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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