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PMT14-02993 City of Menifee Permit No.: PMT14-02993 29714 HAUN RD. A MENIFEE, CA 92586 Type: Commercial Alteration MENIFEE Date Issued: 11/13/2014 PERMIT Site Address: 27830 BRADLEY RD, MENIFEE, CA Parcel Number: 335-202-004 92586 Constructlon Cost: $0.00 Existing Use: Proposed Use: Description of HOURLY INSPECTION FOR CERT OF OCCUPANCY Work: Owner Contractor SUN CITY MEDICAL DENTAL BLDG 27830 BRADLEY ROAD MENIFEE, CA 92586 Applicant License Number: MENIFEE, CA Fee Description r1,ty Amount l$1 BV0,10I. er >S "a11. e Inspections not specified 129 129.07 $156.07 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifcalions or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee. Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. i AA_Bldg Permit Template,rpt Page 1 of 1 City of Menifee Building & Safety Dept. NOV 13 2014 CITY OFMENIFEE PERMIT # (AAT\A- Uo 3 BUILDING AND SAFETY I DEPARTMt�$'pCelVed 29714 HAUN ROAD, MENIFEE, CA 9 TELEPHONE: (951)672-6777 DATE: Ik I\3 1%L1 APPLICATION FOR CERTIFICATE OF OCCUPANCY PLEASE PRINT LEGIBLY OR TYPE SECTION I-APPLICANT INFORMATION ADDRESS WHERE B.UISSI ` INESS WILL BE CONDUCTED: / pp NAME OF BUSINESS: TYPE OF BUSINESS: �- '�D W�2r�`ti��S �Pn \$ C - NAME OF BUSINESS OWNER:: BUSINESS PHONE: -s31^3 ADDRESS OF HOME OFFICE OF BUSINESS OWNER: PHONE: (IF DIFFERENT FROM ABOVE) OWNER OF BUILDING: PHONE: U. � }-� C':;( "9 - ADDRESS: U U CITY: STATE: ZIP: 2-78 E:h go DESCRIBE EXACT USE OF ALL PORTIONS OF EACH BUILDING AND LOT: tu-FQS\ ONA Uls�\llN �G Lti 5 PREVIOUS USE OF BUILDING: eM�z� oFF < � tctx� rtt4 �aEf ifz cr 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. (Zf hereby agree to comply with the above-described terms in this Application for (APPLICANT) Certificate of Occupa nc . (APPLICANT) (DATE) FOR DEPARTMENTAL USE ONLY PLANNING//��� (� FIRE ZONE: li S APPROVED BY: DATE: APPROVED BY: N A DATE: BUSINESS LICENSE PUBLIC WORKS/ENGINEERING BUSINESS LICENSE# "1131ly APPROVED BY: DATE: APPROVED BY: DATE: BUILDING DEPARTMENT EASTERN MUNICIPAL WATER DISTRICT APPROVED BY: DATE: APPROVED BY:�3 41�} DATE: HEALTH DEPARTMENT APPROVED BY: !.) A DATE: REMARKS i I i CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT Tenant Disclosure Form PERMIT No, Property Address street Name/Number Area/ ommunity zip code Business name: ,� - �' - m �L>�S Suite name: Occupancy group: �� 1 Square footage: Type of construction: � ��,�r�1 Is the building equipped with fire sprinklers w© Number of Employees: a Number and location of restroom facilities: List any chemicals used or stored and quantities: �4rt�n�w Cy� �1 © tr �(a`�lo i-e �c'r� — 3F-�' e�aw�, •- 1c��^ t ��� 5•ff<1I .. l �a,�TX� � 1 c�V/ � Ea f ,c��S 'Q � P- C� c j 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? NQ-� Are you anew tenant? N 3 Are you the first tenant? t�6 _ 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. o If you are making other improvements, please see the Tenant improvement Plan Requirements handout. Signature . Print Name Date Circle One: ena/ Owner / Contractor [Architect / Engineer