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PMT16-00411 City of Menifee Permit No.: PMT16-00411 29714 HAUN RD. Type: Commercial Alteration <A-C( EL/-> MENIFEE,CA 92586 MENIFEE Date Issued: 0 212 3/2 01 6 PERMIT Site Address: 29683 NEW HUB DR, Suite#C, MENIFEE, Parcel Number: 336-380-017 CA 92586 Construction Cost: $0.00 Existing Use: Proposed Use: Description of HOURLY INSPECTION FOR C OF O"XIMO USA INT'L TRADE CO, LTD" Work: Owner Contractor AMBER MANAGEMENT, LLC , 29826 HAUN ROAD, STE 305 MENIFEE, CA 92586 Applicant License Number: MENIFEE, CA Fee Description gyt Amount 1E1 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_Templale.rpl Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who wntracts for the projects I hereby affirm under penalty of perjurythat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my license Is in full force and effect. the following reason: License Class License No. By my signature below I acknowledge that,except for my personal residence Expires Signature in which I 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 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 copy of the applicable law,Section have and will maintain a certificate of consent of self4nsure 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 webstle: by Section 3700 of the labor Code,for the performance of work for which wvnv.leeinfo.ca.eov/mlaw.html. this permit is issued. Policy# 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 1 certify to each of the following:I am the property this permit is issued.My workers compensation Insurance carder and policy owner or authorized to act on the property owners behalf.I have read this number are: a lication and Ve information I have provided is correct.I agree to comply Carrier witall applicab city and county ordinances and state laws relatingto buil i g const ion.I authorize representatives of this city or county to Policy# Expires ente to abo L entified ro erty for inspection purposesj (This section need not to be completed is the permit is for one-hundred Date 2- dollars ($300)or less PRO R R AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner sow to become subject to the 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 forthwith comply with those provisions. Will the applicant orfuture building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater thatthe amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No UNLAWFUL,AND SHALL SUBJECT 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($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)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes ❑No 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 o No 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 California Health al Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reasons)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable items)(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 OWNER OR AUTHORIZED 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 IRRP) 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 applimnt 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.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sate.(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 bemuse: ❑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 �o CRAFT BREWERY EQUIPMENT To whom it may concern, XIMO USA Int'l Trade CO. LTD (Xorge E Alanis, DL: D8335819)here by authorize Joe Grasso of All Signs Graphics &Designs to act as tentative representative in the collection of any permits that are required to collect in person. The address of our location is the following: 29683 New Hub Dr. #C Menifee,CA 92587. For any verbal confirmation,please contact me at 951-732-9985. I thank you for your help and understanding. City of Me nifee Building Dept Sincerely, FEB 17 2016 ZrAlarus� 02/17/2016 Received XIMO LJSA Int'I Trade Co..LTD. Address:29683 New Hub Dr.,Suite C, Sun City,CA,92586 Phone: 951-679-6808 Fax: 951-679-6808 HTTP: www.china-ximo.com CERTIFICATE OF OCCUPANCY APPLICATION ' ` �" Menifee PPPtJ '• 331n Z�$O -0vi DATE W212016 PERMIT NUMBER t Ot `\ U - Qot4(k BUSINESS NAME XIMO USA Int'I Trade Co..LTD. TYPE OF BUSINESS BreQ�yyui i;=Eq .g Dept ADDRESS 29683 New Hub Dr..Suite C.Sun City.CA.92586 NAME OF BUSINESS OWNER(S)Xorge Esteban Alanls ADDRESS flf DIFFERENT FROM A80VE) 8872 Tiger Horse Circle,Corona.CA,92880 ,eivedd � PHONE (951)732-9985 EMAIL xeab@chinaximo.com OWNER OF BUILDING Amber Management.LLC ADDRESS 29826 Haun Rd.,Suite 305, Menifee,CA.92586 PHONE (951)301-8835 EMAIL hub-ambergverizon.net DESCRIBE EXACT USE OF BUILDING: Office space for Brewery Equipment Retail fpdmanly off-site)as well for potential clients to visit in person and perhaps(at a later point in lime)on•sile retail of small scale brewery equipment. PREVIOUS USE OF BUILD]NG/SUITE Undisclosed to me_Please contact Amber Management for this information. APPLICANT ACKNOWLEDGEMENT Applicant agrees that the Certificate of Occupancy shall be posted in a conspicuous location,and will operate subject to the City's issuance of the Certificate of Occupancy. XOrge Esteban Ajanis hereby agree to comply with the above-described terms in this Application for Certificate of Occupancy. DATE 02/12/2016 �OKICANT a .r I h rr r• r BUS LICENSE DATE ENGINEERING DATE BUS LIC.NUMBER FIRE DATE PLANNING DATE EMWD DATE HEALTH DEPT DATE BUILDING DATE REMARKS Lay of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.cayofrnenifee.us inspection Request Line CERTIFICATEOF OCCUPANCY TENANT DISCLOSUREFORM '`Menifee DATE O2NN16 PERMIT NUMBER 102-870057 ADDRESS 29683 New Hub Dr., Suite C.Sun City,CA.92586 BUSINESS NAME =10 USA Int'I Trade Co..LTD_ INTENDED BUSINESS USE Brewery Equipment Retail(primarily off-site) 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 SPRNKLERS? YES NO (CIRCLE ONE) SQUARE FOOTAGE 1683 NUMBER OF EMPLOYEES 4 NUMBER AND LOCATION OF RESTROOM FACILITIES 1 on the nrst floor. 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): NIA • ARE YOU MAKING ANY IMPROVEMENT TO THE SUITE OR BUILDING OTHER THAN PAINTING, PAPERING, FLOOR COVERING, MOVABLE CASES, SHELVING OR PARTITIONS NOT OVER 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 PERMITS SIGNATURE * DATE 2/12/2016 PRINT NAME Xorge Esteban Alanis TENANT / OWNER / CONTRACTOR / ARCHITECT / ENGINEER (CIRCLE ONE) • OCCUPANCYGRP TYPE OF CONST STAFFINITIAIS City of Menifee Building&Safety 0epartment29714 Houn Rd. Menifee, CA 92556 951-672-6777 www.cityofinenifee.us inspection Request Line 951-246-6213 fill +�—� a • . .h��. is \ �� 'r ' • G , i v a � • �i1��(Q1i • , • � • N b"2