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Home My WebLink AboutWOODBRIDGE STREET 29226_14-00000941_FIRE �] Lake E|s'|]C)re Fire P[{]ferfi(}[l P|a[l[l'[lO 130 S. Wain Sc ° Lake E|dnoe, California 02530 51) 674-3I24 Ext. 2Z5 ° Fax (95I) 47l-l4yl `-^ ^ ' `'^ Db|oom@Luke-EbinoreDrg l0�l�� 0r0� ~��s�~ uncx^^ l �rxc^^s �_ JU ]U - 7tus dert?.* 4/17/14 TiW. 13:qo:q2 City of Lake Elsinore Please read and initial Fire Services Division I. I am Licensed under the provisions of Business and professional Code Section 7000 et seq.and 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 do the work You must furnish PERMIT NUMBER and the and the structure is not intended or offered for sale. I JOB ADDRESS for each respective inspection; ! 3. Las owner of the property,am exclusively contracting with licensed contractors to construct the I Approved plans must be on job ( project. at all times; 4. 1 have a certificate of consent to set finsure or a certificate of Workers Compensation insurance Inspection request(951)674-3124 ext. 225 I or a certified copy thereof. 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 Approvais irate iinspector you must forthwith comply with such provisions or this permit shall be deemed revoked. Sprinkler System Start Time Finish Time 5•ta•tw a � ,� e ,�� c� SKO 1 UG Thrust Block PrePour SK02 Underground Rough/Hydro 15 tN , SK04 Underground Flush SK05 Weld inspection SK06 loverhead Rough/Hydro tB,tm P,r, SK99 Overhead Final SK08 High Pile Storage(FPE) SK09 In-Rack Sprinklers SK 10 Hose Racks SK03 ITitle 19 Verification SK07 Bell/Main Drain/CMTC Hydrant System Date Inspector HS01 U.G.Thrust Block Pre-Pour HS02 Underground Rough/Hydro HS03 Underground Flush HS99 Final/Signs/CMTC l r Knox System Date Inspector KSO1 Knox Rapid Fntni e r Fire 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 FTO l Underground Tank(S) FT02 lAboveground Tank(S) FT03 JFuel Dispensers Only Building Inspections Date Inspector FT99 T/I Final FS99 Shelf Final Misc.Inspections Date lInspector MI01 Spray Booths M102 Flood/Duct Suppression MI03 lHigh Pile/Rack Storage M104 H.P. Vents/Access/Corr. M105 Haz-Mat Verification MI06 Other. t Y_ C:TY of Lake Elsinore Fire Protection Planning L 0 S. Main St. a Lake Elsinore, California 92530 A E c" S I N0 RX (951) 674-3124 Ext. 225 & Fax (951) 471-1491 DR[,/\m EXHU-NIF Dblooni@Lake-Elsinore..Orq PLAN REVIEW FORM Permit No. gql Project Name: Lc l .'aw"djag, I understand- after the second submittal and after Project Address: FqD d inspections.that ad41on`6fkfees will be required. a(u failed Applicant Sig pqte: City & ZiID:-. n: Contact Information T Ai v)4. f CONTACT PERSON: company Name: E-mail Address: V/1 Phone No:, H; I i 1 -i'ful'o - Plan Review Type (Check appro priate items) 0 Commercial 0 Industrial 0 Residential 0 Special Event 0 Other 0 Building 0 Building Tenant improvement 0 High Fire Area 0 Underground Water ,'Sprinkler System 0 TI Sprinkler System 0 Sprinkler Monitoring 0 Fire Alarm System 10 Hood & Duct Suppression System, q 0. her S pre-ssion SV tp.m 0 Spray Booth 0 Cell Site RD 0 High Pile/Racks ther: -1 Underground Storage Tank Submittals: 0 Dispensers Only ❑ Above Ground r Official Use Only 1stsulzrinlittall Received Date: Reviewed by: PC Review Date: Plans: 0 Approved 0 Denied Letter Attached: E]Yes DNo Job Card Included: DYes ONo Called for Pick-Up: Picked-Up Date: - By: F),fe Date Applicant Sign Official Use C n y 2nd Submittal Received Date: Reviewed by: PC Review Date: Plans: 0 Approved M Denied Letter Attached: E]Yes ONo Job Card Included: DYes DNo Called for Pick-Up: Picked-Up Date:_ By: Date Date Applicant Sign Resubmittal Fee Paid Date: Offli all Use OnI 3rd Submittal ci y Received Date: Reviewed by: PC Review Date: Plans: El Approved 0 Denied Letter Attached: DYes l7lNo Job Card Included: DYes ONo Called for Pick-Up: Picked-Up Date: _ By: Date Date Applicant Sign Resubmittal Fee Paid Date: