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PMT15-02845 City of Menifee Permit No.: PMT15-02845 29714 HAUN RD. Type: Commercial Alteration �CCF—OmZ MENIFEE, CA 92586 MENIFEE Date Issued: 10/13/2015 PERMIT Site Address: 28115 BRADLEY RD, Suite#2, MENIFEE, Parcel Number: 337-302-015 CA 92586 Construction Cost: $0.00 Existing Use: Proposed Use: Description of HOURLY INSPECTION FOR C OF O"H&R BLOCK' Work: Owner Contractor DONALD HOBBS 2324 WALMAR LANE SAN DIEGO, CA 92109 Applicant License Number. MENIFEE,CA Fee Description City Amount($1 Building Permit Issuance 1 27.00 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 DATE I15��5 PERMIT NUMBER BUSINESS NAME H&R Block( cTYPE OF BUSINESS Tax Prep Svcs � ADDRESS ,T�\�S 1C0. �\� K C I �1C—mot �(� �C��� 4 o NAME OF BUSINESSOWNER(S)_ HRB Tax Group Inc. ADDRESS(IF DIFFERENT FROM ABOVE) AM Business License (6(_ One H & R Block Way PHONE (816)759-0000-2 `Kansas City, MOEM05 OCOEBuslinessLicen_cA_(Dhrhlnck com - OWNER OF BUILDING 7�'nCL, ADDRESS c,/o ,k�c Q ' ),Q C,�z C A G a l09 PHONE EMAIL DESCRIBE EXACT USE OF BUILDING: Tax Prep Svcs PREVIOUS USE OF BUILDING/SUITE H&R Block Tax Prep Svcs (� APPLICANT ACKNOWLEDGEMENT Q Applicant agrees that the Certificate of Occupancy shall be posted in a conspicuous location,and will operate subject t e City's' :an�0 , Certificate of Occupancy. l l���� hereby agree to comply with the above-described terms in this Application for Certificate of Occupancy. Licensing & Tax Specialist DATE nr{ APPLICANT BUS LICENSE DATE ENGINEERING DATE '6 BUS LIC.NUMBER FIRE DATE PLANNING DATE EMWD DATE HEALTH DEPT DATE BUILDING DATE REMARKS V 't- 3oa• s ADDRESS \-\ ` BUSINESS NAME INTENDED BUSINESS USE Tax Pmp-Svcs IS THIS A NEW BUSINESS IN THE CITY OF MENIFEE? YES NO (CIRCLE ONE) ARE YOU THE FIRST TENANT TO OCCUPY THIS SPACE? YES NO (CIRCLE ONE) IS THE BUILDING EQUIPPED WITH FIRE SPRN KLERS? YES NO (CIRCLE ONE) SQUARE FOOTAGE NUMBER OF EMPLOYEES NUMBER AND LOCATION OF RESTROOM FACILITIES 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): • ARE YOU MAKING ANY IMPROVEMENT TO THE SUITE OR BUILDING OTHER THAN PAINTING, CCCJJJ PAPERING, FLOOR COVERING, MOVABLE CASES,SHELVING OR PARTITIONS NOT 05'9" HIGH? YES NO (CIRCLE ONE) S • APPLICANT SHALL OBTAIN ALL REQUIRED CLEARANCES AND/OR APPROVALS FROM THE C APPROPRIATE WATER DISTRICT AND FIRE DEPARTMENT PRIOR TO ISSUANCE OF ANY BUILDING PER ITS �� SIGNATURE DATE PRINT NAME tom,, � C,C_ Licensing & Tax Specialist ct TENANT / OWNER / CONTRACTOR / ARCHITECT / ENGINEER (CIRCLE ONE) FOR CITY STAFF PERMIT NUMBER OCCUPANCY GRP TYPE OF CON ST STAFF INITIALS v Ciiy of An: nfv?Bvi i c;7'- 5TI! !;0f:puri neol29714lia:.ul n"a. hi: ;Ij�,�, ( ')? �e5, 5 :7 r.u5,')RoP!.';vn SPQIIB.i! Lino 9 i l:;r; 6,'j'i