HomeMy WebLinkAboutDAUBEN COURT 36580_16-00000084_FIRE 0
RIVERSIDE COUNTY FIRE DEPARTMENT
OFFICE OF THE FIRE MARSHAL CITY OF ,
CITY OF LAKE ELSINORE ,
LADE LSLi` ORE
130 S. Main St. ..Lake Elsinore,California 92530 .
(951)674-3124 Ext.250 Dblooni@Lake-Elsinore.Org �r DREAM EXTREME
PERMIT
PERMIT NO: 16-00000084 DATE: 1 13 16
JOB ADDRESS . . . . . 36580 DAUBEN COURT LT96
TENANT NBR, NAME . . TRACT 36115-1 MEADOW RIDGE
DESCRIPTION OF WORK FIRE SERVICES
OWNER CONTRACTOR
PARDEE INNOVATIVE FIRE PROTECTION, INC
35050 CANYON HILLS RD 8779 COTTONWOOD AVE #101
LAKE ELSINORE CA 92532 SANTEE, CA 92071
619-593-8200
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 & CONDITIONS
FIRE SPRINKLER INSPECTION
MEADOW RIDGE LOT 96
City of Lake Elsinore Please read and initial
Fire Services Division �1.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.
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.
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
SKO 1 UG Thrust Block PrePour
SK02 Underground Rough/Hydro
SK04 Underground Flush
SK05 Weld Inspection
SK06 Overhead Rough/Hydro 'an
SK99 Overhead Final S1►LI 11k, C% ,
SK08 High Pile Storage(FPE)
SK09 In-Rack Sprinklers
SK10 Hose Racks
SK03 Title 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
Knox System Date lInspector
KS01 Knox Rapid Entry
Fire Alarm Systems Date Inspector
FA01 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 1 Underground Tank(S)
FT02 Aboveground Tank(S)
FT03 Fuel Dispensers Only
Building Inspections Date Inspector
FT99 T/I Final
FS99 Shell Final
Misc.Inspections Date Inspector
MIO 1 Spray Booths
MI02 Hood/Duct Suppression
MI03 High Pile/Rack Storage
MI04 H.P.Vents/Access/Corr.
MI05 Haz-Mat Verification
MI06 Other:
' q ° 06
' .
CITY OF
KJE � '
130 S, Main St. Lake Elsinore, California 9753E
l95 1)574- E24-Wit, 225 ®I�llalocs�a arZ,a��_i�s�ore.C3r� ��A
PERMIT PPI I
Permit r 00 Project Name': MEADOW RIDGE, PH 2-12,
€� LC) -3� 8C3 DALIBEN CT i vnd ers�cih ihoP art rthe err r rEtarcf a r
s C )e ct Address: .azre tea ft t��0k c f;zy",sfis aatz!fees Will be€'o wts�:..d: .. ...
it,Y lip: LAr E ELSIN(?F�E 92532 Applicant Sign: bdte
'-onfac`f Information
LYNN DRAKE p �Name: l!�lf�l(J�IATiI�E�i�2E`FR4T�CTJ0N, INNC.
(D14fA'--"f 1 ERS0IN: Company
619-593-8200 LYNT IFPtt C.Ni T
trr + fo: E-mail Address:
9'i T'` e Check a rc ricate items
❑ Commercial ❑ Industrial 9 Residential ❑`Special E vent' C7 C�ft�er
❑ Building0 Building Tenant Improvement 0 High'Ffre Area ❑.11rxde€grouticf-yvater
Sprinkler Systern n Tl Sprinkler System ❑Spririkier b"nitoring, L Fire A€arm Systerrr
11 Hood 8, Duct Suppression System ® Other Suppression System 0 Sprajr'Booth ❑ Celi Site
Q Operating Permit ❑ Other:
tea r a
ge Tank Submittals: 0 Dispensers Only 0 Ab6' Uraurref nder unci �
'Fecelved Date: , ; P.eviewed by; � PC Revre�nr Date,
Plans: ❑ Approved Q Denied fetter Attached: QYes ❑No Jt�b Card.ln�fuded: ❑Yes ON
Called for Pick-Up— Picked-Up Date: Byq: `
Da"erapCk
a z#Cir
yam:,
y;- Rout Matt;
Plans:❑ Appro°,e Q Der,ieci Letter Attached: ❑Yes ❑Nei ., leit�Cerra lnelia?cled QYes ,O o
Called for Pick-Up: Picked-Up Date By;
Labe Dotes fil onaiar
Resubrnrttal free Paid Gate:
Plans: 0 ;approved ❑ Denied Letter Attached: ❑Yes ®No to card Included, l=tYes l7 a . .
Called for Pick-Up:_ Picked-Up Date: By:
Date Date ��A���c�
Resubmiittal Fee Paid Date:
i:IT`i' OF LAKE ELSINORE
REC#a R000 6381 1{13/2016 10:19 AN
TRAN: MISC Miscellaneous Cash Receipt
i 1PER e CC TERM: 1
4 TKBY . JJ
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INNOVATIVE FIFE PROTECTION 16-00 4 210.
1 i tit-3020-4'200 -210 o OO
Paid By e l taNOVAT I E FIRE PROTECTION
t_'r edi t-t_A hi er 1890.00 REF oit4086 ,
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APPLIECG 1890.00
0
TENDERED 1890.00
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CHANGE 0.00