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PMT16-02019 City of Menifee Permit No.: PMT16-02019 29714 HAUN RD. Type: Commercial Alteration <ACCELA> MENIFEE,CA 92586 MENIFEE Date Issued: 07/0512016 PERMIT Site Address: 29950 HAUN RD, Suite#101, MENIFEE, Parcel Number: 336-380-002 CA 92586 Construction Cost: $0.00 Existing Use: Proposed Use: Description of HOURLY INSPECTION FOR C OF 0"ENVOY MORTGAGE, LTD" Work: Owner Contractor HUB ENTERPRISES 29826 HAUN ROAD, SUITE 305 MENIFEE, CA 92586 Applicant License Number: MENIFEE, CA Fee Description ON Amount I$1 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_Template.rpt Page 1 of 1 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), 1 hereby affirm under penalty of perjurythat 1 am under provisions of Chapter!)(commencing with section 7000)of Division 3 of the Business and o 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 o 1 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-insu re 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.leainfo.ca.gov/calaw.htmi. this permit is issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT ❑1 have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the workfor which o By my signature below I certify to each ofthe following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act an the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy# Expires enter t¢=bove ide tified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred -/ Date 7 5S1d o& dollars($100)or less PROPERJY WNEILiRRAUI HORIZED AGENT o I certify that in the performance of the work for which this permit is issued, 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 forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes o 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)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldelines CONSTRUCTION LENDING AGENCY oYes ONO 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) Oyu ONO OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the reason(s)Indicated below by the hazardous Health al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes 0 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(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 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 o 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 far the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because: o 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Cade: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. ''k-ko- Menifee ` 4PN 36lo-zoo - CCQ DATE Ky PERMIT NUMBER Y►"r %j- BUSINESS NAME Envoy mortgage. Ltd TYPE OF BUSINESS Residential Mortgage Lender ADDRESS 29950 Haun Road, Ste 101, Menifee, CA 92586 ' NAME OF BUSINESS OWNER(S) Envny Mortgage. r.td ADDRESS(IF DIFFERENT FROM ABOVE) 5100 Westheimer Rd, Ste 320, Houston, TX 77056 PHONE 901-506-4000 EMAIL licensinq@envoymortgage.com OWNER OF BUILDING PAS 210S ADDRESS` x ar ete Men.9fee CA a75AA PHONE 979-679-1959 EMAIL DESCRIBE EXACT USE OF BUILDING: Professional Office Space PREVIOUS USE OF BUILDING/SUITE n/a 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. I, Patrick A. Walden hereby agree to comply with the above-described terms in this Application for Certificate of Occupancy. Patrick A. Walden 1 _I President. CEO DATE APPLICANT BUS LICENSE DATE ENGINEERING DATE BUS LIC.NUMBER FIRE DATE PLANNING DATE EMWD DATE HEALTH DEPT DATE BUILDING DATE REMARKS City of Menifee Building&Safety Department 29714 Haiti)Rd. Menifee,CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line ' L DATE �lUaQ�l\\� PERMITNUMBER ADDRESS 29950 Haun Road, Suite 101, Menifee, CA 92586 BUSINESS NAME INTENDED BUSINESS USE Residential mortgage Lending IS THIS ANEW BUSINESS IN THE CITY OF MENIFEE? YES NO (CIRCLEONE) ARE YOU THE FIRST TENANT TO OCCUPY THIS SPACE? YES q (CIRCLE ONE) IS THE BUILDING EQUIPPED WITH FIRE SPRNKLERS? NO (CIRCLE ONE) SQUAREFOOTAGE 64 scruare foot NUMBER OF EMPLOYEES 2 lebuzooms NUMBER AND LOCATION OF RESTROOM FACILITIES located in back of office 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): n a • 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 �I 201\'p PRINT NAME Patrick A. Walden President CEO of Envov Mortgage'. Ltd TENAN / OWNER / CONTRACTOR / ARCHITECT / ENGINEER (CIRCLE ONE) OCCUPANCY GRP TYPE OF CONST STAFF INITIALS City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 t n • 1 • t' Yip 1^ �� • . . • . ' � - • I of ,' • /:. A �N 1 11 u ' • n f/'