HomeMy WebLinkAboutBIRCH ST 556 I'
i
-CITY
'EMI-E. �0 �E Fire Services
DREAM EXTREME ,.
130 South Main Street i
PERMIT
PERMIT NO : 08 - 00001381 DATE : 12/17/0 i
JOB ADDRESS . . . . . 556 BIRCH ST
DESCRIPTION OF WORK FIRE SUPPRESSION SYSTEM
J OWNER ---------------------- CONTRACTOR-------------------
MEDIA ONE CALPROTECTION t
556 BIRCH ST 2505 MIRA MAR AVE
LAKE ELSINORE CA 92530 LONG BEACH , CA 90815 k
562 -498 -6444 i
LIC EXP 0/00 00 !
A . P . # . . . . . 377 - 150 - 016 0 SQUARE FOOTAGE 0
OCCUPANCY GARAGE SQ FT 0
CONSTRUCTION . FIRE SPRNKLR
VALUATION ZONE . M- 1
---------------------------------------------------------._---- ------ ----
FIRE SERVICES
QTY UNIT CHG ITEM CHARGE
1 . 00 X 215 . 0000 LE FIRE SUPPRESSION 215 . 00
----------------------------------------_------------------------------- ------ i
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
-------------------------
OTHER FEES
FIRE SERVICES- _-� - - 215 . 00 215 . 00 . 00
TOTAL 215 . 00 215 . 00 . 00
SPECIAL NOTES_&_CONDITIONS
__ III
FIRE SUPRESSION SYSTEM FOR TIME WARNER
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City of Lake Elsinore Please read and initial
Fire Services Division 1.1 am Licensed under the provisions of Business and professional Code Section 7000 et spewnd
Post in conspicuous place my license is in full force.
on the job 2.I,as owner of the property,or my employees w/wages as their sole compensation will o the woik
You must furnish PERMIT NUMBER and the and the structure is not intended or offered for sale.
JOB ADDRESS for each respective inspection: 3.l,as owner of the property,am exclusively contracting with licensed contractors to constrict the
Approved plans must be on job project.
at al I times: 4.1 have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
Inspection request(951) 674-3124 ext. 239 or a certified copy thereof.
before 5:00 P.M. on prior workday. 5.1 shall not employ any person in any manner so as to become subject to Workers Compensation
Laws in the performance of the work for which this permit is issued.
Note:If you should become subject to Workers Compensation after making this certification,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revoked.
Sprinkler System Start Time Finish Time
SK01 U.G.Thrust Block Pre-Pour
SK02 Underground Rough
SK03 Underground Hydro
SK04 Underground Flush
SK05 Weld
SK06 Overhead Rough
SK07 I Overhead Hydro
SK99 Overhead Final
SK08 High Pile Storage
SK09 In-Rack Sprinklers
SK 10 Hose Racks
Hydrant System
HSO i JU.G. Drust Block Pre-Pour
HS02 Underground Rough
HS03 Underground Hydra
HSO4 Underground Flush
Knox System
KS01 Building Knox Box
KS02 Gate Access Knox Box/lock
Fire Alarm Systems
FAO Fire Alarm Wiring Inspection
FA02 I Fire Alarm Function Test
FA03 Fire Alarm 24160 Hr Batt.Test
FA99 Fire Alarm Final
FA05 Sprinkler Monitoring
Fuel Storgae Tanks
FTO 1 I Underground Tank(S)
FT02 I Aboveground Tank(S)
FT03 JFucl Dispensers Only
Building Inspections
FI'I T/I Final
FSO1 Shell Final
FF99 Final for Occupancy
Misc.Inspections
MI01 Spray Booths
MI02 Hood/Duct Extinguishing
MI03 High Pile/Rack Storage
MI04 H.P.Vents/Access/Corr.
M105 Tract Access/Hydrant Veri.
M106 Other:
07/22/2008 TUE 14: 18 FAX 2002/005
CITY OF
-LADE LSIIA,Q
DREAM EXTI:.EME ,M 130 South Main Street
APPLICATION FOR APPLICATION NO,
BUILDING PERMIT APPLICATION RECEIVED
DATEAP 9 BY
.-
r VALUATION CALCULATIONS v`��"%��
-01-DING ADDRESS
IstFLOOR 1 Z3 SF
OC E
2nd FLOOR SF TRACT
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3rd FLOOR SF 0 A
ME
W MA P 0 P
GARAGE SF N ADDRESS
E CITY A P
STORAGE SF R
hereby a Erm that am cense under provisions of c ap e— isommenc ng
DECK&BALCONIES SF with section 7000)of division 3 of the business and professions code,and
C my license OTHER: SF 0 LICENSE#Is In f�Iloiolc��ndTecl.
``11 77 CITY BUSINESS
N AND CLASS (✓'t19 —�L� TAX# 07— I
T NAMt
VALUATION: -4�4 R A MAILING e C ' U�
C ADDRESS 50 S M f) /MA'k-
FEES T C r STATElZ P
ONE
o Lot-,("
BUILDING PERMIT L R T DATE
PLAN CHECK NAME //
C
A
PLAN REVIEW R MAIL10
C JADDRESS
SEISMIC H
PLAN RETENTION ❑ NEW OCC GRP./ CONST.
❑ADDITION DIVISION: TYPE:
/LJ- ❑ALTERATION NUMBER OF NUMBER OF
❑ OTHER STORIES: BEDROOMS:
❑ SINGLE FAMILY,ZONE:
❑APARTMENTS
certify that I have read this application and state that the ❑CONDOMINIUM HAZARD YES
above Information is correct.I agree to comply with air city- ❑TOWN HOMES AREA? NO
and county ordinances and state laws relating to building ❑COMMERCIAL SPRINKLERS YES
construction,and hereby authorize representatives of this ❑INDUSTRIAL REQUIRED? NO
.city to enter upon the above-mentloned property for insp- ❑ REPAIR PROPOSED USE OF BLDG:
tion purposes, ❑ DEMOLISH PRESENT USE OF BLDG:
JOB DESCRIPTION
Signature of Applicant or Agent Date.
Agent for ('contractor ❑ owner I AKE Ft STNORE FIRE SERVICES
Agents Name Cr7,��6 Q E7GcZ Ptt� BY:
Agents Address O r�' X"Ir},5;(- N
Lac rnP �r-G'- -('/ — 9d 6THF FIRF DEPT. APPROVAL IS VALID
Street City State zip FOR ONE YEAR - SUBJECT