HomeMy WebLinkAboutSAN JACINTO RD 265_02-000022931
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City of Lake Elsinor
PERMIT 130 South Main Street
PERMIT NO: 02- 00002293
JOB ADDRESS . . . . . 265 SAN JACINTO RD
DESCRIPTION OF WORK FIRE SPRINKLER SYSTEM
OWNER CONTRACTOR
CALIF. REO MNGMT CORP. PACIFIC FIRE PROTECTION
TEMECULA CA 92589
909 - 694 -6900
LIC EXP 0 /00 /00
A.P.# . . . . . 363 -140 -069 8 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION . . FIRE SPRNKLR
VALUATION . . . ZONE . . . . . . C -0
DATE: 11/25/02
FIRE SPRINKLERS
QTY UNIT CHG ITEM CHARGE
BASE FEE 30.00
1.00 X 15.0000 FIRE SPRINKLERS PER BUILD 15.00
FEE SUMMARY CHARGES PAID
PERMIT FEES
FIRE SPRINKLERS 45.00 .00
TOTAL 45.00 .00
SPECIAL NOTES & CONDITIONS
fire sprinklers
DUE
45.00
45.00
Dper: 030TER
Date: 11125/02 25 Receipt no: 2725
Total tendered 5100.02
Total paycent 545.00
Change 55.00
C n% Oi I -Ac Lkirlore
But lil_' Sdici`• i li`n
Post in conspicuous place
on the col)
1' r1 i!!i il'ri11 11 I'I R \11T l MBI _ R '.Ili OIL
100 %[)D F[ ' lo, 111,11c,:11011
hpr,"• cj rLin, r11U,i ) oil wh
it .l l irnlc
Please Read and Initial
I I am Licensed under the provisions of Business and Professional
Code Section 7000 et seq and my license Is in full force
2 1, asow- nerof the property or my employeesw /wages as their sole
compensation will do the work and the structure is not Intended or
offered for sale
3 1 as owner of the property am exclusNely contracting with licensed
contractors to construct the project
4 1ha%ea certificate of consent to selfInsure ora certificate of Workers
Compensation insurance or a certified copy thereof
5 ]shall not employ any person In any manner so as to become subject
to Workers Coompensation Laws in the performance of the work for
which this permit is issued
Note If Nou should become subject to Workers Compensation after
making this certification you must forthwith comply with such pro-
Nisions or this permit shall be deemed revoked
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Cooe P_-O' s S•oa Aoyo.as Da e Irso- s OTHER DEPARTMENT RELEASES
Cie P i- _- - Department Approval required prior to die
building betrig released by dre CityFIXPooS.ee :le-- Fo• -s
i"JO o P_ -o-^ v-ess Tes
P 03 P 1G:^ e
Date Inspector
ELOE Rv,gr Pool EIe-:'ic
Ptanro.
S-_o Lis'
L arid sca
POC- Ptv Fero• Access
Finance
P005 P e a,as e' Enoineenn
pi:09 F -a n x S oa
r
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1 st FLOOR SF
2nd FLOOR 7Be SF
3rd FLOOR SF
GARAGE SF
STORAGE SF
DECK & BALCONIES SF
OTHER:
MAILING PPHONE
SF
VALUATION:
FEES
BUILDING PERMIT $
PLAN CHECK
ADDITIONAL PLAN CHECK
MICROFILM
COPIES
IMPRO FEES SCHOOL FEES
PAID
City of Lake Elsinore
1 certify that I have read this application and state that the
above Information Is correct I agree to comply with all city
and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this
city to enter upon the above - mentioned property for inspec-
tion purposes
Signature of Applicant or Agent Date
AGENT FOR CONTRACTOR OWNER
AGENT'S NAME
AGENT'S ADDRESS
STREET CITY STATE ZIP
130 South Main Street
NAME
24. c s
MAI ING ^
ADDRESS
CITY
D
STATE ZIP PHONE
CONTRACTOR S SIGNATURE DATE
LLCENSEN
w MAILING
ADDRESS
UKQ CITY STA TE ZIP PHONE
UNEW REPAIR OCC GRP ! CONST
DIVISION TYPE
ADDITION MOVE NUMBER OF NUMBER OF
ALTERATION r1DEMOLISH STORIES BEDROOMS
OTHER ZONE
SINGLE FAMILY units
HAZARD AREA? YES NO
r1APARTMENTS units
CONDOMINIUMS units SPRINKLERS REQUIRED? YES NO
TOWNHOMES units PROPOSED USE OF BUILDING
IRICOMMERCIAL INDUSTRIAL
PRESENT USE OF BUILDING
JOB DESCRIPTION
REV DATE 11 1 90
1
APPLICATION NO
b2 -2 7 q2_30
APPLICATION RECEIVED
l
C
D
BUILDING ADDRESS Cl07 C ' J
TRACT BLOCK'PAGE LLOT'PARCEL
NAME
Z M MAILING P PHONE
CITY SSTATE 'ZIP
Z A
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
707) of Dry s,on 3 of the Business and Professions Code and my license is in full farce
and effect
LICENSE p CITY BUSINESS°•- -
REV DATE 11 1 90
1
DEC-12 -02 THU
Tom Y lsdale
Fife ch,rf
Ptoud)v scri -mg the
urnlcorpora l::d
areas of Pu,,4msd.-
County in,( the
Cfn's of
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9 :13 AM R1V CO FIRE F &E FAX NO. 9099554836 F. fK1V1x1Ur, ,vviv
FIRE DEPARTMENT
in cooperation with the
California Department of Forestry and Fire Protection
Fire Protection Planning and Engineering Services
4080 lemon Street, Z" Floor . Riverside. California 92501 • (909) 9$4777. Fax (909) y5C,48°,6
T)ATF J 2 -D
TO:
SURVEYOR'S OFFICE
I—- _ Lll1NG AND Sr1FFTY
TItACT/PARCF.I. MAP NUMBER: _
PURN11T WMBLWLOT #: _ LE —0 11 ~ 1
JOB SITE ADDRLSS:.,2–o
FINAL FOR RECORDATION
RELFASE FOR BUILDING PERMITS
SHELL FINAL ONLY (NO TENANT')
FINAL FOR OCCUPANCY
FINAL OCC: UP TEMP EXPIRATION DA I'll
BUILD PLAN CHECK FEES PAID
MITIGATION FEES PAID
MITIGATION FFL'S NOT PAID
a
FEFS NOT REQUIRED
IF YOU SHOULD HAVE ANY QUESTIONS, PLEASE CALL THE RIVERSIDE C'OUN "I Y
I.1RF DCPARIMFNT, PLANNING SECTION A f THL ABOVE NUMBER.
FRANK KAWASAKI. BATTALION CHIEF
RELFASED BY.
I I- 1,a- 0I /cmm
DEC 12 102 09 :05
9099554886 PAGE.01
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