HomeMy WebLinkAbout023993_1169_Sep0319_103936AM_023993 FERGUSON & FIRE FABRICATION BUSINESS LICENSE CITY OF LAKE ELSINORE
This business license is issued for revenue purposes only and does not grant authorization Administrative Services-Licensing
to operate a business. This business license is issued without verification that the holder is 130 South Main Street, Lake Elsinore, CA 92530
subject to or exempted from licensing by the state, county, federal government, or any PH (951)674-3124
other governmental agency.
Business Name: FERGUSON FIRE&FABRICATION BUSINESS LICENSE NO. 023993
Business Location: 32543 CORYDON ST STE B Business Type: WHOLESALE/GENERAL-MISC.
LAKE ELSINORE,CA 92530-9130
Owner Name(s): LAKE ELSINORE REALTY#LLC NORMAN,BRODY Description: WHOLESALE DISTRIBUTOR OF
WATERWORKS SUPPLIES
Issue Date: 10/1/2024 Expiration Date: 9/30/2025
FERGUSON FIRE&FABRICATION
FERGUSON ENTERPRISES, INC.
251 LITTLE FALLS DR
WILMINGTON, DE 19808-1674
Starting January 1, 2021, Assembly Bill 1607 requires the prevention of gender-based discrimination of business establishments. A full notice is available in English or other
languages by going to:https://www.dca.ca.gov/publications/
TO BE POSTED IN A CONSPICUOUS PLACE THIS IS YOUR LICENSE • NOT TRANSFERABLE
Administrative Services-LicensingOFFICE USE ONLY _
Crry c2r 130 South Main Street LICENSE NO
LADE ,LS I NOKE Lake Elsinore,CA 92530 1F 'lam
DREAM F.XrRG bVc PH 951.674.3124 x 302 BUSINESS ID NO:
FAX 951.471.0052 CONTACT ID NO:
vvww.la ke-elsi nore.or9
BUSINESS LICENSE APPLICATION-COMMERCIAL
(Business Compliance Application must be approved prior to the issuance of your license)
BUSINESS NAME: FERGUSON FIRE& FABRICATION BUSINESS PHONE: APPLIED FOR
CORPORATE NAME(If applicable) FERGUSON ENTERPRISES INCBUSINESS START DATE: 1.2.19
LOCATION ADDRESS: 32543 Corydon Road, Suite B Lake Elsinore, CA ZIP: 82530
EMAIL ADDRESS: Pollie.Rawles@ferguson.com WEBSITE: www.ferguson.com
BUSINESS DESCRIPTION: Wholesale distributor of waterworks supplies
MAILING ADDRESS IF DIFFERENT THAN ABOVE
ADDRESS Attn: Business License PO Box 2778
CITY Newport News STATEVA ZIP: 23609
CORPORATION [] SOLE PROPRIETOR ( ] PARTNERSHIP TRUST
❑ NON-PROFIT ❑ CORP-LTD LIABILITY �_ OTHER
BUSINESS INFORMATION
FEDERALTA OR EIN# SELLERS PERMIT# SR Y AP 40-609769
STATE CONTRACTORS LICENSE: TYPE: EXR
PLEASE ATTACH COPIES OF THE FOLLOWING IF APPLICABLE:
❑ FICTITIOUS NAME STATEMENT ❑SELLERS PERMIT/RESALE NUMBER ❑ HEALTH PERMIT
❑ ABC LICENSE 171 TOBACCO LICENSE ❑BUREAU OF AUTO REPAIR ❑ COSMETOLOGY LICENSE
i
— CAMTC LICENSE ❑ OTHER:
Lake Elsinore Real #1 LLC Norman, rod
OWNER 1 NAME: � BOWNER 1 NAME:
HOME ADDRESS: 3835 R E. Thousand Oaks Blvd, Ste 269 HOME ADDRESS:
CRY,STATE,ZIP Westlake V611aae, CA 91362CITY,STATE,ZIP
PHONE: 818-763-2458 PHONE:
'State Mandated Disability Access Fee(SB 1186-$4.00 fee effective 1-01-18) Under federal and state law,compliance with disability access laws is a serious and
significant responsibility that applies to all CaGfomia budding 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 at www,dasca.gov/dWHomeas The Department of Rehabilitation at
www.rehab.tahwnetAov and The California Commission on Disability Access at www.ada.ca.aov.
LICENSE FEE SCHEDULE I declare under penalty of perjury that the statements made in this application are true.I acknowledge and
GENERAL- $72.00 YEAR understand that the Business license Certificate issued by the City of Lake Elsinore is a receipt evidendng
PROFESSIONAL- $94.00YEAR thatlhavepaidtheCityofLakeElsinoreBusinessLicenseTaxImposedunderSection5.08oftheLakeElsinore
CONTRACTORS- A&B$108.00 YEAR Municipal Code for the period indicated. Issuance of the certificate does not entitle me to carry on the
C&D $65.00YEAR businesswithoutcomplyingwith Illother City building and zoning ordinancesancl al I otherapplicablelaws.
LICENSE FEES DUE
License fee 72.00
*State CASp fee $4.00 Applicant Signature/Date Zt1 l
Emprb s over 5
x$6so ea J License Approval/DateV '6
Units over 3
x$6S0 ea
Total Due 0 16 ` Q 0
DISPLAY CONSPICUOUSLY AT PLACE OF BUSINESS FOR WHICH ISSUED
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
SELLER'S PERMIT
♦ dA.
December 3, 2018 ,
ACCOUNT NUMBER �� •
040609769-00024 no
Office of Control:
FERGUSON FIRE & FABRICATION, INC Out-of-State/New York
FERGUSON FIRE & FABRICATION INC NOTICE TOPERMITTEE:
32543 CORYDON ST STE B You are required to obey all
Federal and State laws that
LAKE ELSINORE CA 92530-9130 regulate or control your
LSA business. This permit does
not allow you to do
otherwise.
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.
Not valid at any other address
For general tax questions,please call our Customer Service Center at 1-800a400-7115(TTY:711).
For information on your rights,contact the Taxpayers'Rights Advocate Office at 1-888-324-2798 or 1-916-324-2798.
CDTFA,42-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.cdfa.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
CIA' on-^- NON-CONSTRUCTION CERTIFICATE OF OCCUPANCY
LAKJE LS1Pi0B,_F r-oruse with'CommrcJal/RetoAndustrial'business locatlonswimn thedw limits.
n 611
Inspactlan/Process Fee$73.00AUt after Planning Approval
$35.000ccupwicy ParmitRequired from Building Division
This form must be completed by the Business Owner or Representative and approved by Planning,Building
and Fire divisions pdor to the issuance of your business license.
...................
-
Business Name 1��4- one.Num I'll-cr T:;,—
!,Business Address -3 Suiteftlt N(x:
Business Owner _Ivv4- 0,4�r ri:Fe-5* J;je- Phone m ne Number -77t 6---
�k��� I I—- -'. . ' _ 75 — 9-
'.,Type of Business IL'41'e'Qe 5 1 a"&Hours of Operation A—F:-
er Narne L, Phone Number
Property Owner Address State,
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iCgXIet:e ption o s ��1;� uisin ss and ti s.
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New Business ❑ ownership Change Relocation i Other
PLANNING DIVISION
Please read and submit documents as required.
went-ff you are riot the ptopettyowner,provide a copy of your lease agreement.Please beadvised that the business owner should also
easeholder.
at Plan- proposed.layout of busimstr(cludirM areas devoted to offices,sales,storage manufacturing,seating,rest rows and other uses.
t1oltarPlan-Planner will provide plot plan at tune of submittal,
All new signs and changes ofsigns require a separate permit.
F17 DIVISION
have&Knox Box
T Completed fire Services check list.You are required to h
BUILDING DIVISION
Does business hwolve conversion of existing building to new use! No
Do business operations imive use or storage of hazardous or toxic materials? 1. ,l
yes
Does business involve any outside storage,v#A outside the building of off-site storage? ( Yes NO
All changes oraddifions toelectficai,plumbing mechanical,or structural elements require a Wing permit This Includes partitions over 59'in height
and new doorways or openings,Twosets of plans shag be submitted to the Building OlMsion and appropriate permits obtained prior to any work being
done.
Prior to occupying a builcling.4or unit an Occupancy inspection is required from the Building Division.An inspection fee mustte paid along with the
submittal of this form.Someone must be on premises at the time of inspection.
Affidavit
I hereby certify that I have read and understood abov that the information furnished is accurate true,and correct.
Applicant SignatureMate
Zone__
42c;".--�.:E ONLY
APN No. 0 Zone Building Approval Date
Planning Approval Date-��-&jT Fire Approval _ Date-----
Comments: "4 "5 !f Engineering Approval Date
OCCUPANCY PeRivirr REQUIRED
CUP Reclitfired YOK Permit
Otto)ya#;
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GENERAL NOTES
I A. CONTRACTOR SHALL FIELD VERIFY EXISTING CONDITIONS AND
COORDINATE WITH ALL OTHER TRADES.IN CASE OF
'-*--_ DISCREPANCIES OR ANY POTENTIAL CONFLICTS,INFORM THE
ARCHITECT AND ENGINEER IN WRITING PRIOR TO START OF WORK.
1 B. CONTRACTOR SHALL VERIFY EXACT OUAPmTIES,LOCATIONS AND
79 HEIGHTS OF ALL_ 1 TO START WORK.FIXTURES WITH TENANT AND ARCHITECT PRIOR
I I
I C.
CIRCUIT NUMBER(S)EASSHOWN ECTED TO EXISTING PANEL'B'.
- - - - - - - -r D. ALL FIXTURES PROVIDED WITH EGRESS LIGHTING BATTERY PACK
- BACK-UP SHAY.BE FED FROM UNSWTTCHED CIRCUIT SERVING
LIGHTING IN SAME AREA PER NEC ARTICLE 700.12(
EMERGENCY BATTERY PACK SHALL BE ACTIVATED ON Y UPON
NORMAL POWER FAILURE.
I KEY NOTES
I� }
O EXISTING SKYLIGHT TO REMAIN,TYPICAL OF 12. 2 SKYLIGHTS WILL
F I 7 I REWIRE REPAIR.
t I I I O EXISTING TRANSLUCENT PANEL ROOFING TO REMAIN,TYPICAL OF
47.
NEW LED LIGHTING TO REPLACE EXISTING TSHO FLUORESCENT
LIGHTING ONFIXTURES
CABLL AND UTILIZE EXISTING LIGHTING FIXTURE
SUSPENSION ES/YARES.
O NEW LED LIGHTING AND NEW LIGHTING FIXTURE SUSPENSION
CABLES/WIRES TO MATCH EXISTING TYPE AND ATTACHMENT WITHIN
THIS AEA ONLY.
- O NEW DAYLIGHT HARVESTING SKYLIGHT SENSOR FACING UP.
PROVIDE SENSOR AND ALL CONTROL WIRING COMPATIBLE WITH
3. NEW HIGH BAY LED LIGHTING FIXTURES SO THAT A COMPLETE,
OPERABLE AND CODE COMPLAINT SYSTEM IS PROVIDED. TARGET
ILLUMINANCE AT 31f ABOVE FINISH FLOOR SHALL BE 70-75Aw �11'♦1
FOOT-CANDLES.
7 F 16-DIAMETER CEILING FAN WITH TUBE EXTENSION(S)SO THAT
` BOTTOM OF FAN IS LEVEL WITH BOTTOM OF ADJACENT UGHT (V
T-F T FIXTURES,BIG ASS SOLUTIONS FAN/PFX3-16(OR EQUAL).
COMPATIBLE FAN CONTROLLER(S)AS NEEDED FORA COMPLETE
AND OPERABLE SYSTEM,COORDINATE EXACT REWIREMENTS WITH Q
OWNER PRIOR TO START OF WORK. /A
O PROVIDE HOME RUNS TO EXISTING PANEL'B',CIRCUITS 16.18,20 V
I I AND 22A24,28, EACH WITH 3112, 1/12 GROUND,BOTH IN THE
SAME CONDUIT. NATET REQUIREMENTS WITH
`'�—'I". ,-. w.. ,p - I EQUIPMENT MANUFACTURER APRIOR TOSTART OF WORK cr
t' X li I i Q EXISTING COMBINATION EXIT-EGRESS LIGHTING FIXTURE TO REMAIN. O
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6/26/2018
I I I 1 MO SPECIALTY DR. Riddick Fiedler Stern Pa
SUITE E
VISTA'CA 92061 A 1�8•=1'-0•
TEL:(760)560-0100
FAX:(760)560-0101 Satellite 11743-1776
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GENERAL NOTES
X CONTRACTOR SHALL FIELD VERIFY EXISTING CONDITIONS AND
COORDINATE WITH ALL OTHER TRADES.IN CASE OF
DISCREPANCIES OR ANY POTENTIAL CONFLICTS,INFORM THE
ARCHITECT AND ENGINEER IN WRITING PRIOR TO START OF WORK.
B. CONTRACrR SHALL VERIFY EXACT OUAN7TTIES,LOCATIONS AND
HEIGHTS OF ALL FIXTURES WITH TENANT ANO ARCHITECT PRIOR
TO START OF WORK.
C. ALL LIGHTING TO BE CONNECTED TO EXISTING PANEL'B'.
CIRCUIT NUMBER(S)AS SHOWN.
D. ALL FIXTURES PROVIDED WITH EGRESS LIGHTING BATTERY PACK
BACK-UP SHALL BE FED FROM UNSWITCHED CIRCUIT SERVING
LIGHTING IN SAME AREA PER NEC ARTICLE 700.12(�.
EMERGENCY BATTERY PACK SHALL BE ACTIVATED ONN Y UPON
NORMAL POWER FAILURE.
[[ KEY NOTES
F O1 DUSTING SKYLIGHT TO REMAIN.TYPICAL OF 12, 2 SKYLIGHTS WILL
L1 REOUIRE REPAIR.
O EXISTING TRANSLUCENT PANEL ROOTING TO REMAIN,TYPICAL OF
47.
O NEW LED LIGHTING TO REPLACE EXISTING T5HO FLUORESCENT
LIGHTING FIXTURES AND UTILIZE EXISTING UGHTING FIXTURE
SUSPENSION CABLES/WIRES.
I, O NEW LED LIGHTING AND NEW LIGHTING FIXTURE SUSPENSION
CABLES/WIRES TO MATCH EXISTING TYPE AND ATTACHMENT WITHIN
THIS AREA ONLY.
O NEW LIGHTING CONTROL PANEL'LCP',REFER TO CONTROL PANEL
SCHEDULE ON SHEET EO.2 FOR MORE INFORMATION.
O EXISTING COMBINATION EXIT-EGRESS UGFM14G FIXTURE TO REMAIN. O
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Riddick Fiedler Stem pc
13GO SPECIALTY DR.
SUITE E
VISTA, 92001
TEL:(760)0)5600100 A.
FAX:(760)560-0101 b Satellite 11743-1776
1A 09-06-10 E2.2
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CITY C) F
?i LAKE L,S I C) R, E I�
L7 IZ E A M 1_X I" It 1: M F 130 South Blain Street
APPLICATION FOR PLICATION NO -2242-
BUILDING PERMIT APPLI TIO CE Ijf
DATE (�
AP
VALUATION CALCULATIONS O " CYZI tsy
1st FLOOR SF a
2nd FLOOR SF
3rd FLOOR SF O AQ� f$ {.iz-
W
GARAGE SF N ADDRESS
E
STORAGE SF R
hereloy arnrm that I am 11114canpea sneer provisions of chaptervcommencin
DECK&BALCONIES SF with section 7000)of divlaio 3 of the business and professions code,and
C my license is In full torte and effect.
OTHER: SF O LICENSE* CITY BUSINESS
N AND CLASS TAX#
T NAME
VALUATION: R
A MAILING
C ADDRESS
FEES T CITY STATEIZIP PHONE
O
BUILDING PERMIT S R CONTRACTOR'S SIGNATURE DATE
PLAN CHECK
A
PLAN REVIEW R MAILING
C ADDRESS
SEISMIC H CITY STATE/ZIP PHONE
PLAN RETENTION ❑ NEW OCC GRP_I CONST
0 ADDITION DIVISION: TYPE
❑ALTERATION NUMBER OF NUMBER OF
❑OTHER STORIES: BEDROOMS:
❑ SINGLE FAMILY ZONE
❑ APARTMENTS
❑ I certify that I have read this application and state that the ❑ CONDOMINIUMS HAZARD YES
above information is correct. I agree to comply with all city p TOWN HOMES AREA? NO
and county ordinances and state laws relating to building ❑ COMMERCIAL SPRINKLERS YES
construction, and hereby authorize representatives of this 0 INDUSTRIAL REQUIRED? NO
city to enter upon the above-mentioned property for insp- ❑ REPAIR PROPOSED USE OF BLDG
tion purposes ❑ DEMOLISH PRESENT USE OF BLDG,
JOB DESCRIPTION
g o pplicant or Agent ate
Agent for contractor ❑ owner
Agents Name
Agents Address
Street city State Zip
1.1 am licensed under the provisions of Business and Professional Code Section 7000 et seq.and my license is in full force.
2.I,as owner of the property, or my employee w/wages as their sole compensation will do the work and the structure is not
intended or offered for sale.
3.I,as owner of the property,am exclusively contracting with licensed contractors to construct the project.
4.1 have a certificate of consent to self-insure or a certificate of Workers Compensation Insurance 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.