PMT15-02230 City of Menifee Permit No.: PMT15-02230
29714 HAUN RD.
q CCELA—. MENIFEE,CA 92586 Type: Commercial Alteration
MENIFEE Date Issued: 07/31/2015
PERMIT
Site Address: 28480 HWY 74, MENIFEE, CA 92585 Parcel Number: 329-110-019
Construction Cost: $0.00
Existing Use: Office Proposed Use:
Description of HOURLY INSPECTION FOR CERTIFICATE OF OCCUPANCY FOR"NAILS TIME"CHANGE OF
Work: OWNERSHIP
Owner Contractor
MOTTE COUNTY PLAZA
4445 S D ST
PERRIS, CA 92570
Applicant License Number:
LYNN LAU
28480 HWY 74
MENIFEE,CA 92585
Phone:9515517700
Fee Description OQt Amount($
Building Permit Issuance 1 27.0 J
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_Bldg_Permit_Template.rpt Page 1 of 1
[CERTIFICATE . OCCUPANCY APPLICATION
i
'Menifee
DATE IA041 7/cJ% S PERMIT NUMBER
BUSINESS NAME NA 1'� f rrl e TYPE OF BUSINESS Nal I � iPPL
,L p o
ADDRESS ZOpTO O S-r&te PWl 1 She �, me-0 il ct
NAME OF BUSINESS OWNERS) Lvn A �—a I,l
ADDRESS/(IF DIFFERENT FROM ABOVE(- n
PHONE l6.24 ).32/ - .5 0/ �y EM/A�IL �"- -2_ VIM l-�InR/l, �'om
1bn
OWNER OF BUILDING /W 7'_ , ( GU/C f�/ I` a 7_�G, n p 7
ADDRESS / qzl 5-7 13, P �% ���i�%S' (? /2 / D
PHONE ( /9 S �� ,�7 7 70D EMAIL
DESCRIBE EXACT USE OF BUILDING: //J e,- iGq r-e SE% vice
PREVIOUS USE OF BUILDING/SUITE / 4pl i Li.W e ["P alli are Ye ,.-✓i c e
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.
LJ.I I, A/� AJ . hereby agree to comply with the above-described terms in this
Applicatio,nfi6rCertificaleofOccupancy.
DATE
APPLICANT
BUS LICENSE DATE ENGINEERING DATE
BUS LIC.NUMBER 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
OCCUPANCY • O'
f Men1fee
- M
DATE p PERMITNUMBER 05-10
ADDRESS `•L p (� S/Q u/ l to
BUSINESS NAME E
INTENDED BUSINESS USE M I e_
IS THIS A NEW BUSINESS IN THE CITY OF MENIFEE? YES NO (CIRCLE ONE)
ARE YOU THE FIRST TENANT TO OCCUPY THIS SPACE? YES PNO (CIRCLE ONE)
IS THE BUILDING EQUIPPED WITH FIRE SPRNKLERS? YES (CIRCLE ONE)
SQUARE FOOTAGE 000
NUMBER OF EMPLOYEES
NUMBER AND LOCATION OF RESTROOM FACILITIES rear o 17t11�CfIK
LISTANYTOXIC CHEMICALS, FLAMMABLE/COMBUSTIBLE LIQUIDS OR GASES USED OR STORED WITH
MSDS SHEETS AND QUANTITIES OF EACH BELOW OR ON A SEPARATE ATTACHED SHEET(S):
Go l
• ARE YOU MAKING ANY IMPROVEMENT TO THE SUITE OR BUILDING OTHER THAN PAINTING,
PAPERING, FLOOR COVERING, MOVABLE CASES,SHELVING OR PARTITIONS NOT OVE 9" HIGH?
YES (CIRCLE ONE)
• APPLICANT SHALL OBTAIN ALL REQUIRED CLEARANCES AND/OR APPAOVALS FROM THE
APPROPRIATE WATER DISTRICT AND FIRE DEPARTMENT PRIOR TO ISSUANCE OF ANY
BUILDING PERMITS
SIGNATURE t! DATE
PRINT NAME f Al
TENANT / OWNER / CONTRACTOR / ARCHITECT/ ENGINEER (CIRCLE ONE)
OCCLIPANCYGRP TYPE OF CONST STAFF INITIALS
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213