PMT14-03021 i
City of Menifee Permit No.: PMT14-03021
29714 HAUN RD.
` MENIFEE, CA 92586 Type: Commercial Alteration
s ssl", MENIFEE Date Issued: 11/14/2014
I
PERMIT
Site Address: 29798 HAUN RD, Suite#201, MENIFEE, Parcel Number: 336-381-025
CA 92586 Construction Cost: $0.00
Existing Use: Office. Proposed Use:
Description of HOURLY INSPECTION FOR CERTIFICATE OF OCCUPANCY FOR"ALL STAR PHYSICAL
Work: THERAPY,INC"
Owner Contractor
HOPE CONDO ASSOCIATION
P.0 BOX 128
TEMECULA, CA 92593
Applicant License Number:
PAUL DIMEGLIO
ALL STAR PHYSICAL THERAPY, INC
25812 BAY MEADOWS WAY
MURRIETA, CA 92562
Phone: 9517515715
Fee Description gyt Amount($1
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_Blog_Permit_Template.rpt Page 1 of 1
C�ATIFICATE OF OCCUPANCY APPLICATION
City of IVenI ee
Building & Safety Dept.
JmAh-,�k
��==MenifeeAdd Nov , 4. Zo,a
R ceived
DATE �) 3 ' 14' L,p PERMIT NUMBER ("(J� t�/��I -
BUSINESS NAME ALL 5;-)K J�"S/ t 2fjjZAp j /wf TYPE OF BUSINESS /lE,)/LA-I
ADDRESS 2 /yy�� A799 4AVr1 IZOA-0 Nfto ) /'IC�Jij � Ct,
NAME OF BUSINESS OWNER(S) I-AVC & 14t:� t i o
ADDRESS(IF
//DIFFERENT FROM ABOVE) 25 So- 13A J /•/���t?w✓( I.J A��I N'/ll'IZC/b ilA l.A )�"��"
PHONE `�51 —Kt-11S �S EMAIL j�AUL-D1fWEWL1U (`_ /+i)i A1A#L �wy�
OWNER OF BUILDING RG PE L,U6J�)1) A SSOG1 A.n , .J
ADDRESS i') c i3ok /2 g 7i-mircwwA Cam,
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PHONE 61 ) �13 - j�}�� TEMAIL
DESCRIBE EXACT USE OF BUILDING: N-ti S/[a.L / ;/cw py
PREVIOUS USE OF BUILDING/SUITE
APPLICANT ACKNOWLEDGEMENT
Applicant agrees that the Certificate of Occupancy shall be posted in a conspicuous location, and will operate subject
to the City's issuance of the Certificate of Occupancy.
I, l.P"lS GLsb- hereby agree to comply with the above-described terms in this
Application for i 'cate of 0 Vt :
.
DATE 11634
APPLICANT
CITY STAFF USE ONLY (PLEASE SIGN AND DATE • .
BUS LICENSE DATE ENGINEERING DATE
BUS LIC.NU MBE J FIRE DATE
PLANNING DATE / / EMWD DATE
HEALTH DEPT DATE BUILDING DATE
REMARKS
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line
CERTIFICATEOF OCCUPANCY TENANT DISCLOSURE • .
J.-i' "!" Menifee
DATE / 3 / PERMIT NUMBER I
ADDRESS Z /&V AJ �? tI 20/ jijl&r�j
BUSINESS NAME AruS s 7AV l ✓t
INTENDED BUSINESS USE "51 CA-L
IS THIS A NEW BUSINESS IN THE CITY OF MENIFEE? E� NO (CIRCLE ONE)
ARE YOU THE FIRST TENANT TO OCCUPY THIS SPACE? YES 0 (CIRCLE ONE)
IS THE BUILDING EQUIPPED WITH FIRESPRNKLERS? YES NO (CIRCLE ONE)
SQUARE FOOTAGE 4 9 S
NUMBER OF EMPLOYEES 71-
NUMBER AND LOCATION OF RESTROOM FACILITIES
LISTANY TOXIC CHEMICALS, FLAMMABLE/COMBUSTIBLE LIQUIDS OR GASES USED OR STORED WITH
MSDS SHEETS AND QUANTITIES OF EACH BELOW OR ON A SEPARATE ATTACHED SHEET(S):
N,p�Q E;
• ARE YOU MAKING ANY IMPROVEMENT TO THE SUITE OR BUILDING OTHER THAN PAINTING,
PAPERING, FLOOR COVERING, MOVABLE CASES,SHELVING OR PARTITIONS NOT ' 9" HIGH?
YES NO (CIRCLE ONE)
• APPLICANT SHALL OBTAIN ALL REQUIRED CLEARANCES AND/OR APPROVALS FROM THE
APPROPRIATE WATER DISTRICT AND FIRE DEPARTMENT PRIOR TO ISSUANCE OF ANY
BUILDING PERMITS
,2 (Z)L
SIGNATURE DATE
PRINT NAME / S LSC-,)
TEN ) OWNER / CONTRACTOR / ARCHITECT / ENGINEER (CIRCLE ONE)
UTY STAFF USE ONLY
OCCUPANCY GRP TYPE OF CONST STAFF INITIALS
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213