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PMT15-03323 City of Menifee Permit No.: PMT15-03323 29714 HAUN RD. �ACCELA..' MENIFEE, CA 92586 Type: Commercial Alteration MENIFEE Date Issued: 10/27/2015 PERMIT Site Address: 28125 BRADLEY RD, Suite#180, Parcel Number: 337-302-022 MENIFEE, CA 92586 Construction Cost: $0.00 Existing Use: Proposed Use: Description of HOURLY INSPECTION FOR C OF O"GHH MINISTRIES" Work: Owner Contractor BRADLEY MEDICAL ASSOCIATES 445 SOUTH D STREET PERRIS, CA 92570 Applicant License Number: MENIFEE, CA Fee Description ON Amount($) Building Permit Issuance 1 27.00 Inspections not specified 129 129.07 $156.07 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Pennit_Template.rpt Page 1 of 1 CERTIFICAT OF OCCUPANCY APPLICATION Building & Safety Dept. l I1_ _ �11 {tom ,, ,R." OCT 2 7 2015 S 3� m - p_ "Menifee OCT 2015 / Received p DATE 101(0 ��1 PERMIT NUMBER Paf,# BUSINESS NAMES IfI,,.,".f1T\1� TYPE OF BUSINESS ADDRESS AeIa5 &tCtJ! • , �14• S-If, mo Nk{nl e , CA g2.s$�p NAME OF BUSINESS OWNER(S) 46ciriand g • E-Agt t7 htet�,Jr. cceD /Pba a Tizm C5cc-.) ADDRESS(IF DIFFERENT FROM ABOVE) -<Vh PHONE a5I) (0'ICI-L[6(o I-y EMAIL v1 "��,�IhhMiri�s`l Yi�i .C�vt OWNER OF BUILDING LJOI'1Y1 MOtt-V / RACY Medical A-CC06gicC ADDRESS L- 4S Sn4+Vi D 9+. PCwi S r CA- gas-'0 PHONE °ISi) (097^gSq`f EMAIL DESCRIBE EXACT USE OF BUILDING: Oho W1ce Cw(ir a 10IVty Y-syskm of Of HCCL �.tx►�n•IIy o tucleY' ar, e�ciS-I-i b. I�ce�s+e'iJ fvr'the soles �hos?i crE da 8lrrty� book�kje'rf°�p�r� PREVIOUS USE OF BUILDING/SUITE ��1Cq� V►► APPLICANT ACKNOWLEDGEMENT Applicant agrees that the Certificate of Occupancy shall be posted in a conspicuous location, and will operate subject to the , is Cittyy'ss issuance of the Certificate of Occupancy. th I, al Troy il . hereby agree to comply with the above-described terms in this Application ertif a of Occupancy. 7 DATE )0I(oIts" uCANT CITYSTAFFUSEGINLY (PLEASE SIGN AND DATE 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 OCCUPANCYCERTIFICATE OF O• 'Menifee DATE DATE lo�bf�s PERMIT NUMBERPef 'As- 15-09-03 ADDRESS a($laS GVd . i• MPhi�ecf Ga%fo BUSINESS NAME Mbr%!!;:y, CS INTENDED BUSINESS USE Wh—Pl�-1 MUt� IS THIS A NEW BUSINESS IN THE CITY OF MENIFEE? YES NO ? (CIRCLE ONE) ARE YOU THE FIRST TENANTTO OCCUPYTHIS SPACE? YES (CIRCLE ONE) IS THE BUILDING EQUIPPED WITH FIRE SSPRNKLERS? YES N® (CIRCLE ONE) SQUARE FOOTAGE �� •T"f NUMBER OF EMPLOYEES NUMBER AND LOCATION OF RESTROOM FACILITIES LIST ANY TOXIC 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, PAPERING, FLOOR COVERING, MOVABLE CASES, SHELVING OR PARTITIONS NOT OV 5' 9" HIGH? YES NO (CIRCLE ONE) • APPLICANT SHALL OBTAIN ALL REQUIRED CLEARANCES AND/OR APPROVALS FROM THE APPROPRIATE WATER DISTRICT AND FIRE DEPARTMENT PRIOR TO ISSUANCE OF ANY BUILDING PER ITS SIGNAT E DATE �oI eI tS PRINT NAME TENANT OWNER / CONTRACTOR / ARCHITECT / ENGINEER (CIRCLE ONE) CITY STAFF USE ONLY OCCUPANCY GRP TYPE OF CONSf STAFF INITIALS City of Menifee Building& Safety Deportment 29714 Houn Rd. Menifee, CA 925B6 951-672-6777 www.citycfinenifee.us Inspection Request Line 951-246-6213