HomeMy WebLinkAboutGERANIUM DRIVE 36442_15-00000695 RIVERSIDE COUNTY FIRE DEPARTMENT
OFFICL OF THE FIRE MARSHAL
CITY OF LAKE ELSINORE z
130 S. Main St, Lake Elsinore,California 92530 LA DE �- LS I RO Rf
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(951) 674-3124 Ext. 250 Dbloom�ake-Elsinore.Org '-, [BREAM Exl-RfMI:
PERMIT
PERMIT NO: 15--00000695 DATE: 3 27/15
JOB ADDRESS . . . . . 36442 GERANIUM DRIVE LT192
TENANT NBR, NAME . . TR 30495 AMBERLEAF
DESCRIPTION OF WORK FIRE SERVICES
OWNER CONTRACTOR
PARDEE FIRE SPRINKLER SYSTEMS
35050 CANYON HILLS RD 705 E. HARRISON ST, STE 200
LAKE ELSINORE CA 92532 CORONA CA 92879
800-915-3473
LIC EXP 0/00/00
A. P. # . . . . . 358-372-005 9 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION FIRE SPRNKLR
VALUATION ZONE . . . . . . R-1
FIRE SERVICES
QTY UNIT CHG ITEM CHARGE
1 . 00 X 210 . 0000 LE FIRE RES SPRK INSPECT 210 . 00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
OTHER FEES
FIRE SERVICES 210 . 00 . 00 210 . 00
TOTAL 210 . 00 . 00 210 . 00
SPECIAL NOTES L CONDITIONS
FIRE SPRINKLER INSPECTION LOT 192/PLAN
2
0`5 f)i)
City of Lake Elsinore Please read and initial
Fire Services Division 1.1 am Licensed under the provisions of Business and professional Code Section 7GOO et seq.and
Post in conspicuous place my license is in fill force.
on the job ._..___1_2..[,as owner of the property,or my employees w/wages as their sole compensation will do the work
Yoti must furnish PERMIT NUMBER and the and the structure is not intended or offered for sale.
JOB ADDRESS for each respective inspection: 3.I,as owner of the property,am exclusively contracting with licensed contractors to construct the
Approved plans must be on job project.
at all times: 4.I have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
Inspection request(951)674-3124 ext. 250 or a certified copy thereof.
S.I 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,
SprinklerSystcin _ ,. .1_,µ._ ..._..._._. tarEime, t
SKOI UG Thrust Block PrePour
SK02 Underground Rough/I lydro
SK04 Underground Flush
SK05 1weld Inspection
SK06 Overhead(tough/Hydro Gov or,
SK99 Overhead Final
SY{08 High Pile.Storage(hPE) � �m • �—_ ------- —--
SK09 In-Rack Sprinklers
S K 10 Hose Racks
SK03 ITitle 19 Verification
SK07 Bell/Main Drain/CM"fC
Hydrant System Date Inspector
HS01 U.G.Thrust Block Pre-Pour
FIS02 Underground Rough/Hydro
I IS03 Underground Flush
FIS99 Final/Signs/CMTC
Knox System Date Inspector
KS01 Knox Rapid fintry
hire Alarm Systems Date Inspector
FAO Fire Alarm Wiring Insp. _
FA02 Fire Alarm Function Test `
FA03 Fire Alarm 24 Hr Battery
FA99 Fire Alarm Final
FA05 Sprinkler Monitoring-
Fuel Storgae Tanks Date Inspector
F O I Underground Tank(S)
FTO2 Aboveground Tank(S)
FT03 Fuel Dispensers Only
Building Inspections Date Inspector
FT99 T/I Final
1*599 Shell Final
Misc.Inspections Date Inspector
MIO I Spray Booths
MI02 Hood/Duct Suppression
M103 High Pile/Rack Storage
M104 H.P.Vents/Access/Corr
M105 Haz-Mat Verification
M106 Other:
1T ' OFLake Elsinore Fire Protection Planning
LAKECi � T �( 1 3g S. Main St. • Lake Elsinore, California 92530
�t i � : LS � .j (95 T) 674-3124 Ext. 225 • Fax (951) 471-1491
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PERMIT APPLICATION FORM
Permit No. Project Name: AMBERLEAF
and rstarrct that ratter the Second submittal 0-ad Qq&r
Project Address: LOT 192/TRACT 30495/PLAN 2/36442 GERANIUM DRIVE foiled lospec;tions that additional fees will be rcqulred,
City & Zip: LAKE ELSINORE Applicant Sign: Date: 3/24/15
Contact Information 0
CONTACT PERSON: JAMIE BISHIP Company Name: FIRE SPRINKLER SYSTEMS, INC
Phone No: 800-915-3473 E-mail Address: Jamieb@fireinc.net
Plan Review Type Check appropriate items
❑ Commercial ❑ Industrial IN Residential ❑ Special Event ❑ Other
❑ Building ❑ Building Tenant Improvement ❑ High Fire Area ❑ Underground Water
6 Sprinkler System ❑ TI Sprinkler System ❑ Sprinkler Monitoring ❑ Fire Alarm System
❑ Hood & Duct Suppression System ❑ Other Suppression System ❑ Spray Booth ❑ Cell Site
❑ High Pile/Racks ❑ Operating Permit 8 Other: PERMITApPuCATtoN
Storage Tank Submittals: ❑ Dispensers Only ❑ Above Ground ❑ Underground
Official Use Only
Received Date: Reviewed by: PC Review Date:
Plans: ❑ Approved ❑ Denied Letter Attached: ❑Yes ONO Job Card Included: ❑Yes ❑No
Called for Pick-Up: Picked-Up Date: By:
Date Date Applicant Sign
Submittal Official Use Only
Received Date: Reviewed by: PC Review Date:
Plans: ❑ Approved ❑ Denied Letter Attached: ❑Yes ONO Job Card Included: ❑Yes ❑No
Called for Pick-Up. Picked-Up Date: By:
Date Date Applicant Sign
Resubmittal Fee Paid Date:
3fd Submittal Official Use Only
Received Date: Reviewed by: PC Review Date:
Plans: ❑ Approved ❑ Denied Letter Attached: ❑Yes ONO Job Card Included: ❑Yes ❑No
Called for Pick-Up: Picked-Up Date: By:
Date Date Applicant Sign
Resubmitta€ Fee Paid Date: