PMT15-03517 City of Menifee Permit No.: PMT15-03517
29714 HAUN RD.
�ACCELA�. MENIFEE, CA 92586 Type: Commercial New
MENIFEE Date Issued: 0 6/1 512 01 6
PERMIT
Site Address: 28881 NEWPORT RD, MENIFEE, CA Parcel Number: 364-030-004
92584 Construction Cost: $475,164.00
Existing Use: Proposed Use: Restaurant
Description of NCOM RESTAURANT 3600 SO FT
Work:
Owner Contractor
DIAMOND BROTHERS SIX PARTNERSHIP PARKCREST CONSTRUCTION INC
29875 MENIFEE LAKES DRIVE 2910 S ARCHIBALD AVENUE
MENIFEE, CA 92584 A-350
Applicant Phone: 9099301201
MENIFEE, CA License Number:600254
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjurythat I am under provisions of
Chapter!)(commencing with section 7000)of Division 3 of the Business and ❑I am exemptfrom licensure under the Contractors State License Law for
Professions Code and my license is in full force and a ect. the following reason:
License Class License No S By my signature below I acknowledge that,except for my personal residence
Expires U 3 J Signature in which I must have resided for at least one year priorto completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when
_ compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the fallowing website:
by Section 3700 of the Labor Code,for the performance of work for which this permit is iss www.leeinfo.ca.xpv/calaw.html.
Policy# `//``b 1; 5�9C'/() Date
❑I have and will maintain workers compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: , application and the information I have provided is correct.I agree to comply
/ J with all applicable city and county ordinances and state laws relating to
Carrier �� L building construction.I authorize representatives of this city or county to
Policy#�/�_Q Expires CD)ZZ2//6 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑I certify that in the performance of the work for which this permit is issued, O--113
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forth� om 4with t se provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE T SECU WORKER'S COMPENSATION COVERAGE IS ❑Yes P.UNLAWFUL,AND SHALL SU ECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($300,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guide'nes
CONSTRUCTION LENDING AGENCY ❑Yes Ones
I hereby affirm that under the penalty of perjury there Is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ❑Yes ,�N.
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm under penalty of perjurythat I am exempt from the permitting checklist.I understand my requirements under the State of
California Health&Safety Code,Se on 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardo material reportin .
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN R OR AU ORIZEDAGENT
issuance,also requires the applicant for the permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION.REP IR AND PAINTING fRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
MENIFEE PMT15-03517
NOV. 24, 2015
ADO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: MENIFEE PLAN CHECK NO.: PMT15-03517
PREPARED BY: ALI SADRE, S.E. DATE: NOV. 24, 2015
BUILDING ADDRESS: 28881 NEWPORT ROAD
BUILDING OCCUPANCY: B/A2; V-B/NON-SPR.
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
RESTAURANT 3600
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code MNF Manual Input
Bldg.Permit Fee by Ordinance �
Plan Check Fee by Ordinance $1,350.OU
Type of Review: ❑ Complete Review ❑ Structural Only
ElRepetitive Fee El Other
Repeats ❑ Hourly 9 Hrs. @ '
EsGil Fee $120.00 $1,080.00
Based on hourly rate
Comments:
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