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HomeMy WebLinkAboutPRR 2023-216______________________________________________________________________________________________________________________________________________________________________________________________ CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION 3737 MAIN ST, STE 1000 RIVERSIDE, CA 92501-3395 1-951-880-2056 • FAX 1-951-680-6712 www.cdtfa.ca.gov CHAVEZ FITNESS INC. 44054 MARGARITA RD STE 3 TEMECULA CA 92592-2737 STATE OF CALIFORNIA ______________________________________________________________________________________________________________________________________________________________________________________________ GAVIN NEWSOM Governor AMY TONG Secretary, Government Operations Agency NICOLAS MADUROS Director Letter Date: Letter ID: May 16, 2023 L0020951701 Enclosure: Return Envelope Sincerely, Rudy Bugarin Tax Compliance Specialist Riverside Office RE: CHAVEZ FITNESS INC. DBA: CHAVEZ FITNESS INC. ACCOUNT NO.: 225-302784 DEMAND TO FURNISH INFORMATION Authorized by Government Code section 15570.82 Dear City of Lake Elsinore: The California Department of Tax and Fee Administration (CDTFA) has the authority to examine books, accounts, and papers of all persons required to report to it, or persons knowing the affairs of those required to report to it. We believe you were a service provider of CHAVEZ FITNESS INC. located at 29280 CENTRAL AVE STE C LAKE ELSINORE CA 92532-2219 . . . and that the taxpayer may have had an account with you during the period(s) April 1, 2022 through April 30, 2023. For this reason, the CDTFA requires that the following information be provided for the above mentioned period(s) through the current date: • A copy of the Application for Business License. • Copies of statements showing orders/payments received, account receivable ledger, tenant ledger, purchase history, and/or other records. • Please provide available information on officers: RENE PERALTA, RENE CHAVEZ. You can send records via fax to 951-680-6712 and/or email to Rudy.Bugarin@CDTFA.ca.gov. If you know of other persons or entities CHAVEZ FITNESS INC. may have paid during the stated time period, please include their names and addresses, and return the information with a copy of this letter in the enclosed self-addressed envelope. You may also return the information with a copy of this letter by fax. No fees should be billed to the CDTFA for responding to this record request. As requested below, please provide the name and phone number of the person responsible for your response. Your cooperation is appreciated. The information you provide may be disclosed to CHAVEZ FITNESS INC.. Please contact me at the telephone number or address listed above if you have any questions. NAME OF PERSON RESPONDING TO THIS DEMAND (please print)TELEPHONE NUMBER ( ) CDTFA-1511 REV. 8 (8-17) bL0212-1 JOANNE JACKSON 951 674.3124 x 302 BUSINESS LICENSE VERIFICATION Administrative Services Division 130 South Main Street Lake Elsinore, California 92530 PH (951) 674-3124 x 302 FAX (951) 471-0052 www.lake-elsinore.org 29280 CENTRAL AVE STE C LAKE ELSINORE, CA 92532-2219 Business Name: Business DBA: Location Address: Business License #: To Whom it may concern: This letter serves as notice that the above-named business had a business license with the City of Lake Elsinore, from 02/10/2020 through 06/30/2022. If you need additional information, please call our office at (951) 674-3124 extension 302 Sincerely, Joanne Jackson City of Lake Elsinore Business License Date: May 17, 2023 NUTRISHOP LAKE ELSINORE 024879 Printed 5/17/2023:10:52 am Business License Division ACCOUNT SUMMARY LISTING NUTRISHOP LAKE ELSINOREName: 024879Account No: 29280 CENTRAL AVE STE CStreet Address: LAKE ELSINORE, CA 92532-2219 06/30/2022Current Period ending: Business Information City, State, ZIP: Fees Penalties Adjustments Payments BalancePeriod Ending $103.78 $0.00 $0.00 $103.78 $0.00 06/30/2022 $76.00 $0.00 $0.00 $76.00 $0.00 06/30/2021 TOTAL $179.78 $0.00 $0.00 $179.78 $0.00 Account Transaction History AmountDateMethod Receipt # $103.78 06/02/2021 Credit Card 0032513 $76.00 06/22/2020 Check 0029664 TOTAL PAID $179.78 Payment History TOTAL CHARGES TOTAL PAYMENT $179.78 $179.78 TOTAL DUE $0.00 Administrative Services-Licensing 130 South Main Street Lake Elsinore, CA 92530 PH 951.674.3124 x 302 FAX 951.471.0052 www.lake-eJs!nore,grg BUSINESS LICENSE APPLICATION -COMMERCIAL (Business Compliance Application must be ilpproved prior to the issuance of your license) BUSINESS PHONE: tq5 \ -\R'=f \..\ -\t;° BUSINESS START DATE: CITY STATE 0 SOLE PROPRIETOR . CORP -LTD LIABILITY BUSINESS INFORMATION FEDERAL TAX ID: Y ".1-~ 3'0Cl 4 4Ult; OREIN# SELLERS PERMIT# STATE CONTRACTORS LICENSE: TYPE: EXP. P~H COPIES OF THE FOLLOWl~LICABLE: ICTITIOUS NAME STATEMENT ELLERS PERMIT/RESALE NUMBER 0 HEALTH PERMIT C· ABC LICENSE [] TOBACCO LICENSE 0 BUREAU OF AUTO REPAIR 0 COSMETOLOGY LICENSE CAMTC LICENSE D OTHER: OWNER 1 NAME: OWNER l NAME: HOME ADDRESS: HOME ADDRESS: CITY, STATE, ZIP CITY, STATE, ZIP PHONE: -:::fl PHONE: t:fO *State Mandated Disability Access Fee (SB 1186-$4.00 fee effedlve 1-01·18) Under federal and state law, compliance with disability access laws is a serious and significant responsibility that applies to all California building owners and tenants with buildings open to the public. You may obtain information about your legal obligations and how to comply with disability access laws at the following agencies: The Division of State Architect atwww.dgs.ca,gOY/dsa/Homumg; The Department of Rehabilitation at www.rehab.ca!lwnef.j)oV: and The California Commission on Disability Access at WWW.«dW,gQV. uaNSE FEE SCHEDULE GENERAL· $72.00 YEAR PROFESSIONAL· $94.00 YEAR CONTRACTORS· U B $108.00 YEAR C & D $ 65.00YEAR LICENSEFEESDUE :t-~,/J QO License fee J -r - *State CASp fee $4.00 Employees over 5 x$6.50ea/ Unltsover3 ___ x $6.50 8<! Total Due J 1 \.J · [ll} I declare under penalty of perjurythatthe statements made in thisapplication are true. I acknowledge and understand that the Business License Certificate issued by the City of Lake Elsinore is a receipt evidencing that I have paldtheCityoflakeElsinore Business License Tax imposed underSection 5.08 oft he Lake Elsinore Municipal Code for thr period indicated. Issuance of the certificate does ot entitle me to carry on the businesswithoutcomplyingwithalloth · buildingandzoningordina esa I therap lie le aws Applicant Signature/Date ___ -'\r:~~---"'-"<::----4----'---.;::.._......--z license Approval /Date . ' · ·i Z , 1,/J/.{) ivicom . re t11PVi1c:n11 oYJ ")l~ 0111, n-ct1 -m1\~1n~ ltMt' r~~v~lf~ 0 2 . 1 c -1.oio 3 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX ,, ........ , ' , PETER ALDANA COUNTY OF RIVERSIDE ASSESSOR-COUNTY CLERK-RECORDER Mail To: P.O. Box 751, Riverside, CA 92502-075 l --(951) 486-7000 , . ~ r ' "'\1\ 1\f~ .... OFFICE OF THE COUNTY CLERK FICTITIOUS BUSINESS NAME STATEMENT COUNTY CLERK'S FILING STAMP SEE REVERSE SIDE FOR FEES AND INSTRUCTIONS FILED CLERK'S USE ONLY County of Riverside -USE BLACK INK ONLY -Peter Aldana MUST BE TYPED OR PRINTED $ # 19-254933 Assessor-County Clerk-Recorder INITIAL CROSS OUTS Fee Receipt R-201911482 NO WHITE OUT ALLOWED Couunenls: 08/19/2019 02:48 PM Fee: $58.00 THE FOLLOWING PERSON(S) IS (ARE) DOING BUSINESS AS: Page 1 of 1 lo. Fictitious Business Nome (If more than one business name ot some address -Attach Supplcmcntnl Sheet) NUTISHOP TEMECULA lb. List C0~1PLETE PhysicaJBusiness Address (No P.o-:-Boxes or Postal Facilities) -1 ---·--~--.. --~---~~m~~;~;nty (where busincssislocated) -- 44054 MARGARTIA RD 1 TEMECULA 1 CA 92592 Mailing Address (lf different than business address -optional) 2a. Registrant Information (Individual, Corp., LLC, Gen. Partner, etc.) 2b. Registrant Information (Individual, Corp., LLC, Gen. Partner, etc.) CHAVEZ FITNESS INC. If individual-spell out fir;1, middle and last names (use dash if no middle name) If individual-spell out first, middle and last names (use dash if no middle name) 44054 MARGARITA RD Residence Address (1! Corp. or LLC enter the physical address of the Corp./LLC) ·--~~~-~--~ --~---· ·--- Residence Address (if Corp. or LLC enter the physical address of the Corp.ILL() TEMECULA CA 92592 City State Zip City State Zip List State ofCorpJLLC. Must be registered in California I CA I List State ofCorp./LLC. Must be registered in California I I 2c. Registrant Information (Individual, Corp., LLC, Gen. Partner, etc.) 2d. Registrant Information (Individual, Corp., LLC, Gen. Partner, etc.) If individual-spell out fim, middle and last names (use dash if no middle name) If individual-spell out first, middle and last names (use dash if no middle name) Residence Address (if Corp. or LLC enter the physical address of the Corp.ILL() Residence Address (if Corp. or LLC enter the physical address of the Corp.ILL() -----------------------~-------------- City State Zip City State Zip List State ofCorpJLLC. Must be registered in California I I List State of Corp./LLC. Must be registered in California I I 3. This business is conducted by: (If More Than lour Registrants -Attach Additional Sheet Showing Owner Information) 0 Individual 0 Married Couple DTrust IX! Corporation 0 General Partnership 0 A Limited Partnership 0 Co-partners 0 Joint Venture 0 Limited Liability Company 0 Limited Liability Partnership 0 An Unincoroorated Association -other than a oartnershio 0 State or Local Reaistered Domestic Partnershio 4.~ Registrant has not yet begun to transact business under the fictitious name(s) listed above. 0 Registrant commenced to transact business under the fictitious business name(s) listed above on -- I declare that all the information in this statement is trire and correct. (A registrant who declares as true any material matter pursuant to Section 17913 of the Business and Professions Code, that the registrant knows to be false, is guilty of a misdemeanor punishable by a fine nnt to exceed one thousand dollars (Sl,000).) 5. Signature(s) (!z__ -""" (Only one is required) Typed or Printed Name(s J RENE RIV AS CHAVEZ If Limited Liability Company/Corporation, Title SECRETARY QC'D BY: f iy--- THIS STATEMENT WAS FILED WITH THE COUNTY CLERK OF RIVERSIDE COUNTY ON DATE INDICATED BY FILE STAMP ABOVE NOTICE-IN ACCORDANCE WITH SUBDIVISION (a) OF SECTION 17920, A FICTITIOUS BUSINESS I HEREBY CERTIFY THAT THIS COPY IS A CORRECT COPY NAME STATEMENT GENERALLY EXPIRES AT THE END OF FIVE YEARS FROM THE DATE ON OF THE ORIGINAL STATEMENT ON FILE IN MY OFFICE. WHICH IT WAS FILED IN THE OFFICE OF THE COUNTY CLERK, EXCEPT, AS PROVIDED IN SUBDIVISION {b) OF SECTION 17920, WHERE IT EXPIRES 40 DAYS AFTER ANY CHANGE IN THE PETER ALDANA FACTS SET FORTH IN THIS STATEMENT PURSUANT TO SECTION 17913 OTHER THAN A CHANGE IN THE RESIDENCE ADDRESS OF A REGISTERED OWNER. A NEW FICTITIOUS RIVERSIDE COUNTY CLERK BUSINESS NAME STATEMENT MUST BE FILED BEFORE THE EXPIRATION. THE FILING OF THIS By~ STATEMENT DOES NOT OF ITSELF AUTHORIZE THE USE IN THIS STATE OF A FICTITIOUS , Deputy BUSINESS NAME IN VIOLATION OF THE RIGHTS OF ANOTHER FEDERAL, STATE OR COMMON LAW {SEE SECTION 14411 ET SEQ., BUSINESS AND PROFESSIONAL CODE). ArR 500 (Rev. 11/lOli') Available in Alt~rnate Fu1-mats DISPLAY CONSPICUOUSLY AT PLACE OF BUSINESS FOR WHICH ISSUED CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION March 9, 2020 ACCOUNT NUMBER I 225302784 -00003 NUTRISHOP LAKE ELSINORE CHAVEZ FITNESS INC. 29280 CENTRAL AVE STEC LAKE ELSINORE CA 92532-2219 SELLER'S PERMIT _J IS HEREBY AUTHORIZED PURSUANT TO SALES AND USE TAX LAW TO ENGAGE IN THE BUSINESS OF SELLING TANGIBLE PERSONAL PROPERTY AT THE ABOVE LOCATION. THIS PERMIT IS VALID ONLY AT THE ABOVE ADDRESS. THIS PERMIT IS VALID UNTIL REVOKED OR CANCELED AND IS NOT TRANSFERABLE. IF YOU SELL YOUR BUSINESS OR DROP OUT OF A PARTNERSHIP, NOTIFY US OR YOU COULD BE RESPONSIBLE FOR SALES AND USE TAXES OWED BY THE NEW OPERATOR OF THE BUSINESS. Office of Control: Sacramento Office NOTICE TO PERMITTEE: You are required to obey all Federal and State laws that regulate or control your business. This permit does not allow you to do otherwise. Not valid at any other address For general tax questions, please call our Customer Service Center at 1-800-400-7116 (TTY:711). For information on your rights, contact the Taxpayers' Rights Advocate Office at 1-888-324-2798 or 1·916-324-2798. CDTFA-442-R REV. 18 (5-18) A MESSAGE TO OUR NEW PERMIT HOLDER As a seller, you have rights and responsibilities under the Sales and Use Tax Law. In order to assist you in your endeavor and to better understand the law, we offer the following sources of help: Visiting our website at www.cdtfa.ca.gov Visiting an office Attending a Basic Sales and Use Tax Law class offered at one of our offices Sending your questions in writing to any one of our offices Calling our toll-free Customer Service Center at 1-800-400-7115 (TTY:711) As a seller, you have the right to issue resale certificates for merchandise that you intend to resell. You also have the responsibility of not misusing resale certificates. While the sales tax is imposed upon the retailer, You have the right to seek reimbursement of the tax from your customer You are responsible for filing and paying your sales and use tax returns timely You have the right to be treated in a fair and equitable manner by the employees of the California Department of Tax and Fee Administration (CDTFA) You are responsible for following the regulations set forth by the CDTFA As a seller, you are expected to maintain the normal books and records of a prudent businessperson. You are required to maintain these books and records for no less than four years, and make them available for inspection by a CDTFA representative when requested. You are also required to know and charge the correct sales or use tax rate, including any local and district taxes. The tax rate applicable to your sales or use may not necessarily correspond to the tax rate of your business address displayed on this permit. You are also expected to notify us if you are buying, selling, adding a location, or discontinuing your business, adding or dropping a partner, officer, or member, or when you are moving any or all of your business locations. If it becomes necessary to surrender this permit, you should only do so by mailing it to a CDTFA office, or giving it to a CDTFA representative. If you would like to know more about your rights as a taxpayer, or if you are unable to resolve an issue with CDTFA, please contact the Taxpayers' Rights Advocate Office for help by calling toll-free, 1-888-324-2798 or 1-916-324-2798. Their fax number is 1-916-323-3319. Please post this permit at the address for which It was issued and at a location visible to your customers. California Department of Tax and Fee Administration Business Tax and Fee Division ARTS-GS Articles of Incorporation of a General Stock Corporation To form a general stock corporation in California, you can fill out this form or prepare your own document, and submit for filing along with: - A $100 filing fee. - A separate, non-refundable $15 service fee also must be included, if you drop off the completed form or document. Important! Corporations in California may have to pay a minimum $800 yearly tax to the California Franchise Tax Board. For more information, go to https://www.ftb.ca.gov. Note: Before submitting the completed form, you should consult with a private attorney for advice about your specific business needs. 3180510 FILED Secretary of State State of California \ ?C APR 2 3 2015 This Space For Office Use Only For questions about this form, go to www.sos.ca.gov/businesslbe/filing-tips.htm. Corporate Name (List the proposed corporate name. Go to www.sos.ca.govlbusinesslbelname-availability.htm for general corporate name requirements and restrictions.) CD The name of the corporation is _C_h_a_v_e_z_F_it_n_e_ss_In_c_. ___________________ _ Corporate Purpose ~ The purpose of the corporation is to engage in any lawful act or activity for which a corporation may be organized under the General Corporation Law of California other than the banking business, the trust company business or the practice of a profession permitted to be incorporated by the California Corporations Code. Service of Process (List a California resident or a California registered corporate agent that agrees to be your initial agent to accept service of process in case your corporation is sued. You may list any adult who lives in California. You may not list your own corporation as the agent. Do not list an address if the agent is a California registered corporate agent as the address for service of process is already on file.) @ a. Rene Chavez Agent's Name b. 2861 Laureltree Dr., Ontario CA 91761 City (no abbreviations) State Zip I I Agent's Street Address (if agent is not a corporation) -Do not list a P. 0. Box I Corporate Addresses I I © a. 3045 S. Archibald Ave., Ste. H25 l Ontario California 91761 Initial Street Address of Corporation -Do not list a P. 0. Box City (no abbreviations) State Zip b. Initial Mailing Address of Corporation, if different from 4a City (no abbreviations) State Zip Shares (List the number of shares the corporation is authorized to issue. Note: Before shares of stock are sold or issued, the corporation must comply with the Corporate Securities Law of 1968 administered by the California Department of Business Oversight. For more information, go to www.dbo.ca.gov or call the California Department of Business Oversight at (866) 275-2677.) G°) This corporation is authorized to issue only one class of shares of stock. The total number of shares which this corporation is authorized to issue is 500 This form must be signed by each incorporator. If you need more space, attach extra pages that are 1-sided and on standard letter- sized paper 8 1/2" x 11"). All attachments are made part of these articles of incorporation. / lncorporator-Sign here Make check/money order payable to: Secretary of State Upon filing, we will return one (1) uncertified copy of your filed document for free, and will certify the copy upon request and payment of a $5 certification fee. LegalZoom.com, Inc. by Cheyenne Moseley, Assistant Secretary Print your name here By Mail Secretary of State Business Entities, P.O. Box 944260 Sacramento, CA 94244-2600 Drop-Off Secretary of State 1500 11th Street, 3rd Floor Sacramento, CA 95814 Corporations Code§§ 200-202 et seq., Revenue and Taxation Code§ 23153 ARTS-GS (REV 03/2014) 2014 California Secretary of State www.sos.ca.gov/business/be Attachment to the Articles of Incorporation of Chavez Fitness Inc. 3180510 6. The liability of the directors of the corporation for monetary damages shall be eliminated to the fullest extent permissible under California law. 7. This corporation is authorized to provide indemnification of agents (as defined in Section 317 of the California Corporations Code) through bylaw provisions, agreements with agents, vote of shareholders or disinterested directors or otherwise, in excess of the indemnification otherwise permitted by Section 317 of the California Corporations Code, subject only to the applicable limits set forth in Section 204 of the California Corporations Code with respect to actions for breach of duty to the corporation and its shareholders. 8. Any repeal or modification of the foregoing provisions of Sections 6 and 7 by the shareholders of this corporation shall not adversely affect any right or protection of an agent of this corporation existing at the time of such repeal or modification. BILLING CONTACT KIM JUN Y & A YOUNG LIVING TRUST 15518 Starview St Lake Elsinore, CA 92530 INVOICE INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INV-00022578 02/07/2020 02/07/2020 DUE REFERENCE NUMBER FEE NAME BLDG-2020-00200 INSPECTION PROCESS FEE OCCUPANCY PERMIT PROFESSIONAL DEVELOPMENT FEE -OCCUPANCY 29280 Central Ave Lake Elsinore, CA i:-:i -I :::c f11 J::-:z: :z: C'.' (j') f11 f11 A:l f11 0 ..... ..... t·.j t·.) ·=· ,-, ,-, _, February 07, 2020 INVOICE DESCRIPTION CHANG EOF OWNERSHIP TOTAL $73.00 $30.00 $5.00 SUB TOTAL $108.00 TOTAL~l~~~~~-$_1_08_._oo__, J:> C') IJ I ..... II "T..1 J::-!:&.• :z: II '-' ((1 .... ('"') i:-:1 1:"") -== II r :::c .:.. J::· J::· J::· I II -..... ..... -l=I II rn ..... OJ z :z: z C• II 0 t·.) ·-:: 8:: --,_ ~:: 1::i II l=I l=I 1=1 l=I t·.;1 II . :z: ..... ..... ...... t•.) II •=I ·= ('"") 1:-) ('") (J1 II ·::i -I rn rn f11 -.J II Al ,, ,, "Tl 00 II f11 f11 1"11 II ((1 f11 fT1 f11 .... II :c 0 II ·=· -J (.Jl (..-.I o:i II "1J c-• l=I II l=I ·::i II r l=I ·=· l=I ·=· II J:; l=I l=l ·=· II A 1=1 •:J l=I II f11 1=1 f=I II II rn II r II ((1 II II z II l=I II ::u II fT1 II II II II ....... II •:J II ((1 II II -, '-I Page 1of1 c~ (Jl J:;. :::::: NON-CONSTRUCTION CERTIFICATE OF OCCUPANCY For use with "Commercial/Retail/Industrial" business locatlons within the city limits. Inspection/Process Fee $73.00 due after Planning Approval $35.00 Occupancr Permit Required from Building Division This form must be completed by the Business Owner or Representative and approved by Planning, Building and Fire divisions prior to the issuance of your business license. 1~~~in;s~~IT1~ ·-t.Jvtr\ ~Df \A_\le._f:l~\V,or-f P~()n~ Nu-;b~-~-~-~-~~l-~.~j ':!~.iS~Q.·---~--··- -~.u~ne.s~~~~~ss 1-"\·2.fO C~Mit \ ~vt. . ~ui!e.J,~nit No.:. ··~· . .. ----~9£~!age: __ :J lO_b ... Bus~~ss O~-~e!:_ ···--·-·-··· .--__ .... . -----··. Phone Num_~r-----~-1-~ ~'J::':{ :lt;~Q ..... ~~ -.:2::_ '16 -IP+IL TypeofBusiness ertil Oays&HoursofOperationV'l\un-u · lOOl.¥Y\-'6 ,ni ·~5'\+ • 10~-1 ..... _Property Owner Name ~\) '" ~-~~ .... , ~ hone Number ".fS \ -i'-1 t;' ~'Of> l c; I ~I'-}-r1'1l -tt .P~~~~_.'.:.tyOwne.r. Ad~!~~s __ 1:'1 z.~o C:~\~.$.i~ ¥._tL,LCi~Y.:~tat~: Zip LA~_ t,:\_.SlhM+03 .. :11'.~1?-. jcompletedescrii>uon-of tiusin.essandoperatlOns: 9<~ J.. ·_s:c~v\e~J C\~-v~~1n3'~-- I [J Ne~ B~~ln~~~ -. ~ o~~~-r;h;~·Ch~~-~;----[JRe~~~ti~~-· --· c]-Oth~;· ___ .. ------ PLANNING DIVISION Please read and submit documents as required: D Lease Agreement-If you are not the property owner, provide a copy af your lease agreement. Please be advised that the business owner should also be the lease holder. [] Floor Plan-Show proposed layout of business, induding areas devoted to offices, sales, storage manufacturing, seating, rest rooms and other um. D Plot Plan-Planner will provide plot plan at time of submittal. All new signs and changes of signs require a separate permit. FIRE DIVISION =:J Completed Fire Services check list. You are required to have a Knox Box. BUILDING DIVISION Does business involve conversion of existing building to new use? Do business operations involve use or storage of hazardous or toxic materials? Does business involve any outside storage, work outside the build Ing or off-site storage? D Yes D No D Yes 0 No D Ye.s n No All changes or additions to electrical. plumbing mechanical, or structural elements require a building permit. This includes partitions over 5'9"in height and new doorways or openings. Two sets of plans shall be submitted to the Building Division and appropriate permits obtained prior to any work being done. Prior to occupying a building or unit an Occupancy Inspection is required from the Building Division. An inspection fee must be paid along with the submittal of this form. Someone must be on premises at the time ofinspection. Affidavit: I hereby certify that I have read and understood the a Applicant Signature/Date OFFICE USE ONLY APN No.'611-030-C/5 (y Zone Building Approval ___ Date ___ _ Planning Approvalc:::t;;_?JZLoateJ /7 /;;D;; 0 Fire Approval Date ___ _ Comments: {bU]b -:JOC)D: ~OU Engineering Approval Date __ _ OCCUPANCY PERMIT REQUIRED No Yes _____ _ Permit#-------- Joanne Jackson From: Sent: To: Cc: Subject: Ronnie Morales Monday, June 1, 2020 2:52 PM Joanne Jackson; Andrew Zavala; Scott Burns; Dale Heglund; David Burdick; Edward Castellanos Ronnie Morales 29280 Central Ave. Suite C -Nutrishop -2020-00200 On June 1, 2020, Nutrishop has been granted fire clearance. 1 Joanne Jackson From: Sent: To: Subject: Building has approved as well Thank You, M. Scott Burns Senior Building Inspector City of Lake Elsinore Scott Burns Wednesday, June 3, 2020 3:59 PM Ronnie Morales; Joanne Jackson; Andrew Zavala; Dale Heglund; David Burdick; Edward Castellanos RE: 29280 Central Ave. Suite C -Nutrishop -2020-00200 From: Ronnie Morales <rmorales@Lake-Elsinore.org> Sent: Monday, June 1, 2020 2:52 PM To: Joanne Jackson <jjackson@Lake-Elsinore.org>; Andrew Zavala <azavala@lake-elsinore.org>; Scott Burns <sburns@Lake-Elsinore.org>; Dale Heglund <dheglund@Lake-Elsinore.org>; David Burdick <dburdick@Lake- Elsinore.org>; Edward Castellanos <ecastellanos@Lake-Elsinore.org> Cc: Ronnie Morales <rmorales@Lake-Elsinore.org> Subject: 29280 Central Ave. Suite C -Nutrishop -2020-00200 On June 1, 2020, Nutrishop has been granted fire clearance. 1