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265 SAN JACINTO RD_ (2)
265 SAN JACINTO RD. I/2 E "_ City of Lak(,:,w, Els' inore PERMIT 130 South Main Street PERMIT NO: 91- 00000030 JOB ADDRESS . . . : 265 SAN J'ACINI'O RDDESCRIPTIONOFWORK . : NEW OFFICES, BANKS, ETC. OWNER HSIE1i SAM -- HSIEJi HSING SUI DATE: 2/15/91 CONTRACTOR L. L > I. CONETRC,'C_ 7 I ON, I NC" P• 0. BOX 205 TEMECULA, CA 92390 LIC 5047:5 B EXP 1/31/91 P•# f:;:UPANCY 363 -140 -069 SQUARE FOOTAGE . 18099RETAIL,RESTAURANfiS,OFFICELuNSTRUCTION'.. TYPE V- NON RATED GARAGE SQ FT . 0 VALUATION RASE FEE FIRE SPRNKLR . • - 4.00 1,040,692 ZONE NA BUILDING PERMIT QTY UNIT CHG AIR HANDLER < 10000 CFM 156.00 PLUMBING BASE FEE ITEM CHARGE 41.00 X 2.5000 VALUATION 3539,50 UNIT CEG 102.50 ELECTRICAL PERMIT BASE FEE ITEM CHAR 4.50 QTY UNIT CHG X 6.0000 15.0000 FIXTURE OR TRAP BASE FEE ITEM CHARGE 20.00 X 7500 SWITCHES / !ST 20 4.50 15.0015. 00 60.00 X 20.00 X 4500 SWITCHES / OVER 20 X 00.00 X 7500 4500 RECPT,OUTLET / 1ST 20 RECPT,OUTLET / 15.00 14.00 X 18.5000 OVER 20 100- 200AMP SERVICE <600VLT 90.00 259.001.00 X 28.00 X 75.0000 11 SERV OVER 1000A OR 600VLT 75.00 48.00 X 0000 3,0000 MISC. WHERE NO OTHER FEE MOTORS UP TO 1 HP 308.00 144.00 MRCHANICAL PERMIT QTY UNIT CHG r RASE FEE ITEM CHARGE 4.00 X 4.5090 VENTILATING FAN 4.50 24.00 X 6.5000 AIR HANDLER < 10000 CFM 156.00 PLUMBING PERMITS QTY UNIT CEG 10.00 X BASE FEE ITEM CHAR 4.50 THIS IS YWJR RECEIPT 1.00 X 6.0000 15.0000 FIXTURE OR TRAP 60,00 WHEN MACNINE VALIDATED 30 . C 0 1.00 X X 6.0000 BUILDING SEWER Rl\IN WATER SYSTEM 18 0.00 15'19911 4 :30 1 .00 X 7.5000 9.0000 WATER HEATER OR VENT LAWN SPRINKLER SYSTEM 7.50 ACCT#t.10032' RCPT #102 - 13224 /SAM HSI19 . c)0 BUILDIMO FERN CONTINUED ON NEXT PAGE * ** REV. WE I 1.90 I City of Lake Elsinore Building Safely .division Post in conspicuous place on the jobs You must furnish PERMIT NUMBER and the JOB ADDRESS for each respective? inspection. Approved plan.<, must ba on job of all times: Code Approvals Date Inspecte- ELOI To np Eloc Services PLO] Sod Pipe Underground elaic EL02 Eiac Conduit Underground SPOI Footings BP02 Steel Reinforcement BpO3 Grout SP04 Slob Grade 7LOI Underground Water Pipe SSOI Rough Septic System SW4'Ol On site Sewer P103 Rt. ugh Plumbrrg EL03 Rough Eiectric- Conduit EL04 R. ugh Electric-Wiring EL05 R,aigh Electric -T -Bor MEOI Re.,gh Mechanical ME02 Ducts. Ventilating P1.04 Rough Gas Pip, -Test F. :)2 Roof Drains V05 Floor Joists _ BPO6 l! 6007 Floor Sheathing Roof Traming Roof Sheathingl3POO SP09 BPI t Sheor Wall & Pre -Lath Fromingd Fioshir.; 9PI I Lothing li Siding - BPi.I BPI; Insulation Dry voil; Cit. of Lake Elsino e PEWAI 1 130 South Main Street PERMIT NO: 91- 00000030 JOB ADDRESS . .. . . . : 265 SAN JACINTO RD DESCRIPTION OF WOt'I;: . : NEW OFFICES. BANKS, LTC. 2.00 X 7.5003 BACKFLOW DEVICW < 2" 1.00 X 6.0000 WATER SERVICE C:HARC:ES PAID PERMIT FEES BUILDING PERMIT 364:2.00 .00 ELECTRICAL PERMIT 937.50 .00 MECHANICAL PERMIT 178.50 .00 PLUMBING PER14ITS 297.00 .00 OTHER FEES DATE: 21115i91 PAGE 15.00 6.00 DUE 3642.00' 937.50'x. 178.50_ 297. 0Q,/ PLANNING REVIEW FEE 298.45 93.45 GO PLAN RETENTION FEF 42,;;' 00 42.50 SEISMIC OTHER 156.10 GO 1.56.101/ PLAN CHECK FEE 1939.93 1931'.91 00' TOTAL 7491.98 223'.38 5253.60 SPECIAL NOTES & CONDITION; PC# 251 -89 TWO STORY COMMERCIAL OFFICE BUILDING, FULLY FIRE SPRINKLERED REV. WE 11.1.40 City of Lake Elsinore Building Safety Division Post in conspicuous place on the job You mist furnish PERMIT NUMBER and the JOB ADDRESS >i o- each respective inspection: Approved plans must be on iob at all times: Code Approvals Date Inspector ELOI Temp Elec Services PLOT Soil Pipe Underground EL02 Elec Conduit Underground BPOI Footings 6P02 Steel Reinforcement 6P03 Grout BPOa Slab Grade PLOI Underground Water Pipe isol Rough Septic System iJV01 On Si'e Sewer P103 Rough Plumbing EL03 Rough Electric •Condu,r EL04 Rough Electric•Winno FLOS Rough Electric • i -Oar MEOI RougnMechanical MIQ? Ducts Vsnnlattng PLW Rough Gas Pipe -Test PL02 Roof Drains 8P05 Floor Joists 81706 Floor Sheorhing 6P07 Roof Framing SP08 Root Sheathing OP09 Shear Wolf d Pro -Loth i Frat^ing d Flashing be , 7 Lothin- b Siding 8F12 Insulation EPL"I wall Noil ng a! Plumbing al ElectricaliMechanical l building rlease Reod or.d Initial: ' 0 1. I am Licensed under the provisions of Business and Professiondt Cod Section 7000 et s eq orfd my Ikenss is in full force. 2- 1' as owner of the property. or illy emploloos wlwoges as their sole compensation will do the work ant the structure is not intended or offerad for scle. 3. 1. as owner of the property, om exciusivelt contracting with licensed eontroetors to construct the proled. a {. 1 have a certificate of consent to selhnsure or a certificate of Workers Compensation insura. ce ore certified copy thereof. 5. 1 shall not employ any person in any manner so as to become subject to Workers Compensation laws in the partormo=* of the work for which this permit is issued. Note: If you should become subject to Workers Compensation offer making this certification. you must forthwith comply vvtfh such provisions or this permit shall be deemed revoked. CITY OF LAKE ELSINORE BUILDING; DEPARTMENT FEE RECEIPT NAME: JOB ADDRESS: ` PLAN CHECK # lOG- (32s 0) -000 Additional 100-(3J220,-000 Building Plan /iJ, -0 ,,qCheck . — L`'C/ Reinspection BEM p 100 - (3440)'000 $ Sale of Maps and Co100 - (3461) -000 PY Fees Admin. Fee 221 (3821 Px)00 ark Ca ( including Lot Book) 211- Pital Improvement3811) -000 $ Capital !— 201 -(380I ImprovementsOOG Storm Drain Street Capital Improvementsl) -000 Library $ Y Mitigation h'iscellaileous $ TOTAL $ ZOO 1/110 REV 12_ 10-90 0"3-05-1991/12824 PM 5200. RCPT11r02_13 ACT # i100- 3220_0W SLR'' PLN CK o25C1-89"_00N City of Lake E 130 Sough Main Street APLICATIOI'11 FOIL CsPFtlG1TION NO. BUILDING PERMIT "01—,4 ,-_3P7 Isinore VALUATION CALCULATION'S 1st FLOOR -// C, O cLv: 2nd FLOG F SF 3rd FLOOR SF GARAGE SF STORAGE SF DECK 8 BALCONIES SF DIVISION: TYPE: 2 SF .2-AZ G iNG CUT CY COTHER FILL CY VALUATION: _ C.APARThtENTS units FEES SPRINKLERS REQUIRED? YES NO BUILDING PERMIT : PLAN CHECK % A DDITIONAL PLAN CHECK GRADING PLAN CHECK MICROFILM COPIES IMPRO FEES O SCHOOL FEES Cl PAID DATE C) 1 certify that I have read this applicutlon c, .d stele that the above informntlon Is correct. I agree to compl,• vith all city and county udinances and state laws reiating to building construction, and hereby oulhoriTe representatives 0 this city to enter upon the obove•mentioned property for inspec- Sign Lure of Applicant or Agant Dole AGENTFOR tV CONTRACTOR J OWNER AGENT'SNAME Llgoz e 6ZILS P. 0, 15 ax 9n5' AGENT'S ADDRESS Z&O2 A; ,l Z. 4,j;d 9 :-3 90 STREET CITY STATE ZIP r LICATIVN R=!'EIVEQ TE AP/ y d sur - GADOMESS r-7 'r JfTit/ TMACT MOCR/A 4 t07: tAlCEI — H,tM.E ARARSIG 1 Awabr eiNnw !W ! o.a ikrw d ordM povlslen. d C wp+« • lceavo«cirg w.M Soctbw70001of104N1plaofIlwSmkw, : and Prof..)., Colo. a,d -r r- " Is in tva force M -- yl s SS CLASS HARING — -- CITY r ST.\IIEE,zr rygpNE c JOB DESCRIPTION REV. DATE 11•I•G 4:c NAME / MNS1 r i.,•C /,.: r c far /'L !-t/J 7'/t" r MAUNG ADDRESS 7 J STATE /•r f11f`WT; fC1., 1 CNEW REPAIR OCCGRPJ CONST. DIVISION: TYPE: OAM rION MOVE ' NUMBER OF NUMBER OF STORIES: BEDROOMS: CALTERATION DEMOLISH COTHER ZONE: HAZARD AREA'; YES NO C SINGLE FAmILY units C.APARThtENTS units GCONDOMINIUMS units SPRINKLERS REQUIRED? YES NO 13TOWNHOMES units PROPOSED USE OF BUILDING: rCOMMERCIAL OINDiISTRIAL PRESENT USE OF BUILDING: JOB DESCRIPTION REV. DATE 11•I•G I pity of Like Elsinore 1 mil -. T ZJV JVtltti tilQiti a7li s. 1 APPLICATION NO. APPLICATION FOR 1571- _ APPLICATION RECEIVED ELECTRICAL PLUMBING PERMIT DATE tiP' By MECHANICAL 1 I certify that 1 haver read this application orvr state that the WslDSOG ADMI -SS above inlotmotion is cornett. I ogres 10 carn,rfy wish all city IsACr _ et0CxrPAC' tarrASCEt and county ordinonce•. ftnd state laws relating to building construction, and hereby outhorite representatives of Ihes city ro enter upon the obc,va•mentioned property for inspec• L ! N.NtE 1 1: in purposes. PHONE Sign rsofArpt ;cant orAgent Date tt,v,, ,t.E,,, k.,,.. de„ a, .p.,:omertrwr,+etceew•.cv.Qvra s«ra. L.l roar of aanston S a the eoainess and Ihofinvona Cod.. onJ -T Ik— N to TO tare and dEKf AGENT FOR CONTRACTOR Cj OWNER tKENSEr _, (— TAX r / O NAA1E AGENTS NAME Le - r. _ L AGENT'S ADDRESS '" Lam, t REE1 CITY STATE CITY ZIP C IATEIZW ,NONE D t Zz c) S CONT S SlririA T UI E DATE BUILDING PERMIT NO ELECTRIELECTRICAL Quern PLUMBING `Quart MECHANICA.. Qua^ Q Furnace up to 100.000 BTU's Furnace Over 100.000 BTUs Residenlial Multi Family fixture or TrapFNe- ResidelTtio! S!ag1e Family Building Sewer ate Swimming Pools Rain Water Sys per Drain C; xloor Furnace /Vent r_ Switches / 1 it 20 Private Septic System Unit Hoofer / Wall Hector - Switches / Over 20 G Water Hoofer / Ve•tt _ nsla!l / Relocate / Replace Vent Recpl. Otlle: / IS! 20 G Gas Piping System 1.4 Oullr -ts Ventilating Fan _— Recpt. outlet / (aver 20 6 , Gas Piping 5 or More 0.11. E.7.Ust Hood lighting Fixtures r 1st 20 Oishwesher — Fireplac e T— Res. Fixed Appliance .' Ou11o1 Solar Tank Conimsrr.iol Incinerator Non -Res. Appliance /Outlet Solar Collector per Pone. Air Hondler 10,000 CFM y 100.200 Amp Service s 600V/ Grease trop / (Intercefilor) Inslall, Alter o Repair System Air Handier a )G,000CFM _ Fire Dampers 200.1000 Amp Service; 'ti 6301 Semite P var IOCO Amp or 600V Lawn Sprinkler System Registers Ml+,c Anpuratus, Conduits, ETC 8ockllow Devica Smaller Than 2•• Boller / Compressor to 3 N.P. 8ockllow Device Lager 1!1on 2" Boiler Comprestor 3.15 H.P. Signs Sign Branch Circuit M_ floor Dtain _ Boiler / Compretsor 15.90 H.P. r_ Buswoys i EA 1001, Floor Sink Boilm / t ampressor 30_SO H.P. r temporary Power Servico Water Service bailer /Compressors• SO H.P. Tomp. Power Dlslribution Sys. 7 Alter or Repair Drain or Vent Fepalr / Ai1er Misc. HVAC Equip. MOTORS / TRANSFORMERS Fire Sprinklers par Building Motors up to 1 H.P. yWllMT ':COL 1 Motors / Tronslormnrs I.10 H.P. Swimming Pool / Pubttc Motors / Tronsformers 10.50 H.P. Swimming Pool / Private Motors i Transformers 50.100 H.P. Water Hooter / Vent Motors .' Transformers 100 H.P. Replace Piping Replace Filter Misc. Replace Got Piping A.TG 11 -1.41e August 14, 1990 Land Connection, Inc.. 135 E. Live Oak Ave., Arcadia, CA 91006 RE: PC# 251 -89 Dear Mr. Lee, Oil Gl f the ESiHG te CITY HALL 130 SOUTH MAIN STREET LAKE ELSINOAi . CALIFORNIA 62330 Telephone (714) 674 -3125 Suite 202 The Building Department will grant a 60 day extension of time, starting from the date of this letter. Also the project must meet all the requirement of the 1988 Uniform Codes prior to issues of permits. This extension is also subject to th;.s project obtaining a design approval extension from the Planning Department. If you have any question feel free to contact the BuildingDepartmentat (714) 674 -3124. Sincerely, CI!T Y OF LAKE ELSINORE Kevin Shear Building and Safety Manager KS /gh Q 3 i` - _iF -ra3 ^ ' +,.yr `, • ktq x `+ * . ' :s' '97 y r 1 $.F ' ''!r _,i' - _ y J , i _ _ - ' IS• t ., ,., ~ T (^ 'Ti°C1"Y ¢' y n i 'r" °' + 4 + 1.- ++•' •r4`C err TO IS= A BUILDING p=MIT _ THE 01tMWQR IYRt+ MM IS E tTi1S'J!I A BUILD11M PZRKT MM fMS ucTIau AT 11- 4xl s PFLIOA1fTL .SdC. /T / Ile-LIc Mss : l.3 -C u R no s ea APPLICANT MST SAYE FovWWM CR11L°1CBI XTZH9 CQKVLZU baronZNGnmnzvGNILEA711mzzpjmzSSTOI.8 EUILDINO 29RWTO Submit an tZscuted quitclaim dosed form to dedicate uaderground water rights to the City. ftpd:ng district Apprnandd Wet f mproveneut plans Pay a pra to sp 1AIL improvamt t foes 2M1Qted C I T Y OP L A K E E L S I N O R E 4 BUILDING DEPARTMENT FEE RECEIPT TOTAL $ M F E x vEu i rT, ',F L-KE ELSINOP.E8 -4 -89 N".'_T9- 1'*I" -aril kC.r'T :ra .U376?.'DANIEL, TSE r, LcE NAME: fij %s C PLAN CHECK cp/- f JOB ADDRESS: d IAi 3224) 100 - 3324 -000 Plan Retention 3412) 100 -3412 -000 Planning Division Review 10€ c2q k (4 3401) 100 -3401 -000 Building Plan Check s 3403) 100 - 3403 -000 Grading Plan Check 3403) 100 -3403 -000 Overtime Plan Check 3225) 100- 3225 -000 Special Inspection 100 - 3220 -000 Reinspection B 100- 3222 -000 Reinspection E 100 -3223 -000 Reinspection M 100- 3221 -000 Reinspection P 3.371) 221- 3821 -000 Park Cai.ital Improvement 31311) 211 -3811 -000 Storm Drain Capital Improvements 3.01) 201- 3801 -000 Street Capital Improvements 3440) 100- 3440 -000 Sale of Maps and Copy Fees 3461) 100 -3461 -000 Admin. Fee (including Lot Book) 3831) 231 -3831 -000 Library Mitigation Miscellaneous TOTAL $ M F E x vEu i rT, ',F L-KE ELSINOP.E8 -4 -89 N".'_T9- 1'*I" -aril kC.r'T :ra .U376?.'DANIEL, TSE r, LcE v. U %KE ELSINORE UNIFIED SCHOOL DISTRICT FAA Chaney Street Lake Elsinore, CA 92330 714) 574 -7731 CERTIFICATE OF COMPLIANCE Wednesday, January 23, 1991 Type of Permit City of Lake Elsinore Rocelpt 9004$9 Pormit d _ Owner Name ISarn oontung sieh Leg e Job Site Address No. 1265 Street an Jacintj RU Rrf _1 City APN tt Tract d Lip Lot d Type of Development Commerchial '- Comments Study Square Footage No. of It has been determined the above -named owner is exempt from paying school fees atthistimeduetothefollowingreason: Exemption does not apply Area 32 1$099 units This certifies that school facility fees impased pursuant to Government Code 53080intheamountof .g6 x 9 or $4,705.74 have been paid to L.E.U.S.D. for theveanpropertylistedabodthatbuidingpermitsand—lo—r– Certificates of Occupancy for this squarefootageinthisproposedprojectmaynowbeissued. Fees Paid By Sam Hsieh Telephone -0800Nameonthechecl'./vouche r By Normand A. Tanguay Assistant superintendent, Business Services Payment Received Fes collected / Signature Collector: Attach a copy of County or City plan check application form to District copy. Original- District 2 embossed copies - Developer I 4- MW 9 q1 -3t) CIVIL ENGINEER CERTIFICATION FORM City of Lake Elsinore From: -s.: _ C l''uc.L.. 130 South Main Street Lake Elsinore, CA 92330 1 tl a uvi v >fL . C-4, C(Z3 -05 gate: Attention: Building Department GPC No. - Tract /Subdivision /Lot No. Rough Final Project Name: W C--y ! E:Lh I -A :z - ,— ^ wt _<<A L Project Address: 'Z-(fl C-=, t " i C;i /J qG Owner /Developer: Type of Project: F" ' L 7 - Tract Drainage o: Commercial Other Industrial Yardage for Project: X30; 53 Cut Borrow Fill Export I hereby certify that the grading for this project is in compliance with the lines and grades as set forth on the City's approved grading plan. Any deviations from the plan are set forth below. I further state that all areas exhibit positive surface flow to public ways or City approved drainage devices. Description of Changes: Company: G i,. =i"(o t Co Name: (^, - -'; Licence No.: 2ZO-b l (RCE /LS) Signature: Q 1 -25 -89 VnZASE FOM CITY OF LAKE ELSINORE ENGINEBR.ING DEPARTMENT TO ISSUE A BUI:d1ING PERT THE OWNER /OR DEVEIG FZR IS REQUESTING R BUILDING P==TA FDR CONSTRUCTION AT Site Address). APPLICANT: e il> .SOOXI L ffS'• , , ADDRESS : a PHONE NO : ra CITY PROJECT: APPLICANT MUST HAVE FOLLOWING CHECKER ITEM: COMPLETE pMRE ENGINEERING DZPARTMINT WILL AUTHORIZE RELEME TO ISSUE BUILDING PERMIT. Required 2MIeted Submit an executed quitclaim deed form to dedicate underground water rights to the City. ftis Approve t reet r W plans Pay al5propriate special inprovennnt fees se count o. Date wun% 470. D t jQQ 0 Ragineering Dept. A,pprova r ' RIVERSIDE COUNTY VP"74*'' FIRE DEPt1RTMENT , r IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY CSL11 T}' b AND FIRE PROTECTION C f' R/GF.RSiDE , . ,.,, ¢ GLEN J. NEW'hiAN FIRE CHIEF PLANNING & ENGINEERING PLANNING & ENGINEERING 41-209 OASIS STREET, SUITE 405 3760 12TH STREET 1NDIO, CA 92201 RIVERSIDE, CA 92501 619) 342.8886 (714) 787 -6606 DATE: / / TO: PLANNING DEPARTMENT SURVEYOR'S OFFICE. BUILDING & SAFETY The Riverside County Fire Department hereby releases % Located at: •t.' — CHECK ONE: NAL RECORDATION FURTHER DEVELOPMENT METER SET ONLY FINAL FOR OCCUPANCY CHECK ONE: FEES PAID FEES NOT PAID FEES NOT REQUIRED If you should have any questions regarding this matter, please do not hesitate to contact the Planning and Engineering staff. RAYMOND H. REGIS Chief Fire (Department Planner BY: -- CITY OF LAKE ELSINORE BUILDING DEPARTMENT FEE RECEIPT NAME : Y : % ,,_l' PLAN CHECK JOB ADDRESS: i- jc /I 100- (3220) -000 100 - (3220) -000 100 - (3440) -000 lOJ- (3461) -001 221- (3821) -000 211 - (3611) -000 201- (3801) -000 231 - (3631) -000 Additional Building Plan Check ; Reinspection B E M P Sale of Maps and Copy Fees $ Admin. Fee (including Lot Book) $ Park Capital Improvement Storm Drain Capital Improvements $ Street Capital Improvements $ 41 ' Library Mitigation Miscellaneous $ TJTAL 02 -15 -1891/ 4130 PWS12240.40 ACCTA1201- 3801 -In RCPTf1O-- 13224 SAM HSIEH STREET CIP C PERMIT NO: 91- 00000302 City ®f Lake Elsinor PFIRMI'1 130 South Main Street JOB ADDRESS . . . . . : 265 SAN JACINTO RD TENANT NBR, NAME . . : GRADING DESCRIPTION OF WORK . : GRADING OWNER HSIEH SAM -- HSIEH HSING SUI 16825 TWIN HILL DR HACIENDA HEIGHTS, CA 91745 A.P.# . . . . . 363 -140 -069 OCCUPANCY CONSTRUCTION . VALUATION 2,000 DATE: 1/02/91 CO_NTRI,CTOR L. L. H. CONSTRUCTION, INC. _ P. 0. BOX 205 0;ab LIC 504755 B EXP 12/15/90 SQUARE FOOTAGE 0 GARAGE SQ FT 0 FIRE SPRNKLR . ZONE . . . . . . NA GRADING PERMIT - 101 - 1000 YC QTY UNIT CHG I'EM CHARGE BASE FEE 97.42 5.00 X 36.2000 ADDL 100 YDS OVER 100 YDS 181.00 FEE SUMMARY CHARGES PAID -- DUE PERMIT FEES GRADING PERMIT - 101 - 1000 YD 278.42 .00 278.42 TOTAL 278.42 .00 278.42 THIS IS YOUR RECEIPT WHEN MACHINE VALIDATED 02-1991/11:32 AI9/f27S A RCF,'N:02 -1 426/LLH CONSTRUCTION. INC GRADING PERMIT 91 -30 REV DATE 11.140 n Please Rood and Initial: City of Lake Elsinore r' 1. 1 am licensed under the provisions of Business and Professlontil Building Safety Division Code Section 7000 et seq. and n license is in fulfforce. 2. I, as owner of the property, or my employers w /wages as Post in conspicuous place their sole compensation will do the work and the structure is not intended or offered for sale. on the 3. 1, as owner of the prop -.r!y, am exclusively contracting withjlicensedcontractorstoconstructtheproject. A. 1 have a certificate of consent to selfinsure or a certificateYoumustfurnishPERMITNUMBERofWorkersCompensationinsuranceorocertifiedcopythereof. and the JOB ADDRESS for each S. I shall not employ any person in any manner so as to become respective Inspection: subject to Workers Compensation Saws in the performance of the Approved plans moot be on job work for which this permit is issued. Iatalltimes: Note: If yo.r should become subject to Workers Compensation after making this certification you must forthwith comply with such provisions or this permit shall b* deemed revoke. Code Approvals Dote Inspector ELOI Temp Elec Services PLO) Soil Pipe Underground EL02 Elec Conduit Underground SPOT Footings SP02 Steel Reinforcement BPO3 Grout SP04 Slab Grade PLO! Underground Water Pipe SSOI Rough Septic System SWO) 0'1 Site Sewer PLO3 Rough Plumbing EL03 Rough Electric - Conduit EL01 Rough Electric - Wiring EL05 Rough Vectric•T -Bar ME01 Rough Mechanical MEM Ducts. Ventilating PLOT Rough Gas Pipe -Test PLO2 Roof Drains BPOS Floor Joists BPO6 Floor Sheash ;ng SP07 Roof Framing BPOS Roof Sheathing SP09 Shear Wall & Pro -Loth BNO Framing & Flashing BPI t I Lathing & S;ding i BPI2 Insulation SPIS Drywall Nailing L99 Final Plumbing L99 Final Electrical E99ISSP99 Final Mrchanicol Fin Building Code Pool & Spa Approvals Dote Inspector P001 Pool Steel Rein. -Forms P002 Pool PlumbingrPr9sa. Test P003 Pre•Gunite PON Pool Fencing 'nccess PODS Pro- Plosler EL06 Rough Pool Electric PO" Final Pool /Spo SL" Final War Sub List Approval CITY OF LAKE ELSINORE BUILDING DEPARTMENT FEE RECEIPT NAME: ."`L PLAN CHECK # JOB ADDRESS: ` JA, C (Zev 100 - -(3220) -000 Additional Building Plan Check # J 20 00 100- (3220) -000 Reinspection B E M P 100 - (3440) -000 Sale of Maps and Copy•Fees $ 100- (3461) -000 Admin. Fee (including Lot Book) $ 221 - (3821)-000 Park Capital Improvement $ 211 - (3811) -000 Storm Drain Capital Improvements ; 201 - (3801) -000 Street Capital Improvements $ 231 - (3831) -000 Library Mitigation $ Miscellaneous S 0 TOTAL REV 12 -10 -90 All I 04- 10- 1891/10137 AWSM.00 RCPT11102- 140jo /UH COta'SeTRUCTION AUr'L PLN CK n31 -89 CERfIFICATEOF 9A C CONFORMANCE IVE UNDERSIGNED IWA NUFA C TURER HEREB Y CERTIFIES that the products identified below and on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI /AITC A190.1 -1983, Structural Glued Laminated Timber, and that such manufacture has beer, at jr plant in Eugene, Oregon which plant has a quality control system approu by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. lapll LAMINATED TIMBER SERVICES I bV «/' JOB NAME: G /t! JOB LOCATION. ONTARIO, CA. 1491% CUSTOMER'S ORDER NJ)* 0' -*1 88W 24F- V4&V84 IND.APP /LOAD WRAP SIGNATURE OAW-1 /-91 MFGR'SORDERNO #0003612 COMPANY WESTERN STRUCTURES, INC. TITLE PRESIDENT' AOD146 BOX 23355, Eugene, OR. DATE March 08, 1991 AI TC HEREB Y CERTIFIES that the said company at; ts said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment cf AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau_ AITC FORM ISCA AITC CerfifIcale No. 301163 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION O 1933 AMERICAN INSTITUTE OF TIMOER CONSTRUCTION APPLICATION FOR BUILDING PERMIT City of Lake Elsinore 130 South Main Street t?!, /F Q yo VALUATION CALCULATIONS 0 / AP+Y 1st FLOOR SF 2nd FLOOR SF 3rd FLOOR SF GARAGE SF STORAGE SF DECK 8 BALCONIES SF OTHER: ZONE: HAZARD AREA? YES NO OSINGLE FAMILY units SF GRADING S C CUT CY OTOWNHOMES units S OO • FILL CY VALUATION: FEES BUILDING PERMIT PLAN CHECK AJDITIONAL PLAN CHECK GRADING PLAN CHECK s MICROFILM _ COPIES IMPRO FEES SCHOOL FEES PAID _ DATE I certify that I have read this oppl:cation and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above - mentioned property for inspec- tion purposes. Signatur Applicant or Agent Date AGENT FOR V CONTRACTOR OWNER AGENT'S NAME AGENT'S ADDRESS STREET CITY STATE ZIP WL sVjWd7"' Ito" US ING O ADDIIESS 1 h ebT affirm ow I an Ucwnwd v 4o;c 7001)) d Divisir. ] of the Rusinass and and affect LICENSE 0 AND CLASS — v ` C` v NASN APPLICATION NO. APPLICATION RECEIVED DATE By LOTr ARCEI STATE /ZY u d chog4. • (tonwnsrKing with Sxtwn itu Coda end my Rta»" is in full Lau eTrwsmess iS f '4( TAXI ADDRESS 7O _ un O o STATE 41 pipNE JOB DESCRIPTION ^ n _ _ REV. DATE 11.1.90 LICEKSf / XADDRESS MAILING L GTY TATE/ZN NON L.0 I ONEW CREPAIR KC GRP./ CONST. DIVISION: TYPE• OADDITION CMOVE ALTERATION ODEMOLISH NUMBER OF NUMBER OF STORIFS: BEDROOMS: COTHER ZONE: HAZARD AREA? YES NO OSINGLE FAMILY units CAPARTMENTS units CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO OTOWNHOMES units PROPOSED USE OF BUILDING: PRESENT USE OF BUILDING: OCOMMERCIAL DINDUSTRIAL JOB DESCRIPTION ^ n _ _ REV. DATE 11.1.90 October 10, 1990 P:ty a fake Dsiuote CITY HALL 130 SOUTH MAIN STREET LAKE ELSINORE. CALIFORNIA 92330 Telephone (714) 674.3125 a; Land Connection, Inc. Danny Lee 135 E. Live Oak Ave. Suite 202 Arcadia, CA 91006 Dear Idr. Lee, Plan Check number 182 -89 for grading on your project on San Jacinto River Road will be extended until March 1, 1991. If. you have any questions, please feel free to contact the Building Department at (714) 674 -3124. Sincerely, CITY OF LAKE EL•SINORE Kevin Shear Building and Safety Manager ACS /gh C X T Y OF L A M M Z L 8 X M O R Z BUILDUG DEPARTMENT FEE F- SCEIPT r w NAME: PLAN CHECK # JCS ADDRESS: 4r7 3224) 100- -3224 -000 Plan Retention r 3412) 100 -3412 -000 Planning Division Review 10% 100 - 3401 -000 Building Plan Check 3403) 100 -3403 -000 Grading Plan Check 3403) 100-3403 -000 Overtime Plan Check 3225) 100 - 3225 -000 Special Inspection 3220) 100- 3220 -000 Reinspection S 3222) 100 - 3222 -000 Reinspection E 3223) 100- 3223 -000 Reinspection M 3221) 100 - 3221 -000 Reinspection P 3821) 221 - 3821 -000 Park Capita', Improvement 3811) 211 -3811 -000 Storm Drain Capital Improvements 3801) 201 - 3801 -000 Street Capital Improvements 3440) 100 - 3440 -000 Sale of Maps and Copy Fees 3461) 100 -3451 -000 Admin. Fee. (including Lot 26de }1sdu$ -3: . . 3831) 231 -3831 -000 HCC '100 -3403 -000 RCPT #:02- Oy007%6IVEPSI E0 ENSINEERINGLibraryMitigationPLANCHECKFEEAGZW - -8Fr Miscellaneous TOTAL $ , O D 8 -4-89 4. t . L PERMIT NO: 91- 00000551 City of Lake Elsinore PERMIT JOB ADDRESS . . . . . : 265 SAN jACINTO RD DESCRIPTION OF WORK . : ADD OR ALTER NON RESIDENTIAL OWNER HSIEH SAM HSIEH HSING SUI CO-TRACTOR 130 South Main Street DATE: 7/08/91 L. L. H. CONSTRUCTION, INC. P. U. BOX 205 TEMECULA, CA 92390 LIC 504755 B EXP 1/31/91 A•P•# . . . . . : 363- 140 -OE9 SQUARE FOOTAGE . OCCUPANCY . . . : RETAIL,RESTAURANTS,OFFICE GARAGE SQ FT - CONSTRUCTION . . : TYPE V- NON RATED FIRE SPRNKLR VALUATION . . . : 271,485 ZONE . . . . . . BUILDING PERMIT QTY UNIT CHG BASE FEE 172.00 X 3.5000 VALUATION ELECTRICAL PEP -MI.' QTY UNIT CHG PERMIT FEES BASE FEE 20.00 X 7500 SWITCHES / 1ST 20 40.00 X 4500 SWITCHES / OVER 20 20.00 X 7500 RECPT,OUTLET / 1ST 20 40.00 X 4500 RECPT,OUTLET / OVER 20 110.00 X 7500 LIGHTING FIXTURES /1ST 20 15.00 X 14.5000 100- 20OAMP SERVICE<600VLT 15.00 X 3.0000 SIGN BRANCH CIRCUIT ITEM CHARGE 639.50 602.00 ITEM CHARGE 4.50 15.00 18.00 15.00 18.00 82.50 277.50 45.00 MECHANICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 4.50 1.00 X 4.5000 INSTL /RELOCATE /REPLC VENT 4.50 76.00 X 4.5000 REGISTERS 342.00 FEE SUMMARY CHARGES PERMIT FEES BUILDING PERMIT ELECTRICAL PERMIT MECHANICAL PERMIT OTHER TEES PLANNING REVIEW FED; PLAN RETENTION FEE Z 1241.50 475.50 351.00 PAID 00 00 00 X48.30 248.30 G.00 .00 DUE 1241.5 475.5 351.0 RCPT*: 02- 0 6.0 CONTINUED ON NEXT PAGE * ** 18099 0 NA REV. DATE 11.1.90 City of Lake Elsinore-1 PERMIT 130 South Main Street PERMIT NO: 91- 00000551 DATE: 7/08/91 JOB ADDRESS . . . . . : 265 SAN JACINTO RD PAGE 2 DESCRIPTION OF WORK . : ADD OR ALTER NON RESIDENTIAL FEES: SEISMIC OTHER PLAN CHECK FEE TOTAL CONTINUED) 40.80 .00 40.80 806.98 806.98 .00 3170.08 1055.21, 2114.80 RCPT* 102- REV. OATE 1 m 80 L PERMIT NO: 9_- 00000551 City of Lake Elsinore i PERMIT 130 South Main Street DATE: 7/08/91 JOB ADDRESS . . : 265 SAN JACINTO RDDESCRIPTIONOFWORK . : ADD OR ALTER NON RESIDENTIAL OWNER CONTRACTORHSIEHSAM HSIEH HSING SUI L. L. H. CONSTRUCTION, INC. X 205BOOP. TIC CULA, B CA 92390 EXP 1/31/91 A.P.# . . . . . . 363- 140 -069 SQUARE FOOTAGE . OCCUPANCY . . . RETAIL,RESTAURANTS,pFFICE GARAG SQ FT 18099 ECONSTRUCTION . . . TYPE V- NON RATED FIRE E SQ FT . 0 VALUATION . . . . 271,485 ' ZONE . . . . . . NA BUILDING PERMIT QTY UNIT CHG ITEM CHARGE ` BASE FEE 50172.00 X 3.5000 VALUATION 6 63939.50 ELECTRICAL PERMIT QTY CHARGES UNIT CHG DUE BUILDING PERMIT ELECTRICAL PERMIT 12--2 0 1241.50 BASE FEE ITEM CHARGE 20.00 X 7500 SWITCHES / 1ST 20 4.50 40.00 X 4500 SW- LICHES / OVER 20 15.00 20.00 X 7500 RECPT,GUTLET / 1ST 20 18.00 40.00 110.00 X X 4500 RECPT,OUTLET / OVER 20 15.00 1 8 15.00 X 7500 18.5000 LIGHTING FIXTURES /JST 20 100- 200AMP 00 15.00 X 3.0000 SERVICE <600VLT SIGN BRANCH CIRCUIT 277,50 45.00 MECHANICAL PERMIT QTY UNIT CHG ITEM CHARGEBASEFEE 4.50i.00 X 4.5000 INSTL /RELOCATE /REPLC VENT76.00 X 4.5000 REGISTERS 4'50 342.00 FEE SUMMARY PERMIT FEES CHARGES PAID DUE BUILDING PERMIT ELECTRICAL PERMIT 12--2 0 1241.50 00 1241.5 MECHANICAL PERMIT 475.50 00 475.5 THIS is YOUR RECEIPTIPT` OTHER FEES 351.00 00 351.0 08*M#" l V Q14, PLANNING REVIEW FEE yi-4 - 248, 30 248.30 RCPT*:02- ACCTO:100- 3.20 -071`--H CONSTRUCTION, IMPLANRETENTIONFEE6.00 p0 0 PE "IT #9t -5'. 6.0 CONTINUED ON NE ;,T PAGE REV. DATE 11.1 -W 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: Code Approvals Dote Inspector ELOI Temp Elec Services Pool Steel Rein. Forms PLO! Soil Pipe Underground PW2 Pont Plumbing I Press. Test EL02 Eloc Conduit Underground PO03 BPOI Footings OP02 steel Reinforcement BP03 Grout Pre•Ploster BPOt Slab Grade EL06 Rough Pool Electric PL01 Underground Water Pipe PO99 SS01 Rough Septic System SWOI On Site Sewer PLO3 Rough Plumbing Sub list Approval EL03 Rounh Electric•Conduwt EL04 Rough Electric•Waing ELOS Rough Electric•T•Bor ME01 Rough Mechanical ME02 Ducts. Ventilat,ng PLOs Rough Gas Pipe•Ttst PL02 Roof Drains EPOS Floor Joists BPO6 FlcorSheathing BP07 Roof Framing BPOB Roof Sheathing BP09 Sher Wall & Pro-Loth SP1O Framing d Flashing L BPI] BP12 Lathing B Siding Insulation - -% SP13 Dryv, 311 Nailing PL" Final Plumbing FL99 Final Electrical M.E99 Final Mechanical SP99 Final Building Please Read and Initial: I. I am licensed under the provisions of Buriness and Professional Code Section 7000 et seq. and my license is In full force. 2. 1. as os.rer of the property. or my employees w /wages as their sole compensation will do the work and the'itructure is not intended or offered for sole. 3. 1. as owner of the property, am exclush sly contracting with licensed contractors to construct the pratecl. 4. t have a certificate of consent to selfinsure or a certificate of Workers Compensation insurance or a certified copy thereof. S. 1 shall not employ any person in any manner so as to become subject to Workers Compensation laws in thv performance of the work for which this permit is issued. Note- If you should become subject to Workers Compensation after making this certification. you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Pool Spa Approval Dote Inspector P00! Pool Steel Rein. Forms PW2 Pont Plumbing I Press. Test PO03 Pre•Gunito P004 Pool FencingiAcce•s PODS Pre•Ploster EL06 Rough Pool Electric PO99 Final Poal'Spa St" Final Solar Sub list Approval City of Lake ]Elsinore PERMIT 00 South Main Street IF PERMIT NO: 91- 00000551 DRTE: 7/08/91 JOB ADDRESS . . ** PAGE 2 265 SAN JACINTO RD DESCRIPTION OF WORK . : ADD OR ALTER NON RESIDENTIAL FEES: (CONTINUED) SEISMIC OTHER 1)2,-2-0 40.80 .00 40.80PLANCHECKFEE 806.98 806.98 .00 TOTAL 3170.08 1055.28 2114.80 rCPT *r REIN. DATE 11.1 go Please Read and initial: City Of Cake Elsinore L 1. I am Licensed under the provislons of Business and Professional Building Safety Division Code Section 7000 of seq. and my license is In full force. 2 1. as owner of the properry, or my employees w /wages as Post in conspicuous place their sole compensation will do the work and theifructure is not intended or offered for solo. on the job 3 1. as owner of the property, em exclusively contracting with J& Vslicensed contractors to constru.:t the project. A. I have a certificate of consent to selfinsure or a certificateYoumustfurnishPERMITNUMBERofWorkersCompensationinsuranceoracertifiedcopythereof. and the .JOB ADDRESS for each 5. 1 shall not employ any person in any manner so as to become respective inspection: subject to workers Compensation Laws in the performance of the Approved plans must be on job work for which this permit is iss•.ned. at all times: Note: If you should become subject to Workers Compensation y y after maki -g this certificetoon, you must forthwith comply with such provisions or this permit shod be deemed revoked. Code Approvais Dote Inspector ELOI Temp Elec Services PLO) Soil Pipe Underground E102 Efec Conduit Underground BP01 Footings BPO2 Steel Reinforcement BP03 Grout SP04 Slab Grade P101 Underground Water Pipe SS01 Rough Septic System SWOI On Site Sewer P1.03 Rough Plumbing EL03 Rough Electric Conduit E104 Rough Electric.w'mng ELOS Rough Electric T -Sol MEM RoughMechanicil ME02 Ducts. Ventilating PLOT Rough Gas Pipe -Tes' PL02 Roof Drains BP05 Floor Jozsts BP06 Floor Sheathing BP07 Roof Framing BPW Roof Sheathing BP09 Shear Wail & Pre -loih BP10 Framing & Flashing BPII Lathing E Siding RP12 Insulation BP13 Drywall Nailing PL" Final Plumbing EL" Final Electrical ME99 Final Mv:hor.ical 111P99 F,nol 6wid ng ELI Code Pool Spa Approvals Date - P001P001 Pool Steel Rein. Forms PO02 Pool Plumbing Press. Test P003 Pre- Gunive P004 Fool Fencing Access PODS Pro•Plostor EL06 R jh Pool Electric PO99 Final Pool Spa SL9e Final Solar Sub List Approval City of Lake Elsinore I 130 South Main Street APPLICATION FOR APPLICATION NO. 5-5--/ ELECTRICAL w ` PLUMBING PERMIT APPLICATION gECEIyEo DATE 7-F E/} MECHANICAL AP a By3oO - yo - off 9 I cartify that I have read this application and store that the SUILDINGADDRESS -7 , above information is correct. I agree to comply with all city and county ordinances and state laws relating to budding TRACT MOCK PAGE LOT PARCEL construction, and hereby authorize representatives of rh.s city to enter upon the above - mentioned property for inspec- NAW tion purposes. MA0.iG OADDRESS 5:_, of D-1.a+ 3 of the &Ain"s and Profitts.om Cody. and my lKe, n,,, fv:l face AGENT FOR Ile/CONTRACTOR OWNER ° d'""t LAND CLASS { CZ/ V BUSINESS Jr.' TAX LPL 6 AGENT'S NAME ZZ"RreeZ H 41,,S N R.v L ' Yi 0 ti ZA/C . AGENT'S ADDRESS __ S 4,1$7 .£ wLAxefGADDRESS O . I O t „dg STREET CITY SIT STATE ZIP STATE ZIP PHONE52aTsl(1. 9'14 70 CONi CTORSSIGNATURE DATE BUILDING PERMIT NO. g ELECTRICAL Quan PLUMBING Quan MECHANICAL Guon Now Residential Multi Family Fixture or Trop Furnace up to 100,000 BTU's Now Residential Single Family Building Sewer Furnace Ovor 100.000 BTU's Private Swimmi.g Pools Rain Water Sys per Drain Floor Furnace / Vent Switches .' 1st 20 Private Septic System Unit Heater / Wall Heater Switches % Ov.. r 20 7 Water Hooter Vent Install / Relocate / Replace Vent Recpt Outlet r 1st 20 Gas Piping System 1 -1 Outlets Ventilating Fan Recpt. Outlet r Over 20 Gas Piping 5 or More Outlets Exhoust Hood Lighting Fixtures 1 st 20 Dishwasher Fireplace Res. Fixed Appliance Outlet Solar Tank Commercial Incinorator Non -Res. Appliance ' Outlet Solar Collector per Panel Air H•:ndler 10.000 CFM 100-200 Amp Service -4 600V Grease Trap ( ;nterceptorl Air Handler -_ 10.000CFM 200.1000 Amp Service 14 600V Install, Alter or Repair System Fire Dampers Service Over 1000 Amp or 600V Lawn Sprinkler System Registers Misc Apparatus. Conduits. ETC Backflow Device Smaller than 2' Boiler ; Compressor to S H.P. Signs Sockflow Device larger than 2° Boiler . Compressor J•1S H.P. Boiler Compressor 15.30 H.P. Sign Branch Circuit Floor Dram Butlways EA 100 ft Floor Sink Boiler / Compressor 30.53 H.P. Temporary Power Service Wotsr Service Boiler ' Compressor 50 H.P. Temp. Power Distribution Sys. Alter or Repair Drain or Vent Repair ' Alter Misc. HVAC Equip. MOTORS TRANSFORMERS Fire Sprinklers per Building SWIMMING POOLMotorsuptoIH.P. Motors Tronsfnrmers)- 10H.P. Swimming Pool Public Motors , Transformers 10.50 H.P. Swimming Pool Private Motors. Tronsformers:0.100H.P. Water Heater Vent Replace PipingMotor,, ' Translormers 100 H.P. Reploce Filter Misc. Replace Gas Piping REV DATE 11.100 City of Lake E 130 South Main Street A ppy'lCATI© Win Isinore APPLICATIOiJ NO. BUILDING I" ER.,-4;'_T / -.sO. VALUATION 1 st FLOOR 2nd FLOOR gF 3rd FLOOR SF GARAGE SF STORAGE SF DECK & BALCONIES SF OTHER: R-0- g q SF GRADING CUT CY FILL CY VALUATION: 1I .J C! FEES BUILDING PERMIT $ t1_5ECICK PLAN . CHECK AD ITIONAL PL_ GRADING PLAN CHECK MICROFILM COPIES IMPRO FEES SCHOOL FEES PAID vMIC 1 certify that I have read this opplicotion and state that the above information is correct. 1 agree to kamply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspec- tion purposes. SignalM of Applicant or Agent Dote AGENT FOR OWNER AGENT'S NAME AGENT'S ADDRESS STREET CITY STATE ZIP APPLICATION RECEIVED DATE 7 / APR 363- /7 By LOT IfNEW _REPAIR OCC &P. C NST. DIVI TYPE: (J ADDITION =MOVE NUM NUMBER OF LALTEIATION := DEMOI.ISH NAME ZONE: CSINGLE FAMILY units APARTMENT unitsS HARING fWP_0MMERC!AL ---INDUSTRIAL I Hereby aNirm ims I tan hco nsed 111`de/ provltr 8 at Ch*Per • (cammen(.tly with S' ct' 7000) d DiY.Slon 3 of the gw!nets "I /atetl!Mf Cade, and my lkK ,, h in faR torte zLI and effe[t. IKfKSE / AND CLASS Q NAME 7 BUSINESS ^ TA1( ` 7J V MAILING 7 Tf - V _ t C ADDRESS + G' qO s- OrL STATE 3i1• E ^- 11 y GyCONTRACTOR'S SIGNATURE f DATE NAME h/ LICENSE yu Px G S 2 e i= MAILING DORESS /0 _ .QvFs TY STAT E7•Zf p. / % 1 / IfNEW _REPAIR OCC &P. C NST. DIVI TYPE: (J ADDITION =MOVE NUM NUMBER OF LALTEIATION := DEMOI.ISH STORIES: BEDROOMS OTHER ZONE: CSINGLE FAMILY units APARTMENT unitsS HAZARD AREA? YES N I CONDOMINIUMS units SPRINKLERS REQUIRED? Oe7ES NO E.TOWNHOMES units PROPOSED USE Of BUILDING: fWP_0MMERC!AL ---INDUSTRIAL PRESENT USE OF BUILDING: JOB DESCRIPTION v+— JG -1Jyt 11: U4 Pf'1/x105G.26 HCC TIt: 100- 3412 -001) PL14G- PLNCK#91- 551%265 SAN JACi REV. DATE 11.1.90 coumry OF milvERSIDE DEPAjerms-mr Am ALBALF A a AmAr m h'` 1065 COUNTY CIRCLE DR RIVERSIDE. CA- 92503MailingAddress - P.O. Box 7600 Rherside, CAL 92513 - 7500) FAX (714) 358-4529 CY Lj[D"E;_f_jF,j.,1F L 9 2 7 FOrrPer Arco taTlon. 71 - 0' e `_-.isinore ,, r) C- Lime F, - r r-Imert •,-/ - - I F. ve t'711- 00s-3-bie t Pr1r_L tre e' 1 steno- e o+ s 7f - Ant,; did D r r3p er t,/. 90th the C: C. r, ": ? F-i f—I th" j -2 i- e IT., - un 1 7 :1 r- d OL nnt n f, C. .7 - 7- -i r I 1-M :, 4: + j-, r- e:-, n -- en D_-_n.- 1.ne 7. r 7 s• n rn5 vi! bL-1.17 1, e_ ! '. I W11f7h - b t - M. O L IT, 1 Rt- 4. L mfr E, -' -L7`- al -j u-rent I orl V V n F -1 17)$7littht7 -n 1: r E Sa r t a fQl- T je t-eatmen) ce.-I r" D E-- d the data -Fr-r-.M ; F _er =i! OiaCtmS. dA1, , 1; fY- 0 r) 4 hr? I F.J r" f-Z rL t_[ r e e M f r) n el 0 Lu r -? n , Elsinore T: e of. There is no current knowledq& were of Sol, the newly built Contamination in tt-e 1 -1 t 1 structure is 1. an rD - sr- L located. 11n.• L area C C- n Cant i: on r; A I of t:-) I I-l'i rj I, f:)+ Dein.: C c at e(jtr7, n t.1 t 11 r r! e - . i, r F'o. 12 0 v r. 71' rc, h P rhe HMTHCENTERS11 30" RA—y STREET--- 14 CA 92221) 0 BLYTI4 263 NORTH OW40MV-91YWA CA 92226vISTA-CoMft. CA 91720 • HEIAT &W NORTH SUM 3TREET-timm CA qn43 9 • CASAPALMSPANW311; vjWTz-mccAL.LuL,.. SW4CA 7210 MAAGMM1A-P,a,,,, CA OPM4 • P`*r SP"M" Cl 9226x• PERRIS 2.17 "l)"' 46-K* OASIS SrREET - k-d*. CA W 20, 0 LAKE ELSV#CRE 10 106 FRASER CA0_ Sy - PWft CA 92370 0 R'VEM40E 1520 LINDEN ST- R*rsW, CA qM16-L"A Ek"IOMII, CA 223LX OM CA 92M • TEWCULA 41M2 COUNTY CENTER ME.TWWIk MClAnjT12"300 Cop"M UA SOUI MIUENA ANKM 0413 PASSION r COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH 4065 CCIUN'fY CIRCLE DR. RIVERSIDE. CA N503 Matt o Address . P.O. Box 7600 Rive, -side. CA 92513 - 7600) FAX (714) 358 -4529 r.0i'tf'..9Inir ";'I'f 1r:;-. r, F-i "i-. i-Ir? I nt,=, C,4 t h .;i.t.¢ 17- 'te nt.t HEALTHCENTERS - -'-- BANNNO 3055 RAMSL`r S1:1EET- Sw--p, CA 93229 ! BLfr,* %3 NJTITH OROAONY,Y- 94110. CA 92225 • CA,;A BLANCA 7240 MARUUERITA- R"t$d* CA 92504 • CORONA 505 SOUTH BUENA N3TA ••COnrr. CA YtT20 • rr[l1ET 6B0 NORTH STATE 3T%lF.: - HSCSt. CA A2s43 ! ,Y"O 44 -209 CAS-S STREET -W-1- CA 02201 • LAKE EL INORE 30105 FFIAS]R OR -L,wo Eww4. CA 92330 PALM SPRINGS 3111 TAHOURZ•MCCALIAPA -ft,- B ft'%K ft V?W29 FERRIS 231 NORIn '0' ST- •Wrrw, CA 023100 R.YEILVDE 1520 UtIDEN ST.- RhvrWo. CA 9250: Ah7VM 9 <tS MISSION BLVD -Riv r", CA 02509 • 2EMECIN.A 41002W--V CENTER ORIVE- •T4mMAA CA 92390 Y PERMIT NO: 91- 00000667 pity of Lake E PERMIT 130 South Main Street DATE: 6/17/91 JOB .ADDRESS . . . . . ,,165 SAID JAC 7I4TO RD DESCP.IPTION OF WORK <DD oR ALTER NON RESIDENTIAL OWNER CONTRACTOR HSIEH SAM L. I. H. CONSTRUCTION, INC. HSIEH HSING SUI P. 0. BOX 205 16825 TWIN HILL DR TEMECULA, CA 92390HACIENDAHEIGHTS, CA 91745 LIC 504755 B EXP 1/31/91 A.P.# . . . . . . 363 -140 -069 SQUARE FOOTAGE 6OCCUPANCY . . . . RETAIL,RESTAURANTS,OFFICE GARAGE SQ FT 0CONSTRUCTION . TYPE V- NON RATED FIRE SPRNKLR . VALUATION . . 3,000 ZONE . . . . . . NA BUILDING PERMIT - QTY UNIT CHG ITEM CHARGE BASE FEE 45.00 1.00 X 910000 VALUATION 9.00 ELECTRICAL PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 4.509.00 X .7500 LIGHTING FIXTT,;RES /1ST 20 6.75 1.00 X 11.0000 MISC. WHERE NO OTHER FEE 11.00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES INN PERMIT - 54.00 00 54.00 ELECTRICAL PERMIT 22.25 00 22.25 OTHER FEES PLANNING REVIEW FEE- -4/R 10.00 00 10.00 PLAN RETENTION FEE lU 00 TO SEISMIC OTHER 50 00 50PLANCHECKFEE35.10 00 35.10 TOTAL 121.95 00 121.95 SPECIAL NOTES & CONDITI; Please Read and Initial: Lake Elsinore 1. I am licensed under the provisions of Business and Picifesilonal Building Safety Division Code Section 7000 et seq. and my license is In full force. 2. 1, as owner of the properly. or my employees w /wages asPostinconspicuousplacetheirsole :ompensot„ -n will do the work and the structure is I not intended or offered for sale. I on the j b — 3. 1. as ow-ter of the property, am exclusively cc ',ncting with licensed cc, tractors to construct the project. 4. 1 ha,e c certificate of consent to selfinsure or a certificateYoumustfurnishPERMITNUMBER of Workers C.mpensation insurance or a certified copy thereof. and the JOB ADDRESS for each 5. 1 shall not employ any person In any manner so as to becomerespectiveinspection: subject ?a Wcrkers Compensation Laws in the performance of the Appr, ,red plans must be on job work for which !his permit is issued. at all times: Note: If you should become subject to Workers Compensation or moo ing this certification. you muss forthwith comply with such provisions or this permit shall be deemed revoked. Cade Approvals Date Inspector ELOI Tamp Elec Services PLOI Soil pipe Underground EL02 Eiec Conduit Underground SPOT Footings BPO2 Steel Reinforcement Vic 8PU3 Grout SP04 Slab Grade PLO] Underground Water Pipe SSO1 Rough Septic System SWO1 On Site Sewer PLO3 Rough Plumbing EL03 Rough Electric- Conduit EL04 Rough Electric- Wiring ELOS Rough Electric -T -Bor ME01 Rough Mecha „ica! ME02 Ducts. Ventilating PLIU Rough Gas Pipe -Test PLOT Roof Drains OP05 Floor Joists BPO6 Floor Sheathing RP07 Roof framing BPO8 Roof Sheathing SP09 Shear Wall 8 Pre -lath BP10 Framing 8 Flashing BPI Lathing 8 Siding 8P12 Insulation 8P13 all Nailing PL99 Final Plumbing EL99 Final Electrical ME” FinalFinal Machanical BP99 Final Building Coep Pool 8 Spo Approve.' Date inspector POOI Peal Steel Rein. Forms POW Pool Plumbing,, Press. lest r -- PW3 Pro- Gunite P004 Pool Fancing'Access PODS Pro-Plaster E1.06 Rough Pool Elect,, is POW Final Pool. Spa SL” Final Solo Sub list Approval —_-- -- "'— L-A " te- i e- t-%. I 14-ANA;714I 00 t,064/770V ft< Fao PERMJN.:,: THIS Nul 0 -z AL ismam Irwh% REVISED CJNt Y flake El.-Iom IR ildin Dept. 44 Z-cp 7 I SQL !a,V-1 o wtci I u wz-.tC.-(.r 35Cs,',`1 u p t 1 e taj ;-t - x=74-1 ENCUF U 1S NUMBER I ACCOMPAXT ALL DISPECHON REQUESTS r AS ........... REVISED Cly of 1_akc Elsinore Build:. t r i ez%klo r— ge,1p+ 2 v L./ t7t.&1- 't L :2'7 Z4,10 •L- VG'S -'l G Tl LL /StLC_ w j C. mo LD Ni;< > 9- c.aaIIIc_ td. - J L--O L-L-4 C.-I 1 %-1 t4.. No.—I—t C m I s.s s is ic, Ai AS R . EI;iSE . D ........... City of L Ac NZBuild. f.,Cr t;Y,_ rte: 3. L)o , APPLICATION FOR BUILDING PERMIT VALUATION CALCULATIONS 1 st FLOOR SF 2nd FLOOR SF 3rd FLOOR S:: GARAGE Sr STORAGE SF DECK & BALCONIES __SF 4:THER: SF GRADING _CUT CY VALUATION: FILL CY FEES BUILDING PERMIT $ PLAN CHECK ADDITIONAL PLAN CHECK GRADING PLAN CHECK MICROFILM COPIES IMPRO FEES 0 SCHOOL FEES PAID — _ DATE City of Lake Elsinore] I cerliN that I have read this application and state that the above information is correct. I agree . •omply with all 7ity and county ordinances and state lows reloling tr building constluclion. and hereby authorize represor9• lives of this city to enter upon the obovo•mentioned property for inspec• tion purposes. Signor of Applicom or Agent Dote AGENT FOR T3 CONTRACTOR : OWNER 130 South Main Street AGENT'S NAME AGENT'S ADDRESS Lf, Cam+ j,2 7 90 STREET CITY STATE ZIP REV. DATE 11.7.90 APPLICATIOi4 NO. APPLICAT/IO RFC VED DATE t. % 7 APs 6/ / B 3s- C_ 06 y R1MO14G ADORES&. _ TRACT RLOCA' AGE LOU PARCEL NAA.E rLEI,Jlt ra o MAILING 1 h-"T d• ,+. nw 1 em I <nNd on»c d ChepNr 7 Ica rc p w./h Sourr, 7000) of Dms.on ] of eM tivsv s o d Pr I.s:an Co". and .r) titMf :s I, F." f-cuanddFK• 1 i 8 WSu+EfS Re., ANOCIASa TAX f—. r Lear ?.!1 - f',/l. t cY vim 7 c GMAIRVG Am NESS cITM S=ATE ZIP SCI C t'/.' Cti' 177 Ej -o o0 r.NTC CTON'S SIGNATURE DATE NAME LICENSE r MAILING — ADDRESS q4 CITY STATE ZIP NEW — REPAIR OCCGRF. CONSi. DIVISION: TYPE: ADDITION =MOVE NUMBER OF NUMBER OF ALTERATION -- DEMOLISH STORIES: _ BEDROOMS:_ OTrfER ZONE: SINGLE FAMILY units HAZARD AREA? YES NO APARTMENTS units _ CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO TOWNHOlaES units PROPOSED USE OF BUILDING: COMMERCIAL ANDUSTRIAL PRESENT USE OF BUILDING: JOB DESCRIPTION REV. DATE 11.7.90 City of Lake Elsinore I T ..,.. s -v ss ,a,,.. ".... APPLICATION NO. APPLICATION FOR 71-41 APPLICATION RECE ED ELECTRICAL P - JMBING PERMIT DATE MECHANICAL. AP R sy I certify that I have read this application and state that the eWtDINGAD S/s, r above information is correct. I agree to comply with oil city S' J / Q C and county ordinances and state lows relating to building TRACI eIOCR PAGE TOT PARCEL construction and hereby authorize representatives of this city to enter upon the above- mentioned property for inspec. NAME , tion purposes. I h „*bi, df„n, rho, 1 e [< —*d, nd- p,o. —s of ChepW v (---ti -.114 54 t1 o 70001 of Qv.v n of tho evswss end Professions Code . end my hrense ,s ,n lull force and TAXI c O NAM AGENT'S NAME ARp ' l•I•?NSLJ4( /7 6 taC_ . MAILINGADDRESS So vJv - AGENT'S ADDRESS d STATE 21P HO f STREET CITY STATE ZIP C r - 2- r' ELECTRICAL Quon PLUMBING Quart MECHANICAL Quan New Residential Multi Family Fixture or Trap Furnace up to 100.000 BTU's New Residential Single Family Building Sewer Furnace Over 100.000 BTU's Private Swimming Pools Rain Water Sys per Drain Floor Fi,rnoce , Vent Switches 1st 2p Private Septic Systerr. Unit Healer, Wail Heater Switches Over 20 Water Heater Vent install, Relocate i '*place Vent Recpt. Outlet !&120 Gas Piping System 1.4 Outlets Ventilating Fan Recpf. Outlet aver 20 Gas Piping S or More Outlets Exhaust Hood Lighting Fixtures 1st 20 Of Diih,rasher Fireplace Res. Fixed Appliance Outlet Solar TanU Commercial Incinerator Non-Res. Appliance Outlet Solar Collector per Panel Air Handler 10.000 CFM 100.200 Amp Service 14 LWV Grease Trap (Interceptor) Air Hondle; -d 10.000CFM 200.1000 Amp Service , 600V Install. Alter or Repair System Fire Dampers Service Over 1000 Amp or 600V J Lawn Sprinkler Sysietn Registers Kis: Apporotus. Conduits. ETC Backf,ow Device Smaller than 2' Boiler ' Compressor to 3 H.P. Signs 6ackfir w Device Larger than 2` Boiler! Compressor 3 -15 H.P. Sign Branch Circuit Floor Drum Boiler Compressor 15.30 H.P. Buswoys EA100ft Floor Sink Boiler Compressor 30.50h.P. Temporary Power Service Water Set,,; .e Boiler Compressor 0, 50 H.P. Temp. Power Distribution Sys. Alter or Repair Drain or Vent Repair Alter Misc. HVAC Equip. MOTORS TRANSFORMERS Fire Sprinklers per Building Motors up to 1 H.P SWIMMING POOL r— dolor ' Transf- ;mers I.10H.P Swimming Pool Public Motors Tronsforniersl0.50H.P. SvrimrningPool Private Motors Trons!orrners 50.100 H.P. Water Hooter Vent Motors i Transformers 100 H.P Replace Piping Replace Filter Misc. Replace Gas Piping REV DATE 11.190 E, 4- —City of Lake Elsinore] E A IT 130 South Main Street PERMIT LTO: 91- 00000708 JOB ADDRESS . . . . . : 265 SAN JACINTO RD DESCRIPTION OF WORK . : FIRE SPRINKLER SYSTEM OWNER CONTRACTOR HSIEH SAM SUMMIT FIRE PROTECTION HSIEH HSING SUI 520 TEXAS STREET 16825 TWIN HILL DR REDLANDS, CA 92373 HACIENDA HEIGHTS, CA 91745 LIC 362801 C16 EXP 1/15/90 DATE: 7/01/91 I t ` T A.P.# . . . . . . 363 - 140 -069 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 X 15.0000 FIRE SPRINKLERS PER BUILD 15.00 FEE SUMMARY PERMIT FEES FIRE SPRINKLERS TOTAL CHARGES PAID DUE 30.00 00 30.00 30.00 00 30.00 RCPT #: ntv. I )Alt 11 • rvu Please Rood and Initial: City of Lake Elsinore ' 1. 1 am Licensed under the provisions of Business and Professional Building Safety Division Code Section 7000 ei suq. and my license is in full force. 2. 1, as owner of the property. or my employees w /wages as Post in conspicuous place their sole compens tion will do the work and the structure is not intended or offered for sale. on tits ;IDb — — 3.1. as owner of the property. am erclusively contracting with licensed contractors to construct the project. 64 974. I have a certificate of consent to selfinsure or a certificate You must furnish PERMIT NUMBER of Workers Compensation insurance or a certified copy thereof. and the JOB ADDRESS for each S. 1 shall not employ any person in any manner so as to became respective inspection- subject to Workers Compensation laws in the performance of the Approved plans must be on job work for which this permit is issued. Note: If you should become subject to Workers Compensation at all times: after making this certification. you must forthwith comply with such provisions or this permit shall be deemed revoked. Code Approvals Date Inspector I:LO1 Temp El. Services F'LOl Soil Pipe Underground EL02 Elec Conduit Underground BPOI Footings _ BP02 Steel Reinforcement SP03 Grout BPOI Slob Grade PL01 Underground Water Pipe SSW Rough Septic System SWOI On Site Sewer PL03 Rough Plumbing FL0:1 Rough Electric- Conduit EL04 Rough Electric- Wiring EL05 Rough Electric -T -Bor ME(I Rough Mechanical ME02 Ducts. Ventilating P(GI Rough Gas Pipe -Test PL02 Roof Drains EPOS Floor Joists BP06 Floor Sheathing BP07 Roof Framing BPOB Raof Sheathing BP09 Sheor Wall 8 Pre -Lath SPIO Framing 8 Flashing BP11 Lathing d Siding BP12 Insulation SP13 Drywall Nailing PL" Final Plumbing EL99 Final Electrical ME" Firal Mechanical BP99 Final Building Code Pool 8 Spa Approvals Date Inspector P001 Pool Steel Rein. Forms P002 Pool Plumbing Press. Test P003 Pre- Gunite POtU Pool Fencing Access PODS Pre-Plaster EL06 Rough Pool Electric P099 Final Pool 'Spa 5199 1 Final Solar Sub List Approval TO: giv. GD. R,t -061 EP E: LaKE 'ELsIt.J0i2E CONim'L Lr-0 C,0 IQ sr. MEC.H LOADS 0n1 T/tUS5 5 1S- q I St-06 I-TK )s rrJ I?ESPaiiSE TO ArJ irQGju112' Fr2oM H 14 A1R of 1 09ANG E / GA. , T 40 4CWT *_4 12 Co r.1-Tft Ac--T0 X For- 9EF . 7-08. TN E Q cl E s Tr a r,-1 p.DOf2ESsi5o -r14c- EFFc-G7 OF AiR Co h! Al TienlF"' O- Go ( L• 1.Q P D s O/J 1'' 1-1 MFG. f = L o ore QaaF "1'Ru5'SEs IAGV /D45 D r3 "I" grm -rrivL.S co%Zn cotil su4.Tir`I cr EMG 1 i.1Ecf Fop. -r;4I S 6.0. 2 N AJG f, ppRaUED T4E -rizussc- s FOP. TI-i i S T0!3 . 7N r AfPe r -r" " OF -ri4 e S E -rig U s .S * s 'ro G A,?. P- -( SaeTtFc,T M e- c.f-f. LOADS is r-XPLAi N Eo ^s rOL1 -0W5 : ZOOF MoveJ-TEP uk)I rs 0 F zoo Id ui1r5rk,5 e,OnJS /DcREO AS PeItj i- .op.DS OFp too an1D CO&letZ p Xy A MiIJ• OF Tom° -r USS'Es rLEAs JO 1 E Tf E LOG /A,-ri o N !j T E 20o F TIC v S S Gp.r. G S Q , G Ei L. r IJ6. : e"s P6W DED AlQV Go/Jsl p6f2C-D 87M c4D. of AL Nita. Goa. (!eee C,& F E "rA—rc G VSt r- LD OF +4.p!ry f. a-7%. Got L ..' G F 8544 MAX . Tl449 VNiFOgM I-0A,0 'OF 12usc C- S. TO .S iP :,IN CTs r4p.6a ?,+2 us e s 4A/0 AAIY wgERr- A c-o aG 110 - u s s a.c. CAP D.L. i5 MirJ. <sr JA POW14 as F'oLt o(.,vs 2 F5 Lvr, OF 7Rus5 PSF Nita. Goa. (!eee M1sG, 5f #MKLEt?.5 , P SF 7o 7'Q i..- 14 al VErp.I L A-C. LEFT.) DRAWN 11Y: DATE: 2 -1 _- PROJECT: FESSI if -q ( C 018175 ar F- c AMCIL KknbU s M AMM 10"97 CMipry 7-t0 -Ii TO: RI V. GO. r4L-0! L o tJ S McGM L_0ADS 0t 'TRUSSeS TN s LY2 ,s rtJ sfar.,st ro A ,n1QUl' Fr2ol-,A P 4 ;.4 AtFZ off' OFAMG E GAF. TN= MEAT p.1(1 64 N -rat. A. -r-- To X Fo rz 6 F. To 6. - I-! s. Q U E S T .o t--J DPgESSov© -rOtr EFF 0 aF 0•f z Gu„1 ro!-rion! r p^! Got 1... L_Oc-DS 6l`1 ooF 7R t>SS 'S f:a IIa, D r3'` r- 7'f'2 SS :.u`? ? A S 40t JSuI.71 1 eir & E, G,)e- Fol2 T41 S u pPi2o%/ED -ri4, - rtwsSC- 5 ° I N f 5 70 (3 . GdrAo- ! T `'' OF "r,-! e S e -rr2 U S S C-. `= -ro G A,e R Y Su13J -7 M G Ld -0'' IS FOLL -0"15 ; J. (tour vti , F P UIL) (Ts of 200 tom,= R 1s /p r2Ef As P>e1 L-0 AL: s oF loo nla rP E LoC p -7'r o N T 4 GF 12ao N -; f_ v S S' I.. C- s - wo c - G EI L- t 6- 5 us P5M UEG~ 9-nc. C=am t 1. <. a F 85 _ /_1,4 X. . Apr- (otjS1p6,2ED -r.44E !J/LIfF °l2IW1 04,3 Op 0.7,PA <.:1 -fD• 0 AFL TP2a..S 6 5. 114Esi UN:TS Arta SvpPoR -re " o 'E;' 7'-1412 66: C,0,?J & E /, 6611JI rE p ,Ar,l ' t Jr; R t.c r f C -rR s S f •c• 7 H E 6 -r t e- Ap P5 F jZ -A KS Pa wI.1 !s. s t ='0 4 C o "I.S ; RSGIt,FE:iS! . I I Su I. • FJGR . Q Vt. CA 4 U // CC C 418175 R, YJ / 1)/ A Zj J•3493 , ` 1 lyl DRAWN BY: Irle F DATE:. L_.'1"I ......u.._.._ PR PJECT. I-AS e;,. S E Klmt runs I DWG No. __ 2_. FL. MAMCA.Jk0*W r..x awy ELLIOTT UHRICH CONSULTING ENGINEER WILDOMAR CALL: ^ORNIA, 92395 City of Lake Elsinore 130 South Main Street Lake Elsinore, Calif., 92330 Attn: Departr'nt of Building and Safety tie: Commercial bviding @ 265 San Jacinto Dear Sir, The call out for 1" anchor bolts n sheet s -2 oftheabovebanding -)n was in error. The bolting for the sheerwallsshouldbe5/8" Pnchor bolts 1, 16" o.c. as calledforor, the foun:?ation plan and the approved Structuralcalculations. 22031 Ex,-.. Date 9/30/93 PERMIT # THIS NUMBEF I',' I ACMWAKY ALL IVELLA REQUESTS Elliott F. 11 , c No. 220.:1 k txrxrrt.n Da a 1 n 9/3)/43ik C SUn0 a 124. LLH Construction Inc. Motels • Custom Homes Apartments • Commercial Buildings Licensed General Contractor M4755 Office: %714) 676.0800 Larry Hansen George Appenzeller Res: (714) 676 -3412 October 18, 1991 Ras: (213) 946 -5169 Carol Nowlin Orange County Res: (714) 676 -5986 City of Iake Elsinore Department of Building & Safety 130 S. Main Street Lake Elsinore, CA 92530 Attention: Paul Smith We would like to request teffporary use of permanent power for use in testing purposes. We will take full responsibility for any damage or injury caused by this use. Thank you. Ui:cn 4,o T'eA c ON cv Sincerely, Larry Hansen President P.O. Box 205 * 7emewuka, California CIVIL ENGINEER CERTIFICATION FORK City of Lake Elsinore From: Elliot Uhrich 130 South Main Street Lake Elsinore, CA 92330 !37161 van Gaale Lane Murrieta, CA 92562 Date: 11/14/91 Attention: Building Department Portions of :pots 8,9 & 10 of Healds First 3.01•-1000YD Addition Pg. 205 -Br 4 _ X CPC No. Tract /Subdivision /Lot No. Rough Final Project Name- Lake Elsinore Commrici:l #2 Project Address: 265 San Jacinto Rd., Lake Elsinore owner /Developer: Sam Hsieh Type of Project: _Retail & Office Tr: wt Drainage Commercial X Other Industrial Yardage for Project: Cut 550 _ Borrow Fill 500 Export I hereby certify that the grading for this project;-- in compliance with the lines and grades as set forth on the City's approved grading plan. Any deviations from the plan are spat forth below. I further state that all areas exhibit positive surface flow to public ways or City approved drainage devices. Description of Changes: Elliotti :U e 2?p3t r Company: _ Elliot. Uhrich _ Name:l:ot License No.: 2203______ (RCE /LS) Signature: - --- Exp. 9- 30-93 1-25 -89 CIVIL ENGINEER CERTIFICATION FORK City of Lake Elsinore From: 130 South Main Street Lake Elsinore, CA 92330 Date: Attention: Building Department Eliot Uhrich 37161 van Gaale Lane Murrieta, C.A. 9256; _ 11/31/91 Portions of Lets 8,9 & 10 of Ilealds First 101 1.000`_D Addition Pg.. 205 -3k 4 _ X GPC No. Tract /Subdivision /Lot No. Rough Final Project Name: Iake Elsinore Comwrical f2 _ Project. Address: 265 San Jacinto 1W., Lake Elsi.ore owner /Developer: Sam 11sieh Type of Project: Petail h office Tract Commeri.al X Industrial _ Yardage for Project: Cut 550 Fill 500 Drainage _ Other Borrow Export I hereby certify that the grading for this project is in- complianca with the lines and grades as set forth on the City's approver] grading plan. Any deviations from the plan are set forth below. I .further state that all areas exhibi, positive surface flog to public ways or Citv approved drainage devices. Description of 0- anges: Company: Elliot Uhrich Name: Zjlig±_J&,r ich License rdo.: 22031 (RCE /LS) Signature: Exp. c -30 -93 1- 25-89 iti 7 3? 31 City of Lake Elsinore 130 Sn1!th Main 4rreef V AF, .ICATION NO. APPLICATION FOR P-:io r LGCTRICA . APPLICATION RECEI1CiD L PLUMUDiNG PERMIT DATE 7-/- NQ'rt NANICAf. APRtHAR.-E By J / T/ I certify that I have read this applicalon ord swe lhnt The DRESS d` J SR r/ above infcrr+ation is correct. I agree to comply z,rtil all city — L VlTt.N V old county ordinances and State lows relat•ng to build -g UCTCK PAGE taT PARCE! construction, and ' ereby authorize represe —wives of this ty to enter upon the above mentioned property for inspec. t,cn purposes. Signature of Appl or Agent Dole 1 h.•rrbr ofhrn ,Mr i on+ IKMitId Wtdt.r prc.•r.vs of CrVpTb V a n- .nc,. w.r. crw 70001 1 J or TT.e e.—sr., 0-d P•0- -ns Cod# cno mr I-ce. fr n ,r lull lorca AGENT FOR CONTRACTOR OWNER pnd.tt•rr ZLICENSE • ,- AND CLASS OT7 Bus"ss 7AKf NAME AGENT'S NAME JZ MAILING ADDRESS TAGENT'S ADDRESS _ _ n Xfi-i cnr r S STREET CITY STATE ZIP STATE :v Pt+oNE e-- A CJZ 7 g 7 t f 3-DG CONTRA[ TOR S SIGNATURE DAT( BUILDING PERMIT NO. ELECTRICAL Quc^ PLUMBING Quan MECHANICAL Quon New Residential Multi Family Fixture or Trop Furnace up to 100.000 BTUs ew Residential Single Family Building Sewer Furnace Over 100.000 BTU's rivate Swimming Pools Rain Water Sys per Drain Floor Furnace Vent Switches 1%1 20 Prsvote Septic System Unit Heofer Wall Heater Switches Over 20 Water Heater Vent Install Relocate Replace Vent Recpt. Oull•Rt 1 st 20 Gus Pip ng System 1 -4 Outlet, Ventilating Fon E Recpt. Out;at Over 20 Gas Piping 5 or More Outlois Exhaust Hood Lighting Fix °ures 4120 Dishwasher Firep:oce Res. Fixed Appliance Outlet Solar Tank Commercial Incinerator Non-Res. Appliance Outlet Solar Collector per Panel Air Hander 10.000 CFM 100.200 Amp Service *0 600V Grease Trop flnterceplor) Air Handler -4 10.000CFM 200.1000 Amp Sery ;ce 4 600V Instal, Alter or Repair System Fife Dampers Service Over 1000 Amp or 600V lawr. Sprinkler fystem Registers Misc Apparotis. Conduits ETC Backflow Device Smaller than 2 Boiler Compressor to 3 H.P Signs Bockllow De,,ce hrger than 2' Boiler Compressor 3.15 H.P. Sign Branch C rcuit Floor Drain — Boiler Co,* nressor ;5.30 H.P. Buswoys EA IOOft Floor Sinn Boiler Compressor 30.50rf.P. Temporary Po,ver Service Water Service Ahnr or Repair Drain or Vent uc,ler Compressor 50 H.P. Temp. Power T),stnbuho T S S. Repair Alter Misc. HVAC Equip. MOTORS TRANS(ORMERS Firo Sprirklers per Building Motors up to 14.P. SWIMMING POOL Motors Transformers 1 r0 H.P. Svr,mm ng Pool Public Molors Transformers 1050 H P. Swimming Pool Private Motors Trunsformor• 50 100H P Water Henfor Vent Motors ' Tronsfp mers 1W H.P Reploco Piping RDploco Filter Misc. Replace Got Piping R !S. DATE 11 190 PERMIT I30 South Main Street PERMIT NO: 91- -00001063 A E: 10/09'91 JOB ADDRESS . . . . . : 265 SAN JACINTO RD DESCRIPTION OF WORK . : ADD OR ALTER NON RESIDENTIAL OWNER CONTRACTOR HSIEH SAM OWNER HSIEH HSING SUI 16825 TWIN HILL DR HACIENDA HEIGHTS, CA 91745 A.P.# . . . . . . 363 - 140 -069 8 SQUARE FOOTAGE 18099 OCCUPANCY . . . . RETAI_L,RESTAURANTS,OFFICE GARAGE SQ FT 0 CONSTRUC`t'ION TYPE V- NOII RATED FIRE SPRNKLR VALUATION 1,600 ZONE . . . . . . NA BUILDING PERMIT QTY UNIT CHG BASE FEE 11.00 X 2.0000 VALUATION FEE SUMMARY PERMIT FEES BUILDING PERMIT OTHER FEES PLANNING REVIEW FEE PLAN RETEN`.'ION FEE SEISMIC OTHER PLAN CHECK FEE TOTAL ITEM CHARGE 15.00 22.00 CHARGES PAID DUE 37.00 00 37.00 10.00 00 10.00-341P 2.00 00 2.00 50 00 50 24.05 00 24.05 73.55 00 73.55 T fs N rr s THIS IS YOUR RECEIPT W4EN MACHINE VALIDATED 2R 0ir Please Read and Initial: City of Lake Elsinore 11. 1 am licensed under the provisions of Business and Professional 011--r ode Section 7000 et seq. and my license is In full force. Building Safety Division s2. 1. as owner of the property. or my employees w /wages o Post in conspicuous place their sole compensation will do the work and the structure is not intended or offered for safe. on the job licensed I e owner of the property. he exclusively contracting with licensed contractors to construct the project. A. I hove o certificate of consent to selfinsure or a certificate You must furnish PERMIT NUMBER o° lvcrkers Compensation insuranc ^r o cert "-ed copy thereof. and the JOB ADDRESS for each _. _ _ s shall not employ any person in any mannwr so as to become respective inspection: suf iect to Workers Compensation Laws in the performance of the Approved plans must be on job vrcrk for which this permit is Issued. Note if you should become subject to Workers Compensation at all times: after making this certification, yuu must forthwith comply with such previsions or this permit shall be de neo revoked. Code Approvals Date Inspector ELO1 Ternp Elec Services PLOI Soil Pipe U-tderyround EL02 Elec Conduit Underground BPO1 Footings SP02 Steel Reinforcement BP03 Grout 8PO4 Slcb Grade PLO1 Underground Water Pipe SSOI i._ :•nh Septic System SWOI On Site Sewer PL03 Rau h Plumbing EL03 EL04 Rough Electric- Conduit P.ough Electric - Wiring FLOS Rough Electric -T -Bar MEOI Rough Mechanical ME02 Ducts. Ventilating P104 P.ough Gas Pine -Test PL02 Roof Drains BP05 BP06 Floor Joists Floor Sheathing SP07 Roof Framing SP08 SP09 Roof Sheathing Shear Wall 8 Pre -Lath BP10 Framing g Fleshing BPI 1 Lothinq 8 Siding 8P12 Insufut on BP13 Drywoli Nuiltng P199 Final P umbing EL" Finn! Electrical ME" Final Mechanical BP99 F.nol Bulldino Code Pool 8 Spa Approvals Date Inspector P001 Pool Steel Pain. Forms P002 Pool Plumbing /Press. Test 1003 Pre•Gunite P004 P00: Pool Fencing Access_ Pre•Ploster ELOG Rough Pool Electric P099 Fin I Spa 5199 Sub List Approval aIlk City of Lake Elsinore 130 South Main Street V"PLICATION FOR UI BUILDING PERMIT VALUATION CALCULATIONS I it FLOUR. SF 2nd FLOOR SF 3rd FLOOR SF GARAGE ADDITION i I h-ebr ath.— I am Iusrs d under provnrons II Chapter 9 (comm ncuy _lh SKrwn t TUD)i 01 pr +new+ ] of rho but, *ss and Prolnst a% Cali. and my hcKisq is in lull forcqand ll.cr IKENtE• c"-v -! GTYeuSINE55 / J AND CLAS! / r fAX1 ZOVE: mpuw units c ='J`• T /L- 4 c" i il% /r' "V' APARTMENTS 1 MAILING HAZARD AREA? YES NO CONDOMINIUMS units SPRINKLERS RECIUIRED? YES NO CITY STATE ZIP pHnNr units COt1TRACT iS SIGNATURE DATE COMMERCIAL Lw L — i / / _.. _- • / NAME 1 EKENSE s 1 tAILING ADOIt[ss J CII7 /_ STATE ZIP - ? " 7 { N 1 certify that I have read this application and state that th,i above I„ formotron is correct. I agree to comply with alf city and county ordinances and sfcf& 'ows relahrg to building consirunton. and hereby authorize representah.,es of this city tr, enter upon The above-mentioned property for inspec- tion purposes. - - Dote AGENT FOR X CONTRACTOR OWNER AGENT'S NAME -- AGENT'S ADDRESS 2ZV,2L 4 C.;y -t "''I'. s'ST L S" F STREET CITY :,ATE ZIP REV CATE 11.140 i 74 ssi r Y G PE R.JI 1 PERMIT NO: 92- 0000102 JOB ADDRESS . . . . . : 265 SAI4 JACINTO RD DESCRIPTION OF WORK . : ADD OR ALTER NON RESIDENTIAL OWNER _ CONTRACTOR HSIEH SAM OWNER HSIEH HSING SUI I .+ 130 South Main Street DATE: 121'4,11§2 A.P.# . . . . . . 363- 140 -069 8 SQUARE FOOTAGE 9Z4 OCCUPANCY . . . . DWELLINGS, LODGING HOUSES GARAGE SQ FT . 0 CONSTRUCTION . . . TYPE V- NON RATED FIRE SPRNKLR . . VALUATION . . . . 1,000 ZONE . . . . . . NA BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 30.00 5.00 K 2.000VALUATION 10.00 FEE SUMMARY PERMIT BUILDING PERMIT OTHER FEES PLAY! RETENTION FEE SEISMIC OTHER PLAN CHECK FEE TOTAL CHARGES AID DUE 40.00 00 40.00 1.50 00 1.50 50 00 50 18.75 00 18.75 60.75 00 60.75 THIS IS YOUR RECEI ?. WHEN MACHINE VALIDATED Caerato Jobs Date: - 01 192 0! For-m.t: ONO-175 Tail P ent $0. T., REV (1l f 11 1 00 City of Like Elsinore Building Safety Division St §ufC OU p C. Pnot On the (O b You mu:;i furnish PERMIT NUMBER i and the JOB ADDRESS for each respective inspection: rLApprovedpion- must be on job at oil times: Cote Approvals Date In: actor ELOI Temp Eiec Sc rites PLOI Soil Pipe Underground EL02 Elec Conduit Underground SPOI Footings eP02 Steel Rninfo• cement Please Read and Initial: n, 1. 1 err licensed under the provisions of Business and Professional code Section 7006 et seq. and my ifcense is In full forts. I, as rywnar of the property, or my amployees w /wages as their sole compensation will do the work and the structure is Intsn" or affarid for hale. 3. I, of owner of the property, am exclusively controct:ng with licensed contractors to construct the project. 4. 1 have a certificate of consent to selfinsure or a certificate of Workers Compensation insurance or a certified cop- thereof. 5. 1 shall not employ any person in any manner so as to become subject to Workers Compensation laws in the performance of the work for which this permit is issued. Note: Ii you should become subject to Workers Compensation after making isrs certificotion, you must forthwith comply with such provisions or this permit shall be deemed revoked. BPC3 Grout BP04 Slob Grade PLO) Underground Water Pipe SS01 Rough Septic System SWOT On Site Sewer t PL03 Rough Plumbing f A EL03 Rough Ei.:i !:-Conduit EL04 Rough Electrc- Wiring ELOS IRough E!acrric- T_Bar- ME01 Rough Macho ME02 Ducts, Venfil. PL01 Rough Gas Pipe- fesr PL02 Roof Drains EPOS Floor Joists BP06 FfoorShe rhing BP07 Roof Framing BPOB Roof Sheathing 9 Shear Wall 8 Pre -Lath 0 Framing & Fleshingr'I lathing 8 Siding 2 Insulation OP13 Drywall Nailing Y PL" Final Plumbing EL" Final Electrical ME99 Final Mechanical BP99 Final Buildins Code Pool R Spa Approvals Dote Inspector POOL P002 P003 Pool .:tea! Rjin.!Forms Pool Plc_• b.ngiPr;si. Test Pre•Gunile P004 Pao[ 1'e +icing /Acc.ss PO05 ore- Plosisr EL06 Rough Fool Electric i P094 5L99 Final PooliSpn F nal Solar _ S,1b list .Approval —