HomeMy WebLinkAbout535 BIRCH ST_ (2)CITY HALL
2 130SOUTH MAIN STREET
LAKE ELSINORE. CALIFORNIA 92330
r
Teleohone (714) 574•3125
r
CEFCTIFICATE OF COMPLETION
Street Address 535 BIRCH- STREET
T -
This certifies that the Building shell constructed under the permits
shown below is found to be in confcrmance with the plans submitted
and approved.
This cprtification 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 Completon of each
por.tion,.f the building covered by separate tenant improvement permi s.
Bui i-dinq Permit No. B -6453
Electrical Permit-No. E -6500
Plumbing Permit No. = -c464
Mechanical Permit No. 14-7603
1Z__8 9 _
Date
l
Chief Building Clfi_ial
roject Address 539 Birch Seta Tak2_ _E1 Sin0re
Assessor's Parcel No- P7rnP_1 JVjap_2291Aa l 8
Owner's Name Brmkctrine DeW1 T Poona
Address -.
ArchfEng, .Kotlrad Riptaor Licerse No .. r 8766
Address 17982S1g I (`^
i m1 Ay irtri n
Contractor's Nam'VP C7 L—Phone si7 1 -J823
Address ima,ling D rl TX,, Q ?Q _ T-1— V isi ore__
City License No 7438
LICENSED CONTRACTOR DECLARATION
1 hereby affirm that : am licensed under p -o,:s. ons of Carter 9 (commencingW' In section 70 00) of Division 3 of the Business and Professions Code, andmylicenseisinfullforceandeffeT-
rLicenseClassR- i nsl',(JO -S- (}4386
DaIe...2___2 3_-88_ Signature
RKERS' COMPENSATIC N DECLARATION
reby aff it in that 1 have a certif,cdtc O' con en; to self - insure or a certi'iute
Workers' Compensation insurance, or a C, t:',e7 copy thereof (Section3600, L.ab• C•)
Policy No. 1003403=8B_ Company 5t3t:e RUjd
r Certified copl, is hereby furnished-
Certified COPy IS filed with the city S_ q
Dare Applicant "41'
EXEMPTION FROM WORKERS' COMPENSATION DECLARATIONThissectionneednotkecompletedIftheDer_.; is for One hundred (Sr 00) orless) -
I certify tnat on tale performance Of the NO— fC• vvrlcm *his perm.• is issued. I
shall not employ any person in any manne- so as 20 Deccrte Subic, to theWorkers' COTpf•-- sat,0• LdN) Of California.
Date Si;rnawre _
NOTICE: 11, after r-iii4 ig tti!s declara:13n, 1, .j chord OecOme subiec( to :neWorkers' CCmpenzatip» prdvi SlOnS Of the ! a=Or Crile• you must fortn.vithcomplyw,:n such vrmrisions or :ms Cc -, r sha!i be deemed revoked. CONSTnt1CT1O1%- LEND II AGENCY
1 nereby affirm iba: thei-e is i conStruCtron 'e- nw-,-i &;E-CY for the De-fo'manceo+ the :vor. for wp', -q.in, ,,,,,iss 1 ss..•r t coon 3097 Cir. C.) LP rider's Name —,/=
rs ^
tin -& 1 .
OWNER BUILDf3KDECI.ARATION
1 hereby af',r -1 fha: Lam'px empt from tie CO0VaC'Cr'S License La'.v for the
fol!ovlrng reason (Section .'7p31.5 Busir.ess and prole ;s :Onal Code: Any c,ty orcountyvvnicryreau,resa delimit to ConstruG.a /r, imOrOCe, demolish Or repair
any structure, prior 1Q rIS isst:ance, a1S0 requ•res lne applicant for such permit
to fur a signed StaieWent that he /She K hCen Se2_DUISUa]t to the Orov,sinnS Of
the Contractor's LScepse Law (Chapter n (CO:SM'IReC•ng w,tn Section 7000) ofD.': Stan 3 of Wilt Business and Or. "eS!'CrIS Cede) Of that he ',he ,s exemptherefr „m and On oasis for the -al!ilgZcI cxe-fp:ion. Any vi Olah• -n of Section7031.5 by any - 5pphcan Clfor a p„rm,t S]D;CCtS the appliCAnt IO a ti n
r~enalty of not rtfnr_ than true Hundred dopars (5500).
1, as owner Of the property Or my emoirvees —th w'ag(t as their sole
compensation, will do the, wOrs -, and the 'try C:Cre is not inten,:ed Or offbiedforsale (SeCt10 7034 B.tisiness and PrOfes rOnai COOL: Thh Contractor's
License Law 0045 not apply to an Owner of a CYooerty vvh,, builds or imptuves
thereon, and wp, 00ei Such work nimse.r irerpelf C, '.hr Ough h,, Or her nwn
employees, provided that Sych Improvemen:i L'e nvi intended Or offert0 forsale. II howl the bu +ld ng or improvemen: iS SO:d within one year Of COm•
plet,on, the aw lr will nave the burden of orottng he;she did not build or ,m- prove for the pW"se of Sale).
1, as Owner of Inc orcverty, am exc. Ve,y C ^n'•aC:rng with licensed car)-
Lractors :0 const;uc, trk protc t (ScCti pf• 70rS, F3; ass and Professions COOC. The Co,liractor'S 4terSLe • - does n09 apd :y -Ic n Owner of property whoDuilasOrimpro*s tAereo d who (,nntract$ -t, such PrdleCtS with a con - iraC:of(f) license pursuant -I -fit Contracto -'s LICOnfe Law), 1 am, aware thatproofofthe., Vrofl er's Compensation inst,fa ACO SbOuId be Prbwdld to me.
L' 1 am ex” 7tct'yrtdtr St CltFin _ «__,,•
g- 6 P. C. for this reason
Date rOwner
1 he'e CCrh}g .trial.1 "SVC read this application and state that Inc abf veinfo, rr,ahon rs -c t cci 1 agree to COnsp',Y lvi--h 941 City and county ordiranccsandSlatelawsr•!fanpy-t building cOn St1`vzI,On, and nerlby authorize :epN•
Inspec vo
of
taA at only ,u Pon tip+• above•mentlnned propefty forInspectionpirrPs. (i
signature
Ewe 223 -88_ C•n vnf s' Li CInSC Or S6*
Yfh11e 8wtdmQ. Green-Temporary File Copy CnnarY•Ass: . P,ak Ap_,jhunt, GoWitnrod•Accounting
CITY OF LAKE E.LSINORE CONSTRUCTION PERMIT
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations NoPERM ina..1 InspectionINO_
S TRACT N0. LOTNO, UNIT N0.
1 HI Be MadeTYPEOFCDNSTRUCF10s 'I- NEN l AG{1 _ AlTE.(ATION = REPAIR
pNYER510'I r- DEtrCUSH OT)+ER _
WSCRIi Trin CF vfcRK,#S{ OF BLOC (' increte •
A P =
E 1 Fdain Buiiding :,',W QTTPEOFPERYQ' GRAD ,%C. _ FOUNDATIGN _ STR')CrURAI T frant ZTENANTLiEL7viCAL = PLUMBING IVEDMIUL OXOTHER _ 1 l a! Rear N
PRO)ECTVSCRIPTIOR_ Soft — 3Sr,2 1_ T C .9i gm Ic•1•'
Cc ;tr :t n /typ' V Itpe i t _ K N
1'a! acac $ IJ l g '--
f S Left —I G
Plnp. Ref. Remarks _ Parking Req.lProvided I E
Planning Notes _ 10
j
tipc wi'l t.2P- _lE C SQd IS
iii-- cer sf_sCt te ---s f _.Lx:up.— . ="` r ` rte•,. -
PLUMBING FEES _ - ELECTRICAL 1•EES
r
MECHANICAL 1 FE:S ® Alt- er, Reit _ Cenerator::9 -5KW 7j 5.15iCW go;lsr —
r' CiMIXG FEES
Auto Wash' f;onstruction Pole Sub. Vu -:-Under GroundBackflowPreventerCookingUnitDuct- Structural f' .--Cu tl:esBackflowIriaation 'Pole LI ht fan fc _ 3' S Fee SClarifiers - Vent,la - .E0 3370 PI2o Ch - -
1 Dryers -Gas Electnc Exhaust System Muhl Ie —j — x+3311 ?rrm!F $ Dishwasher — j Fan - -
f ixturc Traps ea. cvaporativa Cooler _ l tai roes $ _ F.A U- I Heating System & Ducting ! Floor Drains
s QG-100 000 BTG 100 C00 BTU L- Floor $irks
Sib -
1— 33kl 3311 $aumy of Permit Faes ,Hood t:rfC, nopy ± t) -Gas Service O +
e ies
y / S Ir er;xptors up to 100 amps RefrigeraYi?n System
I
Er,Fd:i., S !G
P -Ti nk
over 100 am s 00.100.000 BTU 100,000 BTU Piuirbl r S
Rcrf Drains
el Eiectr!cal $ 1 - _ Fireol /Fact. Het. ICBO ILrailerSewer -f -
rewar Cap - 1 Transformer 15 50KW I I System Repair /Alteration tYech -,.czt ;• S
0 50 +K :V f Fire DampersSaverConnection81dt • Motors O 0.1 HP C1%• 8 Re inters - "— 174131 SSaP S Sr -3Z}- Solar Collector
Incinerator - L____ Inc. Solar 09.15 HP 016 -15+ -'
Solar Piping Sing /Fain. Res. Misc. - - -— ` Solar Tank
n
Multi•Fam. Res. Summary of Plan Ched FeesISSwimmit, :'nolrsoa Swimming, Pool /Spa -- -- --t - --
Wat- erNeater - _-____ &r.tcl.p or
l Water r Service — _ Fop
issue -
ISeptic Sstem ,r, Eteerr :! $ _
ISG t1 KLWMERTSMICESREQUIREMEWS: f1!ctanr :a! $ •__
1G* AW"W 81' Sett _ Other S _
411ttil[4tl wdey - - -- Dek -- -- si43375 Plannai $
DabsAttueioIsudBy _-
f,(
Tidal Fees 191a S -. "• ! 0- ;
c__ `•_` i • - -`— t t _ i-
ICS t , 1 ! t d I
oyl
j UFyi1.J .rd.{.% -
S v a
F
cc
LU
y,
t ° U - = 2 0 _ - O y _> ""l ` f t a ice} a ;x,
1wyu _ lfr l,uU+ Q .,;sP7 7 S `*tl
J } .7 ,,, 'CJS. QO ` _ - . _ JQ - _ - • '' j `' - 1 C yL 7rJ .?`':''•` °r 1 1s!
Lu_
O x - tY - s S - - O u - > >
U
0. -0 :b at d:- Gt Tit- 0.i.. ! ml- e':. -pt JI -•--O• - _ -- ,
I '
N. t.o! R _ai 1 ! -Q; w t. an d m { 1 to u:' w S, a O Qi O' u t p' 2 v « } V ; L'
Q a to u w
i i
E
v ,
1
ON
vJ
cc
2 , c JI w
U - a c_I ;' L,
O • !? U - u _ : _ -h ^ Q i o. a " t i LL
r 1- z
a Q i i ¢ _ - n- -:J w : w
a I ci" ° c p - p z - -
n u' s: -I c,' ciOiC1 _ i _ - ?. C .. a C L. u { J 1
to c a':i t - - _ - 2. o _ _ - r - sl ' O: °f c: ci c _ ( i ! . ,t 04 >it a( W 9
2 r1 Er ; y c o = = p = c c = }•. t i r pt ul LL G i u ' t i! rn m, J tni
i O o- j t - M' ! rr i a: • CL j
Al t51 w:
i1 i ' ' ! . I
I ,- .- .______
T'_ ,ee r --- ..:..,,.--- ..
L_l.__'. :•_.....,,- ^.L..., -1;
1.— ..L.- ...i..J._ -:_ __L-- ':___!_...._.__._._ -
roiec- Address
Assessor's Parcel No. -
G..ner's %a- 4?.i.•C-c at.+s- -- Phoneme -
Arch,Erg. - -- Llcerse No. —
Address - -_
Conrractc--s 'tars- t -f`s
Address—!a l ny (fl0 t•K Qfv'' -•
C ly L, :erx_e %o. —
I LICENSED CONTRACTOR DECLARATION
11 _••e_.y a "irm t ^d: 1 dm :Icensec un^Je' DrC..s C-s Y Charter 9 (co^1 eIc,ng
r.l:n uc::on 70C) or Div,s,cn 3 :ne Bcsrress a•.p Profess or.,. Cc_e, ana
e:y .CenSG •s in lun force and ef'ect. •
r
L,cenu Cass -'rG Lcer.se No.
G.''. Z
E:a:e S gnature
Wc:RKERS• COMPENSATION DECLARATION
ft, J "Jm :f•d: : rave a Ce,t:f ;pYe Of coriwe . :o s21f- ,^.fare C. a r. ';a•e
s' Conn Densa: on Insyrance, or a Ceftlf:ec copy thereof :Sect.cn
P ^rlti '
j
t - - _ _ _ _ Comp3ry
CC, C c:p, is 1'creby furnlsned
Cc—:,f—et! copy Is f,!ea w,:n :he oty Z D.:•sron.
Cafe— _ —__ -- Arcf: can;
EXEMPTION FROM :vOFVEP,S' COMPENSATION DECLARATION
m•SSCC' ,r neec rn; ce Comole :Ccl : :rC _'_•r,,t .S for one tivr Crec (Sei_Zo) !• r
fy :NJ, :ht cc•'orms'ce : mss pt:m•; ,S ss_e C, :
rc• "^.y art person in any•ma ^.ref 'st ai to tecorae su D,ec: to : 1 S cmp_•rsa•.nn Laws Of Ca 13.
1 NOT !CF- ;f. a "e• making :ors ee a s r'_u S ^o c bec-me su :•••c- ;; • ^e
Sfv—r -: cersaimn prnv,slors 4 - LGr _e• yDU -n% -S• 'r r,r.. :n
rG -C+ s,`- :'S crcv.s•rns O' :r,i ne- s!- S.,;i: be lee't`LG •ev]ve0.
CO r: STRUCT,ON LENDING AGENCY
1 1--c-e--,-a--- -
f^ouf : ,
t•
r.l'.ehrr—e_,
L -
r a y4-' 7 v :ne
2. ;r s.sSrG — •—,C C
C.! )
Lena— - Fr.C•rss L ' 4,2- Z -- 4a, t t'.Gt f i : :_Sr
O VNER BUILDER DECLARATION
1 [rr y a that 1 a'-, eremp r. :r LC c S L ze--S La: , c
r frog (5.'Ciln- 7031.5 Bus -!ss 3- a p )'es -.r al ,.r C
C--!, rza,, tes a permit 6.0 ccn s L:*. e . C Ov C 1 f .a-
1 any St _ ,. -C. Orin. :, I'S ISSL'arce, a'' ezu res ,ne applicant fn• s._C C
e J CO ;la:en:Cn: that ne s .0 is 'rL .SCO parSy3n, ;n ton
trf Cr ac-: r•s L•Ccn;t Law (Cnat cr 9 w,:n Sec!,o' - 03) '
G, ' uc Business anc aro s C e) c, :r.a; ne s ^r s cv D:
S nCr[fr am aro the .n.as.i for the .,.le ; -C r: rt p :l0n...;ny v.o: a :l;:n of Sgcz. n
031.5 C/ any acD ,cant for J :c•m.: ,.,b,c C'S ne 30olicdn; a civil
ccr•alty of r _. c.n•e i,an frva hunOrCC cola••, (35001.
1. as of foe property 'ter r , C r-. , ecs :. Ih . Wycs 1s :r••,rsL :e1finnlLCnsa;
r +•
I!1 00 the wOrL, ana t••. S•' -C:Uec S ^'J: "Itenoce it 04'ere0
for Sale tSec h On 70:4 Business a ^•C nr Ofe SS.gna: Cr Cc: Tne Contractor's
L,Lrr';e LAw goes no: apply In all ir,nc, Of a arcpe ^y ) bu,lps Cr smpr,3,e:
e•Co -. arC whir CO!s such w0 :. r:m.se - ,verst n• thrown h-s cr `e' " .0
t'nC oyees. Ofcv :ej trial such nn D,C.Crr•3ra ate nr : n:endeo O, of -elea for
S". If, r.iv,ever, 're bu4c".19 or 'mr"O.2ment IS S::O w.thln one year -.f cc M.
p:tl,on, ;ne uwrtr v.,ll hr :C Inc DurACn o' - ro.r.ng n!,snC Old not ru',n. nr Im•
Orgye 'nr :nf: rw,oi sc of saic)-
s: :.w. e• 0. :f[ prnperty. am. Cif C C,'n:•ac:lny ,crn :_•o Cori.
a ^rS :O :•n; cite Drn;CC: (Sc caOr. 70:4, gt,;•res; .lop p, o'[ss,C'r: Cape
Tf -, 'S L,CenSt- Law does nr: art r. vrncr o'f o,czz,ty wf,t
I r:u'OS J• ,^'O'0.vs :nwrf:On, anC v.rY. cr nirzcis •for .•.:Ch 6r O,c•C :; w•Ir a ['!t
hUnSe 0u,S1an; Ir, :he Con :ra C'C•'S L•cC•1&0 Laei).: am av :afe irat
p,nr,f n' ;re. vr.,r•cr's Cnmtwnsancr. :nsuramce s.cu ;:, rc p!.,•:,cec to me.
1 am exempt unoer Sechor . - - ??• & P, C. !of t:),s +[aton
rrz - -- --- --
1 reset • :r IrJI l nave rca.-. U.,L .trD s ci are C Inat :CC ahr, vR
r:or r rr. c;. I an•ee t,s c .3r -p y w .n ,,n :.If anc county cra nancei
Dr.J st :`, la'S rcl.r,n, :b O 101 n7 can;!r,: C',o•',1 ana ,creb-v aUfr•;•I C r3pre-
Sln:a: ., tl„s ,:y I. .I C- urpL'r. ^.0 aDLVe•n1Cnlin ncD pru rc,ry for
l :.a ^;i•sd: L G :rr.TCr ryR1; :Cory, ;ararry;;:,es cr +,a4;v;lta :v.fs'1e rxJc :_;ap -;
CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
App;icant to fill in all spaces except those irrithin hoary border lines and sign all apprcprlate declarations T -
r -
PER?K NO. 'TRACT NO. ' LOT NO. UNIT NO-
S
TYPE OFCORSTRXT)Olt ALTEPATIGN - REr'/A
CO",icF: Cti O:uCLIc_ ` :Y
NSCRiPT'G\ vFVICIR ,'USE OF c. ^6 —f L - --
A.P. c —
s
I Zone
Main &Wding7 W Arckwry S dd' {
TYPE OF PERMIT _ G'ACING -- FC_NJAi N - STRv TL'RAi --
E. --
T Front 5 f Z
TE'(?iT ?t ;LECTRTCAL _ .UVEING _ VEGiA.NICE,L B, ,,.—
OTr3 A, Rear NW
PP.O!ECT N:S:; P'.I)% Ft- Right
1
w Atf?s 5 Left ~ G
P-.g. Ref. _ ; P2rkirg ReG.,Pro.ided E
REmarks P=anning Notes —1
i S
PLUMBING FEES ELECTRICAL FEES MECHANICAL FEES AtxT. 5Rr,71R6FEE5Alter, Re :r — Generator =0 -5KW - 5 -15KW Boiler _
Auto Wa,r : Consru_ton Po{e Sub. Duct-Under Grcuf;
C.' Wis
SackflowPrevzner cook;rQ Unit Duet- S(r•urlura F' CL yartls
law Irri,ction Pole II _ Fan - 11ent1;Etin0 3`'i P "C "u fee i _
Clarifiers Dryers _Gas .Electric xf_atat Syst ?m f.1ult o1e 3 U}3312 Pe F= $ - --
Oishwasr; -- Fan Evavoretisro Coofar c*a r- 3
1 Fixture Traos ea. F_A.U. F Heati. ^.g System &Ducting
Floor Ora F ztures i , , 1 = 0.100,000 BTU = 100,000 BTU
Na
Floor Sinks _ ` O Lets /1 : a Hood --r 1;3 Opy
s3GAs3I2 ;u.trar)otr'tr itfzes
Gas Service _ Outlets_ Z _ yoz 1 if-- Type II d , "i S , Intercep :ors , : Tr1et ?r up to 100 amps (REfriyers^ ion System —
P•Traa - ^ - - -- -- Meter =over 100m s —_ /,;r ?_ --0.10G.000 ETU = 100,C00 BTU
P_fRcofDreinsSubpanel - E .rra, S.'f.1 —_ J. P" (, Fire I,Fat 31t.ICS0
T radEr Sewer — 15 -50KW I ' 2
Transforer ( SevF: Cap — C 50+KW Fire Darpars 0' tf S--
S v4I CORnection . Mg. G`rotors 0.1 HP C 1:5 - E Registers _ :1] -231 SNIP S •-
Solar r,01;EttorS ' i _ Inc. War 09-15 HP X16.15 +, i irtinerztor
rl!ar Pipi ^y Si:tglFzm. Res. Misc.
Solar Tank -1. Res. - -- _ — --
i i f -33 ?U Summary of Plan ChnkFs's
Sv.•imn;ing Pool,'S.a Sr,i Mir irg Plc- /Spa
i
Slater Heater ''- •Issue
t 2i r ?r $QfViC' e - - Imo• r7 1 - -- --
Ptdrn.'nr s -- --
SC1 Ir C tpnt ,R I VI,ra a - •.___— _ _
Mecraa•_al $ i f ISC_ _ t7nt£U'6FsAT3£TcYiCE5Ra_ '43i[1 E16T :i:
Orht, iDRra sd - --
WJ#VjRpprmt(B7 _. — _ _ . —Rate -_ / / ' :Er3375 Plannmt $
Zue
Taut Fm Doe $
j I- i t i i 1- 1 t 1 ; I t i t- f• I '
1 j f
I t
f
j I t
1 1
w
Lu
LU Ix
ly H tY a ji
tr
LLJ C4 CA
UJ
CL a- CC s 3 C tJ u`
LL,
J
Q i
L O! rl I of
wI. w
pl`R1 i•-i j z Ji
a{
c' of
fi
t 1 Q.
Q.
O at
i
Q 8i
ai
C]:
x. U.
Q
Wi
i1 cn Q c c% Q iv i7' cii Si iu' ii a tz:
I 1 i
PACL
1
r f
Lu
2
Z OI
ut
Z
I oZS C 1 t u
r, 1 O
LL
LU, E
w
rl
of C'
r
IUITi
U J
T i 0. oZ
i I
CI
LL
1 Vii 1 +
1 N I —1
I W' O
I C' a r,
ml v i AI
C
1 LLf
v i r a
c;.'
L) '-•
a
Q CI LLI
CL
t zi
LL
U.
O Q cn
a
Q
u7
Li:
0.
V
71
L. V)
i
J
cNZ
al
f Z i
i c
y
r>
CL
C
e
i N 1
r.
F- Q
i
a ii X L' f, 0 LU i 1_ . C7 0- r J
Z
aOa
i U 4
I E
1- ; v i
i UI
w in' X71
D
C.
j U7 S
O
t L CC LC O J, CC C F-' LL
11
I j J
O
i
J C 1
w u u u i u C7 cV.1 CO n Cr, 71 rn 1 11. a tu
i I F 1
ITY OF I.AKE
ELSINORE
CONSTRUCTION
PERMIT
teary border lines and sign all an upriate declarations
5/ r4 1 , thoss vr+thm
UUNIT ,JO.
r/2cI 3 a TRACT NL'-
Address __ dif PPER NO 9EP ?1R
j
qnp _
4
jytrC.s " GcvOti_-
Gdress
D- B
ci3l ?Lint.
E 2'
FF Aydr -
r!/? n
co,
U
s ? 44;E.TC'ESi.RIPi'_ _
Crr.L'Ce — ".O.
TOR
RATION (Cr..- ,tee ^_. r.s
Z
f —
CENS- S
r: _t' =' S. - i-
w
cent JSR•..r -
L,
r r
Lcense ass 5i -at, a may. e
e
cCLARATIOtinsur e a ter.., ca:
COMPENSATION
D-
r
ORKERS' •,
a- : -.are a Ctr:•'. U, eta; t,ea DY t
rrr. or, mSUra-*Ct,
a
C`r. t•5•
ll.
J"? S7rSI r Al --
N"
C_ e ; • • .e. d
eD trnseoca',Y nc.r
n
11
cop"
e
ALo cant
RATION
o.
Tt :. ER5' COkPEr`SAT ION r one
rA.
wnCreC ;S-10'1-
E TON '40. VJQR .n D',etea ,t :ne Deln" ' C
r._e, .
r. -^
tr, S 7trr^,,:
x SS- '-
e
ne c "art -arse o' rran ^` -`
r na-
a^ ^
n anb
tow- _.— _ 't _
rs c. oe ^sa
S r a ure -_ - -- .:
o:e:: .
r
t
1 1':er 3 :
n s AC lar::.La_r• _
a_ rec =• cd.
T.OT{ =£. CrO...,ons CC _
eer:CC
i -
De
a- er. _
ro.i•r_
AGENCY •
crra ^_e
C.
h,t'. s'. •_.
D. NG
C
net' rY - o7'• C
TION Eht ens 3n r C'r
LONSTS a1C •n rC •s a Cons• -n' - ,st< :
Se c:•cr
t r.: cY a.l . n •. ^a:. e
s
t••r :.CnrLD gATION ., .
N S .
ti
s- ER U•LDE`t UfCI_A -.D. flcrn _ C. -DO_ -.YOr Seca
OVCNE. ^r Sec qa 7CT i SO con prr `•• aM :nc DDaCt trDS y'r.s, ^•S 9t
C niY
it tc, ,ti ,SSL ante, alS • hemszo Du'sua C r, i00 ) e.
P.-C" .met•: iN:r C sn.r 9 (COTTCr U` ,sne ,s C.enpn
t ' '» a a.r... e'z 'C ^se Law . a, -P11-.1 ,c;r. P.r'Y
SCC,,
i ..• Car . ,,t ., the a,lecce ca.r`•p: Teat; :o
R
C-e3l 5 J. a ^',. ,r'as`ptc,n .na amc•o at lJSQ
snr•
r Dcas_s as rre„ sale
In do T C- "DI "Y ^ -E' "tenCCa Jf a••erCC
Ae al xs ,_ 3i J S ; R z52"s Pro'ess, - ' Hr D' ics o,• +e +,
r'es
s`..: a s not !t)DIY . J, p.••r Cr r'' ^DiiC,• •,r rrO' +r' n}s G..erec fPr
tJCI'nt^_ La" a7C Cr.,. .r. h,m Sep' •+ :Cn -CC
eyes " . prem:r•c ate rran One
tp0•::an. = ;na: SuU ,n0' nt S'3.' Y' - nOt DL,- f!r ,r:1•
ees, .,•. i -rt Du,:A, -Q ri_ . TO'J.
C"iC n ^,t'1C C ..
CI
t,3— t,3— ;•IC Durdert n•
7sCple :,
3.•• r •1 pCC-
C• 1r',,
ta:CC0,1MOS: a r1 exc us" Y3;: C:a d Prc'e _' S
at cwnC n+ trC Orr ?er'Gt (SCC:1an 7ia1 i so M1r pt p•DOt iS1 c
t. :'.ors: bt ::.ti L, c_
nsCr
l:,w L.cLy pa d °ac's %r„ su Cn :.•OI i a
TA,,
Cn•,trac n lnd ..
pare Gnat
nn Co A:•3C ;Or's L-crse L.a.• ^!. rU
rst.• ,
a:,
t C r'DNnAli,on
snr s.
p(Sl 1 terse D P. C. for ;nss tea SAn
i, n - '-
L. I am CK.;" A; under SCC .— -
apD`•- Cai•On - .. rd cr, rn:Y Lro, ..arCes
tr;,i 1 n.wc , .: 'a'; _,IY reorC'
T t•c'C D`J Cr : fY I lrJ tC l cnr'P'Y ,gretlY dU:n;•:C
r L:, an •,s CCrtcC n .rlD,na. C3ns:e a:.,,n•
t: a' S : to ^Sa •c.t',I
jr, c UQJ,^•'=
i L7r•vc .' _ -:' '- - oar S n. Plr:l; -
c rt,a '.ir.:~S2'irysrii,4:Cotir Ct f
PLUMBING
FEES
Alter, REP='' _.-- -
B3ckf lo ytw. _ --
Clarlfiers
ct tur2 Tra sea.
F1Cb
Floc_ Sims _-
GsServlte AuUes 1 ,
P Trap
Root Drains
Trader Server _J}--
Saw r Caa 1
i Sewer Connection • Bidy i
Solar Collector$ -
Snlar Piping
SSa g Tiding:
Ei
T' Front
t- t3' Ren- f --
A :-- -
c' Right
5 Laf _
Ping• Ref.
Planning Notes
ago
Ac':E40T'i K
Parlr Provide
Z
Q
1
N
G
R
E
Q
N1
i5
r.LWNG FEES
MECHA
FEES _
Et- TRiCAL Eoiler
c: Tart.
5 -15K"J
enerator -0 5KW _ Duct- -
onstr•tn;cn Pole S:Ib. Duct•Structural ?, -_,. it 5
Fa0 - V•.ntilaiin
3 }x;312
o ki7 Unit Plaftiale ' i:s r S
1," C..h."d SVslem
Cas - - cEletfi Eva oratv e -`- Coo;er_
itr '.
Far Heating Sy stem & y
F•.4 U. _0100 000 BT U Oo0 Bf -
F:> tuns Hood c' Canopy -
Tv' e 1 = "'
Ge 11
0titlEIS
Switches
Refrigeration System
Meter up to 1000 amps g.i0
100 Goo B0000BTU -`U
Meter over 100 am - F,fa, 1'Fact. Bit. l_CBO -_-• -#
System Repair Altewuon _. uE noel __ •
15 -50KW Fire Dampers — -7TransformerC -,O +KW Reg !___ _ ister --
Moto 0 } Incileral -- J
Inc. Sotar GS•15 H_ p }6 17 - -- iMisc.
Multi Fam. Res.
wurmr,a Fool /Spa , Iuu;
DMLyE111 SERVICES REQUIREMEIITS: DaU
T.Irl111t Awmed iF -
r-s BliWmE AW901101 -'
Iss"d By
Issue _- —_ --
Saiaruq c' r(t.nX F'r.
6 s
S
1 -
O 3s, l Seailt;x) of 640 Docks ea
s
OS-tr$ --_ - -` ---
3350'3315 P:a1r3as
S _'-- -
j"•'
r
j"w Fen Doe $
B3ckf lo ytw. _ --
Clarlfiers
ct tur2 Tra sea.
F1Cb
Floc_ Sims _-
GsServlte AuUes 1 ,
P Trap
Root Drains
Trader Server _J}--
Saw r Caa 1
i Sewer Connection • Bidy i
Solar Collector$ -
Snlar Piping
S Sa g Tiding:
Ei
T' Front
t- t3' Ren- f --
A :-- -
c' Right
5 Laf _
Ping• Ref.
Planning Notes
ago
Ac':E40T'i K
Parlr Provide
Z
Q
1
N
G
R
E
Q
N1
i5
r.LWNG FEES
MECHA
FEES _
Et- TRiCAL Eoiler
c: Tart.
5 -15K"J
enerator -0 5KW _ Duct- -
onstr•tn;cn Pole S:Ib. Duct•Structural ?, -_,. it 5
Fa0 - V•.ntilaiin
3 }x;312
o ki7 Unit Plaftiale ' i:s r S
1," C..h."d SVslem
Cas - - cEletfi Eva oratv e -`- Coo;er_
itr '.
Far Heating Sy stem & y
F•.4 U. _0100 000 BT U Oo0 Bf -
F:> tuns Hood c' Canopy -
Tv' e 1 = "'
Ge 11
0titlEIS
Switches
Refrigeration System
Meter up to 1000 amps g.i0
100 Goo B0000BTU -`U
Meter over 100 am - F,fa, 1'Fact. Bit. l_CBO -_-• -#
System Repair Altewuon _. uE noel __ •
15 -50KW Fire Dampers — -7TransformerC -,O +KW Reg !___ _ ister --
Moto 0 } Incileral -- J
Inc. Sotar GS•15 H_ p }6 17 - -- iMisc.
Multi Fam. Res.
wurmr,a Fool /Spa , Iuu;
DMLyE111 SERVICES REQUIREMEIITS: DaU
T.Irl111t Awmed iF -
r-s BliWmE AW901101 -'
Iss"d By
Issue _- —_ --
Saiaruq c' r(t.nX F'r.
6 s
S
1 -
O 3s, l Seailt;x) of 640 Docks ea
s
OS-tr$ --_ - -` ---
3350'3315 P:a1r3as
S _'-- -
j"•'
r
j"w Fen Doe $
DMLyE111 SERVICES REQUIREMEIITS: DaU
T.Irl111t Awmed iF -
r-s BliWmE AW901101 -'
Iss"d By
Issue _- —_ --
Saiaruq c' r(t.nX F'r.
6 s
S
1 -
O 3s, l Seailt;x) of 640 Docks ea
s
OS-tr$ --_ - -` ---
3350'3315 P:a1r3as
S _'-- -
j"•'
r
j"w Fen Doe $
I
i i I t I t t i t I
I i i I j }.• i
1 f 1 1
1 .L - 1 • J — I t ! I i ! i I I , . _
I
w w
cc
c Z
w
LUto - p - w
cj a w
d _ ) t I
1
cn
LL. C4
v 'o -
r=
c
Q
p - - _ -
r -
a
a -
i -
J. w a
O'n "
14 H Q O ? .
I
1
1 1 .
w ZnQ
p w W
tn
LLJ {
f !
at Df ' ;,: d; ", u{ -`
hl ;
Q
n0
O G Qi : _' V) aI
w cc Q w w' u
i , I
j i
Ip
o w \:
i 1 1
I - •j ! I j i Zi l ' I i 1
Z O I
t
C
tJ 1
I d 'r
i _
tom% -
C - I I Z LL I [ 1 ( ' j., 0z n C
CC Lu
7 c _ °r _ " 1 F- -s
u.l
U• .. `'-. Q' UI Z NI ` I 1
t, L cb .
c c O y I = d 31 v —•i Ci r 71r ' LL i y _
N 1
y,, v Q _ _ = = — LL J at c c, d _ —
LL CL: C7 N i
j Q > of w', G; Z
Fa
wl u `
t ] y , t , - F- = n : w w in u_ I i ! U ; W o+l ; ,J i i LL ; = C7 , <• a
to CJ _ ` - "' Z Ct f
4 -I rot 2 i m,
G'
Z a ` . d. o o f ZO _ c a a G i '' O! a =
1 2 u i' }i m` v
7 0 Q H i dS j a to ! in LL. cn D u c cr c! ¢ x c a; c7 LL( 2 f I-
r
J,1 - f D D, rL LL
I
i I !
CO;
1 t 1
u
Proiect Address «
e/ ` S — 1' --d
Assessor's Parcel No. --
honetr •,her "s Name
address — - -
Arch;Eng. ---- -- License No. —
Address
Contractor s':ame_—
q —
7 _2 t ahpnr
Address(rTvaiihng)._L —'2
City License %-a. —
LICENSED CONTRACTOR DECLARAT. v3N
1 hereby aft,rm that I am 'ncensea urtle• Dra ,s 'a --s o: Charter 9 (com —enc' y
with section 7000) of Division 3 of the B: smess and Professions Cole, ano
my hcense is ,n full forAp and effect. a7
License C(a —( •
Dare _1—u— 5,grature —
bVORKERS' COMPENiATION Of Rr.
rereJy affirm that I , vC a cert. e a. selfy11u11 or a Cer ;••.cast
o* wo,Kers' Comper.sat,or insurance, or a cert,f•ed coDy tt oteof (Section
3e00, LAD. C.) Jr,
ComcaV 2j J2tjxvot•cy No. —
vCTrt,f,eC cap) 1;; rnercby fern sneak
Certlft 9 jQa j .rS,ta W,:h the :qty B:.' n D +s'
Date 2; ' " — ADD:,canr - --
EXEMPTION FROM WORKERS' C PE F DECLARATION
Tn,ssect,on need nit be ccmpre:etl f ze•- z fa• cne nur.dred (5'.CC) er
ess!. I certify Ina. ,n !re ioefforrlarlre of :ne ,. `Vr- f,..' ., -:,n :r,s De,m: s 4S
hall no. Cr:O'oy any person n -.ny nay ^_r SC d5 :C become sub ;eC'. ! the
Wo,k ers' Co•r:penSa l ion LawS Gf C]i,forr .a.
Dare --- S•;na!u•e - -- - -- -- —
NOTICE: !f, after making tn,s de:ura:,C r %J -
W:rkers' Corr Ot nSatiGn DrO V.f!Cfl5 C : *.t :Drr ^C- er ,u "r US: `-'+• :^
CG'D,1 wr:^ suer p, ,.,s'a ^s :r• `- Gen ^..,: snarl` b.. Gee ^ee,
CONSTRUCTION LENDING AGENCY
1 rerery a+,,.._ in3. tnere is a Gen Structi - 'dIc: zger, :y
r, Inc work for wh,cn 'n,s oe'r-. "is ssvE7 (Sec: c 3097 _ .. C.1
Lerder's Name
OWNER S'JILDER DECLA'2ATION
hereby af•,r--1 :Mat I am lemD: '• "' :' e - c:,ac ;or's L. cease La..
following reason (Sc:t,en 70'.:.5 Bus,ress`3 ^c D•-'ess. ;r. +.: Cone: ,
county .Mier• reau•res a perms: to cons!* ., 31:Cr, imCrwe, tlernnbs^ r[Da r
any structure. prior :O its issuance, also -• •e_ul•es :MC 3001"Irt fn, S::c" OCr^'i!
o fee a S,9--cc! s •cement t „at re.'sne ,s t,s,sea Dj'wa.n. to 'Me oro.,iens of
tr•! Conlraetbr'S !. -en:C Ww (Cn ]D :Cr (G. %m me ^tiny ., SCC:, Dr 7.]Oi:), -'
G ” 3 of r:^ Susiress a:c P,o'ess,ons C: ^t) o, that nc,sne is c *Ina:
Ietrorj :,, :nr Das,s'cr Me aiaged e.r,p :. :n. Any vl lat,nn 0• SGC '•.n
031.5 Cy any applicant for a pe,rn,t S. b,r Cts the aDPlicdnt :o a C.41
Ipenalty set m)I more :•,3n f,vc ML.aared ^_-!!a : (S500).
L_ 1, as owner of the prop ^ -rty or em pioyces .c,ih wages as : ,,e„ ss,e
co,nptn:tion. .ti,ii dD the wo•k , ano tree ,. uc21Ve K no; intended dr o'fe,ec
to, sale (Section 7044• Business and Pro *essrcnal Cnce: The Coctrac•a,'s
License "w does not aoDly t0 un owner Df a p,eviu tly 'w-io builds of ,mp,crvcS
thereon, and who does such wr,r,. n,mse,f r.trself nr tnfougn his or ner ovlr.
employeeS. P,ov,cicd that such ,mprr ve -c'.S are not .nienrled or n'!elro to,
Sale. It, nJwevCr, the ou,la,rg Or .moruvCmFrt sold v.itn,n one year r: f Corr. -
p,et,on, the owne, `:,ill nave the burden of oroti..i9 he ;she die n01 oul.l__ '?r im-
prove for tot Du, Prise of S. ie).
as one, of ire lo'nper:y, exL US,.Ciy 'ant r3r_t,n9 a,tn „ce n SCC ton•
1-3 oors :o censt,uc. tre pro;cct t5ec :,n 704.., 8usrness and Prafess ^s Ccae•
I The --,;ntfaCor's License L.av, 01cs not apply to an nwiter of prnperty who
DWIds Or imOr OVeS 1ntrCar, roll v, rill ccrt,%ctf for such pro ;CCt% with a cnn-
tractn,(s) redone pursuant :o the Co n:rac x's License Law). I am aware :tlat
p,DO, of the, Vjo,,e,'s C;c'pcnsatiar, inS Wdnce Should OC oroviaeo In me.
I am exempt under SeCUor -- - --- - -- B. f. P. C. fir ih,s reason
Date -- - - --- -- owner — - -- — - - - — —
nrreDy cc,-.#y inat I ha ,( ,call ii„s aooi canon and state end: tic anove
nfn.rr- .at -on ,S correct. 13grre to (or+p!y will, all city and lGlln:y MG,nances
and Jett 1ev,t relating tit bu,la,nq rdnSi hlC7, nit, and ricteby aufhn(i.e reore-
Se„f. :,ves or irks ft0 eri,:er ur.Gn the above•menttnned /
Jpr;
Dwly for
In inn purD95C // - -
S,9natwt
WhdDBu,Id'nt. Green-Temporary F, :e Cop, Canary'Asys> . P. - ^.F AoPI:cant Goldenrod Acr:%1!ing
CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
Applicant to fill in all spaces except those within heavy border lines and sigh all appropfiat2 declarations
PERMIT NO. TRACT NO. ! LOT N0.
c3
TTPEOFCONSTROCMM EW ADO ALTERATION REPAIR
CONirRSinh - DEMOLISH - OTHER
E -I; trF
A.P. - r Zone.
DESCRIFT104 OF WORF/I)SE OF BLDf S Blain Building: Accessory Building: I
E
Font
Z
10
TtPEOFPERMR - GRA'Ar `_ FOUNDATION S -CTURAL
TENA,iT _ ELECTRIC PL :JNr ¢ANICALI
T
B Rear
N
I
VN
S _ --
A r
N
S
GPROJECTDESCRIPTIONScFt _ = c''_;ancT IC—
Cc-atrL:t'ca tTpe — IOre Acres Le It R
P,rg. Ref. = Parking Req.'Provided E
Q
Remarks Manning Notes M
T
PLUMBING
Alter, Repair
Auto Was.,
Backiiow Prerent
Backflow Irngam
Fixture Traps ea..
floor Drains
Floor Sinks _
Gas Service Outlets -
Interceptors
P -Trap
Roof Drains
Trailer Sewer
Sewer Cap
Sewer Connection - Bid,
Solar Collectors
Solar Piping
Solar Tank _
Swimming Pnol! a
Water Neater
r- Water Service. —
Septic Syst m _
Issue
L
r f- .'0 -5KW u 5.1
Construction Pole Sub. l _
I
Co3icina Unit
Po!•e Light
Dryers Gas Electric -
Fan
F. A U.
t
Fixtures
witches
Dieter _ ap to 200 amps
INeter over 200 amps
Sub oanel
7 G 15.50KW !
Transformer
O 50+KW
I Motors C 0 -1 HP 01% - 8
Inc. Solar 9 15 HP C 1 &15+
Sing; rriam. Res.
Multi -Fam. Res. _1
Swimming Pool /Spa
Italp Foe _ —JI
L
It
Exhaust Sycterr __
Evaporativa COnler
H tIng Syrtern & Ducting
10.100 000 BTU , IOO,OW E
Hood or Canopy
Type 1 _ Tye
Refirigeration System
FEES ACCT a GWIRGFEES
35^ 3370 Piz^ C`eci Fee S -- -
1
33043312 Pe- : FN S
t
3300 3112 Su.Nmary of Permit Fees
9 t
t
Fir_ epl /FaeBli :.ICBO Y _
System HepairlAlteration
Fire Dampers _
i
Re igstern __ T=
Incincratot -_
Misc.
Mc.m
r -
S.
OEYELWMENT SERVICES REQUIREMENTS:
2aopt Aw By Data — --
81"GlAwalled By _ 7---
Orb
Application Issred BT _ _Dul-
1 -- --
3360.3370 1 Sum eery III Phn Check Fees
E -I; trF
Milibinr
Elecfn Ii
0ther
110231 SMIP Res S _ --
110 -2232 SMIP cm S
3360.3370 1 Sum eery III Phn Check Fees
3360.3375 I Plarn,19 $
Total Fees Drs f S l _- ai)_ - - .. -
B6,C'nr f — — -
Milibinr
Elecfn Ii
3360.3375 I Plarn,19 $
Total Fees Drs f S l _- ai)_ - - .. -
ul
Lu
CD
tu
LU
i
c - V a
IL _ a c F W ° °c u a Q p w o U.
CO « m Ol :) .+ d 0 O. C 'p l f
iL p y I> o'
o f x m w d w
J E ` C H Gp • C E' ([ C in C Q H W C > v N J Q N
0 CD° .'E ..J U J Q 7 to
V. ., Q -C] x ._ G
Q v c — Q — - > a o, , ? oif
Y y W ° m LL H I
ut m a p c O co a c . °'c U ¢A OOo - L 3 3 m L
m w I ia °_ Y Y E ii ,o iL O u- iv > > Xul7 ..yo - -s . .'$'w w.- , d.,7 `
i1 Q dDI _0wcrw -t7 m Q m r a ui
j j i j k
I Fuoj
o H
i v dIH
7 -
w U
r2' J _
us
c o
tu
4 FS W d _ -a a O G
ZI -
i Q1 ° y i. L (j - I (A wi _•V
a !' c V 8 _ r Q uZ! c W Q o „> c{ t% c « ` Q P Z «
ca q y =
l rn y m oiS ~ a u I > a+ -
O f c` ! U 4 y r . o a c c e+ c Q 3 G c fj U- ' U. fY C7 U ar kEccu - J ° c R A d a
V y ltJ •3 o O .L3 J N '
a ' " . *' N ' d n' V •ro w + E $ E ?
r .S N KI Z R d e
r- G' `g 1 a , a •. K -c5 m c ° ap m ao q ° U
tl
O Q ' .-a _ C °• r y_ i •
O
u
a W W W x > - GJ
W . •
i .7 V W = U' O a fA , Z• U ,O O
O -' Q L c _ Y' °
a Z ° m - t Y °
N a O d .
r I `m Z C, G O, o o, t;
d v- r Q w eo is io o
y « o 3 7 u N o o c° "
q
O _d c G c. o c o a O
Z d - .p fr ;? $ w m O O O O O O G 7 1O Lt. (L i1: JY. -J
S_ Q !L iT U. lL Z LL _i 61S J to Y. ! _
a cR " 0 c u b 3 q u. a s ac a o _ i I I