PMT14-02511 City of Menifee Permit No.: PMT14-02511
29714 HAUN RD.
1.. MENIFEE., CA 92586 Type: Commercial Alteration
MENIFEE Date Issued: 1 0124/2 01 4
PERMIT
Site Address: 28400 MC CALL BLVD, MENIFEE, CA Parcel Number: 333-230-032
92586 Construction Cost: $5,000.00
Existing Use: Proposed Use:
Description of PARKING LOT TEMPORARY EVENT"COMMUNITY HEALTH FAIR"50'X 110-TENT, GENERATOR
Work:
Owner Contractor
PHYSICIANS FOR HEALTH HOSPITALS
1117 E DEVONSHIRE
HEMET, CA 92543
Applicant License Number:
MENIFEE VALLEY MEDICAL CENTER
CA
Fee Description Orly Amount
Inspections not specified 129 129.07
GREEN FEE 1 1.00
$286.14
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_[3cg_Permit_Templatexpt 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 full force and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class License No. who builds or improves thereon, and who contracts for the projects with a
Expires Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ lam 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
contractors. 1 understand that a copy of the applicable law, Section 7044 of the
❑ 1 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 leciinfo ca aov/calaw html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier Property Owner or Authorized Agent Date
Expires Policy#
❑ 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-
❑ I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes.
shall not employany persons in any manner sog s to become subject to the copy
workers' compensation laws of California, and agree that if I should become tj6-E2
subject to the workers'compensation provisions of Section 3700 of the Labor •Property Owner or 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, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES 040 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address FkNO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
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, <R0= 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 YES 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL F EPORI'ING.
compensation, will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code; n
The Contractor's State License Law does not apply to an owner of a property X Zazp1 r,LC
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF 1VIE1oTIFEE PLCKNo t �
City of Menifee 1 -0
(I
29714 Haun Road Building & Safety Dept. Date Date
Menifee, CA 92586 "IM11LI
Phone: (951)672-6777 OCT 2 4 20% Ameu&2-1 m
1 �' Aount
off iw ce C ory51)679-3843 Received Ck# Ck#
Building Combination Permit G
To Be Completed By Applicant
Legal Description: Mrn/�Ftr I�RLIt Planning Case: F: L: Rt: R:
Property Address: As ssor's Number.
2 ?Iq tb 11c. CALL (7L✓' tNiT�c L14 925�$ Pa el o3z
Project/Tenant Name: Unit#: Floor Ill:
Name: Phone No. Fax No,
S/ei�✓t 171A eRt77* i,elf 9 /- a /?F)/
Properly Address: - Unit Number Zip C e
Owner ( /('j E. tOcdLn/Sh/)/2-G tM�Y"C!� 9�5Y3 �jSF/3
Email Addres '
Name: Phone No. 7 Fax No.
Applicant Address: Unit Number Zip C de
,� Uv N1 C U- try air c� �ss�5
Email Address: ,.
t'eN C!3l ) 2 21 2ej, „, e?—
Name: Phone No. Fax No. ` 2�/
c� l3j'�3 � 7 T
Contractor Address: a Ft 4l lla N1[ L-�- rJ LJ City State Zip Cotle
C rvi�P� r� z3
ontractor s ty Moistness License No. Contractor's City State of California License No. Classification:
Number of Squares:
Square Footage IS,
�0
Description of Work: v D�,� I I e l I-,-N r' Ile 11,t,r�.. Cost of Work:$ �+
F-A/�l
Applicant's Signature I-"7 f a Date
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 8%x 11)
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations
❑ Single.Line diagram for also.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate LJNevv Construction Alteration' Addition' Means/Methods
Work Type: Repair• Retrofit* Revision to Exisling Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate If Indicate all Geo-tech.Haz.Zone
Al Project Sprinklered YES or NO that a y:
Completion: C,icate (ion ppl 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. Planning Comm.ZoninMI
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Pecie
Expedite Projecl(s): Child Care City Project Green Building Landmark Afford
For Staff Use Only
Building/Safe(BuildingiSafety J Ferint Specialist City Planning Civil Engineering EPWM-Admin I Transportation Mgmt. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
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Site Plan
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City of Menifee
Building & Safety Dept.
Nader Structural Group SEP 17 2014
STRUCTURAL ENGINEER§S� ed
1150 E. Orangethrope, #111A
Placentia,Ca 92870
Tel, (714) 993-2412 Fax (714) 993-7289
E-mail: arastegari@sbcglobal.net
50' X 110' TENT
28400 McCALL BLVD,
'ITY OF MENWNEFIEE, CA 92586
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
REVIEWED B 0a
OCT 2 4 2014
DATE
'Approval of these plans shall not be construed to be a permit for,or an NADER E. RASTEGARI P.E.
approval of,any violation of any provisions of the federal,state or city RCE-43332
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion QRof ESSIp
PROJECT NUMBER ���° aasrFq��y
251 -14No. 43332
Up. 3/31/16 z ►/'�
DATE
9-2-14
f or CAl\F
REVISION
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JOB NO: 261.14
TENT DESIGN FOR WIND LOAD
WIND PARAMETERS
Pwind=Ps30WA- 12.10 psf
A= 1.26 Exposure=C
Ps30= 9.6 Wind Speed=110mph L1= 50'
Height=21 ft
Dead Load of Tent+Columns=7psf
UPLIFT
Total Uplift Pu = L1*L2*PWiND , 66528 Ibs L1= 50 ft
Dead Load= 38500 Ibs 1-2= 110 ft
Net Uplift= 28028 Ibs
Total Stakes = (3)at each Corner and(1)at each intermediate Distance of 1Oft.
36 Posts
Uplift at Each Post = Total Uplift/total post
= 585lbs i
USE 1"Dia.X 42" Long Stake Anchor
3 AT EACH CORNER POST& 1 AT 1 TE M.
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50'-0"
18'-0"
SHEET: "J• 0
JOB NO: 251-14
DATE: 9-2-14
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CORNER POST PLAN iINTERMEDIATE POST PLAN
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1 " Wide Nylon
Webbing
1 " Wide Nylon
Webbing
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CORNER POST INTERMEDIATE . POST
ANCHORAGE DETAILS
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SHEET: 4.o
JOB NO: 251-14
DATE: 9-2-14
1 " WIDE NYLON
WEBBING STRAP STEEL EARTH ANCHOR
(STAKE)
1 "0 X 42" LONG
THROUGH ASPHALT INTO
EARTH.
-------------------------
----------------------
FRAME TENT
ALUMINUM LEG X
TYP. AROUND
PERIM.
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CITY OF MENIFEE
City of Menifee
BUILDING AND SAFETY DEPARTMENT Building & Safety Dept.
PLAN APPROVAL SEP 17 2014
REVIEWED BY r CT 2 4 p 4 Ceived
DATE
`Approval of these plans shall not be construed to be a permit for,or an
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. This set of aeProved
lldrig\.:N ( 9
a rfiRmue Of a a� A Date manufadumO
ISSUED BY 03/18/14
ra nqP REGISTERED FABRIC NUMBER
jR Eriz ,,j SNYDER MANUFACTURING.INC.
F•140 Y 3001 PROGRESS STREET
140.01 DOVER•OHIO 44622
This is to certify that the materials described below are flame-retardant and inherently nonflammable.
FOR BIG TOP RENTAL ADDRESS 4920 E LA PALMA AVE
CITY ANAHEIN STATE CA 92807
® The articles described below are made from a flame-resistant fabric or material registered and approved by the State
Fire Marshal for such use.
The Flame Retardant Process Used WILL NOT Be Removed By Washing
FABRIC MEETS THE REQUIREMENTS OF THE SPECIFICATIONS LISTED BELOW INDICATED BY
In &IGPA-701-2010 IP-arge cal ❑ MIL-C-43006 ❑ FMVSS-302
❑ CAN/ULC-S109-2003 PAO- ❑ A-A-SM08
SNYDER MANUFACTURING INC. By -r{te Supervisor,Oualiry Control
STYLE PRV 1310Q WHITE 61" HI GLOSS
CONTROL NO. 13362 STOMER ORDER NO. VBL DAVE
SNYDER S•ORDER NO. 235003 DATE PROCESSED 03/18/14
YARDS OR OUANTITY 600 DATE CERTIFIED 03/21/14
4.104-38F•R2.2000
�, y�ItYSey ;rj !� t B�Ix �H 8
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Cit� �k4enifee 7
Baldor Towable Generators Bu)�tii�tlig 's�fiDept.
Model S25T/TS25 TS45T/TS45S TS80T/TSBOS TS130T/TS130S 5T/ S 75S
List Price 20795/19485 29691/26697 35241/32177 55119/51 623 9/56645
r En ine Isuzu Isuzu Jqhn Deere John Dee `" '"
Ir
Standby Output-150°C Rise(KVA/kVV)
3 ph®480 Volt 25/20 48/38 81/65 134/107 175/140
3 ph 0 208/240 Volt 25/20 46/37 72/58 131/105 1 169/135
1 ph®240 Volt 18/18 27/27 45/45 70RO 80/80
Continuous Output-125°C Rise(KVA/k
3 ph 0 4BO Volt 23/18 44/35 75/60 121/97 f69/135
3 ph @ 208/240 Volt 23/18 44/35 69/55 119/95 156/125
1 ph @ 240 Volt 18/18 25/25 43143 1 66/66 75175
Voltage Selections
Vgnage-3 ph Adjustable 208/220/240 2081220/240 J 208/220/240 208/220/240 208/220/240
16/4401460148 416/440/460/480 416/440/460/480 416/440/460/480 416/440/460/480
Voltage-1 ph Adjustable 120/127/139 120/127/139 120/127/139 120/127/139 1201127/139 1
240/2541277 240/254/277 240/254/277 240/2541277 240/254/277
3-Phase Power Factor 0.8 0.8 0.8 0.8 -
0.8
Voltage Regulation 1/2% 1/2% 1/2% 1/2% �
1/2Yo
Frequency 50 or 60 Hz. 50 or 60 Hz. 50 or 60 Hz. 50 or 60 Hz. 50 or 60 Hz.
Total Harmonic Distortion <5% <59'a <5% <5% <5%
Insulation Material Class F Class F Class F Class F F Class F
Amperage(Continuous):
3 ph 480 Volt 27.1 52.6 90.2 145.8 203.0
3 ph 208 Volt 62.5 121.4 190.8 329.6 433.7 t
3 ph 240 Volt 54.1 105.3 165.4 285.7 3 55.9
Single phase amperage®240V/120V 75.0/150.0 104.2/208.3 179,21356.3 2751550 312.5/625.0
Engine Specifications
ilodel 4LE 4BG1 T04045T T060 8V4.56*x5.06*
Cylinders 4 4 4 6
Induction System Nat Aspirated Nat Aspirated Turbocharged Turbochargeded
Displacement,Uter/Cu.In. 2.2V133 4.3V264.2 4.5/276 6.8V414
Hp®Rated Speed 34.5 64 100 166
RPM 1800 1800 1600 1800 -
Bore and Stroke 3.34'x3.78" 4.13"x4.92" 4.19"x5.0" 4.19"x5.0" "Oil capacity(with filter) 8.6 quarts 13.7 quarts 14 quarts 18 quartsCooling Uquid Liquid Uquid Uquitl ' 15
Battery recommendation(min cold cranking amp 750 900 900 (2)750 (2)750 �7
Battery,Rack and Cable Supplied
Receptacle Specifications i
120 Volt 20 Amp GFCI 4f%r11 6 6
120/240 Volt 50 Amp C36369.Twistlock 2 8 3 t
Two Wire Remote Start Capability inc tJ
inc
Fuel System Specifications(Diesel) l4
W
Fuel Consumption GPH-1/21oad/(full load) 1.3/(2.0) S j ) 4.2/(8.1) 5 6/(10 u
Approximate Run Time(Hours)112load/(full loa 38/(25) 40/(24) 6) 38/(20) 291061)SAFETY D ,
Fuel Capacity,(Ga.) 50 80 160 160
Sound Level dB(A)@ 7 meters,full load 64 1 �x
Dimensions(LxWxH w/trailer 131"x52"x7O' z9 180"x 6"x
Dimensions(LxWxH)without/trailer 74'x38"x52" 84'x38"x61" 84"x38"x61" 108"x42"x74" 108
Weight without Fuel 2265 3540 3848 56 00
Weight without Fuel and without Trailer 2829 3 4610
5205
NOTES: Engine,Generator Instrumentation(ALL)-- er, er, se c , t not 6e constm d t
stan/stopraulo switch,voltage adjusting rheostat,tour meter,individual 1 �l ilehll'tdA1' afl�'pro�tsibYl of rajI State Or CIt1� nor of any provisions pft
Standby Rating:applicable for supplying emergency pourer for the tlurati t'1' po r to e.Pn w r t the install lion is utility su plied. :es.This set of approve,
No overload capability for standby rating.Standby ratings in eccordane� � �9S�lAv1!14pFs .s set o?approve8 plans must bye kept on the
Continuous Power Rating:is the maximum power avaiaote for continuoygbi'jt4N�)gyac4y is available for 1 hour out of 12 hours of operation.
Manufacturer reserves the right to Implement specifications or design changes without notice.
WARNING: Do not connect generator to any building's electrical system unless a disconnect switch has been install . i
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