HomeMy WebLinkAboutGERANIUM DRIVE 36442_15-00000695 RIVERSIDE COUNTY FIRE DEPARTMENT
OFFICL OF THE FIRE MARSHAL CI•?•Y OF
CITY OF LAKE ELSINORE z
130 S. Main St. Lake Elsinore,California 92530
LAKE g-LS1H0RL
(951) 674-3124 Ext. 250 Dbloom(4�Lake-Elsinore.Org '-, DREAM EXTR1.M1:
PERM
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
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City of bake Elsinore Please read and initial
Fire Services Division J y'a 1.1 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.
Oil the job _`2•.[,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 proiect-
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 1hispectorl you must forthwith comply with such provisions or this permit shall be deemed revoked.
Sl?rukicrSystein _ w. art t1 tme rmi5fi Time
SKOI UG'rhrust Block PrePour
SK02 Underground Rough/I lydro
SK04 Underground flush
SK05 1weld Inspection
SK06 Overhead(tough/Hydro ski C r-*,
SK99 Overhead final 2 tiS- IN„..
SK08 High Pile Storage(hPl-';
SK09 In-Rack Sprinklers
S K 10 Hosc Racks
SK03 ITitle 19 Verification
SK07 Bell/Main Drain/CM'rC
Hydrant System Date Inspector
HSO I U.G.Thrust Block Pre-Pour
FIS02 Underground Rough/Hydro
I IS03 JUnderground flush m
FIS99 Final/Signs/CMTC
Knox System vale inspector
KSO l Knox Rapid f:ntry
hire Alarm Systems Date Inspector
FAO Fire Alarm Wiring Insp.
FA02 Fire Alarm Function Test
FA03 Fire Alarm 24 Hr Battery
I'A99 Fire Alarm Final
FA05 Sprinkler Monitoring-
Fuel Storgae Tanks Date inspector
F 1'O I Underground Tank(S)
FT02 Aboveground Tank(S)
F'T'03 Fuel Dispensers Only
Building Inspections Date inspector
FT99 T/I Final
1�'S99 Shell Final
Misc.Inspections Date Inspector
MINI ISpray l3ooths
MI02 Hood/Duct Suppression
MI03 High Pile!Rack Storage
M104 H.P.Vents/Access/Corr.
MI05 Ilan-Mat Verification
MI06 Other:
C I IF Lake Elsinore Fire Protection Planning
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3D S. Main St. • Lake Elsinore, California 92530
LfAL J (951) 674-3124 Ext. 225 • Fax (951) 471-1491
DREAM lv4 1:�'1�€'�}:a�E Dbloorn a�Lake-Elsinore.Orq x
PERMIT APPLICATION FORM
Permit No. -��� 1 _ Project Name: AMBERLEAF
I unde:r�fand that rafter the second submif of and uft&r
Project Address: LOT 192/TRACT 30495/PLAN 2/36442 GERANIUM DRIVE failed iris€aec;t€ons that additional fees will be required,
City & Zip: LAKE ELSINORE Applicant Sign: C Date: 3/24/15
Contact Information
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 ® 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 ❑No 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 ❑No Job Card Included: ❑Yes ❑No
Called for Pick-Up: Picked-Up Date: By:
Date Date Applicant Sign
Resubmitta€ Fee Paid Date: