PMT14-01493 I
City of Menefee Permit No.: PMT14-01493
29714 HAUN RD. Type: Commercial Addition
'W6C,-EL-A> MENIFEE, CA 92586
MENIFEE Datelssued: 08/19/2014
PERMIT
Site Address: 25283 SHERMAN RD, MENIFEE, CA Parcel Number: 329-030-068
92586 Construction Cost: $25,000.00
Existing Use: Proposed Use:
Description of INSTALL CARWASH CANOPY
Work:
Owner Contractor
BT-OH, LLC
55 GLEN LAKE PARKWAY, NE
ATLANTA, GA 30328
Applicant License Number:
UPS
MENIFEE, CA
Fee Description ON Amount($)
R P ac elSi• fI"ham,: e r I'ture'r.� 5. :;
Grease Interceptor 1 116.00
Inspections not specified 129 129.07
dl naf le; � i n - 4 ;Qfk
GREEN FEE. 1 1.00
P R •' IP 0„
New Construction Permit Fee 1 317.98
$960.05
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 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 a d my license is in f_u,,lltforc and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class A License No7T 7 who builds or improves thereon, and who contracts for the projects with a
Expires Signature I..— licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLA ION
❑ 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, I cannot legally sell a structure that I have
permit is issued.
Policy# built as an owner-building if it has not been constructed In its entirety by licensed
y 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 -sob fitted or a h'a f 1� g e fie?htto//www,leqlnfo.ca.gov/calaw.html.
permit Is issued.My workers'compensation insurance carrier and policy number are: &o/pA�
Carrier 1A2,- 1K41VC.E CO ��IZ OF�NN -mprry Owner r ea AUt Date
Expires Policv# WG206'35761
❑ 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 representatives of this city or county to enter the above-
El I 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 cr Authorized Agent Date
Code, I shall forthwith comply with those provisions.
City Business License#
Date; 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, DYES 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 >�10 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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
0 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address
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 AYES 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, 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 ra+yES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any l"' 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
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL FtEPORYING.
compensation, will do ( )all of or ( ) porting of the work, and the structure is PjOP-E Y OWNER ORAUTH ED 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
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 ly'1JUNYll'EE City of Menifee PLCK No: Permit No:
O
29714 Haun Road Building & Safety Dept.
Date: Date:
Menifee, CA 92586 lSt
JUN 19 2014
Phone: (951)672-6777 Amours Amount
Fax:(951)679-3843
Received Ck#: Ck#:
Received Wt 3 F-6
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: 2oiy-11p// F: L: Rt: R:
Property Address: Assessor's Parcal Number.
25.283 56�5VIIIJAAI A24.0,M.0111/a;5, CA. 03b-eX0 13,2Y-090-O
Pr ant antC�� � Unit Floor#:
( Name: 7- Oy rLG P//e °'7�3,0� .7 Fax No.
Property Addres '� Unit Numher� Zi Code
owner GG�N LgKy PARkY✓,4y AIX '
Email Address:
Name: P ne No. Fax No.
Ni PA —<ER icy �iy-7�3 oia7
Applicant Address: �/ Unit Numbe� Zip Code
2 O�LiN� ALi 2 5
Email Address:
AQABt!/75 . CO/V
Name: P one No. Fax No.
N,Bi CoN -W i C, �y - 3 - 3a5
Contractor Address: Ci State Zip 26
CO
y 2/ giRcH S
Contractors ty Busmess [tense o. Contractor's City Slate or California License No Classification:
Number of Squares:
Square Footage
Description of Work: C4R1104561 CANOPY SN5—r444 Q'1CA1 Cost of Work:$25 O
Applicant's Signature
ILI
To Be Completed By Pity Staff Only,:
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dlmensicned,drawn to sale plans which include: 1 set of documents which induce
❑ Title Sheet ❑ Elevations ❑ Electrical Plan
❑ Gee Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 Y:x 11)
❑ Structural Calculations
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' Means/Methods
Work Type:HRepair' - Retrofit` Revision to Existing PeriniP Required? YES NO
Proposed Building Use(s);— Lq Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate In
ndi Indicate dicate if al
At Project Sprinklered YE$or NO
Completion: Construction that appl y:l Geo-tech.Haz.Zone
Coastal Zone
Type(s): C or O YES or NO Noise Zone
Requfred7 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
Official Approval
Expedite Project(s): Child Care I ICity Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safely Permit Specialist I City Planning I Civil Engineering EPWM-Armin I Transpormuon Mgmt. I Rent Contra[
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
Menifee PMT14-01493
6/27/14
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT14-01493
PREPARED BY: Chuck Mendenhall DATE: 6/27/14
BUILDING ADDRESS: 25283 Sherman Rd
BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: III B
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
canopy 860 Hrl
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Junsdiction Code mnf Manual Input
Bldg. Permit Fee by Ordinance WI
Plan Check Fee by Ordinance �I Q
Type of Review: ❑ Complete Review ❑ StructuralOnly
❑Repetitive Fee ❑ Other
�I Repeats Hourly 2 Hrs. @
sGil Fee $210.00
Based on hourly rate
Comments:
Sheet 1 of 1
macvalue.doc+
PERMIT:PMT14-01493
ADDRESS:25283 SHERMAN RD
APPLICANT:
PHONE NUMBER:
UPS TRUCK WASH
CITY OF MENIFEE
BUILDING&SAFETY FEE SCHEDULE
MECHANICAL,ELECTRICAL&PLUMBING PERMIT FEES
TOTAL
ELECTRICAL PERMITS
Residential Appliance,up to 1 HP 0
Non-Residential Appliances,up to 1 HP 0
Power Apparatus(less than 100 HP, (W,KVA,or KVAR) 0
Power Apparatus GOOF 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(400a amps)
Receptacle,Switch,Outlet&Fixture(first one) 1 116
Receptacle,Switch,Outlet&Fixture(ea additional) 8 40
Pole or Platform Mounted Fixtures(first one) 0
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
OTY TOTAL
PLUMBING PERMITS
Plumbing Fixtures and Vents,fixtures 1-3(total cost) 0
Plumbing Fixtures and Vents(ea additional) 0
Grease Interceptor 1 116
Gas System 0
Piping/Repiping
Single Family Residential 0
Multi Family Residential(first dwelling unit) 0
Multi Family Residential(ea additional unit) 0
Water Heater 0
Solar Water Heating System 0
Sewer 1 150
Misc.Permit,Flat Fee,or Hourly as determined by staff 0
TOTAL $0.00
OTY 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 Sewed by Mechanical Exhaust 0
Boilers,Compressors,and Absorption Systems 0.
Misc.Permit,Flat Fee,or Hourly as determined by staff 0
TOTAL $0.00
INSPECTIONS REQUIRED
FOOTINGS
SLAB
SHEAR/ROOF DECK
COMBO
INSULATION
DW/LATH
GAS TEST
FINAL