PMT14-02090 City of Menifee Permit No.: PMT14-02090
29714 HAUN RD. Type: Commercial Alteration
"�46CELA? MENIFEE, CA 92586
eq°""fi'Wk" MENIFEE Date Issued: 0 811 2/2 0 1 4
PERMIT
Site Address: 27701 SCOTT RD, Suite#D, MENIFEE, Parcel Number: 384-180-040
CA 92584 Construction Cost: $0.00
Existing Use: Proposed Use:
Description of HOURLY INSPECTION FOR CERT OF OCCUPANCY, 1457 SQ FT
Work:
Owner Contractor
MENIFEE PARTNERS
4909 MURPHY CANYON ROAD
SUITE 405
Applicant - - - - License Number:
MENIFEE, CA
Fee Description Oty Amount
)3 I vP r I ss nee
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 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
Building & Safety Dept,
CITY OFMENIFEE AUG 12 2914 PERMIT # VIK- 1LA-va090
BUILDING AND SAFETY DEPARTMENT
29714 HAUN ROAD, MENIFEE, CA 92586
TELEPHONE: (951)672-6777 Received DATE:
APPLICATION FOR CERTIFICATE OF OCCUPANCY
PLEASE PRINT LEGIBLY OR TYPE
'o
SECTION I—APPLICANT INFORMATION
ADDRESS WHERE BUSINESS WILL BE CONDUCTED:
22 0l 6,- T, r7-o ienw 9 <,. �w 92-f �y
NAME OF BUSINESS: TYPE OF BUSINES :
l N i u l C "iv -,.-
NAME OF BUSINESS OWNER: BU ESS PHONE:
h1111 11A , 9, 22
AD ESS OF HOME OFFICE OF BUST ESS OWNER: PHONE:
(IF DIFFERENT FROM ABOVE)
mg
OWNER OF BUILDING: PHONE:
e/Vl .ec eAallvo, - PL- 0/ 9 - I y61f J ?
ADDRESS: CITY: STATE: ZIP:
SarA'D� 3
DESCRIBE EXA NhE ALL P IONS F EACH BUILDING AND LOT.
Y Z 1702 Y
PREVIOUS USE OF BUILDING:
El ox:ks
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, Pt ' � !!!1 A 12-A I , hereby agree to comply with the above-described terms in this Application for
(APPLICANT)
Certificate of Occupancy.
Li
(APPLICANT) (DATE)
FOR DEPARTMENTAL USE ONLY
PLANNING FIRE
ZONE:
APPROVED BY: DATE: APPROVED BY: tJ�pt DATE:
BUSINESS LICENSE PUBLIC WORKS I ENGINEERING
BUSINESS LICENSE#
APPROVED BY: DATE: APPROVED BY: N 11'� DATE:
BUILDING DEPARTMENT EASTERN MUNICIPAL WATER DISTRICT
APPROVED B • O DATE: ;1-7-/ y�
APPROVED BY: N r7 DATE:
HEALTH DEPARTMENT
APPROVED BY: I�Pt DATE:
REMARKS
CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT
City of Menifee
Building & Safety DeTenant Disclosure Form
AUG 12 2014 PERMIT No. PKVIL1 - QD090
Received
Property Address 9 ��Di fcn�T2� �n, �
Street Name/Number Area unity zip code
Business name: N
Suite name:
Occupancy group: & lv, r-'ez
Square footage: I q S 4-
Type of construction: /V
Is the building equipped with fire sprinklers
Number of Employees: 7. / Via✓ e., !_ i
Number and location of restroom facilities: ( >
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?
Are you a new tenant? y
Are you the first tenant? Ye'1
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.
Signature Print Name Date
Circle One: enan / Owner / Contractor / Architect / Engineer
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