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16738 LAKESHORE DR_ (7)
r LJ 011 of Ecthe Elsino to CITY HALL 130 SOUTH MAIN STREET LAKE ELSINORE. CALIFORNIA 92330 Telephone (714) 674.3125 CERTIFICATE OF COMPLETION Street Address 16758 Lakeshore Drive t This certifies that the Building shell constructed under the permits shown below is found to be ins lconformance with the plans submittedandapproved. This certification is only for the desi;n .-..-id details shown on theapprovedplans, and shall not be construed to authorize occupancy ofanyportionofthestructure. A Certificate of Occupancy will be issued upon completion of each portion of the building covered by separate tenant improvement permits. Building Permit No., B 7022 Electrical Permit Np. E -6766 Plumbing Permit No. P -6786 r achanical Permit; No.', M -6956 1 -31 -89 i r11;, Date Chief_ Bufiding, Official 1 v Low I." ?.. . r 6 f ! W /!1 C/ `C t S "O L /JrProjectAddress it -sessor's Porcel No. / 0wner's rtlbme A•'t__ 1T 4e 4 1 Cq ?hone — Addr -ss - Arch,'Eng. _License No. Address _ Contractor's hatn - Phone y (/ . L_.i Ajdresslnriilingl City Lrcerse No. LICENSE? CONTRACTOR DECLARATION 1 h9,i0y a1iJrm that 1 am licensed Under provisions Of Cnarter a (commencing In leCt ion TWO) Of Di Vision 3 of the BuSineSS 2nd PrOftiS,Ons Code, and my iiCtnSg is m full force and effect. License Class —_= 2 rJ —License No. "1 3 711 3 g Date Signature _ ORKERS' COMPENSATION DECLARATION ereby athrm that I have a certificate of consent to saif -insure or a certificate Workers' C, mpensation Insurance, or a certified COp'j thereof (Section 800• Lab. C.) ,-... 1 cr'•l Policy No. .i..1., %.Z b rCOmpany Certified cC.py is hereby furnished. i Y Ck:t 900 - o i ij riled with the city 1 1r0A!gv'y nFII"te ApphcAnt F- XEMPTIO14 FROM WORKERS' COMPENSATION DEC ;LA RATION 7hr; seclion need not be Completed it the permit is for aile hundred ($100) orless) 1 certify that in the PerformatCe of the work for wrr;Ch ',his is issued, 1 half 1i0t employ any person .n any manner so as to Lecorre subject to the Workers' Compensation „,Lws Or California. Date - NOT, FF: if ^fter Mailing this dactoration, you should tiecome subject to the WUrkerS' C :Ao4risation Pr6vrS(Ons of the Labor Code; you must forthwith Con'31y w•th sucn prJvis'Ons Or this permit shalt be deemed revoked. CCNSTRUCTION t ENDING AGENCY nereby affirm that there is a Construction lending agency for the performance Of the work far which this aermit is issued iSection 3097 Civ. C.) Lender's Name _ OWNER BUILDER DECLARATION I h"by affirm that I am ;,tempt fr.,n tr•e CPniraCtur's LiC mse Law for the to uow.nq reason (Section 7032.5 Business ane, Professional Code Any city or count,/ wn'.ch requires a Permit to con Strurt, alter, Inlph)ye, dtmohk.+ Oi repair any structure. Cnor to its issuanl,e, aist_. requires that applicant ter s,ch perm(, rue a Signed Statement that he /She 15 IiCMISetl Owskiant to in* pl Cvisions of he Contractors License Law (Chapter 9 JfOmM1t1C nq vAth Section 7000) r f vision 3 of fns Business and Profes%kt_- nS Code) or that he /she is exem(Iti .;from and the basis for InFq(Ngsd•3xemptIon. Any violation 4f SeCl %,ft 31.5 by any applicant fax v permit subsets the applicant to a' rivil F ty or not more than five n4ndred'aoliars (5500). as oMnter of the property or my enfObypot with wages as their sole 011atlon will do thn work, and the structure is not intended or offered ale (Set {Ion 7044, BuslnAs end ProfessrlMal Cods: }he Contractu's se Law does not apply to-" ownervt AD rty who bulkis or improves thereon. and who does such Kiork nlmwif/her if thsJug:t nt3 or her own IMP,* a", provided that such -imprnverrtents AP1.4otIntended or offered for pt I Ir, however, the bulldi Or tenpin ,me(1111 :sold within one y1sar of coi- platoon, the owner will have of pro he/sne.rtld.nOl build or lm 6ove for tyw purpoY ZO Sato. - - I. of OVrnir of the PrO arty a'n sxctusiwly•• ontracting with licensed con- I'srtors IO.Construct the,proill4w (S et.r'QQn 7044, IF erro isrotessions CodaeThi.'zontracter-es Liconge Law lib rimt aa.;.43o an owns- of prZ0rI r*wh0 i buJIA or Improves Were n_ , an who• cop Hcts°+nr such p:ol is aaeh a-con- 004,40i` license $*,WAuan tot Con' tC, 0"1 ' s tl t: W). F •rr aware -Ina`; kJJJ proof lhs4 Worker's Cam satrtan it raRGa s ultr. bs;arOVfd0d 'to m4r D Y am eximpt' yndBrSed)on r' i f fKer00Y Grt(1y that 1 herp nerd flits ap icaUort d to Yhattaipsatronisddflodt, I aytee tacco I i it bu cl , a c ' tyc dloan ' slate tows telaN tot b4ildrnq t f 10 a epy fhitl(Fte r!RpjNn -a or t try entlg, ufron tt+I aavt insnt prtsReri soh CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Applicant to fill is all spaces except those within heavy border lines and sign all appropriate declarations A )- _ PERMIT N0. ; TRACT N0. LLOT iVO. UNIT NO. ttTIPEOF[dfiSlltOC" _ = App RALTERATION REPAIR ODRYERSIOrr -- DEYOL(SH ` OTHER _ AA.P. ' DESCRIPTION OFWORKIUSE OF BLDG ZZgne SS Main Building: TYPE OFPERAFIr GRADING FOUNDATION -" STRUCTURAL T PROJECT DESCRIPTION ';Q- FL Ocur:aac7 CC! Right f NCoastriolioripe ` Zoe - - -— Auer SS Left - G vats tw S PCt — - - -' - -- - PPl , S EE PPlanning Notes '_ OO T T ELECTRICAL FEES _ 0 v PLUM:i_ING + FEES = ttienerator0.0.5KTF1 5 -T5KW G 1 Alter Repast _ _ - ACCT. " 0=116 FM l Auto Wash CConstruction Pole Sub. OOust -Under Ground C CCook Unit _- Fuct- Structural . 3350.33:0 P Fin __ Clarifiers -xi 00 ers0Gas OElectric ' ttxhaest stem iultipie 3330t0312 PPETWF,m $ _ Dishwasher JJ Fan ; oorative Cooler TFixtureTasea - F.A.U. r aacing System & DuctingFloorDrains_ FFixtures II 11000 BTU G 500 000 BTU.. Floor Sinks _ x -3`'12 spimof permit outlets oodarCanopy x Gat Sr ;re Of'ts i S Iltt[ a ton jj meter up to f00 amps II R I 1 Re{ ' ,• f D P f mMim 1• - P`Trap - Hoof brains S Sewer Cap -- T fire Dampers O SO+KW_ P Other _ AtterConnectiotr,- Bldg _ fflllotots U 0.1 HP C?1Ya -8 RPt"cinviltior f R ers 1110.231 S S War Collectors M discorPipingd 6u0 e aStvAmmin gtutm t8 P801 /Spa " h _, IS t ci, ttlea*0 i 's 1u, -' iii, .. tic Rvsis 1 `i Ott Q n' r t r - j '. ' o ; « c f _ TM T-1 - - - -- _?I IT T, 71i; zi r ciK f ° _ • c' I __ .i _; ._ _ ' + .J r w j i r L i! ! ! ! % ' ' ! ! T t f, , - C- a - t!t i ij - 'U 1, . . . _. I - a • o+ ' 1 C.f.. r c ! T. _ - _- f `, ! 2 = I F CC + 1 1 r I i -T J f 1 R 1 1 - t - 2 I ' - wC 1 t ., _.1 + 2l ¢ J° f ; ; ,_ -I jui! C Orrs s1111 . 1 ' f j w, a _ j of wr O ! c, ) a i > a cl r{ Q ; •' _ ai Q1 , Q' w >; a+ a; F-; J ra +ttt oDi ={ ut > ' E!!r aJ y! cn! c'O! CC e I I Q I rs v, !Q + may > y"1frlwr. _, - I ; a yI3LL -. 5' .j ico o i 10 p, C Yl cl V •1; . , : '~ Cl TM •tea aZi i . -' ` U . ' ,::f f , `,' i t:; o t e' p :: p— t t ~ a O C r ALL, j' . ,'i: _- '+Pty % ,r y ACS T ,,, , ,y' 0 °' — 1 t.- . m O ` _ Q ; d 'fly • ` M / 1 = . M ` - C. g t•; .+.. `+i : fr ' i 'A'i 1 •.$` r" t< i n• -i ,v ' OrIIISJ ( O1 cc - "a • ° .s ,4 a s to q / l W :si C} ti .+' 'f.j 7 `> y -tb: --" l' r:1' -d C "G G E r ' `. ,t}`t " .I.3J tl• W LL , tiY j 4 % ('c j,.+ ,Z ` , % - MI CITY OF LAKE ELSiNORE CONSTRUCTION PERMIT 1. fit. S t — Projec, Adriross - fl-' U " - Apr;it nt to fill in all spaces except those within heavy border fines and sign all appropriated edaratiolu Assessor=s Parcel No. __` _ PCOu1T NO- / TRACT N0. LOT NQ. UNIT N0. Owners .4 Y , P`W ' ne('4 Address C ! TPECc0 f I Date Signature h --- Renlark3 - ORKERS, cOM4ENSATION DECLAR ION \' eraby afDrm Ina,, I have a cerhf:cate u+ con'en! to self -insure Or a Cer:ericia - - tyor.eerS' Cornprnsation 1nSufa.ite, Or a c'rUfied copy trereof ('5 ction a00. Lao. C.) P71.cy NC _ Company --- Cerbf+ed cosy s hereby furnished. Certihea copy eS filed wi:h the City uufld,nq CiMs'On'. Dare. APDhCan! — EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Tn,s section need out be completed If the +rn,t ,s Poi one hunered (8:00) or less). I UrrHy tna: ,n the perfermarce of in rk r .irR,c. ra,t i! ssued I S:`Y•1 no, em01Oy any rspn in any or at t bet suDrett to the Of Date _r-_ Co g a " _ natuure re NOTICE::', alter man -+ng this oecaratron, y sh uld once sublet to trio WOrkNS' Com0ensati,on prmAsiores of the I - r Code, you must f thw th Comply with se ch provts,ons Cr in,s Germ, shall be ae*moC re'Akeo. CONSTRUCTION LENOING AGENCY 1 nertoy affr+•'1 that inert is a consk uctior. ',noinq agency fnr :tie PerformancealIrWw0(k for ttehlch they perm,t rs fssue3 (section 3047 C,v. C.) ttnder's Name _. -- -- -- Lerder't --- "- OWNER BUILDER DECLARATION t hereby afhr--i chat I am exempt from !ne Conir4c0,' -, ,- ,zainse Law for tree 1.1 iow,nq reaso^. (Sea in 7031.5 Bus,reess and Profest'onat Cole: Any otr Or cOMCy which >',•duerls a permit [O con s!ruct• alter, imp •ova, demolish Or teDa,r any !',ucrurC, prior to its issuance, also re, lJ+e apei+Cint tar such permit to file a signed Slaatrrkrnt that na-she is licensed pWL,,ar(t to the ofov,frons ofMContractor's License LAW (Cl.aoter 9 (commer,_inq w(;n Section 7000) of LM 'vision 3 of t !3us,ness and Profatseons Code) or than he/she is exempt F errOm and trio ba'S for lhatVileged,exemptld;i. Any violation of SItCtion 32.5 by any apGll A for a permit sub ec.'s the apallcant to a civil natty of n;t —_. .srshan five hsrpdred dollars (S`130). Ll 1, as OvvIW cif ed:e Property or my ampltiyats vi^'T, wages as th ;(r sorowniyemanon, antl do Ilia work, and tl+e stiuCtyla is not Intended or offered la sale (Saulon 70" SuSinscs and - profesa.,,,ia1 Code: The Controc-tor's Licence I Goes not APt7ry to ail owner of a pr ,Y,irty vvho oufldi Or improwS k im.el7 t It or thfOU h h;S1r her own 1 thereon, and ovill Goes SUCK Ws'., J' /M Q empb pS, PrOtrlday,t'.at Such tTDiOre:flen:S iR/ fiOt intended or Offered for sale. Ir piowew.r, Lt. bltlitting or-irMwararnen!r sold xllthn one year or Corn- Dleti,)n, the OwC^' +,+iii have the ufden of Dr0'{tag helsha 0)d not build or im- Q row for the purmse nr $ale), J 1, as owner o} tE. pip`, arty. #_m alrciusrvt,ly t:ontrGctl with licensed con - tractors 10 Construct ha pyOleCt tSectTdn 7064, 8'+asiness artd Profass)ons Code; The Contractor's Lrtease' L.aa f n0/ eppfy an owtjor of Ofop*rly'w!)O hullos or ImprOVes t7tersdn, ano, wryMconVoCtiLjnr suL1i DOOMS LC.t'I a-toa• trsctw(s1y ricerste pursuant to ttte,Cdafl -&CW's idunj, t7AI.;a n «era chair prgaf of chair Wefitr9ww's ComptltsaLlbn ttysslrortos 41F:r7a e!rCVldeo t0 me; u 0 !_aril sxompt ondor Section r - _--- b d. P- C; tar Mfc riYsnn• Date 1 hereby, certiti that I Iwo tries ap IWtlon Rate Pet iifkl atJO.r tnforrtiatlrin is raryect. 1.eel.+•: iscaobty. itii 1f 01914 a ±yD t,• q'dWances: I.te YvVS t SO L','ul trslfUtllgll aner 7y ifrthOO'«e:f Wr Lives of t c to ct :tM a wi8entlon prJlfert r _ a ion Put lire 6 lYrltl nxj Z ne Z O N 1 N E 4 M T as Arch 1E n g- - F DEVa1S ^ OT.P A.P. t 1.1OU E Address 12 _ )61A ^ Rlislt s9 t' r PTp r - DESCRIPTION Of NORK'USE OF BERG _ - S Mai n Building: _ ! Actmry eu Contractor's Naf el-K.. hall J3X 1 q Address lnta- lingil-3 CO F. y MEOMAUFi - CRat±rNG _. FOL'NDATtO1( = STRj1Lf<JRA: TENANi LE_:iiiCAE _: P(UMBING - MECIJA.NICA. T FronT ! AI Rear C Rt't+f"•L —/ K Left _ Alter Repair ! - G City License ho. - J , v LICENSED CONTRACTOR DECLARATI I hereby alf'eri Thai 1 am I ten under orovKeons of Charter 9 (commtmnrq with section 7-3 0,0 of t ?rrs +on 3 of tie Business and prote:sions Coat. ano my license is ,n C- I and effect_ No- S s ! license Class C OTh'R - -- PROJECT DEVRJPTIQtI. sa. Fs !'--- octa7ax7 CG1s,7uc.17o t?•- 1 - ialuapar f _ —_ PCy - :_._ -- - - Pf Ref. = _ RlPlanningNotes Date Signature h --- Renlark3 - ORKERS, cOM4ENSATION DECLAR ION \' eraby afDrm Ina,, I have a cerhf:cate u+ con'en! to self -insure Or a Cer:ericia - - tyor.eerS' Cornprnsation 1nSufa.ite, Or a c'rUfied copy trereof ('5 ction a00. Lao. C.) P71.cy NC _ Company --- Cerbf+ed cosy s hereby furnished. Certihea copy eS filed wi:h the City uufld,nq CiMs'On'. Dare. APDhCan! — EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Tn,s section need out be completed If the +rn,t ,s Poi one hunered (8:00) or less). I UrrHy tna: ,n the perfermarce of in rk r .irR,c. ra,t i! ssued I S:`Y•1 no, em01Oy any rspn in any or at t bet suDrett to the Of Date _r-_ Co g a " _ natuurere NOTICE::', alter man -+ng this oecaratron, y sh uld once sublet to trio WOrkNS' Com0ensati,on prmAsiores of the I - r Code, you must f thw th Comply with se ch provts,ons Cr in,s Germ, shall be ae*moC re'Akeo. CONSTRUCTION LENOING AGENCY 1 nertoy affr+•'1 that inert is a consk uctior. ',noinq agency fnr :tie PerformancealIrWw0(k for ttehlch they perm,t rs fssue3 (section 3047 C,v. C.) ttnder's Name _. -- -- -- Lerder't --- "- OWNER BUILDER DECLARATION t hereby afhr--i chat I am exempt from !ne Conir4c0,' -, ,- ,zainse Law for tree 1.1 iow,nq reaso^. (Sea in 7031.5 Bus,reess and Profest'onat Cole: Any otr Or cOMCy which >',•duerls a permit [O con s!ruct• alter, imp •ova, demolish Or teDa,r any !',ucrurC, prior to its issuance, also re, lJ+e apei+Cint tar such permit to file a signed Slaatrrkrnt that na-she is licensed pWL,,ar(t to the ofov,frons ofMContractor's License LAW (Cl.aoter 9 (commer,_inq w(;n Section 7000) of LM 'vision 3 of t !3us,ness and Profatseons Code) or than he/she is exempt F errOm and trio ba'S for lhatVileged,exemptld;i. Any violation of SItCtion 32.5 by any apGll A for a permit sub ec.'s the apallcant to a civil natty of n;t —_. .srshan five hsrpdred dollars (S`130). Ll 1, as OvvIW cif ed:e Property or my ampltiyats vi^'T, wages as th ;(r sorowniyemanon, antl do Ilia work, and tl+e stiuCtyla is not Intended or offered la sale (Saulon 70" SuSinscs and - profesa.,,,ia1 Code: The Controc-tor's Licence I Goes not APt7ry to ail owner of a pr ,Y,irty vvho oufldi Or improwS k im.el7 t It or thfOU h h;S1r her own 1 thereon, and ovill Goes SUCK Ws'., J' /M Q empb pS, PrOtrlday,t'.at Such tTDiOre:flen:S iR/ fiOt intended or Offered for sale. Ir piowew.r, Lt. bltlitting or-irMwararnen!r sold xllthn one year or Corn- Dleti,)n, the OwC^' +,+iii have the ufden of Dr0'{tag helsha 0)d not build or im- Q row for the purmse nr $ale), J 1, as owner o} tE. pip`, arty. #_m alrciusrvt,ly t:ontrGctl with licensed con - tractors 10 Construct ha pyOleCt tSectTdn 7064, 8'+asiness artd Profass)ons Code; The Contractor's Lrtease' L.aa f n0/ eppfy an owtjor of Ofop*rly'w!)O hullos or ImprOVes t7tersdn, ano, wryMconVoCtiLjnr suL1i DOOMS LC.t'I a-toa• trsctw(s1y ricerste pursuant to ttte,Cdafl -&CW's idunj, t7AI.;a n «era chair prgaf of chair Wefitr9ww's ComptltsaLlbn ttysslrortos 41F:r7a e!rCVldeo t0 me; u 0 !_aril sxompt ondor Section r - _--- b d. P- C; tar Mfc riYsnn• Date 1 hereby, certiti that I Iwo tries ap IWtlon Rate Pet iifkl atJO.r tnforrtiatlrin is raryect. 1.eel.+•: iscaobty. itii 1f 01914 a ±yD t,• q'dWances: I.te YvVS t SO L','ul trslfUtllgll aner 7y ifrthOO'«e:f Wr Lives of t c to ct :tM a wi8entlon prJlfert r _ a ion Put lire 6 lYrltl nxj Z ne Z O N 1 N E 4 M T as i Backflow Irrl tion tLi Fan - Ventitatina _ -- i30R.3312 Per rNtfte S _ Clarifier --i— Or rers-,Gos .Electrc ExhaustSystem. iple- --1 — t IF $ OishWashe < ! _ Fan 4r*rt t S "l,tlt 1 t oratiye Cobfer - Fixtora Traps ea.- ' F.AU. 1 Heating Sy,,tefir# Ducting Floor Orairis '; l ; Fixtures - Q & 1 0,04gAV C1s,0.Otl!1 RTU -- 3360.3312 Sotao pfleflau FM ' Floor Sinks f Outlets - and o7 Canopy, J Gas 5eryi Outlets- Switches i — Interce Meter sup Ui 100 ar)ps / Ref tigeration Sis P -Trap s Meter cover 100 ar s 'J0.100 000 BTU 0100,009 G1U _ Elecnxas Roof Brains ` =,. Sub net _ Fitepl Face. 160 .# :'i- ^. tkctaarcal ' S — - r! 15 -50KW .System Re ,,;Alteration ' "_ ansformer Trailer Sewer l -- - Oft $ _ - 1 Sewer Cap ; Tr r.3 50+K 1f fire Dara ere t - Motor: o a t HP -$ 1 1x231 SMIP s aeveer Connectioik• Bldg. - _ •" - - --- . - Solar Collectors _- -• tint. Solar C:IP -15 HP IJ1fi•15+ '" i f/ciin xii Snlar Piping Sing /lam. floc_ - _ - { --ISM _ __. -- 31643370 Sim" dHao and Fein Y i 5o1v Tank Multi -Fam. e>s Swimmi Pliol/ _ _ mglin ( ' 8ydsler S _,5_ Watt)r t +- •—, Water t Il — ; Fy, < b OEgflOfglltt ,Rif ffftf3iiElN1TG'' - 6Mrf Ica . t 1. rL =0eyhj =`_- Isr>re - '! -piYiu S v. .... ... Hr .a.i.- .sL_L.a>t:'- .- _!..a - .`il e,+w"w•, r' .. ,. iY'F iiti'ff't J' ', 1.1OU EELS ` - PLUM81f;G :.FEES EELECTRICAL ; FEES _ iYrECNANICAL FFEES AAM 0 GGkok FEES Alter Repair ! - GGenerator CO-':KW n 5 -15KW I Boiler _ CCut cc. -pies Auto Wash _ Constuction Pale Sub. fDuctUnderGround — flu - CU, "sfir _ C Duct - Structural 33360 -3370 PPlan CAeu fee S 1 J I 1 T,71 uj i # i f ' zj 1' i -} t i r— t „ r••i r i ! ( -- -• I ; . j ', I i I iz cj __ t -ii -. ' f i 1 sZ• I i } zt.. j- j j } 1j . -.1 1 i / k ..I _ - _` JI • " i 1 - _ A; i ? -_r ", al W } I } } t i I " t I j i , i ( ' _ . I -1 F b'''s -' ^- J r __.__ /. " - - T+• 2 _._ 1 _/- _ W. 1 f 1 1-v i I } 7 a 0 _t ; d Ui + _z .fittolcO D, f 1 Ci ° i i I_ aif } °! ± °3 V, _f f "- 1 pi or vt i o 1 Y1+ j t7 E ' cc O' cl. j.Q. h. O 1 r ~: G 1 . 1 J1.-O ai: L••C! i (_ i I t } ;_ O J } 0111 1 e O \ ' iL , } }- L ! iii F•- , '• U I 1 } 1 i r } } I i , CL ° i wj v' o{ aF >• - - Q: w, OC 'Zf L P; ° I o a yr w o` o ct H;k n ©• j ` r L °• R h i C/ '-) 1 y t I 1 1 I } s ! ar`=ab vil. +aDhi i ryr -Y _y E ' s UJ in • a ,. ._ . - - - 1 - i 1 ; i r Q a to LL. W oc' Q; tlJr M;m m -_ 3 1 ''`;!• _ pO __...- - c, t ?i- 7, X. c)} i .Qa ua t) O C1 _ .v ..w r 1p Ot C is u' 4 j 1 z s• +i:_+'•t ti - .' - ;-- --:._ } y _' _1 ;--- i -- - •- 1- ..__ -__`_ __.!__ _.. ,.. iir 1 - f 1 + I i I 1 I . I' 4 i h 7 r w' i t ( 1X4 il;r1; z iL ui 1 r ! ;•- - O, i t 1 j` f I - i : h /f ri .( F s i 1 - - ? I F Z{{ .j { i ~ F r' i c =Xd) "'1 1 C' i !N cc LL., J1t1 i } }" s " • i S ly - 6 i 3-t ? > y iJ O L _ C "c 'i c S C_ y itC } t e " -rf ..C. _ '•C Cf C- TJ Q(- -.- - c O 0 p 5 w w > m a c -° C, a _ $ ` cc StJ ! "' 1 } { r i ago f+- w cr e. r,x s Y, p. + O o •. Z o i6 i z Ta « J % O f ?' u Y r " a i : $ sp tC . \ i O O O 4 O tY Q? {1 O % S s { 1 " !. . - -, : O . -i/ :. Q Cl • rx { i O z o O i tf S ! SL p t /tt? QI.. Si i r- 'J.i i / 1 L q • x U (' rr a. u . f4 •% : i.tYlys " —r i- rrjj =.: _ , .. , f.i.:Y,Stt 6JY} : 4` f S » ^ t` r_ Rw Project Aorers 441A,0Z CITY OF LAKE ELSINORE CONSTRUCTION PERMIT ap,ta3Assessor 'sP el - ` Appl'cant t0 fl i Owner. N - except 'those heavy border lines and sign all appropriate tiectatations 1 r'ovt?tre;f inspectionPFI ' TRACT kb. Adl oss 4y ' -i I LOT NO. UNIT NO. tees Pcid, R _ Arrr'Eng i'f Lscerse Nc' ice- TYFI: DF _ Adc!re37c .119 1:'1 COF(YER d7r MOIISF! OitIEP ALTERATION = REPAIR .J!Q. rw; 1 Conrr tar'y -r7s ; Oti1PT)ON 0! iS;((r na aLOC. A P. Addresslrrigbrig)4 `` ne 1 - ,! TYPE GI - . s' Main Building: - Crir Lrn•r.s01Va • n , q "4G i IADATION RUCTUIIO r _ ... , J A f CAL 'K"III UEti$ f MiVUCAL ` s 1 Ont ( 01 - ZLICENSE17-00NiRACTOFrOEG RftTl / a = Rea! r l t -- - Q1he *eby a /ti: m (*],it 1 m 1>geMei uridar P'Ons'"s O 1 r' wit n section JOOt OtjD)vlsron or -= ia'!)er 9l.(Comrne:-il t tOtE:TDi- !'„*1 71Qij` rr / -------- .______ , L nsy license n tali r •lire Wsin l aria Irrotess erns tpae: ar:d '' occcoancy C of 1 NtlorrgeacrtJx. j , ttrC sac: atye - Its -, Aft ' Right toreF' i 6 License Clas; f , cAs_e__. ! _ a1ie yy(a a .. % ila.ana t - -PJ -.c. iCiRKERSI -t0 i— y --r. Ref. 1 trill' - i t 11 ;EN5ATtf0N i C ma CS - dark` (ArebyaffirmttipIry - ntg ReSq./P'oridedwcnsiao , e', Ptarinirg Notes_ , .• ! 0. L.A . C' ) rsipen fort -i Instn an • Qsure 0c a t - _ _ _ - 3fi00 >? ur,: or `j•cer fAed, co t;0 Set yinn % Frrbticy No. - .._ Company! -' . J CerIefild tiaDY+t irWebX.arnbhea r• t. - - I r-1 .. - . _ DatCtKitr! - 0 CrOPY(3 tfl s with ttlecitrSuitWh9 Divisidn. ~r + • r •+ <i --' _ 5 TCAPIIr t EXEMP', y N$RT' N OEf RATIL(' + -. t, •. y - -• rr f: '- r Thts onti O . 0 " RIEt COIN Etsec, uC4e t' P ed i % - test). /' t t !or on Tnundred i {300) of s. 1 cerLty t1n Perlp6rpinC[ Or i wt l fOf'yv , l . --+i-$ 7- we•'r -_-'_-. .-;- - _. sha:1 trot erx oYlrnY rsb• t rrflartne so as tco pPerrrl.t I '_ -- -_- ±-_ _ - -`- workers' COiLWermwof(( or -i'ah 'TieG3able[ to't ^a.. 'i - - - - - --- -• _ ccua6llDES - Et cTaICALDate attire r • :FEES b1ECHAN1l`AtNOT' kern' It iker hwk, ^turf d•claralrbn,- y- y , `U iT enefator JO.5KlY 5.15KK' DESWorkers' Compensation pr" ""S 3, the ¢ou.;6oulifbecom sub. ., td Rte r 1 BOiIET j- CT. C• 'tM cTS - l.bor Code, ryto Wasf1 %a<. -_._ _ $ comply with such pravitiant Or this perm$ shat Ott must railnw.th , ! Constelction Pole Slob_ f i - CONSTRUCTION LENDING AGENCY De deg "ea e"oked• rBa-ckflowPrevent(! .--} DUCt- UnderGerurd _ Cu* I nereG r.00king Unit r ca. yardsYaffirmthatthemISaConstructiontendrni4geticyforthePerl•urmarwe ' 8ackflow IrriQatMJf, 3 t-& chiral " - -7_ Fit: lFnaee• s work far whiCh this Permit is issued• {$iettian 3097 Gv. ';•) POIe Ll r I --- •7------ "- - - -• - .-BCD. y3td5i f 1f"aC1e - i Ct,:r;fien - -- - I - Venttl'._ti /_ 3sj) 3370 PLm M. fce iLender's address I Dr essy GaC"+]Elect -de__ S E -- ---_ --._ py I OWNER i"'ILDER QECLARATION -` ish 7rishef i - 1 ` =112 12 FCry(-F ; Fa1: — Era -ative ClliAr--„ —• — _— , 1 hereby atiirr. I•.t 1 am exemp: 7rOm the CO. ac. r t Jcenu ' Eixture Traps ea. - ~' - 1--+ -- 7atii .- " sibllowrn5reason (Section 7031.5 Business ant! Pibreuii'.nat V:w for the -_- cOL'Ity vrhkh requires a Code: Any city or ' FIoaf. Ora s i 1 Flxt•Jfr ' L• 1 1'9 a1+.•tg $ysteitrdt 0 {jiganystruzIlperms! to r'drit[rUti. AICQr imps qye, dITO:ish dr repair _ - - to 1`110, a signed Astatemil that hill is IKEnte' DursUiPrnlici Iftt PSOI yCerrmii( Floor Sinks - - •° —. tU•100.OIi0 OfiO BTU untractor s- tie.,ense Law (Chapter 9 (tommerstiny with Section 7060) Of r - Outlet ;.i ' t{r, 11on? -dr the B4sinm and Professions Coda) or ttut he/she &,. exempt GaS Q 111etS y SIMttfles "nn,`r' 0.G ° r Y;l - -- refplit / Sn;an and the bl3,tis for the Vial exempttvn: Any v1OV/t1On OT Sspctlon - lnUefp torx . :•--- __. --1 -_ ,= 1 [i i . ;I [ 9r31.5 by any aPplit7nt for a; Permit subjects the 2PP1 1Gant to a civil L - Mete! up LO 100 •Ti+S • / i 'r r '. 7i• _ itnalri+0! not more thar live hundred dollars ($5il P•Traa i RCirj9lfisl`on. IJ I, Al owner of the Meter ovw 100 empsr 00_101".600 BT(i t40 li0fi BTpropertormyemaldxeeswitn vay'es is t;,eir we Roof 19roin! rbWmpynfih.'n, will do the t•OrFnd the street is not !nterWed rx Ortered ir ,+ Utet. Lawqoa not Dry na ownarpOf iDr afLY truiids kimp ro0,i ' Trailel;Sewef -i > Fitt! /Fact ClRlg7 #t : -- flxti+ta! j - t(ntxi on, and -wtio Does such w! *'% himserr/he re rout» his or her rnvn . $twar;CaP .++ Tronsformef 15.50KW 4 1 +F+ID Ses, orovidod that such 1r s i, Calton < , t y Fire - AI Itec4xniul- Y ate , however. the builds "prevents in)Inu: rnten od or olierrrC for -- - -_ _ _ ^ 511 I ftlpe {s ^^ . n9 or3rintarovem•nt lt-said wlIMI aril year or corn Sewer .'Connection_ BI(fg _ , MOTE!! 01 NP Ci114 8 — - Welfcn, the owner -Witt have the ltltt or Drav rte ^3h - - , Uafro for the puivose'ar sale). L a did not iouild cr irn- Solar ,olieeto -=`-- as ; wWner of tht y, 4-in ,tltclusivet 09-15 HP 16.15++ SA(IP c tractors 10 conslruci l open y I:ilr:iract,np wi.» Irrlensed :ten- Solar Pjpltl S' Si FBm. e— tt,,,,tl DrOjett, nOh 704tl, aelstness and rsvares4onc f Solar ijlnk r :e - -, its• Contractor LiGi?.a ,lwe: - _ -. IAN t r.°s tat attisol */I OVAU1 a! pfraPell 'evho. _ Multi- Fam-.. _ `< Q, cto or Irrprnves the' and.p,hax,tlnt cts_for. ch.rcJ•Cfs vTn /a •ion. _ - 1aMjMtGltf nck ' trYctarls Ikons• Durswr to tttti act3 s Irfxr (#tp { $Ntlmrt4i'n 1roofli,etr Worker's Co.P•R t In d )• iJm\a4pr rset Q. 5. ! W alNimMin P / t suran(^s Sl irl dM ` : U _-^ _ / %r. am exemrrt tinder Se;:dan d:' rri• -_ -'_ lrtef = bate -- r:» - 'J ?/ ` .! C:.inl it_ws ro7tsun ll , r TUit ' ' r ;` y _ i+ _. IRvli t i irf r, y 7'11te6io J1 Mreby grtifv! tnai I Fatyrt r _ siiitorrrialtd/ a Ca3 this aD tan t skate iltfnt the aL1w ' 1 ' ^C 1111 t9rr•ct. i groe tdtlto yadstar• wt nlattitp to Dulldipy ftru fo!!R+v,))e itttand eoetriy arlllnant•s _ e - 3* -t; tatctfvei Ptrir tf s`cltY. to en !nr u atBfve rCNn bneo tyor 4. a' . _ _ °' y = _ j i= Ula3ggi t( Ut irre 1` e =-jr1 / '. : T•1` - .:., : ; 1eL ' 3 ' t r `-- Qlib1= `'f, • - Q Rr - ..,' ,t ,. ` r" rtfe'M.5 :C .- Datp issuer - - '_"fib- - ?+..••T.30"_' ` FF { ` , x ' r - i I' _.__ 31l 0.33L. I t ; ( ' ' " i i c1 - A / ./c,r,;,c Z y 1 C .i.Tl " tSL yid' %J 4-:x,.8 - -, f t- ! p°'- ;• P I A I ! 1 A t I Js W W 1 'T i { - 1 I .ifs + Wq ± r .I +• f + ` 1 Wt Wi Y IL Li . .j •O. I U O C. Q ?i. cc v 1- i of WQ a LL. ee '.a•• r O i z Wt ' C t of O, o dt a; ct; iad !';c p' m EI 1E V; >%i J' - 0 >I E Q;l 3N? W fly u[ >, O , s ` ` i I vi o . f " a'" '$ r0i %SLt a i .. - s.. _ i - ts• 1 p I _ arc a'} { \ z 1 1 t ; i Ji t f J' f }. h i I ^ 1Q I LL. Xr -Q t- CA Q tom. i ` ! .r -- o ul UA 1zviJ:.f ' I Cx:e i - . .., ri 5?. " _ >9 "t i', v- r._ ;' t « ' •'" •C7 s t c m = . F -- • - - Z Lt o _ - _ .. C c , a ; .1 f, 6 ` o _ ° ` E ' + 4C s . q I Cfo • 7 =ee " ~- — _a7i _ _ I _ i .. &J .A;j. q 1 iil tr .sue _ / I i .` _ -o c"• . : C - ' p .'.fir - = a- .:ar . . • - f •/ . _' j ;. 'S - gip•- - .., `. .0 _ ..C. iF _ -_K L dr,- 4 , ~ i , t, e+- G '%'' .cy.j .:i s!;, . + a •.j ` It V. ; ql a q + " u :0 ` i rr Qi '! 0 a -LDD 4 r• 14 ~ Lu/ Q O .',.. il .( ' f -• O • .f y. .. V • _I i9 `M; '. ^,' f' / i ' r V w O O O ¢ r LC' " tiYYII O Jn V _ O e0 lei O (n •. - , lk CITY OF LAKE ELS114ORE CONSTRUCTION PERMIT Within heavy border lines and sign all appropriate declarations Prolect Address ae- Applicant to fill in all spikes except those Assessor No's Parcel . -- PE T NO. TRACT NO. LfjT N9, y UNIT NO. Owner -$ Name L, lyry OF W1119911UN" kDo A R GTHE AP. Arch /Erg 7e_ixv__I_icense 1140. e V36 CoNyERS1014 C! DEMOLISH — R DESCR:PTION CF WORKAUSE Of BLDG S I Main Building: Address ET FrontNV'V4 -C&5 Contractor's Na I MiarPEINAIT C, G.WPIG 0 FOUNDATION E,' STRLIC111FAL Flea Ttmisq L3 FLECIRICAL El PLUMBING C- MECHANICAL AAddress (mailingNS . . I — — — - ------------ - Right City License No- OTHER C DESCRIPTION: K DECLARATION LICENSED CONTRACTOR Charter 9 (corrimencing PROACt S i Left I hereby affirm that I am licenser, under provisions of and rAnstrucbw to bne wftn section 7000) of Division 3 of the BUSIMSS and Professions Code. PC# 5; P12j Ref. # tali d effect. ultammylicens.;t, is in is Manning Notucense Date signature Rri at 111111A- TI 115ORKE51COMPENSATIONDECAI nt to seif4nsure or a cestiticateit affirm that I have a certificace Of co n,etraby3ffi copy trierecii (SectionVorkil-I'S' Compensation Insurance, :3r a cert 3800. _ Wed 0. Lab. C-) 011CIVjY033ComppanPolicyNo.A& 0,7u P Certified copy Is hereby furnished Div' lined with Inc CitytWe AppticAr, Date : P"S:..'T C LtARATION Flat"AEXEMPTIONFROM w KERS'COMPEN T ur section need not be completed it the permit is f one hundred (S10 MECHANt—CAC' IZIS - ELECTRICAL FEESperformanceoftheworkforwhichthispermitisissued, I FOR 'ING +., I certify that In the perf'sorj In any manner se) as to beconle: sutiJeCt to the Bader Shall not ernploy any per f Calif:3rnia. enerat-Of Ok5w 0 5-15KW Workorip Compensation taws 0 After He a Duct-Under Grnijild Signature Construction Pole Sub- Date Ition, Labor become Subj4ct to the Auto Wash his declari Duci-Structural ji NOTICE: If, after m3king 1 abor Code. you must forthwith CookingonsofttkeL. Bacii jLJniT Worktris' • COmPe4SIItIOn _erov"' mil shall be deemed leyoxed. ow Preventer Fan •vq Comp!y, wTIh such -provAiefs Of IWS 0" Pah, LiO LENDING AGENCY _Bj-CkfL0AjrrIf ion t ExItaus. S Stern lill.iffintoCONSTRUCTION tion I hereby affirm that there Is r construction lendIni)6g.ric, for thG performance30 / Civ. C.) Clarifiers Dryers OGas DElectrit far which this permit is issued (Section I Clarifiers_ Work I 7N ie , weir Oil, R Pxkinj Req./Provided E Til9S I v 171 c L. Ir Lenders Name 1_7F_ix_iuWeTrepseL Fill: —CU. yams ran AU. FA.U. F. P" Vied Fee $ Heating System & Ducting Lender's Address OWNER BUILDER DECLARATIONARATION CA*actor,LiWje Law for the I'SFloorDrains 33i2 lot pensift In$ 1 Z, ixtures BTU 0100 000 BTI1j (3 100 0(10 cexemptfromtheIherebyaffirmthat. I am and OfeSSi as Code:.Any city Orreason (Section 7031.5 Swil`05Sj,gs dame Sh or r0p3ir folull a permit to construct alistr improve. V Flocir SinksFicirZ!ksIf Cutlets Hood or Canopy Tie itT10Tell__Q4. SMI wrilch,requires k,)qIjca"t fol uch "rtrjt1c, I issuince, also recre. prior to 11 he rvj I., ensed parsinint I provisions Of f. ad itatement that f Ontitag. Mce OutII4 WA;370 0 u— 171 lm to I anus Switches . X, s 7 Its * eiration Systern' V I., dolistriorl license Law 'that 116(she isid-mol W 7CfS W_ r Ibis Business ai(d'Prbfes06fLS zNkj! or3 1 YAo" I on-ofl Srlbtloq forrill an he Oasis for itwAsegied i1iyAffI0t"-- An -,PPUCant ta'a. cilil ist fOt. permit Subjects the tp---,4p- 0315 Is Poll-, live hu floaf Drainsany _narpo dollar$ ($500) 0 not mo, that waw,6,thilf Sale ayope, O( my employs" WI as '&M64 of' T, Intended or Offsr*i JqL1WV"_rI,(' itiod I - I Irtge III I IT &Sol 11. 1 -. 11'sc, , —,, -_7 - - — 7 —La n 44"' ljsW and §gr*, Co i1a 0 1 a tVV0 b"unds tir Impf W his',Gr t* Wo n and It 114- K, we rk U'v* Corthectio' nvements "10'r,lAten *0 OVOTfoxed n W11 art%- 0 d y G*9 _tfik.. 1=4111nd' -;ov&rnlsn Xsqfqq4 n tuse year Of t W- n pr F pyt el unlit Ir10)• fyu 10 ion A A Ira rill: at in. W4 9" s. f j Aster 0alia6ga mpsrl 0 15-SOKW Transfor"r 59+KW W—tofs Inc. Solair'10,915 HP 0 16-15+ hm.,Rrs J, F-0 W. T_ NONGfEt5 le - - 1 1 . 14- ARK71, 14 7- Got -cu. yams Fill: —CU. yams 3A&33?0 P" Vied Fee $ 4 4 Q Fm 33i2 lot pensift In$ 1 Z, V. SMI WA;370 0 X, s V I., le - - 1 1 . 14- ARK71, 14 7- t;T-F 1 Lei SIT 1 - -W r _ F- a..- ! _ j .ai a -•, j+{ I j7r 1.. f ; S `- I I - - c m- CI ', a u . ic c jj lc' - c I q c :) a, F o ;a ry yi w1 = I iu w t°i' tY' Y Ci c; O i ir N I ! Q m x:. z Q Q # t O _A - t7f—+ Tl- Lu ua Z 'i`, I — -- - ' x fit' l c i! 7 ai ti , 1 _. _< 4,. —, _ ._ " il. - __ ..i ,_ Y. • {t r -L . . u7i:.,. Z - - -.jp i'.0 -c'-.V j. —'" fi' -- —`} -! _3. I _`y SA , jirs •. _ _ 7 . r r1.. ,- c. - i- r r, Q --` -- - -. d "c4; . - : r — 1Y Na 1 'Q '3 - - ` 't :r.t •7 C er '• i tj• t• ,. - -j a •w :" a rr -.Z __ C - dick h- - ] ( • .p •r . + i • h r ~ : 3. r.. , f I•• Y71rai1c • p C .. , c i7 c -;m/ - Ana _ _ , .F -,t"1 ' -:4'' _' Y7 R 7 . •c.' 1 tJ fi. __. , . -'-- - -. "-Q ,..,G. -%zz i f•= _ y _ L: :ij} :BrL". t'; - w . 1 / Fr :, 't ro ' *+ _. _aL _" C) +.;7D. ' N ° e / ,• o "u as; > 't 1 ; ' u,c. 1 Yn •< 1 { 7( , t: .,• c "o -,. _ - - GIl,` It+fyF s. . iii? , ;; ats': ' "•' tit+, °, "!i 1 a .. y; `! ,, C 'i.. _ - V. u . 4 - . - _ _ 1 :71iYY , , « t c w 70• _r. -a.,; t: ».y y r w. ' .-. t. .dui C ..1" a.. +. l4 :•iC ,'• 'fi y<qp h.. M 'li:. .J t' .,t?C a1CJ' i ii. q o j, . l N -•• -ww G .y " C p,}16f di d :i E .r. y srf .t y w -0 t t , r Q " ' 1..., .:;u, v. ': f , r , r,' " ;t 4' t9"•t rer j 43 : %.. •> d --tY ,,y ys ' ? _ _ ` u :dr0 'II,t <k [ .ci , y) __ • .. ii4sr r"' / o t.1r ].. c l• P . ,, o.i yyY w li -i1 1 ».t 7 a T c ...r • - — .'iC qt •W 40 f, Y4 L' .f} !t 40,E •,;. !1 clfl, 11 r .. < ' y , 1 . •>n r f• •L'`,y Ki 1•• M B. t71tp • MKc ° - ,- 4 . .S S " u - - ^ /. r _a.,.. ! ..—. _ 5' • t L y .'. _. F . ' . ..- ! 'E rr 'F'l i w. 7 M . r r..e.r _ CITY OF LAKE ELSINORE CONSTRUCTION PERMIT Project Address -f 7-36 - 1- ._ Applicenr_ to fill in all ipace:s except those within heavy border lines and sign all appropriate declarations - 7Assessor's Parcel No_ _ 1 PEVIT N0. IrRACT NO LOT NO. UNIT NO. Orrnpr's Name ' _— , hone — Q , t l Address `' TYPECIFCONSTRUCTM NE1k ADD :j ALTERATION C REPAIR License No. -- j Li`'rlrchfEng. _ -- CONVERSION DE)OU5)i r OTWR -- A _ Address a Sal 7 / DEXRIPTION OF%(AX 11SE OF BLDG.— _._ £ Main Building: Accessory Y 11rtContractor's Name —t hone _ T Front Address Ima+(irV) r ? -- - - - TYPED TERM C. LECTRXG FOUNDATION IbMB NG STRUCT iCAL 8 r-- TFi(Il)tT r FLFCi()ICk PlJuli81NG MECJLUiiCAI A Rear City License No. _ - -- = MIR C Right L•CENSED CO NTR %CTO i DECLARATION PROJECT DESCRIPTION: x. F+ - - - -- Or_eP3acy - _ hereby affirm that Ian lice setl under provisions of Charter 9 (commencing 1 AU^S _ -? 5 ; Left ! y ith y_-ction 7000) of Division 3 of the Business and Professions Code. and Corikucbrw 1]pe — — _ Ire iicense is in fun for nd effect. YalwtWri!. _ _ _ Pi,t _.._ PIn Ref. # Parking Req.lProcided corset :as; i n:e ol.— _ _ Date_ Signature — Retnarks ° fanningNotES - ORKERS COMPENSATION DECLARATION _ —_ -- areby affirm that 1 ttavt a certitiC21t 01 consent CO se!finsure car a certificate 1 Compensation lnsuranca, Or a oxrtif :ed copy^ thereof (Section _ _ — 1 3500, Lab. C.) Pc!fcy No. 1f7L'ay` A --._ COm.PanY. -/Y Y•tifiey copy is hereby furnished. L,; Certified copy is filed with the city Burld i -) tt )JY ' L/ /fi— „ -• _ Ctite_.,.. - gpohUnt C.L(!L! - - - — EXEMPTION F "i¢OM WORKERS' COMPENSATION DECLARATION __ -- — _ Thrs-section need not be com reted if the permit is for one hundred (SIOO) or - milli less). -- - - 1 certify that ,n the perforrnaxe of _ne wort. for which this permit iss.5 sued 1 1 PLUMBING .SEED ELECIRICAL FEES MECHANICAL - Srali not employ any oemon in any manner so as to Cisco a subject to one _ - Gsftprator 00-SKW 5.15KW Boiler Workers' Compensation Laws of California. _ i Alter Re air date — S.gr,ture NOTICEc tf, after making this declaration, You ShpL'ld tleGOnte subject tote(a W2sh Construction Pole Sub. _j_ Duct Under Gro snd Workers' Compensation ptOV.siO s Of ltee td4Ot COc!C. YOu must forthtiv,lh Duct Struetuni comply MTtn such pro visions Or th:s permit shall be deemed reYOV.eC. Bmi: ftury Preventer COO Ling lJ1ilA F .t/;SfItllatiRQ CONSTRUCTION LENDING AGENCY ow Irrioatlon Pole Light — 1{. I nerery at jr- that there ,s a eonstroction lending agency for the ilerformance a ,ice Exhamst S Stem WA, leDI;rs rJ Gas Electric ___ -- -- pf the `.o, for which this permit s issued (S@Ctian 3097 ClY. CA __ Lender's NArrle ___ — t!ruher {Fan Evaporative Cooler — Lenaef's Address - -_ _ yrre Traps a_ . FJO ]!' .A U. — i Heating System & cling OWNER BUII.L`ER Dt= i' fARAT1ON , [.0 1(i•pp0 $TU ft0,00O 8herebydTfitm '.:.tit; 1 qm exempt from the COnifacto;'s license Law !Or the r Drains lx lureS . _ Yntlow•iTason (Section 7031.5 WAIness and Professional Code: Any city or F arir Sinks Outlets Hood fN CanfipCOUnty »filch refturre's a perliV.t l0 ,rristruct, Altar, improve, dem Oilst. at repairillystructure, prior to its issua »:e, -also leyufits the applicant for suCh permit Sefvll {- OUtIetS Switches T 1 T 'll [} an the a signed stataov int that he /sfle is I1cents4 pursuant to the provisions of _ _ M COntrru tor's Ucwme la+r (Chapter 9 (commencing vtth Section 7000) of — — :ss -- vislon or the Eis s)rless area prolssslons Coffit) ar that tie /she Is d"mpt Meter up to -l0U - efi.lm and lM cases for tltt- ilfoged-examptioR. Any- vio(ition of S etin } _ pTi.,.- _. _ - - •- (eterclover 1009 pis r;JO- iOODiIO BTU i00.fN 7031:5. by any _apithcamt fx, permiS, syhtects, the. aswuwnt.._tc± a Firg9aCt, D!t. ICBO # flyOT-noirxneirtcr Tssc- •i{•,er it Jo iiars =(i'1 61 '. -.. Roof Drains Sub tiei L t.' as owner OC the 0900 of my enloloYyee¢ Mir waWs as their sole 1'. I ;Y> m Repefr /Ait6i`dti0n. compensation vAll do tew Yt+kk; -amid these stfuci0re is n!St intended or tiftered T( $4 r _J: = "Tr3ttsfo-.mir 35. :.aiW for sale (Secflonr7Wt1. 1+tlaaEs ;ltd Prr reWIgrlel Code: T•ie ontroctcr's _ i7 54}KiA FireDampM . Lice se Law dtles.not appal /to as osvi'wer of a rtY 'Mho builds or (rsKaoves EA¢ tllereor, anti wile does 'ch work :+iT :Cif 1l. or r :mough his or Mr own _ yj s ffOfOri 0.1 HP 1S - 8 emploYe4q„ fJview, that //such ({pprt.vemenas are not'Intainded or offered for $f)1NOr Contlet:itf;tl • f3ldg. rl ,' x•15 HP .1615+ - inLttfOtator sate. 1 , however, the DOU- rtq'7irr Ovemin; SOW wr° in one year M com- {er f:0ii9CtOtS — .. p)elton, the oKj yr vsirijEsaYt trwtiorr tr,-6 Rro t$he /stf 0Id riot htllld or Ir0• y are for Cho pwpos. Well, _ a1 p7111y Sil tN air..,Rei _ wr _. Fof ajemer ifr! tt r,pr 0«CY Ac! iN(1 = onttact eq wfh%) licensed Coo. r - raeiors isa, Lor..truf3Rtem;T+ alto c1 OeKt 04 bssiiiitt( te stt le C !M(fitt•Fstn Rtts. `- . --- The Contiactdr*s J,eease• not X41 Sri oversafefora s,t tit icon- s1 nlbuucpor {mprd yl torrlsbn fr rrtlta cOt'" 4 i . ei' ill % r n s= \ ¢,ractor(s 1llt rtsr potslsni to t*C**Ara d' au} firm,twuthtt K., z • iy t _ . ' ,. _ Val o tMlt ' ar,Fr s t 6tatg )Nn y a 4 QjOQ +r *stAY 1 1 am savertViE urchin sectloa. 7>—fi- - -»; : : at l p- ror. this i,., - r ..,r - - --t •a l ? f...: Qh• w r 4 y ,5 _ (t ` i ; i ' .' ,_' Y' it L1F Date_. ()'wiilY', .r.+f. v. -• : ~ aC .L 04R' r,.l l -....._..•7' 14 y rtAx that It hide F 0 tlsls 1 n• te!$(l (1! iN±' tWt -,It .Yft, ct. l f7e c w in' ( y a' cNN rot !., — 1 .,. .. '-'•'"__'' '"_'"" _ ; r 1, nd ile rrws relate to V19 G ss j 7p oil a t). Yza,nP° 44s, { t /t L?t (t f.1:Pt.17.•. r( 10it - wrf,' l.: - I f t1.l .'-, -' °•yi - ty ( 3 t. is!' i .:.E° SY, Y i L. to Z O N 1 N G R F a S T AGCF.it GRAW06 FEES Gat ca. Trfds Flu- 3360.33)0 Plan Cteck Fes t 3300.3312 Permt Fee $ -- -- iwi Fees $ - 3360.3312 Slmwary a! (! _ - Pltufl7ee i -- 4tsechanral 3i{FI t SIlfif $ 10-3370 $smv el 040 ched Fiiq S I • (. - r i ( fr 1 4 f ., - J } ' { ; _Ti _?T f .= r , y AE i j _ Fi I t t i # - ` z t I ! 1 _ Z ! t i j i f i 3 , j : • - , -.9- # -r : -., I C7 u .V t—y t f i ` Q+ ! 1 `- 1 .n S vi .. 1__ _i._ _ s_S - H _tG- . _; _ - _.-- i - } -1- -_ -! _ ! t ! h LL• _ r .Q rR tLi — s r f _ -1 u w>ri ci' Y' tQ: I ii y ( c asjTV I = ~ a 0. Q. = i QC . i 1 { ¢t c .t.m c , z V L V. ` a' LL oll??Or 1 O ce ! _+ PI , 1 p c! ` c' F. tr c ;u., Y. a W: ! 'z w! O..J O, ; . jl Gi — Jr _J v; > u.i E1 d`SO' ti w _ >. w } H -rf W) p i 0 Q ' c, = Q v — Q' to u! Q' O _ •' c' }; 4. of N, rn: 3 j .ui t rL >r c' i } I sa' - ' > r st, _ a v. c.i) O a{, E N! _! y O _ _ 10 i - - (/ O' ¢ - ° 1 I W ! ri r i ! yl •/ i s -I a Y a _c - •U, . O _ J1 vs) w; yia- p. LL_ ?1 a } .i{ v t° w Qi"w Nk mj Q m =i n.` w' i a; n l - =?" op .'Jj - o} =a _riii: CL f 1 wi f i VE_ Q '- t 1•' 4i c .i O IL I =r jEE i p p , 6, } _C f L . I • s tr L: _. Ci' ' . ,r.' - " 3e'' ct .a @ D , .O .. -)-aL: .,.' 1 , „aE.. - - - •pFp ,xrc s, :a ,ally r r .I .as v,, is v u 't3Yc C ,C'_ "V. ".. -•- / _z, I Q '_' •'' - .. . -.. tr .... sCs It et r0. >-' r+ : -; l,- .rV .•r. s : I C ..1 Gq .,. 1 U _ . IP.A 7 --- f p!'.._.. .. ' .._..c- i wi- - . -,` - C p .s,•tt i ti r%- : ss yQ' "' w ''' ..11 'r' `' rV '? 6 -, '_. v t)C ^4 t — -.•. t 4 '2i `p •.f '•Ti' t I, , r4 r. t c .i t i-.,r_. _. C b i 7 I. :v, i `' C C cy i tL r.{ a. ; •r - •„+ 7.. w 5 1 ? ii ';:p ' Q e $ o,• r r >r }! - O --:OaF- r ,• f0'^'- , s f . .Ft : I - C- 'i # _ '-1C • rr; l -` vi%% ' ` J i _ a1r _ zLLi.. .J! li2 . , : Ttio . : 1i . L r . 1p l. .• :' sa C~ dw X 5 7.Y+ ?C ., -• + a t3 ' i';3 1x L ,: "4 W a f F i1. / '`s , dY11 ,.. r :•,,,` - 4 ' nta.tK•. 9 S r i f•MV -. .f4 \IV .. A'!r . u ` .- .f •.Y _.1.. a_ _ ••'r .l• _ .. J: • • .n.. r.n v. e - ± DE. N 0 ION pRMIT C17Y W ,"r Ft SINORE CONSTRUCT 19$$ CITY 7 e l border lines and sign all apprc priate declaration. {, pp / 1U - 1 Appiico,:t to fill in all spec_ t except those within .navy UNIT RO. LAKEE E K r10. LOT NO. oroc LOdrQ`s _ 1 Asseato(i porcel No.._ — - -- s t ZDne r/ %Sy_11 r_ r; ArNJ AL ER 1 n,il - Iam , YY EW A A.P. #_r`- - Buildin -a irERS!Oh - ViioEtuiiding O Arch,Eng.. --- ---- -? JEIPS13tlGrWQRK UK, Of r'ront - N SCF T _ SfRUCiURAI B j N Address - - -- - 'hone -® npfOFPEI 17 G.40ING F NDAIVJN AjRt;ar -- jilUMt?(N6 MEC41ANIf<iJ. — J _ G ntractor's Nam ? -_ -- i TExt i - E.ECTRICN. !_ -- - C Right "_' lddrrss ( rrarrrngl `- __ -- - Oi'r!frt __ = r - R OctsParCr S Left 'E t o PROJECT gErA!pT *M Sq. FL - - -- Was _• _ _ Parking flag. (Provided O CONTRACTOR DECLARATION t ,:nz•te: ? ( ccmmencinc _ i?`I! pfng- fief. # - F nIf.ENSED anj CAA' tYx - - hereby aftcrnl that 1 am tisiori 3 of tri Buss • nos, - pGi - - Ptenning MOL@S _ _ _ _ - bttn section 7000) pf Qivisian 3 of fn_ Busmrss and professions Code. Va __ - - — _ S my ticense is in fu`i force and eflec`.. OJZ Succofid140.0— Oatr> Z tsY- .a TION -• - - - OAK RS COMDf.NSATtON qE a iof cansent :a se i +rsura dr a cerii ^ction - 3• re affirm that r have a cer.". thereof (5 • - -- 01 Workers' CatnDensatian Insurance, or a certified wDY - - 3SG(r. LAb.i it _ -- =omN :'; Policy No. is. n,sned- art +hetl copy uled W,: r. the c ;t •'tla q er0s, r - it+e coat' ""' - - - -`- FEES. pate M gRAP01' a M NSATi i : ooe rA+ un (tl3 (s100) or - _ _ FEE!) - MECHAiItGAL ca lards t. EXEM ioN Rq nc pe,m_ J _ ECTRICAL Cat _- -- i (rnnsection noad not be c01110" FED _--- i Bober - :e. )Wds isass). x rGr wn ch tni pneer'vUftct to tit tilit$ING TG ne;ator LO 5Kr1 15K1lY i OuctLf er Ground Fill _ 1 Gasify that in iha Derro: mancq of Ire .ore• so ay' .Q ip$ r ' snarl not employ any e s s :or O ti GIiD RPDIQ?Ub. i Ouct-Struclural 33603370 Pisa :AedFceS p rWorkers' r Signature Cocki,,a Uni_ t „- - patr t r nw :n _ 1-_- -- Fait - Ventifatin + - 330a331Y Pr.ai:fx S ns cec- atic ,you snonia oe_oVncurs{ec t, the elenter T ifefx S NOTIC . if, tits rrra,rS taad- ccae, Y _ ._ Pale LiShi -- ---'1- i Exha$ystem — J tNnsatinr. Provisra oti.s Der at stall be deeme0 ,•. c01!ed. - Workerz' sucn prawsan; ri {fTg;iGt1 _ - 'EhtcrmrAGENCi' C E"., jaS COUTtOJ•1 LENOINa ., tge,xy `cr t .e ne•rC -V. C.) _ _ tent ;. 3 n C•v. C.) r4 1 ne *es:y att,rm that trere Asa ulnstnrc' ,Ssutt: tcecti n 3.s_- - Fan = leatiny $ys:em &Ducting dFeK r., rmi. i; .T rrk-* dashe! - - - - -- -- 0000 BTUoftheworkforwh,cr t s oe--- -_- _ - - j - -I'T. - I F.1LU. _ _ t — C]L- 1.16(T J BTUG)!(1 330033''[ Setllre+rfelPerai - Lender's Name - - -_.,^ -- -•- flry ur: Traps e% - -+ - j i Leadar s Alrtlress - - - - -_. - 1” Fixtures _ - ! Nsod or Canopy Seikw3 - r m tht CuMr' ipt'i L• s u l an c ty or ! Ou _Jets 1 i [j Type 11 I O,,NER BVILOER DECLARATION F' _ - - Piembra'e C ! harettf aiea un (Sect1 aim n 7G t.5 Buurass and Pratcs;u n.i y -ode. u1ASn or rePa r L ifI'ar finks - $ Mltctl @5 - - - _- tot;o v n4 alter. Imp ov ntt 5 H @f1lti05 $y5le,n ohlca regtnres a Permit 10 co• sseruct• - a ,,.rerttiee f3utla's _. BTU_ FJ $ r,unjY r, to the Provissa:,- + t e _ l Jtte: i D Z Rm t70 i 00 000 8T 1 J 00sbuclOr " -.'q :log to Its itsvancr- atir. rc4u +r'K the a i>! can: %e sucn P'- t - to lise.a st rt ' statement :Mt heJsn riy I i lt i ?Itgi t, ction 70CC)V t " _ _ Blt SGBO +4 MW j -- Pro.esslt•ns • Cr.1e1 x tio*+ or Stctiori t P f ttie tit . 00 3lIIp5 Fir 11FOCL Ottto* Contractuf the t3uslness~,ntl- P• excrnptior. r tnhatt srl ,s .•scemDl ( y 51b net nt ReQBRItltttiltii0nplvisian3'. ,he' apolkant :o a GiY i ' to r _ scant tar a Pa,m,t v.tiNcts rf off Drl tfls t l n 50KWtrre(,on, and Irk, ttne'attosao ti -_ 11023! CylPfit. s 1031.5 by any aoWtrft Al yt rrry 4rnDW s Nstri vagts u their :rlr i"J12il+8rSew Ifrant#ornrer D;WAW ---- ^ 1 tty or not rnori'• than :fva hUAdred d'aS` tn tf:5rii" vi lore -titled v ntfelotl - _ jj1 U t. _+s ow" er, of ne 1uor o.liZ r.o tituttr,yr4 3i 110232 SMI!'tL5 S I, sstro,+ MII d. tot v'wr r,o si 'wlc: 3lta >;or.tractGl'`. Cap - ,- -- ` 1(P I i'fi 8 :s - C3 comcito `ms and dmtr•Scli ,w,o adios at ImPra^ .. -- -- BSd _ (AotoTs "r6- ` ] r Ira 7044. f%13 { rgty i. I ssla (,,ec, rF . ap m owner tT P!cs kls o. ne GpriGBCtiD11' 9 3360,i370 ssMNJtA311it tdlkts S L;unsat Lir"Y d.xs nrl, aPjuc srlr,r,as / •x etvsw4h < -----± _ Inc.- S ol?ri rsf,,!5 P t7i& -i3 - rhC dr, ytdM1 ar of t g(,% nr Y S[.+i tncreon, and wtso a67r; sixll pdtk t+imrrr,c;ts_ t __ ' J lrolrCKoft. f . lour. m,t t: srno Qiri not build or Lrn• r.. i,giT• .P - _ -- -^ ttmploYyees, PTO"' T,A`bu.t C 9 t R9osro; J,pi9r NiKa .. -•-_,- ' L If, hoevo..ar P writ Mwit the tr s,R# jt Cr th a i± H r f is 41- ci ssirrely rfs;PC_tl!`q,Y`,t' 6 a i' 7 r _ - S1Yttitt(,Q i'S f j& :, .F.r - , , 1 i = `-' •- - 4l *i + AIof+SrrkY' m r, 7oaa r Z,p,e, ruKO rt. _l1 to oleci:5% Intfl a .i ki _ • ' t Y p k_ trae`9rsto-,COnst(uei leap ti neOrl4ti•4 63rst,iilttr'S'tnn- - ont itat'a lS:-rse i ,, t! Hwy l.+sn ward 1t1W i. r' y v ,;: r. ?< pidpor.r, {tmPd :tfywsel.rraac ,,C t -ttra rs a16t+e' o tjtea.tla n wQSlefs_- ttj u, '`S "f':_ lr.ct (s 'Ircorrno Ptx %ut t+`finrsatiSneT1±' te, ish isol• {" d :Sig t. +' r. J sines {weir Worth a jt'Q. 1. Y _ r1 "+ D t. - q , m l t j I v srnDl'unddr !,sss'r,n -.-a • . . -- r -. x ! " t5 / 0- f - T.• -i; s---* r' -' a t 3 S G Paris, _ y,.. .'. --. . -. •- - r-.•' _ t 1 -y,J i'•.- 'ice- •.: -- "-'"% - '„'i.., ..'.: _ y it - L - - .' s wnt - " a"UIttnrvrrsrd4'sr+x o tca ron-1W N a 3 i,#ra0s ' 2ryllow « aO L Cd;t y lr (teqq to =c0 i iYndkF. a^'^"S atstetrWro. . for Nrl[bV i0 tAtO 4 t e 0,`L Pro f!, .{ . . fir{*. t09ar t " y `'ii .." I.tily' •J' .-f'" ` ' .`v,, °,-•. :i.. r:.•_. %Y. 4`' awrerfnl 0[.t pMll 3r -yY IPS "3 S. , t••... .. cc j •–) --moo, W ) Q C`4 m a: a _ ° . , ` O - jpFW ° ' a Q W a! I Z w c ;, a fl 0, c Ul Q U. t 1 c j a co i y > O . m. b m t0 a j _cr v LL z I W d W t 1- O o ( c -J ° i cn LL Q 9?O a > I a p Q C to ?` Q v _ l _; C ° ZS ? i 1_ vw Q 3 Y a> Q 7 W 1 m — 1 . - -0 - . mi .n ..:'> 6- E . ' C N ' ? Tm0. tQi C ? G7 t/J w . W, m w f... N0Qn O U EL a N L N C '0 m L' ,. l- J 1 _- OG 'a c ¢; a 3 oC 3 0' -b cc -+ m{ s C; cn O 1 c, 11 !! , a," E .E s sia O ". m` j> > w f Q a 11Qaw¢ Q 0 - Q m Z a u Q a - -Al O ix— i L 0 .ul Z. cR iJ ' to •_ - •} - " ' 1 1 t i ll . i cl 1 yjr CA z ku lcp o 1 ( c T s c..: iY(j(qj y, _ \ 7"w'•t ? i'! i. .r1 i;` f . •!v° s a .•a- '1 o ; _ti L, I 4a tM1 C (3 1 " Z_ i:. ..ri5 X 1% t" - .•./ -. y ._ Q7 y ` 41,1 ... ti t. qy t c , i .q : !lL r: .i t ; c+ •.c C ! ] . ', ':: r iu l — r. a. -i . Cv , f J r. O ' -. r moo' 4:+'y,.. .,. A- t :, !7' (I 1t{:'Y t 10 Y. _ ' !, _ ° '4 %y- °- 1 'ill -i 1" - -i` -•, _ 2• - 'i" • +4 _ :ai0. ..A; ;'-ti ti•i _o., r 0:! yy . LL =1R1: ;{ 73' !'j *-' i , y }.5... "`^ I{ 4:• v- - _ _ _ • "'Ct c. •t •;,, 'r, Y: t.. te,., rr -ro fts.• lu•'. X` a. _,, r ,: .. .i(,_ " pp i S w '° t3 Y « - tii •e a I ':t'+ r: ' ul y - r - -.;.•? . r,,;;,.. ''1, :, J.. i i7 Y 's e ;. o I. t fru nt: t w. Z'I1:01 p'>t t< t ".'.: i. i,, .i IK' fl r. yr x' Al 4 i 1. • 11 • 1 1 .. t; ' .. r r !r!,, 1 1 1 'J /' ( 1 1 1 ' 4 F t 1 1 ' / / 1 1 I) 1 r ia• a, is - t1 v} rf p j.' . 1 ° .:a n f iI.t y. . µ ,- . ti. 1 f! %: /,, 1 /i".• :.J.S \.^.• awl jr _ y,s.,;, T N t, -! 1 d o i . R - " 1 • . - di.r f h =i' .i ' . t.. ; - ,.L+— r 4 't . = :.• i ; "!'}' Y' . it ,n r t t` tr . - r':( sel 'o Y c -.l '. .yL' _ '+t:'if 4 { 1 '•' r< , M -hit ^t,.t: d` ''J i , p(.' 1?_:..11 i t ': ritiiI1:' .cul: t''S.,• i `` <:. t^ . 'J Y"?..'f! +fit. ti i. :. v,, s 'IiytYR i f y d ! {` { i" . ~ A G R 41 f..tA y .4 . M ,• t: • ti r t .$ y ... 1 a: i iY " N ,S_: :-.{i'.` .t f'7 ar?r , f: ..vr+ .., :• 'r ``ly.p ; i -<• r } ya,, k ;"`ir,' ' i . ` ..- J •r'}i A , f: P . c r.i 14 : i:11. •?:.t °c r.,...t,,.. .w ,,- . j ,jSJ"...r . R' s... 1 r t: /: ( r •,}?. r;die •' `;,.vYl 11 °3 !115. .:3 • . 17 „ - 11 ,f r.4 1. So'(. -• t ty .0 t _,,+G.f,yt+f - •9/ _ ii v t •ty' "t+,r 3? °' '.r- v 'CIS .j' ' lti.. .. i' 1t.. _ a ... t 1 yIVNay .,) / s. ;. > l .[ t. ''t: 'r.b ' •,: , f^ ', . fit:. 1 i' ,\\1•• C.']]. H. Y' qy 1 *l. _' ' '`. _..} . "1 h,.J.fL .. R ' t . 1!' J j+.. 4 1i I....4. l` w rL• J'+ . {M: t !I;f fir. 'i.) ,yt ti n \.. 17 . i ,•r. . S•y,. .h ._.. .. .. i, .",. -. ._ 1ti;.11 .(.. CITY OF LAKE ETcixo £ BUILDING'DIVISION Q. NER -BIIit n R V,E R I T C A city or county, which is required toSection19830, shall attach to such notice, and, as aglve ' notice, pursuanl, tz to.issuing a building permit, require ,_fie `C condition precedent of an owner- builder 'verification. cmPletion and require the return Attention ,1V:•gperty Owner: An "owner builder" building pe=it has been applied for in ourand "bearing Yom' signature. Y namev_erifi carton I& 'c 'v $ 3`j -3 P w is___sued until this 1 • I Pe t"anall Y plan to provide the major labor andfoconstructionoftheproposedpro &zterials Yes No erty improvement. building not) . signed an application for agpermitfortgg'oposed. work. 3• I have contracted wit`., the following personProvidetheProposedConstruction: :(firm) to Name one t.\ ) CoritractOrS h1C. - 4• I plan to Provide ;portions of the work, but have11Qwinrrpersontcoordinate, supervise, and provided hejOrwo:A: Naze Address Phone' (71 4) . rS Ct0 i+iC • - - 3• z will provide ;tome . of the wor-w but 1 . d) t.ne , folio inq preys o I' have c nttactedoASprt.ai d the Wox . '.i cam:' t. ateach"acantracta '' - x hereby as . dry' form Ry r ifnd tJ r w', i oA a a! ' i ` - . e. Jknow! l! , ` i Q i l ( ' St • t0 QSt treQnai - 9aedi ... i t te. / Nr j < yp t dr. n : K< s5 y •; {C s: W {? C t %. 1F s t+ r . ALI A trig Address Uwner's _ Address , Erg - License No. Arch — Address - — – Contractor's Nanie—...- Phone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION 1 hertlDy affirm that 1 am licensed under Provisions of Cnarter 9 (Commencingwithsection7000) of Division 3 of the Business and Prnfessions Code, and my license is in full face and etteCt_ li license No. License Class Dart: Signature WORKERS' COMPENSATION OFECLARATION ereby at: irm that 1 have a certificate of consent to sell- insure or a celtihoteWorkers' compensation Insurance, or a certified copy therenf (Section 00. Lab. C.) 4policy No. Company Certified copy is hereby furmsnetl. B Certified copy it filed with the city BWlding Division. Date Applicant - -- EXEMPTION FROM WC`AKERS' COMPENSATION DECLARATIONThissectionneednC: be completed if the permit is for one hcndretl {41001 or ess) in the performance Of the work for which tnis Permit is'%Sued. 11Cert.ty -inatshallnotemploy- any Person In any manner so as to bec Subject to the Workers' COMPen` 11ion laws of Ca' 'o• -ria- Date signature K- OTICE. N, after making this declaration, you should become Subject to theWorkers' Compensation pronsions of the labor Cods, e d must forthwith revoked. comply with such provisions Or this permit shad De deemed revoked. CONSTRUCTION LENDING AGENCY I Hereby affirm treat there is a construction lending agency for the performanceofltieworkforwhichthispermitisissued (Section 3097 Civ. C.) Lender's tame Dander's Address — OWNER BUILDER DECLARATION 1 hereby affirm that 1 am exsmPt -lrom the Contractor's LJCo" Law n Cot the folbwrfri4 cc (5sctlon 70.'IA Business and Professional Coder Any City wfollowing which req . a Wmit to "Construct. after RIPM1e. diamollsf) c' mp&; y ,any structure. priior tofds lssuanlx, alsd nagttMs tie am`t40 lei txo+r saorya ofto -Me a SAWO St 113MI1111t that M/Sfrd a iicN2 et .lath- Stact(ofr 70 01 _ by of n Type of Sign - 1-- le tric /= i lon let-*_ric_ ELECTRICAL Wsaiption r Ski Wb y Canopy we Attraction Surd Q e Advertise s/ tusry Other 1? $ Tract Sign (:;eclarity V. Right of Switches Entry Agreement Special Event (Request form submitted) Change of 03py (amortization). Ground 1Ka1e -- Roof Projecting 0 Corawtaction convenience Super Graphic City of Lake Elsinore SIGN PERMIT Programs Shopping Getter /Integrated dev. By Owner /or by City Date letter sent: Variance Planned Signing C.U.P. No Illumination Non- Illuminated 0 Interior Illumination Exterior Illumination FrselinC Ville Fee S _ X3700 3311 , Pa 3 G..,, i r -• t rZ ,, T"C'J rra.: .¢..• V T; r ':+ r fJ, v y a:aa :•.R :.1 >r Yi'adcu .z .'y'g` : :t .rry, k `ltF4r+. ,.'i. ' s- a,r t. t:. IR 0 INSPECTION APPROVALS ELECTRICAL FEES Ski Wb Fixtures ihdswound Condrait Dejtre Boxes Onitets Switches Foundatiofas Sign AA Standing Sections Ratio Wiring FrselinC Ville Fee S _ X3700 3311 , Pa 3 G..,, i r -• t rZ ,, T"C'J rra.: .¢..• V T; r ':+ r fJ, v y a:aa :•.R :.1 >r Yi'adcu .z .'y'g` : :t .rry, k `ltF4r+. ,.'i. ' s- a,r t. t:. IR 0 CITY OF LAKE FLSINORE CONSTRUCTION PERMIT 7 e i ordtr lines rind sign all appropriate declarationsesexceptthosevAtitnheo+Ra i. L V .: 19$aapplicanttofillinsIspa' LOT NO.. UNIT N0. _ PWW-' PERMIT - TRACT N0. i Assastor'sPartscNo. _ hone . r I REfIUR Z A00 11tTERATION A P- h ppmtie's !ase+e xTi9enWI UDEINEW OFHEK US Z J. t gddren u ti iRi1OR - -__ S Main Btttldin¢ fjrch/En9 OESC6 lf'1iWi0F1NE12iVi15E0FElOG- - G Front N Addr"s - vhone _ - Ip 9F PE>MIT GRIICSN Q OUNOAiIOe SRUCIURAt g Rear = y N Contrsctoi's Nartx 8- -F -- tt ELECMIUL PlU1I81R6 NEW MA _ C - _ G L TENA)(T C Right Address Irnsir d _- - C OT-10 OccYpaq _ - Ci Lkrfex No. -- PROiii i CM, -jT S0- F1 _ - S ft 3rk Fall. tytCrcNSfiJCOMTRAZTOR DE.L..,jtAT1ON wwdCbo1I ; -- UtS y D P(- . qef. - - - rovisions of Cttarter 9 le nsoicn and Se fvaeDY i4rirm tryt l im licen5 under p =- u, _- X - = w T 70tba d Y,sion 3 of the Business 3'" Professions Code, arts _— - y P<jfining Notes = - - s rntr Hcense`%In 1t)It torc+tr and effect. _ license No_ _-•_ _ - w - - _ _ _ t;renSo Ctm Oats ATlOM j)ECLARATION t insure or a CsVtiticat! WORKERV COMB. - - - _ _ I hefeby affirm tttst bow a Certificate nt COiiStrit to se{ - _--• -_ _ - - _ _ - Ji. a cC;i(ied CORY LhtfeOf t56Cticn 1 `' insurance. -e of werkers' ComOnn t; on ` w _ i _ - - C@rtifild copy i nerebY fxil ms2iei..B drying l)hision. d Cettin"copyisWV1witttl>Re ' ciY - rte_ -.__. •,,,- - 3J = -- FEES wt vsN5 7tot+ oacuLRATSON --- , _ r yv .Ix FEES '' _ - - EXEITM;JOMFRO'dlltdORKEn$' Z E ii*Rl r{1rt Boibf - - iYt 1This section need nyc to com0 {e' - - i u Ce' t is roc one hundred £53.L0I p0 - j61NG —a prds less) r rk :Or vrnicn this parmR.is isstoo r SEE I ggtLSator D SKMU d 515l:W nuct GFouftM - - 1 certify tniL in tnq Nerfcrmancu o- ISic vAV , Air R lit - - - - - . n in any rnanrhr so as to betcrnt SO iba:I rSoe srnaloY •> ' 7OfS`' of ca{co:rii. _Cu; noitpnlet- $It5_° - Uuct-Sartstwral - ;N&3370 f6t Oiesii I Worke' Compensatis:z start - - - - -- 1to ',.!e 1,Jh. s=- { r , Date — --- ou nYttsx t , t*4is t t ( i111R - {"'- -1 Fan - Ve3tt0 --- - 33043312 Persil fee i NOTIi:E If, offer n akir'; that;sacnt bf tne IaLYOrf Code eYonM s+rbtec ltfi0il pltVenier Cr me it'tttin - PfO"190 YnIS permit srcCu ba am:mta' Ter)xa. !°olt L Exhaust S let"• 7ttiatFtxs Y - --° Mtortcers'vrr n sttCh p.Yisicns oe \ Qark {law 14 •r,UOn Electric __- - coraC'.i< rrrannt L "r1P?rt EiG EV ol trw COOIef CONSTRUCTION LIE AGENCY , // n In, the 1 tierCn7r -,ream ttia ::tiara is-a nslructiartlenaMH .on 3007 Civ- _ ) C•tarifitars t=an _ ..—,- - Ncatittyj $pftrsn & QutlIng srmit K issttted t Oi 1AIe° - - ofPrthfvr&$c for vehjcR.. this p ._.; ..._:.- °...^- y F.Ur _ DOOM STl! ' z? rider s t Ytrte . -5- Tiiitli TIC orttpets ilgynd 'i .t 3drss; RF+ D ~— - s i i wv fete trig — ;au _ ypS tt or E Y -- ty,r cz A m a or a jeaw c1ty or - T t T> it -. G 11 r _ rj' I1,r, yo 3iLSt f y, Oattt6tis++ r r Foos Gkstirigass - 6q pi ig ti6>R.y%T.16W tn uet. tttsar c sYSrt yS.:AtiiiCtl '(3it4let±i" , i fief( yi C" di l 871! Aitsl ,S --- ; r do atf {• fAr WW ,i6 1 111: =K T4 ti7 r-1 _T __T_= Fib er^ . Ulf nrct ' , k';1,x.P fyY holy 5wtk '! «_5 i y-•- -, Fir jrj ,t A•C 8Y(i d } krtY. Yt ` g `Fh. IAN* y. . - _`. -•,^• j' _ t^'y - tJ i : t?itf the it ,, 0{ {p(,f sf+R Nq ' • t ' J. --- '`_ . y rr i Y u''I °t ktw w t u r s nat +rtPirtl" 3 Ure. r r- f RF' fit. AFs Af b,V dfu!i IU_la• !° J •s, '...• -•^ - Y- i. ;i. '; l '!S•T..•. Via- _ S ; . Y rte.. , •, ;/' `;,..- O . t , - t! Lr..g' ,''• ' ,` - i.',' - A r it 7Y I S s:::wr%ni6iMdRf 56.tt iOti Y. '.._.'c'L'.`.. .w• rt. ,.,•_ I![ ._ .41 %--' re ui. "`. t.. {. ... Zfa .'.,] t+R e l_': - - _ .,.,.1?"e tom- fi v l.•7 r if 4 1 _ '7?i3 r -J { t - i -•_ / TT" . I i - _ _ .. _ { j- + - -:j ' :• - " r -Y , s sat .• \J ?I Y `' ' us J LL — j A r 8 3_ C $ 4 LL CL g o u. Q - - W O - Q J d O F- w •- c ro RQ W acic V = v Q u LL E — LL m S W I IL tkit - a CC c . JI -o "-! - Q W c r :1 Q D „. O 3 A . y .. -_._ .. ;F3 =r Q 1 S v a O __ .s}i T ._ >, ..: r z;a. x m— _ m to W 11 O 1 1s O m . D s v' G CD Y fiF > IL ( i p - Q o. a: 2.. O r f- Q jj1 1 Y, i ' t i - i)r. 1 -,: i, ? _ . r' 'r ., ,i. i •2' '- _ _ 'v... - j r• YA r . r ;l ,eY _i' s , ir. s ^^. .y J q , . AY 9p 1, i - J +-l" ti - c n 3.'.•.t F! l+' Yr t_ f 'v _ - - ' ~,7 • Ys t tom- •:.t. to fT :e£ r .. r - '`r ''• -`' .W '.iT }k r « I.Z - // .!' +•I- E:+c .i 't . IY, r y`. ?..' t . •:. , y + . ._;ti`.T :+:3 -:._. ..i - _._... n ...: •i y 1 S:; C{ ?i.y R',a ">> s..w '' b.. ., .. , ., `S s'1.:, _ .. _ •....,, _.. .. - t4(• hh aa,,II '1i "` .t `f t:GS +, *P: 3" h+_: - - Y'• . Y .,..:a....} f' - , - 3 r- -•1-_ !-'• .(- -I. r f. 1. } ?30, d t 7 '}' S .. , c •'S A' . + .s ' Sri - a. (%a • w.r. .r= 4;. :k' , : tip i - ', •6.7 > _ __ -'i. b• . Y' i x '' _ .{ fx Y 't 1 - ';:'f ? :(li n.:* • O qr a s . t.ef. G• - - - - i . F it y c- - r; , . ;Ykr - • 7 Y +' f, -' ' Ni. >r.1 fie i.11 _ I t 1 0. '•b iy_ YY." -+. `.,rt i. N- -, - '^ vF f_ t .r, --^:' • e . v ,yy7 '.. ,yT .?' ::' (! ?. '¢ . 1 „ h,. .. rJ 1., { • 4 + S v . -'s :l. .v 1' "2t 7j1," _ 3• 'i. i Ac -.' 4 .ac s ,.j•.'' l•'.i - !: _'t _ - _ , _ rYS. t?_ 1 y _ _./ii` 3 _ ' .. -' S,Y !~ - I s _- . mss:' r ) r ., ' .. : iil R!YII'=u94r i7ki".Rsri&TxjY FtlIL3'.:.Q:,4•;;F= :R•• »3['i !.:'i^'l:ii`..l^ - . §!b.7r T(b'y® CITY OF TjM ELSINORE BUILDING DIVISION 0 W N E R B U I L D E R V E R I F I C A T 1 0 N A city or county, I which is required to give notice pur..,uant to Section 19e3O, 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-7bui1.4'.er" building permit has been applied for in your nerve spgj -1 a- and bearing your 'siqnaiture- No building perm will q -d untilit verification 1,.s race Lygd. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Yes No 2. 1 Cav have not) signed an application for a building permit for the propose3 work. 3. 1 have contracted with the following person (firm) to,; provide the proposed construction: Name Address-_ Phones = J Contractors Lic. 4 4. I plan to provide portions of the work, but I have hired the jJ following person to coordinate, supervise, and provide the maj-=; work: Name Address ctorTi7l. i-C. coPhone (714), provide some of thet vork but 3: 'have contracted Ahired; th Vie: following personsn to provide the work indicated. one - f MQr ad att tbntaors1stl irm. a the in-f 't1:M-s6t- iviofd Cog o k -9m. I . hereby of that have r%* hiforhia, No ty yjiJ;n,;-6ec the 5tata oft-jp j 498130, or I of ta a ,, personaO' thehV", COOP I , I L with- s SciaC' eliad4AIn- ompl. Date:' Q--g5k if j rr- 1 •i$ i -5 ,' 11 Ali , < 1 rki dr C - C.:3 f' x _ xa w . -S -.. A-:'I Mrs I dam} r,9 •, ,Z•, r! t.. -.+ t. }• , _-.SS• N} ii T.i1 "fn ell% ( lop t low F ih ON Iff p' lid t7'' .IF"•n"[t- Ski ": f,. 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