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PMT16-02064 City of Menifee Permit No.: PMT16-02064 29714 HAUN RD. Type: Commercial Alteration �CCEL -k> MENIFEE, CA 92586 MENIFEE Date Issued: 09/0712016 PERMIT Site Address: 26900 NEWPORT RD, Suite#120, Parcel Number: 338-170-013 MENIFEE,CA 92584 Construction Cost: $53,333.70 Existing Use: Proposed Use: Retail Description of TENANT IMPROVEMENT AT"FIVE STARS NAILS" 1165 SF Work: Owner Contractor CHUC THI NGO PCN3(OP)INC 28770 DIJON CT 5450 KATELLA AVENUE#104 MENIFEE, CA 92584 LOS ALAMITOS, CA 90720 Applicant Phone:5624934124 NGOC NGUYEN License Number. 1014707 5450 KATELLA AVENUE#104 LOS ALAMITOS, CA 90720 Fee Description Qtv Amount fEl Receptacle, Switch, Outlet&Fixture 21 216.00 Plumbing Fixtures and Vents,fixtures 12 161.00 Gas System 1 116.00 Water Heater 1 83.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 445 445.03 GREEN FEE 1 3.00 SMIP COMMERCIAL 1 15.00 New Construction Permit Fee 1 245.34 General Plan Maintenance Fee-Plumbing 1 18.00 General Plan Maintenance Fee-Electrical 1 10.80 General Plan Maintenance Fee-New 1 12.27 Construction $1,352.44 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_Pernit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that 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 ❑1 am exempt from licensure under the Contractols5tate License taw 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 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 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 this permit is issued. www.IeRInfo.ca.goy/caIaw.htmI. Policy# Date ❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER ORAUTHORIZED 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires enter the above Identified property for inspection purposes. (This section need not to be completed Is the permit is for one-hundred i2; �� 7� i- Date Gf�/y.✓�, dollars($100)or less PRO ER OR AUTHORI EDED A r'/ o I certify that in the performance of the work for which this permit Is issued, _ I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if l 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 Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Oyes ONO 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($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY o Yes o No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency forthe performance of the workwhfch this permit is issued outer boundary of a school? (Section 3097 Civil Code) ayes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)Indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item hazardous material reporting.$)(Section 7033.5 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(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 703L5 by residence or childcare facility to be work that distuified rbs and comply with than Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their o I,as owner of the property,or my employee with wages as their sole employees.For more Information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323), Code,The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the p p ) property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm Is required for this project because: ❑1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 70440 Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement Menifee PMT16-02064 07/13/2016 [DO NOT PAY- THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Menifee PLAN CHECK NO.: PMT16-02064 PREPARED BY: John Le Vey DATE: 07/13/2016 BUILDING ADDRESS: 26900 Newport Rd. Suite 120 BUILDING OCCUPANCY: B BUILDING AREA Valuation Reg. VALUE ($) PORTION ( Sq. Ft.) Multiplier Mod. TI Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code mnf Manual Input Bldg.Permit Fee by Ordinance J Plan Check Fee by Ordinance W Type of Review: ❑' Complete Review ❑ Structural Only ❑Repetitive Fee ❑ Other Repeats ❑ Hourly Hr. @ EsGil Fee 1 1 $445.03 Comments: 53333.70x.0046=245.34+fixture fee 1,053=building permit fee x65%=684.67= plan check fee x65%=445.03 = Esgil fee Sheet 1 of 1 macvalue.doc+ Menifee PMT16-02064 07/13/2016 CITY OF MENIFEE APPENDIX D BUILDING &SAFETY FEE SCHEDULE MECHANICAL, ELECTRICAL& PLUMBING PERMIT FEES CITY TOTAL ELECTRICAL PERMITS 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) 20 100 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 IS 120%OF THE REGULAR HOURLY RATE PLUMBING PERMITS Plumbing Fixtures and Vents,fixtures 1-3 (total cost) 3 348 Plumbing Fixtures and Vents(ea additional) 9 45 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) Afterours Is (Hourly Rate) After Hours Inspection (4 hour minimum, OT Hourly Rate) � OVERTIME HOURLY RATE IS 120%OF THE REGULAR HOURLY RATE CITY OF MENIFEE APPENDIX D Menifee PMT16-02064 07/13/2016 BUILDING &SAFETY FEE SCHEDULE MECHANICAL, ELECTRICAL& PLUMBING PERMIT FEES QTY TOTAL MECHANICAL PERMITS Forced-Air or Gravity-Type Furnace or Burner 0 0 Suspended/Recessed Wall/Floor Mounted Heater 0 0 Air Handling/Condensing Units SFR 0 0 Non-SFR 0 0 Hood Served by Mechanical Exhaust 0 0 Boilers, Compressors, and Absorption Systems 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)