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Home My WebLink AboutLAKESHORE DR 16475_FIRE SERVICES_13-00003096 Lake Elsinore Fire Protection Planning 130 S. Main,St. • lake Elsinore, California 92530 CITY OEM (951) 674-3124 Ext_ 22S • Fax (9S1) 471-1491 Dbloom��Lake-Elsinore_Org LADE LSINOIZE ()REAM EXTRUMF PERMIT PERMIT NO: 13-00003096 DATE: 10/15/13 JOB ADDRESS . . . . . 16475 LAKESHORE DR DESCRIPTION? OF WORK FIRE SERVICES OWNER _ CONTRACTOR _ PRP INVESTORS LAKEELSINORE DECONSTRUCTORS 417 29TH ST 1905 N. EVERGREEN ST NEWPORT BEACH, CA 92663 BURBANK, CA 91505 818-299-1842 LIC EXP 0/00/00 A. P. # . . . . . 379-241-057 4 SQUARE FOOTAGE 0 OCCUPANCY . . . GARAGE SQ FT 0 CONSTRUCTION . . FIRE SPRNKLR. VALUATION . . . ZONE . . . . . . UN FIRE SERVICES QTY UNIT CHG ITEM CHARGE 1 . 00 X 348 . 0000 LE FIRE TI <5 , 000 SF 348 . 00 FEE SUMMARY CHARGES PAID DtJE PERMIT FEES FIRE SERVICES 348 . 00 . 00 348 . 00 TOTAL 348 . 00 . 00 348 . 00 SPECIAL NOTES & CONDITIONS TI BUILDING FIRE INSPECTION LAK_ESHORE STRIP MALL Q3Ers 001FER2 Type: EF Dr. 1 MEC 10/15/13 15 %mipt no: 1 E013 3 1 ' affum i i1T 171004 %C VISA MOD Tram date: 10/15/13 Tire.- 9:M56 City of I ake Elsinore Please read and initial Fire Services Division place Division Post in conspicuous W 1 am t_ccensed under the provisions of Business and professional Code Section 7000 a seq.and my license is in full force. on the job 2.Las owner of the property,or my employees w/wages as their sole compensation You roust furnish PERMIT NUMBER and the pcnsaUon will do the work and the structure is not intended or offered for sale. JOB ADDRESS for each respective inspection: 3.I,as owner ofthe ro Approved plans must be on iob P perty,am exchuivdy contracting with licensed contractors to construct the I it v1 p�:,7at. I at atr rsrttcs' 4-1 have a certificate of consent to selfiruure or a certificate of Workers Com Inspection request(951)674-3124 ext. 225 per'sa(ion Insurance or a certified copy thereof S.1 shall not employ any person in any manner so as to become srrbjcct to Workers Compertmtion 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 Ins for P� you must forthwith comply with such provisions or this permit shall be deemed revoked. Sprinkler System Start Time Finish Time $KO1 UG Thrust Block PrcPour SKf)2 SK04 Underground Flush SK05 Weld lripmtion SK06 crfiead Rough/Hydro w��c,(R!rinal SKO8 High Pik Storage(FPE) SK09 In-Rack Sprinklers SK 10 Hose Racks SK03 Title 19 Vctification SK07 BcIVMain DrairJCMTC Hydrant System Date Inspector HSO1 U.G.Thrust Block Pre-pour HS02 Underground Rough/Hydro HS03 Underground Flush HS99 Fi.VSigXWCMTC Knox System Date Inspector KSO I Knox Rapid Entry Fire Alarm Systems Date Inspector FAO I Fire Alarm Wiring trip. FA02 Fire Alarm Function Test R Fire Alarm 24 Hr Battery Fire Atarm Final Sprinkler Monitoring Fad Storgae Tanks Date Inspector FTO I Underground Tank(S) F702 Abovcgrourd Tank(S) FT03 Fuel Dispensers only Building laspections Date Ins or FT99 T/1 Final ,� 1 FS99 Shell Final Misc.Inspections Date Inspector M101 Spray Booths M102 Hood/Duct Suppression M103 High PildRack Storage M104 H.P.VenWAcccss/Corr M105 Haz-Mat Verification M106 1 C JY of Lake Elsinore Fire Protection Planri.ing i i st, l (3.`.�i)� 1� .ila �i�xt, 22ai4�llkix ( l)�471,449�3f,1 'I 3 q% PLAN REVIEW FORM Permit No. 3 _' 7 Project Name: �r &� I understand that after the second submittal and after Project Address: J a failed 4inspe ions that additional fees will be required. City & Zip: l`�� ism — Applicant Sign: Dater 1 _ Contact Information 1 company N ame.CONTACT PERSON: aPhone No Q ` E-mail Address:"" �- � ��•�� l ti Plan Review T , e< Chcck apgro rime items PT Commercial ® Industrial ® Residential ® Special Event Other 0 Building 0 Building Tenant Improvement ® High Fire Area ® Underground Water Sprinkler System ® TI Sprinkler System ® Sprinkler Monitoring ® Fire Alarm System • Hood & Duct Suppression System ® Other Suppression System ® Spray Booth ® Cell Site ® High Pile/Racks ® Other: Storage Tank Submittals: ® Dispensers Only ® Above Ground ® Underground Official Use Only Submittal Received Date: Reviewed by: PC Review Date: Plans: 0 Approved ® Denied Letter Attached: ®Yes ®No Job Card Included: ®Yes ®No Called for Pick-Up: Picked-Up Date: By: Date Date Applicant Sign Official UseOhly Submittal Received Date: Reviewed by: PC Review Date: Plans: ® Approved ® Denied Letter Attached: ®Yes ®No Job Card Included: ®Yes ®No Called for Pick-Up: Picked-Up Date: By: Date Date Applicant Sign Resubmittal Fee Paid Date: Official Ote Only Submittal Received Date: Reviewed by: PC Review Date: Plans: ® Approved ® Denied Letter Attached: ®Yes ®No Job Card Included: ®Yes ONo Called for Pick-Up: Picked-Up Date: By: — Date Date Applicant Sign Resubmittal Fee Paid Date: Visit us at Lake Elsinore Fire Protection Planning Fees These are Flat Fees but there may be additional resubmittal & inspection fees based on correct 1-0 n S. Resubmittall & Reinspection Fee $149.00 Checks or Money Orders are to be made payable to: City of Lake Elsinore Plans are reviewed in the order they are received. Plan Review/Inspection Plan Fee Building 2 $1,056.00 Tenant Improvement Building 2— $696.00 I enant improvement Building (Under 5,000 sq. 11.) z ,Djq.0.UU Water System Plans 2 $614.00 (<100) $614.00 Fire Sprinkler (per head) 3 (100-500) $921.00 (500+) $1228.00 (20 or less)$307.00 Tenant Improvement Sprinkler 3 (21-100) $614.00 (100-500) $921.00 (500+)$1228.00 Residential Sprinkler 3 $614.00 Insp. $149.00 Fire Alarm System 3 $761.00 Sprinkler Monitoring System 3 $454.00 Suppression Systems 3 $454.00 Aboveground Fuel Storage Tank(first tank) 3 $584.00 - Each additional tank $149.00 High Pile or Rack Storage 3 $348.00 Fire Flow Report 1 $178.00 Technical Report—(FPE/Haz-Mat) 2 $584.00 Items not listed above are on a sliding scale staffing at $149.00- Up 3—�0 quo Doug Bloom Subject: Inspection (1) Location: 16475 Lake Shore Dr, Lake Elsinore Start: Thu 11/14/2013 10:00 AM End: Thu 11/14/2013 10:30 AM Recurrence: (none) Organizer: Doug Bloom Categories: Inspections Final Inspection 13-3095 1, FNjk- � ; J=TY () Lake is nore Fire- Protection Pl�nn.", ..9. J i 1 �.I � LSINq (951)M7A,3124«f.xi��2 5 Fax (951) 471-1491 !)itisAM 1)t`'t`ttf:M.i; 1�t.QIYlMl.,€t.IS�LI,Ul,S!,�. Qr91 3qS wo- PLAN REVIEW FORM Project Name: Axa_,� i understand that after the second submittal and after Project Address:�l �1 Q f failed inspe ions that additional fees will be required. City & Zip: a Applicant Sign: Date: d1bota'e11nf� rnat�o$; ._� - s _ � r CONTACT PERSON: � Company Name: Phone No: 0 " E-mail Address: e O �� 1 � Plan:>Rview : ek d ro �attertls Commercial ❑ Industrial Residential [I Special Event ❑ Other ❑ Building ❑ Building Tenant Improvement ® High Fire Area ® Underground Wafer Sprinkler System ❑ TI Sprinkler System ❑ Sprinkler Monitoring ❑ Fire Alarm System ❑ Hood & Duct Suppression System ❑ Other Suppression System ❑ Spray Booth ® Cell Site ❑ High Pile/Racks ❑ Other: Storage Tank Submittals: ❑ Dispensers Only ❑ Above Ground ❑ Underground Official Use • mittal • PC Review Date: Received Date:.4—f Reviewed by: Plans: ❑ Approved ❑ Denied Letter Attached: ®Yes ❑No Job Card Included: ❑Yes ❑No Called for Pick-Up: Picked-Up Date: By:Date Date Applicant sign Official Use Only 2.d SUbrAtIdl Received Date: Reviewed by: PC Review Date: Plans: ❑ Approved ❑ Denied Letter Attached: ❑Yes []No Job Card Included: ❑Yes ❑No Called for Pick-Up: Date Date Picked-Up Date: By: Applicant Sign Resubmittal Fee Paid Date: Official Use • Submittal Received Date: Reviewed by: PC Review Date: Plans: ❑ Approved ❑ Denied Letter Attached: ❑Yes ❑No Job Card Included: ❑Yes ❑No Called for Pick-Up: Picked-Up Date: By Date Date Applicant Sign Resubmittal Fee Paid Date: CITY OF LAKE ELSINORE BUILDING AND SAFETY DIVISION i Date: I d b F NOTICE ❑ Stop Work Correct Work Job Address 1 6'4 a"a� k4nv- LE Permit Number 13 -L Cm6stk�tC, rx Pr n)Q 1� 5 .I1 So5, ro -rur r-NaTeInso c1c P,ITV- pAc-in �enayiC e. Ao,--Urv%eyA ( "kcv ka��p V-) nk2c--E- Not, C-0 Inn® r'�n k�\ter CX09 � \ c�pr&% k ,I:g fHz.-f pAl-- s- ►2. ( sV--t It v& bnAn J ct n,�-u Division lnspectgr