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Home My WebLink About29190 CENTRAL AVE_PERMITS PERMIT NUMBER: BLDG-2026-00366 CITY OF PAIV1141 Issue Date: 02/25/2026 Expiration: 05/27/2027 LADELSM0kE This permit will expire 365 days s from the Issue Date or the date of the DREAM EXTREME last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable. CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET Permit Type: BUILDING LAKE ELSINORE, CA 92530 Work Classification: SIGN (951) 674-3124 Permit Status: ISSUED PROJECT ADDRESS PARCEL NUMBER: 377020014 29190 CENTRAL AVE Valuation: $23,900.00 LAKE ELSINORE, CA Total Sq Ft: 298 J PERMIT CONTACTS ADDRESS PHONE CELL Evergreen-Cambern&Central OWNER ( South Land LLC CONTRACTOR Fusion Sign and Design LLC APPLICANT DESCRIPTION OF WORK TRACT: LOT: PLAN #: 5 Illuminated wall signs, 1 non illuminated address#wall sign 2 illuminated wall mounted menu boards 8 wall mounted snap frames. 4 Illuminated freestanding menu boards 2 Non illuminated directional signs FEES TOTAL FEES: $1,131.31 AMOUNT DUE: $0.00 BASE BUILDING PERMIT FEE GREEN BUILDING FEE PERMIT ISSUANCE FEE PLAN CHECK FEE-BUILDING PROFESSIONAL DEVELOPMENT FEE SIGNS, OUTLINE LIGHTING/MARQUEE: (ONE BRANCH) INSPECTIONPERMIT • ' ' • ' 1 . 11 . . • ' CITY OF • " Permit Type: BUILDING Application Date: 02/19/2026 Owner: Evergreen-Cambern&Central South Land LLC Work Class SIGN Issue Date: 02/25/2026 Parcel 377020014 Status: ISSUED Expiration Date 05/27/2027 Address 29190 CENTRAL AVE LAKE ELSINORE,CA IVR Number: 155155 Scheduled Actual Reinspection Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Required? Complete 05/27/2026 05/27/2026 SINGLE FAMILY IBLD-003294-2026 PASSED(PERMIT) Dale Heglund No Complete Checklist Item COMMENTS Approved STEEL REINFORCEMENT Yes FOOTINGS Yes July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 1 of 1 PERMIT DETAILED REPORT (BLDG-2026-00366) • ' CITY OF LAKE ELSINORE Permit Type BUILDING Project: App Date: 02/19/2026 Work Class: SIGN District: NA Issue Date: 02/25/2026 Status: ISSUED Square Feet: 297.62 Exp Date: 05/27/2027 Description: 5 Illuminated wall signs, 1 non illuminated Valuation: $23,900.00 Final Date: NOT FINALED address#wall sign 2 illuminated wall mounted menu boards 8 wall mounted snap frames. 4 Illuminated freestanding menu boards 2 Non illuminated directional signs Parcel: 377020014 Main Address: 29190 Central Ave Main Lake Elsinore,CA APPLICANT CONTRACTOR OWNER Home: Home: ( Home: ( Business: Business: Business: Mobile: Mobile: Mobile: Invoice No. Fee Fee Amount Amount Paid INV-00053541 GREEN BUILDING FEE $1.00 $1.00 PLAN CHECK FEE-BUILDING $252.56 $252.56 PROFESSIONAL DEVELOPMENT FEE $5.00 $5.00 PERMIT ISSUANCE FEE $30.00 $30.00 BASE BUILDING PERMIT FEE $336.75 $336.75 SIGNS,OUTLINE LIGHTING/MARQUEES(ONE BRANCH) $506.00 $506.00 Total for Invoice INV-00053541 $1,131.31 $1,131.31 Grand Total for Permit $1,131.31 $1,131.31 July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 1 of 1 PERMIT NUMBER: BLDG-2023-02379 CITY LAKE � LS I nO R E Issue Date: 02/07/2024 Expiration: 02/06/2025 K 1 This permit will expire 365 days from the Issue Date or the date of the DREAM EXTREME last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable. CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET Permit Type: BUILDING LAKE ELSINORE, CA 92530 Work Classification: TEMPORARY POWER POLE (951) 674-3124 Permit Status: FINAL PROJECT ADDRESS PARCEL NUMBER: 377020014 29190 CENTRAL AVE Valuation: $0.00 LAKE ELSINORE, CA Total Scl Ft: 0 PERMIT CONTACTS ADDRESS PHONE CELL ANDY GUMP, INC. APPLICANT ANDY GUMP INC ANDY GUMP INC. CAMBERN &CENTRAL NORTH LIOWNER ( DESCRIPTION OF WORK TRACT: LOT: PLAN #: INSTALL 200 AMP TEMPORARY POWER POLE (1) SUB POLE TO RUN TRAILER AND TO BE USED FOR FUTURE CONSTRUCTION FEES TOTAL FEES: $68.00 AMOUNT DUE: $0.00 PERMIT ISSUANCE FEE PROFESSIONAL DEVELOPMENT FEE TEMPORARY POWER SERVICE- DISTRIBUTION (BLDG) TEMPORARY POWER SERVICE(POLE OR PEDESTAL) PERMIT INSPECTION HISTORY REPORT (BLDG-2023-02379) • - CITY OF • - Permit Type: BUILDING Application Date: 10/31/2023 Owner: CAMBERN&CENTRAL NORTH LLC Work Class: TEMPORARY POWER POLE Issue Date: 02/07/2024 Parcel 377020014 Status: FINAL Expiration Date: 02/06/2025 Address: 29190 CENTRAL AVE LAKE ELSINORE,CA IVR Number: 143706 Scheduled Actual Reinspection Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Required? Complete 02/22/2024 02/22/2024 FINAL TEMPORARY 000829-2024 PASSED(PERMIT) Salvador Gonzalez No Complete POWER POLE Checklist Item COMMENTS Approved FINAL ELECTRICAL Yes July 07,2026 130 South Main Street,Lake Elsinore,CA 92530 Page 1 of 1 PERMIT DETAILED REPORT (BLDG-2026-00366) • ' CITY OF LAKE ELSINORE Permit Type BUILDING Project: App Date: 02/19/2026 Work Class: SIGN District: NA Issue Date: 02/25/2026 Status: ISSUED Square Feet: 297.62 Exp Date: 05/27/2027 Description: 5 Illuminated wall signs, 1 non illuminated Valuation: $23,900.00 Final Date: NOT FINALED address#wall sign 2 illuminated wall mounted menu boards 8 wall mounted snap frames. 4 Illuminated freestanding menu boards 2 Non illuminated directional signs Parcel: 377020014 Main Address: 29190 Central Ave Main Lake Elsinore,CA APPLICANT CONTRACTOR OWNER Home: Home: ( Home: ( Business: Business: Business: Mobile: Mobile: Mobile: Invoice No. Fee Fee Amount Amount Paid INV-00053541 GREEN BUILDING FEE $1.00 $1.00 PLAN CHECK FEE-BUILDING $252.56 $252.56 PROFESSIONAL DEVELOPMENT FEE $5.00 $5.00 PERMIT ISSUANCE FEE $30.00 $30.00 BASE BUILDING PERMIT FEE $336.75 $336.75 SIGNS,OUTLINE LIGHTING/MARQUEES(ONE BRANCH) $506.00 $506.00 Total for InvoiceINV-00053541 $1,131.31 $1,131.31 Grand Total for Permit $1,131.31 $1,131.31 July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 1 of 1 PERMIT NUMBER: BLDG-2024-02543 CITY OF ,ate • Issue Date: 07/31/2025 Expiration: 10/01/2026 LADE p p Y ire permit will LSIROKE This ex 365 days from the Issue Date or the date of the 1 DREAM EXTREME last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable. CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET Permit Type: BUILDING LAKE ELSINORE, CA 92530 Work Classification: RETAINING WALL (951) 674-3124 Permit Status: ISSUED PROJECT ADDRESS PARCEL NUMBER: 377020014 29190 CENTRAL AVE Valuation: 41 932.00 LAKE ELSINORE, CA Total Sci Ft: 0 PERMIT CONTACTS ADDRESS PHONE CELL DRC Engineering, Inc. APPLICANT Evergreen Devco OWNER DESCRIPTION OF WORK TRACT: LOT: PLAN #: Retaining Wall and Screen Wall located on the perimeter of the property FEES TOTAL FEES: $901.42 AMOUNT DUE: $0.00 BASE BUILDING PERMIT FEE GREEN BUILDING FEE PLAN CHECK FEE-BUILDING PROFESSIONAL DEVELOPMENT FEE SEISMIC-COMMERCIAL PERMIT INSPECTION • - • ' (BLDG-2024-02543) • ' CITY OF • - Permit Type: BUILDING Application Date: 08/16/2024 Owner: Evergreen Devco Work Class: RETAINING WALL Issue Date: 07/31/2025 Parcel 377020014 Status: ISSUED Expiration Date: 10/01/2026 Address: 29190 CENTRAL AVE LAKE ELSINORE,CA IVR Number: 148129 Scheduled Actual Reinspection Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Required? Complete 09/18/2025 09/18/2025 WALLS FOOTINGS 005614-2025 PARTIAL PASS Dale Heglund Yes Complete (PERMIT) Checklist Item COMMENTS Approved STEEL REINFORCEMENT HEAD WALL 10/21/25 Yes STEEL REINFORCEMENT Yes FOOTINGS HEAD WALL 10/21/25 Yes FOOTINGS Yes 10/01/2025 10/01/2025 WALLS GROUT 005845-2025 PARTIAL PASS Dale Heglund Yes Incomplete (PERMIT) Checklist Item COMMENTS Approved GROUT 1ST LIFT Yes GROUT 2ND LIFT 10/9/25 Yes July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 1 of 1 PERMIT DETAILED REPORT (BLDG-2024-02543) _ FOR ■ OF LAKE . ■ Permit Type BUILDING Project: EVERGREEN COMMERCIAL DE\ App Date: 08/16/2024 Work Class: RETAINING WALL District: NA Issue Date: 07/31/2025 Status: ISSUED Square Feet: 0.00 Exp Date: 10/01/2026 Description: Retaining Wall and Screen Wall located on the Valuation: $41,932.00 Final Date: NOT FINALED perimeter of the property Parcel: 377020014 Main Address: 29190 Central Ave Main Lake Elsinore,CA APPLICANT OWNER Home: Home: Business: Business: Mobile: Mobile: Note Created By Date and Time Created 1. EMAIL TO APPLICANT Sonia Salazar August 16,2024 1:58 pm 2. SPOKE WITH KENNY FROM DRC ENGINEERING AND CAMERON ADP Sonia Salazar February 5,2025 3:32 pm NEED APPROVAL FROM OUR ENGINEERING DEPARTMENT BEFORE ISSUANCE BLDG PLAN CHECK NOT NEEDED JUST NEED TO INVOIC AND STAMP REMONS APPROVED PLANS WHEN READY FOR WALL PERMIT ONLY 3. SENT CAMERON AN EMAIL CHECKING THE STATUS. Crissy Mirabella March 5,2025 7:13 am 4. PER CAMERON,GRADING PLANS ARE STILL NOT APPROVED OR Crissy Mirabella March 5,2025 10:16 am PERMIT ISSUED. 5, PER CAMERON, NOT PART OF GRADING. Crissy Mirabella April 4,2025 1:04 pm 6. VOIDED,NOT PART OF GRADING. Crissy Mirabella April 18,2025 2:31 pm Invoice No. Fee Fee Amount Amount Paid INV-00050826 PROFESSIONAL DEVELOPMENT FEE $5.00 $5.00 BASE BUILDING PERMIT FEE $504.39 $504.39 PLAN CHECK FEE-BUILDING $378.29 $378.29 GREEN BUILDING FEE $2.00 $2.00 SEISMIC-COMMERCIAL $11.74 $11.74 Total for InvoiceINV-00050826 $901.42 $901.42 Grand Total for Permit $901.42 $901.42 July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 1 of 1 PERMIT NUMBER: BLDG-2025-00072 CITY OF F4�4 Issue Date: 06/24/2025 Expiration:01/27/2027 LADE LSMOU This P p days will expire 365 da s from the Issue Date or the date of the %Nv DREAM EXTREME last completed inspection. It is the responsibility of the permittee to `" ensure this permit is finaled. Permits that expire will need to be pulled WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable. CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET Permit Type: BUILDING LAKE ELSINORE, CA 92530 Work Classification: ELECTRICAL (951) 674-3124 Permit Status: ISSUED PROJECT ADDRESS PARCEL NUMBER: 377020014 29190 CENTRAL AVE Valuation: $10,000.00 LAKE ELSINORE, CA Total Sq Ft: 201247 PERMIT CONTACTS ADDRESS PHONE CELL Evergreen Devco, Inc. OWNER Evergreen Devco APPLICANT 2390 E.Camelback Road Suite 410,Suite 410 Phoenix,AZ 85016 DESCRIPTION OF WORK TRACT: LOT: PLAN #: Cambern & Central Phase II parking lot lighting layout and photometric FEES TOTAL FEES: $226.95 AMOUNT DUE: $0.00 ADDITIONAL PLAN REVIEW ELECTRICAL SERVICES UP TO 600 GREEN BUILDING FEE VOLTS(<200 AMPS) LIGHTING FIXTURES,SOCKETS OR MISCELLANEOUS APPARATUS, PERMIT ISSUANCE FEE OTHER(BLDG) CONDUITS&CONDUCTORS PROFESSIONAL DEVELOPMENT FEE PERMIT INSPECTION HISTORY REPORT (BLDG-2025-00072) • - CITY OF • - Permit Type: BUILDING Application Date 01/16/2025 Owner: Evergreen Devco,Inc. Work Class: ELECTRICAL Issue Date: 06/24/2025 Parcel 377020014 Status: ISSUED Expiration Date: 01/27/2027 Address 29190 CENTRAL AVE LAKE ELSINORE,CA IVR Number: 149909 Scheduled Actual Reinspection Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Required? Complete 01/27/2026 01/27/2026 ELECTRICAL IELE-000400-2026 PASSED(PERMIT) Dale Haglund No Complete Checklist Item COMMENTS ADDroved ELECTRICAL CONDUIT Yes UNDERGROUND July 07,2026 130 South Main Street,Lake Elsinore,CA 92530 Page 1 of 1 PERMIT DETAILED REPORT1 1 1 1 FOR CITY OF ELSINORE Permit Type BUILDING Project: EVERGREEN COMMERCIAL DE\ App Date: 01/16/2025 Work Class: ELECTRICAL District: NA Issue Date: 06/24/2025 Status: ISSUED Square Feet: 201,247.00 Exp Date: 01/27/2027 Description: Cambern&Central Phase II parking lot lighting Valuation: $10,000.00 Final Date: NOT FINALED layout and photometric Parcel: 377020014 Main Address: 29190 Central Ave Main Lake Elsinore,CA APPLICANT OWNER 2390 E.Camelback Road Suite 2390 E Camelback Rd,Ste 410 410 ,Suite 410 Phoenix,AZ 85016 Phoenix,AZ 85016 Home: Home: Business: Business: Mobile: Mobile: Note Created By Date and Time Created 1. EMAILED THE APPLICANT TO COMPLETE THE APPLICATION. Crissy Mirabella January 23,2025 10:09 am 2. SENT TO BILL VIA BB 455-224-008. Crissy Mirabella January 28,2025 3:12 pm 3. EMAILED THE APPLICANT THE FOLLOWING CORRECTIONS.Correcti Crissy Mirabella January 29,2025 10:07 am Pole Base detail needs to show grounding conductor for cage and pole and show footing details no structural submitted for footings 4. SENT A FOLLOW UP EMAIL TO THE APPLICANT Crissy Mirabella April 4,2025 7:47 am 5. THE APPLICANTS RESPONSE:We are making some other changes as Crissy Mirabella April 14,2025 11:17 am well and want to pair it with our Architectural Sheets that show the EV charging that we most recently talked about. 6. SENT A FOLLOW UP EMAIL. Crissy Mirabella May 21,2025 8:08 am 7. THE APPLICANT IS STILL WORKING ON CORRECTIONS. Crissy Mirabella May 21,2025 8:22 am B. RECEIVED RESUBMITTAL AND SENT TO BILL VIA BB 138-424-309. Crissy Mirabella June 23,2025 3:49 pm 9. RECEIVED REVISIONS AND SENT TO BILL VIA BB SESSION Crissy Mirabella January 8,2026 7:16 am 283-150-502. 10. Revision Letter Bill Belvin January 8,2026 9:53 am 11. EMAILED THE APPLICANT FOR THE REVISION LETTER. Crissy Mirabella January 8,2026 1:46 pm 12. RECEIVED REVISION LETTER AND EMAILED BILL. Crissy Mirabella _ January 15,2026 8:24 am Invoice No. Fee Fee Amount Amount Paid INV-00048291 PROFESSIONAL DEVELOPMENT FEE $10.00 $10.00 ELECTRICAL SERVICES UP TO 600 VOLTS(<200 AMPS) $27.25 $27.25 GREEN BUILDING FEE $1.00 $1.00 MISCELLANEOUS APPARATUS,CONDUITS&CONDUCTORS $32.50 $32.50 LIGHTING FIXTURES,SOCKETS OR OTHER(BLDG) $51.20 $51.20 PERMIT ISSUANCE FEE $30.00 $30.00 Total for Invoice lNV-00048291 $151.95 $151.95 INV-00053040 ADDITIONAL PLAN REVIEW $75.00 $75.00 Total for Invoice lNV-00053040 $75.00 $75.00 Grand Total for Permit $226.95 $226.95 July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 1 of 2 PERMIT DETAILED • ' (BLDG-2025-00072) July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 2 of 2 PERMIT NUMBER: BLDG-2025-01050 CITY OF • Issue Date: 11/20/2025 Expiration: 04/21/2027 LAKE LSIAOKE This permit will expire 365 days from the Issue Date or the date of the DREAM EXTREME last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable. CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET Permit Type: BUILDING LAKE ELSINORE, CA 92530 Work Classification: NEW COMMERCIAL (951) 674-3124 Permit Status: ISSUED PROJECT ADDRESS PARCEL NUMBER: 377020014 29190 CENTRAL AVE Valuation: $212,134.00 LAKE ELSINORE, CA Total Sq Ft: 1025 PERMIT CONTACTS ADDRESS PHONE CELL Evergreen Devco OWNER Barghausen Engineering APPLICANT 18215 72nd Ave S Consultants Kent,WA 98032 Barghausen Consuiting APPNEANT 1-82-15 72nd Avenue South Engineers, Inc. Kent,WA 98032 DESCRIPTION OF WORK TRACT: LOT: PLAN #: Construction of a 1,025-square-foot Dutch Bros Coffee with drive-through FEES TOTAL FEES: $31,999.26 AMOUNT DUE: $0.00 ADDITIONAL PLAN REVIEW ADDITIONAL PLAN REVIEW AIR HANDLER<10,000 CFM BACKFLOW DEVICE<21' BASE BUILDING PERMIT FEE BOILER/COMPRESSOR(<3 HP) BUILDING &TRAILER PARK SEWER DIF CITY HALL(RETAIL) DIF FIRE FACILITY(RETAIL) DIF PARK COMMERCIAL/INDUSTRIAL DIF TRAFFIC INFRASTRUCTURE FEE ELECTRICAL SERVICE(>200 AMPS) COMMERCIAL FIRE PLAN CHECK-NEW BUILDING FIXED NON-RESIDENTIAL APPLIANCES FIXTURE,TRAP OR SET OF FIXTURES ON ONE TRAP FLOOR DRAIN-PLUMBING FLOOR SINK-PLUMBING GREEN BUILDING FEE LIGHTING FIXTURES,SOCKETS OR MOTORS UNDER 1 HP MSHCP-COMMERCIAL OTHER(BLDG) (NON-RESIDENTIAL) PERMIT ISSUANCE FEE PLAN CHECK FEE- BUILDING PLAN RESUBMITTAL(FIRE) PLAN RESUBMITTAL(FIRE) PLANNING REVIEW FEE PROFESSIONAL DEVELOPMENT FEE RAINWATER SYSTEMS RECEPTACLE(BLDG) SWITCHES(BLDG) VENTILATION FAN WATER HEATER AND/OR VENT PERMIT INSPECTION HISTORY REPORT (BLDG-2025-01050) FOR CITY OF • - Permit Type: BUILDING Application Date 05/02/2025 Owner: Evergreen Devco Work Class: NEW COMMERCIAL Issue Date: 11/20/2025 Parcel 377020014 Status: ISSUED Expiration Date: 04/21/2027 Address: 29190 CENTRAL AVE LAKE ELSINORE,CA IVR Number: 151356 Scheduled Actual Reinspection Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Required? Complete 02/23/2026 02/23/2026 PLUMBING IPLM-000940-2026 PASSED(PERMIT) Dale Heglund No Complete Checklist Item COMMENTS Approved SOIL PIPE UNDERGROUND Yes ON SITE SEWER 4/9/26 Yes 02/24/2026 02/24/2026 COMMERCIAL 000969-2026 PASSED(PERMIT) Dale Heglund No Complete BUILDING Checklist Item COMMENTS Approved STEEL REINFORCEMENT Yes FOOTINGS EXTERIOR COLUMNS Yes 02/25/2026 02/25/2026 COMMERCIAL 001008-2026 PASSED(PERMIT) Dale Heglund No Complete BUILDING Checklist Item COMMENTS Approved SLAB GRADE Yes STEEL REINFORCEMENT Yes FOOTINGS Yes ELECTRICAL CONDUIT Yes UNDERGROUND 03/05/2026 03/05/2026 COMMERCIAL 001187-2026 PASSED(PERMIT) Dale Heglund No Complete BUILDING Checklist Item COMMENTS Approved ROOF DRAINS Yes ROOF FRAMING Yes 03/06/2026 03/06/2026 COMMERCIAL 001234-2026 PASSED(PERMIT) Dale Heglund No Complete BUILDING Checklist Item COMMENTS Approved SHEAR WALL&PRE-LATH PARTIAL SHEAR Yes 03/11/2026 03/11/2026 SFR-COMBO IBLDG-001325-202 PASSED(PERMIT) Dale Heglund No Complete 6 Checklist Item COMMENTS Approved ROUGH ELECTRIC CONDUIT Yes FRAMING&FLASHING Yes ROUGH MECHANICAL Yes ROUGH GAS PIPE/TEST No ROUGH PLUMBING Yes ROUGH ELECTRIC WIRING Yes DUCTS,VENTILATING Yes July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 1 of 2 eN e - - e - e t _ . Permit Type BUILDING Application Date: 05/02/2025 Owner: Evergreen Devco Work Class: NEW COMMERCIAL Issue Date: 11/20/2025 Parcel 377020014 Status: ISSUED Expiration Date: 04/21/2027 Address 29190 CENTRAL AVE LAKE ELSINORE,CA IVR Number: 151356 Scheduled Actual Reinspection Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Required? Complete 03/17/2026 03/17/2026 COMMERCIAL 001475-2026 PASSED(PERMIT) Dale Heglund No Complete BUILDING Checklist Item COMMENTS INSULATION Yes 03/19/2026 03/19/2026 COMMERCIAL 001571-2026 PASSED(PERMIT) Dale Heglund No Complete BUILDING Checklist Item COMMENTS Approved DRYWALL NAILING INTERIOR SHEATHING Yes LATHING&SIDING Yes 04/21/2026 04/21/2026 ELECTRICAL IELE-002362-2026 PASSED(PERMIT) Dale Heglund No Complete Checklist Item COMMENTS Approved ROUGH ELECTRIC-T-BAR Yes July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 2 of 2 PERMIT DETAILED • ' 1 1 1 1 FOR OF • - IL Permit Type BUILDING Project: EVERGREEN COMMERCIAL DE\ App Date: 05/02/2025 Work Class: NEW COMMERCIAL District: NA Issue Date: 11/20/2025 Status: ISSUED Square Feet: 1,025.00 Exp Date: 04/21/2027 Description: Construction of a 1,025-square-foot Dutch Valuation: $212,134.00 Final Date: NOT FINALED Bros Coffee with drive-through Parcel: 377020014 Main Address: 29190 Central Ave Main Lake Elsinore, CA APPLICANT APPLICANT OWNER 18215 72Nd Ave S 18215 72Nd Avenue South Business: Business: Home: Mobile: Mobile: Business: Mobile: Note Created By Date and Time Created 1. SENT TO CHRIS AND TRB VIA BB 492-018-256. Crissy Mirabella May 10,2025 2:24 pm 2. CR Chris Adams May 13,2025 11:31 am 3. RECEVIED 1ST REVIEW TRB CORRECTIONS AND EMAILED THE Crissy Mirabella June 23,2025 1:28 pm APPLICANT. 4. RECEIVED RESUBMITTAL AND ADDED TO BB SESSION. Crissy Mirabella August 13,2025 1:22 pm 5. Missing Fire Flow test results letter Chris Adams August 20,2025 9:48 am 6. RECEIVED TRB AND FIRE CORRECTIONS AND EMAILED THE Crissy Mirabella August 20,2025 10:25 am APPLICANT. 7. RECEIVED RESUBMITTAL AND SENT TO TRB AND CHRIS VIA EXISTI Crissy Mirabella September 25,2025 4:46 pm BB SESSION. 8. Approved Chris Adams September 26,2025 9:12 am 9. RECEIVED TRB CORRECTIONS AND EMAILED THE APPLICANT. Crissy Mirabella October 2,2025 10:17 am 10. RECEIVED RESUBMITTAL AND SENT TO TRB VIA EXISTING BB Crissy Mirabella October 23,2025 2:43 pm SESSION. 11. RECEIVED TRUSS CALCS AND SENT TO BILL VIA BB 747-882-909. Crissy Mirabella November 3,2025 3:53 pm 12. APPROVED PLANS IN DOCUMENTS. RECEIVED HEALTH APPROVED Crissy Mirabella November 4,2025 10:40 am WAITING ON FEES TO BE PAID AND SCHOOL CERT 13. RECEIVED REVISIONS AND SENT TO BILL AND CHRIS VIA BB SESSI, Crissy Mirabella February 17,2026 2:21 pm 617-410-797. 14. BILL APPROVED,WAITING ON CHRIS. Crissy Mirabella February 19,2026 7:59 am 15. Approved Chris Adams February 20,2026 9:58 am 16. RECEIVED REVISIONS AND SENT TO BILL AND CHRIS VIA BB SESSI, Crissy Mirabella March 9,2026 8:43 am 304-573-234. 17. Approved Chris Adams March 11,2026 12:54 pm July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 1 of 2 PERMIT DETAILED REPORT1 1 1 1 Invoice No. Fee Fee Amount Amount Paid INV-00049686 PLAN CHECK FEE-BUILDING $1,091.75 $1,091.75 PLANNING REVIEW FEE $291.13 $291.13 FIRE PLAN CHECK-NEW BUILDING $1,305.87 $1,305.87 Total for Invoice INV-00049686 $2,688.75 $2,688.75 INV-00052156 RECEPTACLE(BLDG) $1.00 $1.00 VENTILATION FAN $6.50 $6.50 PERMIT ISSUANCE FEE $90.00 $90.00 SWITCHES(BLDG) $1.00 $1.00 LIGHTING FIXTURES,SOCKETS OR OTHER(BLDG) $1.00 $1.00 BOILER/COMPRESSOR(<3 HP) $26.50 $26.50 FLOOR DRAIN-PLUMBING $61.25 $61.25 DIF TRAFFIC INFRASTRUCTURE FEE COMMERCIAL $3,936.00 $3,936.00 ELECTRICAL SERVICE(>200 AMPS) $55.50 $55.50 FIXTURE,TRAP OR SET OF FIXTURES ON ONE TRAP $192.50 $192.50 BASE BUILDING PERMIT FEE $1,455.67 $1,455.67 DIF FIRE FACILITY(RETAIL) $501.22 $501.22 MOTORS UNDER 1 HP(NON-RESIDENTIAL) $4.25 $4.25 FIXED NON-RESIDENTIAL APPLIANCES $148.75 $148.75 BUILDING&TRAILER PARK SEWER $22.00 $22.00 FLOOR SINK-PLUMBING $70.00 $70.00 RAINWATER SYSTEMS $26.25 $26.25 DIF CITY HALL(RETAIL) $110.70 $110.70 AIR HANDLER<10,000 CFM $19.00 $19.00 WATER HEATER AND/OR VENT $11.00 $11.00 DIF PARK COMMERCIAL/INDUSTRIAL $102.50 $102.50 GREEN BUILDING FEE $9.00 $9.00 BACKFLOW DEVICE<2" $11.00 $11.00 MSHCP-COMMERCIAL $21,806.28 $21,806.28 PROFESSIONAL DEVELOPMENT FEE $20.00 $20.00 Total for Invoice INV-00052156 $28,688.87 $28,688.87 INV-00053518 ADDITIONAL PLAN REVIEW $75.00 $75.00 PLAN RESUBMITTAL(FIRE) $235.82 $235.82 Total for Invoice INV-00053518 $310.82 $310.82 INV-00053671 PLAN RESUBMITTAL(FIRE) $235.82 $235.82 ADDITIONAL PLAN REVIEW $75.00 $75.00 Total for Invoice INV-00053671 $310.82 $310.82 Grand Total for Permit $31,999.26 $31,999.26 July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 2 of 2 PERMIT NUMBER: BLDG-2025-02811 CITY OF __AwwR,�_ Issue Date: 11/20/2025 Expiration: 11/20/2026 LAKE9 LSInOKE This ermit will ex ire 365 da s from the Issue Date or the date of the _ tc p p Y DREAM EXTREME last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable. CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET Permit Type: BUILDING LAKE ELSINORE, CA 92530 Work Classification: ELECTRICAL (951) 674-3124 Permit Status: ISSUED PROJECT ADDRESS PARCEL NUMBER: 377020014 29190 CENTRAL AVE Valuation: $10,000.00 LAKE ELSINORE, CA Total Scl Ft: 1025 PERMIT CONTACTS ADDRESS PHONE CELL Evergreen Devco OWNER Barghausen Engineering APPLICANT 18215 72nd Ave S Consultants Kent,WA 98032 -Barghausen Consulting- APPLICANT— 182-1-S-T2nd-Avenue South - - - -- Engineers, Inc. Kent,WA 98032 DESCRIPTION OF WORK TRACT: LOT: PLAN #: Site lighting for Dutch Bros Coffee FEES TOTAL FEES: $206.00 AMOUNT DUE: $0.00 BASE BUILDING PERMIT FEE GREEN BUILDING FEE LIGHTING FIXTURES,SOCKETS OR OTHER(BLDG) PERMIT ISSUANCE FEE PROFESSIONAL DEVELOPMENT FEE PERMIT DETAILED • (BLDG-2025-02811) • ' CITY OF LAKE ELSINORE Permit Type BUILDING Project: EVERGREEN COMMERCIAL DE\ App Date: 05/02/2025 Work Class: ELECTRICAL District: NA Issue Date: 11/20/2025 Status: ISSUED Square Feet: 1,025.00 Exp Date: 11/20/2026 Description: Site lighting for Dutch Bros Coffee Valuation: $10,000.00 Final Date: NOT FINALED Parcel: 377020014 Main Address: 29190 Central Ave Main Lake Elsinore,CA APPLICANT APPLICANT OWNER 18215 72Nd Ave S 18215 72Nd Avenue South Business: Business: Home: Mobile: Mobile: Business: Mobile: Note Created By Date and Time Created 1. This permit was copied from permit Numbed BLDG-2025-01050 Crissy Mirabella November 25,2025 9:17 am Invoice No. Fee Fee Amount Amount Paid INV-00052456 BASE BUILDING PERMIT FEE $163.00 $163.00 GREEN BUILDING FEE $1.00 $1.00 PERMIT ISSUANCE FEE $30.00 $30.00 LIGHTING FIXTURES,SOCKETS OR OTHER(BLDG) $2.00 $2.00 PROFESSIONAL DEVELOPMENT FEE $10.00 $10.00 Total for Invoice INV-00052456 $206.00 $206.00 Grand Total for Permit $206.00 $206.00 July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 1 of 1 PERMIT NUMBER: BLDG-2025-02814 CITY OF ,� T•N r Issue Date: 11/20/2025 Expiration: 05/12/2027 LADELS11 1OkE This permit will expire 365 days from the Issue Date or the date of the � P P Y DREAM EXTREME last completed inspection. It is the responsibility of the permittee to ensure this permit is finaled. Permits that expire will need to be pulled WWW.LAKE-ELSINORE.ORG again and additional fees will be applicable. CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET Permit Type: BUILDING LAKE ELSINORE, CA 92530 Work Classification: MISC-OTC (951) 674-3124 Permit Status: ISSUED PROJECT ADDRESS PARCEL NUMBER: 377020014 29190 CENTRAL AVE Valuation: $1,500.00 LAKE ELSINORE, CA Total Sq Ft: 1025 PERMIT CONTACTS ADDRESS PHONE CELL Evergreen Devco OWNER Barghausen Engineering APPLICANT 18215 72nd Ave S Consultants Kent,WA 98032 -Barg#atxsen-Consulting-- -APPLICANT 1821 7-2-nd-Avenu"otAh— - Engineers, Inc. Kent,WA 98032 DESCRIPTION OF WORK TRACT: LOT: PLAN #: Trash enclosure for Dutch Bros Coffee FEES TOTAL FEES: $132.50 AMOUNT DUE: $0.00 BASE BUILDING PERMIT FEE GREEN BUILDING FEE PLAN CHECK FEE-BUILDING PROFESSIONAL DEVELOPMENT FEE SEISMIC-COMMERCIAL PERMIT INSPECTION • HISTORY ■ REPORT (BLDG-2025-02814) • ■ CITY OF • ■ Permit Type: BUILDING Application Date 05/02/2025 Owner: Evergreen Devco Work Class: MISC-OTC Issue Date: 11/20/2025 Parcel 377020014 Status: ISSUED Expiration Date: 05/12/2027 Address 29190 CENTRAL AVE LAKE ELSINORE,CA IVR Number: 154128 Scheduled Actual Reinspection Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Required? Complete 05/12/2026 05/12/2026 SINGLE FAMILY IBLD-002905-2026 PASSED(PERMIT) Dale Haglund No Complete Checklist Item COMMENTS Approved GROUT Yes STEEL REINFORCEMENT Yes FOOTINGS Yes July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 1 of 1 PERMIT DETAILED REPORT (BLDG-2025-02814) • ' CITY OF LAKE ELSINORE Permit Type BUILDING Project: EVERGREEN COMMERCIAL DE\ App Date: 05/02/2025 Work Class: MISC-OTC District: NA Issue Date: 11/20/2025 Status: ISSUED Square Feet: 1.025.00 Exp Date: 05/12/2027 Description: Trash enclosure for Dutch Bros Coffee Valuation: $1,500.00 Final Date: NOT FINALED Parcel: 377020014 Main Address: 29190 Central Ave Main Lake Elsinore,CA APPLICANT APPLICANT OWNER 18215 72Nd Ave S 18215 72Nd Avenue South Business: Business: Home: Mobile: Mobile: Business: Mobile: Note Created By Date and Time Created 1. This permit was copied from permit Number#BLDG-2025-02811 Crissy Mirabella November 25,2025 10:04 am Invoice No. Fee Fee Amount Amount Paid INV-00052439 GREEN BUILDING FEE $1.00 $1.00 PLAN CHECK FEE-BUILDING $54.00 $54.00 PROFESSIONAL DEVELOPMENT FEE $5.00 $5.00 BASE BUILDING PERMIT FEE $72.00 $72.00 SEISMIC-COMMERCIAL $0.50 $0.50 Total for Invoice INV-00052439 $132.50 $132.50 Grand Total for Permit $132.50 $132.50 July 07,2026 130 South Main Street, Lake Elsinore,CA 92530 Page 1 of 1