HomeMy WebLinkAbout31736 CASINO DR_ (2)
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Project Address -Dr CITY OF LAKE ELSINORE Ci1NSTRUCT70h: PERN
Assessors Porcrl Ao. ---X-X,_0%$g Bg•ce1_6 Apgkant to fill in w} spa=es except those within h -
Osvner•s name n
PER"N0 , Y border tines and wy�l!!appropriate declarations
Address � -7�52 .RACT N0. LOT NO_ UNIT NO• Iu�
Arch'E ns-1F
License rvo.3O235 1`TE OFCON51RtIiCi101f- r;' NEvr - -
Addre s A20-1.----Gra hmt._��Ia
a- _ Gfiti'rE? i;;4 CfM-OL!$N 14iEkA.u!V ^ ?fPA!�
OTHER.
Contractor s tsar Q�S. ; v. I❑ P --- GESC4 r'iIiJYG=ejF'! E OFEEUG
ncn�!4-7F52Z — R 1_rx•lr teal l - _ — A.P.
Address trrizri,ngl P� �` - --
A E '--- - — _ __ S Main Buildin - Zane
T(PEOfPEtYR `,RAWNG FOl1NDATigff ! E 9' AccssoryBuilding:
CrtY License*:o. 741 R 'ENA4T T _ S'RU:'dRAI — — T i Front - --_
LICENSED CONTRACTOR OECLARA-[ON -" -- cWRl � iLUMBING = McCY..1Nr;,A1 t--- Z
I he:eb atf:rm th 0'++EP B, Rear O
Y a: 1 am l¢unsed under proyis!r.,of h _ N
wrtn sea on 7Cr00J of piAisron 3 of me Carter 9(cCmmenc•r; PRPiiCTpE$C.RIFP0 +--- --- -- _
my rrce9 a•s,n tlii rCr;e and effect. Bus ress and Prc:css:cns Caoe,anC _�Y OCC, rt
j�J �c(' -_". S lifip Stone,
SO�J BA AC-,a K
lacerSe Cass §_ DO,O.Df) --- $ Left
Dale I0-2�$� ---- —4 G
KERS'COMPENSATIOk O CLARAT OI Nf Rer.arhs _ _ Ptr? Ref._ -
ebv,trim snot I nave a cerifigte o•consent to Self-,,Sure of a ce.-ir•, - Req-/Provided .a E
Jrr-erf' Compensat,on Insurance, or a Ce%zif, cast -ate+ Mn" Plarrring Netes O
U00, Lam. ed copy tnereot (SCCion - S-Limp t-�3I!@ VP$11 1000-lin ft `---•• -- _"— ,a -..
. ._y ,��. `�Ot73443—�3_ State Fmd _ — --•-- — _ __ tit
Comp Y
�-, r_e.:,(,,.:e�dcgo�nsy�It nrteby lurn,snr!d.
;� LV-a8 's r'ed witn the ut la n !3, soon•r -- — ---- S
Da AP:",can — - ,c}-�
EXEtsp7tON FROM We kERS'C - ---.-• __ -e,s �j less).
act,o+'neM:not Dc comcleted if the pefmi ON OECLhurareo1y _- —•- __ '�..*-^�`a�
1CSS)• F m,s'rs for Ore tsar dren(c,101)Gt -- •-- --•---_--___.
I cc,:.fy :1111 -y he OeffCrmance of the NOrL.to•wn�tn:n.i pRrm•;ri Siuetl.+ - - _------- -- - - -- — --
NC•�n-•S• rAm y person to any manrer y0 as to b"
Date - oensaf,e, taws of Calrfc,nw. a sub,2ct to the PLUSf$IN — "-
Sgniture. - FEES ELECTRICAL �£�� _4itCFtANICAI ' !I• _ _ _ E>
NOTICE:!t,ar; -- Aster, Repair - ------� FE_L'S
et m"In ems dons of on,you shod:: b.co t sub.ec: to :r:e Generator t.•0-5KW 5 T5X,W _ - i < 6rA91N6FEf5
Worlrers' Con-ve•+tat,on provtsfons of the Laber Cr.-c, you n;us; rc,tnw,;n A(7tn Wcsf + Boiler
rn.r,Dly wC such pravl;,ons or ;his aermi: shall De tleemed re•r tz- - -'-- —+- i ConstTUGtinr Pole Sub.
CON STR VCTlON LE NDIpG AGENCY Beckllot,l Prf.venler Quct•Und±r Ground Lu?1 nerec - ' __ COe�ln Uni• Cfi.lZrd;
✓:Aorm Sh�'. .n_re rs a construe:i•�n rentl:nr- r _ UOCt•$ttUtt�►al— _ .
cf he nor tar w .cn tn,s a,.rcv for the ccrrcrman::e 8aecfiow Ill; n p _
perm,: is ,sst7€e (E+chG.. s097 Gr- C.) +- --L Ole Lunt --.Cl1 lards
Lenzcrs' Nlmc —.-- _ Ciarifiefs i _ _J fan •Ventilatln - — s3o3i?7G P(Anthcc;fee§
-- — _— _ — --- Or ers Gas :£lectrtc �-- ------- ----
Oish� her xhaust S stsm N(u;ti,lle 33t7i33ti
OInkSR BUILDER LECLARATtON , Fan •Y----- - Y_ P!r,^.ItiK §
t^.C.e^y ar :t--• flat I am exemD: firm :hc cc. Fiitucelrlasea- evaporative Coo:zr _
ful.ow•ny :.,son r5ec•or 7031.5 Eus,-ness ar,j•ctFrac:r,r•s -'tense Lav; for:he — I F.A-U. - --
Cr cAu-ty a`,�cr. retlu r¢s a Derma es,•ona'Code: An, c•.y n• F;00r(jt7i,'s Healing System fi OucGac
cc:strati a t i^mo.e,semGl.tn G,,caa t _ Fixtures - f
ucc-c.rr-',cr t•: ,is,ssuahe's arse recu.:c .tne ac�l�ci,.t to:such p..,r,,,t _ ._10.100.000 BTU -;,W 000 BTU _
in t„r a S,UnEC ;:.:•merit 'not hf'Sne s.Gn, i FI"_'�--__r' ----•-.._ DUtiels
,s 1�[f-scd iKtrSulT:O ice Ornv. i
c SIC,) sclrr°s c to uw(Cnaplc. �f — _ H,lod or —'
srcn 3 Ic r 'rcnq �i;n Ge:hrn 7r C6;$artier' Cd.^•Opy 3 351I
+e Sa.•ress and Prtl.ESS,O Croe) or that n^,she C7!' Outlets _ Switches -- _
Summary fd term c•efrc�•i an4 tie Cas,; •cr the zle;ed a r'fp nr.. An e. ^G: , :f;C(cep(ou T pe 1 Tit p li �F-I- !, by er.y apa•,:.In; r,. y vir a,16-1 0' 5,ct:cn Meter,up to T00 ar a ol:naltY n!nr•mnrC the^!; e r p°rm'! Su Acls the Jpbliean: to a civil O -- tl1 - • GUIQIgf § ---
v.hrnCrec aNrats(550ll -Tra i R rati0i
a: -ar ner o1 :roe prpDerty c: my cr-.a•r test.,, n p ----- _ i Meter s-,aver t00am s I efrige SY�e t100000 BT ' `+ Pcunt;,� g
conixnsat,.,n tout ao eta w.r6 y warts as rein scar Ronf r7 ems Q---- �01000 L ono ,nc strut LrC snot .ntenocd c. rr --- Sub nel _ 00 BT
Ins safe (5rch:n 7044 �, Cd '—_ i
License . 8v:me. ano n•.ssb,;,,; Cc-aa: The Cont sczrr•: , ff6+ler Sewer r i-if�l/Faet_Bit.ICBO -- EIxL•!pl §
ur. aces na ar.,iy;r,t;.Owner ci a _ �? 15.50K1f1 —_- _U iereC n, and ,A•t i CC!: such I•.Da'- him r, rrYptr.'Y wltO a•J:IGS pr .mp/Outs Sc• r ---t— TransF^.r SVStCm em plOYee', cn%t:Ceo the: SYc Fr'• 'r'rOugn h�;r,r net Lap me( e air hang 1 §S:1Cn m i•�vC n-'tn;S at0 rn: o�'r' p !r
seta !r,nowerer,trot Du.lu,ra �:rm r ntendtr r,• ctrt•..a rot - —r- Fir �'— U —
_ _ /Ah hon
50-.KW _ _ �— _ Otter
L' oem�•,l it sJ,tl r SCMRr CCnreCli0:? r�!!'? �� r_'• --
piet�_n,the o-.,re, ti.;: ^.Ive ino Aurrfvr•of r C Y u n!core. - MQiJrs r•B ' R�elOam�pZrf ---— —_ -- 's -
Vic,a ,),it,.,pJIDOW D•tale) ^OYir.,].c;the Gfa no:build .. rm• !$oar Collee+es_J �-'-- . ( -e s "( r10-Y3! _
Inc. Soler❑ SUIP at owner Gt the a npert I am _ 9 15 HP C1S 15+
trac:etsu,-rn:rucf to arc:eet sec o Il i0 ay .nQ::,dory wil•.I,cense c:+n. TSOIar PlpinO _ — Incin6rator �" --'�
Tn! G;ns.actors L,ce•-w uw �On r;,_r. , P.nrnrss al.0 s=1:.fr,;,uns Ciao .- :- $Ing-�har:'i.Res. -- 1t— -
s ' 1 Posy to an u k•, µSolar Tank _--�`—'_ Mlisc.
UW"is N in+;,,ore, ;rC•^cn,and wRo CGniracts 'r• PDertle wt __ MUIti ra Res. 336L•31IU
era C:or(sl I cR r.;e cv s;an ucn D"�fa.ts w•,tn a c•.r.• 'S%im min P I -•--.-'1� Saalniiq of Fits Cliec11Fen
p±onr ,tI ire^r ✓rc..r.r•c ��^,lhc Con•raciar's Lice ,e LaH). f .s•n aw,;,c trios -t- - oGlJ _- I$wlm:f.{1�PQQ�/ 4 —�-- -- _-1----
1( ----- oe sat o: ci ipn�•d [ro p:ocaietl ire. __
f LJ 1 am txtmpi under StU.:n_ ,�'Sl('r hfea,er '-
_—. P.C.for this fe C.. -' -- _.y i
r' Water_a Yfi__ -.,-_� -- Isfue t BfntJ.
-- UwntfijT--- Plumbing 3
ncreby cert,•y ltut i hoot r -" ---_ — `Se Ile
'a tr T-aFOn rs tar ect Nrtn r xnsl�LUhcalevn ails state that the '.
ang slate W.:s rein• - ! bun ulna r o ' aft c,•y Ir►:cdunty urrlrnanC/fs .. KTSER1FtCf3i1F'Qt1iREq€lil� - i4CAieIpl § -
Ihr n,it
son:at•ves of c, y oi,anep:,trEby authorire forte.
tnspeci,onnurn s, t Mn a aa;ve•menir,ined/rrroorf% for.Signature
- lAiRtad _-per _ CGht _-
hrnnrs --,,Cent**,SS r _-17ate V l I sus Rp�tay�l y /�J ---- trot _ yqy�� T�Ei 331i Karl
Ptat_-ADD'R:art Golder w-Actauahaa
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CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
ProjectAddresM84 Ca:;iirg Drive 'take Elsiinre -
Assessor's Pule)No.�s,:;a_5 Parcel Map 23710 APP•'icar.;to fill in allsµ,m except those with,+l Fewy border lines and all a 51n
sign ppfopri2te declarationsOwner•a!lame I�e3?.1�9 � ��Tl�Il ITCJ2StOr�'s;.�, PERFAli NO_ T?ACT NO. ; EOT NO. U!tifT NO.
AddresfArch/Eng. Fbit+a-rfit-1� jk1rVe ySL:fLnsel4o. 307 TrnofcA115iGUtm r-,trclh - AM r �- c �352-- - 4LTERAT 04 _ �FA)a
Address E20 W �.'.D_�trPP '; t [URr'ER510y = D1AtUE1.CH _ OTHER A.P.
Q.SCRIPitG!ttFMCYf .t� - r �,� ! ne — t
Contrirctor's Narr•.e.�Y`QCI�SStQty,'-�P�lf_;�?�-_Phone-rJ�2�3 __ - s r � S
/� �,. E I Main Building: ;Alxe�so� liORE I
Address ttry&,lirtgi '� 0 Rm--939 T- —_ _ TTPEOFfUiff {[G - FOUM�tIT!GY = Siit+C!s!r2?1 TII Fier.i J.
City License No — 2418 __... _ TE`ss"fT �;EiEt GY - fuubafG = i)Emmick -- -- — - O
LICENSED CONTRACTOR DErcAaAT:ON 7ThEn Pemnit 8 AI Rtir
I hereby ar!,rm that I am Ii:enstz u,ter proris'ans O'Cnarler 9(commencing PROA0 OESCRIPTIa1[-p7SC Tt r - C( ,3' tIt - —
with section 7000) of D,v$iOn 3 Ct' tr &Jsmess and 9>+ofeisions Code,and Ct:'a"ir,:;g8 S�iB'to - - K, --� , N
m Incense is in fu! or a anc effect. '?'�•- -' "- t• S' >_�fi - G
i�-f ../ 50�38G �� } t License Class1N ' Yr>r,aS �_ Lr L� Parking P.eq.iPrc.ided —�E
•t - '�:t-•vx'-ter Ping. M.= R
'4a1E j,- *COIAP nature ► tY _ E
KERS'COGIPENSAe a Ce DECLARATION f__" Ze F Of. I' 1 /fSr Planning Ertries
reby affirm that t ratio a ce•t.r n-Ce of concert.nI to certified
coo are or a cerrif,p:e - -
Ot �srOr Y.NS' Compensation Insurance, or a tlrtit,ed C04Y thereof (Section -
Lab. T
F Cy No 1603403-88 Company
State Fund _ _. - �c „/.•ta,� ', .y"-T- �S
Cer:+f.ed ccpy is r;reby rum Bred-
�tJt.J_o4 tppy is r,:e0 with th!city
e l so 1 00 -App+ica `��•�
,�-
EXEAIPTION FROM wORKEP-S'COMPENSATION DECLAR/TIONTn - � �
1 Ss)F Eectton need rot be Com"t2so,d it the porn, ,s for one hun Pea ES!coo)o' -- r —- -
1 Certify that ,n the peri;rrrn,3n Ce of toe wnr: for w't,tn this Dt•,N[,S,;Su,eC,i
wo'mar. net emp,os any xenon in any manner so as to become sebjett to +ne PLUMBING FEES ELECTRICAL _ F;:�a' 6!ECNAN!CC.E FEES
YIGr:er S' COmDt ntatiOn Laws of C&Uro•n,t. _i_.._- -
Datc —�igin:urre _ Alter,Repair ._ _ �_--• iGer.Qrator 20.5':Y9 ti_ 5-i5l(W _ _ ; Boiler AM.i 6SADAG FEB -n -
NOTICC:I! af:hr r+a4,P.g'this declaration,yO sr ou'd ber.o,ne sub,:tl to i,la B �_ CLi. ` ,(_t-y tD,ratdi t
wor.ws' compensation otov,sions of the =,Lor Coat, Auto Wash, Corstructi07 POI::Sub. __ rLG. Under Ground
YOU must f eiroki:
CONS wttr, such Drevii:ins or ih, perm: shah be Ceemea rero:cr.a. Baekfiow Preverter Cooki UaR _ Fr!I CONSTRUCTIOt1 LIINI�ING AGENCY + Duct-Strttc.ti:rai f� _cu Yards
I nefet y atfl•m that there it v construc:,on iena--,,alter-t for the Derfvmanc,. Rackflow Irr163tion i Pole Liaht — i F21t r i --'. 3;y¢:?)p Piao ch,Ci FC,S LrZ.���"E�
o+ tnr Wpr or wh,Cri thl; :,ermit ,s suer ;Section 3097 C,.. -- _
t•-, T s wmt _ ) Cirrifiers , _ _�er}L atin4 _
� t Dryers_.-:Gas E!rCiii_ _ —r; Exhaust SYs!em Male 3-rJW"i2 Pe,mitFe S _
(lnd E BUIAda'LDER
t _ -- —�__--- Dishwasher i=an _ r Evaoor)ive Cuo!er _ Tota:Fees j l
OWNER BUILDER DECLARATION F yture Traps ea. --� I F.A.U. 'I hefatIlowiy ar aso,rn that i a-exempt rrom, trio Ccntratto s L,Ccn,e taw for the -- ---� Heating System&OUrtirq 1
fogdw�na reason (Sertiur .U31.5 9uttness ant Prcfe s,x+a!Cone: Any c.ty c f•Gri Drain; F�XtL•fe5 - W �?0-100.OGA BTU ;�1Qi�.QOQ BTU
I1311111 Vim
county which reau,res a permit to Ons:ruCI.after,iniarove,demoli•I ar reps r - 33603312 Sem o4
Bray structure,poor to tt>issuanc(,alsc rea,.,•es the:Dplseant cur st.cr permit Ftoar Sinks __ I Cutlets i Hood or Canopy nary PerniitFm ri.e a s,net statement that he;sne is licensed purs,:ant to the Drov,s,ons of — - - - -_
Cc ntr&Ctbr's License LAM Chapter 9 rcO.r.meccin Cai j&rv:!'e '1Ui t; r° ' 7•r�t -;__i tY..0 11 _
( g.,c;n Sec!-,an 700:)of a_-._ ,� ! aV,tCh
v.sion 3 of the Business and Cfofe:scans Code) nr tnat hersr,•s ,s Ckemot e� ! - n. ---- 6a,ICIr
t tsC+c rr Ofn ai`O the D&Sii tar tha all! !d!xlmp;ir Ar vi^lati J' Of IlL:P.��"�.IOfS —'"
9 y Section _ _.. [af i_i�up tG 1,J Brigs- ( 9ef:igsr9ti0n Syste n Q G37.5 by any ecptiCant for a permit sub;ttls :nr applicant to a civil ':.+� I !!fete!CUVPr 1r11 atn PIUtnS !; S penahy of not mad than five hundred aolyn-5500). P: �..a•10U,Ct00 BTU .�100 Gt3O 871
1, as owner or he property or my empldYeM with wage: as inev sale ' Ri 17 DfaIJS .ciUS nri Bll.!�O ^•��-- Eldlfa( $
_ •---_-
__ __ , Fira I(Fac, P :r
Compensation,will Cn Ina work, tntl the Structure a is t ,r,:en,a Or Oiferae - - ----- -- — ep_-
1-ifor sits (,aCtipn 7064, ly to am and Prf a olosat Catls: The COntrattar's Ti2lier SelRQr ___ r r kr2Li1a8K27 S _
t_ iroC(s4Y _
(.i c¢t?se Law Odes not apply to an Owner qt a pKr Percy wrto builds cr:m:roves TranSr t.Jt')ef __!l�;/s_r Repair,Alterntion
Sewer Ca Y �, .rt'1W Fire oampers —
er
2nlreon,and who dOds such walk himstlf,herHIf.r. throi.gh '.,s or he: cttn I 7 i`i rr
ernpioy tes,prowdtJ:ral such ro+drovement;4't0 r!;: intenders or a.'fn-rer7 In, ,rGyyHf CottriEe!rill•Qld n o , -- �' '
sale. If,however-the budai 9 fil0tt+fa�.0.1 Et, -7 _
n9 dt,mProvemDr,tf s:.7.riehln rna vsar of ccm• r--- __ _-- —_ t- - 1�a S �_�Repiit2ri _- -_� t I lD2a
par:i.ln,the owner w:n nave t.ne burden of prou'frt1 nelx,e M a not build or I-!- I Sola.•Collz~tors j _I Inc. So!„ d-15,HP 01G 14* Incinerator
D^Ova for'trio pus Dose 61 liner)•
Solar Pi 1 'I,as owner of the 3rnpert rim eXCIuSIVlly coAS!a Ltlrlgviln IlCensed C.Uh• + P - ., V.`iegr F3m r"sfi i• { Misc.
ky ..:----' t --_i-:._..�_.__. _I 3:63-3:i0 Sa�lpirFeftE¢af,�odtft*s
tractors to constILCI trio proie(.'t�;Seei'on 70i._$utf me s A'^ 4rnfessicns Gn Oe: t Solt'Tatrk - -1-"r `�'--"- '- '
II 'Rte Contractor's License LAc+tloys•not AOD,yen an cwnt: Of DrcP.f1r s.'••d .MJ)ii-Faro. FP.i_� t _ 1 ---'- _i--•'_ -�
LUlldf o' )rriproves Inerizorl,a!i0 who contract]for SUCH -� - -- ¢r pr0(atts wi'i ^7r- Stn;tntmtn. PDoIll —---^- �•
er proof
CV license PUFSUanI fo'.»!Contractor's L eti:f Law).t am aware inat 1_��_ S57rtC7ti)i P^.'l±��is3 ! j
drool u Iheir Wru er•s tCOmDensat!nn insurarlaa s:ou1E be prov!detl :o me. �(Vhlter hea:e[ - -- — _' -�_•�
f ' I am examp:unr;3r -. a
SecNr+n__t__._ •g.L P,C,for•h!s reason !n-
_..------ . P�;r•Gfn$ $ery
_
Da!o +�'{):it $V'a' sl�•-. _ F _
-,e.-------- _ 16xtsiniWl Y -
I nlrrbs ur;•ry that I rla•tt .,sac ails a .:ati,;n ina ttite trial inn ahnvv -_ t�ft:LGl'_viST�P'�{y' r' /T •• ,
1 tfi'p:latlon is Correct ag�ee t0 CorrWly .+rill),)pal Coy&role rounty isfdil`ar,/-es �,..r._� T ._•""".. per,, 'i" `ar � �' /✓�--. /? ,/r ��/'� '--
r and s:•ta IaVR rttatrng to b iodine cons!f.Kt'^ art51 ricreGY Jut ,,'-: rr,•s- �D1ta1{j.nr•-'5,4�)�-;_„_�� �' ,.+L j _
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CIVIL, ENGINEER CERTIFICATION FORIX
City of Lake Elsinore From: B::'_-terf ieid Enaineerin;_ &
130 South Main Street
Lake Elsinore, CA 92330 SurVeVE, The Keith r_ies
rate: Janu::ry 25, 1989
Attention: Building Depa=',•tent
Parcel Map 23710 5.. X
GPC No. Tract/Subdivision/Lot 11e. Rough Fina.L
Project Name: _ Car 11azill Si,;e
Project Address: 31784 Casino Dr. , Lake EJ.sirore
owner/Developer: Brookstone Develczxient
Type of Project:
Tract Drainage
Commercial Y Other _
Industrial
Yardage for Project: tii.nimum
Cut Borrow
Fill Export
I hereby certify that the grading for this protect is in
compliance with the lines and grades as set forth on -_he City's
appro°red grading -+lan. Any deviations from Nine p:i.an are set
forth below. I further state that all areas exhibit positive
surface flow to public ways or. City approved drainage devices.
Description of Change_ All grades shot were with: r
plus/minus 0.3 foot of rough grades
pti^serfield Esc ineeri n a
Company: ourVeys f The �K�ith Com a;detvame: Fred W. Crowe
License No. . LS 3698M_ (RCE/LS) Signature:
1-25-89
- i.
WAb
CITY OF LAKE ELSINORE
DEC 5 198.Q
BUILDING DEPARTMENT ftning DWG �
FEE RECEIPT
NA14E• `" ✓� .:fin I-- �' . PLAII CHECK
jOB ADDRESS: -�?; :% 1 •,_ ,
3360-3375 Planning Division Review 100% S= _
33�;O-3370 Building Plan Check
3360-3370 Grading Plan Check �..
3360-3370 Overtime Plan Check
3300-3312 Special Inspection S —
3300•-3312 Reinspection B E M P i
372-302-3390•-3472 Park Capital Improvement
378-302-3390-3478 Storm Drain Capital Improvements S _
377-302-3390-3477 Street Capital Improvements S
380-302-3390-3374 Traffic Signalization S_ —
I10-302r-3360-3362 Sale of Maps and Copy Fe,
TOTAL $ '- G
DEC 05
CITY 0%`*� ,
AKE