PMT15-01382 City of Menifee Permit No.: PMT15-01382
29714 HAUN RD. Type: Commercial Addition
4WCCE1,..I '' MENIFEE, CA 92586
MENIFEE Date Issued: 06/17/2015
PERMIT
Site Address: 28237 LA PIEDRA RD, MENIFEE, CA Parcel Number: 364-070-031
92584 Construction Cost: $2,500.00
Existing Use: Proposed Use:
Description of TEMPORARY EVENT FOR GOSCH AUTO GROUP AT MSJC WITH TENT AND GENERATOR
Work:
Owner Contractor
MT SAN JACINTO COMMUNITY COLLEGE
1499 N STATE ST
MENIFEE, CA 92533 -
Applicant License Number:
STEPHANIE KLITTESON
GOSCH AUTO GROUP
, CA
Phone: 9516583181
Fee Description lolly Amount I$1
Inspections not specified 129 129.07
$156.07
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunderwhen in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated, a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA Bldg Permit_Templale.rpt Page 1 of 1
CITY OF 1V•1ENIFEE PLCK No: I 17 VI v
29714 Haun Road Date: D
Menifee, CA 92586 /s
Phone: (951)672-6777 mount: Amo� � ,q
Fax: 951 679-384 . 7�P
0 .�
Building CombinatioPer- ce C # Gk#:
To Be Completed By Applicant
Legal Description: .A Z ItQ,6116 Planning Case: F: L: Rt: R
Property Address' 1_` v r ssessor's Par el N mb
Project/Tenant Name: Unit#: Floor#:
f (
Name: Phone No. Fax No.
Property Address: ommuO Q
Owner 1 q N • Unit Number Zip Code o z.s;�3
Email Address:
Name: Phan No f�
GOA 0 0 tU 5 - I F x 1e U 2-
Applicant Address: - Unit Number Zip Code
1 So acr t e lsi q-2 H
Emall Address: _
Name: Phone No.
Fax No.
Contractor Address: City State Zip Code
Contractor's City Business License ;. Contr CI r lifornia License No. Classification:
Number of squares:
Square Footage
Desert if Work: 1„ �, L.r Cost of Work:$
A ca g a +V
Date: 5 /71�S
To,Ro',6*patgd BV,Clty Staff t?hly. '
.. <:
Indicate As R-Recelved or N/A-Not Applicable
5 Apleteii sets of fully dimensioned,drawn to sale plans which include: 7 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on call only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 Y x 11)
Foundation Plan Cross Section ❑ Structural Calculations
❑ ❑ ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan Cl Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' Means/Methods
Work Type: Repair' RetrotiP Revision to Existing Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if YES or NOFIndicato all Geo-tech.Haz.Zone
Al Project Construction Sprinklered ply: Coastal Zone
Completion: Type(s): C Of O Noise Zone
Required? YES or NO
Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board I I Landmark Comm. I Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Chargerl I Landmark Seismic Retrofit I pedal uase.Bldg,
OlfcialA royal
Expedite Projecl(s): Child Care City Project Green Building Landmark ABordable Housing
For Staff Use Only
it
Building/Safety I Permit Specialist City Planning I Civil Engineering LFVVM-Admin 1 lensportralonmgmt. Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
RIVERSIDE COUNTY FIRE DEPARTm NT
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
2300 Market Street Suite 150 Riverside, CA 92501 - Phone(951)955-4777
. Fax(951)955-4886
www.rvcfire.org
PROUDLY SERVING THE CONDIITONS OF APPROVAL
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY PERMIT# 15-M E N I-116
AND THE CITIES OF:
DATE OF REVIEW: 5-26.15 REVIEWED BY: L. GALLARDO
BANNING
BUSINESS NAME: June Used Car Sale
BEAUMONT ATTN: STEPHANIE
CAUMESA PHONE #: 951-658-3181
CANYON LAKE ADDRESS OF PROJECT: 28237 PIEDA RD MENIFFE
COACHELLA CONDITIONS:
DESERT HOT SPRINGS The AHJ shall be permitted to regulate all outdoor events such as carnivals and
EASTVALE fairs as it pertains to access for emergency vehicles; access to fire protection
INDIAN WELLS equipment; placement of stands, concession booths, and exhibits; and the
INDIO control of hazardous conditions dangerous to life and property.
JURUPAVALLEY 1. FIRE LANES
LAKE ELSINORE Obstruction of fire apparatus access roads. Fire apparatus access roads shall
not be obstructed in any manner, including the parking of vehicles. The
LA QUINTA minimum widths and clearances established in Section 503.2.1 shall be
MENIFEE maintained at all times.
MORENO VALLEY 2. Smoking shall not be permitted in tents, canopies or membrane structures.
NORCO Approved "No Smoking" signs shall be conspicuously posted in accordance
PALM DESERT with CFC sections 310 and 2404.6
PERRIS 3. Portable fire extinguishers shall be installed in the following locations. Install a
RANCHO MIRAGE portable fire extinguisher, with a minimum rating of 2A-10BC, for every 75 feet
RueIDOUx CSD of travel distance, CSFM service tags affixed; or within one year of from the
date of month and year of manufacture. CFC 3104.12 as per Title 19 Div. 1
SAN JACINTO Chapter 2 Article 3
TEMECULA
4. Outdoor cooking that produces sparks or grease-laden vapors shall not be
WILDOMAR performed within 20 feet of the tent or membrane structure. CFC 3104.15.6
5. Portable fire extinguishers for commercial cooking equipment. Portable fire
BOARD OF extinguishers shall be provided within a 30-foot travel distance of commercial-
SUPERVISORS: type cooking equipment. Cooking equipment involving vegetable or animal oils
KEVIN JEFFRIES and fats shall be protected by a Class K rated portable extinguisher.
DISTRICT 1
JOHN TAVAGUONE 6. Extinguishers must have current CSFM service tags affixed, extinguishers shall
DISTRICT 2 have current certification affixed and be fully charged.
JEFF STONE
DISTRICTS 7. Electrical wiring shall be in accordance with the California Electrical Code.
JOHN BENOIT CFC 3104.15.7
DISTRICT 4
MARION ASHLEY
DISTRICT 5
8. All tents and canopy setups must meet the requirements of the 2013 California
Fire Code, Chapter 31 and Title 19 Chapter 2.
9. Generators and other internal combustion power sources shall be separated from temporary
membrane structures and tents Generators and other all to be protected from contact by
fencing, enclosure, or other approved means. CFC 3104.19. A 40 BC fire extinguisher required.
10. Additional fees may be required base on inspections and plan checking required for event.
Any unused money will be refunded within 6.8 weeks.
Conditions of approval may change based on Conditions hazardous to life, property or public welfare
in the occupancy of structures or premises; and Fire hazards in the structure or on the premises from
occupancy or operation.
I have read and understand Conditions of approval
A Fire inspection will be conducted prior to the start of event.
MENIFEE BUILDING PERMIT—PROPERTY OWNER'S PACKAGE
Disclosures and fors for Owner-Builders Applying for Construction Permits
IMPORTANTI NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has IdTq�l i m your name 1 ling ygt(r�@ as the builder of
the property improvements specified at: l 1�.1(c sc�k l.A�\� . we
are providing you with an Owner-Builder Acknowledgement and Information VerificsQPin Form to
make you aware of your responsibilities and possible risk you may Incur by having this permit issued
in your name as the Owner-Builder. We w III not issue a building permit until y ou have re ad,
Initialed y our understanding of each Fir aviation,al goad,and returned this form to us at our
official address Indicated. An agent of the owner cannot execute this notice unless you, the
properly owner,obtain the prior approval of the permitting authority
OWNER'S ACKNOWLEDGEMENT AND VERIFICATION OF INFORMATION
DIRECTIONS- Read and initial each statement below to signify that you understand or verily this
information
t I understand a frequent practice of unkcumsed persons is to nave the property owner obtain an-Owner-
Bulktle budidno permit that afroneoYlly implies that the property owner is providing its or her own labor and
materiel personalty, 1.a line Owner-Builder may be held liable anti subject to senous financial risk for any
�nlones sustained by an unlicensed person and his or her employees while walking on my property My
nomeowrars insurance may not provide coverage for hose injuries i am willfully acting as an Owner Builder
and am aware or the fimits of my insurance coverage lot mfuries to worker,on my property
2 t understand building permits are not required to be signed by property owners unless they are responsible
for the construction and are nor hmng a licensed Contractor to assume this responsibility
1 understand m an'Owner-Budder'I am the tesponwase party of record on the permit I understand that I
may protect myself froth potential financisi risk by hiring a licensed Contractor and having the permn filed in his
or her name instead of my own
4 1 understand Corlfaators are required by law t0 to licensed and banded in California and to list their license
nominate on permits and contacts
5 i understand it I employ or otherwise engage any persons,other than California licensed Contractors,and
the total value of my construction is at least five hundreo dollars(s500).including labor and materials,I may
be considered an-employer urger Stale and Federal law
6. 1 understand if I am considered an'employet'under State and Federal law.I must register with the State
and Federal government, withhold payroll axes, provide workers compensation disability Insurance, and
contribute to unemployment compensation for each 'employee' I also understand my failure to abide by
these Iowa may subject me to serious financial risk
7 1 understand under California Contactors State License Lew.an Owner-Bulger who build$single-family
residential structures cannot legally build them with the intent to offer them for sale, unless all work is
performed by licensed subcontractors anti the number of structures does trot exceed four within any calendar
year.w all of the work Is performed under contact w!h a licensed general building Contractor
8 1 understand as on Owner-Budder d 1 sell the property fat which this permit Is Issued,I may be held liable
for any dnanclal or personal inpxies sustained by any eutnequenl contents) that result from any latent
construction defects in the workmanship or materials
Office Copy
B I uni estana I may oMem more mformeWn ragwdlmg my calgations as an employer'from the Internal
Revenue Service. the United States Small Busmeea Administration. the Caldomm Department of Benefit
Payments.and the California Dwislon of Industrial Accments I also understand 1 may wmact the Cabforma
Contractors State License Boom(CSLB)at 1-800-321-CSLB(2752)of www.ps*.rs aov for more information
about licensed contractors
to i am swam of and consent to an Owneoeialder building permit applied for in my name,and understand
that I am the party regally and fmancally responsible for proposed cdnNrurA*n aclwity at the following
Address
l 1' 1 agree that.as the pany legally and financially responsible for this proposed construction activity.I will
lib de by all applicable laws and niquirements that govern Owner-Builders as well as employers
1 �.12 1 agree to notify the issuer of]tire form immediately of any adman!,deletion.or changers to any of the
4„plr� informal*^I have provided on The form Licensed contractors are regulated by Ism designed to protect the
publtc If you contract win someone who doe;not have a license.the Contractors'State License Board may
be unable to assist you with any financial loss you may sWwm as a resus of a complaint Your only remedy
against unlicensed Contractors may be In col court It is also important or you to understand that if an
unlicensed Contractor or employee of that individual or firm is inµ led while worlmtg on your property,you may
be Palo liable or damages If you obtain a pemmt as Owner-Bui*or and wish a hire Contractors,you will ba
respons ile for verifying whether or not those Contractors are properly licensed and the status of their
workers compensation insurance coverage
Before a building permit can be issued,this form must be completed and signed by the
property owner and returned to the agency responsible for issuing the permit. Note: A copy
of the property owner's driver's license, form notarization, or other verification acceptable to
the agency is required to be presented when the permit Is issued to verify the property
owner's signature.
Signature of Property Owner: Date: 2Ll el
Note: The following Authorization Form is required to be completed by the property owner only when
designating an agent of the property owner to apply for a construction permit for the Owner-Builder
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner. the execution of which I understand is my personal
responsibility, I hereby authorize the following person(s)to act as my agent(s) to apply for.sign,and
file the documents necessary to obtain an Owner-Builder Permit for my project.
Scope of Construction Project(or Description of Work):
Project Location or Address,
Name of Authorized Agent Tei No.
Address of Authorized Agent _
I declare under penally of perjury that I am the property owner for the address listed above and I
personally filled out the above information and cenity its accuracy. Note A copy of the owner's
driver's license, form notarization. or other verification acceptable to the agency is required to be
presented when the permit is Issued to verity the property owner's signature.
Signature of Property Owner Date- _
CITY �MENIFEEar>ti
BUIL ® SAPE � �NT
�- _- PLAN APPROVAL
a REVIEWED �
B
DATE
*Approval of these plans shall not he construed to he a permit for,or an
approval of,any violation of any provisions of the federal,state or city
Ci+ ons a ordinan es. This set of approved plans must be kept on the
} , ,♦" urd completion.
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Building & Safety Dept.
MAY 2 2 2015
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Certificate of game RegistancF "ale manufactured
City f Menifee De/z6/Da
°u ¢ REGISTERED FABRIC NUMBER ISSUED BV BUIlding Safety Dept,
AEi M� SNYDER MANUFACTURING,INC.
F.140 3001 PROGRESS STREET
140.01 DOVER.OHIO 4Q22 MA 2 2 2015 .
This is to certify that the materials described below are flame-retardant and Inherently nonflam able.
FOR BIG TOP RENTAL 2905 E
ANAHEIM ADDRESS
KGROpived
CITY STATE GA 92806
® The articles described below are made from a flame-resistant fabric or material registered and approved by the State
Fire Marshal for such use.
The Flame Retardant Process Used WILL NOT Be Removed By Washing
`aKF,ABRIC MEETS THE REQUIREMENTS OF THE SPECIFICATIONS LISTED BELOW INDICATED BY
LJ NFPA-701 (Large Scale) ❑ MIL-C-43006 ❑ FMVSS-302
❑ CANIULC-S109 r [ pAl4
f s ❑ A-A-55308
SNYDER MANUFACTURING INC. By p " -
STYLE
PRV 1310Q RED 611, HI GLOSS j' Title Supervisor,Quality Control
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CONTROL NO. 207873 OSTOMER ORDER NO, VBL DAVID
SNYDER S-ORDER NO, DATE PROCESSED 68/26/08
37S
YARDS OR QUANTITY DATE CERTIFIED 09/24/08
4.1a<-a6F-R2
Certificate of .
1��+y fame e�i��attce Date manuiactureQ
r +®+ ISSUED BY 07/11/08
�+e O REGISTERED FABRIC NUMBER
A SRC SNYDER MANUFACTURING,INC.
F.140 3001 PROGRESS STREET
140.01 DOVER,OHIO 44622
This is to certify that the materials described below are flame-retardant and inherently nonflammable.
FOR BIG TOP RENTAL 2905 E RICKER WAY
ANAHEIM ADDRESS
CITY -® STATE ca 928p6
The articles described below are made from a flame STATE
labric or material registered and approved by the State Fire Marshal for such use.
The Flame Retardant Process Used WILL NOT Be Removed By Washing
FABRIC MEETS THE REQUIREMENTS OF THE SPECIFICATIONS LISTED BELOW INDICATED BY
NFPA-701 (Large Scale) ❑ MIL-C-43006 .. .4 ❑ FMVSS-302
❑ CAN/ULC-S109 ❑ CPdI.64
❑ A-A-55308
SNYDER MANUFACTURING INC. By
PRV 1310Q WHITE 6111 HI GLOSS" .. ' -Title SuPervisar,Doak Control
STYLE
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CONTROLNO. ti VBL DAVID
207872 CU!bIVIER ORDER NO.
SNYDER S-ORDER NO. DATE PROCESSED 07/11/08
YARDS OR QUANTITY 1125 09/02/08
DATE CERTIFIED
4A0.4-3aF-R2 "
® Mader structural Group
STRUCTU0AI ENGINEERS
1150 E. Orangethrope, #111A
Placenua,Ca 92870
Tel. (714) 993-2412 Fax (714) 993-7289
E-mail: arastegari@sbcglobal.net
City of Menifee
Building & Safety Dept.
MAY 2 2 2015
Received
Project:
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Project Address ,/�
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CITY OF MENIFEE 1
BUILDINd AND SAFETY DEPARTMENT , (�
' APPROVAL .rv
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REVIEWA'D BY
DATE
*Approval of*9 plans shall not be construed to be a permit for,or an
approval of,any violation of any provisions of the federal,state or city
regulations aro, ordinances. This set of approved plans must be kept on the
lobsite unto completion.
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ANCHORAGE DETAILS'
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JOB NO: 2 1
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Date: FEB.13, 2014
Project:GOSCH FORD
Sales Rep: Simon
Phone#: 951-757-7396
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