PMT14-01487 City of Menifee Permit No.: PMT14-01487
29714 HAUN RD. Type: Commercial Alteration i
' �OCEl. MENIFEE, CA 92586
MENIFEE Date Issued: 08/19/2014
PERMIT
Site Address: 30406 HAUN RD, Suite#734, MENIFEE, Parcel Number: 360-690-017
CA 92586 Construction Cost: $50,000.00
Existing Use: Office Proposed Use: Office
Description of TENANT IMPROVEMENT FOR MENIFEE ANIMAL HOSPITAL, INSTALL PARTITIANS, ELECTRICAL,
Work: PLUMBING
Owner Contractor
DONAHUE SCHRIBER D L HANN PAINTING INC
200 E BAKER STREET 8625 CENTRAL AVE#D
SUITE 100 STANTON, CA 90680
Applicant Phone: 7147242390
MENIFEE, CA License Number: 600226
Fee Description Guy Amount f$1
f d -' Swltc , 0=` r t'
Plumbing Fixtures and Vents, fixtures 7 136.00
8 00.
Sewer 1 150.00
IBM I ... rIsBu
Inspections not specified 271 270.61
ltl- Pla ,. ..le. Will
GREEN FEE 1 2.00
$1,334.61
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 staled,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 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 f Ily force aQc effect. Code:The Contractor's License Law does not apply to an owner of a property
License Claps License No.— �p who builds or improves thereon, and who contracts for the projects with a
7 Expires l Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DetLARATION
❑ I am exempt from licensure under the Contractors'State License Law for the
❑ I 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, 1 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
I 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:htto'//www leainfo ca gov/calaw html.
permit is issued.My workers'compensation insurance carnet and policy number are:
//'' Property wneror AuthorizedAgent Date
Carrier It Cc � O'(>1fG �A'S7n+��t"C.0 �'^'`�"'�y
Expires_p( Policy# y6GCS-]�bI�IO�
❑ 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. I 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 repre entatives of this city or county to enter the above-
0 1 certify that in the performance of the work for which this permit is issued,I identified property r t in ection 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 come OO 7
subject to the workers'compensation provisions of Section 3700 of a Labor Prope O ner or Authorized Agent Date
Code,I shall forthwith comply with those provisions. 3Coo(do
Q City Busin as License#
Date; O rl�r� Applicant;
WARNING: FAILURE TO ECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS LAWFUL, 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, OYES 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 XNO 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 OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
�p FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address {ANO 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 OYES 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, (RNO SCHOOL?
or repair any structure, prior 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 VIES 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, SECTION 25505 25533 AND 25534 CONCERNING
El 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL F EPOR NG.
compensation, will do( ) all of or( ) porting of the work, and the structure is PROPERTY O E O UT RIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's Stale 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).
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
2300 Market St., Ste. 150 • Riverside, California 92501
(951) 955-4777 . Fax (951) 955-4886
Inspection Hotline (951) 955-5282
vnm.rvcfire.org
CONDITIONS OF APPROVAL
PERMIT #: 14- ENI- 14S7
JOB: MENIFEE VALLEY ANIMAL HOSPITAL
ADDRESS: 30406 HAUN RD., SUITE 3B
TO: DEAN DAVIDSON
PHONE: 951-301-5274 FAX#: 951.679.41 14
E-MAIL: WDEANDAVIDSON@WINDOWSLIVE.COM
SQ. FT. 1358 OCCUPANCY CLASSIFICATION: B
REVIEWED BY.'DAN WAGNER DATE.'B/7/74
10. GENERAL CONDITIONS
10. FIRE.999 PC -#01 —West Fire Protection Planning Office Responsibility
It is the responsibility of the recipient of these Fire Department conditions to forward them
to all interested parties. The building permit number is required on all correspondence.
Questions should be directed to the Riverside County Fire Department, Fire Protection Planning
Division at 2300 Market St. Suite 150, Riverside, CA 92501. Phone: (951) 955-4777, Fax: (951)
955-4886.
10. FIRE.999 PC - 1102—Approved Systems
All of the following conditions titled "Prior to Final Inspection" and/or any type of fire
suppression systems must be reviewed, inspected and approved by the Riverside County
Fire Department prior to Building Safety's final inspection. The Fire Department Better of
conditions, job card and approved plans must be at the job site for all inspections.
10. FIRE.999 PC -#03—Adopted Codes & local amendments
The following plans have been reviewed and conditioned with requirements that
correspond with the appropriate milestones. Regardless of the conditions all plans shall
comply with ORD. 787.7, 2013 Adopted Codes (CFC, CBC, CMC, ect.), and all
standards referenced therein. These conditions are intended to assist in code
compliance but, any required provisions not named in these conditions shall also apply.
PC -#84C —Medical Gas System Permit
Applicant/developer shall be responsible for obtaining permits from the Riverside County
Fire Department for the storage, dispensing or use of any compressed medical gases in
accordance with Ordinance 787 and the 2013 California Fire Code, Chapter 5306. Plans
and specification sheets must be submitted to the Fire Department for review and app I
prior to installation. Current plan check deposit based fee is $217.00 4
0. PRIOR TO BUILDING Pr ISSUANCE v
80.FIRE.999 TIPC -#05—Plan Check Fee 4V4
Tenant improvement plans have been reviewed, however, a separate plan check rl
deposit
based fee of $696.00 made payable to the Riverside County Fire Department, in the form
of a check or money order only, must be submitted to the Fire Department. Fire
Department "Submittal Form" must be completed along with payment. Available on line at
www.rvcfire.org or contact our office.
PRIOR90. TO BUILDINGFINAL INSPECTION
90.FIRE.999 TIPC -#06A—Adjust Sprinkler System
The fire sprinkler system within the building or tenant space was approved for the original
layout and commodities of the original or a past occupancy. The sprinkler system will
need to be modified and designed in accordance with adopted standards. A licensed C-16
contractor shall do all sprinkler work and/or certification. Plans, along with the current
deposit based fee, shall be submitted to the Fire Department for review and approval prior
to installation.
90.FIRE.999 TIPC -#0613 --Title 19 Fore Sprinkler Certification
A five year sprinkler service and certification for the existing sprinkler system is required
per Title 19. A licensed C-16 contractor must complete the servicing and certification.
Documentation of completed work must be submitted to the Fire Department. The
maintenance records for the sprinkler system must be provided prior to plan check
approval.
90.FIRE.999 TIPC -#07 — Designated Fire Lanes
Existing fire lanes shall be maintained and additional fire lanes may be required. Contact
the Fire Department for guidance and any plan requirements. The current deposit based
plan check fee is $212.00
90. FIRE.999 TIPC #08A— Extinguishers— Minimum
Install a portable fire extinguisher, with a minimum rating of 2A-10BC, for every 3,000 sq.
ft. and/or 75 feet of travel distance. Fire extinguishers shall be mounted no higher than 5 ft
above finished floor, as measured to the top of the extinguisher. Where not readily visible,
signs shall be posted above all extinguishers to indicate their locations. Extinguishers
must have current CSFM service tags affixed; or within one year of from the date of month
and year of manufacture. (NOTE: If only a year of manufacture is indicated, maintenance
shall be due January I"of the year following.)
90.FIRE.999 PC - ##89A— Rapid Entry Knox Box
A rapid entry Knox Box shall be installed on the outside of the building. If a Knox box has
already been installed provide keys to the tenant space for inclusion in the main building
Knox Box. Key(s) shall have durable and legible tags affixed for identification of the
correlating tenant space. Special forms are available from this office for ordering the Knox
Box. If the building/facility is protected with a fire alarm or burglar alarm system, it is
recommended that the lock box be "tamper" monitoring.
90.FIRE.999 PC - ##014— Display Address— Suites
In multi-tenant buildings, lettering a minimum of 6" in height shall be posted with business
names and suite numbers/letters on front and back doors. All addressing must be legible,
of a contrasting color with the background and adequately illuminated to be visible from
the street at all hours. All lettering shall be to Architectural Standards.
90.FIRE.999 PC -##015 — Electrical Room Sign
Electrical room door shall be posted "ELECTRICAL ROOM" on the outside of the door.
90.FIRE.999 PC— Final Inspection
Prior to human occupancy you must be cleared by the Fire Department. Call our office to
request a Fire Department inspection when you have approved plans and have installed
items as required.
Riverside Office Inspections Request Hotline 951 955-5282
Menifee PMT14-01487
06/20/2014
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT14-01487
PREPARED BY: John Le Vey DATE: 06/20/2014
BUILDING ADDRESS: 30406 Haun Rd. Suite CC-3B
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VB
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
TI
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf Manual Input
Bldg. Permit Fee by Ordinance 7
Plan Check Fee by Ordinance
Type of Review: ❑ Complete Review ❑ Structural Only
[IRepetitive Fee [I Other
Repeats [a--h!2jLrly 3 Hrs. @
. EsGil Fee $90.00 $270.00
Based on hourly rate
Comments:
Sheet 1 of 1
macvalue.doc+
PERMIT: PMT14-01487
ADDRESS:30406 HAUN RD#730
APPLICANT:
PHONE NUMBER:
CITY OF MENIFEE
BUILDING&SAFETY FEE SCHEDULE
MECHANICAL, ELECTRICAL&PLUMBING PERMIT FEES
CITY TOTAL
ELECTRICAL PERMITS
Residential Appliance,up to 1 HP 0
Non-Residential Appliances,up to 1 HP 0
Power Apparatus(less than 100 HP,KW,KVA,or KVAR) 0
Power Apparatus(100+HP,KW,KVA,or KVAR) 0
Solar,Residential or Small Commercial 0
Temporary Power Pole 0
Services,Switchboards,Control Centers&Panels(up to 400 amps)
SFR 0
Non-SFR 0
Services,Switchboards,Control Centers&Panels(400+amps)
Receptacle,Switch,Outlet&Fixture(first one) 1 116
Receptacle,Switch,Outlet&Fixture(ea additional) 56 280
Pole or Platform Mounted Fixtures(first one) p
Pole or Platform Mounted Fixtures(ea additional) 0
Swimming Pool/In-Ground Spa 0
Meter Reset 0
Misc.Permit,Flat Fee,or Hourly as determined by staff 0
TOTAL $0.00 $0.00
QTY TOTAL
PLUMBING PERMITS
Plumbing Fixtures and Vents,fixtures 1-3(total cost) 1 116
Plumbing Fixtures and Vents(ea additional) 4 20
Grease Interceptor 0
Gas System 0
Piping/Repiping
Single Family Residential 1 163
Multi Family Residential(first dwelling unit) 0
Multi Family Residential(ea additional unit) 0
Water Heater 1 83
Solar Water Heating System 0
Sewer 1 150
Misc.Permit,Flat Fee,or Hourly as determined by staff 0
TOTAL $0.00 $0.00
QTY TOTAL
MECHANICAL PERMITS
Forced-Air or Gravity-Type Furnace or Burner 0
Suspended/Recessed Wall/Floor Mounted Heater 0
Air Handling/Condensing Units
SFR 0
Non-SFR 0
Hood Served by Mechanical Exhaust 0
Boilers,Compressors,and Absorption Systems 0
Misc.Permit,Flat Fee,or Hourly as determined by staff 0
TOTA4 I $O.00 $0.00