HomeMy WebLinkAboutLAKETOWN TREASURES_PRR 2026-185 Business License Application tIVfAWLit)
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Business Name: Corporate NLrre(if applicable): Business Phone:
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Location Address_ Website: Email Address: rr
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Corporation �Soie Proprietor =Partnership Trust Non-profit =Corp-LTD Liability Other
Business Description
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State Contractors License/Type/EXP
Please attach copiesapplicable:
Fictitious Name Statement ABC License CAMTC License
Sellers Permit/Pesale Nil Tobacco . ..
Health Permit Bureau of • Repair Other
Owner 1 Name
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'State Mandated Disability Access Fee(SB1186-$4.00 effective 1-01-18)Under federal and state law,compliance with disability access laws is
a serious and significant responsibility that applies to all Ca itornia building owners and tenants with budding owners and til with
buildings open to the public.You may obtain in`ormation about your legal obligations and how to comply with disability access laws at;he
following agencies:The Division of State of the Architect at www.dgs.ca.gov/dsa/Home.asox,The Department of Pehabilitatior at
www.rehab.cahwnetgov;and The California Commission on Disab lity Access at www.ccda.ca.gov.
License Fee Schedule License Fees Du I declare under penalty of perjury that the statements,made in this
General-$72 00 Year License Fee �_ application are true.I acknowledge and understand that the Business
Professiona -$94 00 Year 'State CASp Fee $4 00 License Certificate issued by the City of I ake Elsinore is a receipt
Cont,,actors-A S B$108.00 Year ErT•ployees ove,5 evidencing that I have paid the City of Lake Elsinore Business License
C 8 D$65.00 Year x$6.50 ea _ Tax imposed under section 5.08 of the Lake Elsinore Munic Pal Code
V I wL �'n'n r�\� Urrts o x$6.50 ea over 3 for the period ndlcated.Issuance of;he Certificate does not entitle me
►CYL rj N :o carry on the business without complying with all other City building
and zoning ordinances and all other applicable laws.
• . 2 Total Due
Applicant Signature/Date: ,,, -0— 2-Z 2_5_
License Approval/Date. Jet
Commercial License Application
• ZONING VERIFICATION
Business Name. Type of Business. Days&Hours of Operation:
Business Address: C Suite/Unit No. Parking Spaces:
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Business Description
New Business 12rWocation Ownership Change Other
Applicant Name: Applicant Phone Number: Applicant Email Addren
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Poperty Owner Name: Property Owner Phone Number. Property Owner Email Address:
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Affidavit-
I hereby certify that I have read
�and
_,understood the above;and that the information furnished Is sccurate true and correct.
Applicant Signature/Date: hr' " / 2--?— Z
Property Owner Signature/Date:
APN Number: Zone CUP Required
Comments: PI m Approval: Date
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FIRE BUSINESS
LICENSE REVIEW
Business Name: L �
Business Address:
sire Sprinklers Installed: Yes No
Check all applicable items(modification/installation):
Li-No modifications or installations have beer performed
Battery systems Compressed Gas sire doors/walls Flammable and
combustible:iqu id
Hazarcous materials Industrial Oven LP gas installation Spray room,d p
or modification tank,or both
Standpipe system: Temporary membrane Wood Products Upholstered furniture
installation,modification, structure,tent,or
or removal canopy
Check all applicable operational permit items (CFC Section 105):
No modifications or installations have been performed
Ceilulcse nitrate Combustible dust- Compressed gasses Covered and open
filrn producing operations mall buildings
Cryogenic fluids Cutting and welding Dry cleaning Explosives
Flammable and Q Floor finishing a Fruit and crop ripening Fumigation and
combustible liquids insectidal fogging
Hazardous High piled storage Hot work operation Industrial Ovens
materials
LP-gas Magnesium Open flames and Open Flames and
torches candles
Organic coatings Places of assembly Pyrotechnic special Pyroxylin plastics
effects material
Pefrigeration Repair garages and Spraying or dipping Storage of scrap tires
equipment motor fuel and tire byproducts
dispensing facilities
Applicant Signature Date: 1
Title: wi YULE
Commercial License Application
NON-CONSTRUCTION
CERTFICATE OF OCCUPANCY
Business Name. Type of Business t Days&Hours of Operatlor
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Business Address: Suite/Unit No: Sq Footage
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Business Owner ( I Emah Address.
property Owner. Phone Number Email Address.
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Business Description:
QNew Business E�f Relocation Ownership Change Other
Building Division
Does business involve conversion of existing building to new use? Yes E::] No
Does business involve any outside storage,work outside of the but ding,or off-site storage' Yes [: No
All changes or additions to electrical,plumbing,mecharical or structura elements require a building permit This includes partitions
over 59"in height and new doorways or openirgs
Prior to occupying a building or unit an Occuparcy nspection 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.
Fire Division
Do business operations;nvolve use or storage of hazardous or toxic materials' Q Yes E�o
Completed Fire Services creckl st.You are reojired to have a Knox Box
Affidavit:
I hereby certify that I have read ar und/e`rrsstood the above;and that the information furnished is accurate true and correct
Aopl cant Signature/Date: �� (i —�� Z,
OCCUPANCY PERMIT REQUIRED Permit tt:
Building Approval: Date:
Fire Approval: Date
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