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HomeMy WebLinkAboutPRR 2026-376 Administrative Services-Licensing a ONLY CI t Y rl 130 South Main Street Lake Elsinore,CA 92530 LICENSE NO: LA1 LSINOR-E PH 951.674,3124 x 302 BUSINESS ID NO: t)Rt��+ Flftnrau FAX 951.471.0052 CONTACT ID NO: hc.terw.lak"-eIslnomor BUSINESS LICENSE APPLICATION-COMMERCIAL (Business(ompliance Appliubon must be approwb prior to the issuance of your licenxe) BUSINESS NAME: RIV16RA OWIt4�- INC. BUSINESS PHONE; CJ51• GI I CORPORATE NAME(If applicable) I BUSINESS START DATE: Ip.20 I LOCATION ADDRESS: I I Ft-tt�ftr L_ f.�C EL 5j o Zia: 92.5 EMAIL ADDRESS: cWEBSITE: BUSINESS DESCRIPTION: 2 I MAILING ADDRESS 0 DIFFERENTTNAII ABOW ADDRESS CITY STATE ZIP: [� CORPORATION j SOLE PROPRIETOR PARTNERSHIP j TRUST ( i NON-PROFIT j j CORP-LTD LIABILITY OTHER BUSINESS INFORMATION FEDERAL TAX 10: _ OR EINN t STATE CONTRACTORS LICENSE: TYPE: Exp. PLEASE ATTACH COPIES OF THE FOLLOWING IF APPLICABLE LJ FICTITIOUS NAME STATEMENT F SELLERS PERIV T/RESALE NUMBER U HEALTH PERMIT I ABC LICENSE TOBACCO LICENSE n BUREAU OF AUTO REPAIR ; ] COSMETOLOGY LICENSE CAMTC LICENSE L OTHER:- OWNER 1 NAME.- , _ OWNER 1 NAME: HOME HOM CfTY,STA CITY, PHONE: PHON 'State Mandated Dlsablltty Access Fee(SO 1136-$4.00 fee etfecthe 1-01.18) Under lederai and state law,compliame with duatcay access laws is a serious and significant responsibility that applies to all(alftrnia bolding owners ana tenants with buildings open to the public.You may obtain information about your legal obligations and taw to comply with disabillty access taws at the followiN agencies The DM§on of State Architect atwwwdgw.RedsajftqxjM The Dgmrtment of Rehabilitation at www rehab.ac hwrscl gout and The Califonia(or nission on Disability Access at www.ccdj'UA v, LICENSE FEE 50EDOLE I declare under penaftyofperjury thatthe stateme%madeln thisappilcation are true.I acknowledgeand GENELAL- $n.00 YEAR understand that the Business Licerse Certificate lsswd by the Clly of lake Elsinore is a receipt evidencing PROFESSIONAL- S96.DOYEAR that I have paid the0tyoflakeElsfnoreBusinessLkenseTax imposed urder5ectlo�5.08oftheLakeElsinore CONTRACMAS- A&B$108.00 YEAR Mtn4al Code fo(the period indicated. ksum"of the ceftihcate does not entitle lie to tarry on the C&D S 6S.00YEAR bitsiness Without complying with all otherCAybtjildingandianingordinancesandalI otherappli(ablelaws, LICENSE FEES DUE License fee Appllwi s.gnaturelDate_ 4.4.202-1 State CASp fee S4.00 -- Em ployees over 5 ><St5.50 ea License Approval/Date - -- Unitsover 3 Total Due 1i�7IR C�DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 11-18-2019 to er Identification Number: Form: SS-4 Number of this notice: CP 575 A RIVERA TOWING INC For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER for applying for an Employer Identification Number (EIN) . We assigned you EIN This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 941 01/31/2020 Form 940 01/31/2020 Form 1120 04/15/2020 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-11 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue) . Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. It1pORTANT INF loaTlON FOR S CORPORATION EIMTION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Coloration. 1 tt t NON-CONSTRUCTION CERTIFICATE OF OCCUPANCY LAKE ( 7LS1['10KE For usewith-Commercial/RetaiUlndustrial'businesslocations WIN nthe city limits. —� r�kh�.+ _X.Kh,:r Inspection[Process Fee$73.00 due after Planning Approval $35.000ccupancy Permit Required from Building Division This form must be Completed by the Business Owner or Representative and approved by Planning,Building and Fire divisions prior to the issuance of your business license. Business Name RIVe" TOW� INC ' Phone Number Business Address {J" V4 F1,4p4r %T SuWUnit No.: Sq Footage: 200 'Business Owner R,pwtlituT 5e4 V6jLo Phone Number , Type of Business 661L,KL JiAtJfC t1rtD'y111 .Tau Days A Hours of Operation R fl!U Property Owner Name I)Z{ve%L N i Phone Number 1 Property Owner Addres City,State,Zi ty _._..._ . ■ p 0 W 1 .Complete description of business and operations: New Business Ownership Change M j Relocation ! Other PLANNING DIVISION Please read and submit documents as required: [� lease 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. Floor Plan-Show proposed layout of business,including areas devoted to offices,sales,storage manufacturing,seating,rest rooms and other uses. L) Plot Plan-Planner will provide plot plan at time of submittal. All new signs and changes of signs require a separate permit. FIRE DIVISION jd(ompleted Fire Services check list.You are required to have a Knox Box. BUILDING DIVISION Does business involve conversion of existing building to new use? Ll Yes N No Do business operations involve use or storage of hazardous or taxis materials? n Yes [O No Does business involve any outside storage,work outside the building or off-site storage? ❑ Yes f No All changes or additions to electrical,plumbing mechanical,or structural elerrents require a building permit.This induces partitions over 5'9":n 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 unit an Occupancy inspection is required from the Building Dhvrsmn. An inspection fee must be paid along with the submittal of this form. Someone must be on premises at the time of inspenion Affidavit I hereby oe tify that I have read and understood the allWalld Uthetinfo,mation furnished is accurate true,and correct- Applicant Signature/Date ,;77N -(-)t� • arm OFFICE USE ONLY APN No.M14'0ZS—d01K __ Zone µ- 1 Building Approval�.. Date Planning Approva Aate`/ Fire Approval i Date Comments: Jar.. _,_._ Engineering Approval Date OCCUPANCY PERMIT REQUIRED CUP Required No Permit#"�� _�12 _ ,t�2 ilv14 - MIA Vf�ty CITY OF „r< Fire&IAWtees LksrM Review LA[-E 130 S. Main St. - Lake Elsinore,California 92530 r [BREAM EA`TREMF (951)674-3124 a Fax(951)471-1491 tmflCaiss _lake- iIrto�,c�ro Plum prku,type or mmom on it" Business Name TOU dN6 WC Fire Sprinklers installed ❑Yes (n No Check all applicable items tmodificationlinstaltation); [�No modifications or installations have been performed ❑Battery systems ❑Compressed gas ❑Fine doors/walls ❑Flammable and combustible liquid ❑Hazardous materials ❑Industrial oven ❑LP gas installation or ❑Spray room,dip tank modification or booth ❑Standpipe system: ❑Temporary membrane ❑Wood products ❑Upholstered Furniture Installation,modification structure,tent or canopy or removal Check all applicable operational permit items(CFC Section 105): 2� No modifications or installations have been performed ❑Cellulose nitrate film ❑Combustible dust- ❑Compressed gases ❑Covered and open producing operations mall buildings ❑Cryogenic fluids ❑Cutting and welding ❑Dry cleaning ❑Explosives ❑ Flammable and ❑Floor finishing ❑ Fruit and crop ❑Fumigation and combustible liquids ripening Insecticidal fogging ❑Hazardous materials ❑High-plied storage ❑Hot work operation ❑industrial ovens ❑LP-gas ❑Magnesium ❑Open flames and ❑Open flames and torches candies ❑organic coatings ❑Places of assembly ❑Pyrotechnic special ❑Pyroxylin plastics effects material ❑Refrigeration ❑Repair garages and ❑Spraying or dipping ❑Storage of scrap tires equipment motor fuel-dispensing and tare byproducts facilities - -- 4 - 21o�z 1 Applicant's Signature Date Title DOO window 'Doe CALIFORNIA COMMERCIAL LEASE This Lease Agreement made the 15 day of ft5E 14" , 202-1 , by and between flECTpfL PA _ [name of lessor], of 11t [street address], e o C,^c.r+=o�nrt h ereina er re erre to as "Lessor", and BtE:9-T" [name of MEN [street address], State o �UeoWvtp ereinafter re erred to as Lessee", collectively referred to herein as the "Parties", agree as follows: 1. DESCRIPTION OF LEASED PREMISES: The Lessor agrees to lease to the Lessee the following described 2--zT.0v square feet (SF) of [type of space] located at 114.0 W_ F Lt l sT ST >�k f7-(,F ,r4ogc 6 -6; [street address], State of California. Additional Description: _ Hereinafter known as the "Premises". 2. USE OF LEASED PREMISES: The Lessor is leasing the Premises to the Lessee and the Lessee is hereby agreeing to lease the Premises for the following use and purpose: �01u 1N6t 5ro"&.6 OFFICE- Any change in use or purpose the Premises other than as described above shall be upon prior wdtten consent of Lessor only. 3. TERM OF LEASE: The term of this Lease shall be for a period of L5 year(s) '. month(s) commencing on the j_ day of FCE3 20 Z�_and expiring at Midnight on the ,, day of FB8 20 2 y . ("Initial Term") 4. BASE RENT: The net monthly payment shall be dollars ($ 250o. °' _ __ ), payable monthly with the first payment due upon the commencoment of the Lease and each monthly installment payable thereafter on the day of each month. Said net monthly payment is-hereafter referred to as the "Base Rent'. Rent for any period during the term hereon, which is for less than 1 month shall be a pro-rats portion of the monthly rent. 5_ OPTION TO RENEW: (Check One) ❑ - Lessee may not renew the Lease. b - Lessee may have the right to renew the Lease with a total of 3 renewal period(s)with each term being 5 year(s)�month(s) which may be exercised by giving written notice to Lessor no less than 60 days prior to the expiration of the Lease or renewal period. Rent for each option period shall: (Check One) ❑ - Not increase. u - Increase as calculated by multiplying the Base Rent by the annual change in the Consumer Price Index(CPI) published by the Bureau of Labor Statistics by the most recent publication to the option period start date_ ❑ - Increase by % ❑ - Increase by dollars ($ ) 6. EXPENSES: [Check and Initial whether this Lease is Gross, Modified Gross, or Triple Net (NNN)) ❑ - GROSS. Tenant's Initials Landlord's Initials It is the intention of the Parties that this Lease be considered a "Gross Lease" and as such, the Base Rent is the entirety of the monthly rent.Therefore, the Lessee is not obligated to pay any additional expenses which includes utilities, real estate taxes, insurance (other than on the Lessee's personal property), charges or expenses of any nature whatsoever in connection with the ownership and operation of the Premises.The Lessor shall be obligated to maintain the general exterior structure of the Premises, in addition, shall maintain all major systems such as the heating, plumbing, and electrical_ The parking area shall be maintained by the Lessor including the removal of any snow or environmental hazards as well as the grounds and lands surrounding the Premises. The Lessor shall maintain at their expense casualty insurance for the Premises against loss by fire which may or may not include any extended coverage. The Lessee will provide and maintain personal liability and property damage insurance as a lessee, at least to the limits of One Million Dollars ($1,000,000.00), that will designate the Lessor as an "also named insured", and shall provide the Lessor with a copy of such insurance certification or policy prior to the effective date of this Lease. ❑. MODIFIED GROSS. Tenant's Initials Landlord's Initials It is the intention of the Parties that this Lease shall be considered a "Modified Gross Lease". 15 or dollars ($ ) death of persons and dollars ($ } for property damage. During the Term of this Lease, Lessee shall furnish the Lessor with certificate(s) of insurance, in a form acceptable to Lessor, covering such insurance so maintained by Lessee and naming Lessor and Lessor's mortgagees, if any, as additional insured. 7. SECURITY DEPOSIT: In addition to the above, a deposit in the amount of CI�e nCohtbE-� ytn l- dollars ($ 25Cn,100 ), shall be due and payable in advance or at the signing of this Lease, hereinafter referred to as the "Security Deposit, and shall be held in escrow by the Lessor in a separate, interest-bearing savings account as security for the faithful performance of the terms and conditions of the Lease. The Security Deposit may not be used to pay the last month's rent unless written permission is granted by the Lessor. 8. LEASEHOLD IMPROVEMENTS:The Lessee agrees that no leasehold improvements, alterations or changes of any nature, (except for those listed on any attached addenda) shall be made to the leasehold premises or the exterior of the building without first obtaining the consent of the Lessor in writing, which consent shall not be unreasonably withheld, and thereafter, any and all leasehold improvements made to the Premises which become affixed or attached to the leasehold Premises shall remain the property of the Lessor at the expiration or termination of this Lease Agreement. Furthermore, any leasehold improvements shall be made only in accordance with applicable federal, state or local codes, ordinances or regulations, having due regard for the type of construction of the building housing the subject leasehold Premises. If the Lessee makes any improvements to the Premises the Lessee shall be responsible payment, except the following -- Nothing in the Lease shall be construed to authorize the Lessee or any other person acting for the Lessee to encumber the rents of the Premises or the interest of the Lessee in the Premises or any person under and through whom the Lessee has acquired its interest in the Premises with a mechanic's lien or any other type of encumbrance. Under no circumstance shall the Lessee be construed to be the agent, employee or representative of Lessor. In the event a lien is placed against the Premises, through actions of the Lessee, Lessee will promptly pay the same or bond against the same and take steps immediately to have such lien removed. If the Lessee fails to have the Lien removed, the Lessor shall take steps to remove the lien and the Lessee shall pay Lessor for all expenses related to the Lien and removal thereof and shall be in default of this Lease. 9. LICENSES AND PERMITS: A copy of any and all local, state or federal permits acquired by the Lessee which are required for the use of the Premises shall be kept on site at all times and shall be readily accessible and produced to the Lessor and/or their agents or any local, state, or federal officials upon demand. 10. OBLIGATIONS OF LESSEE: The Lessee shall be primarily responsible whenever needed for the maintenance and general pickup of the entranceway leading into the Premises, so that this is kept in a neat, safe and presentable condition. The Lessee shall also be responsible for all minor repairs and maintenance of the leasehold Premises, particularly those items which need immediate attention and which the Lessees, or their employees, can do and perform on their own, including but not limited to, the replacement of light bulbs, as well as the normal repair and cleaning of windows, cleaning and clearing of toilets, etc., and the Lessee shall properly maintain the Premises in a good, safe, and clean condition. The Lessee shall properly and promptly remove all rubbish and hazardous wastes and see that the same are property disposed of according to all local, state or federal laws, rules regulations or ordinances. In the event the structure of the Premises is damaged as a result of any neglect or negligence of Lessee, their employees, agents, business invitees, or any independent contractors serving the Lessee or in any way as a result of Lessee's use and occupancy of the Premises, then the Lessee shall be primarily responsible for seeing that the proper claims are placed with the Lessee's insurance company, or the damaging party's insurance company, and shall furthermore be responsible for seeing that the building is safeguarded with respect to said damage and that all proper notices with respect to said damage, are made in a timely fashion, including notice to the Lessor, and the party or parties causing said damage.Any damage that is not covered by an insurance company will be the liability of the Lessee. The Lessee shall, during the term of this Lease, and in the renewal thereof, at its sole expense, keep the interior of the Premises in as good a condition and repair as it is at the date of this Lease, reasonable wear and use excepted. This obligation would include the obligation to replace any plate glass damaged as a result of the neglect or acts of Lessee or her guests or invitees. Furthermore, the Lessee shall not knowingly commit nor permit to be committed any act or thing contrary to the rules and regulations prescribed from time to time by any federal, state or local authorities and shall expressly not be allowed to keep or maintain any hazardous waste materials or contaminates on the Premises. Lessee shall also be responsible for the cost, if any, which would be incurred to bring her contemplated operation and business activity into compliance with any law or regulation of a federal, state or local authority. 11. INSURANCE: In the event the Lessee shall fail to obtain insurance required hereunder and fails to maintain the same in force continuously during the term, Lessor may, but shall not be required to, obtain the same and charge the Lessee for same as additional rent. Furthermore, Lessee agrees not to keep upon the Premises any articles or goods which may be prohibited by the standard form of fire insurance policy, and in the event the insurance rates applicable to fire and extended coverage covering the Premises shall be increased by reason of any use of the Premises made by Lessee, then Lessee shall pay to Lessor, upon demand, such increase in insurance premium as shall be caused by said use or Lessee's proportionate share of any such increase. 12. SUBLET/ASSIGNMENT: The Lessee may not transfer or assign this Lease, or any right or interest hereunder or sublet said leased Premises or any part thereof without first obtaining the prior written consent and approval of the Lessor. 13. DAMAGE TO LEASED PREMISES: In the event the building housing the Premises shall be destroyed or damaged as a result of any fire or other casualty which is not the result of the intentional acts or neglect of Lessee and which precludes or adversely affects the Lessee's occupancy of the Premises, then in every such cause, the rent herein set forth shall be abated or adjusted according to the extent to which the leased Premises have been rendered unfit for use and occupation by the Lessee and until the demised Premises have been put in a condition at the expense of the Lessor, at least to the extent of the value and as nearly as possible to the condition of the Premises existing immediately prior to such damage. It is understood, however, in the event of total or substantial destruction to the Premises that in no event shall the Lessor's obligation to restore, replace or rebuild exceed an amount equal to the sum of the insurance proceeds available for reconstruction with respect to said damage. 14. DEFAULT AND POSSESSION: In the event that the Lessee shall fail to pay said rent, and expenses as set forth herein, or any part thereof, when the same are due and payable, or shall otherwise be in default of any other terms of said Lease for a period of more than 15 days, after receiving notice of said default, then the parties hereto expressly agree and covenant that the Lessor may declare the Lease terminated and may immediately re-enter said Premises and take possession of the same together with any of Lessee's personal property, equipment or fixtures left on the Premises which items may be held by the Lessor as security for the Lessee's eventual payment and/or satisfaction of rental defaults or other defaults of Lessee under the Lease. It is further agreed, that if the Lessee is in default, that the Lessor shall be entitled to take any and all action to protect its interest in the personal property and equipment, to prevent the unauthorized removal of said property or equipment which threatened action would be deemed to constitute irreparable harm and injury to the Lessor in violation of its security interest in said items of personal property. Furthermore, in the event of default, the Lessor may expressly undertake all reasonable preparations and efforts to release the Premises including, but not limited to, the removal of all inventory, equipment or leasehold improvements of the Lessee's, at the Lessee's expense, without the need to first procure an order of any court to do so, although obligated in the interim to undertake reasonable steps and procedures to safeguard the value of Lessee's property, including the storage of the same, under reasonable terms and conditions at Lessee's expense, and, in addition, it is understood that the Lessor may sue the Lessee for any damages or past rents due and owing and may undertake all and additional legal remedies then available_ El represents that Lessee has inspected the Premises and is leasing and will take possession of the Premises with all current fixtures present in their"as is" condition as of the date hereof. V. Right of Entry: It is agreed and understood that the Lessor and its agents shall have the complete and unencumbered right of entry to the Premises at any time or times for purposes of inspecting or showing the Premises and for the purpose of making any necessary repairs to the building or equipment as may be required of the Lessor under the terms of this Lease or as may be deemed necessary with respect to the inspection, maintenance or repair of the building. 19. ESTOPPEL CERTIFICATE: Lessee at any time and from time to time, upon at least ten (10) days prior notice by Lessor, shall execute, acknowledge and deliver to Lessor, and/or to any other person, firm or corporation specified by Lessor, a statement certifying that the Lease is unmodified and in full force and effect, or if the Lease has been modified, then that the same is in full force and effect except as modified and stating the modifications, stating the dates to which the fixed rent and additional rent have been paid, and stating whether or not there exists any default by Lessor under this Lease and, if so, specifying each such default. 20. HOLDOVER: Should Lessee remain in possession of the Premises after the cancellation, expiration or sooner termination of the Lease, or any renewal thereof, without the execution of a new Lease or addendum, such holding over in the absence of a written agreement to the contrary shall be deemed, if Lessor so elects, to have created and be construed to be a tenancy from month to month, terminable upon thirty(30)days' notice by either party. 21. WAIVER: Waiver by Lessor of a default under this Lease shall not constitute a waiver of a subsequent default of any nature. 22. GOVERNING LAW: This Lease shall be governed by the laws of the State of California. 23. NOTICES: Payments and notices shall be addressed to the following: Lessor HE14zw- 12 I\/ee a Lessee PZUbOV-T 5AL(sUg,� 1141, W f=uNr Sr ihr tf7L,5!rwtzc C-W Ct250j0 13 24. AMENDMENT: No amendment of this Lease shall be effective unless reduced to writing and subscribed by the parties with all the formality of the original. 25. BINDING EFFECT: This Lease and any amendments thereto shall be binding upon the Lessor and the Lessees and/or their respective successors, heirs, assigns, executors and administrators. IN WITNESS WHEREOF, the parties hereto set their hands and seal this 15 day of Fe , 20 2i Lessee's Signature Printed Name Lessor's Signature Painted Name LETTER OF AGENCY TRESPASS ARREST AUTHORIZATION RIVERSIDE COUNTY SHERIFF'S DEPARTMENT Date: . . 2-o-.1 The undersigned hereby acknowledges, requests, and authorizes the Riverside County Sheriffs Department to enforce the provisions of the California Penal Code section 602 with respect to all persons trespassing on the property listed below and/or loitering or remaining on the property without permission, without a lawful purpose, or without the intention of conducting legal business for which it was intended. The undersigned agrees that he/she/they is/are the owner, owner's agent, or person in lawful possession of the business or property and that he/she/they will cooperate in the prosecution of any persons arrested for a violation of any state or local law. The undersigned agrees to conspicuously post on the business or property a"NO TRESPASSING" sign at each point of plausible entry to the property. I/we authorize the Riverside County SherifPs Department to act as my agent for the purposes of enforcing any law violation(s)on my property. Uwe understand this letter is valid for a maximum period of 12 months and it is my responsibility to renew this letter at the time it expires if the need arises. In the event of change of ownership, the owner/agent/person in lawful possession must notify the Riverside County Sheriffs Department of any such changes in ownership of the property. LOCATION: I am the: [ ] Owner [A Owner's Agent in Care and Control of the Property ( ]Person in Lawful Possession of the Property ] Other: THE PROPERTY IS A: [ �] Commercial Building(Business) [ ] Vacant Lot [ ]Other(describe) Riverside County Sheriff-Form 469(Revised 02/13/2020) Pagel of3 LETTER OF AGENCY TRESPASS ARREST 0::, AUTHORIZATION RIVERSIDE COUNTY SHERIFF'S DEPARTMENT PROPERTY Business Name(ifapplicable): Rl\fQQA __raW lNC ING Description of Business: $C KV IC. I AQT-() Y1oTIV1✓ TQW I I,161 Address: 1!_�4-co_ w Furn- sr r oc t,t r4oye q2630 (Provide complete address including number and street, unit(if applicable), city, state, and zip code) (Please altach proof of awhority, assessor file, lease, or rental agreement) Property Owner's Name: J- CT_iZ 1;UVCRa4 Address I tome Phone:_ Business: Manager or Person Responsible for Property: �tiC—,9-r !SA t_f!%l)CtZo Business Address ll4y of FUtr _`=rT" �-#1KF CLSIt'Zr-U g2S3o Horne Phone: Cell: - Business: __ 5 t• C444_.__�o r I hereby authorize the Riverside County Sheriff's Department to arrest or remove for trespassing any person(s) found on the property without my written consent or without lawful purpose. I hereby further authorize the Riverside County Sheriffs Department to act as my agent and ask unauthorized persons to leave the described property during off business hours. If they refuse to leave, or return thereafter, I authorize the Riverside County Sheriffs Department to act as my agent and arrest said person(s). I authorize the Riverside County Sheriff's Department to act as my agent in my absence and/or after closing hours. I hereby further authorize the Riverside County Sheriff's Department to ask person(s) who are obstructing business or intimidating business operators and customers to leave the property. If they refuse to do so, or return thereafter, I authorize the Riverside County Sheriff's Department to arrest such person(s). I also acknowledge that in order to enforce the California Penal Code section, 1 or my agent will cooperate in the prosecution of person(s)arrested for these offenses. Riverside County Sheriff-Form 469(Revised 02/13/2020) Page 2 of 3 LETTER OF AGENCY TRESPASS ARREST �C AUTHORIZATION RIVERSIDE COUNTY SHERIFF'S DEPARTMENT I understand that this letter is valid for a maximum period of TWELVE MONTHS,and it is my responsibility to renew the letter at that time if the need still exists. Unless revoked by the owner or agent,this authorization will remain in effect for twelve months from the date it is received by the Riverside County Sheriff's Department. (Signature) (Signature) (Print Name) (Print Name) (Date) (Date) FOR SHERIFF'S DEPARTMENT USE ONLY Station: _ Date Received: Received By: Keep original on file at station.Send copy to dispatch for address to be flagged. Riverside County Sheriff Form 469(Revised 02/13/2020) Page 3 of 3 ��Ae C-) F LAIJE % L,SI H (DICE u 2I D tt t:A M E I'it E M I ,,, 130 South Main Street APPLICATION FOR 4PPLICATION Na_.___ _ 1..3 1.iJ 1 V P 1',i. 1 W 1 1 !~ APPLIt;A i N FIE ti'k'EC} OATS Gy VALUATION CALCULATIONS IS714-On-605 Glow __ . ...._,.�.. 1 BCff�tTtG"'At�fi3t�'� 1st FLOOR _a SF W tr UNE CA L-AtnE 15LCO IN6OZE 9:2630 -BLOCK/PAiiE 1-0111-ARCEL 2nd FLOOR SF _ 3rd FLOOR SF © - GARAGE SF N ADi'sE'F.Sgit44 wvi:4r4r'ar" "1 STORAGE f ar�a3firm that` I am li.rynsrr „neror provim ns t, chapter err {car rmenziri DECK&BALCONIES SF with Section 7000)Pf division 3 of the business and professions code,and rc y license Is in full force and effect, OTHER; _ _....__.._.SF O L `UNSE 0 CITY BUSINESS N AN 'LASS TAX# T `N VALUATION: _. R AMAILI G .w....._._._ ... - ....._.......�W_._ _.._ - _ C ADDRESS FEES T oily SIAiEPJ_n3 PHONE O BUILDING PERMIT E ..._. R (�Ni"t�A�TUk ti b`- Ai Uit .. UAtt, PLAN CHECK _.._ ..- _._ NAME f A PLAN REVIEW ... . - _.__...�.,,_.....____._ R C ADDRESS SEISMIC ----- --- H PRONE _ PLAN RETENTION 0 NEW OCC GRP,! C 1.ONST t")!'tDDoITION DI Y VISION: TPE: 0 ALTERATION a x�NUMBER OF NUMBER OF i_'I Oil-t R STOkIES: cs itc�vm�: ❑SINGLE FAMILY ZONE- 0 APARTMENTS . -- '#Certify that i have read this application and Into that lha 000Nt70MIN1UM Hf.2hRC7 -YES above information is correct.1 agree to comply with all city 0 TOWN HOMES AREA_? NO and county ordinances and state taws relating to building C3 COMMERCIAL SPRINKLERS --�� YES construction,and hereby authorix9 representatives of this 0 INDUSTRIAL ItUOUiRC-D 7 NO city to enter upon the above-mentioned property for insp- C3 REPAIR PRCf`0SC:t3 USE OF BLDG. Von purposes. O DEMOLISH PRESLN'f USt__OF BLDG: JOB DESCRIPTION Signature of Applicant or g Llate C�} Agent for p contractor ❑ owner Agents Name Agents Address,.__., streot 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,orr ray employee wlwages 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.