HomeMy WebLinkAbout133 MAIN ST_S 7:^jq of Sign City of lake Elsinore
t'-> '/ C-Electric n{le-uric SIGN! PERMIT
PCO;e[•S' ._•.1 J i J-'\
pyAM•ca••t's IlAtrling Address. Description Programs
Orvf-el$Name 'V-_.Campy
r i
u t Shopping Center lln-,egrated dev.
AdcL-eu
p_
Attraction Board J By Owner/or Lr_:by CIIV CITY OF
Arch F,r, __-_-.- . -. -__—L,c>nse Nc Adve:tisingStatuary Date letter sent
1 T
L Other n yPdoile
Tract Sign(Security& ight of
Office U
Co-ifaelf nr s Name__4vy_r tom„_;_ _ n ne_
F Variance
I
P
Entry Agreerent s0 PlanrKd S ni 0'/A!1Jr.-ss mar1,l/91_ -• f i9 n9SpecialEvent1?CVueSt form wbnr<.te'.1 ri.P.No. Zonii'g
it, 1. cen;e iNo _ r Change of Copy(amortiz3t_son! r
C.U.P-No
LICENSED CONTRACTOR DECLARATION I— rrourMl r' ' Illuminatian Sign Dist.Date Received
I -•..•eby affirm that I am oceri un•yer prerrs,on;,f Cnarter 9(com•nt'cO ,;
Wall
r
J L
1 `
r "ry- l
x sect-,,, 7000) r t D-..s,on 3 of the Basmess and Prefess,urs.Cc-e,and j` Non-Illuminated Reeeind by
mot'<ense,s in fun force and effect. LJ Roof L Interior Illummatoon
License ProjectingNo..___-____—_— Pro Exterior 1roRtay! !t9 c nxteor Illumination I ZGW C.i•
One
rl
Construction
Lj From Ft, Street:
VVORKE/RS" MPENSATfON DECLARATION Convenience Right'Ft. Street-
t•e arhrm at !nave a ce,R consentofnsen!to stir-mSart or:ce•uf,ute
rJrr.crs' G.m nsatrun Insurance. or a certified copy trerto• (Setltan C Super Grapt;c Left' Ft. street
3aOO. VD. [.)
f
S Pni,cv N.,.COn1p7nY___ Z.l..T --t'
l...,Rear- Ft. Street:
Cetnt-ed CODY'I,hUel. urn,shttl.
vl
Ceritowd copy Is file?wet he city Budding Division. I Build set bsdrfrotn ultimate r' ht of way it.
APobc,anl
ELECTRICAL FEES INSPECTIO. APPROVALS g
f EXEMPTION FROM WORKERS"COMPENSATION DECLARATION Fictures Sign Date Sign Locator
Tn,t seciron need not he completCd.t a pe•mit-s for one hundred($I CO)or
icerCert.ry that :n the
y arf,
C
mance of Ind w nor wh.Ch This perm,t is,ss ed.I device Boxes Underground Conduit Front .- — Right lit
Y + Y persun :n any mannC n at to DCCnm^_ SUDltet 'O Inc
ris' Compen$a lion Lzws o: California. Outlets
Sign Descri lion
NOTICE:If,after mal•,m) toot diroari!ion,you shoo Decor-•c suD,ec' the Switc-tes Sign Dinvitsion3 Area Let"?"glutt :.•••.eft' C•cnpcnsatiu.• olov,s•ont DI the UDor Cotl violr g
fr 1w-tn such p.nvis.nns nr th,t oCrrrd Shall p atoned •evn:Ctl.
1
Foundations
CONSTRUCTION L£NUI:IG AGENCY SigFoundationsr rvxcl4otyaffirmtrialthere,s a cf-nstruct-tin Icnd,nq..nencv rnr snc ncr•o•manct It) x sQ,ft.
t
r f ••,e w nor h.ch s atn.s permit issued iot na 3047 C,v. '..1 Standing Sections
Name
w
c
r !/
7 Lc••rr!r•SAnflrest -
2) x. N.
OWNER BUII_OER DECLARATION Rough Wiring
n erLLy affirm that 1 am c tmof from the Conira-.tor's L•cc,tsC a••. f.^.r tnc
t
3)
rw• , rcau.o t5cchnn 7031.5 Business and Prnfcss.onal CtiCc: Af,v C:ty or
tt
M
t•'t'
y v.t,,rh red...rrt a ocM, to Lnnitfuct,al:cr,,mCrnve,demolisn ri, repat,
am t•••,r.inro, t r•or to its issuance,also too...et the appt,can: to, tuCr;elm,:
n t,.t• a t.nntd st a'emrnt trtpt nli she .s l+ccr:ed pursuant to cite prof-s,nn',.if
r,n fr-olr.utor's LiCCiae Law(Chapter 9(cmnrnencmg with !i, On 700(1).,t
feint of Information: Ill
C s. -• 3 of ant, Business and Proles:-ons Code) fir Ihat celshe of firempt Flaming
h..n, and file t•-as,s Inr %fit a:tcyr-t1 exempt nt- Any of Scct,on Total for Aetivi;
J TLt 31., hY a,,v apnht..in: for .1 mp=r ,t s,.D;rcts theacivilapplicanttoC ,t Inge Fee
1 `r atty of ma mr,re lhan love r,undied dollars tSoi001.
r. at ,.w„cr tnc prnnr•1v nr my emolnvees :.-try ,.37r_s as tne,r s•„r -- COPY VertklgC &YLde
mprnta'u.n will do the w,.r,.inn one tlruct uric r, nr.r mlcode or
laic ('rent-,,,, /044, P.uvnrtt ann Pu,fess"wal C-ode: The Cr.ntra_tar
Valuation $ , ! --.Final Electric
t,r cn•r l_.ror d,u:;r.nt apply ter,u,nnrcr cal.: vself ,,
who h+olds nr,li nr nvv
I ;
r nr r,lli, .:,•d Wr,-, dr,n•, tor.•, W.rIL ,IIn11C1 t'nil tCll r.l !r Illl fit. rl,t Or htI nWn
icepo,yrct.
Kilt
P•.•rncn gnat tuck tmpn,vcmrnts arc tint ,n:cr.ned nr ,flertr for 033fYj3.33141Piat:nmgFie S
ta'[. Ir h•.wivef,I7ic hu,ld+mt .I, .n,rlr(,vtjnrnt,s sntd w,thifi one /ea•r,t CC.M
11011(11f1 FCC S
ri(: it. the•,w,cr ; to n,,ve ine nwee!n of proven•)hrrinC did not t)Il,'•J no ,nl•tt
rlrnve I.., 11m Pnrnrisc r.I ta•f•1•Elcclri:al S .____Ground Sign: Oderat p PiFinalPlannirq9iht
1 nwnr•r ,r ,hc ny.a,•i rxr h,stvr,y c•rntratr+•,q w•tr, .,CCn;.rd c•;n• 0133(lli-3312 hub Toial S
rrarl,rt+.i r,,,ittrurt tot c.•t,BrI (Suel.ton 1043,uu:+nest and Pr„+rss,•,ns Code
C„ntr acts•': 1 year l..wr duct n or aPpiY to ar owner of p•naerty wf.n
Plan C'hrcic S __. r/_ L_
I
Ground Clearance
t.nnnt .,r unp•.,vc•. tnercrm,avert who c,,nir.ctt rill sucn wniects w,tr,a con. oiled.P.C. S
a•.+•-rt;) urrtisc owsuaw to -no f i„tfaC+nr's ,.,Ccf.W Law). I am anarc that a33p0-33 0 Sub-1111al S _--_--___---
pro•:- ,A thr,r Won rr•s C•,mnMS,iLrn MSuraf.;;p Shuu'r:1 nC Prnv.dCd ;n mC. Total t.0f.
110.23L Sall S
CC _
Final Sign v
I an,c.c...pi under Section B.L P.C. for in.%reason I,if al FCC, ;
R J:T
This activity
Qat•• 2 1 1 7 ..t,(1 r)wnr• •'' , r;r`.aLo. }.':.. .L/!'..ry_,_.k
i nercbv cat tot•" that 1 have lead ih,s a.IpLLahnn and state trial Inc above --
nr,rrru u n .satt enirect, I awre in comply wdh ail etty anc county rnd,nancas
DEVELOPMENT SER .,Agr ENT
Notes:
nd watt taws reutmn to Dn.ldmr cnnttruchove,and htroo atrt lnnra ra re•
tel.ialrves W (his r•1y to enter/uprin true anuve-mentioned property for
Planninyl Approved BY DataGl
nspaa,on our Qsrs. n y
S.gr.atufc . Date Building Approved By: --- Data
l to.verV Ltcensc or SS 4 36 Application Issued By: .- -fT___ --_e._....—.._ Date
While-Building;Conory-Applicant;Pink-Assessor;Goldenrod Accounting r
CITY OF LAKE ELSY110RE
BUILDING DIVISION
O W N E R - B U I L D E R V E R I F I C A T I O N
A city or county, which is required to give notice pursuant to
Section 19830, shall attach to such notice, and, as a condition precedent
to issuing a building permit, require the completion and require the return
of an owner-builder verification.
Attention Property Owner:
An "owner-builder" building permit has been applied for in your name
and bearing your signature. No buildings permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials
for construction of the proposed property improvement.
Yes No
2. I ((ha /have not) signed an application for a
bui ing permit for the proposed work.
3. I have contracted with the following person (firm) to
provide the proposed gonstruction:
Name
Address
Phone ( ) Contractors Lic. #p
4. I plan to provide portions of the work, but I have hired the
following person to coordinate, supervise, and provide the
major work: i
Name
Address
Phone (714) Contractor's Lic-.#
5. I will pr.)vide some of the work but I have contracted
hired) the following persons to provide the work indi^ated:
Name Address Phone Type or Work
If. additional space is required attach subcontractors list. )
I hereby affirm that I have received a copy of the information set
forth in Section 19830 of the State of California Health and Safety Code
and have complete the above information to the best of my personal
knowledge, in compliari,-e with this 'tate Law.
pY- Signed: u Date:G1 ;
Printed or Typed)
4 Drivers Lic. # or Soc. Sec. #
i
gow
1-7
CA)
ter- - --_- -------- --- ------- ---- ___
CITY OF LAKE EL S'NOaE&BIDING SAFETY DIVISION
Date-
NOTICE
Stop Work i Correct Work
Job Address _ j f•;. l y,
Permit Number-4a ,7y 7 /
ice I( I..-i'i r/'l ._.C.- J' '> .i t l- r- '
i
C r
T
Division inspector
e APPlicant to fill-
CITY OF LAKE ELSINORE CONSTRUCTION PERMITAddees, in an spaces excep,tho*Within hftvV borderline,and sign a.'I appropriateArch,Erg
PERMIT No.
rig- TRACI decis7, rations
Zldre,s Lcense CIL., LOT No.
I I
I TYPE NO.
Contractor's Na..
0FCNSnWj" UNIT.
a CORV sm
qodress Irn3ji, of
Cis) Pho e DESCRIPF WoRlil-wi CC;
ADERATION
Di PAIR
QIV License No. IN
LICENSED C TFPE OF pEft
i'
IYTRACTOR DEC GRAD---- IT GRADINO
Chat I 4r-1 hct,se,
OMER
FijU1,o-by 11 1 S
zlZ 7 uncler I 1Aain BuildimnuflBjr
HXNIC..
E0003OfD.V'S'annrot
140 oneVY!,ce
I force an
V-I,,von,or Chj!:,, rho T Fran!1 elf,c,-
f --e Bos-roess and Pfoless:ons Cole, PRGIECT Acc B-ilcliq-CA,•Ise CIA%$ rot,and
orS:;nat,,,
S7 Ft
EjCeo,Se:Jo_
Cazttrt+tD
z
111`0*fns-C Zone
C:1'
S ILI Right 01114!e
OYAPFNSATIO,%D C2-Z:P_ AcresDECLARATIONPCS
of 7C "a'rh3ve A ctrt.,,r,:,oj Rem3;ksJy LeftiNconseS
4800 'N". Ca!'" 11so,ance. or a zj:--
Z7tjre Fit
0. to- lsect.o,icopi, -I.. Ping. Re
L4 Certified- Compary
G
Lj C-Ir-fied
c WT. , ireby fu,—.iL., Planning riot-,$ Parkin Rel/Providedx
Date
Co is is, W.I.%?Ile Co.
of
v Mir'sior. E7CE lom FRO 0M.S sect
I on need not
or`CXERS-COAC`E;NS TI0"DECLARAYi'or4-T
Perf? m4,1ce,3,
any r, r.
S
LOM"n;4,0, Jr.y man-
SMI)IOY a the .ol Ir.,
in tthalthe
com;)Ieten of "":)Von"' 'Or one
S 100)or
ttrott
n
SOJS is ss.n IDatefoecon
NOTIEE.. PLUMS
wit-,
orV.-OrIels, C
c L4
Aft r. Re airTEES RfrC,d, CALeCONSTRUCT10j; rc,m", P--., I Auto WashIre-er-Y41f,'...I?,
ENDING AGED. v
71- EneratorG FEES
ItBacknow N
051A(W-L-L -ISKW' IVECH
V<,rk to: j7, 2 vi C
c e'll;n.i
C CrILonde, nsyuqj on Pole S b i BoilESNam. ACCf.Uarkf!ow I,r- CSIDIC1:;;ation oucl-UAld-eisarcs o,
C.1 I Unjl Giound 04DING FEES
e,tty ;-
Pole Light C,:iOWNERBUILOERClarifiers
6;
attrr-
am sh cu yards
co
1:-;
ez,,n er P Yers::Gas ffE-Ii venwattimC-3ot'a-, - z----
Cut,re T! Fan jj h-7--C- ------
I ;, --
ap.ea. 1?-Gj3,r, for. yards
I
Urenrr,;)roof cc S.,-csi et S
Isea Floor Brains 33Dol-rmatc%t no.- a
c T
Floor n-ks
Du-ling S
th"e.;,
o -'Ile husiness j,,:3 PIC, (,-nn-,,r.,I,C-'of
70 an., the ha cs; so-
Inr cocle; n ,
vicaSn.-' at 11.'sne ., '-t)
1: ILrv.*Ce Outlets
3.5 by any 'vol,'a
n "i TCas Ser 7 100 000 e,
t in 1 CI ,-,-
n-.
Interco 100 0 1nla10BTU
C.vliIwrierOf
ea(
Ierrtl001,car.? pigjwj -h tors HOod or Canopy
ty no.more
ja
a, '-,v ntn
f!P T I— Met-,
0' -loe (S ',.n
4-1-L U
License L,-
ecr 7 3.
to 200 amps---- 4-Type I
v,(I)CIS n,)t;lo,,,
n
ernit F2
8usiness jm j'"
I-C-Ure S miens;'Cs as Roof Meter ov-a, C I Refria,Ps y,stemIre
DUn
C Sub anei
4 n c v,n,,
I S,,,,
00 Y
7 - -100 000 BYU L-;100sale1, v:
co J
r,
railer Se,,,, 0o"w,llr l -, 71"" "'sell
7 ie", Ooo BTU-er Cape,
aci.fill CBOa ,79WeTt-o-n
Transformer 5-50KW S
Ile FP-'
f7et-of ar C, c irin-Bldg L"-e-n!RePaif,'Aor
C,a-'. 0, - T---- ----- E-` 50-,KWM. Solar C6F1—&cj---z24--- Motors 0.1or$The
ant Fire 0
C':' r Pib..,aS L,cen
Mn:;-on 7; 13 n.
ph" :r, egisters
OU'Suall
n.an I n,, " ., E
t*C"m"` not.11,
ness drili •..r
a at 9-15 IT El 16-15 fk;%-.-.C,." T
4---0. P* Si i 10 231SWC? Pro,".S
Solar Tank 111 Res. -- Incinerator IJ-PP
Am
I"Imse
bW
ES $ ---.
ye I 6-n Snswar., ,,Jrntnin Y" F- ROut'a 1 1-.---- 110232
the'r vorwi.
C")`
I,.(. 'I"Ira I . I c"G. ImoensanonLiw)
CC-In a
6'a,e Heater
3360,331
by 7 of Pbri ahe
in Ile V his Palo, tck Fe"
IS to fact •I Opt); aland Is-S.;-2---
sen I a I It ton
I
aria 'face that the ar":'VeIts (;f n all I -Y 4"t cnunlinin's C, If
tr)rwr J11(f 11-r,b11 nn ourf),-11
e
y At qa ces
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Date
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C: Y OF LAIC... E:C:27OR:
S: :LL:27G DI,':S:027
A city Or county, which is reo-.;iredSection19630, shall attach to such to cwve notice Pr-rs;:aa t tctoissuinga ; IIOtlOe, and, as a cond-;t-OnbuildingPermit, require the coaplet- precedentofanowner-builder ver;f ion and requ;.re the recur::cation.
Attention Property Owner:
An "owner-bu:leern ;
and bearing
bu_ldina permit has been a liyoursignature. 2 O bu Pr-_ee :for it yoLr naryildirve_ _ca. on is received. s e'Ti` wi U be 'ssued ur-;
ersonallr Plan -o provide the major labor and ma::eriaiso
Yesnstru110
an 'the proposed property improvement.
2. Z (have/have not) J
building permit fo: +
y
v —_
signed ar;
h application for aeproposedwork.
1 have contras with theprovidethe -out following person (fi_) t0
Name
P-o ' construction:
Address
Phone ( )
Contractors
4. nlan to rOCide DOrt f t1fallow
p eons o_ .pie wo_}: 'butincpersontodoor'=
4L` have hired .he
ma or dinate! supervise, and rotWork: Provide t.1e
Name
Address
Phone (7 4) Con tracto_'' s iic.
5. : wi l P*'cvide Some r -
ired O' the work but : have contractedefollowingpersonstoprovidethewo':k indiarse
J/ hdcress Phone
cated:
i''vtie = w=
If addi -Ona,; spa :.s reot::re;; attach subcontractors Izst.)
o="`h in herebon affirm that ' have received a cape of the information. set9E300_ the State of California Health and Safety Code
forth
have complete
rnowledge, ir. ca , ,
the above' information to the best of my PersonalL' .
Signet:
Bate:
Name:
c Or ypec)
Drivers Li^. # Or SOC. Sec.
d
CitY of Lake Elsinore
PERMIT 130 SOU2h Main Street
PERMIT NU: 9:-00000597
JOB ADDRESS 133 N MAIN ST
DATE: 5/23/91
TENANT NBR, NAME NORTH MAIN ST ANTIQUE MALLDESCRIPTIONOFWORK . : ADD OR ALTER NON RESIDENTIAL
OWNER
L,0 ALFDJERI-- CONTRACTOR
OWNER
A I''
3 74-174-003OCCUPANCYRETAIL,RESTAURANTS,OFFICE GARAGE
SQUARE FOOTAGE 0CONSTRUCTION
VALUATIOK TYPE LT- NON RATED Q F 0
500 FIRE SPRNKLR .
ZONE
NA
BUILDING PERMIT
QTY UNIT CHG
BASE FEE ITEM CHARGE
15.00
FEF. SUMMARY
PERMIT FEES CHARGES PAID DUE
BUILDING PERMIT
OTHER FEES 15.00 00 15.00
PLANNING REVILW FEE
SEISMIC OTHER 10.00 00 10.00
PLAN CHECK FEE 50 00 509.75 00 9.75
TOTAL 35.25 00 35.25
SPECIAL NU'PES & gONDITIONS
INTERIOR PARTITIONS
THIS IS YOUR RECEIPT
WHEN Nr"41NE MIDATED
0-5 2s-1991i 9t 16 AMiis35ACC302•-148C2i MAIN
T#:1(10-3220-
STREET ANTIQUE MAL
F'ERFlI T #91-59
REV.DATE 1:•1.90
Please Read ono Initial:
City of Lake Elsinore 1. 1 am Licensed under the provisions of Business and ProNsslonal
Building Safety Division 6.1pCode Section 7000 of seq.and my license is hi full force.
71/1 2. !, as owner of the property, or my employees w/wages as
Post in conspicuous place
their sole compensation will do the work and the structure is s
not intended or offered for sole.
on the job 3. 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project.
i_ I have a certificate of consent to selfinsure or a certificate
You must furnish PERMIT NUMBER of Workers Compensation insurance or o certified copy thereof.
and the JOB ADDRESS for each S. 1 shall not employ any person in any manner so as to become
respective inspection: subject to Workers Compensation laws in the performance of the
Approved plans must be on job work for which this permit is issued.
at all times: Note: If you should become subject to Workers Compensation
offer making this codification. you must forthwith comply with
such provisions or this permit shall be deemed revoked.
I
Code Approvals Date Inspector
EL01 Temp Elec Services
PL01 Soil Pipe Underground
EL02 Elec Conduit Underground
SPO1 Footings
6,M Steel Reinforcement
OP03 Grout
OPO4 Slab Grade
PLOT Underground Water Pipe
SS01 Rough Septic System
SWOi On Site Sewer
PL03 Rough Plumbing
EL03 Rough Electric-Conduit
ELcL dough Electric-Wiring
ELOS Rough Electric T-Bar
ME01 Rough Mechanical
ME02 Ducts.Vcntilating
PLW Rough Gas Pipe-Test
PL02 Roof Drains
EPOS Floor Joists
EPOS Floor Sheathing
81`0' Roof Fronting
RP08 Roof Sheathing
BPO91 Shear Waal 8 Pre-Lath
6P10 Framing&Flashing
bpi) Lathing&!siding —
8P12 Insulation
6P13 Drywall Noilmg
PL" Final Plumbing
EL" Final Electrical
MESS Final Mechanical
Sp" Final Building
Codo Pool E Spa Approvols Dote Inspector
POOL Pool Steel Rein.:Forms
P002 Fool Plumbing/Preis.Test
P003 Pre Gunite
P004 Poo!Fencing/Access
1'005 Pre•Pioster
EL06 Rough Pool Electric
P099 Final Pool/Spo
SL99 Final Solar
Sub List Approval
T
R
IS
A PPS f
AS 1tE+l5 C
To Ti+E EI'ISTitQ( w A 6 L.s 7
WOO b L1 k'_- —7)
Cil Dlvii 2 LL 5 i
1
SOS bN S "i tf
R"Iff
YH1$ K
ALL MKS EG:iON
Y:Z'
WA14,5 WILL PAL BOCTOD
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4 Cl*ty of Lake Elsinore
PERMIT
130 South Main Street
PERMIT NO: 91-00000529
DATE: 4/29/91
JOB ADDRESS . . . . . : 133 N MAIN ST
DESCRIPTION OF WORK . : ELECTRICAL
OWNER
CONTRACTOR
LOFLAND JERI OWNER
A.F.# . . . . . . 374-174-+003 SQUARE FOOTAGE • 0
GARAGE SQ FT . : 0
OCCUPANCY FIRE SPRNffLR
CONSTRUCTION . . • ZONE . A
VALUATION
ELECTRICAL PERMIT ITEM CHARGE
QTY UNIT CHG 00.15BASEFEE
1.00 k 7500 SWPPCHES / 1ST 20
6.
7575
8.00 X 7500 RECPT,OUTLET / 1ST 20
1.00 X 11.0000 MISC. WHERE NO OTHER FEE 11.00
FEE SUMMARY CHARGES FAID DUE
PERMIT FEES
ELECTRICAL PERMIT 32.75 00 32.75
TOTAL 32.75 00 32.75
TkIS IS YOUR RECEIPT
WHEN MACHINE VALIDATED
04-39-1991i 3s04 PM/$W
ACC T#'.100-=2
RCPT,a Q2-14370/FRE00RICK ZVT
PERMIT 1I91•,8'
REV.DATE 11.1.90
Piecse Read and Initial:
City of Lake Elsinorc t. Ion Licensed under the provisions of Wslnoss aN PfVjssslonal
Building Safety Division Code Section 7000 pt seq.and my license Is In full fort&,
2. 1, as owner of the property. or rrty employees w.*uyles asPostinconspicuousplaceheirsalecompensationwilldotheworkentttheSINcluritIs
Q,
no:intended or offered for sot*
on tf le to 3. 1• as owner of the property, am *xclusiv*I;r conttnrling with
IicensQd contractors to construct the project.
4W
I have certificate ar rons*nl !o selfinsure or t•. tertificateYoumustfurnishPERMITNUMBERfWorkersComperisa+ion insurance or acer 3fi*dCOPY thereof_reandtheJOBADDRESSforachI-hall net*mplcy eap parson Cn any manner so as t3 becomerespectiveinspection: subject tG Workers Compensation Laves in the"formn^;*of thisApprovedplansmustbeonjobwo-k?or which this permit is!asked.
of oll times: Note: If you shcu!o becorra subject to Workers Comper•sotion
after making this certificotion, you must forthwith cornply with 1
such provisions or this permit sho!j be deamod revoked. f
Code Approvals Date Inspector
EI.01 7 Elec Services i
C• L
PL01 Soil Pip*Und*rground i
E102 ':lec Conduit underground
BP01 Footings
BPO2 St*itlR*inforcement
BPO3 Grovi
8T01 Slob Grade
PLO) Underground Water Pipe
SS01 Rough Septic System
SW01 On Site Sower
PLO3 Rough Plumbing
EL03 pough EI*dric-Conduit
EL04 Rough EI*ctric-Wiring
ELOS Rough El*ctric-T-Bar
I
ME01 hough Mechanical
ME02 Ducts.Ventilating
Pi.04 Rough Gas Pipe-Test
FL02 Roof Drains
8005 Floor Joists
OP06 Floor Sheathing
SP07 Roof Framing
81'08 Roof Sheathing
SP09 Shear Wall 8 Pr*-Loth
BPIO Framing t Flashing
BPI I Lathing E S=ding
SP12 Insulation
BP 13 Drywall No:ling---
WN 1 Final Plumbing
E1.99 Final Electrical
ME" Final Mechanical
BP" Final Building
Cod* Paol d Spo Approvals Dote Inspector
P001 Pool Steel Rein.-Forms
P002 Pool Plumbing/Press.Tits:
P003 Pro-Gunite
POU Pool F*nc+:+!)/Access
P005 Pr*•Plo%ter
Et06 Rough Pool Elttwtric
P099 Final Pool/Spa
SL94 Final Solar
Sub List Approval
City 0f Lake Elsinore
PERMIT 130 South.Main Street
PERMIT NO: 91-00000621
DATE: 6/04/91
JOB ADDRESS . . . . . : 133 N MAIN STTENANTNBR, NAME ANTIQUE MALLDESCRIPTIONOFWO&K . : ELECTRICAL
OWNER
LOFLAND CONTRACTOR
OWNER
A.P. ` 374-174-003OCCUPANCY SQUARE FOOTAGE .0
CONSTRUCTION GARAGE SQ FT . . : 0
VALUATION FIRE SPRNKLR . .
ZONE . . . . . . . NA
ELECTRICAL PERMIT
QTY UNIT CHG
ITEM CHARGEBASEFEE15.0010.00 X 7500 RECPT,OUTLET / 1ST 20 7.501.00 X 11.0000 MISC. WHERE NO OThER FEE 11.00
FEE SUMMARY CHARGES PAID DUEPERMITFEES
ELECTRICAL PEP.I+t+IT 33.50 00 33.50
TOTAL 33.50 00 33.50
THIS IS YOUR RECEIPT
WHEN MACHINE VALIDATED
Ofi-041-1991i 8:52 AM/$33.S
02-15028 14AIN STREETi100-3220-
ANT:OUE MAL
PER111 T #91-92
NE:.OATE a•1 0
Pleose Read and Initial•
1. 1 am Licensed under IF.*provisions of @asiness and PraSessional
City of Lame Elsinore Cod*Section 7000 at seq.and my license is In full farce.
Building Safety Division 2. 1- as owner of the property, or my amp'•oyar*s W/vrogas os
their sole compensotion will do the work and the structure is
Post in conspicuous place not intended or offered for sets.
3. I. as ownar of the property, am exclusively contracting with
on the job licensed rontractors to construct t::e project.
4_ I hoye a certificate of consent to seilinsure or a certificate
You must furnish PERMIT NUMBER I Workers Compensation insurance or a certified copy Ihereaf.
and the JOB ADDRESS for each s. I stall not employ any person in any manner so as to become
respective jr.spection'
subject to Workers Compensation Laws in the performonte of the
work for which this permit is issutd.
Approved plans must be on job pore: if you sh.wld become sr•bitct to Workers Cornpvnsation
at all times:after making this certification, you must forthwith comply with
such pro.:sions ar this permit shall be deemed revoked.
Code Approvals Dote Inspector
ELOI Temp Elec Services
P101 Soil Pipe Underground
EL02 Elec Conduit Underground
OPOI Footings
SP02 Steel Reinforcement
BO03 Grout
BP44 Slab Grode
PLO) Underground Water Pipe
SS01 Rough Septic System
SWOI On Site Sewer
PLO3 Rough Plumbing
E103 Rough Electric-Conduit
EL04 Rough Electric-Wiring
ELOS Rough Eleciric-T-Bor
MEOI F ough Mechanical
1--ME02 Ducts,"antilating
PLO4 Rough Gas Pipe-Test
PLO2 Roof Drains —
SPOS Floor Joins
SP06 Floor Sheoth;ng
OP07 Roof Framing
SPOO Roof Sheathing
SpO9 Shear Wall$Pre-lath
SP10 Framing It Flashing
BPI 1 Lothing&Siding
BPI: Insulation
BP13 Drywell Noihng
PIL" Final Plumbino
E1.99 Fino:Electnca!
AE94 Final Mechanical -
8P99 Final Building
Code Pool R Spo Appro.ol; Data Inspector
Pu0! Pool Site:Rein. Forms
PCO2 Pool PlurnbingiPress.Test
003 Pro-Gunite
PG04 Pool Fencing/Access
PODS Pre Plosler
EL06 Rough Pool Elociric
P09ri Final Pool/Spa
SL99 Final Solar
Suh Lls Ilpprovof
m
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City of Lake Elsinore
F
130 South Main Street
APPLICATION FOR APPLICATION Na.
BUILDING PERMIT TI-- sg_
APPLICATION ECEI jEDDATElZ3(
VALUATION CALCULATIONS Ao 3`'1/—! IY4—a3 By *z
I
i st FLOOR SF MJtET>tltCi ADMSS
2nd FLOOR SF rsACT
uoeea•cE3rdFLOORSF toTrrArtEE
GARAGE SF
STORAGE 5F
DECK&BALCONIES SF a AOOtES` 33 X/. /`;W/.c/
OTHER- My
sett:nr
t9R 330
GRADING
t"r'a'°,•`^chet t«n uc..n.d wd..prw;s:.m d Chas 9 ko1m+.«i.,0..irh SManCUTCYe60)ai Dwision 3 o)th.SuskHm end roNsslms Cod..and W tR.nsr•is tr.ivtl txc.
FILL CY IxnaSEER
S TAXI
My
VALUATION:
V
HAhtf
FEES
ADGUAeDeFSS
BUILDING PERMIT aw—
1.
STA'f yp r --^--
PLAN CHECK CONT ACfOR'S SiG.tATU7E
i
r
ADDITIONAL PLAN CHECK rwNf
rrrsE+1
uz
GRADING PLAN CHECK
W
AWNESSz ADDIESS
r
CITY STATE'71°
NEw REPAIR O CGRP-/ CONST.
MICROFILM D MOVE
DIYiSION: TYPE:
rJIT)ON NUMBER OF NUMBER OF
ALTERATION ;DEMCLISH STORIES:BEDROOMS:
COPIES OTHER ZONE:
SINGLE FAMILY it.
IMPRO FEES a SCHOOL FEES APARTMENTS U:tits
HAZARD AREA? YES NC
CONDOMINIUMS units SFRINKLERSREQUIRED?YES NO
T055ttJHOMES
units PROPOSED USE OF BUILDING:
OMMERCIAL .-.INDUSTRIAL
PAID PRESENT USE OF BUILDING:
DATE
JOB n_SCRIPr)ON
I certify that I hove read this application and state that iho
1abovein
county or
ion is tarred! 1
ie la s
comply with all city
and taunt}• ordinances and stato laws relating to building
consltucticr:, and hereby authorize representatives of this
city to enter upon the above-mentioned property for inspec•
C<6`GionpvrS.
Signature a Applica. r Agoni Date
AGENT FOR 0 CONTRACTOR D OWNER
AGENT'S NAME
AGENT'S ADDRESS---
STRf.ET CITY STATE ZIP
REV.GAT E 11.1 Do
City of Lake Elsin
PERMIT 130 South Main Street
PERMIT NO: 91-00000318 DATE: 3/28/91
JOB ADDRESS . . . . . : 133 N MAIN ST
TENANT NBR, NAME NORTH MAIN ST. ANTIQUE MALL
DESCRIPTION OF 'fi'ORK : ADD OR ALTER NON RESIDENTIAL
OWNER CONTRACTOR
LOFLAND JERI OWNER
A•P-# . . . . . . 374-174-003 SQUARE FOOTAGE 2300
OCCUPANCY . . . : RETAIL,RESTAURANTS,OFFICE GARAGE SQ FT . . 0
CONSTRUCTION . . . TYPE V-- NON RATED FIRE SPRNKLR .
VALUATION . . . : 500 ZONE NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 15.00
FEE SUMMARY CHARGES P::Tr DUE
PERMIT FEES
BUILDING PERMIT 15.00 00 15.00
OTHER FEES
PLANNING REVIEW FEE 10. 00 00 10.00
PLAN RETENTION FEE 15 00 15
SEISMIC GROUP R 50 GO 50
PLAN CHECK FEE 9.75 00 9.75
TOTAL 35.40 00 35.40
THIS IS TOUR RECEI"
ACCT#e100-•3412
r2CPT#:0 1383?/FREf. lCV E. ZWl
PLANNING PLAN CHEC
REV.DATE 11.1.90
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