HomeMy WebLinkAbout133 MAIN ST_
S =+ = �-- 7:^jq �• of Sign City of lake Elsinore
t'��-> '/ , C-Electric �n{le-uric SIGN! PERMIT
PCO;e[•�S' ._•.1 J i J�-'\
pyAM�•ca••t's IlAtrling Address. Description —� Programs
Orvf-el$Name 'V-_�.
Campy r /i
u t� Shopping Center lln-,egrated dev.AdcL-eu ❑p_ Attraction Board J By Owner/or Lr_:by CIIV CITY OF
Arch F,r, __-_-.- . -. -__—L,c>nse Nc Adve:tisingStatuary Date letter sent
1 - - - T _ L� Other n yPdoile
Tract Sign(Security& ight of
Office U
Co-ifael f nr s Name�__4vy_r tom„_;_ _ n�ne_ _ F Variance
I ----' P Entry Agreerent s 0 PlanrKd S ni ��� 0'/
A!1Jr.-ss mar1,l/91_ -• ----- -- - f i9 n9
Special Event 1?CVueSt form wbnr<.te'.1 ri.P.No. Zonii'g -
':it, 1. cen;e iNo _ r Change of Copy(amortiz3t_son! r C.U.P-No
LICENSED CONTRACTOR DECLARATION I— rrourMl r�' �' _ Illuminatian Sign Dist. Date Received
I -•..•eby affirm that I am oceri un•yer prerrs,on;,f Cnarter 9(com•nt'cO ,; Wall r�J �L 1 `r "ry-� l
x� sect-,,, 7000) r t D-..s,on 3 of the Basmess and Prefess,urs.Cc-e,and j` -� Non-Illuminated Reeeind by —
mot'<ense,s in fun force and effect. LJ Roof L - -
Interior Illummatoon !
License Projecting No..___-____—_— Pro Exterior
1roRtay! �!
_ ' 't9 c n xteor Illumination �I ZGW�C.i•
One rl Construction Lj From Ft, Street:
VVORKE/RS" MPENSATfON DECLARATION Convenience Right' Ft. Street- "
-t•e� arhrm at !nave a ce,R consent of nsen!to stir-mSart or:ce•uf,ute - -
rJrr.crs' G.m nsatrun Insurance. or a certified copy trerto• (Setltan C Super Grapt;c Left' Ft. street
3aOO. VD. [.)
f S Pni,cv N.,. _ COn1p7nY_�__ -�Z.l..T --t'l..., -- Rear- Ft. Street: ._.__,..-
Cetnt-ed CODY'I,hUel. urn,shttl. - ` vl � _ ^
Ceritowd copy Is file?wet he city Budding Division. I Build set bsdrfrotn ultimate r' ht of way __.it.
APobc,anl ��_ ELECTRICAL FEES INSPECTIO. APPROVALS g
f EXEMPTION FROM WORKERS"COMPENSATION DECLARATION Fictures Sign Date Sign Locator
(Tn,t seciron need not he completCd.t a pe•mit-s for one hundred($I CO)or
icer
Cert.ry that :n the y arf,C mance of Ind w nor wh.Ch This perm,t is,ss�ed.I device Boxes — Underground Conduit Front .- — Right !.lit
Y + Y persun :n any mannC n at to DCCnm^_ SUDltet 'O Inc
ris' Compen$a lion Lzws o: California. Outlets Sign Descri lion
NOTICE:If,after mal•,m) toot diroari!ion,you shoo Decor-•c suD,ec' the Switc-tes Sign Dinvitsion3 / Area Let"?"glut
t :.•••.eft' C•cnpcnsatiu.• olov,s•ont DI the UDor Cotl viol
r — •g �fr 1
w-tn such p.nvis.nns nr th,t oCrrrd Shall p atoned •evn:Ctl.
1 Foundations
CONSTRUCTION L£NUI:IG AGENCY SigFoundationsr rvx
cl4
ot y affirm trial there,s a cf-nstruct-tin Icnd,nq..nencv rnr snc ncr•o•manct It) x sQ,ft. t
r f ••,e w nor h.ch s a tn.s permit issued iot na 3047 C,v. '..1 Standing Sections
Name
w c / r !/
7 Lc••rr!r•SAnflrest - __. _ —_ -_. --, _._ - -__. ___-- (2) x. N.
OWNER BUII_OER DECLARATION Rough Wiring
n erLLy affirm that 1 am c■tmof from the Conira-.tor's L•cc,tsC a••. f.^.r tnc !
t (3)
rw• , rcau.o t5cchnn 7031.5 Business and Prnfcss.onal CtiCc: Af,v C:ty or .�tt M "�"�`t•'t'
y v.t,,rh red...rrt a ocM, to Lnnitfuct,al:cr,,mCrnve,demolisn ri, repat,
am t•••,r.inro, t r•or to its issuance,also too...et the appt,can: to, tuCr;elm,:
n t,.t• a t.nntd st a'emrnt trtpt nli�she .s l+ccr:ed pursuant to cite prof-s,nn',.if
•r,n fr-olr.utor's LiCCiae Law(Chapter 9(cmnrnencmg with !i, On 700(1).,t {feint of Information: Ill
C� s. -• 3 of ant, Business and Proles:-ons Code) fir Ihat celshe of firempt Flaming
• .h..n, and file t•-as,s Inr %fit a:tcyr-t1 exempt nt- Any of Scct,on Total for Aetivi;
J TLt 31., hY a,,v apnht..in: for .1 m
p=r ,t s,.D;rcts theacivil applicant to C ,t Inge Fee
1 `r atty of ma mr,re lhan love r,undied dollars tSoi001.
�.r. at ,.w„cr tnc prnnr•1v nr my emolnvees :.-try ,.37r_s as tne,r s•„r -- COPY VertklgC &YLde
:.,mprnta'u.n will do the w,.r✓,.inn one tlruct uric r, nr.r mlcode or ��
laic ('rent-,,,, /044, P.uvnrtt ann Pu,fess"wal C-ode: The Cr.ntra_tar Valuation $ �, ! -�-.
Final Electric `-
t,r cn•r l_.ror d,u:;r.nt apply ter,u,nnrcr cal.: vself ,, who h+olds nr,li nr nvv
I ;r nr r,lli, .:,•d Wr,-, dr,n•, tor.•, W.rIL ,IIn11C1 t'nil tCll r.l !r�Illl fit. rl,t Or htI nWn -ice _--- — ^ —
+.po,yrct. Kilt
P•.•rncn gnat tuck tmpn,vcmrnts arc tint ,n:cr.ned nr ,flertr for 033fYj3.33141Piat:nmgFie S
ta'[. Ir h•.wivef,I7ic hu,ld+mt .I, .n,rlr(,vtjnrnt,s sntd w,thifi one /ea•r,t CC.M 11011(11f1 FCC S '_—
ri(: it. the•,w,cr ; to n,,ve ine nwee!n of proven•)hrrinC did not t)Il,'•J no ,nl• tt —
rlrnve I.., 11m Pnrnrisc r.I ta•f•1• Elcclri:al S .____ Ground Sign: Oderat p __ Pi
Final Plannirq 9 iht
1 nwnr•r ,r ,hc ny.a,•i rxr h,stvr,y c•rntratr+•,q w•tr, .,CCn;.rd c•;n• 0133(lli-3312 hub Toial S __--.-
rrarl�,rt+.i r,,,ittrurt tot c.•t,BrI (Suel.ton 1043,uu:+nest and Pr„+rss,•,ns Code --
C„ntr acts•': 1✓year l..wr duct n or aPpiY to ar owner of p•naerty wf.n Plan C'hrcic S __. r/_ L_ I Ground Clearance
t.nnnt .,r unp•.,vc•. tnercrm,avert who c,,nir.ctt rill sucn wniects w,tr,a con. oiled.P.C. S
'•a•.+•-rt;) urrtisc owsuaw to -no f i„tfaC+nr's ,.,Ccf.W Law). I am anarc that a33p0-33 0 Sub-1111al S _--_--___---
pro•:- ,A thr,r Won�rr•s C•,mnMS,iLrn MSuraf.;;p Shuu'r:1 nC Prnv.dCd ;n mC. , Total t.0f.
#110.23L Sall S .___CC _ Final Sign v�
I an,c.c...pi under Section - B.L P.C. for in.%reason •I,if al FCC, ;
R �� - - / J:T This activity
Qat•• 2 1 1 7 ..t,(1 r)wnr• •'' , r;r`.aLo. �}.':.. .L/!'..ry_,_.k
i nercbv cat tot•" that 1 have lead ih,s a.IpLLahnn and state trial Inc above --
.nr,rrru u n .s att enirect, I awre in comply wdh ail etty anc county rnd,nancas DEVELOPMENT SER �.,Agr
ENT Notes:
nd watt taws reutmn to Dn.ldmr cnnttruchove,and htroo atrt lnnra ra re•tel.ialrves W (his r•1y to enter/uprin true anuve-mentioned property for Planninyl Approved BY DataGl
.nspaa,on our Qsrs. ! -n y /
S.gr.atufc . Date Building Approved By: --- ^-----_ Data
l to.verV Ltcensc or SS 4 ;36 _ Application Issued By: .- -fT___ --_e._....—.._ Date
While-Building;Conory-Applicant;Pink-Assessor;Goldenrod Accounting r
CITY OF LAKE ELSY110RE �.
BUILDING DIVISION
,
O W N E R - B U I L D E R V E R I F I C A T I O N
A city or county, which is required to give notice pursuant to
Section 19830, shall attach to such notice, and, as a condition precedent
to issuing a building permit, require the completion and require the return
of an owner-builder verification.
Attention Property Owner:
An "owner-builder" building permit has been applied for in your name
and bearing your signature. No buildings permit will be issued until this
verification is received. — -�
1. I personally plan to provide the major labor and materials
for construction of the proposed property improvement.
Yes No
2. I ((ha /have not) signed an application for a
bui ing permit for the proposed work.
3. I have contracted with the following person (firm) to
provide the proposed gonstruction:
Name
Address
Phone ( ) ! Contractors Lic. #p
4. I plan to provide portions of the work, but I have hired the
following person to coordinate, supervise, and provide the ,
major work: i
Name
Address
Phone (714) Contractor's Lic-.#
5. I will pr.)vide some of the work but I have contracted
(hired) the following persons to provide the work indi^ated:
Name Address Phone Type or Work
(If. additional space is required attach subcontractors list. )
I hereby affirm that I have received a copy of the information set
forth in Section 19830 of the State of California Health and Safety Code
and have complete the above information to the best of my personal
knowledge, in compliari,-e with this 'tate Law. p
Y- Signed: �� ��� u Date: !G
1 ;
(Printed or Typed)
�4 Drivers Lic. # or Soc. Sec. #
i
gow
1-7
CA)
---ter- - --�_- -------- --- ------- ---- ___� �
CITY OF LAKE EL S'NOaE&BIDING SAFETY DIVISION
Date-
NOTICE
Stop Work i Correct Work
Job Address _ j f•;. l y,
Permit Number-4a ,7y 7 /
ice✓I(� I�..-i'i� r/'l ._.C.��-✓� J'� '> .i �� t l- r- 'i
C r _
T
Division inspector
e APPlicant to fill- CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
Addees, in an spaces excep,tho*Within hftvV borderline,and sign a.'I appropriate
Arch,Erg PERMIT No.
rig- TRACI decis
-7, -rations
Zldre,�s ---Lcense CIL., LOT No.
___ I I I TYPE NO.
Contractor's Na.. 0FCNSnWj" UNIT.
a CORV
-sm
-qodress Irn3ji, of
Cis) Pho�e DESCRIPF WoRlil-wi CC; ADERATION *%/Di PAIR
QIV License No. -,IN
LICENSED C TFPE OF pEft
"i'�IYTRACTOR DEC GRAD---- IT GRADINO
Chat I 4r-1 hct,se, OMER FijU1,
"o-by 11 1 S
zlZ 7 uncler I 1Aain Buildim
nuflBj r -HXNIC.. E
0003 Of D.V'S'an
n rot 140 one
)VY!,ce I force an VI,,von,or Chj!:,, rho T� Fran!
-1 elf,c,-f --e Bos-roess and Pfoless:ons Cole, PRGIECT _Acc B-ilcliq-
CA,•Ise CIA%$ rot,and
or
S:;nat,,, S7 Ft
�EjCeo,Se:Jo_ Cazttrt+tD z
111`0�*fns-C Zone
�C:1' ------- S ILI ------- Right 0
1 114!�e OYAPFNSATIO,%D --C2-Z:P_ � Acres
DECLARATION PCS
of "7C "a'rh3ve A ctrt.,,r,:,oj Rem3;ksJy� LeftiN
conse S
'4800 'N". Ca!'" 11so,ance. or a zj:�--Z7
tj re Fit
0. to- lsect.o,i
copi, -I.. Ping. Re
L4 Certified- Compary ;G
Lj C�-Ir-fied c WT. , ireby fu,—.iL., Planning riot-,$ Parkin Rel/Provided
x
Date Co is is, W.I.%?Ile Co. of
--v Mir'sior. ----
E7CE lom FRO 0
M.S sect
I on need not or`CXERS-COAC`E;NS TI0"DECLARAYi'or4 • -------------- - T
Perf? m4,1ce,3,
any r�, r. - ----------- S
LOM"n;4,0, Jr.y man-
SMI)IOY a the .ol Ir.,
in tthalthe com;)Ieten of "":)Von"' 'Or one (S 100)or
t trot t
"n SOJS is ss�.n I Date f oecon
NOTIEE.. PLUMS
wit-, or
V.-OrIels, C
"c L4 Aft r. Re airTEES -Rf
-�r C�,d, CAL e
CONSTRUCT10j; rc,m", P�-., I Auto Wash
I re-er-Y41f,'...I?, ENDING AGED. v 71- Enerator
G FEES
ItBacknow N 051A(W-L-L -ISKW' —IVECH
-V<,rk to: j7, 2 !vi C
c e'll;n.i C Cr I Londe, --�nsyuqj�on Pole S b i BoilES
Nam. ACCf.
Uarkf!ow I,r- CSIDIC
1:;;�ation oucl-U
Ald-eisarcs o, C.1 __I�Unjl ,-Giound 04DING FEES
.,e,tty ; Pole Light C,:i
OWNER BUILOE R - Clarifiers
,6; attrr- am sh ---cu yards
co 1�:; ez,�,n er --P�Yers::Gas ffE-Ii� -venwattim C-3ot'a-, - . --:z---- - -----Cu t,re T! - Fan -jj�h-7-C- ------ I ;, --
ap.�ea. 1?-Gj3,r, for. yards
I Urenrr,;)roof cc S.,-csi et S
'Isea Floor Brains
• .33
Dol-r
-mat c%t no.- a
c T�
Floor n-ks -Du-ling S
th"e.;, o -'Ile husiness j,,:3 PIC, (,nn,,r., ."I,C'of
70 an., the ha -cs; so�- --
Inr cocle; -n , vica
Sn.-' at 11.'sne ., 't)1: !-' ILrv.*Ce Outlets 3.5 by any 'vol,�'a 'n "i --TCas�Ser 7 100 000 e,
t in -1 CI ,-,-n-. Interco - 100 0 1
nl a -10 BTU
C.vli
Iwrier Of ea(Ier rtl 001,car.? pig
"jwj -h� tors HOod or Canopy ty no.more ja
a, '-,v ntn f!
P T I— Met-,
0' -loe (S ',.n -4-1-L U
License L,-ecr 7 3. to 200 amps---- -4-Type I
v,(I)CIS n,)t;lo,,, n ernit F2
8usiness jm� j�'"I-C-Ure S miens;'Cs as Roof Meter ov-a, C - I Refria,
Ps y,
$ stem
Ire DUn C Sub anei
4 n c v,n,, I S,,,, 00 Y
7� - -
100 000 BYU L-;100
sale 1, v: co J r, _railer Se,,,, 0
o"w,llr�l �, ' 71"" "'sell 7�i
'e", _Ooo BTU-er Cap e, aci.fill CBO
-a , "'79WeTt-o�-n Transformer 5-50KW S
'Ile F
P-'
f7et-of -ar C, c irin-Bldg -L"-e-n!RePaif,'A�
or
C,a�'. 0, - T---- ----- E-` 50-,KW M. Solar C6F1—&cj--z24--- Motors 0.1
or$
The ant Fire 0
C':' r Pi •b..,aS L,cen Mn:;-on 7; 13 n.
ph" :r, egisters
OU'Suall n.an I �n,, " ., E t* $
C"m"` not.11, ness drili •..r **,a at :�,9-15 IT El 16-15 f
;-'k;%�.-.C,." T ----—-4--
0. P* Si -- i 10 231
SWC? Pro,".S :Solar Tank �111 Res. -- Incinerator (IJ-PP
Am I"Imse bW ES $ -.��ye I 6-n S nswar., ,, %�Jrntnin Y" F- R Ou t'a 1 1-.---- 110232
the'r vorwi. C")` I,.(. 'I"Ira .I . I c"G. I
• moensanon Liw)
CC-In + a
6'a�,e Heater
3360,331
by -7 of Pbri a
he in Ile V his Palo, tck Fe"
IS to fact •I Opt); al
and �Is-S.;2---
sen I a I It ton I aria 'face that the ar":'Ve Its (;f n all I -Y 4"t cnunlin in's C, If tr)rwr J11(f 11-r,b
11 �nn ourf),-11 e y At qa�ces
1-1-16 1 anr-,r.m,,'1�;onea Iffn MVEWPUENTSOWTES 3
c ,- --- f
L v _C of
%"all Awmd 4, Aiecraiwal S
fig file Awicab" 03141
U Accoun,,,ng Date
NNFWARmill 3360-3375 Pjj,,,j
OW Fen on
1A
W I
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e=.
C: Y OF LAIC... E:C:27OR:
S: :LL:27G DI,':S:027
A city Or county, which is reo-.;ired Section 19630, shall attach to such to cwve notice Pr-rs;:aa t tc
to issuing a ; IIOtlOe, and, as a cond-;t-On
building Permit, require the coaplet- precedent
of an owner-builder ver;f� ion and requ;.re the recur::
cation.
Attention Property Owner:
An "owner-bu:leern ;
and bearing bu_ldina permit has been a li
your signature. 2�O bu Pr-_ee :for it yoLr nary ildir � ,ve_ _ca. �on is received. ----s e'Ti` wi U be 'ssued ur-;
ersonallr
_ Plan -o provide the major labor and ma::eriais
. o Yesnstru110 an �� 'the proposed property improvement.
2. Z (have/have not) J�
building permit fo: +y�v —_ signed ar;
..h application for a
e proposed work.
=• 1 have contras with the
provide the -out following person (fi_) t0
Name
P-o ' construction:
Address
Phone ( ) _
Contractors
4. nlan to rOCide DOrt f t1
fallow p eons o_ .pie wo_}: 'but inc person to door'= 4L` have hired .he
ma or dinate! supervise, and rot
] Work: Provide t.1e
Name
Address
Phone (7�4) Con
tracto_'' --
's iic.
5. : wi l P*'cvide Some r �-
(=�ired O' the work but : have contracted
) e following persons to provide the wo':k indi
'.arse J/ hdcress Phone cated:
i''vtie = w=
(If addi -Ona,; spa :.s reot::re;; attach subcontractors Izst.)
=o="`�h in herebon affirm that ' have received a cape of the information. set
9E30 0_ the State of California Health and Safety Code
forth
have complete
:rnowledge, ir. ca , , the above' information to the best of my Personal
L' i�- .is State Law..
Signet:
Bate:
Name:
c Or ypec)
Drivers Li^. # Or SOC. Sec.
d �
- ------------ CitY of Lake Elsinore
PERMIT 130 SOU2h Main Street
PERMIT NU: 9:-00000597
JOB ADDRESS : 133 N MAIN ST DATE: 5/23/91
TENANT NBR, NAME : NORTH MAIN ST ANTIQUE MALL
DESCRIPTION OF WORK . : ADD OR ALTER NON RESIDENTIAL
OWNER
L,0 ALF D JERI-- CONTRACTOR
OWNER
A I'' 3 74-174-003
OCCUPANCY RETAIL,RESTAURANTS,OFFICE GARAGE SQUARE FOOTAGE 0
CONSTRUCTION
VALUATIOK TYPE LT- NON RATED Q F 0
• 500 FIRE SPRNKLR .
ZONE : NA
BUILDING PERMIT
QTY UNIT CHG
BASE FEE ITEM CHARGE
15.00
FEF. SUMMARY —"-
PERMIT FEES CHARGES PAID DUE
BUILDING PERMIT
OTHER FEES 15.00 .00 15.00
PLANNING REVILW FEE
SEISMIC OTHER 10.00 .00 10.00
PLAN CHECK FEE .50 .00 .50
9.75 .00 9.75
TOTAL 35.25 .00 35.25
SPECIAL NU'PES & gONDITIONS
INTERIOR PARTITIONS
THIS IS YOUR RECEIPT
WHEN Nr"41NE MIDATED
0-5 2s-1991i 9t 16 AMiis35ACC .
#302•-148C2i MAIN T#:1(10-3220-
STREET ANTIQUE MAL
F'ERFlI T #91-59
REV.DATE 1:•1.90
_ Please Read ono Initial:
City of Lake Elsinore 1. 1 am Licensed under the provisions of Business and ProNsslonal
Building Safety Division 6.1pCode Section 7000 of seq.and my license is hi full force.
71/1 2. !, as owner of the property, or my employees w/wages as
Post in conspicuous place their sole compensation will do the work and the structure is s
not intended or offered for sole.
on the job 3. 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project.
i_ I have a certificate of consent to selfinsure or a certificate
You must furnish PERMIT NUMBER of Workers Compensation insurance or o certified copy thereof.
and the JOB ADDRESS for each S. 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 issued.
at all times: Note: If you should become subject to Workers Compensation
offer making this codification. you must forthwith comply with
such provisions or this permit shall be deemed revoked.
I
Code Approvals Date Inspector
EL01 Temp Elec Services
PL01 Soil Pipe Underground
EL02 Elec Conduit Underground
SPO1 Footings
6,M Steel Reinforcement
OP03 Grout ---
OPO4 Slab Grade
PLOT Underground Water Pipe
SS01 Rough Septic System
SWOi On Site Sewer
PL03 Rough Plumbing
EL03 Rough Electric-Conduit
ELcL dough Electric-Wiring
ELOS Rough Electric T-Bar
ME01 Rough Mechanical
ME02 Ducts.Vcntilating
PLW Rough Gas Pipe-Test
PL02 Roof Drains
EPOS Floor Joists
EPOS Floor Sheathing
81`0' Roof Fronting
RP08 Roof Sheathing
BPO91 Shear Waal 8 Pre-Lath
6P10 Framing&Flashing _
bpi) Lathing&!siding — — --
8P12 Insulation
6P13 Drywall Noilmg
PL" Final Plumbing
EL" Final Electrical
MESS Final Mechanical
Sp" Final Building
Codo Pool E Spa Approvols Dote Inspector
POOL Pool Steel Rein.:Forms
P002 Fool Plumbing/Preis.Test
P003 Pre Gunite
P004 Poo!Fencing/Access ^
1'005 Pre•Pioster
EL06 Rough Pool Electric
P099 Final Pool/Spo
SL99 Final Solar —_-
Sub List Approval
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-4 ----Cl*ty of Lake Elsinore
PERMIT 130 South Main Street
PERMIT NO: 91-00000529
DATE: 4/29/91
.JOB ADDRESS . . . . . : 133 N MAIN ST
DESCRIPTION OF WORK . : ELECTRICAL
OWNER CONTRACTOR --
LOFLAND JERI OWNER
A.F.# . . . . . . 374-174-+003 SQUARE FOOTAGE • 0
GARAGE SQ FT . : 0
OCCUPANCY • � FIRE SPRNffLR
CONSTRUCTION . . • ZONE . A
VALUATION -
ELECTRICAL PERMIT ITEM CHARGE
QTY UNIT CHG 00.15
BASE FEE 1.00 k .7500 SWPPCHES / 1ST 20 6.75
75
8.00 X .7500 RECPT,OUTLET / 1ST 20
1.00 X 11.0000 MISC. WHERE NO OTHER FEE 11.00
FEE SUMMARY CHARGES FAID DUE
PERMIT FEES
ELECTRICAL PERMIT 32.75 .00 32.75
TOTAL 32.75 .00 32.75
TkIS IS YOUR RECEIPT
WHEN MACHINE VALIDATED
04-39-1991i 3s04 PM/$W
ACC T#'.100-=2
RCPT,a Q2-14370/FRE00RICK ZVT
PERMIT 1I91•,8'
REV.DATE 11.1.90
- Piecse Read and Initial:
City of Lake Elsinorc t. Ion Licensed under the provisions of Wslnoss aN PfVjssslonal
Building Safety Division Code Section 7000 pt seq.and my license Is In full fort&,
2. 1, as owner of the property. or rrty employees w.*uyles as
Post in conspicuous place :heir sale compensation will do the work entt the SINclurit Is
Q, no:intended or offered for sot*
on tf le to� —_ 3. 1• as owner of the property, am *xclusiv*I;r conttnrling with
IicensQd contractors to construct the project.
4W I have certificate ar rons*nl !o selfinsure or t•. tertificate
You must furnish PERMIT NUMBER f Workers Comperisa+ion insurance or acer►3fi*dCOPY thereof_reand the JOB ADDRESS for ach . I-hall net*mplcy eap parson Cn any manner so as t 3 become
respective inspection: subject tG Workers Compensation Laves in the"formn^;*of this
Approved plans must be on job wo-k?or which this permit is!asked.
of oll times: -� Note: If you shcu!o becorra subject to Workers Comper•sotion
after making this certificotion, you must forthwith cornply with 1
such provisions or this permit sho!j be deamod revoked. f
Code Approvals Date Inspector
EI.01 7 Elec Services i ✓�,�C• L
PL01 Soil Pip*Und*rground i '-
E102 ':lec Conduit underground - ---
BP01 Footings -
BPO2 St*itlR*inforcement
BPO3 Grovi ----
8T01 Slob Grade --
PLO) Underground Water Pipe
SS01 Rough Septic System ---�
SW01 On Site Sower ---
PLO3 Rough Plumbing - "-
EL03 pough EI*dric-Conduit -
EL04 Rough EI*ctric-Wiring ---
ELOS Rough El*ctric-T-Bar - I
ME01 hough Mechanical
ME02 Ducts.Ventilating '---
Pi.04 Rough Gas Pipe-Test -
FL02 Roof Drains -
8005 Floor Joists -- ------ --
OP06 Floor Sheathing -- --
SP07 Roof Framing ---
81'08 Roof Sheathing — - —
SP09 Shear Wall 8 Pr*-Loth -- - --` --
BPIO Framing t Flashing - ---- - --
BPI I Lathing E S=ding — -
SP12 Insulation
BP 13 Drywall No:ling--- - --�-- -
WN 1 Final Plumbing --
E1.99 Final Electrical ---
ME" Final Mechanical -- - ---
BP" Final Building -- --— -'-- --
Cod* Paol d Spo Approvals Dote Inspector ---
P001 Pool Steel Rein.-Forms ------ —
P002 Pool Plumbing/Press.Tits:
P003 Pro-Gunite -- ----
POU Pool F*nc+:+!)/Access -----
P005 Pr*•Plo%ter --- — ----- --
Et06 Rough Pool Elttwtric -- -----
P099 Final Pool/Spa - — --�- -----
SL94 Final Solar _ -- --- —•—•
Sub List Approval -- -
City 0f Lake
Elsinore
PERMIT 130 South.Main Street
PERMIT NO: 91-00000621
DATE: 6/04/91
JOB ADDRESS . . . . . : 133 N MAIN ST
TENANT NBR, NAME . . ANTIQUE MALL
DESCRIPTION OF WO&K . : ELECTRICAL
OWNER
LOFLAND — CONTRACTOR
OWNER
A.P. ` 374-174-003 OCCUPANCY SQUARE FOOTAGE .
0
CONSTRUCTION ; GARAGE SQ FT . . : 0
VALUATION FIRE SPRNKLR . .
. ZONE . . . . . . . NA
ELECTRICAL PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 15.00
10.00 X .7500 RECPT,OUTLET / 1ST 20 7.50
1.00 X 11.0000 MISC. WHERE NO OThER FEE 11.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
ELECTRICAL PEP.I+t+IT 33.50 .00 33.50
TOTAL 33.50 .00 33.50
THIS IS YOUR RECEIPT
WHEN MACHINE VALIDATED
Ofi-041-1991i 8:52 AM/$33.S
#:02-15028 14AIN STREETi100-3220-
ANT:OUE MAL
PER111 T #91-92
NE:.OATE a•1 0
------------
Pleose Read and Initial•
1. 1 am Licensed under IF.*provisions of @asiness and PraSessional
City of Lame Elsinore
Cod*Section 7000 at seq.and my license is In full farce.
Building Safety Division _ 2. 1- as owner of the property, or my amp'•oyar*s W/vrogas os
their sole compensotion will do the work and the structure is
Post in conspicuous place not intended or offered for sets.
_- 3. I. as ownar of the property, am exclusively contracting with
on the job licensed rontractors to construct t::e project.
4_ I hoye a certificate of consent to seilinsure or a certificate
You must furnish PERMIT NUMBER I Workers Compensation insurance or a certified copy Ihereaf.
and the JOB ADDRESS for each _. s. I stall not employ any person in any manner so as to become
{ respective jr.spection' subject to Workers Compensation Laws in the performonte of the
work for which this permit is issutd.
Approved plans must be on job pore: if you sh.wld become sr•bitct to Workers Cornpvnsation
at all times: after making this certification, you must forthwith comply with
such pro.:sions ar this permit shall be deemed revoked.
Code Approvals Dote Inspector
ELOI Temp Elec Services
P101 Soil Pipe Underground -
EL02 Elec Conduit Underground -- "—
OPOI Footings --
SP02 Steel Reinforcement --
BO03 Grout -
BP44 Slab Grode _
PLO) Underground Water Pipe
SS01 Rough Septic System
SWOI On Site Sewer --
PLO3 Rough Plumbing _
E103 Rough Electric-Conduit
EL04 Rough Electric-Wiring
ELOS Rough Eleciric-T-Bor -
MEOI F ough Mechanical 1--�
ME02 Ducts,"antilating
PLO4 Rough Gas Pipe-Test _
PLO2 Roof Drains —
SPOS Floor Joins -
SP06 Floor Sheoth;ng --
OP07 Roof Framing
SPOO Roof Sheathing - - -
SpO9 Shear Wall$Pre-lath -
SP10 Framing It Flashing --
BPI 1 Lothing&Siding -
BPI: Insulation _ ---
BP13 Drywell Noihng -
PIL" Final Plumbino - --
E1.99 Fino:Electnca! -
AE94 Final Mechanical - ---- --- ------
8P99 Final Building
Code Pool R Spo Appro.ol; Data Inspector
Pu0! Pool Site:Rein. Forms ----- - --
PCO2 Pool PlurnbingiPress.Test -
?003 Pro-Gunite - - --
PG04 Pool Fencing/Access — - -------- --- -
PODS Pre Plosler - - --
EL06 Rough Pool Elociric - —
P09ri Final Pool/Spa - --- -- ----
SL99 Final Solar - - ----- - �-
Suh Lls►Ilpprovof -
m
"I
.r
City of Lake Elsinore
F 130 South Main Street
APPLICATION FOR APPLICATION Na.
BUILDING PERMIT TI-- sg�_
APPLICATION ECEI�jED
_ DATE l�Z 3�(�
VALUATION CALCULATIONS Ao 3�`'1/—! IY4—a3 By *z I
i st FLOOR _.SF MJtET>tltCi ADMSS
2nd FLOOR
SF rsACT " uoeea•cE
3rd FLOOR SF toTrrArtEE
GARAGE SF
STORAGE _ 5F
DECK&BALCONIES SF a AOOtES` 33 X/. /`;W/.c/
OTHER- My
sett:nr
t9R 330
GRADING t"r'a'°�,•`^chet t«n uc..n.d wd..prw;s:.m d Chas 9 ko1m+.«i.,0..irh SMan
CUT CY �e60)ai Dwision 3 o)th.SuskHm end►roNsslms Cod..and W tR.nsr•is tr.ivtl txc.
FILL CY IxnaSEER S TAXI My
VALUATION:
V HAhtf ^^—
FEES ADGU
AeDeFSS
BUILDING PERMIT $ _ aw— 1. STA'f yp�r --^--
PLAN CHECK CONT�ACfOR'S SiG.tATU7E
i
r
ADDITIONAL PLAN CHECK rwNf ;>rrrsE+
1
u
z _
GRADING PLAN CHECK W AWNESS '--_--
— z ADDIESS
r
< CITY --STATE'71°
_-NEw =REPAIR O CGRP-/ CONST.
MICROFILM D __.MOVE DIYiSION: TYPE:
rJIT)ON
— --- _ NUMBER OF NUMBER OF
_
ALTERATION ;DEMCLISH STORIES: BEDROOMS:
COPIES _OTHER ZONE:
SINGLE FAMILY .it.
IMPRO FEES a SCHOOL FEES APARTMENTS U:tits HAZARD AREA? YES NC
.CONDOMINIUMS units SFRINKLERSREQUIRED? YES NO
T055ttJHOMES units PROPOSED USE OF BUILDING:
OMMERCIAL .-.INDUSTRIAL
PAID PRESENT USE OF BUILDING:
DATE
JOB n_SCRIPr)ON
I certify that I hove read this application and state that iho /1
above in county
or ion is tarred! 1 ie la s comply with all city
and taunt}• ordinances and stato laws relating to building
consltucticr:, and hereby authorize representatives of this
city to enter upon the above-mentioned property for inspec• �!_ )C<6`G
)ion pvr S.
Signature a Applica. r Agoni Date --
AGENT FOR 0 CONTRACTOR D OWNER ------ _ — —
AGENT'S NAME
AGENT'S ADDRESS--- ---_
STRf.ET CITY STATE ZIP
REV.GAT E 11.1 Do
- � City of Lake Elsin
PERMIT 130 South Main Street
PERMIT NO: 91-00000318 DATE: 3/28/91
JOB ADDRESS . . . . . : 133 N MAIN ST
TENANT NBR, NAME : NORTH MAIN ST. ANTIQUE MALL
DESCRIPTION OF 'fi►'ORK : ADD OR ALTER NON RESIDENTIAL
OWNER _ CONTRACTOR
LOFLAND JERI OWNER
A•P-# . . . . . . 374-174-003 SQUARE FOOTAGE 2300
OCCUPANCY . . . : RETAIL,RESTAURANTS,OFFICE GARAGE SQ FT . . 0
CONSTRUCTION . . . TYPE V-- NON RATED FIRE SPRNKLR .
VALUATION . . . : 500 ZONE NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 15.00
FEE SUMMARY CHARGES P::Tr DUE
PERMIT FEES
BUILDING PERMIT 15.00 .00 15.00
OTHER FEES
PLANNING REVIEW FEE 10. 00 .00 10.00
PLAN RETENTION FEE . 15 .00 . 15
SEISMIC GROUP R .50 .GO .50
PLAN CHECK FEE 9.75 .00 9.75
TOTAL 35.40 .00 35.40
THIS IS TOUR RECEI"
ACCT#e100-•3412
r2CPT#:0 1383?/FREf. lCV E. ZWl
PLANNING PLAN CHEC
REV.DATE 11.1.90
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144
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AS REVIssD