HomeMy WebLinkAboutSAN JACINTO ROAD 265_04-00001676City of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 04- 00001676 DATE: 8/23/04
JOB ADDRESS . . . . . 265 SAN JACINTO RD STE E
TENANT NBR, NAME . . UNIT E
DESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL
OWNER CONTRACTOR
CALIF. REO MNGMT CORP. OWNER
A.P.# . . . . . 363 140 -069 8 SQUARE FOOTAGE 3500
OCCUPANCY . . . OFFICE, RESTAURANTS, MISC GARAGE SQ FT 0
CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . 35,000 ZONE . . . . . . C -0
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 352.00
10.00 X 9.0000 VALUATION 90.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
12.00 X 1.0000 SWITCHES / 1ST 20 12.00
20.00 X 1.0000 RECPT,OUTLET / 1ST 20 20.00
11.00 X .4500 RECPT,OUTLET / OVER 20 4.95
20.00 X 1.0000 LIGHTING FIXTURES /1ST 20 20.00
20.00 X .6500 LIGHTING FIXTURES /OVER 20 13.00
1.00 X 27.2500 100- 200AMP SERVICE<600VLT 27.25
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
PLUMBING PERMITS
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 5.0000 PROFESSIONAL DEV FEE
10.00 X 8.7500 FIXTURE OR TRAP
1.00 X 11.0000 WATER HEATER OR VENT 0
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES' 1
BUILDING PERMIT 447.00 .00 447.00
ELECTRICAL PERMIT 132.20 .00 132.20
PLUMBING PERMITS 133.50 .00 133.50
CONTINUED ON NEXT PAGE
fiUII I L J.t e[ t 11 I r n
Nita in Loncpicuttus place
on the Joh
l' I'll , lilt i • h; }'E R V I f \ t %I BI R 1!lcl i tie
IMi \ 1 )f )rkL- ," , -I - 1, 11 12,11""13 e 1. "Pe: to'll
il 1, `t,
Please Read and Initial
1 1 am Licensed under the provisions of Business and Professional
Lode Section 7000 et seq and my license is to full forte
2 1 asow-nerol the property ormy emploveesw /wagesasI heir sole
compensation will do the work and the structurr Is not mitnded or
otlert-d for sa!e
3 1 as owner el the propcnN am exrlushely contracting with licensed
contractors to construct the project
4 I ha%e a rentOcate of consent to seltlnsurc or a certificate of Worke rs
Compensation insurance or a certified copy thereof
5 I shall not emplo% am person in any manner seas tobe•come subject
to Workers Coompensauon Laws to the performance of the work for
hick this permit is issued
Note 11 tiau should become subject to Workers Compensation alter
making this ceruhcauon you must forthwith romply with such pro-
visions or this permit shall he deemed revoked
Coce AocvJ•, a s Da e I -scec J•
Te—o E ec S? -•- es
PL D' So Pne U- ce,0.-c
El D2 E e_ Ca-c_ U- c•Lcco - -c
3P,2 S e- Re -'o -e—e-,
SP`-: San ace
3r_ 1 -oeca_ cWarRoe
S.s•e-
S,' 0-Se$
4 =- Rc_-'
M- 2 D__ s '
3a Tes
rev ^ c
F a— =ac--
3P D -, ,8
3P
EL ;P. e,: •_a
c - -o
C•aee Poo S Saa Aa_+e:a.s Da a Vs--c
OTHER DEPARTMENT RELEASES
No t ^s e_ a Cc-partment Approval re- qulred prior to IYte
budding being released by the CityPia. IJJ See ne- =- — s
PD;, moo ° — °-ess Tes
PD :3 P 2 G- -'e
Da'e Inspector
Pta -
S -o L s A,c c a
La -csca^
JC,- Pc,, F- Access
Finance
Eneineenn
P:10 a °JC. Sao
I
l
City of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 04- 00001676
JOB ADDRESS . . . . . 265 SAN JACINTO RD STE E
TENANT NBR, NAME . . UNIT E
DESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL
FEES: (CONTINUED)
OTHER FEES
PLAN CHECK FEE 331.50 331.50 .00
TOTAL 1044.20 331.50 712.70
SPECIAL NOTES & CONDITIONS
Tenant improvement for SALON SAMARIA.
DATE: 8/23/04
PAGE 2
lid
11u11_ ?ii1L' ,tt :i Ili t l 'n
Pw,t in consplcuow, place
on the Joh
1 %1111-R Ind 111
i f ` Cti h.lil i)ll' i i,: `11 !i'h
ill iinl
Please Read and Initial
1 I am licensed under the provisions of Business and Professional
C ode Section 7000 et seq and my license is In full force
2 1 as owner of the property or my employees w/wagt-s as their sole
compensation will do the work and the stricture Is not intended or
offered for sale
3 1 as owner of the property am exclush'eh, contracting with licensed
contractors to construct the project
4 Iha% ea certificate ofconsenttoselfinsure ora certificate ofWorke •r5
Compensation Insurance or a certified copy thereof
5 1 shall not employ any person In any manner so as to become subject
to 'corkers Coompensation laws in the performance of the work for
which this permit is issued
Note If iou should become subject to Workers Compensation after
making this ceruficauon you must forthwith comply with such pro-
visions or this pxrmit shall be deemed n•%oked
Coce Axvoa: a s Da e
EL. , Te,-o t ec -1—.4es
L' o' a oe U -ce•c, r--,c 8 y
FLT_ F a- Ca -c_ • U -ce ,o - -c
8F" Fao' s
3P1,2 S ee, Re -3 :e -e-
8 P':3 G o
BF'- a7 G•ace
SS-3 Ro_-- Se, ._ S.s e-
svic, S e S_-~ r
q ^^ C -
C> -i: C - C -p a -
I
e:
5,
ZQ
n 4 ^5_ a i
y ,l
6 a- 5 St -
Ems_ -::I
i.tEay F -a
E ?% F -a E- c
CLCe P:o s SDa Axeo.a s Da e 3
OTHER DEPARTMENT RELEASES
Depaiiment Approval required prior to the
budding De r)g released by the CitySee = _ -_
moo_ P__a -- °-ess Tes
PDIC3 P e G -- e
Da'e Inspector
Pia- -
S_o L s A:i. -f
La- ,cscz e
Poc- Pao Fee -`c Access
Finance
aPese
Encneerin
D„- F a Poc Sae
City of Lake Elsinore_
130 South Main Street
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER: :55-VV SF
J J VALUATION:
FEES
BUILDING PERMIT $
PLAN CHECK
ADDITIONAL PLAN CHECK
MICROFILM
COPIES
IMPRO FEES SCHOOL FEES
PAID
DATE
1 certify that 1 have read this application and state that the
above information Is correct. I agree to comply with all city
and county ordina ces and state laws relating to building
constru^n, and by authorize representatives of this
mentioned property for inspec-
of Applicant or Agent Date
FOR CONTRACTOR OWNER
AGENT'S NAME
AGENT'S ADDRESS
APPLICATION N
APPLICATIO RECEIVED
DATE
AP k y?q By
BUILDING ADDRESS
TRACT BLOCK /PAGE LOT /PARCEL
NAME
O
MAILING !'
ADDRESS 1
HO E[ry !'7 (J71 /j
G / /(^ 1 f .)_— / % 7
CITY t STA E /ZIP
Z
I hereby affirm that I am licensed under provisions of Chople 9 (commencing with Section
7000) of Division J of the Business and Professions Code and my license is in lull force
and aH-1
LICENSE 11 CITY BUSINESS
AND CLASS TAX r
0 NAME
MAILING
ADDRESS
CITY SIATEIZIP PHONE
CONTRACTOR S SIGNATURE DATE
u
NAME LICENSE N
Z
v
MAILING
ADDRESS
a
CITY STATE ,ZIP PHONE
NEW REPAIR
OCC GRP / CONST.
DIVISION. TYPE -
ADDITION MOVE NUMBER OF NUMBER OF
STORIES BEDROOMS. ALTERATION DEMOLISH
OTHER ZONE
SINGLE FAMILY units
HAZARD AREA? YES NO
APARTMENTS units
SPRINKLERS REQUIRED? YES NOCONDOMINIUMSunits
CITOWNHOMES units PROPOSED USE OF BUILDING:
PRESENT USE OF BUILDING:
COMMERCIAL INDUSTRIAL
JOB DESCRIPTION I ffiE
Date: Receipt no: 63%
2M 1676
BP BUILDING rUMLT I $33F%
Trans nwitler: 77773
CK CUM H62
Tcana data- f./71 /ou Ti— 11—K11-11,111,
r,c•i n. rc ,.tan
City of Lake Elsinore
ain
J/-Tl r 'A APPLICATION N
APPLICATION FOR PERMIT
APPLICATION DATE
AN BY-
ELECTRICAL / PLUMBING / MECHANICAL
BUILD S _/
Q (/I TDIherebycertifythat1havereadthisapplicationandstatethattheCtG ,
above information is correct 1 agree to comply wrath all city and county TRACT BLOCK/PAGE LOT/PARCEL
ordinances and stato4aws relating to building construction, and hereby
W { O S u
r 'czLGelEADDRESSLGLC
Signature of Applicant or Agent
R C TY
Date
r
STA P
PT
I bereby affirm that I am licensed under the provisions of Chapter 9 (commencing
C with Section 7000) of Division 3 of the Business and Professions Code, and my
circle one) O license is in full force and effect
AGENT FOR CONTRACTOR OWNER N LICENSE # CITY BUSINESS
T AND CLASS TAX#
AGENT'S NAME R NAME
A
AGENT'S ADDRESS C MAILING
street city state zip T ADDRESS
O CITY STATE/ZIP PHONE
R
CONTRACTOR'S SIGNATURE
ELECTRICAL Quart PLUMBING Quart MECHANICAL Quart
New Res. Multi Family / SQ. FT. Fixture or Trap 0 F.A.U. / Furnace / Ducts / Vents
New Res. Single Family / SQ. FT. Building Sewer F.A.U. / Furnace /Misc. / > 100000
Pool Electric System, Private Rain Water System per Drain Floor Furnace / Vent
Switches/ 1st 20 12, Private Septic System Unit Heater / Wall Heater
Switches / Over 20 Water Heater / Vent Install / Relocate / Replace Vent
Receptacle Outlet/ Ist 20 Gas Piping System I - 4 Outlets Ventilating Fan
Receptacle Outlet / Over 20 Gas Piping 5 or More Outlets Evaporative Cooler
Lighting Fixtures / 1st 20 Dishwasher Ventilating System
Lighting Fixtures / Over 20 2Z Solar Tank Exaust Hood
Residential Fixed Appliance / Outlet Solar Collector per Panel Fireplace
Non - Residential Appliance / Outlet Grease Trap / (Interceptor) Commercial Incinerator
100 - 200 Amp Service < 600V Install, Alter or Repair System Air Handler > 10000 CFM
200 - 1000 Amp Service < 600V Lawn Sprinkler System Air Handler < 10000 CFM
Misc. Apparatus, Conduits, Etc. Backflow Device Smaller than 2" lFire Dampers
Signs Backflow Device Larger than 2" lRegisters
Sign Branch Circuit Floor Drain Compressor / Heatpump - 3 H.P.
Busways / EA 100 FT Floor Sink Compressor / Heatpump 3 - 15 H.P.
Temporary Power Service Water Service Compressor/ Heatpump 15 - 30 H.P.
Temporary Power Distribution System Alter or Repair Drain or Vent Compressor / Heatpump 30 - 50 H.P.
Motors / Transformers Fire Sprinklers per Building Repair / Alter Misc. HVAC
Motors up to 1 H.P. Swimming Pool Compressor / Heatpump Over 50 H.P.
Motors / Transformers 1 - 10 H.P. Swimming Pool / Public
Motors / Transformers 10 - 50 H.P. Swimming Pool / Private
Motors / Transformers 50 - 100 H.P. Water Heater / Vent
Motors / Transformers > 100 H.P. Replace Piping
Replace Filter
Misc. Replace
Gas Piping
Tom Tisdale
Fire Chief
Proudly serving the
unincorporated
areas of Riverside
County and the
Cities of
Banning
Beaumont
Cahmcsa
Canyon Lake
Coachella
Desert I lot Sprigs
Indian Wells
4.
Indio
Lake Elsinore
La Qumta
Moreno Valley
Palm Desert
Pems
Rancho Mirage
San Jacinto
Temecula
Board of Superviso,
Bob Buster.
Dmna I
John ravaglione.
Dntna 2
Jim Venable.
Di%Inet 1
Rov %Vilson
Distnei 4
rom !1Iu11en
Dmna 5
RIVERSIDE COUNTY
FIRE DEPARTMENT
In cooperation -with the
California Department of Forestry and Fire Protection
Fire Protection Planning and Engineering Services
4080 Lemon Street, 2nd Floor • Riverside, California 92501 • (909) 9554777 • Fax (909) 955.4886
DATE:
TO: _
SURVEYOR'S OFFICE
I. BUILDING AND SAFETY
TRACT /PARCEL MAP NUMBER:
PERMIT NUMBERILOT #: Z A— — (2
JOB SITE ADDRESS:„ , Gr'?y lQGuC - 2
FINAL FOR RECORDATION
RELEASE FOR BUILDING PERMITS
SHELL FINAL ONLY (NO TENANT)
FINAL FOR OCCUPANCY
FINAL OCCUP. TEMP. EXPIRATION DATE
BUILD PLAN CHECK FEES PAID
MITIGATION FEES PAID
I; MITIGATION FEES NOT PAID
f FEES •VV1 Kl QLTikED
I
IF YOU SHOULD HAVE ANY QUESTIONS, PLEASE CALL THE RIVERSIDE COUNTY
FIRE DEPARTMENT, PLANNING SECTION AT THE ABOVE NUMBER.
II
FR,4NK KAWASAKI, BATTALION CHIE
KtLEASED B Y ,
1 1 -14 -01 /em m