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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, �i Z3`13 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