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Home My WebLink About16758 LAKESHORE DR_ENERGOV PERMITSCITY OF , LADELSIROKE ----- DREAM EXTREME ► `�' WWW.LAKE-ELSINORE.ORG CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET LAKE ELSINORE, CA 92530 (951) 674-3124 PROJECT ADDRESS 16758 W LAKESHORE DR B & C LAKE ELSINORE, CA PERMIT CONTACTS SF & J LIQUOR FI RAS JEBO KENT NA DESCRIPTION OF WORK PERMIT NUMBER: BLDG -2024-61456 Issue Date: 05/21/2024 Expiration. 06/27/2025 This hermit will expire 365 days from the Issue Date or the date of the last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled again and additional fees will be applicable. Permit Type: BUILDING Work Classification: CERTIFICATE OF OCCUPANCY Permit Status: FINAL PARCEL NUMBER: 378290015 ADDRESS APPLICANT 16758 W LAKESHORE DR, B & C LAKE ELSINORE, CA OWNER TRACT: PHONE (951)660-3320 LOT: PLAN #: CERTIFICATE OF OCCUPANCY -OWNERSHIP CHANGE -SF & J LIQUOR LIQUOR STORE IIM FEES INSPECTION PROCESS FEE TOTAL FEES: $108.00 OCCUPANCY PERMIT Valuation: $0.00 Total Sq Ft: 0 CELL AMOUNT DUE: $0.00 PROFESSIONAL DEVELOPMENT FEE - OCCUPANCY Permit Type: BUILDING Application Date 05/21/2024 Owner: KENT NA Work Class: CERTIFICATE OF OCCUPANCY Issue Date: 05/21/2024 Parcel 378290015 Status: FINAL Expiration Date: 06/27/2025 Address: 16758 W LAKESHORE DR B & C LAKE ELSINORE, CA IVR Number: 146495 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date 06/27/2024 06/27/2024 FINAL FIRE NBF-003717-2024 PASSED (PERMIT) Ben Barron INSPECTION 06/28/2024 06/28/2024 FINAL BUILDING BLD -003795-2024 PASSED (PERMIT) Dale Heglund Checklist Item COMMENTS FINAL BUILDING FINAL ELECTRICAL FINAL MECHANICAL FINAL PLUMBING Reinspection Required? Complete No Complete No Complete Approved Yes No No No March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 Permit Type BUILDING Project: App Date: 05/21/2024 Work Class: CERTIFICATE OF OCCUPANCY District: NA Issue Date: 05/21/2024 Status: FINAL Square Feet: 0.00 Exp Date: 06/27/2025 Description: CERTIFICATE OF OCCUPANCY-OWNERSHI Valuation: $0.00 Final Date: 06128/2024 CHANGE -SF & J LIQUOR LIQUOR STORE Parcel: 378290015 Main Address: 16758 W Lakeshore Dr, B & C Main Lake Elsinore, CA APPLICANT OWNER Sf & J Liquor Kent Na 16758 W Lakeshore Dr,B & C Lake Elsinore, CA Home: Home: Business: 9516603320 Business: 7149251071 Mobile: Mobile: Note Created By Date and Time Created 1. EMAILED THE INVOICE TO THE APPLICANT. Crissy Mirabella May 21, 2024 12:27 pm 2. EMAILED THE PERMIT TO THE APPLICANT AND THE C OF O PACKE- Crissy Mirabella May 21, 2024 12:41 pm RENNAI AND JOANNE. Invoice No. Fee Fee Amount Amount Paid INV -00044962 PROFESSIONAL DEVELOPMENT FEE - OCCUPANCY $5.00 $5.00 OCCUPANCY PERMIT $30.00 $30.00 INSPECTION PROCESS FEE $73.00 $73.00 Total for Invoice INV -00044962 $108.00 $108.00 Grand Total for Permit $108.00 $108.00 March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 CITY OF , LADE - LSIROKE -�,C - . DREAM EXTREME WWW.LAKE-ELSINORE.ORG CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET LAKE ELSINORE, CA 92530 (951) 674-3124 PROJECT ADDRESS 16758 W LAKESHORE DR D LAKE ELSINORE, CA PERMIT NUMBER: BLDG -2020-00077 Issue Date: 01/16/2020 Expiration: 06/15/2021 This permit will expire 365 days from the Issue Date or the date of the last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled again and additional fees will be applicable. Permit Type: BUILDING Work Classification: CERTIFICATE OF OCCUPANCY Permit Status: FINAL PARCEL NUMBER: 378290015 Valuation: $0.00 Total Scl Ft: 0 PERMIT CONTACTS ADDRESS PHONE CELL OWNER CHU YUN OLD GLORY SMOKE SHOP APPLICANT SAWSAN NISSAN DESCRIPTION OF WORK TRACT: LOT: PLAN #: OWNER NAME CHANGE "OLD GLORY SMOKE SHOP" FEES TOTAL FEES: $216.00 AMOUNT DUE: $108.00 INSPECTION PROCESS FEE INSPECTION PROCESS FEE OCCUPANCY PERMIT OCCUPANCY PERMIT PROFESSIONAL DEVELOPMENT FEE - PROFESSIONAL DEVELOPMENT FEE - OCCUPANCY OCCUPANCY Permit Type BUILDING Application Date: 01/16/2020 Owner: Work Class: CERTIFICATE OF OCCUPANCY Issue Date: 01/16/2020 Parcel Status: FINAL Expiration Date: 06/15/2021 Address IVR Number 116767 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date 06/15/2020 FINAL FIRE NBF-045249-2020 PASSED (PERMIT) RONNIE MORALES INSPECTION 09/01/2020 09/01/2020 SINGLE FAMILY IBLD-048017-2020 PASSED (PERMIT) Scott Burns RESIDENCE FINAL Checklist Item COMMENTS FINAL BUILDING CHU YUN 378290015 16758 W LAKESHORE DR D LAKE ELSINORE, CA Reinspection Required? Complete No Complete No Complete Approved Yes March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 Permit Type BUILDING Project: App Date: 01/16/2020 Work Class: CERTIFICATE OF OCCUPANCY District: NA Issue Date: 01/16/2020 Status: FINAL Square Feet: 0.00 Exp Date: 06/15/2021 Description: OWNER NAME CHANGE "OLD GLORY Valuation: $0.00 Final Date: 09/01/2020 SMOKE SHOP" Parcel: 378290015 Main Address: 16758 W Lakeshore Dr, D Main Lake Elsinore, CA APPLICANT OWNER Old Glory Smoke Shop Chu Yun Sawsan Nissan 16738 Lakeshore Dr 16758 Lakeshore Dr Lake Elsinore, CA 92530 Lake Elsinore, CA 92530 Home: Home: Business: Business: Mobile: Mobile: Invoice No. Fee Fee Amount Amount Paid INV -00022284 OCCUPANCY PERMIT $30.00 $30.00 INSPECTION PROCESS FEE $73.00 $73.00 PROFESSIONAL DEVELOPMENT FEE - OCCUPANCY $5.00 $5.00 Total for Invoice INV -00022284 $108.00 $108.00 NOT INVOICED INSPECTION PROCESS FEE $73.00 $0.00 OCCUPANCY PERMIT $30.00 $0.00 PROFESSIONAL DEVELOPMENT FEE - OCCUPANCY $5.00 $0.00 Total for Invoice NOT INVOICED $108.00 $0.00 Grand Total for Permit $216.00 $108.00 March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 CITY OF^F4�,q LADE(02 CogLSIfQRE r DREAM E CREME WWW.LAKE-ELSINORE.ORG CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET LAKE ELSINORE, CA 92530 (951) 674-3124 PROJECT ADDRESS 16758 W LAKESHORE DR LAKE ELSINORE, CA PERMIT NUMBER: BLDG -2025-03053 Issue Date: 12/30/2025 Expiration: 12/30/2026 This permit will expire 365 days From the Issue Date or the date of the last completed inspection. It is the responsibility of the permittee to ensure this permit is finaied, Permits that expire will need to be pulled again and additional fees will be applicable. Permit Type: BUILDING Work Classification: CERTIFICATE OF OCCUPANCY Permit Status: ISSUED PARCEL NUMBER: 378290015 PERMIT CONTACTS ADDRESS OWNER CVP - Lakeshore DB, LLC CVP - Lakeshore DB, LLC DUTCH BROS. LLC APPLICANT Joshua Lute L-DUTGI APPLICANT - Joshua Lute DESCRIPTION OF WORK TRACT: CERTIFICATE OF OCCUPANCY -DUTCH BROS. COFFEE SHOP FEES INSPECTION PROCESS FEE Valuation: $0.00 Total Sq Ft: 950 PHONE CELL (999)999-9999 (541)955-4700 (54.1)955-4700 LOT: PLAN #: TOTAL FEES: $108.00 OCCUPANCY PERMIT AMOUNT DUE: $0.00 PROFESSIONAL DEVELOPMENT FEE - OCCUPANCY Permit Type: BUILDING Work Class: CERTIFICATE OF OCCUPANCY Status: ISSUED Application Date: 12/29/2025 Owner: Issue Date: 12/30/2025 Parcel Expiration Date: 12/30/2026 Address IVR Number: 154533 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date 12/30/2025 12/30/2025 FINAL FIRE NBF-007547-2025 PASSED (PERMIT) Ben Barron INSPECTION CVP - Lakeshore DB, LLC CVP - Lakeshore DB, LLC 378290015 16758 W LAKESHORE DR LAKE ELSINORE, CA Reinspection Required? Complete No Complete March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 Permit Type BUILDING Project: Work Class: CERTIFICATE OF OCCUPANCY District: NA Status: ISSUED Square Feet: 950.00 Description: CERTIFICATE OF OCCUPANCY -DUTCH BRC Valuation: $0.00 COFFEE SHOP Parcel: 378290015 Main Address: 16758 W Lakeshore Dr Main Lake Elsinore, CA APPLICANT Dutch Bros. Llc 110 Sw 4Th St Grants Pass, OR 97526 Home: Business: 5419554700 Mobile: OWNER Cvp - Lakeshore Db, Llc Cvp - Lakeshore Db, Llc Home: (999) 999-9999 Business: Mobile: App Date: 12/29/2025 Issue Date: 12/30/2025 Exp Date: 12/30/2026 Final Date: NOT FINALED Note Created By Date and Time Created 1. EMAILED JOANNE AND RENNAI THE C OF O PACKET. Crissy Mirabella December 30, 2025 4:26 pm Invoice No. Fee Fee Amount Amount Paid INV -00052825 OCCUPANCY PERMIT $30.00 $30.00 PROFESSIONAL DEVELOPMENT FEE - OCCUPANCY $5.00 $5.00 INSPECTION PROCESS FEE $73.00 $73.00 Total for Invoice INV -00052825 $108.00 $108.00 Grand Total for Permit $108.00 $108.00 March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 CITY OF , LADE LSIRORE DREAM EXTREME WWW.LAKE-ELSINORE.ORG CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET LAKE ELSINORE, CA 92530 (951) 674-3124 PROJECT ADDRESS 16758 W LAKESHORE DR LAKE ELSINORE, CA PERMIT CONTACTS CVP - LAKESHORE DB, LLC BRADEN BERNARDS Fusion Sign and Design Gabriel Acosta -Kase- EFo;-k — DESCRIPTION OF WORK OWNER CONTRACTOR PERMIT NUMBER: BLDG -2025-00796 Issue Date: 09/04/2025 Expiration: 09/04/2026 This permit will expire 365 days from the Issue Date or the date of the last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled again and additional fees will be applicable. PARCEL NUMBER: 378290015 ADDRESS APPLICANT 15197 Lighthouse Lane —64KE-L–SING , CA 92530 TRACT: Permit Type: BUILDING Work Classification: SIGN Permit Status: ISSUED Valuation: $18,600.00 Total Scl Ft: 164 PHONE CELL LOT: PLAN #: (503)228-2100 4 illuminated wall signs, 1 non illuminated address numbers, 2 Wall mounted menu boards, 8 wall mounted snap frames, 4 freestanding menu boards, 2 non illuminated directional signs FEES TOTAL FEES: $743.38 AMOUNT DUE: $0.00 BASE BUILDING PERMIT FEE GREEN BUILDING FEE PLAN CHECK FEE - BUILDING PROFESSIONAL DEVELOPMENT FEE SIGNS, OUTLINE LIGHTING/MARQUEE: (ONE BRANCH) Permit Type BUILDING Work Class: SIGN Status: ISSUED Description: 4 illuminated wall signs, 1 non illuminated 09/04/2026 address numbers, 2 Wall mounted menu Final Date: boards, 8 wall mounted snap frames, 4 freestanding menu boards, 2 non illuminated directional signs Parcel: 378290015 APPLICANT Kasey Clark 15197 Lighthouse Lane Lake Elsinore, CA 92530 Home: Business: Mobile: Project: App Date: 03/31/2025 District: NA Issue Date: 09/04/2025 Square Feet: 163.90 Exp Date: 09/04/2026 Valuation: $18,600.00 Final Date: NOT FINALED Main Address: 16758 W Lakeshore Dr Lake Elsinore, CA CONTRACTOR OWNER Gabriel Acosta Cvp - Lakeshore Db, Llc 680 Columbia Ave Braden Bernards Riverside, CA 92530 Home: Business: Mobile: Home: Business: Mobile: 5032282100 Main Note Created By t, MAIN BUILDING HAS NOT BEEN ISSUED. EMAILED THE APPLICANT - Crissy Mirabella SEE IF THEY WOULD LIKE TO REAPPLY WHEN THE BUILDING HAS E ISSUED OR PROCEED AND KEEP IN THE QUE. 2. DO NOT ISSUE UNTIL MAIN BUILDING HAS BEEN ISSUED. CONTRAC Crissy Mirabella NEEDS LIC. AS WELL. Invoice No. Fee INV -00049261 SIGNS, OUTLINE LIGHTING/MARQUEES (ONE BRANCH) BASE BUILDING PERMIT FEE PROFESSIONAL DEVELOPMENT FEE GREEN BUILDING FEE PLAN CHECK FEE - BUILDING Total for Invoice INV -00049261 Grand Total for Permit Date and Time Created March 31, 2025 4:34 pm April 2, 2025 10:10 am Fee Amount $264.00 $270.50 $5.00 $1.00 $202.88 $743.38 $743.38 Amount Paid $264.00 $270.50 $5.00 $1.00 $202.88 $743.38 $743.38 March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 CITY OF LADE C101- LSIRORE DREAM EXTREME WWW.LAKE-ELSINORE.ORG CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET LAKE ELSINORE, CA 92530 (951) 674-3124 PROJECT ADDRESS 16758 W LAKESHORE DR LAKE ELSINORE, CA PERMIT CONTACTS CVP - Lakeshore DB, LLC Braden Bernards Barghausen Engineering Consultants Molly Baumeister ItIF}&-- Engineers, Inc. Sabrina Rushing DESCRIPTION OF WORK OWNER PERMIT NUMBER: BLDG -2025-01088 Issue Date: 09/04/2025 Expiration: 12/30/2026 This permit will expire 365 days from the Issue Date or the date of the last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled again and additional fees will be applicable. PARCEL NUMBER: 378290015 ADDRESS APPLICANT 18215 72nd Ave S Kent, WA 98032 .APPLIrnnir 1474C 72fid—Aver Lue--So Lit% Kent, WA 98032 TRACT: Permit Type: BUILDING Work Classification: MISC - OTC Permit Status: FINAL Valuation: $1,500.00 PHONE (503)228-2100 LOT: PLAN #: Trash enclosure for new commercial building (BLDG -2025-00636) FEES TOTAL FEES: $132.00 Total Sq Ft: 240 CELL AMOUNT DUE: $0.00 BASE BUILDING PERMIT FEE GREEN BUILDING FEE PLAN CHECK FEE - BUILDING PROFESSIONAL DEVELOPMENT FEE Permit Type BUILDING Application Date 05/08/2025 Owner: Work Class: MISC - OTC Issue Date 09/04/2025 Parcel Status: FINAL Expiration Date: 12/30/2026 Address: IVR Number: 151429 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date 09/08/2025 09/08/2025 SINGLE FAMILY IBLD-005254-2025 PASSED (PERMIT) Dale Heglund Checklist Item COMMENTS STEEL REINFORCEMENT FOOTINGS 09/15/2025 09/15/2025 SINGLE FAMILY IBLD-005483-2025 PASSED (PERMIT) Dale Heglund Checklist Item COMMENTS GROUT 09/17/2025 09/17/2025 SINGLE FAMILY IBLD-005597-2025 PASSED (PERMIT) Dale Heglund Checklist Item COMMENTS GROUT FINAL LIFT 11/17/2025 11/17/2025 COMMERCIAL 006695-2025 PASSED (PERMIT) Dale Heglund BUILDING Checklist Item COMMENTS FRAMING & FLASHING ROOF FRAMING 12/30/2025 12/30/2025 FINAL COMMERCIAL 007551-2025 BUILDING Checklist Item FINAL BUILDING PASSED (PERMIT) Dale Heglund COMMENTS CVP - Lakeshore DB, LLC 378290015 16758 W LAKESHORE DR LAKE ELSINORE, CA Reinspection Required? Complete No Complete Approved Yes Yes No Complete Approved Yes No Complete Approved Yes No Complete Approved Yes Yes No Complete Approved Yes March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 Permit Type BUILDING Work Class: MISC - OTC Status: FINAL Description: Trash enclosure for new commercial building (BLDG -2025-00636) Project: Dutch Bros Coffee Shop (Lakeshoi App Date: 05/08/2025 District: NA Issue Date: 09/04/2025 Square Feet: 240.00 Exp Date: 12/30/2026 Valuation: $1,500.00 Final Date: 12/30/2025 Parcel: 378290015 Main Address: 16758 W Lakeshore Dr Main Lake Elsinore, CA APPLICANT APPLICANT OWNER Molly Baumeister Sabrina Rushing Braden Bernards 18215 72Nd Ave S 18215 72Nd Avenue South Kent, WA 98032 Kent, WA 98032 Home: Home: Home: (503) 228-2100 Business: Business: Business: Mobile: Mobile: Mobile: Note Created By Date and Time Created 1. DO NOT ISSUE UNTIL MAIN BUILDING HAS BEEN ISSUED. Crissy Mirabella May 15, 2025 8:33 am Invoice No. Fee Fee Amount Amount Paid INV -00049792 GREEN BUILDING FEE $1.00 $1.00 PROFESSIONAL DEVELOPMENT FEE $5.00 $5.00 BASE BUILDING PERMIT FEE $72.00 $72.00 PLAN CHECK FEE - BUILDING $54.00 $54.00 Total for Invoice INV -00049792 $132.00 $132.00 Grand Total for Permit $132.00 $132.00 March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 CITY OF , LADE 9LSIROKE DREAM EXTREME WWW.LAKE-ELSINORE.ORG CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET LAKE ELSINORE, CA 92530 (951) 674-3124 PROJECT ADDRESS 16758 W LAKESHORE DR LAKE ELSINORE, CA PERMIT CONTACTS CVP - Lakeshore DB, LLC Braden Bernards Barghausen Engineering Consultants Molly Baumeister $ Engineers, Inc. Sabrina Rushing DESCRIPTION OF WORK OWNER PERMIT NUMBER: BLDG -2025-01089 Issue Date: 10/08/2025 Expiration: 12/30/2026 This permit will expire 365 days from the Issue Date or the date of the last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled again and additional fees will be applicable. PARCEL NUMBER: 378290015 ADDRESS APPLICANT 18215 72nd Ave S Kent, WA 98032 APPLICANTS 2d Aee s�oath Kent, WA 98032 TRACT: Permit Type: BUILDING Work Classification: MISC - OTC Permit Status: FINAL Valuation: $10,000.00 Total Scl Ft: 0 PHONE CELL (503)228-2100 LOT: PLAN #: Installation of exterior lighting associated with a new commercial development, including pole -mounted area lights, under -canopy downlights, and wall -mounted luminaires. Scope includes (4) NV Series LED area lights with various distribution types (Type 3, Type 4, Type 4 with house -side shield, and Type 5), (8) DRD5S LED downlights Fneu d -beneath -the drive-thru ca nepy,. (3 )-- kTRI--X-3-twe-sided-Square-wa-lumina+res+2-yreeesssed-cei4ng fixtures with semi -specular reflectors, and (4) CROWN -1-144 linear LED fixtures. FEES TOTAL FEES: $365.10 AMOUNT DUE: $0.00 BASE BUILDING PERMIT FEE GREEN BUILDING FEE LIGHTING OUTLETS (BLDG) MISCELLANEOUS APPARATUS, PERMIT ISSUANCE FEE PLAN CHECK FEE - BUILDING CONDUITS & CONDUCTORS PROFESSIONAL DEVELOPMENT FEE Permit Type: BUILDING Application Date 05/08/2025 Owner: Work Class: MISC - OTC Issue Date: 10/08/2025 Parcel Status: FINAL Expiration Date: 12/30/2026 Address IVR Number 151430 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date 12/30/2025 12/30/2025 FINAL COMMERCIAL 007553-2025 PASSED (PERMIT) Dale Heglund BUILDING Checklist Item COMMENTS FINAL ELECTRICAL FINAL BUILDING CVP - Lakeshore DB, LLC 378290015 16758 W LAKESHORE DR LAKE ELSINORE, CA Reinspection Required? Complete No Complete Approved Yes Yes March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 Permit Type BUILDING Project: Dutch Bros Coffee Shop (Lakeshoi App Date: 05/08/2025 Work Class: MISC - OTC District: NA Issue Date: 10/08/2025 Status: FINAL Square Feet: 0.00 Exp Date: 12/30/2026 Description: Installation of exterior lighting associated with Valuation: $10,000.00 Final Date: 12/30/2025 a new commercial development, including pole -mounted area lights, under -canopy downlights, and wall -mounted luminaires. Scope includes (4) NV Series LED area lights with various distribution types (Type 3, Type 4, Type 4 with house -side shield, and Type 5), (8) DRDSS LED downlights mounted beneath the drive-thru canopy, (3) MATRIX 3 two-sided square wall luminaires, (2) recessed ceiling fixtures with semi -specular reflectors, and (4) CROWN -L144 linear LED fixtures. Parcel: 378290015 Main Address: 16758 W Lakeshore Dr Main Lake Elsinore, CA APPLICANT APPLICANT OWNER Molly Baumeister Sabrina Rushing Braden Bernards 18215 72Nd Ave S 18215 72Nd Avenue South Kent, WA 98032 Kent, WA 98032 Home: Home: Home: (503) 228-2100 Business: Business: Business: Mobile: Mobile: Mobile: Note Created By Date and Time Created 1. DO NOT ISSUE UNTIL MAIN BUILDING HAS BEEN ISSUED. Crissy Mirabella May 15, 2025 8:32 am Invoice No. Fee Fee Amount Amount Paid INV -00049793 BASE BUILDING PERMIT FEE $163.00 $163.00 GREEN BUILDING FEE $1.00 $1.00 PLAN CHECK FEE - BUILDING $122.25 $122.25 PERMIT ISSUANCE FEE $30.00 $30.00 MISCELLANEOUS APPARATUS, CONDUITS & CONDUCTORS $16.25 $16.25 PROFESSIONAL DEVELOPMENT FEE $10.00 $10.00 LIGHTING OUTLETS (BLDG) $22.60 $22.60 Total for Invoice INV -00049793 $365.10 $365.10 Grand Total for Permit $365.10 $365.10 March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 CITY OF ,� LADE ? LSIROKE DREAM EXTREME WWW.LAKE-ELSINORE.ORG CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET LAKE ELSINORE, CA 92530 (951) 674-3124 PROJECT ADDRESS 16758 W LAKESHORE DR LAKE ELSINORE, CA PERMIT CONTACTS CVP - Lakeshore DB, LLC OWNER Braden Bernards Barghausen Consulting APPLICANT Engineers, Inc. Brianna Uy PP G - - A*T rnrr Mat Bellefontaine Barghausen Consulting APPLICANT Engineers, Inc. Sabrina Rushing DESCRIPTION OF WORK PERMIT NUMBER: BLDG -2025-00636 Issue Date: 09/04/2025 Expiration: 11/10/2026 This permit will expire 365 days from the Issue Date or the date of the last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled again and additional fees will be applicable. Permit Type: BUILDING Work Classification: NEW COMMERCIAL Permit Status: ISSUED PARCEL NUMBER: 378290015 Valuation: $207,911.00 Total Sq Ft: 1025 ADDRESS PHONE CELL simi valley, CA 93063 18215 72nd Avenue South Kent, WA 98032 TRACT: (503)228-2100 LOT: PLAN #: Construction of a 980 -square -foot Dutch Bros Coffee shop with drive-through. FEES AIR HANDLER <10,000 CFM BOILER / COMPRESSOR (<3 HP) DIF FIRE FACILITY (RETAIL) ELECTRICAL SERVICE (>200 AMPS) FIXTURE, TRAP OR SET OF FIXTURES ON ONE TRAP GREEN BUILDING FEE MOTORS 1- 10 HP (NON-RESIDENTIAL) PLAN CHECK FEE - BUILDING RAINWATER SYSTEMS SWITCHES (BLDG) TOTAL FEES: $23,377.08 BACKFLOW DEVICE <2" BUILDING & TRAILER PARK SEWER DIF PARK COMMERCIAL/INDUSTRIAL FIRE PLAN CHECK- NEW BUILDING FLOOR DRAIN - PLUMBING INDUSTRIAL WASTE PRETREATMENT INTERCEPTOR MSHCP - COMMERCIAL PLANNING REVIEW FEE RECEPTACLE(BLDG) VENTILATION FAN AMOUNT DUE: $0.00 BASE BUILDING PERMIT FEE DIF CITY HALL (RETAIL) DIF TRAFFIC INFRASTRUCTURE FEE COMMERCIAL FIXED NON-RESIDENTIAL APPLIANCES FLOOR SINK - PLUMBING LIGHTING FIXTURES, SOCKETS OR OTHER (BLDG) PERMIT ISSUANCE FEE PROFESSIONAL DEVELOPMENT FEE REGISTERS WATER HEATER AND/OR VENT Permit Type: BUILDING Application Date 03/13/2025 Owner: CVP - Lakeshore DB, LLC Work Class: NEW COMMERCIAL Issue Date: 09/04/2025 Parcel 378290015 Status: ISSUED Expiration Date: 11/10/2026 Address: 16758 W LAKESHORE DR LAKE ELSINORE, CA IVR Number: 150716 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Required? Complete Date Start Date 09/08/2025 09/08/2025 PLUMBING IPLM-005253-2025 PASSED (PERMIT) Dale Heglund No Complete Checklist Item COMMENTS Approved SOIL PIPE UNDERGROUND Yes 09/09/2025 09/09/2025 ELECTRICAL IELE-005320-2025 PASSED (PERMIT) Dale Heglund No Complete Checklist Item COMMENTS Approved ELECTRICAL CONDUIT Yes UNDERGROUND 09/15/2025 09/15/2025 COMMERCIAL 005476-2025 PASSED (PERMIT) Dale Heglund No Complete BUILDING Checklist Item COMMENTS Approved SLAB GRADE Yes STEEL REINFORCEMENT Yes FOOTINGS Yes 09/25/2025 09/25/2025 COMMERCIAL 005738-2025 PASSED (PERMIT) Dale Heglund No Complete BUILDING Checklist Item COMMENTS Approved ROOF FRAMING Yes ROOF SHEATHING Yes 10/02/2025 10/02/2025 SFR - COMBO IBLDG-005866-202 PASSED (PERMIT) Dale Heglund No Complete 5 Checklist Item COMMENTS Approved ROUGH ELECTRIC CONDUIT Yes FRAMING & FLASHING Yes ROUGH MECHANICAL Yes ROUGH GAS PIPEFFEST Yes ROUGH PLUMBING Yes ROUGH ELECTRIC WIRING Yes DUCTS, VENTILATING Yes 10/06/2025 10/06/2025 ELECTRICAL IELE-005895-2025 PASSED (PERMIT) Dale Haglund No Complete Checklist Item COMMENTS Approved ELECTRIC METER RELEASE SWITCH GEAR Yes 10/07/2025 10/07/2025 COMMERCIAL 005931-2025 PASSED (PERMIT) Dale Heglund No Complete BUILDING Checklist Item COMMENTS Approved INSULATION Yes March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 2 Permit Type: BUILDING Application Date 03/13/2025 Owner: Work Class: NEW COMMERCIAL Issue Date 09/04/2025 Parcel Status: ISSUED Expiration Date 11/10/2026 Address IVR Number: 150716 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date 10/09/2025 10/09/2025 COMMERCIAL 006009-2025 PASSED (PERMIT) Dale Heglund BUILDING Checklist Item COMMENTS DRYWALL NAILING LATHING & SIDING 11/10/2025 11/10/2025 MECHANICAL 006578-2025 Checklist Item ROUGH MECHANICAL ROUGH ELECTRIC - T -BAR DUCTS, VENTILATING CVP - Lakeshore DB, LLC 378290015 16758 W LAKESHORE DR LAKE ELSINORE, CA Reinspection Required? Complete No Complete Approved INTERIOR SHEATHING Yes Yes PASSED (PERMIT) Dale Heglund No Complete COMMENTS Approved Yes Yes Yes March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 2 of 2 Permit Type BUILDING Project: Dutch Bros Coffee Shop (Lakeshoi App Date: 03/13/2025 Work Class: NEW COMMERCIAL District: NA Issue Date: 09/04/2025 Status: ISSUED Square Feet: 1,025.00 Exp Date: 11/10/2026 Description: Construction of a 980 -square -foot Dutch Bros Valuation: $207,911.00 Final Date: NOT FINALED Coffee shop with drive-through. Parcel: 378290015 Main Address: 16758 W Lakeshore Dr Main Lake Elsinore, CA APPLICANT APPLICANT APPLICANT OWNER Brianna Uy Mat Bellefontaine Sabrina Rushing Braden Bernards 4212 E Los Angeles Ave. 18215 72Nd Avenue South #3421 Kent, WA 98032 Home: (425) 251-6222 Simi Valley, CA 93063 Home: Home: (503) 228-2100 Business: Home: Business: Business: Mobile: Business: Mobile: Mobile: Mobile: Note Created By Date and Time Created 1. OK PER DA TO LET SUBMIT FOR REVIEW Sonia Salazar March 17, 2025 12:23 pm 2. BB 447-263-323 TO SFA AND CA Sonia Salazar March 18, 2025 4:28 pm T 3. RECEIVED 1ST REVIEW SFA CORRECTIONS. EMAILED CHRIS TO SE Crissy Mirabella April 2, 2025 8:14 am HE HAS REVIEWED, T 4. EMAILED THE APPLICANT TO LET THEM KNOW THEY HAVE FIRE AN Crissy Mirabella April 2, 2025 4:50 pm BUILDING CORRECTIONS. 5. RECEIVED RESUBMITTAL AND SENT TO SFA AND CHRIS VIA BB Crissy Mirabella May 6, 2025 1:07 pm SESSION. 6. Approved Chris Adams May 13, 2025 3:25 pm 7. RECEIVED 2ND REVIEW SFA CORRECTIONS AND EMAILED THE Crissy Mirabella May 13, 2025 4:36 pm APPLICANT. 8. RECEIVED APPROVED PLANS AND SENT TO CHRIS AND JESSE TO Crissy Mirabella June 18, 2025 3:35 pm STAMP. 9. TRUSSES ADDED TO BB SESSION AND SENT TO BILL. Crissy Mirabella August 27, 2025 2:49 pm March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 2 Invoice No. Fee Fee Amount Amount Paid INV -00049045 FIRE PLAN CHECK- NEW BUILDING $1,305.87 $1,305.87 PLANNING REVIEW FEE $286.91 $286.91 PLAN CHECK FEE - BUILDING $1,075.92 $1,075.92 Total for Invoice INV -00049045 $2,668.70 $2,668.70 INV -00050311 RECEPTACLE (BLDG) $1.00 $1.00 SWITCHES (BLDG) $1.00 $1.00 BOILER / COMPRESSOR (<3 HP) $26.50 $26.50 PERMIT ISSUANCE FEE $90.00 $90.00 PROFESSIONAL DEVELOPMENT FEE $20.00 $20.00 DIF PARK COMMERCIAL/INDUSTRIAL $102.50 $102.50 DIF TRAFFIC INFRASTRUCTURE FEE COMMERCIAL $3,936.00 $3,936.00 ELECTRICAL SERVICE (>200 AMPS) $55.50 $55.50 BUILDING & TRAILER PARK SEWER $22.00 $22.00 REGISTERS $65.00 $65.00 DIF FIRE FACILITY (RETAIL) $501.22 $501.22 MOTORS 1 - 10 HP (NON-RESIDENTIAL) $11.00 $11.00 RAINWATER SYSTEMS $35.00 $35.00 INDUSTRIAL WASTE PRETREATMENT INTERCEPTOR $17.25 $17.25 DIF CITY HALL (RETAIL) $110.70 $110.70 GREEN BUILDING FEE $9.00 $9.00 BASE BUILDING PERMIT FEE $1,434.56 $1,434.56 FIXED NON-RESIDENTIAL APPLIANCES $85.00 $85.00 MSHCP - COMMERCIAL $13,926.65 $13,926.65 FLOOR SINK - PLUMBING $61.25 $61.25 WATER HEATER AND/OR VENT $11.00 $11.00 VENTILATION FAN $6.50 $6.50 AIR HANDLER <10,000 CFM $19.00 $19.00 BACKFLOW DEVICE <2" $11.00 $11.00 LIGHTING FIXTURES, SOCKETS OR OTHER (BLDG) $1.00 $1.00 FIXTURE, TRAP OR SET OF FIXTURES ON ONE TRAP $131.25 $131.25 FLOOR DRAIN - PLUMBING $17.50 $17.50 Total for Invoice INV -00050311 $20,708.38 $20,708.38 Grand Total for Permit $23,377.08 $23,377.08 March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 2 of 2 CITY OF , LADE �' LJ9,LSIRORE DREAM E.,; i REME WWW.LAKE-ELSINORE.ORG CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET LAKE ELSINORE, CA 92530 (951) 674-3124 PROJECT ADDRESS 16758 W LAKESHORE DR LAKE ELSINORE, CA PERMIT CONTACTS CO2 Monitoring LLC Luke Longley PERMIT NUMBER: FIRE -2025-00851 Issue Date: Expiration: This permit will expire 365 days from the Issue Date or the date of the last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled again and additional fees will be applicable. Permit Type: FIRE Work Classification: FIRE ALARM AND DETECTION SYSTEMS Permit Status: ON HOLD PARCEL NUMBER: 378290015 ADDRESS PHONE APPLICANT 4310 S Cameron St, Suite 7 Las Vegas, NV 89103 DESCRIPTION OF WORK TRACT: LOT: Installation of bulk cot monitoring system FEES TOTAL FEES: $574.33 SPRINKLER MONITORING PLAN #: AMOUNT DUE: Valuation: $0.00 Total Sq Ft: 0� CELL $0.00 Permit Type FIRE Project: App Date: 03/05/2025 Work Class: FIRE ALARM AND DETECTION SYSTEMS District: NA Issue Date: NOT ISSUED Status: ON HOLD Square Feet: 0.00 Exp Date: NOT AVAILABLE Description: Installation of bulk co2 monitoring system Valuation: $0.00 Final Date: NOT FINALED Parcel: 378290015 Main Address: 16758 W Lakeshore Dr Main Lake Elsinore, CA APPLICANT Luke Longley 4310 S Cameron St , Suite 7 Las Vegas, NV 89103 Home: Business: Mobile: Note Created By Date and Time Created 1. NO PLANNING APPROVAL. PUT ON HOLD. Crissy Mirabella March 5, 2025 11:04 am Invoice No. Fee Fee Amount Amount Paid INV -00048900 SPRINKLER MONITORING $574.33 $574.33 Total for Invoice INV -00048900 $574.33 $574.33 Grand Total for Permit $574.33 $574.33 March 04. 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 CITY OF LADE LSIHOKE VDREAM EXTREME WWW.LAKE-ELSINORE.ORG CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET LAKE ELSINORE, CA 92530 (951) 674-3124 PROJECT ADDRESS 16758 W LAKESHORE DR LAKE ELSINORE, CA PERMIT CONTACTS CO2 Monitoring LLC Luke Longley DESCRIPTION OF WORK APPLICANT PERMIT NUMBER: FIRE -2025-00348 Issue Date: 11/13/2025 Expiration: 06/09/2026 This permit will expire 365 days from the Issue Date or the date of the last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled again and additional fees will be applicable. Permit Type: FIRE Work Classification: FIRE ALARM AND DETECTION SYSTEMS Permit Status: FINAL PARCEL NUMBER: 378290015 ADDRESS 4310 S Cameron St, Suite 7 Las Vegas, NV 89103 TRACT: Valuation: $0.00 Total Sq Ft: 0 PHONE CELL LOT: PLAN #: Dutch Bros Job# 10439. Installation of a bulk CO2 monitoring system for beverage dispensers. FEES FIRE SUPPRESSION SYSTEMS TOTAL FEES: $603.31 AMOUNT DUE: $0.00 Permit Type: FIRE Application Date 11/10/2025 Owner: Work Class: FIRE ALARM AND DETECTION SYSTEP Issue Date: 11/13/2025 Parcel 378290015 Status: FINAL Expiration Date: 06/09/2026 Address: 16758 W LAKESHORE DR LAKE ELSINORE, CA IVR Number: 153904 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date 12/11/2025 12/11/2025 FINAL FIRE NBF-007184-2025 PASSED (PERMIT) Ben Barron INSPECTION Reinspection Complete Required? p No Complete March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1 Permit Type FIRE Project: Dutch Bros Coffee Shop (Lakeshoi App Date: 11/10/2025 Work Class: FIRE ALARM AND DETECTION SYSTEMS District: NA Issue Date: 11/13/2025 Status: FINAL Square Feet: 0.00 Exp Date: 06/09/2026 Description: Dutch Bros Job# 10439. Installation of a bulk Valuation: $0.00 Final Date: 12/11/2025 CO2 monitoring system for beverage dispensers. Parcel: 378290015 Main Address: 16758 W Lakeshore Dr Main Lake Elsinore, CA APPLICANT Luke Longley 4310 S Cameron St , Suite 7 Las Vegas, NV 89103 Home: Business: Mobile: Note Created By Date and Time Created 1. SENT TO CHRIS VIA BB SESSION 391-701-118, Crissy Mirabella November 13, 2025 7:53 am 2. Approved Chris Adams November 13, 2025 12:27 pm Invoice No. Fee Fee Amount Amount Paid INV -00052269 FIRE SUPPRESSION SYSTEMS $603.31 $603.31 Total for Invoice INV -00052269 $603.31 $603.31 Grand Total for Permit $603.31 $603.31 March 04, 2026 2160 Satelite Blvd NW Suite 300 Duluth, GA 30097 Page 1 of 1