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PMT15-01331 City of Menifee Permit No.: PMT15-01331 29714 HAUN RD. '5ACCELA- MENIFEE, CA 92586 Type: Commercial Alteration MENIFEE Date Issued: 0 9/2 212 01 6 PERMIT Site Address: 30143 HAUN RD,MENIFEE, CA 92586 Parcel Number: 360-080-053 Construction Cost $95,640.16 Existing Use: Proposed Use: Restaurant Description of TENANT IMPROVEMENT OF CREME DE LA CREME BAKERY 2156 SQ FT Work: Owner Contractor HAUNINEWPORT, LLC C/O RICH DEVELOPMENT CO. EURO-STILE INC 1000 NORTH WESTERN AVE#200 34624 CAMPUS WAY SAN PEDRO, CA 90732 YUCAIPA, CA 92399 Applicant Phone:9092893565 RODIN RUBAR License Number:907363 34624 CAMPUS WAY YUCAIPA, CA 92399 Fee Description Qtv Amount Receptacle, Switch, Outlet&Fixture 115 686.00 Plumbing Fixtures and Vents,fixtures 9 146.00 Gas System 1 116.00 Water Heater 1 83.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 675 675.00 GREEN FEE 1 4.00 SMIP COMMERCIAL 1 27.00 New Construction Permit Fee 1 439.94 General Plan Maintenance Fee-Plumbing 1 17.25 General Plan Maintenance Fee-Electrical 1 34.30 General Plan Maintenance Fee-New 1 22.00 Construction $2,277.49 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_Permil_Templaterpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). i hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and a am exempt from Iicensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class License No. By my signature below I acknowledge that,except formy personal residence Expires Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by 0 I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. w .le 'of ca. ov law.html. tt( Policy If Date 1)O P PERTY OWNER OR AUTHORIZED AGENT u I have and will maintain workers compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which 0 y my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the Information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires n r the a ovei ntifi d property for inspection purpos (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PR ERTY OWNER AUTHORIZEDA ENi o I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to became subject to the Cl BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,1 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amoun specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes �tl No UNLAWFUL,AND SHALL SUBJECT'AN EMPLOYER TO CRIMINAL PENALTIES Will the in ended use of the building by the applicant or future building AND OVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forgui(ddde'/1'nes CONSTRUCTION LENDING AGENCY aYes Yp No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer b�Yndary of a school? (Section 3097 Civil Code) 0 Yes W No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Gutdeand the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of California Health&Safety Code,Section 25505 and 25534 cancer Contractors License Law for the reason(s)indicated below by the azardous raters I report�{g. checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 Y 0 T Business and Professions Code).Any city or county that requires a permit to ate construct,alter,Improve,demolish or repair any structure,prior to its —PROPERTY OWNER OR AUTH IZED AGENT issuance,also requires the applicant for the permit to file a signed statement I that he or she is licensed pursuant to the provisions of the Contractors State Ed RENOVATION,REPAIR AND PAINTING IRRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from Iicensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their 0I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eovAead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a 0 An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was ��`�not built or Improved for the purpose of sale. 0 No EPA Lead-Safe Certified Firm is required for this project because: lX+,-e5 owner of the property am exclusively contracting with licensed ontractars to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. Riverside County Fire Department I Office of the Fire Marshal Section Rh Hide OMM.2000 A13Me181,Ste.150.Rhenide.CA 92501 Ph,(951)95 "7 Fax(951)955 NB P.I.0e.l O.. 77,933 Las Moma6as Rd.,0 201 Palm Desert,CA 92211.4131 Ph.(760)863•BB86 Fax(760)863-7072 Fire Department Clearance/Release Date: /7 �l To: r son@cityofinenifee.us;brivera@cityofinenifee.us;mbinnall@cityofinenifee.us Fax: Tract/Parcel Map tn.P F cv`'. Q�y ✓ Penn it/Lot#: lMF/�C- 61-S I / Job Site Address: .30145 { A""j gD U4 FEf- F-1 Final For Recordation ® Release For Building Permit(s) rl Shell Final Only(No Tenant) n Final For Occupancy rl Release For Residential Sprinkler Installation Building Plan Check Fees Paid, Water Requirement Met-if water applicable Building Plan Check Fees Not Paid i1 Residential Sprinkler Plan Check Fees Paid 171 Residential Sprinkler Plan Check Fees Not Paid 1-1 Other Fees 171 Fees Not Required If you should have any questions,please contact the appropriate Riverside County Fire r t ction Planning office for further assistance. Authorizing Signals a For Release Print Name Form O-Revised 5111116 P.O. Box 8300 e m w d EASTERN Perris, CA 1) 928-8300 3777 WATER (951) 928-3777 WATER DISTRICT CLEARANCE FROM FURTHER EMWD RELEASES Business Name: CREME DE LA CREME BAKERY Date: 0 9/0 612 0 1 6 Contact Name: JOE DI BENEDETTO Contact Phone: (714) 865-2313 Contact Address: 17130 VAN BUREN BLVD Phone Ext: RIVERSIDE, CA 92604 Email Address: JOE@CREMEBAKERY.COM Contact Fax: EMWD Provides: [ ] Water [ ] Sewer [X] Water and Sewer Requesting Agency: CITY OF MENIFEE—EMAIL: BRIVERA@CITYOFMENIFEE.US, CCARLSON@CITYOFMENIFEE.US Requesting Agency: RIVERSIDE CNTY ENV HEALTH—TEM/MURR/SUN CITY/MENIFEE—LILIANA LIZALDE LUZALDE @ RIVCOCHA.O RG Type of Request: [ ] New Single Dwelling [X] Business Service Address: 30143 Haun Rd #A Menifee CA 92586 APN Number: Tract Number: Lot Number: Business Type: RETAIL SALES FOR OFFICE USE ONLY: EMWD Fees: [x] Paid [ ] Not Applicable *Any future alterations involving water usage and/or plumbing configurations should be reported to the District at (951) 928-3777, ext. 4411. Additional Comments: No grease interceptor is required. SCARLETTDRAPER—SOURCECONTROLDIVISION 9/6/2016 (951) 928-6152 EASTERN MUNICIPAL WATER DISTRICT Date Fax Number SC User Reference Number:SC2016000214 WS Reference Number:WS20150000604 RIVERSIDE COUNTY COMMUNITY HEALTH AGENCY ( hr)EPARTMENT OF ENVIRONMENTAL HEALTH FOOD ESTABLISHMENT PLAN APPROVAL NOTICE SR# 33237 Date 5127/15 Project Name Creme de la Creme Bake Address Haun and Newport, Menefee Plans Submitted by Joe D. Benedetto Phone 714-865-2313 Owner Jalxine Address 17130 Van Buren Blvd #114,Riverside Phone 949-973-0506 The plans are now approved subject to the conditions listed below and the attached compliance sheet. 1. Install an approved Air curtain on facilities delivery door.Air curtain must span the entire width of the door and must be hardwired and micro-switched to the door. 2. Menu indicated a need for an approved prep sink.Install a minimum 18"xl8"xl2'deep prep sink with an integral 18'x18"drain board. 3. All equipment must be installed on approved 6 inch legs,casters or radius coved curbs(i.e.:E23). 4. Install an approved RPP backflow on soda carbonator water supply line.Ensure that backflow relief valve is installed with an approved funnel drain which drains indirectly to an approved floor sink. 5. Ensure that the FRP wall panels installed behind and adjacent all water source areas are a minimum 8 feet high. 6. Ensure that water heater has a minimum tank size of 75 gallons. 7. Install an approved double check backflow on espresso machine water supply line. 8. Prior to release of plans provide a copy of the will serve/Grease interceptor sizing letter from the local water and sewer agencies Note:All front counter sneeze protection will be evaluated and approved on site CONSTRUCTION INSPECTIONS: Contact the Plan Checker for a Preliminary Inspection when construction is approximately 80% complete, with plumbing, rough ventilation, and rough equipment installed. Request for inspection should be made at least five (5)working days in advance. A FINAL INSPECTION MUST be made upon completion of ALL work including finished details. APPROVAL to operate shall not be granted, or remodeled areas approved to operate, until the facility has passed the FINAL INSPECTION, and "APPLICATION TO OPERATE" has been completed and PERMIT FEES have been paid. Request for inspection should be made at least five (5)working days in advance. PLANS CHECKED BY David Albietz#028 Phone 951-461-0284 1 acknowledge the corrections noted herein and as indicated on the plans and agree to incorporate them during construction: Signature Date Company Name DEH-SAN-178(Rev 2,06) Corona Hemet Indio Murrieta Palm Springs Riverside 2275 S.Main St Suite 204 900 S.Sanderson 47-950 Arabia St-A" 38740 Sky Canyon Dr 554 S.Pasco Dororea 4065 County Cir (951)273-9140 (951)766.2824 (760)863-8287 (951)461-0284 (760)320.1048 (951)358-5172