PMT16-01793 City of Menifee Permit No.: PMT16-01793
29714 HAUN RD. Type: Commercial Electrical
�/-\CCELX—> MENIFEE, CA 92586
MENIFEE Date Issued: 0611012016
PERMIT
Site Address: 29731 GOETZ RD, MENIFEE, CA 92587 Parcel Number: 341-200-004
Construction Cost: $2,000.00
Existing Use: Proposed Use:
Description of 200A 120/240vac COMMERCIAL PANEL FOR AMR CONSTRUCTION TRAILER
Work:
Owner Contractor
RIVERSIDE MITLAND INVESTOR 03, LLC BROOKFIELD LOS ANGELES BUILDERS INC
3200 PARK CENTER DRIVE, SUITE 1000 12265 EL CAMINO REAL STE 180
COSTA MESA, CA 92626 SAN DIEGO, CA 92130
Applicant Phone:7144276868
ANN HO License Number:960237
BROOKFIELD LOS ANGELES BUILDERS INC
12265 EL CAMINO REAL STE 180
SAN DIEGO, CA 92130
Phone: 9494224812
Fee Description CLtY Amount l$1
Services,Switchboards,Control Centers 8.Panels 1 183.00
Building Permit Issuance 1 27.00
Inspections not specified 129 129.07
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 9.15
$349.22
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bidg_Permit_Template.rpt Page 1 of 1
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C & SAFETY PERM IT/PLANAPPLICATION
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Venifee
DATE b 10 PERMIT/PLAN CHECK NUMBER nova)
TYPE: ❑✓ COMMERCIAL []RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION [-]DEMOLITION ❑✓ ELECTRICAL ❑JErC L tlS Menifee
nif eeept
ONEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 200am 120I240vac Commercial Panel JUN 1 O
ReGeived
PROJECT ADDRESS 2S9731 Goetz Road
ASSESSOR'S PARCEL NUMBER 341-200-004 LOT TRACT 32025
PROPERTY OWNER'S NAME Riverside Mitland Investor 03, LLC
ADDRESS 3200 Park Center Drive,Suite 1000,Costa Mesa,CA 92626
PHONE (714)200-1603 EMAIL adrian.peters@brookfield.rp.com
APPLICANTNAME Ann Ho
ADDRESS 3 Hughes, Irvine CA 92618
PHONE (949)422-4812 EMAIL aho@hunsaker.com
CONTRACTOR'S NAME Brookfield Los Angeles Builder, Inc. OWNER BUILDER? QYESONO
BUSINESS NAME
ADDRESS 3200 Park Center Drive,Suite 1000,Costa Mesa, CA 92626
PHONE (949)200-1608 EMAIL joe.stone@brookfield.rp.com
CONTRACTOR'S STATE LIC NUMBER 960237 LICENSE CLASSIFICATION B
VALUATION$ /'00 d SQ FT L SO FT
APPLICANT'S SIGNATURE DATEC—
CITY STAFF USE i
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN — SMIP I K
INVOICE ^^11 PAID AMOUNT
AMOUNT •dd OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0CASH 0 CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED -,YES '% NO OIL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Hqun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213