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
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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