PMT14-01079 City of Menifee Permit No.: PMT14-01079
29714 HAUN RD.
iCCF]LAk. MENIFEE, CA 92588 Type: Commercial Alteration
cm. AWk.t MENIFEE Date Issued: 05/09/2014
PERMIT
Site Address: 28480 HWY 74, Suite#D, MENIFEE, CA Parcel Number: 329-110-019
92585 Construction Cost: $0.00
Existing Use: Proposed Use:
Description of HOURLY INSPECTION FOR CERT OF OCCUPANCY-CURVES
Work:
Owner Contractor
MOTTES COUNTRY PLAZA
445 SOUTH D STREET
PERRIS, CA 92570
Applicant License Number:
CURVES
MENIFEE, CA
Fee Description Qttv Amount fsl
Budding Perm t fssuafrce 01 ZX11 v27 b0
Inspections not specified 129 129.07
$156.07
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing building operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee. Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg Permit Template.rpt Page 1 of 1
i
CITY OF M1ENIFE]E
PLCK No: Permit No:
City Of Menifee -CJ
29714 Haun Road Building & Safety Dept. Date: Date:
Menifee, CA 92586 MAY 0 5
Phone: (951)672-6777 9 2014 Amount: Amount:
Fax:(951)679-3843 .d-7
Ck#: Ck#:
Received
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rf: R
Property Address: Assessor's Parcel Number. [?
Projecl/Tenant6Name: Unit#: / Flo r#:
Name: Phone No.
Fax No.
e Pro rt _
Owner y Address: �. Unit Number Zip Co
5
Email Address: 7/ras 7v
Name: Phone No. Fax No.
Applicant Address O Unit Number zip Code
Email Address:
Name: Phone No. Faz No.
Contractor Address: City State Zip Code
ontractor s City Business License o. Contractor's City State of California License No. ClassiFicalion:
Number of Squares:
Square Footage
Description of Work: _ ) of g Cost of Work:$
Appli=Signature Date:
Iv bee-Completed By,Clty Staff Only
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on call only)
❑ Plot(Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ Plumbing Plan ❑
❑ Foundation Plan ❑ Cross Section Structural Calculations
❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration` Addition* Means/Methods
Work Type: I Repair* Retrofit* Revision to Existing Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: If Stories: Will the Building Have at Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indlcale if Indicate all Geo-tech.Haz.Zone
At Project Spdnklered YES or NO
Completion:
Construction that apply: Coastal Zone
Type(s): C of O YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. I 1planning Comm.Zoning Administrator
Fee Exempt: City Project I JElec.Vehicle Chargerl I Landmark Seismic Retrofit spedal Case:61tlg.
OmoalA royal
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Buildin /Safely Permit Specialist City Planning Civil En ineering EPWM-Admin ITransportation Mgmt. Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
CITY OF MENIFEE City of Menifee �y OHO 1
BUILDING AND SAFETY DEPARTMEN1Building & Safety Dept.
29714 HAUN ROAD, MENIFEE, CA 92586 h I U
TELEPHONE: (951) 672-6777 MAY 0 g 2014 05
APPLICATION FOR CERTIF&Q,0&19'CuPANCY
PLEASE PRINT LEGIBLY OR TYPE
SECTION I—APPLICANT INFORMATION
ADDRESS WHERE BUSINESS WILL BE CONDUCTED:
NAME OF BUSINESS: TYPE OF BUSINESS:
NAME OF BUSINESS OWNER: BUSINESS PHONE:
AYJ J7_/- �aS G3v6
ADDRESS OF HOME OFFICE OF BUSINESS OWNER: PHONE:
(IF DIFFERENT FROM ABOVE)
;1,�Do C
OWNER OF BUILDING: PHONE:
mo eS si-55/ - 7730
ADDRESS: CITY: STATE: ZIP:
DESCRIBE EXACT USE OF ALL PORTIONS OF EACH BUILDING AND LOT:
cs
PREVIOUS USE OF BUILDING:
SECTION 2—APPLICANT DUTIES
1. Applicant agrees to ensure that the Certificate of Occupancy shall be posted in all businesses, which will
operate subject to the City's issuance of Certificate of Occupancy.
I, .LRc$eby agree to comply with the above-described terms in this Application for
( PPLICANT)
Certificate of Occupancy.
C_? •�4 �/ ,�w�� s- 9 �
4 (APPLICANT) (DATE)
19��
FOR DEPARTMENTAL USE ONLY
PLANNING FIRE
ZONE:
APPROVED BY: DATE: APPROVED BY: DATE:
BUSINESS LICENSE PUBLIC WORKS I ENGINEERING
BUSINESS LICENS # 03b` V2
APPROVED BY: DATE:- = 12--1 APPROVED BY: N/In� DATE:
BUILDING DEPART ENT EASTERN MUNICIPAL WATER DISTRICT
' APPROVED BY� DATE:
APPROVED BY: \-D M DATE:
HEALTH DEPARTMENT
APPROVED BY: NI F1 DATE:
REMARKS
City of Menifee
Building & Safety Dept.
CITY OF MENIFEE MAY 0 g 2014
ENfFE BUILDING AND SAFETY DEPARTMET
Received
Tenant Disclosure Form
°vRwvn +°°v
PERMIT
Property Address �or, ,ol , (� �Z�
Street Name/Number Area/Commun y zip code
Business name: LA, lfPS
Suite name:
Occupancy group:
Square footage: a > O c� `
Type of construction: 6co-mA
Is the building equipped with fire sprinklers n r)
Number of Employees: 3
Number and location of restroom facilities: Z
List any chemicals used or stored and quantities:
Are you making any improvements to the suite or building other than
painting, papering, floor covering, movable cases, counters or
partitions not over 5 feet 9 inches high? fv c�
Are you a new tenant?
Are you the first tenant? ti4 C�
Plans Required:
♦If you are not doing any work that requires a permit, please provide four copies of a
plot plan and a floor plan.
♦If you are making other improvements, please see the Tenant Improvement Plan
Requirements handout.
Sfgnature Print Name Date
Circle On Tena�/ Owner / Contractor / Architect / Engineer
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CITY OF MENIFEE City of Menifee 010 1 1
BUILDING AND SAFETY DEPARTMENIBuilding & Safety Dept.
f 29714 HAUN ROAD, MENIFEE, CA 92586 05 h 11 u
TELEPHONE: (951) 672-6777 MAY 0 9 2014
APPLICATION FOR CERTIFI80/@&UPANCY
PLEASE PRINT LEGIBLY OR TYPE
SECTION I-APPLICANT INFORMATION
ADDRESS WHERE BUSINESS WILL BE CONDUCTED:
L-1�-D 5 w� rQ- 9a �
NAME OF BUSINESS: TYPE OF BUSINESS:
NAME OF BUSINESS OWNER: BUSINESS PHONE:
ADDRESS OF H9rME OFFICE OF BUSINESS OWNER: PHONE:
(IF DIFFERENT FROM ABOVE)
OWNER OF BUILDING: PHONE:
y' 1-6_<51 - 7736
ADDRESS: CITY: STATE: ZIP:
�t/S^ S l� Sh e� O pis c/-� - c!2 �7C�
DESCRIBE EXACT USE OF ALL PORTIONS OF EACH BUILDING AND LOT:
1 ES
PREVIOUS USE OF BUILDING:
SECTION 2-APPLICANT DUTIES
1. Applicant agrees to ensure that the Certificate of Occupancy shall be posted in all businesses, which will
operate subject to the City's issuance of Certificate of Occupancy.
I, `Lti s v -,AtEeby agree to comply with the above-described terms in this Application for
( PPLICANT)
Certificate of Occupancy.
(APPLICANT) (DATE)
0
FOR DEPARTMENTAL USE ONLY
PLANNING FIRE
ZONE:
APPROVED BY: DATE: APPROVED BY: DATE:
BUSINESS LICENSE PUBLIC WORKS I ENGINEERING
BUSINESS LICENS # n3;6`I`�9
APPROVED BY: DATE:T- (2-I APPROVED BY: N/ht DATE:
BUILDING DEPART ENT EASTERN MUNICIPAL WATER DISTRICT
APPROVED BY: DATE:
APPROVED BY: V-) hA DATE:
HEALTH DEPARTMENT
APPROVED BY: DATE:
REMARKS