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PMT15-02282 City of Menifee Permit No.: PMT15-02282 29714 HAUN RD. Type: Commercial Alteration ACCEL/-�> MENIFEE, CA 92586 MENIFEE Date Issued: 11/02/2015 PERMIT Site Address: 29800 BRADLEY RD, Suite#102, Parcel Number: 336-180-010 MENIFEE, CA 92586 Construction Cost: $116,460.00 Existing Use: Proposed Use: Retail Description of TENANT IMPROVEMENT 2000 SF Work: TOTAL SF 2721 Owner Contractor BRADLEY BUSINESS CENTER R C STORE MAINTENANCE INC 310 VIA VERA CRUZ 569 BATEMAN CIRCLE SUITE 202 CORONA, CA 92880 Applicant Phone:9517389701 RICHARD COLLINS License Number:707624 R C STORE MAINTENANCE INC 569 BATEMAN CIRCLE CORONA, CA 92880 Phone:9493941831 Fee Description Qtv Amount($) Receptacle, Switch, Outlet&Fixture 15 186.00 Building Permit Issuance 1 27.00 Inspections not specified 129 129.07 Additional Plan Review Building 563 562.50 GREEN FEE 1 5.00 SMIP COMMERCIAL 1 33.00 New Construction Permit Fee 1 535.72 $1,478.29 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. CONDITIONS Condition Comment 1 FIRE REQUIRED AA_Bldg_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for the I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in Professions Code and my license is in full force and effect. ` / which I must have resided for at least one year prior to completion of License Class !Z ('�� G //U License No. Q 7�r�`y improvements covered by this permit, I cannot legally sell a structure that I have Expires J Signature �c-� E - built as an owner building if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one of the following declarations: submitted or t the hftp://www.leginfo.ca.gov/calaw.html. site: I have and will maintain a certificate of consent of self-insure for workers' compensation,issued by the Director of Industrial Relations as provided for by Date Section 3700 of the Labor Code, for the performance of work for which this permit is issued.. Property Owner or Authorized Agent Policy# /N 6 2 4X 71t ❑ By my Signature below, I certify to each of the following: I am the property I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- Carrier Iir/ r� identified rty for insp es. _ Policy# 60 L X C yXCExpires j� / Date "p'� roperty Owner orAuthonzed Agent (This section need not be completed if the permit is for City Business License# one-hundred dollars($100)or less) ❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I s all forthwithcomply with provisions. DYES KNO l' s7-6,-C- /4/rid iV� r Applicant; 0 4Date; /I—02 — /J Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ❑YES NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES >,�40 CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous material reporti OWNER BUILDER DECLARATIONS VIYES ❑NO , I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date_t/—17/S__ License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP) or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law(Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit: www.epa.gov/lead or contact the National Lead Information Center at ❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323). compensation,will do( )all of or( )porting of the work, and the structure is not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name: the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). Firm Certification No.: ❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044, Business and Professions Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP CAL FIRE - RIVERSIDE UNIT RIVERSIDE COUNTY FIRE DEPARTMENT OFFICE OF THE FIRE MARSHAL 2300 Market Street,Ste.#150,Riverside,CA 92501 o Phone (951)955-4777 o Fax(951)955-4886 www.rvcfire.org PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY October 21, 2015 AND THE CITIES OF BANNING BEAUMONT Salon Centric-Ste. 102 Fir, CAUMESA Attn:Allen Haffer-Cintas uL COACHELLA 4320 E. Mira Loma Ave DESERT HOT SPRINGS Anaheim, CA EASTVALE INDIAN WELLS INDIO Case Number: 15 MENI 02282/29800 Bradley Rd. JURUPA VALLEY LAKE ELSINORE Mr. Haffer, LA QuiNTA MENIFEE The Riverside County Fire Department has reviewed the Sprinkler TI plans and MORENO VALLEY they are approved with the following conditions: NORCO PALM DESERT The following conditions provided, unless stated otherwise,will be referenced from NFPA 13 (2013 Edition)2013 CFC,2013 CBC and Local Ordinances. PERRIS RANCHO MIRAGE 1. Contractors Test and Material Certificate shall be submitted upon final RUSIDOUX CSD inspection. (NFPA 13 Sec. 25.1) SAN JACINTO TEMECULA 2. The fire sprinkler system must have appropriate maintenance records WILDOMAR available for review by the fire department inspector upon request. Depending on the age of the building,the fire sprinkler system may require a current 5-year sprinkler certification tag affixed to the system BOARD OF riser prior to final. (Tenant improvement Only). SUPERVISORS: KEVIN JEFFRIES 3. Permanently marked identification signs shall be attached to all control DISTRICT 1 Valves in accordance with NFPA 13 Sec. 6.7.4-6.7.4.3 JOHN TAVAGLIONE DISTRICT 2 CHARLES WASHINGTON 4. Overhead Rough and Final Inspection. DISTRICT 3 JOHN BENOIT The Fire Department job card, approved plans and conditions letter must be at DISTRICT 4 the job site or NO inspection will be performed. MARION ASHLEY DISTRICT 5 Approval of this plan is subject to field inspection. PR r'P Riverside County Fire Department Fire Protection Planning Section Rivers-ae Office 2300 Llarke:SL.Ste 150.Riverside.C.92501 PM (951)955-1777 Fax(951)955-463c Palm Desen Off ce: 77-933 Las&lontanas Rd.F 201 Palm Desert.CA 92211.41 31 Plr (760)863 8886 Fax(760)863 7022 Fire Department Clearance/Release Date.- To.- ccarlson(a-�c(tyofinenifee.usibrivera(a)cityofinenifee.us; nibi(1nall(cucityofinenifee us Fax: Tract/Parcel Map#: Permit/Lot#: 115 MF_r l j 0 2 2-9 2. Job Site Address: 2&j 80C) P-D ❑ Final For Recordation Release For Building Permit(s) Shell Final Only(No Tenant) Final For Occupancy ❑ Release For Residential Sprinkler Installation Building Plan Check Fees Paid, Water Requirement Met-if water applicable ❑ Building Plan Check Fees Not Paid El Residential Sprinkler Plan Check Fees Paid ❑ Residential Sprinkler Plan Check Fees Not Paid ❑ Other Fees ❑ Fees Not Required If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for further assistance. YA t L-1_ S S ' �,a�V�IS, (. Print Name of Plan Reviewer/Inspector Approved e"annnn Sent By:Print Name Farr C-Revise❑3:01 r201::