HomeMy WebLinkAbout570 CENTRAL AVE_ (3)
CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
� . Cetitral be�lrli�id _
Projstr address - --- - Applicant to fill J,n all spares except those Within hea'ry border lines and sign ali appropriate declarations
Assessor•%Parcel No. 377-150-076-081- .__ - -- - 'pERPd�.T!�0_ _ !TRACT NO. : LOT NO. UNIT NO.
Otvnerf Nn;,,r- Cct3 t ral_�usiness Pk Invt B,�,e_ , - r•S 1
Address :'•
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� _- — �ai.'h TRUCTURA n - - -- --
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'' �- TENAN! ELECTRICAL PLUflB tii vECHANIfal Rear .___--__ ___- . . i I
_Z418_ _ — - - - -
City License No. - - ._-- - ------ OTHER _ --- Q(, C Right
L10ENs_O CONTRACTOR DECLARATION -rP,�1fLI D?SCRiPTICIN. sp Ft ___6.�_893. ';,ore, K Left
i nereGY allirm loaf I ,m I�c2nsrd �'•de• prC frSwn�u' C:-uric, 9(commencing �f Zee C-.t � *11 RrteS - � S S "-r R
w,tn section 7000) of DrV,s,Gn 3 ,1 :ne i�uur.8js and Prufessrnn;GodC,.Jed Ce^itN:CJ .hC� ----- - ;Parking Req/Provided E
my license is in full force and etfCct" F5043$6 Ping. Ref.# Q
B Crs __L�J;nsa N - -' -- ��/ 3 3 Planning Note M
LjceniDate ✓-� _ syna:urt Remarks 7
WORK RS COMPENSATION DECLARATION 7.�J� -- `• �S
( !rlDy altlrm that t have d cCrNfi Utr'7:CQ-,sen:to self-insure or a Certificate _---
YJorltlrf' Compensation Insurance, or"o coMlt,e C:copy thereof (Section- -•
0 LAD. C.) / --- --- — --- -
S policy No. 1003403 compiny --
1 Celli h! c0P is hcrlDV furnished. •-�-
1 Clrtilr c is titers w••'-the city B• 9 O>
•_
EX M ION FROM WORKEZS•COMFENSATfON QEGLARATIdN -
i (Tn,s se�.tion need not De complete:f if:re ..-,'t's ffr one•,undrea(S1 C0)nr _ FEES
less;. = _ ELECTRICAL FEES MECHANICAL AC% N GRRGINGFEeS
+ I •.cri,fy that in the oerf.,ante c'tie .•.�••-' -•-�•nf u oesi,Me. o,cc sto PLUPBEING FEES --ll
i shall not empiov any oc s In ary rr,liwi t0 a� J• ___ _- - - -- -" Genertor LO.5KW CJ 5.15-W Boiler -L_ E'''t ---- -_-_-- --_ -• __cI. ya!As
workers'Compcnsa:on Laws nt Ca AIUs, P.e 7tf I -�
-P-- -- - 1 C_on:uucti0n Pole Sub.- i Duct Urrd¢r Ground
I piOTICE:if,after mal,rng tors dec ra:.� t:•owd lice,`��, ,°j Mlrti --c i'leAUtO Waih ._^ .-_ I__ -- _ - - - �__ OuCt•SifUCtUral1365 -_-
tYorkcrs' ComPensaNnn Provs�r.ns r• :`e _�, r C•,d,:. - BeckflowPrevetter I,/11CC CI•Otilr• Unii - 3310 PIacC`e':`eej -
rouLn^S r,• tins perm,] snap De AecmeA .eve tier. �,__--_--- �_--__ =/-._- --
rornply with Sat.h o -- Pr:v L,.�ht �n •r.:eniTl]tlrl - --• ---__'_--_
C01•-STRt1CTION LENDING AGENCY ,;r t�t Pcrfn,n�anrz BI ItIlow 1ri,l'�i tloG y_-
I-_-_—_ _ -_---- -- 3300-3312 Pe'ra:Teo j
i nC,eay of ttrm!ha:there IS,G.ntlt..C:.r^ ca K'.,;rnc'! ' C+,.tiers __ _ _ Dr�erS _Vas re.-_'Electfic - I I•_Ekha,_-_St SY-st¢iV'r-- -
e< iht vJOrY for Kh,cr,, '�s pe•r-%: . vss,eLt: , echnn 3G91 C,v. C.1 _ __— _ _ _ --"fi---- ICSdY fevS S
:_ender s Name ------ -------- ~- - - -- _-- Dishwasher � _ J. Fan--_--._ Evaporative Cooler
Fix ure-rarysea y/?' F A.!' 3•c� jW--atingSy3tem�&D.Jcting
7 rvNER P�tLCIER UECLAPATION - - �----'-J�.j�tb_.L' J• —�---�'•—•~�--� ,/ �0.100,000 BTU l_,100,000 dlU �'CD-
( i ^c•..•nY a/him that 1 a•n C.?mpt rr !r �n.rac r c.�I La'v f,,t u•c ..Floor Draln, - _ Futures _ 33003312 Summagof FJ:mithts
'�3!.5 3,'.r. t r- I, r Sc. ! ,r t :} .,• r - Fiont'.or CanoPY
••,a,-,wmg reasnn (Sect-
Finn.-, , , ,_. ..n•„hs rco.nr I J_.Dt r e[_ —
county wnith roqu�ros -tc,„�i:o vanu•.. ,i.cr. ' �Frinn:Sinr.i __ ,,._-_-t. - C _ . ✓.y�',: `J --
nor !.i ,ti,SSU L„te, Y.r'>C'[ >l„p ant !r,r Su: C tine. ._J;;t cFes •SL' !-T a 1• Lam-. T e U L Btll•''!ng j -
any Strutl urc,p : re,s^•r-„ .� r. s[:�7 J, ,, lnc nr,. set,,S n• J Gas Serwrf! tlUtl¢tS i r'L -�
:o foe a s,gnen stalemrnt rr ,.rr cu,q v.in• fc:.:n ,'On01 ••' - - - - ' - - �r c �� 1 Refri ratt00 Stem 1 Piu^blr,; $
the SionContractor;ucrt•: .,v.•(rCtWp• 9 ' ,r that nc;shc ,s cxcrnpt Int-rcCr lots -{ _ /;N!et_ _ : dp fG 200 Amps / I 7F
v�Con 3 of the et.„-,tts a d F- :sirs s ?x•'?- l,ny +�•,taU„n o' exern n -- ------ -- r -- 0-100000 BTU❑100,000 BTU Cfr 7� �•�
reirnm ant Inc ta•s :or the a c c c — Meti OVP.r 200 i1 IRS
31.5 nY any aPpucant for a zc n t s n,-cts 'fir applicant tr, a r•vit P-Tr7? --- - _ .---. - - -- --- c —i �if¢,IIFaq.Bit_ICBt7 #
e, Ity of not more In 1.vL.trt,n-1 ca.r.1 a s r y,00' RUaf Orains I -_-- .SilU�anel T-____-_ L _ - twe..',a,,C'� j _
1, as ovmsr ;1 :nc nrnocrty • r ray cc yr.c5 n •vagc: as �} ' S Ic - - -- --; r _I Sys?em RepairiAlteraifon --
_ •enar•d rn c 'n Troll i S,:1M'.t r ❑ 1 -50K?i _
c•,mbensatiCn, will An irI •,o,:,and :rc s vr. - _-. -- - - _ Transformer ❑ 5Q«Kw I Fire Dampers _
for sale (Sechar, JOaa, Y.,s,n.'SS dn^ rP f :7 uPi'rIY, ar !r,fltlrsCcrn„a n.rt SeN!r Ca - - - ---_ } ----- 1i0231 Smii Re. S
L.ic.en SC l tw does nut aPn Y - - - - ' l- - I Rr: tste•s �_ -q
:hc•eon, dhA wh•, AJ• ac/ :.nr. r r-SC r rS_'' ,•r v ,.- , r r,'c,:ir r,vn: Ses Jet Cr,noectitl -Bldg. l ,h,_i(�, . Motors- 0.1^HP"_11'�i•B —1-,g --' 11Q J32 i4iP(^'- f {�(�..��1 -
en 010)"Cs, ornwda !t cf .mcu ,c-•c u ^ nn• nt�n rtl r fc r _ __.._ i -
s •,tit:,a„' vt,r r trim Sr,artoilactors I- Inc. Soar[ 9 15 HP[�I6 15+ ,nl� ir!cirselator
seer.. If,nnwnvrr. the r•o.n or r-r - - - ---- --------� ---
pir.t�on,the nv;ncr v+�, n.Ive .tic n..•Aer -,. a. ,v.nq nn,s•v:Ain n"•bn I, ,r gym• -e..'ai I in ._. S,n9^Fam. f3es.- _-ii rt�ISC..T-- --- --- 3�4r:3310 $umrtnlry of Pion Check ftK
prove Iqr the Pu,pnSn.,f scl,i ,. ..t .,c•uur rote. ue•:nsrr;eon P p 4 __-
I,as owner of 111ii pr„perty.a^ cx "-''J ..c::a��a Pr n'rsv„ns Cc!:e- :;Diet Tank I - Multi-Faro. Res. —` -- ._
irarors,o vmSV uct Vic Or,;r".t rSc.:'roc.�1.=.:,Q': _ _ - --4 _ '_.. c ---U -}� .--- fSs:Lnj j
The %Onlratlor'S l.iCcn sC L.ay. 'r.,a.' n•6NCrty viol, SSSImmI::'Pa01'.ni(1a It JWIm(Ttin�f�ol/S�-_ .._� 1---
tlions or un,oves Ihercm,,an f , .•r it r SO(" p• ,Inc's with., c,n• _ _ .. �- _ -. C f�s�._' N,mb nj -
c ac s �i knit I.ay.) I .,I a:+,r•) :,at tVater Neater I� S� - - - _ lssu¢
Vactnr(q license purscant tr. !IT (• •-____ __ _.._ ---•-
of Irteu Wofbrr•S C••mnnn.a. 0 r.,u .,rte[ SttOul(! Lr Pr ,iAr�f n,r- __ ___ -- ( �-f -- - JAL:
1 am CxCmP:rntler Sect,�•n .._. .. _ f3 .°, r'.(_1.., .us rya:r•n wa1P1 service .__ 1!_19 ns" � -. , / Vethtnita' j
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I netrny ccrhry :hat I avr. PPt,ra:inn surf ;talc that Inc :n„ve MISC..-_ -- - I�" [_ _ ---^- T60.31Planning -
,; nrrerI I t cr t r•J•ap , NO ell -lty an[:.,"tr1ty nru,nancrs - t•AIiP!��ppt0►ld ffT. .� _--r —
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CITY OF LAKE ELSINORE CONSTRUCTION PERMIT /r
`t 7f Central &G493�ier I /
Project Amfess �' - -_ ---- - Ap;lica It??(ill in all spaces except those Iyith%n head border lines and sign all appropriate declarations
Assessor"<parcel Ho. 1 J —1 Si7-tl%D-(11j 1 __ _
: PER1A1 T_ts{Q. ,.1 TRACT N0. # LOT NO. UfilT NQ.
clfrref"s'i9mr Cent raI ut►Sn :{S .Pk )_nve5{C,, ,.,^=/ 1 t 3
anaress ='— ' _ iYPE Of 4NSi>ttll�>nR hEr� ADD ALTERATION REPAIR
Arch Ef C8766 A-P, a# + Zone
1 RC;TI� iillk-I;e -_L pr'.%0 --- (_ DEVOLIS+ OTHER
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S Main Building:
9_ z
`Cnncrete_i11 --11P "' e !o
,r, Lac;o*;Namr art+�thSsOtt4 1)2vPlUpO?2n� nne _- --- Front - - -
-- - - - - - - --- -- - -- - rTt - - c C Right ------
3 - --- ------ -- N
LICENSED CONTRACTOR DECLARATION ' :0` -.,,�.^ii�'T: SC.Ft _ _— ;6 ----F`'-t•�R`-3 _ 7 t 70'; S1� g Left G
1 r:GrGOy atf„w Mal I an,r.:rnSm,a^�tr•0,..•• S"•'t..• rear:cr (r-n rr�.,?::c•. M1 __ _ __ ICtta.LLJz-•1, Acres R
1r1„1) of 1'IVr{1011 3 nt tnR gut•^rS:.l,C ='+�':SS'n nt C-,a G,and �,: —Y--
i , `✓+ r t !_-__eCj Ping. REf. :Parking Raa•,rProvided t]
„r.0.tar,r ara effect. _a•--T_ a
%- L,tense;tc.__ Sa4 IJ__ M
L.<ense u , __- _,rum- = Planning Notes - - ------�
Oslo_J/ � � =.•.it a life -------- - - ---- Rerrtarics ---— —_ - ��---- ,T
WORKERS'COMPENSATION DECLARATION tS `
re0y afill-Iha: 1 f•a=r a cc,
t•hcate Of cons[ r :ra-r,t,.fe r•r J•.Cf!,'Kd:e --__--_— _.--_--_--- -- _ 1
lYarLers Campetsulson 1nsuid.,Ce, r-c a _.Cr:+:re-(l c-=pS -
ao, Lab. c.)
rnl.cy No. - - 1003493__- cnTPany �Tl1Tc____.._
Cir{r!,e0 COp n MeI,r,.ny f•�:n a CIt. -_-- ! --
{ ,L•)',O 03 If IIMrI w,lr c,ty /�n6+�'►�'�i ,wS•r.n.
FRO/AEM IO a WORKERS'COMPENSATION DECLARATION
EX
tTn:•sec:,on need no
I tie comptetea,f In p"""',s' ' nnr•n,na,ca;St00)❑r
:asst. s —� FEES ELECTRICAL FEES MECHANICAL FEES ACCT D GRADING FEES
cer-.(y Mai ,n t,c Prr.nr,-,.,:::...r the..,� ., •.a�;•,:r,s 1:-f ,1 , :s,,,rr,i c _ PLUF(BI 4 ---- ' - - --- _
,,n C•S ^ ,n any r.,3n' •S'I Jc • :C(n c t •.r C: t'� -
sra cr,0�oy - v }La „t r_,,•, . a Atte Re9a1r � 1 -- Generator C�-5KY,f G 5.15K6H i30iler G:,t __- _- _cu rare_
w-.-t.crs compe'•sat or - - - } '__- - - — --- -- - '-
_ s,r'I. c _ Construct
Pole Sub. �.Ict•Utzder Ground
l eaOtICE:t•.ar.•; m,'s,r, In,s dcc a' r t , t t : :•G+ A, r lra:^ - -- -' - e ----- -
:r,r ers Ca:PGnsa ^^ n:,:s o s .r :-c t^. !/ �`!. Cookilg Unit Duct-Structural ;:g0 1i0 Plan Cn._u F e S
rr rf a c ,Fu I 3ac-_l .P•evP ter it
i r.,t" turn { s s Pole L� r t Fan Uentilatin
C*JNSTRUCTION LENDING AGENCY liatk( r:IrfgabOn 1-___-___ 9' t 33�-33T2 PeJrdFee i
re•er.r aflnm that Inc s I„ns,n: :,n r..Derr arse _. --' - - - Total fees
S
,. r .•n o r c . C.) � I Exhetr t System _ T
1:, wr.,cn :m, pe•nY t arlfl. , _ i Dan rs Eva oTativE Cctiler _�
tr.G w�or:• -•--�
�L Gas E.ectric
L^ntler•s Namr. D sVat'_- ._- - - - A r/�• t _
i �c w ! Heating System&Oticting
5 f Lt ntlrr'S Aao-cii - - - - .. n FI%,Ji2?•aps c'a.___
Frio 0,a-is - _ -- _ ! --- }FI\'lures �>
•rrc : all F ! t i.; c r _ .-- ,_ __ -- --_ __
7r 11 1 , r'r I , C r.� 1 �UlfeiS L• Hood or Canopv
my .10U, re ^s nc r•n cu n c t Sn 1 r :�. FIM' - -[ Type 1 O Type 11 _ B:r-0tng SS%.ram_- -.•-__
y,y :7'e n. • t .L Is-.,u,ta afSU , ,.' •. S of Gal J'_r•. 'a QUtfCIS - 1....liL- S_WilCI1B5 _ /�
a n a t,7•c s •t rr c t••, c n00) _ fo 10Qa.. S �^ Rehilgeration System n /
t r C�n.rt:to,%1'(Gn,c c... 1C aP:cr - { f Mete. UG p Pi•' S.ng 5 1
r r •., I s,, ,s c>t r p Intarceotc rs 7D 100,000 BTU 0 100 0GO BTU
s,nn 3 of tl.c nus:,:css .+ a P fe. t t t. ,n S,:ct• •r: --_------ --i _ - fVletet 0:'ef 2�0 amps _ -
Go.,n• .Intl tfrc rasa f,• the a f ' r r t.;,,n,ra: a uvr P-Trapoy -
n „ fnr { - -- - $ -panel
�J Fire I/Fact.Blt.ICBQ S
I ,n ll,j of nut mI)rcina•n i,vr nlr.1 .t t r. ROOF D•a ns - -- - - -_-- uh panel)-__- •�. ---�---- Netna ral _--- -
At .,wne, Inc Pr't r tr „ •t t r; ` f, 15 50KW System Repair/Alteration ��
1. ar, t:,r a,.o tr cn { Trai or y aWr T;ansfnniter Othernt S
I I cn^ce,sAn r, s �r a : - t C 50*K_W Fire Dampers t r S
sate ISe t n, !o:» Gut,nrs; a,a ;,r t , ,o u Saw-r Cap _ 1:0 31ort, SMI RC:
t I 1.4[!•'•sc ld,r a,[ I .70P�r : ••'r'• ••n,• 1r„ ,it c. ••n t - - : - _ „ .g Registers ._ .�t31 file.?m 1
r r •r• rt_ ' I Sf s: r Ca•,nar.tton BIdg.X/Y• MntOrs(.�"D•1 HP'-!t rJ „r- S, r �c•� ..
I :•e•con, and wt t rr,.r a .. r. tc r } rrr%t , -. - '. _c'
p. ,+ 1 •1 ,t., s c• r_ , 1s , ,r , , c ryCf•,.I Inn, -•Snlaf CT�ecinrs Inc. Solar F9-15 HP 016.15+ !� /7, InClneratGf --
sa c If• r,n vcver ;I rr r'C r t,r•r. ,,,t 7„nr•„ ,m• --� _ - ------- - _ 300331 UnmafJ ffsienChs:lFees
0 rt•ur. tt,f ,wnr• -. •.r Solar P('; nq!Fam-Res._ --- --
tg $i Mise. 3 0 S o
prove f•'r the 0,'Ant f Itt _ . - - i t
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7 r.0 C ,:ccr,:.• i-., tl, s .IM••• [ I.. , 7I :ri,,, e v,n� SWimm'r9_P001!Spa •StYlmming Pool/Spd
t 'as ar un6• ,,.•: t,r , ,a, i. .t:f , tt,. - - - �. _ Plur:G'RI S
: d:.•"rIs) I,CenSf p:. i r. r{r LAv.i 1 ,.•,N.AIr :nAt �•waler HFaler - - {-"(,r
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'.,at Inc .IbuvC .-Misc_— .. - ._ .- - lann tfi �Gn le tda^r: state rS l., fovedBl De IRT. � ssued Gl r
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5.7•tth,rG L4 I
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CITY OF LAKE ELSINORE CONSTRUCTIONS PERMIT
Project Ad3ross � _ -___,- ___._--_ Applicant o ill is all spaces+xce t those within hez ber3er tines and sign,all appropriate declarations
t�
Ass"sew s PorceI NO. --y,�- _ --
- _ - ,
a4drett _ - --- _) E� '
i:TEOFrMSTM)CT" X_ r1ETY AM ALTER00N P.E^AIR
Arch En9 ___�UIl}?.3_P`c''.S�eS -_L.rcense No. _ -- ODWEP.SIC9 DEMOUS4 C'HEk - -_-_-- _ - A.P. .'t _
��—_ f zone
DESi,P.IF' fON Ci lY{RK:USE Of Ptik3 ___-_-
f�' �.,�.,�� tom. i $ n E r Main Building: - }Accessory Building: r Z
cunt -'s NzmT 1r00kstnnG_11C�cPa_- Phone_ —_-_ ._--.---.—
�_� T"EOFr kMrT GRAnI:c FDIUNDAti'J _rRt !LRAI T Front -_ �- --- 6 U
Adr!lms,ma,hr - -
P yAHT ELECTRICAL PLuMSITIi; W-rC iar4 CAL
C Iy C.CCnslr^;n 7412— - -- -- -------' f 79ER __ - - --- -------- ----- --- _
LICENSED CONTRACTOR DECLARATION ^" - - - C, Right -- _-- --_ _- }k
PRDIFr t EESCRIPTfCtc Sq.Ft _ -deco a Iq Y. - G
I ne,eo, .,ttt:m !ra! I am; cersea under pro;,s:ons of Cnhfter 9(commencing "' ( I
w,tn s:cl,on 'ouo) of O.Y,s,on 3 of the eus?---ss ane Professions Code,and r I Istgrbcn type _ Zone Atfes _ _ 5 I Left 1 R
r!Y:rl!rSe-.s.n fult,f ye and et!ect_ PC& - ._-- ----_---- = g fieq.,rPrtirrided - .. ..
U. rnSe Class
-------- Remarks _ Nanning Notes -------- - -
WORKEfGS•COMPEOSATION DEL!_ARATIUN -' -�- _
:hereby atlum that I have a LCrtr!rCa:e ut cortsen:to seif.nsure or a certtl•,cate L.. r�„�y�pp�--� �,.;L Tl _ - _— --- Y T
of wor Ktis• Cnmpensat,on jnsarance, or a cert,f,ed capv thereof (Section =_!" 5
l
3SOO. Lab. S)(((���n•7 n ,r•�SS y.,, T1�,,. _ ^---- — - - --
POhCY No_ �034937V-- Conlpa y State FUr�
1p�C^_rh'•etl c 0 .hCreby furmSt,Cd. -�,�
/e Cer Crf.-+s cop, s flied w,!'• the City
+,�_--___--
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION -
(i h6 seC:ror ncta not Ile comple!ed;t no pernvt,s for one h,•nared(SI00)or
le-cl. ---
I Cert:ly thz! - If:e per!:,:r^:r.-.:of the w:�rl tut v.ntCh•h,5 p•:rm':,>'.St:,Ca,t 1
1 FEES 141ECHANiCAL _.__ _FEc _ 1�CT e I GRADIN6fEE5
raft r:: r p'.:: any pCrs.)n to any manner so as to Cecome subicct to the PLUMBING _-. FEES -ELECTRICAL - ----__- --- -
: c^mprns)ar,n Laws ca,,!crr.:a_ Alter- Repair -- I Gerarator-'l0.5KW j-15Ky(l - �Boiier_ -,. - -- ----
Cate^- _. .-S l-'u•c _ - --- - - - _ I Cut _Cu ya!oi
NOTICE: :'.at,cr �n.,�.rrc In,t aerjara:,: gnu S-0u10 urcw..e subject to the Aule wash _ --- I Construction" �." Sub. - !_ Duct-Under Ground _—_`- --
:y7rl•ers' C. _rpCnW'on pin:,v-,r•s �-' the t_abn• Cntle, gnu must it r,ni,.th �- --- _ _ ( fill _Cu yards
such ' 4 ! — - - -I - - �- DUI:itrltCl Uf2I
nr,,,s o•,: or nerm•t sear :r. reemca rcY.•.ccI Y Bac f ow Preventer I ' :Cook, iJmt - ---- -- 3101 I PlanCnec!fttS
CDHSTRLCTi ON LENDING AGENCY , Backflow I«igation •>�L' L: Ill -; _ Fa-1 •Ventilati�_— -
recy a+f:rr•:h,:there,s a(nnstruct, n •:nam:a�CnCy Tor the perfnrn,ance - - j-- - "- 3115 Pe-mtt Fee S
- -. _- ._t--- _- ____-. xhau em
ssoeci (fect.nn 3097 ) Clarifiers Or ers r Gas C Electric - ___- st�st- --
Ile o,s tr.r wh:ch :ins perm:: .s ..:r. C. ---• E --- ------•---- ---
C. ---- --1 .Y_� -
Lr•nCr•'S ;Name __-- -__---. ------------------------- -- I I Fan_ EvaUerativ�e Cooler__ Tow Fees $
, Dlshwasho, -----___- -- - ---- -- -
Lc r• s Aoa•css
OWN Ek BVILOER L.Er'LARAT'ION Fixture Traps ea. _ _ _--_ F.A.U^ -_ .- Heating System& Ducting
! rrr>y Jflu•n !ha: 1 a•n CxCA,pt hrr, :'lr CIl;1:raCt•,:'t L r.e„Se Law 'Me 1 !— l,0_100 J00 BTU fJ 100 000 BTU _
CI _�C,^ _� -. - _ T Flxlures -
a-n. rCaiirl (Scct,en 703a.5 F3ur.r es:anc P-ftss-,nal Code: Any r.:y 0r � —__-_ _- _------------ -r - -- StrnraryofPerfnitFees
„'IT. "Tilch requires a permit::)cr.nstruct,all^.r,trnprr,ve,aernol,st:nr repair ; Floor S':1kS __ i Outlets _ _-__ : Hood or Canopy �~ _
an, ,tni;bri,7r.O: in ,Is:s;nancc.alst,-enulres the applicant fo,S.W.Permit .., _ -. - _.___�___ __r�____—.___._.___. J -_-
1, tr c a signed s:atcme-l+ that he;she ,s licensed p rsuant In the pr.)x,s.nas of c,B$$er 'ce Outlets _ I Swa^hes --_- �_ _ r, -- -i TYP_e 1 -'=-- TYPe I I _- -- - 3119 et rla rg S _the C.ntrac:er'S License l-avu(Chapter q(cr+-„mrnu,;Q w,'h 5ecty- 7000)of _ -_.-_- -- -y.__.—__._- _ .
3 )( t,.c 9us.ness rna Pr.,res:,ens C0 ie) Ar ina! heist, ,s cxer-+• int,rcre ors Meter up to 200 ama _ __. Refrigeration System 3121 Piun+0'+1 t _-.--
thc,elt.)m and ,f.0 bdS,S rnr he a!:egecf cxt.. ,ptmn. ,,-y v-Tattvn of Snr ��.r, �. --- �___-__� --_ _
I Meter I.. over 200 am s ( :0 100 000 BT_U i_i 100 900 8T11;
703i.S ry an1' appj,cant t,, a prrnut sun)r cis ;nr anullcant + ,• Uvjl ; P•T"��_--_--__._.� --} --T D _ __._-_- 3112 E;tCtr,L7l $ ---_._-_----_-._
^.rnal:y• !not more rr-a•.!yr nundreo ri juart(5.500}. Roof Oralns T- -- I SUbb anel--- - -- -_ Fire I/Fact.Blt.ICBO_*=_ -- ---- -
!, as cY'ner of are properly ,., my Cmpl,.yc.'s w,:l1 v.agrs aS then sole _-.- Q - ___ -_ - -..p= -.-_- ____ 3113 Mechanical S
rnmpensatron, r„ Inc w.)r.,antl tnc sir xr,re is nr,; r„!cnar.t or nrfuca TrailP-r Sew'r �T ❑ 15.50XN i SYsiem RepairrAl(eralinn
for sate (S,e%:,u•• 70.4, f3vs)ncsS mC. Proricii..• ^ Cr-' 'tic .j or ttetes --�- -- - ----- Transformer --- 371� RetCc:Or S
in Jr.r,Y,ne,nr a r y .. :,blows of imp'-es Sew^r„au _ - - I_ _ _ r 1 50+KW-_ _Fire Dampers---___-_--
t•<rnsc t_Aw a:.rs not a:i p', .,r•,•,S^, r,r '•vougn h :0r her own +-- ---- --- -. _� _ -�---
:!-e•en•,, ara wh a.:tt 1.�cn v.nr,. nrr.: -,' ' Sewer Cnnncrtion•Bldg. T Motors r 0.1 IIP' ,1'%•fl glStofS — -----.___.--- _- - _ -.- MIPC
Re ?301 S1AIP Res $
imp nytCS, 0:"Y•ae+t c;lat :Ur, mprovementt arC out
rnlCnnCa rV nf!r•etl for _ _—.-- -----
arc !!. nowe�el, the uamr.;nr••nC;uvrmrn' ;nla :•,aim ono Year of cnm• Solar (nllectars Inc. Solar "19 15 HP`:16 15 i Incinerator
230? S Corn
•.••t on, 'LC owner wr' r•a�C :I,c :,u•••rn.,r n,ml nil hC ." ara n01 bur1U,.r ,m• - ._.- __ - -� _ 311a --!
prove'r„tic Purpr�se •.,C). Solar Piping i Sirjg/Fain. Res. _ _ •_ _ Misf. --- --- ,-.-- --_ - --- _ .
r p rxr�uit of ly r,)r;rar' q w•h Lcr:sea enn• _ _ _-_._-----i---___ _ r _ _ _.._� - iP to _
Solar Tank AAaa, Fain. Res. - _ r Y3hmmt7 o Kin Chick Fen
t lscc,ro -I t,:• I" An ss a e Pin pro ins Cnac _ - _- - - 3401 r -
Tn• COntract.�•' •.cote L.•v. Jres not apply In an Owner ut properly con ---r---------j '�Siv(m,•r110 PoG;/S a _ _
Ihwu;t f.r e„r:'•n CC. ".e,r• aria :.nn ennlra CtS Ir.: Sur'• prnrtttt .v tth a con- Swimming PooUS a -�- +J___ - _-.- _---_ - --_ - or __- -.--. ---
� 9lrlQrnQ S
- - — 4-_-- -- - - —
t•.tft0r(S) -.:r pursuant lu the Cont ractn-'S L.�cr!,Sr L lw). I am awarr trial + - -- -
Prm of r yJOrYer't CnrnpenSaUon ,nsu:anrc Sh nda ht provrara to no
Write!Healer Issue ,T PI D•nZ S -
7 .fin er.0 rip! UntlCr $cctmn - - -- U.!• p.C.for Ih,s reason 1 Wa(pr StfVICe.-_. ___ -�.•___
Sjet'c System -- DEVELOPMENT SER IG SR M Mechanical
��- DEYE NT Y E EQWRE ENTS: --
i1 tc by frrPA, try+• ! :..,.. •,all this app�catnln and State if,.,' file ab,)ve -1_MISC...- ------- ---. ----_ '�
Mnr • _..•rs c.,rrect, t agror I . Cur,lply w•', an city aria(n,rnty rrrj.nances 3�IL Planning S II iJ03 r"�j r
a.0 ate :a.vS Wat.ng :;, 01; r,l,q (ontir :,•,n,and herehY at,thnnle repro• --�-- --___ ._�_^._J--- - _
' SN,t,lives •lf II•.rf U, a cn cr upbn ap„�r•mnn:coned or,)perly for I
WN Pj rn
D>tU
nsaecn.,n purposes - _ Application l w d By __ _ . _ ----- _Dili
- �,�_- Date 6-26-90 'i iuue _ f'i
S,gnalure _ - ---——-- - rNalFtetDos s
hate BwUrnf Canrrylercpofary Ftit Copy,Pink Asstssoi,GolGenrlk A.p;!Cant
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�, CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
Pro Lt A WO_� �!- �ti_-- y___ 1 /
__377_150-077 Applicant to fill in all spaces except thole within heavy border hues and signal!appropriate dt:ciarations
i�rsasu s Parcel No.
Central Bust. ParkIn�Tes grs PER IT NO_ TRACT N0. LOT N0. UNIT N0.
Oslo .'s Nease .— one I
Address
Arch cr. d Re (_C L l 766 i1TE[R�CDNSTRUCT(ON t. NEW [' ADD = ALTERATION •rJ REPAIR
g.K411r���i� ----Lrren�,e No. _
Addres< C �NVER510N DEMOLISH C; OTHER _ -
� A.P. # Zone
^
- E _ - Z
Aod•ess imiliamm_ TTPEOF PERMIT GRADING C- FCUND41ION a STRUCTURAL T Frort �— _- 0
C•tti _•rinse No. ___ -- — I1;NANT ELECTRICAL PLUMBING MECHkNiCAL B I N
_Z418� - A Rear
LICENSED :ONTRACTOR DECLARATION THER --'-�z�Sb-' �'� �� C Right �^ N
I ne•eos z1firm that I am lice ised un.tler prowsrors of Charter 9(commencing PROJECT DESCP,IMION: Sq.Ft Occupancy g __ _
tivitn section 7040) or D.visian 3 of the Business and Professions Code,and Conlhuchon type -- Zon2 Aces .-. g Left - G
rns .-cerise is in rul fo Ce and effect. f ----� p
L terse Gass_ _�_-. " 04386 valuai«xi'- -PSr± -- Ping. '?ef.# Parking Reg./Provided _
Date__63261-9A- Sig inure _- Remarl3
_ 'ate'•'
Planning Notes -, , :.,_ ?A
WORKERS'COMPENSATION DECLARATION -- - - -- -----
I r.eiecr affirm that I have a certificate of consent:o;elf-insure or a certificate -�l�C � y}S p�, �, - ': :_ .= ':;'.;=;; =• T
cI rKers' Compensation Inwranee. or a certifte7 copy thereof (Section 1 f-�-- - - - $
380
0
, Lab_fd03403-90 - State Fund -- --- — -- -- �'- I.r_ >.-
Policy '?'to'-
_: company-_
ti Cert.f,ed ropy is hereby furnished - ---. ----- _-,_-
GeLnfj red co rx�is riled with the city
_- —_ -- •-• - - -- - --- -----
EXEMPTION FROM.WORKERS'COMPENSATION DECLARATION
(T h.s:ectwn need not be comps6ted It Ibe-permit is Cor one hundred($100)or ---
Icssl.
i tert.fY coat "Itna perrormaneb of foe sort• Inr v,hich this permit is issued,i --
i s-.a I not employ soy person in ante manner so as to become subtec, :o the PLl1ME)ING FEES _ ELECT91CAL FEES MECI-!ANICAL _—_��EES �T r: 6RAD(NCFEES
I ::,rkers' Compenwtion Lovsot California.-_ -_----`-` -------______ ,-- ---- -- - - ---• -
^.!!ss,fig afr Generator�0 5KW 5.15KW !;oiler
Ga•r_ Signature �- - Cut [u.yards
NOTICE:it,of ter rnakmg G -s declaraho.t,you shovid by-ome subiect to the AU10 Wash ' Construction Pole Sub. l R:,ct•Urider Ground
A;r:c•:' Cnm Jpnsatinn prnv,sions of the Lanor Coot, you must forthwith - -----+-- - --•- - Ground I Fill _ ---cu.y,.rds
LGmp'y won <tic•i provisi`fns or :his permit sr.au be deemed revoked. Baekflow PreJenter Cooking Unit Duct-Structural
CONSTRUCTION LENDIIIG AGENCY -- I - — - - 3401 I Plan Check Fee$
Backf low irri•anon role Light Fan -Veri(ilatina _ -
I r ore aril• ..that enere is a cnr sir uctinn:enomq agency fo the perrormance _ -..t :.--_ _- .----
o' ••t w'or a fur which cols permit is issued (Section 3097 Civ. C.) Clarifiers __.. Dryers OGas ❑Electric Exhaust System_ _---,_ 3225 Permit Fee j
L^_r.Ct•'s nc -______-_----_--__--__-__-.- ----"— Total fees j
�ndc•'t:.orn,s: _ _ _____ ___ ___ __ _ _ Oishwashe. _ Fan ; E�orative Cooler -- -
OWNER HUILDE.R DECLARATION Fix tu:c Trams ea. F_I _A_.U. _- _� Heating System& Ducting
I nerebs after n tnat I am exempt from the Contractor's • �cense L+w for the Floor Drains Fixtures _�-_,_ _C_ '_0_•i00,000 BTtI C�lOC,000 Bl U , w
•�. nc reason (Sec lion 7031.5 Business aaa Professional Code: Any city or ! 1 _—_ _
C un'r .%rich requires a permit to construct,alter,improve,demolish of repair FIOOt Sins l Summary of Permit Fels
3rry .-, ctuie, prior to its issuance, aiso requires the applicant for sucti permit -�_—� Outiets Mood or Canopy
tr, f,e a s fined :taternerit that he/she is licensed Pursuant to the Provisluns of Gal$EfyiCe llullets Swrt.nes 1 I 1 F] Type II -1 _ n ` c
•ne Cent actot's License I-Aw(Chapter 9(Commencing with Section 7000)of __ - -_ _^ --._-_ __. �!___ - T 322 Building $ ,�_.• L —
O 3 of the n,siness and rroressioi'•s Code) or that he/she is exempt InterCB t015 - ;neier r Lit to 200 am . I lie!rl eiaiian System I
thtre ror.. an .ne hasis Cor the alleged evemption• Any siolatron of Section - ators - --�- - - -� g y 1 3221 Plumbing j
f 7131.5 "y am applicant for a permit stublects the applicant to a evil P•Trap--- -_ _ Meter U om 900 amps —1-- 1.10-100,000 BTU 0100,000 B'rU __
1 per•atty -.f not more Man hvc hundred Aollars($5o0). -- ---•- - - -- 3222 Electrical j _`- •�
at ov.ncr of the property o. m emclioyees w-tr! •.va es as their sole Roo! Drairs-_-_,_ _ Sub I n e I _ - Fire I/Faet_Bit_ICBO # ___- _
v g - —'�------ -- p
^'•pentairor, will do •he wort, and the structure is not i,tended or offered Trailer Selmer T �- System Repair/Alteration 322; Mrhanical j
sale (Section 7(Adl, Ousiness an Prore-wonat Cod : The Contractor's -�_ 7 15-:iOKW _ ___- q
L.tc•'se Law dogs not,apply In an ownrr,of.t property woo builds or improves _ Sewer _t -' Transfarrye' --- 3ir4 Retention
fr Nob^• and who of suc9 wor4 V iiself/herself dr Ihrot.gh his or tier own p- _ ___1 5f►"I<W_ _� _Fie Dampers__-__-_ _ -_ -_
en,;•o;ees,provider ttat such improvements are not mien led no offered for Sewer Conneetiit.• Bldg. ; M01tlfi(l, 0 1 HP 1'4 8 i r_R:(iisters l3l)) SMIP Res j
sa'C If, rnwever,the rudrrnq or Improvement is sold within not Year of corn. -�_-- --�-_ n R + _.� J31)2 SMIP Can. f
plet.or, tnc owner %.ill haul the burden of proving he/toed d nr,t build or Im• Solar COIIEC►Sfs YV It Inc. Soar F19-t5_HP i_116.15 __ µ In.ineralor '_- ^- _ _
prove'•in e Pii:pns:o sale). _Solar Piring Sin /Fars. , es. 14 sC
. _ I. as •.iwncr oI Ihr p.npCrt Y.am exuusivcly contracting with htentcd con 1 _ —. 3)25 Other j
••ac:ors:n ronslruct fait protect (Section 1OJ4,Business and Professions Code: I SOIar lank L3wiummian
ti•Fin. Rls_ -I - SummaryolPlmCheellFees
ThC t_.m(riot rr'S LiLente Law ores n0' apply to an owner 01 rfOPC/lY who -}-- -- - ---- ----- ---- --^ //
Due (, or inter Hues 'iiCrcnn,anA won contracts for such protects wile ainn- $yylmfKm ?0;11I:i a t Pwi/Soa _ _ 3401 BuildliR $t•act�r(Sl i:cense pu^sliant to file Contractor's L-rense Law). I am aware that � � •_�. L._..
their Worker's CornpensMror• insurance should be provided to I!, - Water Heatef_-- _...- •--^_-----_ --- -Salle ^- - _ unit
_.— � `l I PI 'egg
... I zm exernsit under Secttnn .- .. ._.._._.___-- B.it P,C.fu, this reason Water Service --_-- -- �p I Electrcal $ --
Date _..__ _- Owner Se tic $ tem -. Mechinica! $
I ne,tn .eitrf that I have read this application any state mat the above EZo-nkig
Slili'VICESNEQUIREMENTS: -
r v MISG--._---_--------- 3(0.� Uthel S
�nir,r,anon is Correct. I artwe to comply with all c .y and counly of Ainances d lg _ --_. _ _. oote -.. .. .� ---'
and ',:ate laws relating to building on uclion,and horehy authorize rap e• —,- _._-_-
senfa:rves n1 this to W er lIP the above•mentlonod property for mtl8j •-.__Date Al2 P14ni titjmspechon purpo yyr ( - ---..../ ---� r.I 6/26/90 ell B -_Dategnature _ Issue �NriYers'License rn SS srTsUl FmDue $ .-While Building.Canary-Temporary file Copy Pink Assesses,Goldenrod•Applican( � �� �
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CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
Pro a Address
A%jDsscw s Porcel No. 377-150-077 Applicant to fill in all spaces except those within heavy bolder lines and sign all appropriate declarations
Central Bus. Par Inv! _� s PE4 ITN TRACT NO. LOT NO. UNIT NO.
OsOner-s Name ne---
Atldress
Arch,Eny. 21tiaSLReiger __License No. C8766 — TYPE OF CONSTRUCTION NEW 1' AVO :; ALTERATION 0 REPAIR
Address
— A.P. # _ Zone
Contra or's Name.-DrD-Qk6=e—llg.Ye10-RMentf ,, DESCRIPTION OF WORK/USE OF BIDG.
ne -- S Main Building: Accessory Building:
AW, (m3fimg) �`_ �— TTPF.OFPERMIT 71 GR.'DING 1-3 FOUNDATIONO STRUCTURAL E Front Z
City;..tens!No. —74 18 i] TENANT ELECTRICAL ` PLUMBING P MECHANICAL B e —
O
LICENSED CONTRACTOR DECLARATION C OTHER _— 'r,-ash-Falc.losure AI Rear N
I hereby affirm that I am licensed under provisions or Cnarec 9(commencing PROJECT DESCRIPTION: Sq.Ft._ _Occupancy - C1 Right I N
With section /n0J) of Division 3 of the Busine;S and professions Code,and ConsUuchar. ty1K lone — _ Acres _ K Left C'
my license is in lul fO Ce and effect. S ft
License class _;_—
_- �
I hereby affirm that I:lave a certificate of consent to seil•insure or a certificate y �• ��L.. ) LTV M �a• - .-- - - r -- _
or vi—efs' Compensanor InsuranG., or a certified copy thereof (Section C `� � •'�"'�4 r,,,.r=+L..- t!;!�•)_ - -a. E 1.,_:_ - T
3aoo, 1.�"N03403-90 State Fund
P�.,cy No. .-.-Cornpahy --- --
Ce-trfied copy is hereby furnished A#d _
Certi red co Is cited with the Cllipg
Date __Applicant!• -.—
EXEMPTION FROM WORKERS'C.OMP NSATION DECLARATION
(This section need no:be compl6ted lI ttr�permit is for one hundred(S100)or
lass):
t <citify *'fat in the perfo.mane Ot fhe Murk for which this permit is issued,I
shall not employ any person In any manner so as to become subject to the PLUMBING FEES E1 ECTRiCAL__ FEES MECHANICAL FEtiS
workers Compensation Laws of Califnrnla. — -- ACCT p GRADING FEES
na.., —_ _-Sir,ature �_ _ Alter Re ai: _ 1 Geneiator E]0.5KW 11 5.15KU: Boiler
NO;"ICE:it,after making this 06Claratloo,you,L.ould becorne subject to the Auto Wash 1 - Cut __Cu yards
k':Orker s' Cnmpensati..n provisions of the Labor Code, you m6st forth wi to _I Construction Pole Sub. — Ducl-Under Ground I
Fill cu.►ards
Comp'y wdh such provisions it ;his permit ,hall to deemed revoi;cd. 213EaCk
PreVenter Cooking Unit _ Duct-Structural
CONSTRUCTION LENDING AGENCY Irrioation Pole Licht Fan -Ventilating � 3401 I Plan ChKlfeeS
A ner2c, affirm I .at there is a construction lending agency!or the performance _ �_-
o' t^e vofk for which this permit is issued (,cotton 3097 Civ. C.) IClarifiers i Driers❑Gas ❑Electric i Exhaust S stem I 3225 Permit Fee S
LenCe•'s Name -•---------- ---- -- - -- -Y— ----
Lenpe••s Address _ -- _-. ___� _ Dishwasher fan _ Eva orative Cooler ! Total Fees
OWNER BUILDER UECLARATION� Fixture Traps ea. F.A.U.
HeatingSystem&Ducting
1 hereby alter r., that I am exempt from the ContraGor's L+:enW Law for the - I y ;
h.uo.,11. rerson (Section 7031.5 Business and Profess,ortal O vee: Any city or Floor Drains 1 ixture5 i_❑0-100,000 BTU 01OG,000 BTU
county wrilco requires a permit to construct,alter,improve.:fimolish or repair Floor Sinks 1 Summary of Permit Fees
airy structure. or or to its issuance,also requires we aapf+can!for such permit Outlets I Hood or Canopy i
to fie a Signed statement that he/she is licensed puts-Jant to the provisions OI Ge$Servlte lets $WI:CheS r'
the Con7actur's License lbw(Chapter 9(c�mmancin9 w,:r. Section 7�00)of - _. _ _ _ Type 1 �7 Type II ,..� 3220 Building $
0,+,s,cn 3 of the Business and Prufes ton: Cocic) or Ina: he/site is exempt Interco tors Metes r� u to 200 am s
there rr Jrn and the hasis for tire aiiege9 escn.ption. Any orlatiun of Section — _--p7 P — Refrigeration System 3221 Plumbing $
7031.5 b1 any appitcai.t for a permit s.injects the dpp,,c ant to a civil P•Tra Meter 1J over 200 amps
penalty of not more than five hundred nouar, (S500). — 00.100,000 BTU D 100,000 BTU
`_.: I, as owner of the property or my employees vritn sages M their sae Roof Drains _^ _ Subl ,�— Fire I/Fact.Bit.ICBO # 3222 Electrical $
c,impensaticn, will do Inc wnr.,,and the structure is not intended or offered — 3223 Mechanical $
for sale (Section 7044. Business and Professional Code: The contractors Trailer Sewer ❑ 15.50KW System Repair/Alteration —
Lrcense Law does not apply to an owner of a property who ba.irs of improves Sewer Ca Transformer 3124 Retention $
t Hereon, and who oOCs such -pork himself/her Wlf Of tnrot.gh his or Her own p _ _. ❑ 50+KW _ _ Fire Dampers -- -
employles,provided th.it such improvements we not m:er.oed or offered fi,�r Server Connecfit; -Bldg. _ Motors n 0.1 HP 01'h•8 — Registers 2301 SMIP Res $
sale. if, hnAever, the building or improvement is sold within une year of com- Solar COIIei,tO(s +1 -- i piction, inc owner will have the burden of proving he/'nc e,d not build fir im• Inc. Solar❑0.15 HP O16.15+ Incinerator 2.02 SMIP Cont. $
prove or the Pulpose of sale). Solar Piping — -- --- —._.__
p g Sin ;faro. Res. _ _ _
1,as owner of it property,ani exuusiveiy cnr.teacting with licensed con- 9 — _---- Misc. _ 3225 Other $
I r,Ktofs Io inns:.Uc:the project (Section 7044,Bt.smess anti professions Code: Solar Tank 1',Ilti•Fem. Res. _ I V
Tne Contractor•. L+come 4wr ones not apply to an owner Of properly v,ho — Summary ut Plan Check Ftes _
bouts of rmpfnvas tnereon,and who contracts for sucn pnriaets with a enn• Swirrming Pool/SS a Swimming P001/SOa 3401 Building
1-Mor(s) l,Censt pursuant to the Contractor's Licct.se Law). f am aware that -- ---
proof of tn.eir worker', Compensation insurance shown be provided to me. I Water Heater ISSUe __ Plumbing S
! I AM exempt under Section _. _ _.___.___-____. B.b P.C.for Injs reason Water Serviq, _ - sS1t�E�� �_--~ Elumbinl f --__
Data _�. _ —_ owner - - - --- SeQic_System
— ---- li�fi�t+� Mechanical $ _
i hereby crttify trial I nave read mis application arc state mat Inc abnve V1St� DE11LOPMENT SERVICES REklUIREMENTS: •r
:niOtmat,on is correct. I agree In comply with all city and county ordinances 3403 Other $ _
and state laws relating to building ton 'uCtion,and rieteby autnorite retire- 11MIm�^YIX 4� ------- •------------Date 'i-
sentrivts of this � to�Iri Cr up a lh0 above•mentinned propa,ty for -- - BedtlingApprondly __ _peu _ _ 3412 Planning $
m h
slaecOn
Data ---- l$$Ue 6/26/90 - Application issued By .. Data f� U "Al
— ---�'`�-f•=---•--- -�
Drivers'License or ss 9y __ --�` TOW I'm Due $ .__ —
Whrtb8akling,Canary lempotary File Copy.Pink Assessor.Goldenrod•Appha:fit
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City of Lake Elsinori
PERMIT 130 South Main Street
PERMIT NO: 91-00000104 DATE: 2/08/91
JOB ADDRESS . . . . . : 570 CENTRAL AVE
TENANT NBR, NAME . . : BLDG I
DESCRIPTION OF WORK ; ADD OR ALTER NON RESIDENTIAL
OWNER CONTRACTOR
CENTRAL BUSINESS PARK INV 89 OWNER
A.P.# . . . . . . 377-150-080 SQUARE FOOTAGE : 0
OCCUPANCY . . . : RETAIL,RESTAURANTS,OFFICE GARAGE SQ rT 0 y
CONSTRUCTION . . . TYPE 'V— NON RATED FIRE SPRNKLR
VALUATION . . . . 1,000 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 15.00
5.00 X 2.0000 VALUATION 10.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 25.00 .00 25.00
OTHER FEES
SEISMIC OTHER .50 .00 .50
PLAN CHECK FEE 16.25 .00 16.25
TOTAL, 41.75 .00 41.75
SPECIAL NOTES & CONDITIONS _
OCCUPANCY PERMIT
THIUVBUR R CEI"
`.� ONS
1�i91/iB��iPV
ACCTMgs�100�-3220
RGf'T 02—iGL9= !! WWI
91-1
T,T 81-1
► AKE ELSINORF
AEV.DATE 11.1.00
Ploose Road and Initial:
City of Lake Elsinore —_ l. 1 am Licensed under the provisions of Buslnees and Professional
Building Safety Division Code Section 7000 of seq.and my license is in full force,
2- 1, as owner of the property, or my employees w/wages os
Post in conspicuous place their sole compensation will do the work and the structure Is
A/ not intended or offered for sale.
on the job 3. 1, as owner of the property, am exclusively contracting with
t licensed contractors to construct the project.
f ---- A. I have o certificate of consent to sellinsure or a certificate
You must furnish PERMIT NUMBER
of Workers Compensation insurance or a certified copy thereof.
and the JOB ADDIQESS for?ach 5. 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 i.sued.
at all times: Note: If you should become subject to Workers Compensation
after mokitig this certification, you muss forthwith comply with
such provisions or this permit shall be deemed revoked.
Code Approvais to Inspector
ELOI Tamp Elac Sarviass
PLO] Soil Pipe Unde:ground
EL02 Elec Conduit Underground
BP01 Footings
I
SP02 Steel Reinforcement
BP03 Grout -
BP01 Slab Grcde
PL01 Underground Water Pipe
SS01 Roug`t Septic System
SWOI Ort mite Sewer -—
PL03 Ro rgh Plumbing -- -
EL03 Rough Electric-Conduit
EL04 Rough Electric-Wiring
EL05 Rough Electric-T-Bor -
MEr,I Rough Mechanical - ----
Mri02 Ducts.Ventilating —
F L04 Rough Gas Pipe-Test —
PL02 Roof Drains —
OP05 Floor Jois's --
SPab Floor Sheathing —
t
BP07 Roof Framing
B1308 Roof Sheath'ng —�-- —^ -- —.
OP09 Shear Wall E Pre-Lath —
BP10 framing 8 Flashing
BPI 1 lathing&Siding - —
BP12 Insulation
BP13 D*ywall Nailing _
PL99 Final Plumbing
EL99 Nnal Electric., i -- --
L"amp,
Final MechanicalFinc!duiiding
i
Code Pool&Spa Approvals Date Inspector —
Pool Pool Steel Rein.:Forms
P002 Poel Plumbing/Press.Test '—
P003 Pre-Gunita -- —
P004 Pool Fencing/Access
P005 Pro-Plastar — --
ELOS Rrag'.Pool Electric
POW Final Pool/Spa —
SL99 Final Solar - --
Sub List Approval -
' 1
City of Lake-Elsino
130 South Main Street
APPLICATION FOR APPLICATION NO.
BUILDING PERMIT 9
—_— APPLICATION R CEIVE
DATE
-oz
VALUATION CALCULATIONS AP# By
1st FLOOR SF SWEDINGADDRESS
2nd FLOOR SF "ACT SLOCK•PAGE t6_1 P'h
3rd FLOOR SF
GARAGE SF N1" .
STORAGE SF Z AMING
Chopt.,9 jt--.-I„C with S.ction
GRADING _ CUT CY 70110)of CIMS10n 7 of th.Eusinnt and Protns om Code.and my bt.m.I,it,1.11 fort.
-A eff.tt.
FILLCY AND
L.TYlUSINFSS
AND CLASS TAX/
VALUATION: 0 NAME
FEES HAWING
ADDRESS .�
BUILDING PERMIT $ city s E PHONE- —
CONTRACTOR'S SIGNATURE UAIE
PLAN CHECK
ADDITIONAL PLAN CHECK NAME ucENSE r
MAI:ING "'
GRADING PLAN CHECK _ x ADDRESS
c CITY STATE ZIP PHONE
NEW REPAIR OCC GRP., CONST.
DIVISION: TYPE:
M?CROFILM _— _ _ ADDITION _:MOVE NUMBER OF NUMBER OF
ALTERATION --:DEMOLISIi STORIES: BEDROOMS: _
COPIES -OTHER ZONE:
SINGLE FAMILY units HAZARD AREA? YES NO
IMPRO FEES i SCHOOL:EES aPART.rIENTS _ units
CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
TOWNHOMES units PROPOSED USE OF BUILDING:
COMMERCIAL—' ANDUSTRIA.
PAID PRESENT USE OF BUILDING:
DATE ---
JAB DESCRIPTION
I certify that I have rood this application and sfoie that the
above information?s correct. t agree to comply with city
and county ordinanras and state laws relating to builui:ding
constr:;ction, and hereby authorize representatives of this
city to enter upon the above.,.entioned property for inspec• _
tion purposes.
Dote
AGENT FOR i_l CONTRACTOR i OWNER
AGENT'S NAME
AGENT'S ADDRESS �—
STREET City STATE ZIP RE%r.DATE 11.1.90
Prclwct Addrieall CITY OF LAKE ELSINORE CONSTRUCTION PERMIT
_ _ -- Applicant to fill in all spaces except those .vithin heavy.border lines and si n all a •i V_ �_ PP Pa P g appropriate declarations
Ass�nor'r Parcel No. � �7--- PE ITN .
Owner's Nth Cpr - PhoV � TRACT NO. LOT NO. 1 UNIT NO.
Address _- _.
Arch/Brig._ license No. Xip _— TYPE OfONVERSI CT1011 J NEW U ADD L7 ALTERATION C REPAIR
Address
A.P. # Zone
DESCRIPTION OF YrpRK%USE OF BLDG. ----;
Cont racier'sNamP� rse[�
�_ = �_— TYPE OF PERMIT GRADING C7 FOUNDATION G STRUCTURAL — — T Frunt — I0
City License No. 4 1 Q _—___ _ r- TENANT ELECTRICAL .7 PLUMBING MECHANICAL B Rear N
LICENSED CONTRACTOR CECLARAT1ON 1- OTHER _— A I t
1 hereby affirm that I am licensed un-]er orev,sfons of Chaster 9(commencing PRO)ECTDESCRIPTION. Sq.Ft._._—, OCtupanty _ C Rigl:t N
K +— G
with section 7000) of Division 3 of the Business and Professions Code,and Constrection type — Zone Acres __ S Left
my license it In full force and effect. R
_
Liven I s ---License No._ — Valuation$ PCK -- -- Ping. Ref.# ,Parking Req./Provided _ _ r
Date Signature — Remarks ` _ ' 0
WORKERS'C MPENSA•rION DECLARATION ��•y r - PIanDIO(i NOTBS - - -
I hereby affirm that I haves a certificate of consent to self4nsure Or a certificate f✓ rl f• �T 0- -,_I -�Fi-"ri:_ t.'J.:i r+c' Z `'+Ci -• .r
of workers' Compensation Insurance, or a certified copy thereof (Section i
3600, Lab_ C.) �' -"
Polity No. 1.= 9P Company �Inw- 1;:,,Jf3
L) Certifled copy Is hereby furnished.
!J C I Otl y Is riled with-ttib city Bliituirg Division,
Data Appllrant - —
EXEMW1OA FROM WORY.ER�Y COMPENSATION DECLARATION
(This section need not be coma led the'tserrn+t is for one Hundred($100)or --
less).
I certify that in the performanle o work ork for which this permit is issued 1
shall not employ any person In any manner so as to become subject to the PLUMBING FEES ELECTRICAL i FEES MECHANICAL FEES �T p 6RACIN6Fff5
workers' Compensation Laws of California_ T-- - - --
Date .—_ __�—_Signature Alter, Repair Generator❑0.5KW❑ 5-15KW Boiler
NOTICE:If,after niakrn this declaration, , Auto Wash Construction Pole Sub. Duct-Under Ground Cut_�— cu yards
g ,you should become subject to the
workers' Compensation provisions of the Labor Code, yoti must formwith - -r---- -- Fill cu.yards
comaly with such provisions or ;hiS Dermot Shan he d^emod revoked. Backf low Prevonter Cooking Unit _ _ Duct-Structural
CONSTRUCTION LENDING AGENCY — 3401 Plan CheckFeef —
Backflow Irrigation Pole Light �— fan -Ventilatin
I hereby affirm that there i5 a construction tending agency for the performance g of
the work for which Ihis permit is issued (Section 3097 Civ. C.) Clarifiers i 3225 Permit Fee $ _
Lender's Name -- T_,— _ - _ ___ Dryers❑Gas ❑Electric !_ Exhaust System
Lender's Address _ ___ ____ — ______^__— Dishwasher an i Total Fees —
_ _ Evaporative Cooler j
OWNER BUILDER DECLARATION Fixture Traps ea. F.A.U. Heating System& Ducting
I hereby affirm that I am exempt from 'lid Contractor's License Law for the
foiinwntq reason (Sectir)n 7031.5 BtlsineSS and Professional Code: Any city or I Floor Drains_ Fixtures —_---i— ❑0-100 000 BTU 0100,000 BTU
county whlCh re4u-tes a permit tC construct,after.Improve.demolish or repair Floor Sinks It Summary of Permit Fees
any structure, prior to its ssuance.also reduces Ine applicant for st,cli permit _ Outlets I Hood or Canopy
to file a signed statement that fie'Sht is Itcrnsco cursuant:o the provisions of Gas Service O'.tlets Switches i Type 1 ❑ Type II lJ
the Contractor's Licensr. Law(Criaoter 9(cc•nmenung wiul Suction)000)of _. 3220 Building j —
D-visron 3 of the Business and Professions Code) or that he/shc is exempt Interceptors Meter❑ U t0 200 amps —
therefrom and the hasi:: for the al eo ener'+ lion- An violation of coon _ --p _p I Refrigeration System
leg p v sC 221 Plumbing j ---
7031.5 by any applicant for a permit sub;efts the applicant to a civil P-Trap _ Meter U over 200 amps _ 1 I 00.100,00 100,000 BTU
penalty of not more thar. five hurdr.eo dollars(S500). -- 3222 Electrical S _—
i, as owner of the property or my employees with wages as their sole Roof Drains _ Sub panel _� Firepl/Fact. Bit. ICBO_#
compensation, win do the work.Ana the structure is not intended or otferetl Trailer Sewer ❑ 15.50KW i I System Re air/Alteration .1223 Mechanical $
for safe (Section 7044, Business and Dfofessional Code: The Contractor's Transformer ! y P —.
v y p Sewer Cap _ ❑ 50+KW Fire Dampers 224 Retention c-
Li[onSC Law tloc5 nnI dpr.I t0 an owner of a Oropert who builds or improves T - —
therCon, and whit Coe% s'1Ch work hi(nseif;rerself or through his or her cwn -- - - --- -
employees, provided that such improver,ents a•e not intended Of offered for Sewer Connection- Bldg. Motors❑0.1 HP❑1%2-8 Registers C301 SMIP Res j
Sale. If, however,the bonding or improvement is sold v.ithin one year of Com• _ + 2.D2 SMIP C+Jm. r
pleti)n,the owner will hate the burden of proving he/she did not build or ion- Solar COI1ecIOrs _Inc. Solar 09.15 HP❑IA-15 Incinerator S
la.rovii for the pn•onse of sa'e). Solar Piping
i 1, ai owner no the property,am exGusively cnntrecting with licensed con- _ _ _p g__—_ _ Sing/Earn. Res. I MISC- _ _ 3225 Other 1
"Iiraclorsto construct the prn,ect (Section 7044,Busniess and Professions Code: Solar Tank Multi•Fam. Res. SemmagotPlanChtxkFe/es
'll, Contractor's License taw does not apply to r S owner of s with
la who --�---pL —i�— Swimming Pool/Spa ��— 401 Building $
bwltlS Or improves thereon,and who Contra ell for SUUi projects with aeon- Swimming POOIr'S a
tractor(s) license pursuant to the Contra Clr.)r'S License Law). I am )ware that
proof of their wor.ef's Compensation irsurance should Do nrovided lr• ire. Water Heater - _t Issue _Y Plumbing j _—
i_i I am exempt under 5r•rtrnn _ _._____.__— B.6 P.C.fnr this reason _Water Service I Electrical j
Date — _� _—_ Owner - — — Septic SVStzmT�— Mechanical $ —
I Hereby certify trial I have lean uiis appl;catlon and Stale that the, abovo AisC,—_._`� L 1OPM N BRVICESREQUIREMENTS: Oatt + 3403 Other j
nl,�rmatiull i5 Correct. 1 dgreu 1 :.onlply with All City and county Ordinances `�� y
and state haws ruiatrng to ourloui construction,and hereby authorize repro- —_ '"- -- '"-"-'— '—`— 3612 Planning $ r= t-•
sell tatives of this City to onto upon the above-mentioned prt erly for Building Approved By _ oats K ---
mspectinn purposeff _-�/YT --
L Application Issued B _ _
signature '� t7alr. Q Issue A00 y — --- _.....Date . L,L
Drivers'License TotolFepDLe S __!_! --
White BuildlAR;Ctnarydemporary file Copy.Fink-Assessor.Goldrnrod•Applicant I IN
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Irfarfa�.nwix �.�..
CIYY OF LAKE ELSINORE CONSTRUCTION PERMIT
Prolific Address - G — _ V
Asse.sor's Parcel No. 377-15 -077 Applicant to fill in all spaces except those within heavy.border lines and sign ell appropriate,declarations
Owner's Nome _Ce_ntrP1 Bus. Park InvesM& P2T NO. TRACT NO. LOT NO. UNIT NO.
Address -- •
Arch/Eng.-Konrad R!Agcer License No C87L_6 TPEOFCONSTRUC110N C NEW C' ADD 1-1 ALTERATION ❑ REPAIR.
Contractor's Name Brook tone Development Phone DESCRIPTION OF WORK/USE OF BLDG._ — E Main Building: Accessory Building: Z
Address I met ling)
- :i TENANT Ell ELECTRICAL 11 PLUMBING E. MECHRMiCAL 8 Rear N
OTHER _ T•racl r RLLr 1 oa i _ _ _ A -- I -- I
LICENSED CONTRACTOR DECLARATION PROJECT Sq.Ft.--- _Gct:upancy C Right 1 N
I hereby affirm that I am licensed under provisions of Charter 9(commencing K -- G
with section 7000) of Division 3 of the Business and Professions Code,and Constructioi; type ----._ Zone Acres _ S Left
my licer.se is in full force and effect. -�-- R
Valuabor S _PCq _
Licens£ I s �O B- se 504386 -- Ping. Ref. # Parkin RI'R/Provi d :'.: E
Date VDAR —^ Signature
--� - Q
Remarks Planning Netes Hcc Tit:if tit-"s�:i�-�'
WORKERS'COMPENSATION DECLARATION - �f QJJ - —`t-.'^-�'�:'Y7� 7:"'='"" _ T
I hereby allirnt that I have a certificate of consent to self-Insure Or a certificate
rj�(•) � �.��� '�L#ti-�h _ dL { - ~' SC , rtw! T
Jr workers' Compensation Inwrance, or a certified copy thereof tsection +��•F-u.`-•--t' $
3a00, tab. )
`1003403_90_ y State Fun.i —
\ Pofiry No. - CO - - -
Certified C'=py is hereby furnished.
Certiye cy (Z filed with the Citx g
Date. b O 11 Apolican +� —
EXEMPT;;,4 FROM WORKERS.'COMPSATION DECLARATION
h ^--
fT ,ssection need not be comp►elted if the permit is for one hundred(Stool or -
less I.
I certify that in the Performanee of the 14p rk for which this permit is issued,I
shall not employ any person in any rn gWer so as to become subject to the PLUMBING FEES_ _ ELECTRICAL FEES MECHANICAL LEES` AMT.a GRADING FEES
workers# oa�rr�rryyALi�{on Laws of CalrtordIa. ____ _ _ Alter Repair Generator DO ❑ 5_15KW Boiler
Date �1L�17V_- Syn .orb -- Cut __cu yards
NOTICE:If,alter makmg ,ms declaration,you should become subject to the • Auto Wash Construetiea Pole Sub. I I Duct-Under Ground
Workers' Compensation provis:ons of the Labor Code, you must forthwith -- Film --cu.yards
comply with such provisions or this permit shall be deemed revoked. Backflow Preventer Cooking Unit Duct-Structural
CONSTRUCTION LENDING AGENCY I Backf;ow Irrigation Pole Light Fan -Ventilating 3401 Plan Check Feet ._ q
1 hereby affirm that:here is a construction lending aoency for the performance
e of the work for wh.cn t^a permit is issued (Section 3097 Civ. C.) ' Clarifiers Dryers JGas ❑Electric V_ 3225 Permit Fee
\ Lender's Name ___.--_-. __-_--_ Exhaust System
Dishwasher Fan Eva orative Cooler Total Fees $
Lender's Aotlress
rswni"'i BUILDS R DECLARATION Fixtitre Traps ea. F.A.U. Heating System& Ducting
I r.Cuy affirm that I am e:,emut f om the Contractor's License• Law fnr thf+. Floe#Drains _!_FixtUies �_- I u0-i:)0,000 BTU �100,000 BTU
IF,flowing reason (.Section 70Y d 1.5 Business an P,olessional Ccde: Any city or __- —_ _
county which requires a cfeiriit to construct,alter,Improve,demolish or repair Summary of Permit Fees
any structure, prior to its Sinks s is.uance,also equ'res the applicant for Such permit _—_-_ •^ Outlets 1 Hood or Canopy
to file a signer, stateme-t #Fiat he'she is lice iced pursuant to the provisions of ; Gas Service Outlets I Switches I T Ue 1 ❑ Ty e 11 L,
I
Contractor's L,centr• Law(Chapter 9(commencing with Section 7000)of y P-- I 3220 Building $
Div,smn 3 of the Business and Professions Code) or that ne/sne is exempt 1 Interceptor: Meter i� up to 200 amps l Refrigeration System 3211 Plumbing $
thereirnm and the naS,s for the alleged exemption. Any violation of Section — - - _ -
70-1.5 by any applicant for a permit subjects the applicant to a civil I P-Try Meter❑ over 200 amps _L_-JQ-100,000 BTU ❑100,000 BTU
penalty of not more than five hundred dollars(s500). -- ----- 3112 Electrical $
Roof Drains Sub anel Fire I/Fact. Olt.ICBO #
1, as ov,•:Ier of tht property or my empioyeos with swages as their sole _ _ --� 11�� e- -- 3223 Mechanical $
compensatiot:, will do the wor:.,and the structure is not intended or offered Trailer Sewer ❑ 15-SOKW I System Repa',lAlteration
for sale (SeCtrdn 7044, Business and r`rofessit. ,t Code: The Cortractor's --.�- - I Tronsformer - -- -- ---}- 3224 Relenl.on $
License Law doe:not apply to an owner of a property who builds or improves I Sewer Cap L! 50+KW Fire Hampers
thereon Fi ,, and who does s'Jc cnk hunself/herself or tt• ough his or he�own -r------ - --� i —'- 2301 SMIP Res. $
.••mplovees,provided that such improvements are not in,
or offereS for _ I Sewer Connection•Bldg. ' Motors'. 0.1 HP❑1 G•8 t Registers -
SdiC. If,however,the t)u,jrImg or improvement is sold within one year Of CO in-
I --'-- �
plc ^• the owner will have the hurden of proving he/she did not build of im- Solar Collectors _ Inc. Solar�9.1_5 HP❑18.15�i Inci_neratur 23D2 SMIPCom. f _.. - ..?Z•___.
pro•. he Purpose Of sale). _4 „ Di
Solar ping _ Sing/Fam. Res _ Wise. 3225 Other f
owner ttl the pit,peaty,am CxClusively contracting with 4CC nSCd con- j ---- _---- --- -------- -
trauuo to Construct the pro;cct (section 7044,Business and Professions Code: - S,)laf Tank Multi•Fam. Res. _ _ Sum.aaryof Plan Check Fees
The Col
•I racigr% License Law does not apply to an owner nl property who - --- -�— '-
bailds Of ,marnvls thereon,am whn contract% for Such projettS with a Co- S►ylmMin Pool/tea__ —_ Swimmin Pool/Spa _ _ 340) Budding $ .....L� ��
tioctor(s) -tense oursuant In the Contractor's License Law). I aw aware that Lr� g
proof of their Wo'ker's Compensation insurance should he provileCl to me Water Heater 'I ISSUe - Plumbing $
I] I am exeml.t undf:r Section _- -_--.- _-..-- B.& P.C.fnr th1S reasonWater Service IWIP c l I--- Electnca) f
Dale_---- -_^-. �^Owner _ _-' _.-~� --_---.- _ .. _._ -- --- '"` tD jC $VStenl ---_ Mechanical
I hereby certify tv.at I nave read 1111S aPphtation and state that the above _-_ __--__ DEt(ELO/MEA`TSERNICESREnr!?!ELfNTS; 3403 Other
..._
mlo#matron is currei'. I ag'ee to cornply with „' t 11 and county nidinancos Zoning
Apgfoeed RT.. ._— --- _—Dste -___ __.__ ,
and state IaWS retell e.to bu.ding C9 uction,•and•hcrohv uurn�,ri:e repre- 3412 Planning $ - Z'
Sell td LveS of
-- Date 6/26/90 Issue ApplicatkalulledRy
/ Tobl Fee Dve f T
Drivers' License or S5 -�
White-Building,Caney Temporary File Cady,Pink-Assesses:G.Ildenrod Appljcan:
ProfectAddress t, CIrf OF LAKE ELSINORE CONSTRUCTION PERMIT
-
Assessor's Parcel No.-_377_15 -077 — Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations
Owner s Nnn,
-
Arch/Eno._kURrad Reiger __
L] CONVERSION ❑ DEMOLISH a OTHER - __ A.P. #
DrookEtone Development DESCRIPTION OFWORK;USEOFBLDG_ Zone
Contractor's Name �PttOna _ - - S Main Building: Accessory Building:
Addres;iihniling) P.O. L'�?X 93�L.E. _ TYIEOFPERMP' =! GRAD!HG FOUNDATION STRUCTURAL E - - - Z
7418 T Front z
City Licensr.Jo. _ __ C! TENANT i! ELECTRICAL -- PLUMBING - NECF`sJVICAL B -
LICENSF'OCONTRACTORD£CLARATION %� OTHER Trach F,IICTnslfrQ A Rear W
I hereby affirm that I am licensed under provisions of Cnarter 9(commencing PROJECT OES^RIPTIGN. Set Ft_ DCCUp3nCy — C Right -- -' N
with section 7000) of Division 3 of the rlvsiness and P,•ofes:aons Code,and Construction iy7e Zone G
my license is in full force and effect. Acres S Left
Licere Ij�ss �r�-
� s Remarks I ey,/protrided
WORKERS'COMPENSATION DECLARATiON _ Planning Nun HC_.Tail:11:,_itij`_�,. Q
I hereby arfirm that I have a certificate of consent to self-insure or a certificate M
of Worke•s' Compensation Insurance,;or-a certified copy thereof (Section Y I --, - �� t: •c:.`-�'r_T�J
Policy fact. 1003403-90 - CorAWqy State Fund _ _ --
Cerufiea copy is hereby furnished. -
' Certig1 sC62Y b filed with the
S100)or
lest)•
I ccrtrly that in the Performance of the vArk for which this Permit rS,ssued.I --
sea!l not employ any person in any mrMler so as to become svb:et; to the PLUMBING FEES ELECTRICAL FEES MECNAhICAI
worlars' o ryr Mt�ort Laws of California. _ _ FEES ) A GRADING FEES
Dete -� 1U Signature - _ I AlterLRepair i I Generator D0-5KW!�5-15Kt_—
V10(kers' Boiler _
NOTICE:II,after making 'this declaration,you s.lould become subrect to the AUtO WBSh '
Compensation orrewsions of the t_abr.r Code, i Construction Poie Sub. Duet•Under Ground_ ___ C0( ----Cu yards
comply YOu must tarih with _
P Y wart such prove sions or thr-: perm;t Shali be cteemea revoked. Backflnsv Preventer Cooking Unit _ RII. --Cu.yards
CONSTRUCTION LENDING AGENCY Duct-Structural
r f file woaffint that there Is a cS permit lending -- BOCkfIOW Irri — Fan •Ventilating 34D1 Plan CheckFeeS _
g agency for the performance -t--- yai. ;Pole Light nil The ,cork for which tins permit is tstued (SCctiOr. 3097 C.v. C.j hla.lfler5 --
Lcnaer•s Namc I D er5 uGas OElectric _ Exllaust St stem _ 3225 PernntFee $
Lender AadreSs _ Dishwasher j Fan _ '_Eva orativ� S OWNER BUILDER DECLARATION - - I ---� _p Cooler --�— Total
I hereby affirm that I am exempt from the ':ontractor's License Law for the Fixture Tre sea. _ f F.A.U. 7 Heating System R Ducting
fonowtnq reason (Section 7031.5 Business ant:Prcfossionat Code: Any city or , Floor Drains
Fixtures DO.100,000 BTU 100.000 BTU
county which requires a permit to Construct,0t.or,improve,tlem olish Or repair --�
any structure,poor to its issuance,also req res i:c appl,Can, fee such permit FI°"$inks _ i Outlets _ — Hood or Canopy I SummagolPermitFees
to hie a signe,: slaiement that he/she is license'l pursuant to the provisions 01 i ;. _•tVICQ 01ltIQ1S _
the Contractor's License Law(Chapter 9(commencing with Sect,om 700D)of �Switches _ i� T„nQ 1 ❑ 'Ty��_�D +,s,on 3 or the Business aria Professions C3tle) or that he/she ,s exer.Pt IntQrCe IOrS �- r-' - f jr 312G Rmldlrlg $thereto 1 and the basis for the alleged exci:,ptton. Any violation of Srcfron !_ P Meter" ❑ to Z00 amps -L'--
703i.S b an a hector for 1 p p P i Refrigeration System
y v P! Permit s•ib ects the a plicam to a civil _ P•Tra�A Meter C over 2U0 amps I 322i Plumbing $
-
pcnalty of not more than five hundred sonars(E500). _ DO-100,000 BTll 0100,000 BTU 71 —
1, as owner of tile property or my employees well, wages as tr,eir sole Roof Drains _ $Ufl anel 327 Eiectr:cal j -
cnmpensalicn, will do the work,and the structure Is nol intended Or offered Q----- ___ Flre I/Faci�Blt.IGBD #
for sale iSection 7044, Business and Professional Cnde: The C,nn%FaCtOr'S I TrailerSevnf- -� 15.50KW Syaem Repair/Alteration 3223 Mechanical
LtccnSe Lt'w does not apply to an owner of a property who builds or improves S
ewer Cap Transformer -��_- -•- 3124 RetenGnn �
tncrcon, and whJ noes such work himfClf/herfclf Or Ihrougm nos mr ner own _ _0 50+KW _ fire Dampers - S __•�.1 -
employees, provided that Such Improvements Lie not mtendea or otterea for SeW^r Conneeiion•Bl�g. Motors�� 0.1 HP�1%•$safe. If, however, the building or improvement,s sold within one year of com• Registers _ - --- ---- 2301 SMiP Res ;
Diction, the owner will have the burden of,roving he/sne dra no;build cr im• Solar COIIeCIO1S I Inc. Solar C]9 15 HP❑16 15+ ""- --` _
prove for in--,purpCSC of saki. Incinerator -- 2302 SMIPCan $
--
Solar Pi in _ _ �`---- Misc.--_-
1,as owner of the property,am ezc vaveiy contracting with i cersed con. P g I Sing/Fain. Res. - _ ___ 3115 !llhrr, $
iracto•s to construct the project (Section 7044,Busmess and Professions Code: Solar Tank ��f --
The Contractor's License Law does not apply to an owner of o,operty whit _ MU1G•Fam. Res. — —�� - - - -^`
Duda% or Improves p , - Summary of PlanCksctfees,
proves !hereon,antl who Coitra[[S for Sur-h ro e_i5 ++rth a car- Swimmin P001/$ a - �N tractor(s1 license Pursuant to the Contractor's License Law). r a.-, a++are th;it i-- g p _ Swimming Pool/Spa
T � 3401 Building t
proof of thew worker's Compensation insurance should be refr raea to rrc. 'Water Heater ---- ---
r� I,rm exempt under Section B
- - - __ -_ Plumbing j _
- - -- -- B.& P.C.in, Issue
reason Water Service — -' ,. - -- -- ------.,—_-
-_ owner - . _ Seplit-System— Electrical S
t hereby certify that I have react this a nC ,�1 DEYEIOIMENTSERYICESREQOIREMEIITS: Mechanical S _
DD loll city
Stab my the aDOwe 3111.SG.——
,n d st a eta is correct. ! agree tit comply with an city and county r;rninance5 3403 Other j
and state laws relati to bu,aing co uCtion,ana r,crehy authnrire repre• �1AlAPWOedBy.- _Data -
sentat,ves of
C .- — - -- Dale
,gnat re -- Datc 6/26/�0 ls;tie Appro ation Issued By
Drivers'LiConse or SSL
While Bwbmg.Cattily File Copy.Pmk•Acsessol.Goldenrod•Applia 1oLlFilesDue $
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CITY OF LAKE ELSINORE CONSTRUCTION PERM;T
Prolect address
A....sdr's P.,,el No.- 377-150-077 Applicant to fill in all spaces excPrs/.s,f,s .thin heavy border lines and sign all appropriate declarations
awncr's Name _Central Bus. Park Invests PERMI, G f RACT NO. i %GT NO. UNIT NO.
Address _ -�-�-�
ArchiEnp.-Koii~ad_ I;Ciger Y-_License ivy. r.8766 TYPE OFCaNSTRIJCTIOd L$NEW ADD CI ALTERATION El REPAIR
-- - A.P. # Zone
DESCRIPTION OF WORK/USE OF BLDG.-_-
Coniractor's Name�LQ9k6lgne Deve10 Metttphone_ _ _ -- E Main Building: Accessory Building:
Address(mailing) - TTPEOF►ERMIT F7 GRADING [J fOUNhaTION L STRUCTURAL T Front O
City License No. -__7418 C TENANT CJ ELECTRICAL L' PLUMBING MECHANICAL B Rear N
LICENSED CONTRACTOR DECLARATION _ OTHER ,-� Enclosu-rQ A
I hereby affirm that 1 am licensed under Provisions cf Cr+arter 9(commenciay. PROJECT DESCRIPTiON: Sq.Ft. Occupanq —- - C Right I N
with seCtip,i 7000) o1 Division 3 of the Business and P ofeSvons Code,and Construcho'. Zone Atres K Left - G
my license is in lu t ce and effect. -
S i
��04386 uatwn f_ _ Pets Ping. Ref.# �Parkifig flail Provided s s E
ljcense LCl'ars�s�_'nn ._. -- —- ---__ f R
Date__(y�2.6.,[�_ Signature _ Planning gates
Remarks
WORKERS'COMPENSATION DECLARATION -.g• - -
I hereby affirm that I have a certificate of consent,o self-insure or a certificate ,
of Rorkers' C.lmpensation Insurance, or a certified copy :hereof (Section Y_- --� '1'�� 1!1- -��.,c� - -- ___._.__— =� �,it-! F- [!•,:,,; S
3800. Let,. CA
Policy No, 1003403-90.. company S:.ats Fund__-- - - --- --- - - -- --
}� Certified Copy is hereby furnished.
Ce,97i�gc x rs filed with the gtly
is issued,1
st•.aII not employ any person In anyy manner so as to beccme subject to the _ PLUMBING FEES ELECTRICAL �I FEES MECHANICAL FEES
vyorkrr Iron L._ws of Cali1forn+a. - - +-- -- ACCT. GRADING FEE`;
Dale -_-- ___ Signature - Alter, Repair _ Generator 20.5KW G 5.15Kv I Boiler _
-L-___
NOTICE:ll,alter ma:.my ;his deUaration, you should recome :object to the - - �-- -- —cu.yards
wcrkers' Compensation provisions of the labor Code. you must forthwith 4.utu Wash - Construction Pole Sub. I Duct-.Under Grourid__ - -
fill: cu yards
comply with such prons,o,s or this ae'mit shall be deemed revoked. Baekflovi Preventer i Cookin Unit ___ Duct-Structural I --
CONSTRUrTION LENDING AGENCY - '- - --' - 3401 PlanCheck:ee$ _
1 hereby afrirn:that there is a rdnstrutti.m lend'n9 agency for the PtrformanCt I Bstkf{a.;,Irrigation I r I Pole Light
_ ; rnn_l�enyilatinq ___ ----
nf the work for which this Permit is issued (Section 3097 Coy. C.) Clarifiers Dryers OGas L)Eleetrie Exhaust System_ - -- 3215 Pefm.tFee $ ----_-_
Lender's Name
Lc,ide.•s Address ___ _ ________ __ _____ _ _ _Dishwasher _i Fan _-_- -_ : Evaporative Cooler �__- Total Far $
OWNER BUILDER DECLARATION - - I Fixture Traps ea. F.A.U. Heating System& Ducting I
i hereby affirm that I am exempt from the Contractor's License Law for!he - - I
following reason Section 7031.5 Business and Prn'r_ssirnal Code: An city:if F,i,r Drains Fixtures I
t v t _ — _ C 0 100,000 BTU 100 000 BTU
county wrilchstructure,
requires apermitto,alSo construct,ti ter,improve,demolishorrepair Floor I Outlets Sunr1tryof Permit Fits
v)y structure,poor to its issuance,also,equne5 the appl:canl for such p,rrn-ft _ _ _ _ . Hood or Canopy j
hic .I si nrd slatemeal tha' he/site t<.Iiccriwd pursuant to the provisions o/ - I _-
fna G,nlragcfnrs License Law: Chapter 9 commer.,inq with Se..tion 7000 of _ Gas$E:dice Outlets - $WitChei _ _ I j 1 :, T ell I
l I 3 -t------- -- Yam__-YQ--__._._ 3220 B'nldmQ $
tt.v::,m^t 3 of the Business and Prores;:ons Code) o• trial ne,sne ,s exempt Interee tors _Mete.,r up fo Z00 amps Refrigeration System
t iercfrom and the basis for the alleged exr- peon. Any violation of S4ct4on I 3211 Ph,rh,ne F
7031.5 by any applicant for 1 permit s.._rrcts the applicant to a Civil p-Trapp 4 Meter C over 200 amps _ FJQA00 000 B i Z 100.000 BTU � --
penalty',•f not more than five hundred rlotlars(SSoo). ----- --- - ---- - -'• -- -- 3211 EIQtGItb� Y
Roof Drains_ Sub anal _ _ �i r 1 x -----
1, a•. ,.:.her Of the property or my cmpu,veas with wager as taeir sc,le P Firekl.'Fam B.t. ICBD_ _
com,:ensatlnn will tlo the work,and tic strs,rt ore Knot ultenCed or,1fleretl _Trailer Sewer- I -- 3223 Mechlwal
it-. sett (Section 7044. Business apd Pro`rssional Code: The Contractor s -- C) 15 50KW { System Repair!Alieratfon_
Transformer J----- - 3ti4 ketenrtcn
L.icrn;n Law does not apply to an owner of a property who bmld5 or improves I Sevier Cap I U 5U+KtiY _ _l Fire Dampers - - - _ --
tnelc•(:n, and wrio does Stich wr•rM h,rnfeli,hersel' or thro'ign h.s U' her ow" - -- --- - _�-
(-iployees, ornvioCti that Such Improve.r.ews are nct intended nr offered fir Sevar Connection.Bldg. I Motors 0-1 HP(^1Y,-B Registers �'n1 SMIPRes. i -__-_-_--
sale. if,however, lr', bu,ld,nq or itoprovemen: is sold within one year of tom- - --- ----- ---
prehon,the owner will have the burden of prn.inq he;The Y..d nor Uuud nr im• -, .,01ar Collectors , Inc. Solar •.�9.15 HP f.J16.15+ ! InclltPralo( 1301 SM!PCom. S _. - t
Proof for the Pit pose of sale). • _�-.. - .. --J
as owne+ ;f +he prnoerty,am exr.�„sisrry rnntracting wdf licensed con- Solar Piping _ I )Sing/Fam. Res. ._.---___I --- --}.Mist._-.__------ ----� _-- -- 3225 Other $ -._-
.,till„:: Cons.,JCt file prigecl (Secl,n ror:,B-,sme;s and c,ofess,:)ns crier: -f Sele*Tank _—�-- --- r-- - T --- --
{ The _m)tractnr's L,CCPse Law doe•. no! a property woo --_ Multi-Fain. ties. ---- - _ _� - --------- --
apply to an owner ui t -.- q _.j _ Suntrnary of Plar.Check fees
.�.Jsic,r lrmpimes !hereon,and who c.n!racls fin such plo,etts wit71 a Con- SwimmingPooUS a _ SwimmlO i NI�� a
t raCtn ;f) ., License Law). I am aware tna; -__-__- __.___-�-._ -g-_-..�______.-.-- _ _-_-- _-•------.--,•----,- _ 340i fledan
i :�cense nurcuant to me cnnrra•1Srs } -t-------- - -- -- ---------------------- - mt al a __.1.._.�.._.__—.
proof of roes 'Vorker's Compensation ulSuran!e shmulrt nc proved^tl io me. Water Neater i Issue Plumbing $
�.t 1 am exempt unr.--r Section - ___-- -__ B.& P.C.for this reason --_-__ - -
1 Water Service y_--�-..-._ j -�-- -
lZato Pon
- -------•---
b Zvi C _- - _-- - ___-- _-- -_, Septic System Mechanv_at $
watt - %- y -- owner -�_ ____ _
I nereby rerf,fs that I have read n,is application and staff, th4t the above !>diSC___-_--_ DEIIELO►MENTSERVICESREQUIREMENTS: 3403 Other $
�-
,nto•rnat,nn is correct. I agree fit Cor`,plj with all city and county urdinancef �)a dtlfF -.
Srdnalurc laws relatin o buildm con c;,n,:,and nar�ayc utnurile rtpre• - !AV'er R1- _.__._._FJ:'• __ --- - 34I2 f
g --_.-.._.--- --
sentat,ves (r this C.
to y up tic anove•mentioned proper) for duilassAppriroBy - / pate �( Plann:ne
�✓
insoechor,Purpost /
/ ..`- b/2 7/ 0 - ensue — - _ AppGtatioA Isstls6 By
_ __ -- - ._... _ -
Dnvars'License or SS g/ _ _- w_ . - ---- --� Foal FM Dut $ ✓(�
While Buddme,Canary Temporary File ropy.Pink Assessor Goldenrod-Applicant
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CITY OF LAKE ELSNORE CONSTRUCTION PERMIT �
Project AddrA„Assessor's Parcel No. 377-130-077 - Applicant to fill in all spaces except'those within heavy border lines and sign all appropriate d3clarations
0wrler's Name Central Bus. -Park InyfL%RAs PERMIT NO._ 'rRACT NO. LOT NO. UNIT NO.
Address . �=• '�
ArchtEn9. Konrad It-iger License No C8766 TYPE4FCONSTRUCTI011 -N NErI [ ADD C ALTERATION rl REPAIR
. _
Address L CONVERSION � DEMOLISH C OTHER A.P. # Zone
—Contractor's Name Brookstone Development;, DESCIIPTION OF WOkK/USE OF BLOG.�
ho, S Main Building: Accessory Building:
Adirers(mOtling)
E 2
_ T7PEOFPERMIT ❑ GRADING C TOUNDATION STRUCTURAL T Front O
City License No. _7418 TENANT ❑ ELECTR!CAL PLUMBING MECHANICAL a Rear N
L OTHER Trash Enclosure A�
LICENSED CONTRACTOR DECLARATION 1
t he•etry ahirm that 1 am licensed under provisions or Charter 9(commerurg PROJECT DESCRIPTION: Sq.FL__ Gccupancy _ K Right _ ^__ N
with section 7000) of Division 3 of :he Business ana Professions Code,and Construction type _ Tone Acre, Left G
my license Is in fu!j force and effect. r - — S
Licer- IJ s B-1 504386 Valuation, —_pCp R
]C W ice rvo.` - - Ping. Ref. # Parkin Req./Providad E
Date.YI 2 - Signature- r
Remarks Planning Notes c`= "'' =_a 3''_ I q
WORKERS'COMPENSATION DECLARATION - — _ - _ M
1 hereby affirm that I have a cerrifica'.e of consent to self-Insure or a certificate _ _- T
of Workers' Compensat:on insurance, or a certified copy thereof (Section ,.- —_ '�- "'*�•- .l:r,.T'•. r?r[r - - s
Polio, Lab. rs b03403-90 State Fund
Policy No. --- Company---- - - - --
{.�} Certified copy is hereby furnished. ../�
18 Cegit:gb"b is filed with the C-tY 806 D4yn.
Coate.-O-/-- 7V APPliwnt �{a�_ / c - -
EXEMPTION FROM WORKERS5'C MPENSAT1oi�DECLARATION
(Thissect,on need not be cumplbted R the perm.:is for one hundred($100)or - —
Inff•, '----
1 certify that in the performance of-the•vrirk for which this permit is issued,1IN
snalI not employ any person in any manner so as to become subject to the PLUMBING FEES _ ELECTRICAL FEES MECHANICAL FEES ACCi.A GRADING FEES
Worke s' 4 pensation Laws o1 California.
natl A b __Sir,,-lure- �Alter, Repair Generator❑0.5KW_❑ 5•15KW Boiler
NOTICE:I1.after makmq trots ds:Cferation,you should become subject to the I -- Ctll:_ —cu.yards
Auto Wash Consyruction Pole Sub. Duct-Under Ground
workers' Compensation provisions of tha Labor Code you must forthwith Fill: _cu.yards
c„enply with sucit Provisions or this permit shall be aeemed revoked. BaekflcwPreventer Cooking Unit_ _ Duct-Structural
CONSTRUCTION LENDING AGENC`.' I Backilow frri anon _ Pole i h1 l Fan �— 3+D1 Plan CheckFeef -
I rierety affirm lord: there Is a construction lending agency for the performance t .-�__- � -Ventilating the work for which tins permit is issued (section 309: civ. c.) Clarifiers I 0 ers DUas ["Electric Exhaust System _-_ 3225 Permit Fee $
Lender's Name -___ _ - --- -
Ltndc,'s Add,ess -_ _ _ i Dishwasher _ i Fan _ _ Evaporative Cooler _ Total Fees f
OWNER BUILDER DECLARATION Fixture Traps ea. I I F_.A.U, Heatin S stem&Ductin -
I nereny t7hrm that 1 Jm e•ernpt from the Contractor's License` Law for the -----f- - - - - -- y 9
fonawnta reason (section 1U31.5 Business and P'otess,onal Code:Any city Or Floor Drains _ 1 Fixtures r"0•T00,000 BTU El IOU 000 B7 U
county whirr, requires a permit to construct,aher,improve.demolish or repair Floor Sinks r �- Summary of Permit Fees
any structure,print to its risuance, also requires the applicant for such perm11 Ot tlea ( Hood Or Canopy
lu h!e a s,gnea slaicment that he/she is licensed pursuant to tote provisions of , n
the Cnniractor's License l:,w(Chapter 9(Commencing v�iln Section 7000)of Gas Service Outlets I �I Switches _ I _ T C 1 _�_ _T a II___ _ ______
D� Si Uri 3 . the Rusmess ana Professions :odr-S or that he/she is exrtmpt Interco tors ---r _ Meter;]_ up to 200 amps - Y� - 3220 Bi,Jfmg f � C—
U.crefront and t:;e nasis for in%.olleged exemptr,n. Any violation of Section ---e Refrigeration System
3%21 Plumbing f -
�031-5 by any apnhatn for octon t fuulccts the applicant to a civil P-Trap Meter over 200 amps I ❑0 100:000 BTU 100 000 BTU
penalty of not more than rive humfr7a dollars(st,00). -T -L - -• 3222 I Electrical f
--. 1, as own;r of tor, properly •r my employees v,,th wages as their sae Roof Trains Subpaanel _ _ _ FirR I/Fact_Bit. ICBO = _ _ -
ContpenSaUan, will do 'he •sock,and the Struc!a•. ,s not intended or r.ffered ' Trailer Sewer l - 3223 Mechanical $
for sale (SeCtinn 7044. eus,ness and P•ntessionaf Code: Tee Contractors 1 ❑ 15-50KW � System Repair/Alteration - - {
t,ccnfe l-aw does not apply toan owner of a proparty who uuilas o'imprt,ves Sewer� - lransiormer --- �--- 3124 Rctenpon mil,
_ p ❑ 50+KW _ Fire Ltam ors _ f --- -
:hcrt:on, and wl,n i1Oc; Such work himself ihcrself or through his or First own - p
employees,provided that such improvements ate nut intended or altered for Sewer Connection Bldg. I Motors'-' 0.1 HP❑1'h-8 _ Registers — 2301 SMIP Res f _
sate. It, however,the ll havna ur mpiuvcmrtot is sots w thtn one year of COm• Solar Collector$_ Inc. Solar ❑9.15 iP 01615 Incinerator 2302 SMIPCorn —
plction,the owner wit" have rite burden Of proving he/she did riot build or,m• I + f
prove for the purpose of 'sale). -- '-- ---'-' '- ---
1,a, owne, of it:, pmue,t air exrLusively contracting Salar piping Sin !Fam. Res_ Misc. _ �- _ f
v, acting with acenfed con• _ 9 I 3215 Other
tractors:(,consfiult lie project tSr !,on 104.1,Business and ProfeSSinrs Code! Solar Tsnk T— Multi•�am. Res. 1
The contractor's L•Cenfe Law r1'cs not apply to an Owner of Propetly who - _ _ _ Summary of Plan Check I'm
bstuas or rnpioves thert! .v,an-1 ct•ntracts for such projects with a con- Swimminn PoollS rr Swimming PooliSpa — /
1,aclor s) license - ---�-- _B- --1— _ -.._ —__,.-� 3401 P.uddin $ _..� •.../.�
( Pu+f UJnI h' ".e i nnt•JCf nr'f LKCrife Icaw)- I din aware that �' ?- —1 -•-- g
proof Of their Wcrker's CO-ocosat,on insurance should he Provide(, to me. Water Heater I - __- ISSUe - -- Plumbing f
1 am exempt under Secta:. _ . .... _-_. N.L P.C.for tail reason 0 T See — T --
- Wat Service � Electrical f _-____ -
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i hefchY ccrttfy !hat I have read tni: apC•iirNhnn and halo that :nc above rr, DEYELOPMENT SERVICES REQUIREMENTS: 3403 Other f
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