HomeMy WebLinkAbout15900 GRAND AVE_ (2) I
I
•� CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
ddress _� yCO .?/Y�__----- ---- Applicant to fill in all ipaces except those within heavy border lines and sign all appropriate dect.trations
s`Porcert ruo. p q- PE T No ;TRACT NO. I LOT NO. y UNIT NO.
,♦ t -�'��'rl�s_ c4e!^A-_Phone GY1'�
`s7s,ref z Name
i AcfdreKs -��� ' ~ � Tiff OF CO!iSiRUCT(011' T]•NEW ADD - ALTERATION _ fiEPAIF.
Arch'Eng. r _ ---License':o CONVERSION. ._ DEMOLISH OTHER .fS � _ H P # � Zone
Acs,;ress --.�- - >- �
- __- - ..�O
r TYPE OF PERMIT .. GRAOIkG FOUNDITICN - S(R1ICTURAL Ti Front N
A,.1ress ma.tingt i- - -- TENANT 1 tt[CiFICAI PLUMBING MELWttICAL e( Rear -_
C,ts L'crnse .0. _-_- ----- - OTHER -- ti Righ� G
-- - - iN
r_tCENSEO CONTRACTOR DECLARATION PRO; N.-ECi DESCRIPTIO Slc.it ___Occupancy
--) —
I ,ereby af:.,,n that I am I cer,Sed under O-v,S,ons e'r_r•arte•'9(commencing . - K Left
not or Division 3 ill the Business and >a ri'essions Code,artd Construction type 2:dre Acres - S i R
�c_
Ping. Ref_ # Parking Req.lprnvided E
ins htense is full forcea,deffect-
_.License No. -. -_ O
Lce•,ic Cass-- --- - -- _"T" Planning Notes -- ---
UJ:r S'1na!ure _ ____. _ ___--.- riem'T;'S ___ __ _- -_�T
, T
WORKERS'COMPENSATION DECLARATION -
I ne+ebv a+t,rm tJ+at I ha•:.e 3 certtr,cat_of conse'tt to self-insure or a:ertificate S'-T'"�'-1` -rYi ---
(Section
ShofeOL '+ , ,'r r' t,•t.•�(,^.- •ir f
Os Worked eoWensat'on insurance. or a certified COPY' ( -
3soo. Lab. C_1 ti
Company _ _ _ - S :,.r'v- •;�.y -
Ctr Licit:COPY is he COy furnrsheu-
.� Certtf'ed CODY is Mild yrith the city Building Division. _
Date------- 'APPbcanl
EXEMPTION FROM 1.1ORKEAS'COMPENSATION rECLARATION -
(T.'„z WCt,On,teed not Oc coinpl£ted,-the per,n,t .s for one hundred(5100)of •.,. _ = f
lest. MECHANICAL FEES �
cent-!v ;n.a• ,r. the pet/nfmance fit tnc::,-iri- fir •",Cn •r.,s Perm'''s issued-t FEES ELECTRICAL FEES ACCLp GRADING FEES
;na'I ,�: ero .,y Jnv Pcr,,,•i 'n any manner sa 25:;� Pecume Sub,cCt t0 rile __PLUMBIN�r-- ~_
tY.• ..rrs' Coln,t."a:'ran i_aw%of Cartprn'a. Alter, Repair Generator Ctil•5KW r 5.15K:Y_-_. 1 Boiler Cu( -_ -cu yarns
D.t:e __ - - _ - --. Signature - ___-- --- ----__ '_.-.-- -..-- - _T-_—T- •_ --
f„-, sr,r,.i': 0e=:me '• :.cct to tee AU:o Wash , Construction Pole Suo_ -_ _� Duct-Under Ground
NOTICE: " t m.t4:nq tin-.deCl3r a�i.vt,y., r r,,tl - -
'.YO:t•ers' nGCns.Y,�n Omv:su,ns o Lilo tab:. e. y 3:. must f(,rth Iith -(--- `-?— Duct CtrCelural _
.Vol bit su,n prnv,t,gn5 ur th,<. perntit znall he ]eemeJ revol,ea. - Baekflo_w Preventer r- , Cooking Unit ----•-- -`Fan -Ve;tilatin-g, 3360 i370 Plan Check foci _ .--
CONSTRUCTION LENDING AGENCY Br BCkfIOW irrl atl0n ^_1 Pole Lig�lt 3300.3312 Permit fee S --.-
1 rt•.J> ,.,"r•'••. '1:.; tnerc�5.,�"nst niCLrtn+enar,g age-cs 'Gr the Per`Gr man Ct - t-_-.-_ !� _-.
M tie ,.,•. t.;• %vn,ch fries Permit is issued r_cct r, 3n�7 Civ c-t (,lar(fiers �_ Dfyers Gas ;Electric Exhadst System
Fan Evaporative Cooler - _--; Total Fees
Dishwasher $
Lence,•s virile --------._-_._. _.--- ---------- -- , ---- ---------_ �_.- _-
i"Cer l A I i-ess .._. _ -- - - - -.-. _.--- ------- -— t Fixture Traps ea. ! F.A.U. -----__-- _ Ileating System& Duct ng
OWNER BUILDER ')ECLARATIO N --1---- -- -• ---- rn i--.1-000BT U ;�JLO 000 BTU.
I ,e•rr. a ,r• :rwt I am eye,npt .rr,m 11-C ',c,•.f3c:„- S L:cnw Law It• :ne Floor Drains - _ Fixtu._s —� -___ �----_ r.-.-.- T__-----�---► 33003312 SommaryOf Permit Fees
io a.• reason (Se.imn 70it.', BuSuu:;:and Pr•,'c s5'":ra' .:ode: Any r re Or __-_. I --`
c�un:) •,r•,;+, repu�r-,s 3 permit it,construes,alter,'*+c: :^.demrn�sn or rePa'r Floor Sinks__ Outlets _ Hood or Canopy _.
any St•uC:Uri, D+:or - , d;,ssudrn-N,ai;r,rrnurret i+a dGhl'tanf le YKr,porn„t Gas Sen'ICP. DUileiS - t.�`=C7 $t411Lhes _ yPe l _ Type I: ^, Budding S
tJ flee a s'�'c-,, stale•neni tn.tt hr.;:h� ,S hU;nzer eu•suan• ! the Pe„v'z,Ons or - -- --- --_---,-_- __ _ ---; tI
the COr':ractor :1_,Cf:nsc L.tw(C.'apter 9(c"n,m':nc'n ,;ern Sectron 7000{o• -T'------ - Piunibin, $ _�O_:_ a _-
p,.s,u� 3 ,' the B:nmess and ?rutesseons Gatle1 �+ tta! nc;snc r: ex^.ntpt _ InierCeplOrs i i Meter G up to 200 amps_-__- 1 Retrigeration System
therefrom and the [-.,vS 'or the Allc-epfuf atl ov^_mpt'gn• :anY v�,-ia(rnn Of 54ct'nn --'----'----';-- �_Mett er UV8( JO amps I i=1U•100,000 BTU�_-1CQ000 BTU_' -.- $
yn31s hY any JDKi'CJnt Inc d Perm.1 <Ib,ee:s 'he applicant to a Civil P•Trap _ _ �T _ _ - Elrcrtca
penalty Jt not move hve hundren rinlfa,t(SSGOt. ROOF Qf;in5 I Sll�anel_ _- Flfe I/Fact.Blt. ICBO ,._.-- Mect.tmc21 $
- �_- - P_--------- ,.
Js v.ner of trio propertY of ny emoloyets ..,tn :.J3rs Js R c;r sole Trailer Sewer - C 15.50KW _System_Repair/Alteration
C.,-"OCniaf'on, v.+h d-, Inc wnrF,and the si'ur,:arc •. net intended Or nttcren I ! j!ansf ormef -- -- Other
;arc (Sn. ,- 7r. Business and Profess,r,.a: C�tle: The Contractor's ----p-----i (_ 50+KW Fire Dampers_ _ ___ _
L�ct^zc Ltv. does nn+apply to an•iwner of p•OPertY nb::builds or unproven ri. $eWef Ca ---__ _ ' _ ---- - '-- - 110231 SM!P Re; $
L,CC"nr and wn, d<-es such vr�rF hm,se,f hersel, ,.' :hrnu:n his or her Ov n - - I Motors rl U•1 HP r'1 iC $ _ .f'te�l5ter5._--_-- _-- - --- - _.
_ ���
er a ny'ces,c• .•dcd •n.,t suu, imrnoven.rnt:are nc: r•tcn'ic<t or r,f'-red for ��SEVYef Connection Bldg. _ -r-- 110232 SMIPCofn S
sarc. + neviever, tile 0r:mPra cmcr'•tt sra? v. Run ane year r,l film- S--olar Colleciors�- ; Inc. Solar C;9 15 HP' 16 15+ Incinerator_-___
;n,:r.f: 'ruiner w,.a hav': (ne harden,-It prr,v7nn i e,-,ne d.d not bu'Id„r er I- _ -- --'-�--. --t-- - --- Mlsr. _ :
Drove the purpose ,1 sale{. Solar Piping _ - SinglFam;Res. -- - _ _ 3360.3370 Summary ol Plan Check Fea
I,as owner Of the-propertY.dill exc.;us've!Y C,ni•JC'n,q 'v'Sh I'CCnSea Con-
i i'act.+ s ri�s'nect t,.n Prn,r ct(Srctlnn 7C4 •R:, ions+nd of p,o'ons Code: Solar Tank___- _ --- Multi•Fam.Res; 9u:'tlmg $The Cont+avtnt's License LAW dues not apply tt,an ,ufnt.r of pitlper:y vend jwimmin P0Ol/S a Swimming Pools a -
Gu'i,ts nil pr noes thereon,and vino[untrattS f„r SJUt proleCts With a con- -�_-�_-- .- -�— --- -'�-~
tra<::++tit license OufSLOot t0 the Cnntraclof's J.1 �r.SC LJy.). I am 3vvare that Water Heater �- -
prof f their workt•-rs Cnmpensation nsu,anct, snou!dyr�yrovidea to me. -_ _.__ --Y--- ---�--
^- �- p
C. or this reason Water Servicg -_ 6t:blWi S
lJ !den c.r•npt Inacr :_^.coon - f-�.-. � - -
-t----- - Meu'anical S
Svstem
- - DFYEIOPMENTSfRYECESAEQYIREMEKIS: 0lher SDate -s Ownc, , ..�'=
I hereby sec fy If-M I •,avC rCialhls appl'cd:lor, and stare that the above •--•- 2AMIM mrad�Y -- _._.-._...-____._.oats __._ ----- 3350•'315 Planning $ ..-
infOrmJt,Jn is Correct. 1.,tyror. mNY with are city and county ordinances g�w _;,.,Hite t7
and stare laws tInot ter bu derv•"")."" ,"Cl'un,anti 0ereby authorize repro- -• - edildingAp;TovedBy �. - - ----^- - s''"�77- ,y)
sen:ativet 0r is-cn .L•i toriupon file apOve•rTtrntinned PrnP tY or _ .—._ -.' Appliutignitswd6J -Dale `L:=O_9r
,nspeet'.,n rp s. ..--�- 02�p ,OG Total Fees Ova $
Signatufry, y •:.- -) - UJfe a � / Issue _-. --- _-.-_�--
ME
--D'verS' License nr SS q - _ f
i �Ylhite•8wdleg. GreerhTemporary h(e-oPY, nary ssessa. i ni:Co(denroC•Accounhng
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Proir_!Arsdrrss excel No. CITY OF LAKE ELSINORE CONSTRUCTION PE—__ _ +1opllcant to fill in all spaces except those within h PERMIT
.�fer's Name _� , entry border line and sign all appropriate dechrations Z
Ate, t��-� f -phone ] PERMIFCUSTEXTM
TRACT N0.
Arch g, '!En -_ LOT k UNIT N0. '
A4d:ass _ THE O r _AD ? REPAIR 1CJ,n;rac•C•'s rJamp /3�5 � ---- - GERTOEISH :' OTHER f- M �!n-/���c9DESYrORKrUSF OF BLDG A P ;-
n
-+
r,t-! `'tense No -_ TTPEOfPEtMlf GRADING fOUNCM?IO E Main Building: core
LICENSED CONTRACT�R UECLARAI-ION - TENANT •] EIECTRfCAE �TRtXTEIR�( 1 Acc Euilding:
PLUMBING V,ErFdAtCAt T Front .; f
r ' ne:ety arf.rn that 1 a.s,licensed under -- OTHER ;-_ fi �,� 2
"n sectccn 7003) of Division P`Js Sonsol Charter 8 R 3 ni ing 9(Coil'^�encinp PRO1FCi OESCRIPTtO!i: S� Fr a
ear
,n lull force and eff t3uS,r ets dntl PrufCitiOn - --- -
s Coac,an° -�--- -! h act. Ccrtttrucr as rypc -GYc��a-�forte K Righi L
' Lce.se c:•as �� °
na:c � Y - c�n ya%uabrxl Eeft _ ►i
�- S'gnature 7 -_ _ PC7 _ '_'-_ S WOfiK RS'COMPENSATION D�CL,3RA i ON
`�""• I G
t^c'c_"a""rn that I hay.:a certrt,cdfc of conun:to seu(,.sine or a certificate Remarks Ping. Ret.
or ef' C°mvensar,c-n Insurance, or a certitrea co Parkltl Req./Provided R
38J0, :.fib. Pr thereof (section "�- Planning Notes I E
r Ce•:,rrea -- company_ - ��_- M
c!pv Is hcreuy fwn,srea. T
-. Cl-:,hCtl copy•s file(I tv:Ih th,•b:Y Building - _-_ --__ i
E7CE11t PTI !tPphCant
ON FROM WORKERS'COMPENSATION DECLARATION - - - �-
r -'s ie"`('r'nC•ed not be k°n,preted,f the perm,:,s f,7r
less:. _ -__-._- - -� --- --------.-
i r rem... Ihaf .n .R °^e hundrCd ISSUO)or ---_.-'--.-'_--
�.� a PCr!,:md.CC r`tan,•,OK fGr j er•MPC- anV acrSnn . a n,Cn:h.t Perm,s rss�ea 1 -- --._-_
i ! �1-.•'.e-t �O mpCn u:,On �' env manner Sn d5 tJ bCCOTC Su
t.a:v5 Cyti!nrnri. bract to :;e - PLUMBING FEES
NOTICE
r - --_s,gna „•c _.- -- _ ELECTRICAL _ _a'�e' ^•a41no t:,,s dCcfara;:ur: uYbea me sub;Cct to file Alier_Repa�r _ FEES MECHANICAL
-r•s :'.,mnutinn D,OvS,Om o! s'-.a Generator ' FE'cS
❑-,s'nns :r ;�'e b,r C �C. ;n,. must fo::nv.i h Auto Wash �0.5Ki'J_5 15KW _ -
COh'iTRUe.T11ON LENDING AGENCY mac'-� Snail De seemed rev,::Co. '- B011ef__ AFJ_'T/
Construci,o:,F riRAJIMG FEES
t- ;,1e,tne,v �Backflow Preventer Foie Subs
,•�.., r�• ,h.•,c^s d_:.c5rr!,Ch,-,•, •:nC,.-;9�,:nCy r ;n � , Ceokirn Urit Ground __ Cut
,• +c ''"s pern.t IS a Derfhrmance I Bar row Irrl Duct-Stru tufal ---- -_
L,-ideas va nc ---- ss,:cc (SCchOr. 30� 4ation -- _ ----
Lr-J_• c.) i Clarifier—_--_` _ i Pole Liaht --- — ._ - c --- -- _----__cu .artis
FdP
Fan •Ventilating` -u.rams
- -- -- - ----� - - , Dryzrs_Gzs EieetNc - -- - ;:45 3',ID re:Fee f ----
envEc eurlOr w r,�eLARArlr�e, _ Dishwasher - i Exhaust S stem
I nc•e.`i ath.•n :rut 1 .I —� _-;_Far. --___:-_---_ _T -y 1 - 33G(r3317 Per;n11Fr9 s .-"--__
-,._�•_, -demo: •rpR. :n(: c:ont•acior's L•CC:.SC Law for the � Fixture Traps ea. -- , Eva OfaTIVe C001er --
casor, [Scat,•:. iG:1.S Bus„ass and •r, rrss,hnat Codc:Any illy or Floor r F.A.U. - P __
l C],.,•;s �niC•, re°w'es a aenr.,t rO CG.,S:ry,r;,a,:C,,in,PnlvC,dam nbSh or a --- --' ---
a�s is __;u•c, uor D.ains - Heating System&Ducting to
issuance.als•,•cnu•res:n * pair i Fixtures - a fee,.
-a i I
,.t a s.;her, itairmen Ina: Ce.'ihz ,s hcrr,Sr- C Apr' for Snch permit Floor Slnkt - f70.1G0 7�0J ------
j �r c-r- •actor's L.x'u ,,tCnapter o Du,suan;;n file provn,nns nt �- - t -- --.- - �___ BTU lU0 000 BTU-
the r'::;m ass a.,d r'r°t (G,mr-,cl ,g::,:h Sect, - - I Outlets ,...__
ess,ons C:.ae on :oon)or Gas Service Outlets -�- - - _ _
j `Ya,tlYth;"�itin;or ^al�c rn e"enpt,:,�. -t a:1.1c.,�h,,+ act��� �cr_:Ptors - - I Swirches - ----- --- _ : flood rr Ganopy -� --- "s 50.3312 S;:mmariofPermitfees
` — - - — _ T.YP_e 1._..._ _TY --_-
•natty 0'rn: morn than live hrmdreO O„I-arua•i�a rile aPat,cdnt to a �' i kleler up Ir.1tirJ amps-' pe II .:
s . Silo), clvir ('•Trap `- ' Refrigera
es ?wnrr ;he tiro:,,-:�: Meter txe;200 m -'-- tion Systeni ~----�-
HuIit„
C..'�C!^ul,un v.,�ii G7 r.hp we I v-r rr, 4'tu.11'es,s.viCh ,,,;5ns at thrrr :nlc i Ruof ---- - -i - _ a !�5 --- - d
+:r += ts!:i,n, Drams eI ❑0 1R0 000 BTU �' ?0 C106 BTU
Lrcr SC ,Dear 9u nras ,sad Prate ss;una, r, ' e and nr Offered -._T._ - ------ $ilh d0 - r__-_
f La.v aors not danty Or C cc: rh tO:'s $eNRr " ' '- _ -- _T ----�a pr Trader FuPe1/F_ac_t. Blr,ICBO `:ecrrtcai S _
I t:.c.e�� to en owner c Cnn:rac __ ----_.
if "no r',„ cDcs .,,,r, w+or. h,m:c: uaerly .••hn hones or.rnprnvns �- ---------._ I �{_ 15.50KW -
o*ees, 'crteN „r trvou;n h,S p, her own Sewer Cap - 71ansformer , System Repair/Alteration
u'e. I•• nJr. mpr,;vcmcra are not ;nt�nnc° or offerer: for --- -- C SO+K4y _ Meumtcal S �` - -
,rv^,, :r•a pucrn,n4 or,mph,+omCr•:is t,lti Sewer Connection•Bld_ .}�_ -1-- _ -'-`- -=
peck J:,- :ITI n.vncr S ,:l veer the hurdan Of t1)In bile year nr coin- g.I Fire Dampers _ - Orner
Prc've rile aurpnse o/sa„). ennui^t•cis, aid not bona or m Solar Collectors t- Motors- 0.1 FiP r s -
Regls!ers_ --'----
s n" f" the D,c,per),.am exclusive) -- I Inc. Sol,,_-: 15 HP-10"15t _ 1:0211 SMIPRe$ $ --- -
:'drt•�•S Cr..5tr„Ct fhC Prn,•cI(sec:inn 70a•:y Bush 21%and W,tnProfej,Css ensecj Con-oils Cotic: �SOlaf Piping~ `-�' Incinerator - -"-"i---
c <_nI'd'tur s License Law ones nu: a Sing/Fain. Res. -- - :;4232 MIPC r s ~----- -
'1s nr F,p•It-% thC•eno,.and v,no contracis�rnrarsucnner f.f Solar Tank ')-- - - _ -_.(,._ S
traclo•rsy Vicense Property who -- Misc. t -
Du•suant ;,, file 5;nntrac:or•s lJcen,e protects with a con• Multi-Fain.fTes.
P'°°r ,: rnC,r Jf•,r Yrr' Law). tam away Swim min Pool/$Pa -___._1__,.�-_, •------- -----'-"`-- 3s60.3370 Summ of►Ian CA •-�-�
s Cnrpensahon ,nsu•dnee shown Cc prnv,detl Lime. Water Heater SWimmin PO.)I/S a ari' Check LJ 'am a re,apt under Scchnn -- --
- __ ---- 0.L P.C.for this reason -- — 1 Bl:ddml S _
Date _ _ - - W ter.�eryiCe --- - Issue ----
-- r whin _ r _
1 nerer,r cert,rY inar I have let(; h. ----. ..- ------- __ Se tic $ Sie
nI°rRa.t nil s cArrCGt, I agrlr In ,fnSlapPl,catirr anti state that the alcove �- -
and star wws rclann P Y w,tn all city and county ordinances pEMElO?iIENTSERYICES REQDIREpIENTS: Electrical S
Ser'4:IVes Of in's (ft� tjr'building construr;,On,and hereby aulmorize :ep,e• -
,nmerh6n Pur"%e;. Y/° ;er on 1:•0 above-mentrnned pro _ TOltklj�rt�ry(p_^ Mecrtamal y
..// party fOI
i I S.gnlhue__ Brilliilf _ - _ Other t D.,rer: trcan s_i_�- Dalo Issue iROV'�rd �- _ -Date _ _ --- `r f "_""' -
_ Alpticallon Istiletl QT '~ -- -_-Date 3-40.3315 Plannoi S ---"-"'-
WhltrSuf dinT, $reen•Tem au file Go -.-.-- "'"'� ----_
p Y i. nary- Ssessar. P104pplicant.Goidenrod•Accounbne ----Due
--
Total Tea Otte j> CJD