PMT14-03106 City of Menifee Permit No.: PMT14-03106
29714 HAUN RD.1..A MENIFEE, CA 92586 Type: Commercial Alteration
s� ,ssmr. a MENIFEE Date Issued: 11/21/2014
PERMIT
Site Address: 26730 MCCALL BLVD, MENIFEE, CA Parcel Number: 335-191-001
92586 Construction Cost: $0.00
Existing Use: Proposed Use:
Description of HOURLY INSPECTION FOR CERTIFICATE OF OCCUPANCY FOR 76 GAS STATION AND
Work: CONVENIENCE STORE
Owner Contractor
AFRO LLC
17311 S MAIN ST
GARDENA, CA 90248
Applicant License Number:
MICHAEL SANCHEZ
AFRO LLC
17311 S MAIN ST
GARDENA, CA 90248
Phone: 3103233992
Fee Description ON Amount f$1
Reinspections/Additional Inspections 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 OFMENIFEE PERMIT # ?M-fJ4, Do�10(v
BUILDING AND SAFETY DEPARTMENT
29714 HAUN ROAD, MENIFEE, CA 92586
TELEPHONE:(951 672-6777 DATE: City of Menifee
1 Building & Safety Dept.
APPLICATION FOR CERTIFICATE OF OCCUPANCY NOV 2 1 2014
PLEASE PRINT LEGIBLY OR TYPE
Received
SECTION I—APPLICANT INFORMATION
ADDRESS WHERE BUSINESS WILL BE CONDUCTED:
2t,?`130 McCalL 3L0 . svN CITY
NAME OF BUSINESS: TYPE OF BUSINESS:
UN1TCD OIL -'49 GAs SrATIoN
NAME OF BUSINESS OWNER: BUSINESS PHONE:
AfRo LLC (310 323 .3gg2
ADDRESS OF HOME OFFICE OF BUSINESS OWNER: PHONE:
(IF DIFFERENT FROM ABOVE) I-I 311 S. MAIN ST.
G�DENA, C/t goz40 (310) 323-, -
OWNER OF BUILDING: A-W C) "C PHONE:
ADDRESS: CITY: STATE: ZIP:
t 131 I S "t"N Sr. GkR�A G 9G 248
DESCRIBE EXACT USE OF ALL PORTIONS OF EACH BUILDING AND LOT:
GIK 9Ti4r(0 oN VC t NCe S'TdRE
PREVIOUS USE OF BUILDING:
CON iev % Ccce ST0F1= /6 4-S' s-r1ro6N
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, NIGHR>l_ SftN Ctt z hereby agree to comply with the above-described terms in this Application for
(APPLICANT)
Certificate of Occupancy.
n_ -
(APPLICANT (DATE)
I
FOR DEPARTMENTAL USE ONLY
PLANNING FIRE
ZONE: _
APPROVED BY: DATE:_ APPROVED BY: DATE:
BUSINESS LICENSE PUBLIC WORKS/ENGINEERING
BUSINESS LICENSE#
APPROVED BY: DATE: APPROVED BY: DATE:
BUILDING DEPARTMENT EASTERN MUNICIPAL WATER DISTRICT
APPROVED BY: DATE:
APPROVED BY:_ DATE:
HEALTH DEPARTMENT
APPROVED BY: DATE:
REMARKS
CITY OF MENIFEE
rtBuilding
BUILDING AND SAFETY DEPARTMENT
City of Menifee Tenant Disclosure Form& safety Dept.
NOV 21 2014 PERMIT No. 2MZ N -0 11106
Property AddR AW-1,36 MCCAu_ t;LVD. g25&0
Street Name/Number Area/Community zip code
Business name: Win-b oi\- *41
Suite name: —
Occupancy group:
Square footage: SOD
Type of construction: IJ%/r
Is the building equipped with fire sprinklers Nc
Number of Employees: 3
Number and location of restroom facilities: i fcR CHPLG' Ef usE
GN1 0
List any chemicals used or stored and quantities: GAsC�1[06
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? NO
Are you a new tenant? 00
Are you the first tenant? No
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
M Requirements handout. p�
Signature Print Name Date
Circle One: Tenant / Owner / Contractor / Architect / Engineer