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PMT16-02057 City of Menifee Permit No.: PMT16-02057 29714 HAUN RD. �f-►CCEL/-> MENIFEE, CA 92586 Type: Commercial Alteration MENIFEE Date Issued: 1 2/0 212 0 1 6 PERMIT Site Address: 30107 HAUN RD, MENIFEE, CA 92584 Parcel Number: 360-080-062 Construction Cost: $184,977.00 Existing Use: Proposed Use: Description of TENANT IMPROVEMENT FOR AMERICA'S BEST EYECARE TO INCLUDE PARTITIONS, Work: ELECTRICAL, HVAC, PLUMBING Owner Contractor HAUN/NEWPORT, LLC HORIZON RETAIL CONSTRUCTION INC 1000 NORTH WESTERN AVE#200 1500 HORIZON BLVD SAN PEDRO, CA 90732 STURTEVANT,WI 53177 Applicant Phone: 2626386000 BURNHAM NATIONWIDE License Number:676686 CA Fee Description ON Amount 151 Services, Switchboards, Control Centers& Panels 1 183.00 Receptacle, Switch, Outlet R Fixture 156 891.00 Plumbing Fixtures and Vents,fixtures 10 151.00 Gas System 1 116.00 Water Heater 1 83.00 Sewer 1 150.00 Forced-Air or Gravity-Type Furnace or Burner 1 149.00 Air Handling/Condensing Units NonSFR 1 183.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 1,260 1,260.35 GREEN FEE 1 8.00 SMIP COMMERCIAL 1 52.00 New Construction Permit Fee 1 850.89 General Plan Maintenance Fee-Mechanical 1 16.60 General Plan Maintenance Fee-Plumbing 1 25.00 General Plan Maintenance Fee-Electrical 1 53.70 General Plan Maintenance Fee-New 1 42.55 Construction $4,242.09 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_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). 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 o 1 am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. !' the following reason: License Class Is Ucense No. ��6�a� By my signature below 1 acknowledge that,except for my personal residence Expires s-�D-I_� 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 a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 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.Ieeinfo.ca.Rov/calaw.htmL this permit is issued. Policy# 7" aLy Date �ave and will maintain worker's 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: nn application and the information I have provided Is correct.I agree to comply Z V l LIt / f�2r <C l-v $ 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# gg/q 2a� Expires $-2.7-1-7 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT D I certify that in the performance of the work for which this permit is issued, O 3�165� I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthw ith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a licant G/�� �— Date Z'�2-j(� mixture containing a hazardous material equal to or greater that the amountsspecified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes kNo UNLAWFUL,AND SHALL SUBJECTAN 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(SCAQM D)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY D Yes kNo 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) D Yes *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&Safety Code,Section 25505 and 2S534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 e o No Business and Professions Code).Any city or county that requires a permit to ��l Date 12 construct,alter,Improve,demolish or repair any structure,prior to its ROVERTY OWN ER 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPI 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.eua.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 Contractor's State License Law does not apply to an owner of a D 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. D No EPA Lead-Safe Certified Firm is required for this project because: n I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please felt out the RRP Acknowledgement. PERMIT/PL.PERMIT/PLAN CHECK APPLICATION M e n i f e e DATE— 1 — 2© f PERMIT/PLAN CHECK NUMBER OM l 1:2K`5 TYPE: COMMERCIAL []RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA []SIGN SUBTYPE: ❑ADDITION%gALTERATION [-]DEMOLITION KELECTRICAL �fM1ECHANICAL [:]NEW GGO PLUMBING ❑RE-ROOF-NUMBER OF SQUARES ' DESCRIPTION OF WORK 9-rJ V r: Y'�Y•1•�- 1 I fJC,LUPF �^� fJ�fJ-S`f fZUCZv 1 1u S t ftrjIS ( VM l PROJECT ADDRESS 20107 AAU fJ ' -OAD _.r-jl ASSESSOR'S PARCEL NUMBER LOT TRACT PROPERTY OWNER'S NAME ('i WPO� LL,.0 / ADDRESS 660 US— V/£, JL (1 f Z�IdS PHON (o 0 - 8 O S S .�4A1L�"AC'r� -S (hPwJLbd APPLICANT NAME Q U r•1 cfa- LLfF/J ADDRESS Sr;> S I ZL-I S LAS A 6 F�LG� PHONE'312 EMAIL`! >AL (2, J m bA 1/ii Can, CONTRACTOR'S NAME OWNER BUILDER? OYEkNO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ d 0 U SO FT L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION �. ✓r W CITY OF MEENNNII�FE(IF�/ lJ$_I CENSE NUMBER •BUILDIN P NNING ENGINEERING FIRE GREEN SMIP BUILDI FAIDAMOUNT v,AMOUNT W• CASH CHECKp t�CREDIT CARD VISA/MC PLAN CHECK FEES OUNT O CASH O CHECK a O CREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES O NO City of Menifee Building & Safety Deportment 29714 Houn Rd. (vlenifee. CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 HAUN / NEWPORT LLC 600 N. TUSTIN AVE # 150 j SANTA ANA, CA 92705 I,Tab Johnson,authorize Burnham Nationwide to submit America's Best project for building plan check review. We have approved Tenant's drawings and documents of for submission to plan check. Project Location: _MENIFEE TOWN CENTER,SWC of Newport/Haun_ Please do no hesitate to call with any questions @_714-835-3311 Tab Jo nson Member, 719-16 APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK Menifee DATE 06/29/2016 PERMIT/PLAN CHECK NUMBER (o' L�✓� TYPE: Q COMMERCIAL []RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA []SIGN SUBTYPE: ❑ADDITION QALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL [:]NEW [:]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Tenant Improvement for new America's Best Eyecare.Work to include new non-structural partitions, new lighting, HVAC ductwork, and minor plumbing work(new hand sinks). PROJECT ADDRESS 30107 Haun Road (Town Center Marketplace) .. ASSESSOR'S PARCEL NUMBER .�— 0W -W?� LOT TRACT PROPERTY OWNER'S NAME Regent Properties }' A,(4*n Dr +" ADDRESS Iopc N ww 4erh Collqwoa. PHONE EMAIL APPLICANT NAME Burnham Nationwide/ Tasia Kallies ADDRESS 515 S. Figueroa Street Suite 1275 Los Angeles, CA 90071 PHONE (312)296-2306 EMAIL TKallies@Burnhamnationwide.com CONTRACTOR'S NAME TBA OWNER BUILDER? ❑YES ✓❑NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ $185,000.00 SO FT 3315 L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT 0CASH 0CHECK# 0CREDIT CARD VIWMC PLAN CHECK FEES PAIDAMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO City of Menifee Building& Safety Department 29714 HOLIn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 REQUEST FOR COMMERCIAL OCCUPANCY -)"' " Menifee CITY OF After all final inspections have been completed by all involved agencies/departments you must obtain authorized signatures from all the involved agencies/departments on this form.When the form is completed,return itto Building& Safety Department.All signatures must be original signatures with exception of EMWD&Fire. Permit Number: PMT 16-02057 Business Name: America's Best Contacts & Sunglasses APN: Owner: National Vision, Inc. Address: 30105 Haun Road, Menifee, CA 92584 New Commercial: YES NO ( ) Shell: YES (x) NO Addition: YES NO (x) Tenant Improvement: YES (x) NO DEPARTMENT DATE APPIROVAL SLGNATURE ENGINEERING 7 // /7 PW INSPECTOR -7 1 � \ I \-7 PLANNING -I A EMWD t LkaaABy Email RIVERSIDE COUNTY FIRE a a -1 By Email BUILDING ( `a List of required items for occupancy: Engineering-Final Field Inspection Sign Off(including verification of BMP's built per plans/WOMP),payment of all TUMF and RBBD fees,Final Grade Certificate provided Planning-Landscaping Inspection Sign Off(including any open space landscaping adjacentto the subject lot),inspection sign off from Planning Staff,payment of DIF and MSHCP fees,any other Priorto Final conditions thatthe tract requires forsign off Riverside County Fire-Final Inspection and Release for Occupancy emailed to the City EMWD-Final Inspection and Release for Occupancy emailed to the City Building-Signatures/approvals from all required departments listed above,any outstanding fees CITY OF Y. � `�1uF.�•y� : i".�. �p "_ � 7 � P '�,y is 7` �r F"�YFzv , :�-j'r'Jl �M n ;'yi'f-f' P: v n � _ - a � <6 '7 N CD y m 0 1 ^^ � 4 N y T N V N LLJ 06 L 0 N Q « N p Z p CD- co E Q O U O r ` 1 Ova U C] Q M D C O CDL1.I O M _x \� L~LI a) o�"co m Q U LL LL Q T fn N w N F- a J LO Q U LIJ Z U " U O 0 Lu eqWNO O LL O f- a N v H ... O) C_w! LLI 0 Z L MLU C Z U w LL L) � _ 0 0 3 0 ZZ o 0 (D a ., U) r ` Lu M U un m o V 0 0 oOf LO m �/ U p �t N ..N O Q a) O O U Q U �w M N [Y C N W W H m a' ~ Z Z Z It - m N N O d O N U 0 ® m } ® o 1 'E C " Z Z w U) Q m F' W W a LL N '> a .v J LY ® U W o co LLI W a U w ao aEO Ca a a Q O :3 �r . `a Menifee PMT16-02057 08/08/2016 [DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT16- 02057 PREPARED BY: John Le Vey DATE: 08/08/2016 BUILDING ADDRESS: 30107 Haun Rd. BUILDING OCCUPANCY: M BUILDING F--A—R—EA-1 Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code Irnrif I Manual Input Bldg.Permit Fee by Ordinance $1,939,00 Plan check Fee by ordinance $1,260.35 Type of Review: 21 Complete Review ❑ Structural Only ❑ El Other Repetitive Fee } Repeats ❑ Hourly Hr. @ EsGil Fee $819.23 Comments: Valuation $185000x.0046=851+fixture feel088=$1939.00x65%= Plan Check Fee $1260.35x65%= Esgil Fee 819.23 Sheet 1 Of 1 P Menifee PMT16-02057 08/08/2016 (DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT16- 02057 PREPARED BY: John Le Vey DATE: 08/08/2016 BUILDING ADDRESS: 30107 Haun Rd. BUILDING OCCUPANCY: M BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTALVALUE Jurisdiction Code Imnf IManual Input Bldg.Permit Fee by Ordinance� $1,939.00 Plan Check Fee by Ordinance W $1,26U.35 Type of Review: ❑� Complete Review ❑ Structural Only ❑Repetitive Fee ❑ Other Repeats ❑ Hourly Hr. @ ' EsGil Fee $819.23 Comments: Valuation $185000x.0046=851+fixture feel088=$1939.00x65%= Plan Check Fee $1260.35x65%= Esgil Fee 819.23 Sheet 1 of 1 • • Menifee PMT16-02057 08/08/2016 BUILDING &SAFETY FEE SCHEDULE MECHANICAL, ELECTRICAL& PLUMBING PERMIT FEES CITY TOTAL Residential Appliance, up to 1 HP 0 0 Non-Residential Appliances, up to 1 HP 0 0 Power Apparatus(less than 100 HP, KW, KVA, or KVAR) 0 0 Power Apparatus(100+ HP, KW, KVA, or KVAR) 0 0 Solar, Residential or Small Commercial 0 0 Temporary Power Pole 0 0 Services,Switchboards,Control Centers& Panels(up to 400 amps) SFR 0 0 Non-SFR 0 0 Services,Switchboards, Control Centers& Panels(400+amps) 0 0 Receptacle,Switch, Outlet& Fixture (first one) 1 116 Receptacle,Switch, Outlet& Fixture (ea additional) 78 390 Pole or Platform Mounted Fixtures(first one) 0 0 Pole or Platform Mounted Fixtures(ea additional) 0 0 Swimming Pool/In-Ground Spa 0 0 Meter Reset 0 0 Misc. Permit, Flat Fee,or Hourly as determined by staff 0 0 Inspections not specified (Hourly Rate) Reinspections (Hourly Rate) After Hours Inspection (4 hour minimum,OT Hourly Rate) OVERTIME HOURLY RATE 1S 120%OF THE REGULAR HOURLY RATE Plumbing Fixtures and Vents,fixtures 1-3 (total cost) 3 348 Plumbing Fixtures and Vents(ea additional) 7 35 Grease Interceptor 0 0 Gas System 1 116 Piping/Repiping Single Family Residential 0 0 Multi Family Residential (first dwelling unit) 0 0 Multi Family Residential (ea additional unit) 0 0 Water Heater 1 83 Solar Water Heating System 0 0 Sewer 0 0 Misc. Permit, Flat Fee, or Hourly as determined by staff 0 0 Inspections not specified (Hourly Rate) Reinspections (Hourly Rate) After Hours Inspection (4 hour minimum,OT Hourly Rate) City of Menifee Invoice No.: 361950 29714 HAUN RD. Invoice Date: 1 011 912 01 6 '(;kCCECP;> MENIFEE, CA 92586 MENIFEE INVOICE RECORD INFORMATION Record ID: PMT16-02057 Record Type: Commercial Alteration Property Address: 30107 HAUN RD,MENIFEE,CA 92584 Description of Work: TENANT IMPROVEMENT FOR AMERICA'S BEST EYECARE TO INCLUDE PARTITIONS, ELECTRICAL,HVAC,PLUMBING Applicant: TASIA KALLIES BURNHAM NATIONWIDE CA FEE DETAIL Fee Description Quantity Account Number Fee Amount Services,Switchboards,Control Centers&Panels 1 100-3414 $183.00 Receptacle,Switch,Outlet&Fixture 156 100-3414 $891.00 Plumbing Fixtures and Vents,fixtures 10 100-3412 $151.00 Gas System 1 100-3412 $116.00 Water Heater 1 100-3412 $83.00 Sewer 1 100-3412 $150.00 Forced-Air or Gravity-Type Furnace or Burner 1 100-3413 $149.00 Air Handling/Condensing Units Non-SFR 1 100-3413 $183.00 Additional Plan Review Building 1.260 100-3411 $1.260.35 General Plan Maintenance Fee-Mechanical 1 100-3421 $16.60 General Plan Maintenance Fee-Plumbing 1 100-3421 $25.00 General Plan Maintenance Fee-Electrical 1 100-M21 $53.70 $3,261.65 AA_Invoice_Templatexpl Print Date:10/19/2016 Page 1 COMMERCIALHill IIIIII IN III . CERTIFICATE OF ! ` - SECTION I—APPLICANT INFORMATION BUSINESS ADDRESS: 30107 Haun Rd NAME OF BUSINESS: TYPE OF BUSINESS: Americas Best Contacts and Eyeglass Retail NAME OF BUSINESS OWNER: BUSINESS PHONE: Michelle Houston 470-"8-2161 ADDRESS OF HOME OFFICE OF BUSINESS OWNER: PHONE: (IF DIFFERENT FROM ABOVE) 2435 commerce Ave Bid 2200 Duluth GA 30096 BUILDING OWNER: PHONE: Jim Manion 760-805-2251 BUILDING OWNER ADDRESS: CITY: STATE: ZIP: 1000 N. Western AVE, Suite San Pedro CA 90732 200 DESCRIBE EXACT USE OF ALL PORTIONS OF EACH BUILDING AND LOT: Retail stores PREVIOUS USE OF BUILDING: Retail SECTION 2— BOND 1. The applicant for a Temporary Certificate of Occupancy must post a cash bond or Cashier's check made payable to the City of Menifee in addition to the required $148.37 inspection fee and $27 processing fee. The amount of the bond shall not be less than $10,000 or the estimated costs, as approved by the Building Official, for the completion of the remaining items for the Applicant to obtain a permanent Certificate of Occupancy, whichever is higher. The complete list, along with the cost estimates of the remaining items to be completed for the Project is attached to this Application as Exhibit A. 2. In the event that all remaining items to be completed for the Project are not completed in compliance with the plans as submitted by the Applicant by r( the Applicant will forreit the deposited bond. 3. Applicant acknowledges that if a balance is due at the completion of this project,the amount owed will be taken from the deposit and applied toward the balance. City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 unnnu rihmfmanifao nc SECTION 3— ITEMS TO BE COMPLETED 1. Attached to this Application as Exhibit A is a complete list of the items, which must be completed in order for the Applicant to receive a permanent Certificate of Occupancy. Exhibit A shall also include the total cost estimate to complete all of the remaining items. 2. Applicant agrees to complete all of the remaining items on Exhibit A on or before VA(jJ$1 0011 . If the remaining items are not completed and approved by the City Build inggJjOlfi'idial by the Applicant will forfeit the deposited bond. SECTION 4—APPLICANT DUTIES 1. Applicant agrees to ensure that the Temporary Certificate of Occupancy shall be posted in all businesses, which will operate subject to the City's issuance of Temporary Certificate of Occupancy. 2. Upon completion of the items on Exhibit A in the time period required, Applicant must reapply for a permanent Certificate of Occupancy and pay an additional $148.37 inspection fee and $27 processing fee. 1, hereby agree to comply with the above-described terms in this Application for APPLICANT(PRINT) Temporary Certificate of Occupancy. 1­7 APPLICANT(SIGNATURE) DATE CITY STAFF USE INLY(PLEASE S16N& DATE IF APPROVED PLANNING "Z- DATE e-t lD/ / FIRE I.� Z-iuo DATE BUILDIUr- DATE'— EMWD r 7Q DATE ENGINE ESfIN DATE ENGINEERING INSPECTION(INCLUDE VERIFICATION OF BMWs BUILT PER PLANS/WQMP) REF WQ/SW N APPROVED B 'iDATE City of Menifee Building & Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 1. a Al riivnfmonifco ne Riverside County Fire DepartmentIt Office of the Fire Marshal Section Rivemide Offs:2300 Markel SL,St..150,Riverside.CA 92501 Pb.(951)95641M Fax(951)95 86 Palm Desert Office: 77 933 taa Montanan Rd,.S 201 Palm Desert.CA 92211 4131 R,.(769)863.8886 Fax(760)863-7072 Fire Department Clearance/Release Date: 2/2/2017 To: ccarlson@cityofinenifee.us;brivera@cityofinenifee.us;mbinnall@cityofinenifee.us;akearney@cityofinenifee.us;tbilo@cityofinenifee.us Fax: Tract/Parcel Map#: Permit/Lot#: 16-MENI-02057 Job Site Address: 30107 HAUN RD AMERICA'S BEST rl Final For Recordation 171 Release For Building Permit(s) F-1 Shell Final Only(No Tenant) n Final For Occupancy fl Release For Residential Sprinkler Installation rl Building Plan Check Fees Paid, Water Requirement Met-if water applicable f l Building Plan Check Fees Not Paid El Residential Sprinkler Plan Check Fees Paid l Residential Sprinkler Plan Check Fees Not Paid El Other Fees rl Fees Not Required n Other: T.I. Final If you should have any questions, please contact the appropriate Riverside County Fire Office of the Fire Marshal for further assistance. DAVID YOUNG .Ste, Date:2016.09.13 07:3126-0T00' Authorizing SignaNre for Release DAVID YOUNG FSI Print Name Fortn C—Revised 5111116