HomeMy WebLinkAboutOBARIA WAY 36548_15-00000793_FIRE 4=
RIVERSIDE COUNTY FIRE DEPARTMENT
OFFICE OF THE FIRE MARSHAL 01 Y OF
CITY OF LAKE ELSINORE
130 S. Main St. Lake Elsinore,California 92530
LADE LSI NOIZE
s (951) 674-3124 Ext. 250 Dbloom(,,ake-Elsinore.Org DIUAM I-XTIUMI_
PERMIT
PERMIT NO: 15-00000793 DATE: 4/06/15
JOB ADDRESS . . . . . : 36548 OBARIA WAY LT76
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 MISC 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 LOT 76
lam
5075
201 tS13
PIP
$21 00
trans I'li,m.111, I.f)7177Q
City of Lake Elsinore �/ Please read and initial
Fire Services Division I. I am Licensed under the provisions of Business and prolessional Code Section 7000 et seq.and
Post in conspicuous place my license is in full force.
on the,job 2.1,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.
JOI3 ADDRESS for each respective inspection: 3,l,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 4.1 have a certificate of consent to selfinsure or a certificate of Workers Compensation Insurance
Inspection request(951)674-3124 ext. 250 `a 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 alter making this certification,
Code Approvals Date Inspector you must forthwith comply with such provisions or this permit shall be deemed revolted,
Sprinkler System Start Time Finish Time
SKO 1 UG Thrust Block PrePour
SK02 Underground Rough/Hydro
SK04 JUnderground Flush
SK05 Weld Inspection
SK06 Overhead Rough/Hydro iD i�:1,
SK99 Overhead Find
SK08 High Pile Storage(FPE) wT
SK09 In-Rack Sprinklers
SK I V I.. 1\al M1
SK03 Title 19 Verification
SK07 Bell/Main Drain/CMTC
Hydrant System Date Inspector
HS01 U.G.Thrust Block Pre-Pour
HS02 Underground Rough/Hydro
EIS03 Underground Flush
HS99 Final/Signs/CMTC
Knox System Date Inspector
KSO 1 Knox Rapid F..ntry
Fire Alarm Systems Date Inspector
FAO Fire Alarm Wiring Insp. ------•--------_.___.__...______.._.._.�_
FA02 Fire Alarm function"rest
FA03 JFire Alarm 24 1Ir Battery
FA99 t"ire Alarm Final
FA05 Sprinkler Monitoring
Fuel Storgae Tanks Date Inspector
FTO I Underground`I ank(S)
FT02 Aboveground Tank(S)
FT03 Fuel Dispensers Only
Building Inspections Date Inspector
FT99 T/I Final
FS99 Shell Final
aMisc.Inspections Date Inspector
M 101 Spray Booths
M102 Hood/Duct Suppression
M103 High Pile/Rack Storage
M104 H.P.Vents/Access/Co,r.
M105 Flaz-Mat Verification
M106 Other:
ir
I v K I
30 S. Affain St. Lake Elsinore, California 92530
(95U 674-3124 Ext. =15 a 11bloornfid,ake-Elsinore.Ore
,l
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PERMIT APPLICATION FORM
No. / Project-No MEADOW RIDGE, P H 2-8
1-01' 76 - 36548 OBARIA WAY
LAKE E,LSINORE 92532 Applicalnt Sign- Date: 3/30/15
on itr.x,J Information
PROTECTION. INC.LYNN DRAKE ft VATIVE FjR/
Compbny-ilarn .............
cl 93-8200 -Z-mail Address: LYN FPINC.NET
Plan Review Type (Check appropriate items)
o Im,1 11 e r i ai 1 0 Industrial Residential 13 Special Event F-! Cther
----------------
L-1 i'Building 0 Building Tenant Improvement 0 High Fire Area 0 Underground Water
1@1 Sprinkler System 0 TI Sprinkler System 0 Sprinkler Monitoring 0 Fire Alarr-r-i System
0 Hood & Duct Suppression System 0 Other Suppression System 0 Spray Booth El Cell Site
L1 High Pile/Rocks 0 Operating Permit [-] Other:
Storacle Tank Submittals: 11 Dispensers Only 0 Above Ground El Underground
Y.
Reviewed by: PC Review Date'
0 Approved 0 Denied Letter Attached: E]Yes []No Jot) Card Includea- ET'r :s EIN-r,-
Called for Pick-Up: Picked-Up Date: By:
Dote qp Dote, Applicant Sigr ii
0�1-=--ON-
Dale: Reviewed by: , PC Review Date.
Piar"S: 1:1 Approved 0 Denied Letter Attached: OYes ONo Jot) Card Included: 0"es [INe
I for Pick-Up: Picked-Up Date: By:
Date Date Applicant Sign
SU b i-iiiflal Fee Paid Date.,-.3
111;g1p;!
111, 9101
Received Date: Reviewed PC Review Date..
Plans: 0 Approved El Denied Letter Attached: DYes MNo Job Cord Included: 13'(es ONo
fi!�O Oc 1-Ick-Up: Picked-Up Dote: By:
Date, Date Applicant Sign
Fee Paid Date:
............
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