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HomeMy WebLinkAboutCENTRAL STREET 511_04-00000764 City of Lake Elsinore v PERMIT 130 South Main Street PERMIT NO: 04-00000764 DATE : 3/25/04 JOB ADDRESS . . . . . 511 CENTRAL AVE L DESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL OWNER CONTRACTOR PASADENA STREET INDUSTRIAL NEAR-CAL CORP. 512 CHANEY ST 512 CHANEY STREET LAKE ELSINORE CA 92530 LAKE ELSINORE CA 92530 909-245-5400 LIC EXP 0/00/00 A. P. # . . . . . 377-130-028 1 SQUARE FOOTAGE 900 OCCUPANCY . . . OFFICE, RESTAURANTS, MISC GARAGE SQ FT 0 CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR VALUATION . . . 10, 000 ZONE . . . . . . M-1 BUILDING PERMIT QTY UNIT CHG ITEM CHARGE BASE FEE 63 . 00 8 . 00 X 12 . 5000 VALUATION 100 . 00 1 . 00 X 5 . 0000 PROFESSIONAL DEV FEE 5 . 00 FEE SUMMARY CHARGES PAID DUE PERMIT FEES BUILDING PERMIT 168 . 00 . 00 168 . 00 OTHER FEES PLAN RETENTION FEE 1 . 00 . 00 1 . 00 SEISMIC OTHER 1 . 00 . 00 1 . 00 PLAN CHECK FEE 126 . 00 . 00 126 . 00 TOTAL 296 . 00 . 00 296 . 00 SPECIAL NOTES & CONDITIONS Tenant improvement per approved Pasadena Street Industrial Plan permit no. 03-289 . Date: 3/25/04 25 Receipt no: 4609 Total tendered 92%.e8 Total payment 92%.A0 I;i ,li •li_ 1 i.e` 1 l �l`� I'I,a,- Rxad and Imual I I ani Lirtnerd under the protrsinns of 13usmrss and Prolvssronal Cctdv"—won 7(00 e I sty and my license is in full force lllltit in con,,picunul place 2 1 as own,rof the property orm% rniplovecsw/w•agvsas their sole compensannn will do tire work and the structure is not We nded or Ilfl till' joh olltred for salt , I as owner of the proper-IN amexrlusheNcontractmgw'tlhlicensed contractors to construe t the prulrt t 4 I ha%e a e rrtfOcalt of(onsent to selfinsure or a certificate of Workvrs I; `•,111 it e \s t• ,• Compe nsauon insurance-or a certified eofn• thereof �) I shall nor emplrn anN Ix rson in dni manner so as sober nine subje•r l ro corkers Cr.-)mpe nsanon Laws in the performance of the work for which this permit ,s issued %ote If you should b,,comr suhle•t t to Workers Compensal,on after making this rrruhcauon you musf lorihw'rih comph with suth pro- vi,inns or this p,,rout shall he deemed rv%oked .- FL-,- Tr J F e.- Se 7 e s Pt U-ce'�'c_-ti 6 S ;e- _e, 6n�� - 6� SaJ C = aL U-oz c c :.a e,o SS =+c_C � c S.S e Cv ' 0 i C--c P-J 5 S--a"J`r '�` `'a e OTHER DEPARTMENT RELEASES ' }_ - C�,k:r:Tk;•r�t Aaorwal required PrKK to the 5 e-- o Dudcing ceirm released by the City P_'- G-- e Da,e Ins cior EL_C PJ-: E Eti S-J L c 4J r�•.a La'cs.a:�e r Pct _Access Finance Cncineenn City of Lake Elsinore 130 South Main Street APPLICATION FOR APPLICATION NO. BUILDING PERMIT APPLICATIOt4l RE oil - �T G 4 DATE / VALUATION CALCULATIONS AP# By 1st FLOOR SF BUILDING RESS .r C K e- 13/1-2 2nd FLOOR SF TRACT BLOCK:PAGE LOT/PARCEL 3rd FLOOR SF GARAGE SF NAME whr�- STORAGE SF 3 MAILING PHONE DECK&BALCONIES SF o ADDRESS s/�2 G` `ior c G O CITY STATE/ZIP OTHER p/ZL /17 6.19 SF I hereby affirm that t am licensed under provisions of Chapter 0(commencing with Section 7000)of Division 3 of the Business and Professions Code and my license is in full force and effect LICENSE# C17Y BUSINESS I C) 0 o 1 Z ANO CLASS TAX A'VALUATION: /�/yy _ g NAME NE�12— f1'�L FEES MAILING ADDRESS BUILDING PERMIT $ CITY STATE'ZIP PHONE CONTRACTOR S SIGNATURE DATE PLAN CHECK ADDITIONAL PLAN CHECK NAME LICENSE# u W MAILING i ADDRESS V a Q CITY STATE,ZIP PHONE ❑NEW ❑REPAIR OCC GRP / CONST DIVISION TYPE MICROFILM ❑ADDITION ❑MOVE NUMBER OF NUMBER OF ❑ALTERATION CDEMOLISH STORIES BEDROOMS COPIES ❑OTHER ZONE El SINGLE FAMILY units HAZARD AREA? YES IMPRO FEES ❑ SCHOOL FEES ❑ ❑APARTMENTS units ❑CONDOMINIUMS units SPRINKLERS REQUIRED? ES NO ❑TOWNHOMES units PROPOSED USE OF BUILDING ❑COMMERCIAL ❑INDUSTRIAL P PAID DATE JOB DESCRIPTION RESENT USE OF BUILDING ❑ I certify that I have read this application and state that the /l above Information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building 1` construction, and hereby authorize representatives of this `—L].... /► '"`�� r\ � city to enter upon the above-mentioned property for inspec- tion purposes. Signature of Applicant or Agent Dote AGENT FOR ❑ CONTRACTOR ❑ OWNER AGENT'S NAME AGENT'S ADDRESS City of Lake Elsinore 130 South Main Street APPLICATION NO. APPLICATION FOR ELECTRICAL APPLICATION RECEIVED PLUMBING PERMIT DATE MECHANICAL AP a By 0 1 certify that I have read this application and state that the BUILDING ADDRESS above Information is correct 1 agree to comply with all city and county ordinances and state lows relating to building TRACT BLOCKrPAGE LOWPARCEL construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspec ❑ NAMEJ ,t tion purposes J 1 ( G c„re( Ave- MAILING PHONE _ 3 ADDRESS O O („ G / 9,,25 30 CITY STATE/ZIP LGKG :lS/✓1o✓G Signature Of Applicant Or Agent Date I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ❑ 7DDD)of Division 3 of the Business and Professions Code and my license is in lull force and AGENT FOR ❑ CONTRACTOR [J OWNER LICENSE 0 effect CITY BUSINESS Z ANDCLASS TAX O NAME AGENT'S NAME V 7/Z C G1Gc r�c Ste' MAILING / ADDRESS S AGENT'S ADDRESS STREET CITY STATE ZIP CITY SIA E�zIP PHONE alb z o� Y 3� CONTRACTOR S SIGNATURE DAIE BUILDING PERMIT NO. ELECTRICAL Quan PLUMBING Quan 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 Furnace/Vent Switches/ 1st 20 G Private Septic System Unit Heater/Wall Heater Switches/Over 20 Water Heater/Vent Install/Relocate/Replace Vent Recpt Outlet/1st 20 r .Z Gas Piping System 1-4 Outlets Ventilating Fan Recpf.Outlet/Over 20 Gas Piping 5 or More Outlets Exhaust Hood Lighting Fixtures/1st 20 Dishwasher Fireplace Res Fixed Appliance/Outlet Solar Tank Commercial Incinerator Non-Res.Appliance/Outlet Solar Collector per Panel Air Handler► 10,000 CFM 100-200 Amp Service-4 600V Grease Trap/(Interceptor) Air Handler -4 10,000CFM 200-1000 Amp Service-4 600V Install,Alter or Repair System Fire Dampers Service Over 1000 Amp or 600V Lawn Sprinkler System Registers Misc Apparatus,Conduits,ETC Backllow Device Smaller than 2" Boiler/Compressor to 3 H P Signs Backflow Device Larger than 2" Boiler/Compressor 3-15 H P. Sign Branch Circuit Floor Drain Boiler/Compressor 15-30 H.P Buswoys/EA 100 ft Floor Sink Boiler/Compressor 30-50 H P. Temporary Power Service Water Service Boiler/Compressor► 50 H P. Temp Power Distribution Sys Alter or Repair Drain or Vent Repair/Alter Most: HVAC Equip. MOTORS/TRANSFORMERS Fire Sprinklers per Building Motors up to 1 H P SWIMMING POOL Motors/Transformers I-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