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PMT16-00318 City of Menifee Permit No.: PMT16-00318 29714 HAUN RD. �CCEL/-> MENIFEE, CA 92586 Type: Commercial Alteration MENIFEE Date Issued: 0410 8/2 0 1 6 PERMIT Site Address: 29737 NEW HUB DR, MENIFEE,CA Parcel Number: 336-380-014 92586 Construction Cost: $29,940.12 Existing Use: Proposed Use: Description of TENANT IMPROVEMENT, ADD 654 SQ FT ROOM/CLOSET AND CONFERENCE ROOM Work: Owner Contractor REGUS MCCOY SEASIDE HOME SOLUTIONS 31620 RAILROAD CYN RD 9 CALLE PELICANO CANYON LAKE, CA 92587 SAN CLEMENTE, CA 92673 Applicant Phone:9493555931 DAVID GORDON License Number.922778 9 CALLE PELICANO SAN CLEMENTE, CA 92673 Fee Description Qtf Amount(b) Receptacle, Switch,Outlet&Fixture 13 176.00 Building Permit Issuance 1 27.00 Inspections not specified 129 129.07 Additional Plan Review Building 281 281.25 GREEN FEE 1 2.00 SMIP COMMERCIAL 1 9.00 New Construction Permit Fee 1 137.72 General Plan Maintenance Fee-Electrical 1 8.80 General Plan Maintenance Fee-New 1 6.89 Construction $777.73 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_Terrplate.rpt Page 1 of 1 CITY OF MENIFEE ENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State Ucense Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class 7 License No. /ec zZ7 7� By my signature below I acknowledge that,except for my personal residence Expires , 3U 1-2 Signature a� in which l must have resided for at least one year prior to completion of Improvements covered by this permit.I cannot legally sell a structure that I RKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section ave 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 following website: by Section 3700 of the Labor Code,for the performance of work for which www.leeinfo.ca.eov/calaw.html. this permit is issued. 7 Policy �.] Date ❑Ihave 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 insuranfe 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 Carrier Sf C L/ with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# - zpires �� enterthe above identified property for inspection purposes. (This section need no tobecomplet is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT -uxl certify that in the performance of the work for which this permit is issued, Ishallnotemolov any persons in any manner so as to become subject to the ITY 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 de,I shall forthwith comply with hose provisions. Will the applicant orfuture building occupant handle hazardous material ora Date �� mixture containing a hazardous material equal to orgreaterthatthe pliant amounts spe fled on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes O UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AN CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),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 Iforguidellnes CONSTRUCTION LENDING AGENCY o Yes D N 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) O Yes alroo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist I understand my requirements under the State of CaliforniaContractors License Law for the reason(s)indicated below by the Califo Health al Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous m erial reporting. Business and Professions Code).Any city or county that requires a permit to O 7 J construct,alter,improve,demolish or repair any structure,prior to its Date PROPERTY OWNER O �HORIZED AGENT 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,REPAIR AND PAINTING(RRP) 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 Cade)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 ❑1,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.eoa.eov/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 Certifrcetion 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: ❑1,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. APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK ,Wemee DATE C Z& PERMIT/PLAN CHECK NUMBER TYPE: - COMMERCIAL O RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION -O-ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECTADDRESS o / -73 7y� ASSESSOR'S PARCEL NUMBER ?j�,{p'�.�'J/^'©�� LOT TRACT OWNER NAME C� ADDRESS PHONE EMAIL APPLICANT NAME y�� !T{% /,l7CG C- ADDRESS /(/ro✓ /(L/ /G/ C77�,?— PHONE EMAIL a CONTRACTOR'S NAME c (I/ ��� OWNER BUILDER? ES BUSINESS NAME ADDRESS /� / C'u��a �� n// L��✓JG�I PHONE �f?YJ //�� EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION � VALUATION$ /!s O SO FT !O S / L SQ FT APPLICANT'S SIGNATURE DATE c,7- r DEPARTMENT DISTRIBUTION Jp I CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE Vn AMOUNT PAID AMOUNT 0CASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA(MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 CAL FIRE - RIVERSIDE UNIT RIVERSIDE COUNTY FIRE DEPARTMENT OFFICE OF THE FIRE MARSHAL ➢ 2300 Market Street, Ste.#150, Riverside, CA 92501 • Phone (951)955-4777 • Fax(951)955-4886 www.rvcfire.org PROUDLY SERVING THE March 30, 2016 UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CmES OF: BANNING Edward Jones BEAUMONT Attn: David Gordon CALIMESA 9 Calle Pelicano CANYON LAKE San Clemente, CA COACHELLA Case Number: 16 MENI 00318/ 29737 New Hub Dr.,Ste 202 DESERT HOT SPRINGS EASTVALE Mr. Gordon, INDIAN WELLS INDIO The Riverside County Fire Department has reviewed the building tenant improvement plan and they are approved with the following conditions: JURUPA VALLEY LAKE ELSINORE GENERAL REQUIREMENTS: LA QUINTA MENIFEE MORENO VALLEY 1) Fire Department approval is based upon the 2013 CBC requirements for NORCO Group B occupancies. It is prohibited to use, process or store any materials in PALM DESERT the occupancy that would classify it as a Group H occupancy PERRIS RANCHO MIRAGE 2) All fire sprinkler systems,fixed fire suppression systems and alarm plans RUBIDOUX CSD must be submitted separately for approval prior to construction. Contractors should contact the Office of the Fire Marshal for submittal requirements. SAN JACINTO TEMECULA 3) This building has not been reviewed or approved for high pile/rack storage. WILDOMAR Prior to such use, building(s) shall be approved for high-piled storage (materials in closely packed piles or on pallets, or in racks where the top of BOARD OF storage exceeds 12 feet in height, 6 feet for Group A plastics and certain SUPERVISORS: KEVIN JEFFRIES other hazardous commodities) or aerosols products. High-piled and aerosol DISTRICT 1 stock shall be approved by the Fire Department prior to materials being JOHNTAVAGLIONE stored on site. A licensed Fire Protection Engineer or a Fire Department DISTRICT 2 CHARLES WASHINGTON approved consultant must prepare plans for high-piled storage or aerosol DISTRICT 3 storage in accordance with the 2010 CFC and NFPA 13, 2010 Edition. Current JOHN BENOIT plan check deposit based fee is $348.00. DISTRICT 4 MARION ASHLEY DISTRICT 5 4) Shelving, counters, etc., must be in place, however, no merchandise may be placed in the building prior to inspection. FIRE PROTECTION SYSTEMS: 1) As may be necessary to maintain proper fire sprinkler protection due to constructions changes,fire sprinkler system plans for the tenant improvement area may be required to be submitted to the Fire Department for review, along with a plan/inspection fee. The sprinkler system will have to be modified and designed in accordance with NFPA 13, 2013 Edition. A licensed C-16 contractor shall do all sprinkler work and certification. The approved plans,with Fire Department Job card must be at the job site for all inspections. 2) Install portable fire extinguishers per Title 19, but not less than 2A10BC in rating. Contact a certified extinguisher company for proper placement and spacing of equipment. 3) Provide either a separate Knox Key Lock box, mounted per recommended standard of the Knox Company or provide key(s) for inclusion in the general building Knox Box. If the building/facility is protected with a fire alarm system or burglar alarm system,the lock boxes will require "tamper" monitoring. Special forms are available from this office for the ordering of the Knox Box. This form must be authorized and signed by this office for the correctly coded system to be purchased. MISC. REQUIREMENTS: 1) In multi-tenant buildings, businesses shall post the business name and suite number on back doors as well as the front. Suite numbers or letters must be a minimum of 6" in height. All addressing must be legible and of a contrasting color with the background and adequately illuminated to be visible from the street at all hours. 2) Electrical room door shall be posted "ELECTRICAL ROOM"on the outside of door. 3) Fire Sprinkler Riser door shall be posted "FIRE RISER"on the outside of door. 4) Fire Alarm Control Panel door shall be posted "FRCP"on the outside of door. 5) Roof Access door shall be posted "ROOFACCESS"on the outside of door. 6) Certain designated areas will be required to be maintained as fire lanes and will require approved signs and/or stenciling in RED with CVC22500.1 conspicuously posted. The Fire Department approved plans and conditions letter must be at the job site or NO inspection will be performed. Approval of this plan is subject to field inspection. Should there be need for further information and/or clarification, please contact the undersigned.Thank you, in advance,for your continuing cooperation. Inspection Scheduling: (951)955-5282 *Please Call at least (3) Business Days in Advance Respectfully, Traci Williams Fire Safety Specialist Traci.Williams@fire.ca.gov ide County Fire Department Fire Protection Planning Riverside Office: Palm Desert Office: 2300 Market Street,Ste. 150 77-933 Las Montanas Rd.,Ste 201 Riverside, CA 92501 Palm Desert CA 92211 ne: (951) 955-4777- Fax: (951) 955-4886 Phone: (760) 863-8886 - Fax: (760) 863-7072 PLAN REVIEW FORM Office Use Only Riverside County Fire New ❑ Re-Submittal # ❑ As-builts Offica oft o Fire Marshal t- A� 28 2016 Permit No. /6,-10erm/ Project Information (Please Print) Project Name: C�WAqC1 I have read and understand that Fire Dept,fees are it 73 p 7 /(J /�. b/ / �� Deposit Based Fees an ere may be additional Address: O� / W �j _ money due prior t r project final. II����Cp �b3 Sign: City & Zip: Print: vACj Contact Information / Billing Information ame as Contact Info CONTACT PERSON: POr1A 4e/rs�.- BILL TO: Mailing Address: ! Cli<1C ?11oC4"Q Mailing Address: City & Zip S.GA? <-4!W4!2k C4 City & Zip 2 Phone No.: L 35-5_� Fax: Phone NO.:TV9 3Ss�— Fax: Email: D40rdOy$a�IS � t��C / The person listed on "Billing Information" will receive ALL bi if ecorrespondence and refunds for any work billed to this permit.Any changes in billing information must be made in writing to our office. Plan Review Type Check appropriate items Commercial ❑ Industrial ❑ Residential ❑ Special Event ❑ Other ❑ Building . f Building Tenant improvement ( New/ ❑ High Fire Area ❑ Sprinkler System ❑ TI Sprinkler System ❑ Sprinkler Monitoring ❑ Fire Alarm System ❑ Hood & Duct Suppression System ❑ Other Suppression System ❑Spray Booth ❑ Cell Site ❑ High Pile/Racks ❑ Other: ❑ Underground Water Storage Tank Submittals: ❑ Dispensers Only ❑ Above Ground ❑ Underground Uffice Use Only Fee Paid: U. Called for Pick-Up Reviewed by: Date: B Date Paid: 3 • By: PC Review Date: Picked-Up Check#: 0 g 2 ❑ Approved ❑ Denied Date: By: Received By: Plans Stamped: ❑Yes ONO ��+q� Letter Attached: []Yes ONO Shipped By Method Receipt#(OCR) 7A Job Card Included: ❑Yes []No ❑DBF ❑DBF ❑DBF T Fom 1—Revised 7/25/2012 t i Visit us at www.rycfire.orq 1 jA E� �h " AL e�sE j - t u Y Y SITE PLAN LEGEND 01 177777-1 TENANT WORKING AREA X, (NIC) NOT IN CONTRACT ® � EXIT PATH OF TRAVEL ® PATH OF TRAVEL FOR HANDICAP FROM PARKING TO ELEVATOR OR STAIRS •• 'di'pYl'. ' O it e a ONL�m� 0 C 10 C C�W a Q 60 7 Qal LL 2 Sov�cY man v��a t� 2973' cdL �J Q �C Sun37 '1 - a) Mt N.T.S.