 [ftIILDING FEES
- _.
emr.Su, (Dist.) I Repair;Add,AIj!er _ -- Gas 5' Outlets ua I_ - Foe
iDudot.. I 1 00 IRuiler 0 3 H.P. Add,Alter,Repair Constructioll $40G.00
IFiatute I Boiler d 15 H.P. Grease Interceptor Fall
__ _
,ancas Boiler to; r H,P. Add,Alter,Repair Plan Check $2G3.?(!
-- -- -_ - - -_-f
Non Rts App'rn e,i ; , tBoi! 3' I4.P. f Water Suft.,nor - Fan
motors rt P. `Geller 50+ Fi,P. 1 Water Heater 5,00 Llertriral S 55.7U
- --_ _ 1- ------ -- _ -
Wtprt H.P. _Air Unit 0.10 O00 C.F.M. Water P,pintl le
ttlAnlors� H.F. j - Air Uni; 1O,Q0(it C.Q.M. ( j Add.AU+cr, Repair - - - plumhiml $ 9(;.00
_. _-_ _ _-
+uas�uys —� [Val). Caolor 1 Sprinkler System 6.00 Fne
(Signs Ali Circuit -- ,Add U cr, Repair ? Add, 411 trr, Repair Mochanicul S 20.50
SiQ:u;Add,t ir., s �l:roep. Vent System ( I Vag r3reakor 1.15 Foe
iSerrice ib2[10 An 4.50 M ,c Br Hood wlhtoch. Exhaust f f ----�aker y,!ca. Grad S ••0-
.__._._____•__.__.__.!_�.-:.1 __------ _- _-- �Ve _ _ _.!nq
IS•:vica 201.10500 Amp Res,lecinerater JEtiackflow 0.2" Fee
J.--', r r ^' _ c;trnn Motion IS 6. 74
�rntca it1 r, Arnp. r Cnmm. tr,eo,era ur �0ackftow t
Mts. Misc. Misc. LESS Esc
Permit Fee JQQLn 1•Pormil Fee t10.00 [iPermic Fae r.1U.00 DEPOSI'. I$ 50.t)([
_. ..
TOTAL {�60 TOTAL ( TOTAL Fne TOTAL Flip.
I&A $ 55.70 _ MEC.HANLCAI (S 2t),S0 PLUMBING �S 9G.00 FEES DUE i5 %)F1.4�1
�a -
APPROVALS DATE INSPECTOR'S SIGNATURr CONSTRUCTION VALUATION S 90-,64j ,_00 .
Footing ' -
rI�
F�
- .- APPROVALS DATE INSPkCTOR'S SIGNATURE
Plurrtbin Groundµ'^tk _' �Z
----- 2 -- -- -
Slab Grading Ilrywa+ Nailing t
Floor Teats& Giro=_ I _ _ 5+tvorlScptir,!Leach
Aou h Electrir:al _ _ __ _ _ Fut•plar+: Found cUnn _ _ � _
1-ueplacc A ch ^sic __--
P.u h Heatin_ - Fine; Electrical
An i ramie Final F umbina i
Vertical Wall Steel -- Gas Test
Bond Beam Steel Fmni 11 oil linfl
Shaar'Vall Nailing Fencos R Gates
tdin�_ Final Grading -
Ins rlali0n__ — Finn+ Builcliiv, - _
Roof Sheethin d l - -T-�- - UNlrly Co. Notified
r ri r' h f --- - - W!,on properly vuiitlated (Si nrj _d) This,s your permit
WHITE•inspector's Copy GRUEN•Pormitteo's Cope CANARY Public Service Copy
Maybsll P#W Shop,139 N.Main St.,lake tlsiron,G.9233C,71J1614.14,45
- A
>-i'ri OF LAKE c.I.SI.0i'L
BUILDI:dG D.Vlslor$
O V JER-BUILDER VERIFICATION
aro, c. a cCi'c -:nr Drecece ^� a c.._;h tc such
... .:V'Ry ..•sdG,r1 r'la, -20UtrE' the corn:)let:C^ a'10 re;utre
thR return 07. -�1 C'::net•�u:;d?• .{. ec C3tlOn.
An C... _ JU:tC�r n; c? ame r,
a O bear ^? your stcr;atu:e.
'':'25e CJ. ?le a^C •?turn ',"S ^':?-r-3: o❑ C ;he ar•,o,0oe DrC..c'd at YOar 131:n•-t onvir*.un:ty
to avo:d ^.necessa'y ce!a`• •n ,.-ccesstnj anc t ^
ssU:.^.CI BOUT 'L'Jt:Cln:� ,7elf:llt. r: �.S;IC:: ,-+,_
's:ue a C nt;n.s •.er cjttCn s •e_<' .a. rr-�—
1- I o_r;nnalt'r a!an :o 0-0'nde -^? r-a;o- lair-r and Ma•er,als for constructlun of the pr000setj
prpeelly irr.�.wo entert- Yes
.ign=_o an apps:rtton fora 7ui?dl:vr o..m,t for the •
prc2cse-
3 ccnt'a� �o.::tth-:ne `r ..:.^c agrson `
` ., , :o 014ae co.str umon:
Fe +C 10:'!InII _: Or i0 coor;^.trate.
j 1 .^.-^.. ..? :0-.^ ul the -...:% Out I `'ave coy, L�.c.. 1't:r8r.•' :r.e T c --
r? ., OItC;::nn G? ,�^s t0 SJrti Yt t'?
- 70rK .JiCa:a
Name Accr_ss P:ana
•rpe cf ::crlc
I hereby affirm that I hc,e recetvac a copy of the Infcrrnaite.t set :art`. :.: ,et rn �cg;� of the
State of Caffornla Health end "fet:t Code and have completed aha anove informat,on t.� e lest of rrsy
personal knowledg",irYrnpli�,?�•; -
Name:
1Prtntect or Iviyetir �"
C.D.L. =or S.S.
CMF 1042-46
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CITY OFLAKE ELSIN?RE Gd BUILDING �`! MECHANIr'',
BUILDING & SAFETY 0t, ELECTRICAL M. FLUMBINi
614.1521 GRADING Q SEWER I``OCT % $
•- I
85 � 2605 PERMIT - APPLICATION "
�'...� k ztlith ,or @IdD.�dtlt�si
.�?sf.'��.�rs'�,iSnu-
T N Lots 21
Ch
-Black
Cor!trnstor $, iCk•G Cesrst ,�BtxtrcYzck _____ --- J_ _._ I Let Still _a,0, 00
Traci I On°k- I Po r o 2 1 -
P
ot.No. -� Zunu
Pnrcai
028 _._._.-
,Ittr,.stltsCt or �nyinaer _ _.--_-- - rovr,r; t Street Name T Ex.Width
-�Elldtl.Setbock�jl'erd App_ r__
P.L.--�- j- - +I -
rr --- v Till. No.
y
Stde P.L _
Rear PA
! •- CONSTPUCTION LENOER INFORMATION
'Ir1Sf aCiHll 't—y--� i
NAME -_._____-------- - - DESCRIPTION OF WORK
t3RkhICH _ _._�-�_�-,_--._.- -_.___-• - •NcwylArld, Alcor i RepairUamalitlt Sproul
t havt rKtreic'.ly read a to examtne3 chi;aupbc2tton an t trod the same to be Size -. ice -No. Rooms Na,Stones
;rue 3" COriea ,"+ Crei,sl,r5 at the taws ano otdtriMM C<avernllk build. 7 _ 2
;nS ea,�tr:_.^;ran sr?II t�• Cnmotied with. hen persa;t will be employeo in 208R _--_-I Root Gr,vrnn~-�
violaiiur of the!anus toad 0! the Stnte of Ca'.if,rria I agree not to occuQy o' Ext.Walt Covering In;.Wall Cmerir:q r 0
alaw OCCUWrn oI any hsridrn: Du i;or;,r_d b; thiS p,trut t,ntt! heal building Ct�m,o
Druwet 1 t
•ac:n recet;e~i I cartity 08t i arst nro;,etly rcts+stuied Stucco
.tr9 Csos 8npr Ala' r0. r P - - -..
end,a literst d 3S regv:rct by r+t a! lake :.!5trnrt ar't ,ia1t: of Cahfotntz Plop sod use of s'.rtcturr ram.i
ti'i+a n The Ie�al own= D;the abort dezt'.otd rP ldential woperty.
1 Ar r-ached GAZ'ejc•_-
''
t y �� FI.I- j R.F.
I Ark"'m ���- �s ' '�� t Amount Nol PLL'MBIYG FEES ! Artrouu! GRADING FEES
E���----w s iri.Durl--��
e;rs EL CFIxtCAI. FEES t Ar.Durt N°1 NIEi HArYiCAI FEES r I Poeinwater Drain---�__ Cut: ^- cit.yds.
r Farr,Re< ;FAU 0.100 M BTU I U�0 �lFill -_r __ cu_vds
i tvo 1 /� RM+BTU - __.- IBidl_.Sower _- ---- S-- -
uiti•Fam. Rcs. I FAU 10 __._i_- Permit Fno _ I
I��d, Alter�Rapair _��_ ITra0or Sow - --
g$,r;tnmina Pcal r 1 Future Trans ea. _140.00 Plan ChoI Vallick For IS
�ISoptic Syslar I?_t1._00 Total
I Floor Furna:e GradingS
��rntvxl?tMeth.l I Add.Alcor, Repair I - _.
I ace Beater � _ ,_.._
Carm;.4s _ �SP — r DUlL01NG FEES___ _
iApphence vent r Gas 1.5 Outlets 1 �,QO -- IFoe
'Tema.�>'►.iFatei r - -"-�- IGas 5a Outoots o8, I _•-
i,emo.Set.t^ia.1 I I Repair,Add;Altar i _ ----- Construction IS 406.Olt
_ 'Add, altar, R808ir _�
l �Soiler6.3H.F. {` _._ __ __--_- Irao
c r ti,F I_Grease Intorconlet t j�263.90
T;Fixture ;�St ' I Bu;Ior 1 _ �----- Add Altar Hopei r I Plan Check
+Pas Appinnces I ___ -!Ynilr,r 1630 ! - --------'_' fee
""'— -- ! 'j�CtCr Sptten9f !
Ht'l—
tNor.•Res.Appliances jBo'Icr 31.50 k.F. _______,_ -- r r10 Electrical (S 5.5.70
H.T, -;_ lBoilar 50+H.F_ ^-�_ }I+:+plat Haolor � _ Fee
tars _. -t- r Wator Prprnfl _ - w - �S 96.Or'
o�s - V•P. , 1 IAi; Utut 0 10�000 C F•Mp__ �. ;Add,Alter, Ropeir Plumbing
__
s - H,p`"�` ( IAir ii,:"t0,000+ C.F.Mr I L-� �Fac
,klocors i 1 I$prrnkler Svstom 1 _00
1Evap.Coaler -- Mechanical $ 20`50
l8ustrocty' F IAd-'d Altar RoPair� i jAdd. Alter, Repair - --- File
arfllts;11 Cutuit - --i I Vat BrBekar 1.15 -�� I _ _
r ISi ns ttd'`l Circuits j y __I(ndc;,.Veer ,yst9m `_t-_-�- _ _ Grading-_ 15 __ /1
9 Hood wlMech, E;,hau:_ I 4 `.0 Vac Breaker 5+loa. t cZ_
,Servrca�7 1Lir�Amy. _� . :rtes. ln,rnScptor - ( jBncktru::0 2" _ 34
'Gaivit 20T 100.rAs p. I "- r _TOa knew
Swico 11000T Arr,y ICu,nm.Intlnoratar -� LESS IFee
-- r_-___� �Mrsc. _� i ! Misc i5 50.OJ
Misc. - --- n DEPOSIT - _
IPerrntt Fpo _ 110,0t^ Parmrt Far• ,_--_i11i.0 Fer
IPermit Fie T ,yQ IFeo 71)TAL
Q ___ ___— kFae - ` TOTAL S 758.4' t
TOTAL TOTAL iS 20.50 �._ "l ll4�dl�1i ���10-96.�
tf•' ��..
APPROVALS DATE I INSPECTOR'S SIGNATURE
CONSTRUCTION VALUATION
S
t I DATE INOPECTtIR'S SIGNATURF.
foo9ir. Fo?o l ------ APrRIO=ALS
Piumt.n_Ground:rorL ���� �1 _,L? ------•-- -- -'_ . _....._
�n4______. -" n 6 r _ Drywall Nailing l ----{--
Slab Gnd,n �-��-�` -^��- _..._` $rwrr/5ouuclloar.h
i •Soists iy Foundation
etion
F.00. _ Fueatacr of nd - - ----- --
Aau n Etectr,ce' __.t._____.._!__._- -------- --•�"'"'�"��rreNorC Anrhorrgr__--,•�- -� - ---
Ror,eh Plumb - -- ' trica!S
Rau i hoaann ....__--___ �`,rnat
1 Ftu Fremin .. C,e.Tc.t --
vor•,icvI>YriH Steal .--�-- I - f wal Heati^}�___
Bond beam Steel _ _,_ _. _ - ____�. Fences -
Shetr W:!P Neilin t - F,ntj---- ";
YAe:ain --T Finai 9uildin
Itssulatir:n titili y Co N.Otrlrou
� -- _ - - -
P.aa!$itaaihrno C This is your sit+++,'
x i t rI, I I
...r--
'WHITE• eetar
Irs 's vD GREEN•Psrmte0's COoy CANARY •Puillic SetvtcP CnPY
P ?i'i it H+tholl°nit chop,13C N.Moro St.laso Elsinow.G.92]]0,]IuSN•1515
O,ganized L ndc-the s of the 5tate of Ca[ifryrau
ELSINORE WATER DIS RIC;T
16M tAKESNORE DR1Vj
P.O.eox 1014
LAKE ELS!xORE.CA.9]33(:_4999
1714),S74 2168
,+Une 12, 1985
C3.ty of Lake Elsinore
130 S. Main St.
Lake Elsinore G_ 92330
Gentlemen:
2nr.eth Geringer has applied.-to this office for
water service on Smith Ave. , Lot 121 Unit A.
We have sufficient water to serve him, and there
will 5e approximately 70 lbs. p.S.I .
There is no fire hydrant within 250 feet of thE•
said lot.
{S,iincerely,
Kenneth R. Odom
Water Treatment-
SaFeri.n'endent
EL•SINORE WATER DISTRICT
KRO/bjs
cc
e
DEPARTMENT OF HEALTH
COUNTY OF:
RIVERSIDE,A SUBSURFACE DISPOSAL SYSTEM
PERMIT APPLICATION FQR
15 is required when the application is submitted,Chock must be
Applicant: Submit this form with three copies offs scaled plot plan drawn to county specifications required or,the
attached check list.A non refundable filing fee o C
made payable to County of Riverside.
1
=r C, I h�1 ,2 �-- Mailing Address
Nam. •-I- �r+t. � 'i.3o �. - .
91. �,' Phone _
State
Zip code
�.-
Parse;Ma .1'rpcg.
R�:[ �! l.�G - 1G •Legal Description of Property( y; $ ►u�
City or Community �.�et�. C��6 L7
Lo Cou
V •Prot erty Address "f i 2 1 -
r 'rrJl rr An- 1, ' J
' j l�.- r�s•nrO12 �+r S 11w - Lot size
t 1 i I Water Servin?Property Fro
-
•Asl�sessors Par�el No. y„�'��,
-- �_ Dam
{
�' olication
$ignah:�e o[rOD��tnn. L.
•The above information must be\+eraf Bu�ldmg A�"
p i Write Belot This Line ,•
SCAN laser u
••- Initia' Date
Yes El
WQCB Clearance required Y-s❑ No
Soils feasibility report required Yes ❑ No
Detailed boring report required __--
Detailed contour plot required Yes ❑ No
Comments:
_ Gate
Soils or bnrina-report by t- Date �-
----
c 11
lu Approved by Other
Soil Type Tract File No. ------ Type of System
in Soils 1�ao Page --�— !tions) Rate Required / W Addition Hepixcement
--=- Septic Tank SIZR(g. _
Number of Bedrooms , ' 4 � 3 c•' -
—[�• .� ---- '- -\ Leach bed sq( ft.o botto .a2a be
Leacyiine sq•ft-of bottomarea trench
� g
Pit epth B.i � Tot81 Cepth of Pit
Pi Diameter Numbe(O#Pits /
Lora on 1.System04
Aarlptionat Ref4vremrrts
torthpde;;igr+of asuGss:rfeoedisposal SYut necessarylerss�a�sltort2ofthe above
i r _ r
-'A ptftni " _<. is erm -
using 2tre requlrerr�er, =sbt-torth in Section D abot+e.A auilding p
desiq
lied By, t u
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r aa� Foundation Engineering, �
Consulting Soil Enfinern
131f)S.Santa Fe Avenue
San )acinio,California 92333
(714)554.1555
September '12, 1985
Project Nu. C146-001
Danny Celeketic
c/o C & G Construction
i 1800 Lakeshore Drive
r
Lake Elsinore, California 92330
Re: Revised Foundation Design
16528 Smith Street
Lake Elsinore, California
Dear Mr. Celeketic:
At your request we have briefly reviewed
revising the foundation configuration adjacent to°ur the easterly osed wajjsof°a
proposed residence at the above •referenced address. This revision is
necessary in order to provide for the backfilling method used against
the garage retailing wall .
It is our underst:,tdil.g that the garage retaining wall was backfilied by
dumping gravel within the void lying between the retaining
"cut" slope. Originally, it was proposed to support a rti and the
upper story wall and roof upon this loose hackfipl material .p"rtlon of the
��ou have indicated that the east wall of this particular portion°ofvth�e
structure may be extended further to the east such tna;, it will b.2
founded upon undisturbed material .
The proposal to extend the easterly wall of the upper floor further to
the east so that the foundation may be supported upon undisturbed
material will be feasible from a soil mechanic's standpoint. The!
easterly wall does not support the roof load. T!ie roof loads are!
supported primarily upon the north and south walls of that particular
portion of the structure. The foundations for the north and soutq, walls,
will be spanning the gravel backfill .
For those portions cf the wall which are spanning the gravel back"ill
we propose that the foundatiors be construr.ted as grade beams to ,pan
from the retaining wail into the undisturbed material to the east.. It
is our understanding that the maximum span is been verified by our representatives in the field la•nde should hbe done is has soduring construction. On the basis of this span, we rr;co, ei,d ��, grade
beam having a minimum depth of 24 inches and Which, is re, ,.
four No. b bars, 2 top "and 2- bottom. nfol•red rii h
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NORTHSTAR ENGINEERING, INC.
26820 Jefferson Avenue
Murrieta, --A 92352-
August 20, 1985
City of Lake Elsinore
Euilding & Safety Dept.
130 S. Main Street
Lake Elsinore, CA 92330
RE: Grading Plac Certification
Lot 121
16528 Smith St.
Celeketic
Gentlemen:
A visual inspection of th,e subject site :.as made by this firm or. August 20, 1985.
I certify that the bUileing pad and general grades are in accordance with
the grading plan prepared by this fire,..
Should you have any Gtes;tions regarding this matter, please do not hesitate
to contact this of#ice.
LS 4604 �J
a ,
1 -