PMT16-01436 City of Menifee Permit No. PMT16-01436
29714 HAUN RD. Type: Commercial Alteration
�A\CCELA�. MENIFEE, CA 92586
MENIFEE Date Issued: 06/06/2016
PERMIT
Site Address: 29770 BRADLEY RD,Suite#F, MENIFEE, Parcel Number: 336-180-006
CA 92586 Construction Cost: $0.00
Existing Use: Proposed Use:
Description of HOURLY INSPECTION FOR CERTIFICATE OF OCCUPANCY FOR"BLAKE'S AUTO REPAIR"
Work:
Owner Contractor
NORDEN REALTORS BLAKE'S AUTO REPAIR
23781 VIA FORMISTA CRYSTAL MARIE CHAPMAN
MISSION VIEJO, CA 92691 29770 BRADLEY RD STE F
Applicant Phone:9092136390
CRYSTAL MARIE CHAPMAN License Number:.16-PEOP-00019
BLAKE'S AUTO REPAIR
29770 BRADLEY RD STE F
MENIFEE, CA 92586
Phone:9092136390
Fee Description Qtv Amount($1
Building Permit Issuance 1 27.00
Inspections not specified 129 129.07
General Plan Maintenance Fee-Building 1 6.46
$162.52
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 Cade 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
CERTIFICATE OF OCCUPANCY TENAN-MISCLOSURE FORM.
Of menifee
City & safetyt
Dep
Building
mefyiTe
Received DATE 05/05/16 PERMIT NUMBER P�fllkO---
ADDRESS 29770 Bradley Rd Suite F Menifee,CA 92586
BUSINESSNAME Blake's Auto Repair
INTENDED BUSINESS USE Auto Repair
IS THIS A NEW BUSINESS IN THE CITY OF MENIFEE? YES NO (CIRCLE ONE)
ARE YOU THE FIRSTTENANTTO OCCUPY THIS SPACE? YES NO (CIRCLE ONE)
IS THE BUILDING EQUIPPED WITH FIRESPRNKLERS? YES NO (CIRCLE ONE)
SQUARE FOOTAGE 1464
NUMBER OF EMPLOYEES 2
NUMBER AND LOCATION OF RESTROOM FACILITIES 1- Restroom located behind front office area
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 OVER 5, 9" HIGH?
YES NO (CIRCLE ONE)
• APPLICANT SHALL OBTAIN ALL REQUIRED CLEARANCES AND/OR APPROVALS FROM THE
APPROPRIATE WATER DISTRICT AN RE DEPARTMENT PRIOR TO ISSUANCE OF ANY
BUILDING PERMIT
SIGNATURE DATE 5/5/2016
PRINT NAME �" f�f
TENANT / OWNER / CONTRACTOR / ARCHITECT / ENGINEER (CIRCLE ONE)
OCCUPANCY GRP TYPE OF CONST STAFF INITIALS
City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586951-672-6777
WWW.Cityofinenifee.us inspection Request tine 951-246-5213
City of Menifee
Building & Safety Dept,
,,MAY 0 6 2016
DATE 515/2016 PERMIT NUNEIP
BUSINESS NAME Blake's Auto Repair TYPE OF BUSINESS Auto Repair
ADDRESS 29770 Bradley Rd Suite F Menifee,CA 92586
NAME OF BUSINESS OWNER(S) Blake Hugh Chapman Crystal Marie Chapman
ADDRESS(IF DIFFERENT FROM ABOVE)28165 Enranto Drive#217 Menifee,CA 92586
PHONE (909)213-6390 EMAIL blakesautorepairmenifee@gmail.com
OWNER OF BUILDING Norden Realtors
ADDRESS 23781 Via Fromista Mission Viego CA 92691
PHONE (951)737-5071 EMAIL blakesautorepairmenifee@gmall.com
DESCRIBE EXACT USE OF BUILDING: Auto Repair
PREVIOUS USE OF BUILDING/SUITE
APPLICANT ACKNOWLEDGEMENT
Applicant agrees that t Certificate of OCp2V shall be posted in a conspicuous location, and will operate subject
tot e I Is issuanc XE eritificat eof CcupaCY.
hereby agree to comply with the above-described terms in this
'4Ef'App%til'ca ri /for jr!fi oiA0)Ecec!ipTa
ckv--E&/ DATE
MPLICANT I,
BUS LICENSE DATE ENGINEERING DATE
BUS LIC.NUMBER FIRE DATE
PLANNING DATE EIAWD DATE
HEALTH DEPT DATE BUILDING DATE
REMARKS
City of Menifee Building& Sofety Deportment 29714 Noun Rd. Menifee, CA 92586 951-672-6777
WWW.CitY0fn7en1fee.U5 Inspection Request Line
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PERMIT/PLANBUILDING & SAFETY APPLICATION
BUIlding '
DEC 0 9 2015 4.1
DATE PERMIT/PLAN CHECK NUMBER Tl5
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: OADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
EW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
L
PROJECTADDRESS `
ASSESSOR'S PARCEL NUMBER '� -( LOT TRACT
OWNER NAME
ADDRESS
PHONE �FA5a-)Uh&AIL
APPLICANT tNAME Euneltv
ADDRESS }'• c� �� �/; [�)
PHONE 0
CONTRACTOR'S NAME OWNER BUILDER? &YES ONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC/�NUMBER LICENSE CLASSIFICATION
VALUATION$ 2-111gq, SQFT LSO/FT APPLICANT'S SIGNATURE DATE %tJ
—/S
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
AMOUNT 3•a PAID AMOUNT
O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CA.SH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER 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