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HomeMy WebLinkAbout31731 RIVERSIDE_ 1 i CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Project Addre s :rW � ;1.ir.� - --- Applicant to fill in ail spaces except th;:l;within heavy border lifter and ago al)appropriate declarations Assessors Patrol No. Owner's Name Prl� PERM T ND. TRACT No. LOT!'70• UNIT N0. Addrtms ArchlE "�_ --License No. _. - NEw i-1 A:TtR1lTtON C' ?EPAIF. �' r CONVERS10A E. XMOOSH C 3TEf!2 _ C address _ -- - - - A.P. P in ----- Zone ``ma�yy-- p ,� ry Phone :- � tPTIOM CF Y+OP.KrUSE OF ts!DC,_ _T� E�� Main Building: Ac"ssory Building: Z wntracto,'s NamelZfi�q 1L-_Li Y�J�.- ,1�dresa z,,- R1S 37f TIPEOFPEIYR :71 GRADING L, FOUNDATION -: L.R'F.TURIR T Front ,_- �0 t TENANT E ELECtR)G'U. !:� P'_UMgiNG e_ MEcXMiCAI B Rear _ N City Lice�nse�NO; OTHER _ - _ -- £NSETTCONTRACTOR DLr'LARATION `"- C RrGht -� N n PROJECT uZ=QIPTIOk: Sq.FL�:,i _—Occt;pancp _ ._ _-- _-_ I hereby affirm trial 1 am licensed under provisions o1 Crlarter 9(commencing K --�- G Lith section 7000) of Division 3 of the Business and Professions Code,and Construction type _ - Zone Aae _ S Left _- ruy license is In tall force and effect. -71 79'3 Valuation$ !. r R / License Crass Lrcellse NO.. -___ P - - -- Ptn . Ref. Perkin Req./Provided E D le„.--J__ 7o6L- stg.,atur 7 - Rzmarks _ Plantning Notes - n Y'-3RxERS'COMPENSATION O - RATION -- - ---- M I n-reby atlhnt that 1 have a.:ertiricate of cclrlsent t0 seif4r.su.e Or a certificate T o7 wtakers' Compensation Insurance, or a certified copy thereof (Section 3800. tier. C.)� � �� � :, i�/J!{�/.�,�•`��' _- -- 1 Pnlicr No. .l_Sa"_l-� Company jJ�fi", __7� _ 1 _ CITY OF LAKE ELSA •�� Certified Ct.py Is herroy turnisfled. fit �-- -�- � T" L'-r ______..—�.-- _ MCC Igo tLpj- ju 1 ('�••'dt CIP Is:+led with the city Dull i g DrVr on. Date '�—AcpaCant—/ �6e rtl _ -- --_= - - EXEMPTION FROM WORKERS'COMPENSATION OECLARAT! N (This section need ant be completed if the permit is for one hurcered(S100)or lei;), 1iAi } 1 cattily itilt in the p^1fOrrnJ rice Ot She work for which ill s permit is tSf tit 7,1 aie not emploS-tiny person A^* y manner so to beta sl.b ect -tne PLUMBING FEES ELECTRICAL FEES MECHANICAL FEES ACCT p i GRADING FEES workers�COT sn�aUOn Law of C ter Data ^ a _ ,t_ --_ I Alter_Repair. -e error 2tISI;W.rs Ss.5KW Boiler- -} Cut. -cu yards NCr710E•If,afro: mzkmg this.;cue:at.on, hoald becomes act to crte Autl:Wash I Cnnstrxtion Pole Sub_ Duct-Under Ground ._,_-- Workers' r,t.mpensation provisions of InclJbar Code, you must forthwrtn I -(--- - Fd( -_ - cu.yards cwnk v.rn such provisions or this oein,it Shan be djemed :evo;:-d. - Sack low Preventer Ceokro Unit _ --- Duct•StrucIural CONSTRUCTION LENDING AGENCY I Backflow Irri Iran _Mole Light r Fan -Ventilating 340) PlcnCheckFee$ - 1 P..traby affirm that-here is a consoucvon ierdirg agency for the performance _� --- �Exhaust SV''=m -+225 Will Permit Fee S r.l the wort, for wtnch tuts permit if issued (Section 30n7 Civ. c.) � Clarifiers Uareti C,Gas r�Electric ,-, Lender's Name -_-_ _ ___ - -_---- --- - Evaporative --- rota)Fees $ Ltnder's Address Dishwasher fan Cooler OWNER SU!LD?R UF.CLARATION Fixture Trans _ F.A.U. _ Heating System& Ducting I hereby afium that t am exempt from the rontrac:Or's License Law for the floor Drains _ Fixtures I ❑0.100.000 BTU 100�000 BTJ or .rtowinq reason (Section 703 5 Business and PralessroniI Code:Any city or _ _- -- county wttich requires a permit to cons!ruct,alter,improve,demoNSh Or repal: Floor Sinks ' r�ltletS _ _ Hood or^anopy Summary of Permit Fees ar,y tin:!Use,pis Or t0 rtS ii:uancir also requtres the applicant for such per slit ---- w, tv fate a signed statement that he/she is ricrnSed pursuant to ilia p'OVrsipOS Of uaS$ervlCe Outlets •Switches - T e 1 ❑ f e Il f 3220 gwlBinQ S the Contractor's License taw(ChdPICr 9(commencing with Section 7000)of --- ,, Dwricn 3 of the Business and Profess,on� Code) or that he/she .s exempt Interle 101'3 f Meter.- lilt`0 200 amps t Refrigeration System inerelrom and the basis for the aueged exemption. Any viotattoa of 34cl,an - -- 321I Pluntb:nV $ ?031.5 by any applicant for a permit su0,eLts the applicant to a Siva P•Tra� -_ Meter J am 2W amps � ❑0 100,000 BTU �100 000 BTU --_ 3F17 Electrical S _.- penalty of of more than hvt nuntl:ed donors(f500). Rpnf Drains Suh anal Firepl/Fact.Bit.ICBO # _ - _i I, aS owner of the property or my emt.•oyees with wage; at Inert sole _ --_ -_�-_-_- t 223 Mechanical S - chmpensitlon, will do the work,and fie strul.ture is not intended or Offer1rd Trailer Sewer D 15.50KW ! I System Repair/Alteration for sale (Section 704a, Busines; and Professional Cndo: the Contractor's Transformer 3224 Retention I _ Lice, Law does nisi apply to do ownM of d property wno builds Or improves Sewer Cap _ St+K'N I Fire Dampers -- _ Inc.-con, and who doe: Such wnrs nlmsrtf/herself or through his or her nNn f"t01 SNIP Res $ employees,provided trial such ir•tprnveme^,!s are not intended or offered 'or Sew or Connection.Bldg.I I Mrtors C 0.1 HP 1%r 6 Registers _ sale. if, however,the budd3nc;o improvement is Sold within one year of COm• 1�Oj SNIP FAm. $ —..-- Vietion,the Owner will nave the burden of proving he/she did not buiA or irn- Solar Collectors Inc. Solar�9.15 HP 016.15+ Incinerator _---_ _ prove for the P't,pnse Of sdlel. Solar Piping I Sing/F,m.Res. ( Misc.r 3215 Other $ , 1,as owner of the p,npelat,am excitts,veiy contracting with licensed can- - Summary of PlanChaekFelx t•actortlo construct the protect (Section 7044,Business and Professions code: Solar Tank. __ MuIU•Fam. fits. j _ __.---_ _� __ 4 The Contractor's License taw ,]net not apply to an 'wrier of property w'to -- 1 hutids or improves thereon,ann won Ci1nIrJCtS for such prrlects with a C_n- $yyjf(1((fin Pool/spa _ __ Swlmmtn Pool/Sp2 3�0) BaildtnQ = — tractor(sr license pursuant to th•] Cmitractor's 1-tcense Lsw). I am awar- that t` - proof O !heir Worker's CO.linen Altton ietfUrd rice Should DO prOVided me, yUatP.r Heater - -•_ Issue ____ _--__ Numbing $ Ian,exempt under Section- - ---- -_.-0.U P.C.' casoh Water$C�ru_ce _ _ _ L:Wpl I EieCtnfAl $ --- -- Coate-._ _ Owner . . _ - - - - - -� .dY RL�- _-_- i Mechanical -- I hereby certify that I have read th-s app„cation and state that the abovo ___Lbt1SC._—._ ._ _ IITSERYICESREQIIIREMEKTS: 3403 ( Other Etn1w,natlon is enrrect. I agree I ,Comply with an city and county n di,,anrIs '�� elowk_ ._-____-_ _..___-_Dale ,--_._-.and :tact laws ralahr, to bulic,�irl constructlor,and harel)y authonfe le;. a• r - 3412 Planning Ssentatiws a" chi. iris to eater upon JbwC•mcntu,.•etl nrupartyfOh inspoetionpu+ uses. - � j -'- kgt/dp - _ ----- _---Data Stgraturo �i - 1>a'n�-�.___ -Issue � low Feel bill S Drivers'L,c a or SS _ -- -- White Building;Canarp-lempr. I File COpp:Pmk•Astessa:Goldenrod-Applicant -T 7 I`' �� �, , ' i I � f 25 LJ cr, = I E, uwj I I- -u L lu Id ca Lu OF) wo J IS 0 1 Is, zo Lu U- LL A Cc I �-1 0, -,", I r I 0.1 ou 00 n cc a a) 2 co cr c - "1 J -- U, -1 25 1 , I > IL. I> Lu w tu- <I a., ,I "! C: -T z �CLI C>*, a! afor -a '21 t, 0 0>, CI > 00 w of a. w ! Y :6 c 0 -6 z m CL > ca w C) :01 , --- a. Q. 0 a. co U- w IL 0 01 co a: ULJ U! a. 51 61 61 1 U0 m 5,1 RZ 1 1, 1 C: I T i i I I I 1 1-7 1 7 J- uj. II i a, 1 ter—> I I - i J ' ! i I I I vi! i I I I (I !} I i N j a —4-4—n4 I z -6 1 c P I c I z z �, I { 1I i i i i i ( i I U �-- Z c D 4 1 U) i ' I I C"I I Q 11 c 0 -C. ui 2 cI ! I I { ` Z i `' i j I a u0c c c c Z ;z: F- c z 'E P) I :C:C) UO ac ,�I I ca 0 us� C" CD CO El I Ell w C c CL) >! .0 -C -1 c .;., -i =) < 0 i U; cl E- .si �-I ii cl, -j; - r, CL ar c LZ 0. o '51 Lu U,I w z LJ ro > c -I �a -1 0 F-- -i j El mo , o`I — r, tL, F O H S , 0 z CL ; (i < �i Cl '* 4 01 2 0. ai -01 LL cr cc oc. 0 :j ir co Ir 'Ire 0 '1 1 -2 ,1 5L 191 - , EL LL u- a., uj —U— J CITY OF LAKE ELSINORE CONSTRUCTION PERMIT • �roiecr Redress -% ''� !� Aapfipnt to 131 in all spaces except those within heavy border lira and sign ali appropriate drla'ations F Assessors Parcel No_ - i, 7—fq PER,t{T N0. TRACT NO_ ! LOT N0. UNIT NO. d1 '~ � i Otiner's Name •i. .� Address - — mE%C'ONSTRUCTION - NEW too _ �stfae•��( Qi�ArR cn E^q-— -- L>r.er se No -�` CO>r:FR9OY Crl V7itr OinEFc _ P_P_ � Zone -�- Address ---- DISCR;PTRYr OFIXORR'USE C'F ELCtr --J j= S Main 6uil�n¢ Accessory Building: -- 'Z --- _ -- --- --- E` 1 - Coniracsor's - - ------�Q Adaresslnts,t,ngl - _f /�/�--"— eQ TFE3FPERHTT GP FCfY',ATIu1 SIRLCTURAI T: Front __a 7- TfttANi ELECIRIi.A : PluMBIYG VECNAyIGSl �,r Real )t City Lrrenuw No.�(( /,�_ -- ---- OTWR i _ --__ r-- - - N LICENSED cc,4YRACTOR DECLARATION _� C fllgh[ G PROJECT CkIPTtON Sc Ft ___����JJJr' (kr�Dancy K --__ --? t nereDV affirm that r am licensed under prov.stocs or Clwfl.cr 9:C';-._2nc'nq Left _ dorm — ;acres - S '1 R Witt; section 7000) of [,:+,s'-"n 3 of the Business Ina Profess-(ins Ccae.ana Cc_-tTf=l[s rive - k' rori E my I.censenmfue grace,rno effect_ 37: 7�S Yarr�;vrS P`-; _ ---------- Ping. Ref. f Q trcenu Class C _-_ __Ucc:u t7 - ate---- signature L i _1� ^�~ Remarks F��it _�-,AZ-Ar H -- Piemm�o Notes v+ It It t ORKERS'COaaPENSATiON DECLARATION --, - - ! -- T l rerany an. m that n_.e a certificate of consent to self-:nsura ar a uft.frca:e _ +a - !S fr tt erzof (Section s r�-"�t�"� of hCr♦erf' Compensation Insurance, or I certr to CODY 3803. Lao. -I rf�7 r -- _ Jr-ampanY'r�t �-JLCITY Cer copy is heresy lurrtrsha�,. ___ u Cr�t77tt__,ey WPYIdIea in Inc city t:; amq Division /I /��[p* (` I'� I G1:r•S�_�1----_- - opl,cant [•fV--��i--�L• 'Zia-.- �7•! •r-' EKEMPTION FROM W RKERS'COMPS sA-i,nN DECLARATION —^- ':it's uCLor aeca ndt be com7leteO r[tie per m.t K+.:•cnc hcndreo ts:001 or • , - Ira1 1 -artily that m trio performance of the work to•which this perms's,ssrxa,l 3i 6TULT116FEES seat: nut hat my any flOOctton many manner so as to atcome sub;Ec: to the PLUMBING i fEES EL_ECTHICAL —FEES MECHANICAL FEES _Co.TuEs wcr:.ers-Compensa:•^, Laws or California. -----.---`- - --_--- :Alter Fie i Genera.os Gii•5KW G 5•T5KW' - - Boifer —_ -- Cut Dale _ _Stsnawre_ Auto Wash Duct Under Ground NOTICE:v,arrgr ' q that dcClaNtr in.yru thou'[ Decdmf ss G,ect o[rg , CotlStruttion Pole Sub. - — - Fat . cu.Lards Va:rkers' Compensation O:•,iv'srnns of the Labor Coce, you m:.S: for2hwilh ❑iSCt-$1rUCIJraI 31603310 PlanChettFeeS Cooking unit _ c•,.rory w,t7t such orov's,ons nr tors permit sitar be a•_cmca revn4ea. , Backflaw Presenter _ Fan -Ventilating - CON3TRUCTION LENDING AGENCY 1 Backflo f Im tior. I Pole Li hi - - j 3300.3312 Permit fee $ _ I.err:.•+Nfirm tRat there,s a onstructinn ICndrnq-agency for the pc —�----- --"- .g---- ------- Clarfiec. Dryers OGs rJElectnr Exhaust System of trig work for t,wnrcn this permit IS rasped (Sfcz•on 3P?7 C,v C.) r - -- Total Fees $ Lenaer•s Name _-_-_-�_-- -- ----- Dishwasher Fan--- _ _-_ - Eva@�rative Coale' t Lr-arms Aanr.•:s ° Fixture Trapi ea. F.A.U. Heating System&Ducting OWNER BUILDER DECLARATION IJO:1G0 OGO 6TU G1G0 000 BTU t : nerrny affix-1 trial I am,ei,cn,Ot li,• r the ,_t' tract,; 's r_,ccnu .+. of too Floor Drains Fixtures -, _ - -- - --•-------- 3300-3312 Summary ofPumitFees rr :cw na reason (Sctrnn 703i.S Business and f>rofr_tt,ins'Code A •: ,'t ar _i_ - Qullet5 -- and or Canopy ! GJ:,my wnlch reau,ret a CICrmrt to construct,allc•,•inn nYe,COT Lis C' repa.r ' Floor S,nks_ ^ _--_..------ r---- - an; structure,prior to its issu,nce,atsn reounes th.:J03"cant ror:ucf •'• -- ljype1 [� Type IIBLIAltiLSa srgrca statement Ina. he'shc rt ticeowc Pursuant to Inc arDv,sr ins of Gas Service Outlets _ $NiItChES -__ ----- trt Contractor's License Law(CnaOler (c,mn a.:an:r.r•.n Section 70C 1)n Interceptors -- --- a:.:.rn 3 nr :nc Bus,nest a'ra Pruress'ons cadet w nat 1 ersre .s c:_•nD1 Meter!1 u t� o 200 amps — Refrigeration Sy-tern t PlurrMr,; S 'hc•e/rum ;r.a the hasrt for tnc alicged cxcn,p r.. ,;ny v".la''o° °' `-.`' F•Trap ' deter: : �yer'[OOtmps _ ;10.100000 BTU C100,000 BTIi —w-r_ 7031.5 by any a haSIant for a Gef m't tubi,.ctt ir•c opal Can: f: a r'vi+ —_--^--_�--__ _ -_._.., -r----- fICC(nUl s penalty of not more than frvr hundred anlrars Issori). ~ Roof Drains_ `-_ ~Sub aura - F1re tiFact._Blt.ICED MKhsnrtat S - -- ;non p----'---- -- .�- # ----•- a; owner of tnc nrnDC'IY „r ,try cmP nytrt :, > .oa9cs .1; t :e _� - C] 15 SOKW System R,nA;r/Alteration -- a.n nenut,on, will aG nc ..•„•'.ono tnc ,uctu" ,: ,:: 'ntenars . ••,fr+'ra Trailer Sewer -- -_ i Transformer Other S rr.rte me c:r•ux o's 1 Sewer�p _ L_ 50f KW Fire Dampers to sHc (Sect'nn iQa4, BUf,i.CIS •llld Profess u+,al — --_ `_-_-- --- -�--_ La: `,11 uw,ar,rs not apply t„an n•,vne'of a P,opertya• 'n:Pro.cs , - -- ---- - Registers IkG73i SMIP Res S tre•ean, ono who apes :nay ,•:nrk n,msNt,nrrscl+ r.r to open nit a• r•r :,vr - - I Motors i)O-1 HP t 1r/:•B �__-_- .t --- 110.232 SMIP CtM, $ -------- i Sewer Connection Bldg. _ emp.;>yeas, orn",aea that such rmDrOverrorts are its:: n:anatc .etc r u g Ins. Solar[�9.15 HP 1116-15 �_-.-v -4-- -- r i +` , Incinerator sa+t. Ii,r,owtver.the hu.Id,nq Or rmpn•vc:oeni is:•,I: witnM 0 t tear ul coin- $01d!COIIBCIOfS __ - -- - -} - - -- --__ 0:e:ion,the nwn.r wru nave thr ou,dan or pn,Vmq he;tat 0.0 no:ouil.2 or,rI- Sala:Piping` - --- SinalFacn. Res. I Misc. - -_-- 3360.3370 Soramagof Pba Check fees p.ove ror the ourpose of•.air). -�-_la __ - — --- --- r. am cxu u.rvr:::' con:fat:'nq v:i:r -sensed c^n- --i.--.•-- -----_-------- as owner of the prnpC 'Y, _r �~ - --- tr,tc:orsfu c"s!ruct tot prortci (Section Y0a•t,tA,;�nts:a w Ikofest'ns COdg: Solar Tank 1 _ �Multi•Fam. Res. Tee Contractor's Lrcens^ 1_1:' ar,c•. not apply to an owner )f o'OGerly wnG -}--$-W-i-mT• _ S •- -'-"---�- ---- bu,idt r„ ii ----4---•--p-.. _._ wlmmin Pool:S a ,� - Plunthin $ rr;nr�vrt thr-renr.,an•1 r.'ta rmm�rt: ror tucn pm,eefs with a eon• i In POUIIJ a Y._ I: .__�..--- urr --- :•aanr(s� Iicc.,sg Pursuant :r. rnu f r•Var-tnf•t Lrrcnsr Lawl. I a r. aw c that ;Yele(Heater - issue --- _--.-- arc _- }-` PI b aL S pro,: Ihe.,, tYn'r•e'•s r.,",penta;,.,n rnsuranelr tnauId ae Pr�;:'ata tc me. ---*._-__. _.-.__--. -- r_— - fl:rl al S I am exempt under Scrlynn - .-- -...-- - - d. t+: .C,.!_.•h,reason _ 6YitP.r SC:vire- _-_--.-_.-..-. - ... MlCharrrca: S Sc lie_ Lem Da a twnt•r _. _ - - �-- §y _- - T DElFlllilltFMT SERVICES REQUIREMENTS: Other S i nc•ahy ceft'fy rhat 1 hay. ,call 11,3 .lonhCati'.n ar.'t tt.lr. tr,r one an„•.t _,_MI-at.- - ------ IpIinLMNoNtaAl-------•- --- --- - -- __DaU -^ - _-.- -- ,n• r at on .t cnrrerl. I agree t I romp,v xi:h all r.,v .•':rl rn„ntt �)rd�nan•:et V 36033! h. L S aria st,•r rawt rrlatrn,; If, nwin,nq rgnl:,ut.:r,n 1r 1 h�ret:Y au"' �r,:r reOrt- _ __ _.... •- Data - nnn th'.. amr.ntif. rd G ,perty nr _1_- -�--^- ApfllKationhmdBJ ✓Gr�-- - - a:X �1V r : sex:a:+xrt r,f this Uty to enter ° nanrct+on �f et. 17-e,' _ Is:�e T�+,l fees Dlre $ LC I WflltC QJIlftlnL. Green•TenlpWarT 'le Cepr•I,anur 077FOO, im yl,lican:,G'Mea•od 6rcwnlmZ o � t �_�y I � , � � � 1 t • 4 � i I � i i I � � � ___ i h ! � � 1 " E ! I � - i ti � t i � i - ► 6 t 4 i - . ....... .......... ........... -LLL 1, — UJ 1 i I w Z oc i ! �• z� c �� • r - .a }-' 11 �t ! i 04 Z� (� �� al - - w) $ a1 6I `� c { nl1 g� i a a pt L� �, cal o �I Q a tul1 ` J! r 2 p �� Q � W' QI 1 C N I r fZ f T0. W I O•t i a- O1 6. m: �l I v y o_ i-I �. Ws a� a ! -C T• - cn rn i 1 as a� o c ol O i F-I R! C� �^( - NI W = u al .. J j `j ci Q' p 3 -ct o J 1 a' m JI Vff �I -! N °�1 >• S W O� f�c� �` y! tit i• Cn J� I I 7 t f i 1 1 1 i i ! Q al cl - > yZ1 a;1 a >1 �i -a1 =1 c`Dii t � c� p yl �' i o' ci U in -� > w o �I o I p al o O? s' Y; 1 a J' t al 1 1 V: I ?; M 3• Z; �i u pl u. I a, c`•. T; > X C3i W O o� �[. u! _ _ C i=' > �� L a� a m p�p O Q y Ot` __ C O ` o O) $ • W'1 � 2` ti W Q � a ;n � ►u a I a ►u� �1 m Q' { � � I I l�, i --—T-- 1� w z — I - :91 1 I f I 1 1 ZS� • r 1 � W I � , 1 - �_ - � � � I � l > - i { 1 i 01 { m' t�l I �� S ( p, 1 � S W i C ' � I ' 1 � I JI 1 �' , 4 ' � t •� Z o c 1 1 rn 'c a ci U l ii u Cal Z 7! U II t.:t C I Z W 1 N Ii 1 I O ` IL z I I m N z J`j oZS o f O i <C a I cW. Q Fn a p u c to 1 Q c ? c I EI w m 3 - rz c cl Q c� o+� c N. I t. c J - I �i W� c o rn ;� of ` c - =� di F F• Z �, O o+ vl c q E c '!� AI a •cil @ H �1 �-'I oI �) , cnI �'I Z rf F y W O ter, o I O a rE E m a $ A c Co 2 h u� © _� i� o s lZ' a CI °' MI -i Q! Z� �1 ml ' fJ J 7 to �' � Or 1w' ;� a W w O Y W I 7 Q > F L L C_ O_ C a s_ O, Ot QI tT r { O O O m RIqq N Q y.I` 0 I fn m m , •r tT p G " •�, Y Z O •p > > 3 7 O V a O C O L J' C} Q W LL tt. tL Z 1 I 1 I {( 1 �n p� a aI a� o o R` ,o O _o o f o 0 0 0 0 II1 u }}}2 a E - o d d o oc oc ac a oc m G d