HomeMy WebLinkAbout29231 CENTRAL AVE_ 05-00004035 (2)y AA
City of Lake Elsinore'
PERMIT
130 South Main Street
PERMIT NO: - / DATE: 3 0.8 06
JOB ADDRESS . . . . . 29231 CENTRAL AVE
DESCRIPTION OF WORK ADD OR ALTER NON RESIDENTIAL
OWNER CONTRACTOR
Bed, Bath & Beyond PATTERSON CONSTRUCTION
650 Liberty Ave 235 E BROADWAY #306
LONG BEACH, CA 90802
908 - 688 -0888
LIC. EXP 0 /00 /00
A.P.# . . . . . 377 -040 -027 2 SQUARE FOOTAGE 23460
OCCUPANCY . . . OFFICE, RESTAURANTS, MISC GARAGE SQ FT 0
CONSTRUCTION . . TYPE V- NON RATED FIRE SPRNKLR
VALUATION . . . 254,400 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 895.00
155.00 X 5.0000 VALUATION 775.00
1.00 X 5.0000 PROFESSIONAL DEV FEE 5.00
FEE SUMMARY
PERMIT FEES
BUILDING PERMIT
OTHER FEES
PLAN RETENTION FEE
SEISMIC OTHER
PLAN CHECK FEE
CHARGES
1675.00
50.00
53.43
1252.50
TOTAL 3030.93
SPECIAL NOTES & CONDITIONS
Tenant Improvement. Racking and trades
will be issued under separate permit
PAID
00
00
00
1252.50
1252.50
DUE
1675.00
50.00
53.43
00
1778.43
Oper: COUNTER,
Date: 3/08/00 08 Receipt.nc: 5097
Total tendered V778.43
Total payment $1778.y3
City of Lake Elsinore
Building Safety Division
Post in conspicuous place
on the job
You must furnish PERMIT NUMBER and the
JOB ADDRESS for each respective inspection:
Approved plans must be on job
at all times:
Please and initial `
icensed under the provisions of Business and professional Code Section 4400 et seq. and
my license is in full force.
2. l,as owner of the property,or my employees w /wages as their sole compensation wdl do the work
and the structure is not intended or offered for sale.
3. l,as owner of the property,am exclusively contracting with licensed contractors to construct the
I
ject.
a. ve a certificate of consent to selfinsure or a certificate of workers Compensation Insurance
or a certified copy thereof
5.1 shall not employ any person in any manner so as to become subject to workers Compensation
Laws in the performance of the work for which this permit is issued
Note: If you should become subject to Workers Compensation after making this certification,
you must forthwith comply with such provisions or this pe it shall be deemed revoked. Code Approvals Date Inspector
EL01 Temporary Electric Service i0 l
PLOI Soil Pipe Underground
EL02 Electric Conduit Underground
BP01 Footings d0 W g e
BP02 Steel Reinforcement N. Al O r / • 7/if
BP03 Grout O
BP04 Slab Grade L{ ' •t3tita
PLO 1 JUnderground Water Pipe
SSO 1 Rough Septic System
SWO1 On Site Sewer
BP05 Floor Joists QiZiL— brD! ti • • f
BP06 Floor Sheathing 9 `(L R •le
BP07 Roof Framing
BP08 lRoofShcathing
BP09 IShear Wall & Pre -Lath li7'
PL03 lRough Plumbing
EL03 Rough Electric Conduit C k- it-` -i,
EL04 Rough Electric Wiring a Iokkk 6,46 •le
EL05 Rough Electric / T -Bar
MEO1 Rough Mechanical
ME02 I Ducts, Ventilating
PL04 I Rough Gas Pipe / Test
PL02 1RofDrams
BP 10 Framing & Flashing Z • le a:
iBP12Insulationd • (t
BP13 Drywall Nailing
l
BP11 Lathing &Siding
Final Plumbing
Final Electrical
v - g f 'th TA. yr4f $••
PL99 1)4 W- B ' V
EL99 o K T O 17 - -J ` ( K of
ME99 Final Mechanical
BP99 Final Building
G
a' ' v b 12
Code I Pool & Spa Approvals Date Inspector OTHER DIVISION RELEASES
Deputy Inspector Department Approval required prior to the
building b ing released by the CityP001PoolSteelRein. /Forms
P001 Pool Plumbing/ Pressure Test
P003 Pre- Gunite Approval Date Inspector
EL06 I Rough Pool Electric Planning
Sub List Approval Landscape
P004 Pool Fencing /Gates / Alarms inance
P005 Pre - Piaster Approval rEngineering
P009 Final Pool / Spa
T-F
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATION'S -
W FLOOR 23 SF 67-044-0
nd FLOOR 990 SF (A&86)
trd FLOOR SF
TARAG E SF
iTORAGE Z.lp 2 SF.Gti "M AL
I'
ToT
ECK & BALCONIES SF
THER: SF(,J /jr0T,
ALUATION:
FEES
3UILOING PERUff
f- )0t
LAN PC -VIEW
5.F.1SIMIC -53.- /3
PAN RETENTION
i certify Uvd 1 have mead tiffs apQlica5on and statethat tine `
above irftmafiw's cQrrect-1 agree to comply with ad city
and County ordna ices xli :state taws-Fetal to tw3dmy_.
construc6on.-and hereby actthorue representatives- of Otis:
city to enter tom the above - mentioned property for nsp
lion ptir
Signatilre *& Appficant.or Agent -. Date
Agent for .Q contractor owner
t1 s'Name .i(,G'S••GAiGS'CA C.o
Agents A8dl bf-./0877 IV 'oi
Street City . - - State- Zip - - -
4
J
0
APPLICA N -
6 3,5,
APPLICATION RECEIVED _
DATE -
BY
BUILDING ADDRESS
0j23 /eeW;rA4?- 4-V0. CX 9ZS3Z-
TRA KIPBLOCAGE LOTIPARCEL
O
NAME
O
a MAV 'Q34 ' gXW /wo iA)655e
N . DDRRES$p
R f/iN t V-
JE21P
C.
0.
N
1 heretry affirm that I am licensed under provisions of chapter 9 (commencing
with section 7000) of division 3 -of the business and professions code,and my
6certse is in full force and effect.
LICENSE ti CITY BUSINESS
AND CL -ASS TAX 0
T
R'
NAME-
y, / AI
A
C•
MAIIIN
ADDRESS -
T CI-Ty- STATE/ZIP PHONE
ft • CONTRACTOR'S -SI NATURE DATE
NAME LICE NS15 A
C. ADDRESS D 77 1.,"At5}/v AW
H- STATE/ZIP PHONE
ovi5 - o• 3/07
NEW OCC GRP_ I CONST. , - , /
DIVISION: TYPE: V NADDITION
TEf2ATION NUMBER OF
J .
NUMBER OF
N/
STORIES= BEDROOMS: p_OTHER _ _ _
CSINt;LFFAAifiLYf ZONE:'
r , G-7Z C2b' 0--APARTMENTS _
CONDOM t,UU HAZARD YES
AREA ? Q'TO11YN ROMES-
3- COAAYERC1AU SPRINKLERS
REOUIREO ? NOINOUSTRI.At
0- REPAIR .
PRESENT
PROPOSED USE OF BLDG: je J/¢iG
USE OF BLDG: C6,V I0DEMOLISH -
JOB DESCRIPTION
61,27 enj!
5& Ine
L r
oper:,COUNTER
Total tendered• $1252 5
4
J
0
City of Lake Elsinore
Planning Division
1305. Main Street
Lake Elxito re, CA 92330
909) 674.3124
909) 471 -1419 fax
Community Development
Building Division
PLAN CHECK SUBMITTALS
3
Y
PROPERTY ADDRESS:
3/ Contact Person: TEL. No. I
Permit Application No. / / y S
J
Date 1 st Submittal: / - Initial Plan Checker /Date Submit
Date returned from Plan Check: (( If df Status: G
Date notify Applicant: / of- Date Pick -up: I( Od-_ Initial: _
Applicant
y(
310
Date 2nd Submittal: Z 8 0 Initial_ Plan Checker /Date Submit
l
Date returned from Plan Check: Z b Status:
Date notify Applicant: 2-4 Date Pick-up: Initial:
Applicant
Date 3rd Submittal: Initial Plan_Checker /Date Submit
Date returned from Plan Check: 1-10-6P Status: (?L?f/f
Date. notify Applicant - Date Pick -up: 1 ff-47 Initial:
d ,T -,57F,4 eo/
licant
S1-G
JZ,7 O`
Planning Approval: DATE Sent: DATE APPROVED:_
Engineerin Approval: DATE Sent: DATE APPROVED:_
Approval: Or:.::= DATE:
School Fee (If Area > 500 SF
ate Permit Issue By: OR8'
To be attached to BLDG Pemit Application only when required Plan CheckfT ° z
3148214162 T -400 t.uua /uw r «t
07 -FEB -2006 04:43 It FtASCO
v
RIVERSIDE G - iJNTY
FMA DEPAIRkENT
ti1,GDO I TaAGIl V lIll'{18
F _ Califamia Daparrinm of Feresuy and Fire Protection -
Fite Rratewan•Pltnnlnp and Eng8lnl'wing SerWces
4WO Lamon Street, 2" Flaw • RWars ta, Callamla 925D1 . (GM) SSS 4M . Fax (000) 95S-MS
Tom TWals
FUs Chlef
A'fluAly aervinB the
unincorpcmtod
areas oiRivc -s &
County end the
Cities of: "
Banning
a
acaumoat
11
t?aliattao
a
Canyon Lake
a
Curtcltclln
Desert ( (at Spring
4 dian Wt:US
Indio
b
Lake Elsinom
La Qjin:a
s
yorano Va)Wy
Palm Dc*--n
yr
crris
S
liartcho ,titirrg:
s9
Sun Jacinm
7'n -calu
linard ni Sugctvisn
l ah N'20.
I)izA%3 I
Jdtn ra- eglitna
lii'M-4 I
Jim v n3bly.
Pkinta a
N»% Wil -,om
Dtawl 4
i nm tutlat.
GATE:_ -_
Il
SURVEYOR'S OFFICE
t
OW-RiG AND SAFETY
TRACT /PARCEL MAP NUMBER:
PERMIT .M.BERILOT 0: S'
JOB SITE ADDRESS: t
Af
FjNAt_ FOR R)ECORGAT(ON
R LEASE FOR BUILDING PERMITS
SHE' - . FINAI, ONLY (NO TENANT)
FNMI. FOR OCCLIPANCY
FNAl. OCCO ?. TEMP, EXPIRATION_DATf
1
BUILD PLAN CHGCK FEES PAID
MITIGATION FEES PAM _
ommGA't'ION FEES HOT PArD
FEES NOT REQUIRED
IF YOU SHOULD HAVE ANY QUI STIONS'FPLEASI: CALL'rHE RIVERSIDE COUN-rY
FIRE DEPARTMENT, PLANNING SECTION-AT THE ABOVE NUkASER.
FRAM: KAW,jSAK N C IiICI
RELEASED
II- I- 1- Qil
3148214162 PAGE-03
JA,N 25 ' 06 01:49
GigdWx Elsinore
PlaAviad Divitifa
130 S. M230 sum
LAe Eknom CA 92530
t90g) 64-3134
M471 -1419 b:
FAX
TRANSMITTAL
PLEASE DELIVER THE FOLLOWING MATERIALS AS SOON AS POSSIBLE
DATE SEW:
nTIME
SENT:
Fax No.
To: Cff V& _ gZ6—W— From: Rae Wunsch x 2,
Company: ryMb Company City of Lake Elsinore, Building
Address:
City:
Project No.
NUMBER OF PAGES SENT
CONFIDENTIAL:
REPLY REQUESTED:
Address: 130 S. Main Street
Y
City City of Lake Elsinore, CA 92530
INCLUDING CONMR PAGE)
YES NO
YES NO
FOR YOUR hNFORA•fA -MN PER YOUR REQUEST
R
COMMEN,-J;: P gA
I W ..... ...... ..... .
QCT
PLEASE NOTIFY SPR IF NOT RECEIVED PROPERLY
951) 674 3124
Fa R4pixid Augrirt, 2000
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