HomeMy WebLinkAboutCENTRAL AVE 29229_08-0061ity of L
PERMIT
snore
130 South Main Street
PERMIT NO: 08- 00000061 DATE: 2/19/08
JOB ADDRESS . . . 29229 CENTRAL AVE "C°
DESCRIPTION OF WORK FIRE SPRINKLER SYSTEM
OWNER - CONTRACTOR
Cambern & Central Investor Inc CINTAS FIRE PROTECTION
265 Santa Helenda #125 4320 E. MIRALOMA AVENUE
SO.LANA BEACH, CA 92075. ANAHEIM, CA 92807
LIC EXP 0/00/)g
A.P.# . . . 377 - 040 -027 2 SQUARE FOOTAGE 0
OCCUPANCY . . . GARAGE SQ FT 0
CONSTRUCTION FIRE SPRNKLR - -
VALUATION ZONE. . . . . . NA
FIRE SPRINKLERS
QTY UNIT- CHG
BASE FEE
1.00 X 15.0000 FIRE SPRINKLERS PER BUILD
FEE SUMMARY CHARGES
PERMIT FEES
FIRE SPRINKLERS .45.00
OTHER FEES
LE FIRE TI SPRK < 10.,000 212.00
PLAN RETENTION FEE 1.00
SEISMIC GROUP .50
TOTAL 258.50
SPECIAL NOTES &CONDITIONS
FIRE SPRINKLERS FOR DOLLAR TREE T I
ITEM CHARGE
30.00
15.00
PAID DUE
00 45.00
00 212.00
00 1.00
00 50
00 258.50
B -^ * HJICDN'PRI T- I
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CONTINUED ON NEXT PAGE * **
CITY OF ,
LAKEE :, LST.AORJE
DREAM. EXTREME?.
APPLICATION FOR
BUILDING PERMIT
130 South Main Street
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR
3rd FLOOR
GARAGE
STORAGE
DECK & BALCONIES
OTHER:
SF
SF
SF
SF
SF
SF
y
VALUATION:
FEES
BUILDING PERMIT - $
PLAN CHECK Zj 2' 00
PLAN REVIEW
SEISMIC
PLAN RETENTION
1 certify that 1 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 insp-
tion purposes.
Signature of Applicant or Agent Date
Agent for contractor owner
Agents Name
Agents Address
Street City State Zip
APPLICATIO Oj_
APPLICATION RECEIVED
DATE
By
bUILUINU ADDRESS
TRACT BLOCK/PAGE /PARCEL
N AME
W
N
MAILING P ONE
ADDRESS " - _ - °" ""
E ITS %''" STATE /ZIP
C
O
N
I hereby affi that I am licensed under provisions o chapter 9 (oom cing
with section 7000) of division 3 of the business and professions code,an
my license is in full force and effect.
LICENSE # CITY BUSINESS
AND CLASS TAX#
T
R
NAME
A
C
MAILING
ADDRESS
T
O
CITY STATEIZIP PHONE
R CONTRACTOR'S SIGNATURE D TE
A
NAME LICENSE #
C
LING
ADD
H CITY STATE/ZIP PHONE
NEW OCC GRP. / CONST.
DIVISION: TYPE:ADDITION
ALTERATION NUMBER OF NUMBER OF
STORIES: BEDROOMS:OTHER
J_ SINGLE FAMILY
APARTMENTS
ZONE:
CONDOMINIUM HAZARD YES
AREA? NOTOWN -HOMES
I COMMERCIAL SPRINKLERS YES
REQUIRED? NOINDUSTRIAL
REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG:DEMOLISH
JOB DESCRIPTION
S 5 51 M
cS+
130 South Main Street
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR
3rd FLOOR
GARAGE
STORAGE
DECK & BALCONIES
OTHER:
SF
SF
SF
SF
SF
SF
y
VALUATION:
FEES
BUILDING PERMIT - $
PLAN CHECK Zj 2' 00
PLAN REVIEW
SEISMIC
PLAN RETENTION
1 certify that 1 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 insp-
tion purposes.
Signature of Applicant or Agent Date
Agent for contractor owner
Agents Name
Agents Address
Street City State Zip
Community Development
Building Division
City of Lake Elsinore
Planning Division
130 S. Main Street
Lake Elsinore, CA 92530
909) 674 -3124
909) - 471 -1419 fax
PROPERTY ADDRESS:
Contact
PLAN CHECK SUBMITTALS
K_
TEL. No.
Permit Application No.
Date 1 st Submittal: 23_ O Initial Plan Checker /Date Submit c e
Date returned from Plan Check: O& Status:
Date notify Applicant: '(6 Date Pick -up: Initial:
Applicant
Date 2nd Submittals initial Plan Checker /Date Submit
Date returned from Plan Check: Status:
Date notify Applicant: - up: Pick _Initial:
Applicant
Date 3rd Submittal: Initial Plan Checker /Date Submit
Date returned from Plan Check: Status:
Date notify Applicant: Date Pick -up: Initial:
Applicant
P A DATE Sent'._ DATE APPROVED:
Ineenng Approval: DATE Sent:. DATE APPROVED.-
Fire Dept.(If Required) Approval
Date Permit Issued:
DATE:
BY: -
To be.altaohed to BLDG Pentit.Applicatlon only when required: Plan Check