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PMT14-01396 City of Menifee Permit No.: PMT14-01396 29714 HAUN RD, Type: Commercial Alteration MENIFEE, CA 92586 s ,ese:e MENIFEE Date Issued: 08/05/2014 'I PERMIT Site Address: 27774 NEWPORT RD, Suite# 100, Parcel Number: 336-380-008 MENIFEE, CA 92586 Construction Cost: $69,312.00 Existing Use: Proposed Use: Retail Description of TENANT IMPROVEMENT FOR T-MOBILE STORE Work: Owner Contractor NEWPORT TOWNE SQUARE LLC BLUE OCEAN BUILDERS 5051 AVENIDA ENCINAS 7 CHARTHOUSE COVE CARLSBAD, CA 92008 BUENA PARK, CA 90621 Applicant Phone: 7143817813 ERIC KWON License Number: 864231 3435 WILSHIRE BLVD#2905 LOS ANGELES, CA 90010 Phone: 2133885807 Fee Description Ot Amount I$1 � r - . :t hhh r:c ontr 2Ce te�F' &�P�rzgY' 1 3z Receptacle, Switch, Outlet&Fixture 48 351.00 Air Handling/Condensing Units SFR 1 133.00 GREEN FEE 1 3.00 New Construction Permit Fee 1 318.84 �e� Gans ructlo a;,-..Ch c a: 0712 ;� $1,321.09 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 builiding 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 City Of Menifee LICENSED DECLARATION I' I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property I License Class_ _License No. N who builds or improves thereon, and who contracts for the projects with a iExpire sb% 30 I Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ 1 hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the have and will maintain workers' compensation Insurance, as required by Business and Professions Code,is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http,//Www.leainfo.m.ClQv/calaw.html. permit is issued.My workerrrs'compensation insurance carrier and policy number are: Carrier S F-y�w� Property Owner or Authorized Agent Date Expires 10� I [�_ y Policy# -1 o 0( 1 p —'2 1 � ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent Phone# owner or authorized to act on the property owner's behalf. 1 have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- ' ❑ 1 certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. shall not employ any persons in any manner so as to become subject to the (� workers'compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner orr Au�orized Agent Date Code, I shall forthwith comply with those provisions. # "'LP 4 �� ( City Business License Date; 0$ 0S 1l Applicant; WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, ❑YES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL �. LABOR CODE, INTEREST,AND ATTORNEYS FEES [KNO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION �fV FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address \0 DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, )(NO SCHOOL? or repair any structure, pdor to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law(Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or ES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE SECTIONDOUS 25505RIAL f}E5533,AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do( )all of or( ) porting of the work, and the structure is PROPERTY WNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF Mllil'q JlFEE PLCK No: did. �, OI 29714 Haun Road Dat Date' Menifee, CA 92586 1 /Lf Phone: (951)672-6777 Amourtt . �,1 Amount Fax:(951)679-3843 Ck#: O 4 Ck#: V. 5�I?S 5 p Building Combination Permit GsslS To Be Completed By Applicant Legal Description: Planning Case: F: L: Rt: R Property Address: Assessors Parcel Number. �� y4 �� nl-+ RA ' 33 - -om ProjectJTenant Name: T Unit#: Floor#:Mob11� Name;. 7 Phone No. r� To 5( �. L-��i Fax No. Property Address: Owner SbSI AVel4 idn LnCwS Cal, lS bad Unit Number Zip Code -1'z 0/Y Email Address: Name: �n P�^^^^�^ -P Fax No. 3z S 6 Z Applicant Address: .may_ �� I Unit Number Zip C de LA C4 Email Address: Name: Phone No. Faz No. Contractor Address: Ciry State Zip Code Contractor City Business License No. Contractor's City State of California License No. Classification: Number of Squares. L o0 Square Footage 3 Description of Work: t L P Cost of Work:$ Z n �� Applicant's Signature 1 C Date: tI To Be Completed By City 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 ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on B Y x 11) ❑ Structural Calculations El Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for also.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:HRepair' Retrofit' Revision to Existing PermiP Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: Will the Building Have or Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate if YES or NO Indicate all Geo-tech.Haz.Zone At Project Construction Spdnklered that apply: Coastal Zone Completion: Type(s): C of O Noise Zone Required? YES or NO Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Special Case:Bldg. OtnaalApproval Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety Permit Specialist City Planning Civil Engineering EPWM-Admin 1Transportation Mgmt Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY CITY OF MENIFEE PERMIT # PMT14-01396 BUILDING AND SAFETY DEPARTMENT N� 29714 HAUN ROAD, MENIFEE, CA 92586 TELEPHONE: (951)672-6777 DATE: 9/10/2014 APPLICATION FOR CERTIFICATE OF OCCUPANCY PLEASE PRINT LEGIBLY OR TYPE SECTION I—APPLICANT INFORMATION ADDRESS WHERE BUSINESS WILL BE CONDUCTED: 27774 Newport Road, Suite F-100 NAME OF BUSINESS: TYPE OF BUSINESS: T - Mobile Retail NAME OF BUSINESS OWNER: BUSINESS PHONE: ` "IrA UJ\�e\ \C�C C151 - �q • ADDRESS OF HOME OFFICE OF BUSINESS OWNER: PHONE: (IF DIFFERENT FROM ABOVE) OWNER OF BUILDING: PHONE: Newport Towne Square, LLC 760-438-7500 ADDRESS: CITY: STATE: ZIP: 5051 Avenida Encirias I Carlsbad CA 92008 DESCRIBE EXACT USE OF ALL PORTIONS OF EACH BUILDING AND LOT: Cell phone retail PREVIOUS USE OF BUILDING: New 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. q � I, LSCitt( `I hereby agree to comply with the above-described terms in this Application for (APPLICANT) Certificate of Occupancy. �7/ 1�2O�S PI ICANT) (DATE) FOR DEPARTMENTAL USE ONLY PLANNING FIRE ZONE: APPROVED BY: DATE: �I APPROVED BY: 0. EU DATE: Q I BUSINESS LICE SE /� PUBLIC WORKS I ENGINEERING BUSINESS LICEN b37 6 LT q APPROVED BY: DATE: 940-I APPROVED BY: DATE: BUILDING DEPARTMENT EASTERN MUNICIPAL WATER DISTRICT APPROVED DATE: ��'� APPROVED BY: DATE: � HEALTH DEPARTMENT APPROVED BY: iJ (CA DATE: REMARKS 01"of Y` CITY OF MENIFEE Je►viFE BUILDING AND SAFETY DEPARTMENT �e p Tenant Disclosure Form PERMIT No. ftAj` 9- g3jur Property Address 2��f � t`loa q 2S COT Street Name/Number Area/Community zip code Business name: — lU oloi�e Suite name: NewyoV f -fi,' vh(f Occupancy group: Square footage: �00 Type of construction: e�1 Is the building equipped with fire sprinklers fs Number of Employees: (; ti C Number and location of restroom facilities: List any chemicals used or stored and quantities: K� o . 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? N� . Are you a new tenant? Yf5 Are you the first tenant? �e-5 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 equirements handout. pSA)01 Ign ure Print Name Date Circle One: enan / Owner / Contractor / Architect / Engineer i Riverside County Fire Department Fire Protection Planning Section t Riverside Office:2300 Market St,Ste.150,Riverside,CA 92501 Ph.(951)955-4777 Fax(951)96G4686 Pan Came Office. 77 933 W M.marlaa Rd.,4 201 Palm Desert,CA 92211-4131 Ph.(760)863 8886 Fax(760)863-7072 Fire Department Clearance/Release Date: 09/09/14 To: ccarlson(a�citvofinenifee.us: briveraflcityofinenifee.us; mbinnall ancitvofinenifee us Perm it/Lot#: 14-M E N I-01396 Job Site Address: TI-T-MOBILE 27744 NEWPORT RD, STE 100 ❑ Final For Recordation 171 Release For Building Permit(s) ❑ Shell Final Only(No Tenant) Final For Occupancy ❑ Release For Residential Sprinkler Installation Building Plan Check Fees Paid,Water Requirement Met-if water applicable ❑ Building Plan Check Fees Not Paid ❑ Residential Sprinkler Plan Check Fees Paid ❑ Residential Sprinkler Plan Check Fees Not Paid ❑ Other Fees ❑ Fees Not Required If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for further assistance. SONYA BU, FSI Print Name of Plan Reviewer/Inspector Approved Release JAMES WAREN Sent By:Print Name Form C—Revised 3/01/2012 Inspection Job Card POST IN CONSPICUOUS LOCATION WITH APPROVED PLANS PERMIT NO:� EMAIL INSPECTIONS TO'bldq insp@cityofinenifee.us or CALL (951) 246-6213`FOR INSPECTIONS BETWEEN THE HOURS OF 8:00 A.M. AND 2 00 P.M. 24 - 48 HOURS IN ADVANCE * SCHEDULING DEPENDENT UPON INSPECTIONS REQUESTED AND AVAILABILITY BUILDING INSP BUILDING INSP BUILDING INSP INSPECTION DATE INITIALS INSPECTION DATE INITIALS INSPECTION DATE INITIALS - PRE-CONST MEETING T-BAR CEILING WALLS U.G PLUMBING �/ "'� INSULATION FOOTINGS FOOTINGS DRY WALL /, ' GROUBEAM/ U.G.ELECTRIC EXT/INT. LATH DRAIN/SEAL UFER/GROUND GAS TEST WALL FINAL SLAB SHAFT TEMP POWER/ PEDESTAL SITEAPPROVAL HOOD/DUCT ELEC. RELEASE - ROOFDECK/ SMOKE/ SEWER/SEPTIC / TRUSS FIRE DAMPERS SHEAR/FRAME ROUGH CONDUIT WATER SERVICE COMBO FRAME r' - PATIO LEDGER FIRE FINAL D ROUGH PLUMB $-5--// POOLS MECH FINAL �( ROUGH ELEC. '/ "yr, NITE BONDIN G G / ELEC FINAL (a(� Lam' BONDIN ROUGH MECH. C _ N + 3 PRE-DECK PLUMB FINAL FIRE COVER PRE-PLASTER SOLAR FINAL WALL POOL ENCLOSUR FIRE POOL FINAL BUILDING FINAL Q COVER CEILING- Il REMARKS: NOTE: ITEMS MARKED IN RED ARE FIRE INSPECTIONS. i -iOA- N &w.X OF Flff� mnNiruAW�--) NOTICE: THIS PERMIT SHALL EXPIRE IF WORK IS NOT COMMENCED WITHIN OR IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS (6 MONTHS) FROM THE DATE OF PERMIT ISSUANCE OR FROM THE DATE OF THE LAST INSPECTION. i /�nf� G1'�fJ �'r �� C1'rf9l�r� C�'►rJ �7,� �r�J L1'ri^a ��( . /* �••`r+ C,. � Gee -.. - �° .) ,� j A J C` S -�' N ; C O D v 'v W 03 � -� rl' c0 m 0 v X m C Sao p C 9 p m N O { m -0m m Z - , � � °. I 0 C D CD a m X v CDM„ G� y m 1 m c s o o � c n `� ��- - N N N w N O CL G 7 p O C(D O N °. �r u, 0 s cA > "D m m ° m c D � c p r 0 o o o z Z a � o �.� ;u > ( ' m n m � � Cp °. No ?i aim mp3 � � I `I w o co m z _ m (n ° w mnm 0 N ZM O m � : m 00 n Z m 0 D D C Z N `< M. N -n ?, (n D (o m � m 1� D o r :r m o — A 0 -i m p m -i '< m m ti m 0o -a n ( a aoo � -f3 O v (O C: cn o a f, °� - m S(aa cn No mod. D W S s , w m ➢ tr, a „a