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Home My WebLink AboutPRR 2025-271_25381 RAILROAD CYN RD Administrative Services Division CITY OF i 130 South Main Street LADE LSI N0R E Lake Elsinore,California 92530 UP PH(951)888-8740 FAX(951)471-0052 11;_&a DREAM EXTREME www.lake-elsinore.org W. BUSINESS LICENSE VERIFICATION Date: May 13, 2025 Business DBA: PACIFIC PRO PHYSICAL THERAPY&SPORTS MEDICINE Business Name: FAIRBANKS & POWER PHYSICAL THERAPY Location Address: 25381 RAILROAD CANYON RD STE 1101-1102 LAKE ELSINORE, CA 92532-2705 Business License#: 026499 To Whom it may concern: This letter serves as notice that the above-named business has a current valid business license with the City of Lake Elsinore, valid through 01/31/2026. This license has been in effect since 12/09/2021. If you need additional information, please call me at(951)888-8740 or email me at:jjackson@lake-elsinore.org Sincerely City of Lake Elsinore Business License 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: PACIFIC PRO PHYSICAL THERAPY&SPORTS MEDICINE BUSINESS LICENSE NO. 026499 Business Location: 25381 RAILROAD CANYON RD STE 1101-1102 Business Type: PROFESSIONAL/PHYSICAL THERAPIST LAKE ELSINORE,CA 92532-2705 Owner Name(s): BRET SNYDER FAIRBANKS TRACE POWER Issue Date: 2/1/2025 Expiration Date: 1/31/2026 PACIFIC PRO PHYSICAL THERAPY&SPORTS MEDII FAIRBANKS&POWER PHYSICAL THERAPY 25381 RAILROAD CANYON RD STE 1101-1102 LAKE ELSINORE,CA 92532-2705 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-Licensing i OFFICE USE ONLY 1� 130 South Main Street LICENSE NO: � 1 1�K. LS I I`IO FCC Lake Elsinore,CA 92530 BUSINESS 1D NO: > DREAM EXrnr.wr PH951.6743124x302 FAX 951.471.0052 CONTACT ID NO: wwwJ0ke-elsinor .ora BUSINESS LICENSE APPLICATION-COMMERCIAL (Business Compliance Application must be approved prior to the issuance of your license) BUSINESS NAME: 19,a /b BUSINESS PHONE 93-/- LYY-�FYny CORPORATE NAME(if aPeIicabie)Foir64&kr elojv /'T °'J BUSINESS START DATE: 17V I.-u— LOCATION ADDRESS: Zs38/ /ixcf Sre/lc7/ ZIP: 42y 3 Z EMAILADDRESS: /'t/� ate: ro �`, u WEBSITE: BUSINESS DESCRIPTION: MAILING ADDRESS IF DIFFERENT THAN ABOVE ADDRESS CITY STATE ZIP: CORPORATION SOLE PROPRIETOR PARTNERSHIP TRUST ["I NON-PROFIT ❑ CORP-LTD LIABILITY 1 OTHER BUSINESS INFORMATION FEDERALTAX I 61011111M OR EiNp SEVERS PERMIT# STATE CONTRACTORS LICENSE: TYPE: EXP. P�TACH COPIES OF THE FOLLOWING IF APPLICABLE: FICTITIOUS NAME STATEMENT ❑SELLERS PERMIT/RESALE NUMBER ❑ HEALTH PERMIT t_ ABC LICENSE ! TOBACCO LICENSE ❑BUREAU OF AUTO REPAIR COSMETOLOGY LICENSE CAMTC LICENSE ❑ OTHER: OWNER 1 NAME: OWNER 1 NAME: '/�,to o-� HOME ADDRESS: HOME ADDRESS: 77 CITY,STATE,ZIP CITY,STATE,ZiP PHONE: 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 California building owners and tenants with buildings open tothe public.You may obtain information about your legal obligations and how to comply with disability access taws at the following agencies:The Division of State Architect at www.duLca.aov/d liameisDx;The Department of Rehabilitation at www.re . hwnet,00v;and The California Commission on Disability Access at ww%ccda.ca.aov LICENSE FEE SCHEDULE 1 declare under penalty of perjury thatthe statements made in this application are true.I acknowledge and GENERAL• $72.00YEAR understand that the Business license Certificate issued by the City of lake Elsinore is a receipt evidencing PROFESSIONAL- $94.00YEAR thatihavepaidtheCltyoflakeElsinore Business LicenseTaximposedunder5ection5.08oftheLakeElsinore 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$65.00 YEAR LICENSE FEES DUE businesswithout complying with allotherChybuildingandzoning ordinances andall otherapplicable laws, License fee *State CASp fee $4.00 Applicant Signature/Date Employees over 5 �� 2 x$6.50 ea License Approval/Date Units over 3 i x$6.50 ea Total Due ), C'1 y of NON-CONSTRUCTION CERTIFICATE OF OCCUPANCY LA}-E LS i NO KE For use with"Commercial/Retail/industrial"business locations within the city limits. �Y�' ► I)rer n.0 i-XI ni:r.0 tnspectlon/Process Fee$73.00 due after Planning Approval $35.00 Occupancy Permit Required from Building Division This form must be completed by the Business Owner or Representative and approved by Planning,Building and Fire divisions priorto the issuance of your business license. f Business Name s�r,r A e'6 6 �/ �Phone Number isJ- Z-y` YW Y Business Address z.s3pi A&t1 mI Ct- CK r4r• Suite/Unit No.: f/a/ Sq Footage: 2-PJJ Business Owner j3/cJ—Fwr ha,��c1 Phone Number Type of Business /� r,�/ _ Days&Hours of Operation_ /l w,-' 7-6 7*" 7 Property Owner Name IK f' 4 ,�.�lillt `/lam Phone Number 01? X- Property Owner Address 13 j3 9a• >te/,tom(Jy o ,,�, City,State,Zip !a-A Y. r C4- 9,Z/n,P �._ _ -.. ;Complete description ofbusinJe�ss and operations: New Business ❑ Ownership Change Relocation I ther PLANNING DIVISION Please read and submit documents as required: ease Agreement-If you are not the property owner,provide a copy of your lease agreement.Please be advised that the business owner should also ,be the lease holder. jvf Floor Plan-Show proposed layout of business,including areas devoted to offices,sales,storage manufacturing,seating,rest rooms and other uses. ❑ Plot Plan-Planner will provide plot plan at time of submittal. All new signs and changes of signs require a separate permit. FiR5,BIV1510N 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? L� Yes �lo Do business operations Involve use or storage of hazardous or toxic materials? LI Yes ["No Does business involve any outside storage,work outside the building or off-site storage? ❑ Yes [KN-o 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 unitan 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 of inspection. Affidavit: I hereby certify that I have read and understood the a d th a information furnished is accurate true,and correct, Applicant Signature/Date OFFICE USE ONLY APN No. ZI C>-C� Zone Building Approval Date _ Planning Approv _ __ ate ILL' IZ( Fire Approval Date Comments: Engineering Approval Date -- OCCUPANCY PERMIT REQUIRED CUP Required (N Yes — Permit# - V '/�2.. 0 �' PHYSICAL THERAPY BO PRD O FCALIFO RNIA ISSUANCMffE LICENSING DETAILS FO R 24608 SEPTEMBER23, 1999 NAM EFAIRBANKS, BRETSNYDER EXPIRATION DATE LIC EN SE TYPE: PHYSICAL THERAPIST MAY 31, 2027 PR MARY STATU S: CURRENT ADDRGS NOT DISCLOSED CURR9TDITE / TIME MAY 13, 2025 8:42:32 AM DISCIPLINARY ACTIO NS > THERE ARE NO DISCIPLINARY ACTIO NS AG AINST THE LICENSE. PUBLIC RECO FU ACTIO NS > PUBLIC DO CUM ENTS (NO RECO ROS) CANYON HILLS MARKETPLACE PA-3 SHOPPING CENTER LEASE Between HELF CANYON HILLS MARKET PLACE 1, LLC a Delaware limited liability company (Landlord) And Fairbanks & Power Physical Therapy Corp, a California Corporation dba Pacific Pro Physical Therapy and Bret S. Fairbanks and Stephanie A. Fairbanks, as a married couple and personal guarantors (Tenant) DATED: �2Awz� Exhibit"A" SRO Plan—Not to Scala i„L ' .J jil . 21 Doak`w The L8M*d ptl6*"ae bk%ftd a128381 RaWmd Canyon Rd.,6Ukea 11o1 d 1102,LaM ebkwm,CA 82=cwaHItlng of s ,2.817 mnhd ie oWn faa Tlw bsbw dq*5m tf not to sxde. CANYON W1.1 mAnMrnL&(M • i8 ■ � L r laedled's "[bopCr� Y) 1--if �, le LAIJE LSI f-A C) E � 2 O lk C A M LX i-iZ c hrt u. -,.1 130 South Main Street APPLICATION FOR GAT,p "� uZ BUILDING PERMIT ARPuc.ATto Refl� f bATF VALUATION CALCULATIONS `t)-C k)`I&— T 1st FLOOR SF ZS3�( �~ � 1�1 LQk. CV^.t _—�t-Tt5'I7XRL� �`V2 S3L 2nd FLOOR SF NOA 3rd FLOOR SF O W Z539/ J/i1d rCzte/ 9'r Z•/Y-p GARAGE SF N AWRESS STORAGE SF R hereby affirm A am i cense under prow sions A now oommCnr:l DECK&BALCONIES SF with section 7000)of division 3 of the business and professions coda,and G y license la in full force and efrect. OTHER.* SF O L ENSE Ik CITY BUSINESS N AM LASS TAX* T VALUATION:y,�_-_.._._,.. R A C ADDRESS FEES T C i Y SiA"T'E/ IF+ PHONE O RU14 1Nd PERMIT 5 �m _ ,- R R h PLAN CHECK A PLAN REVIEW R C ADDRESS SEISMIC H I PLAN RETENTION _ 0 NEW OCC GRP.i CctNs-r M ADDITION DIVISION: TYPE: _ ID ALTERATION NUMBER OF NUMBER r w 0 01 HER STORIES: E0RCK3MS: tO SINGLE FAMILY ZONE` 0 APARTMENTS certify that I have read this application and state that the CJ CONDOMINIUM HAZARD YES above Information is correct.I agree to comply with all city d TOWN HOMES AREA- NCB and county ordinances and state laws relating to building O COMMERCIAL SPRINKLERS YES construction,and ho(oby authorize representatives of this E7 INDUSTRIAL REQUIRED? _ NO city to enter upon the above-mentioned property for insp• O REPAIR PROPOSED USE OF SLDG; Lion purposes. [] DEMOLISH PRESGNT USE OF BLDG: JpS DE5CRIF'T70N Signature of Applicant or Agent Date Agent for O contractor El 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. 3.1,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.