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