PMT16-02102 City of Menifee Permit No.: PMT16-02102
_ 29714 HAUN RD.
�CCEL/? MENIFEE, CA 9258E Type: Commercial Alteration
MENIFEE Date Issued: 0 7/1 912 0 1 6
PERMIT
Site Address: 30050 HAUN RD, MENIFEE,CA 92584 Parcel Number: 360-690-027
Construction Cost: $12,000.00
Existing Use: Proposed Use:
Description of INSTALLATION OF MERCHANDISE FIXTURES IN STOCK ROOM
Work:
Owner Contractor
DONAHUE SCHRIBER ,
200 BAKER ST E#100
COSTA MESA, CA 92626
Applicant License Number:
FOREVER21
CA
Fee Description ON Amount tEl
Building Permit Issuance 1 27.00
Inspections not specified 129 129.07
Additional Plan Review Building 148 148.37
GREEN FEE 1 1.00
SMIP COMMERCIAL 1 4.00
New Construction Permit Fee 1 55.20
General Plan Maintenance Fee-New 1 2.76
Construction
$367.40
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_aldg_Permit_Ternplale.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 ❑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 13.C f i' , C A:1 License No. 7 6' By my signature below I acknowledge that,except for my personal residence
in which I must have resided for at least one year prior to completion of
Expires Signature ./ y p p
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
D 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 yl�ww.leeinfo.ca.eov/calaw.html.
this permit is issued
Policy# Date
(have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:)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 I L„I'C, 1—LL"""' with all applicable city and county ordinances and state laws relating to
G building construction.I authorize representatives of this city or county to
Polity# ?i 6'G 3 Expires Ee1.10i enter the above identified propertyf -inspection purposes.(This section need notto be completed is the permit is for one-hundred Date 7 y l6
dollars($100)or less PROPERTY OWNER O UTHORIZED AGENT
❑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 worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwi comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date G mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SE URE WORKER'S COMPENSATION COVERAGE IS D Yes ❑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)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes ❑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 for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) D Yes D No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements underthe State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 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 oyes ❑No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,priorto its PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permitto 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
Business and Professions Code)or that he or she Is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
receiving compensation for most work that disturbs paint in apre-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 than($5(30), required practices.This includes rental property owners and property
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 for the purpose of sale. D No EPA Lead-Safe Certified Firm is required forthis project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,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 outthe RRP
Acknowledgement. ;3"'
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
.- �. Ado " Menifee
DATE --D3A43QBq 6 PERMIT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL [-]RESIDENTIAL [-]MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL El MECHANICAL
❑NEW ❑PLUMBING [-IRE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Installation of merchandise fixtures in the stock room. No high pile. Building & Safety Dept.
JUL 0 7 .2016
PROJECT ADDRESS Countryside Marketplace,30054 Haun Road, Menifee, California 92584 Received
c
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME DONAHUE-SCHRIBER
ADDRESS 200 E. Baker St. Suite 100, Costa Mesa,CA 92626
PHONE (714)966-6475 EMAIL
APPLICANT NAME Lisandro Martinez
ADDRESS 3880 N.Mission Road, Los Angeles, California 90031
PHONE (213)763-8302 EMAIL Lisandro.M@Forever2l.com
CONTRACTOR'S NAME Wyatt Ng OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME Ming Ho Construction Inc.
ADDRESS 305 W.Almora St. Monterey Park, California 91754
PHONE (323)889-1818 EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ $12,000.00 SQ FT 690 L SQ FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE �J,., PAIDAMOUNT
AMOUNT ) OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZEDLETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92585 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
J
SAFETYBUILDING & PERMIT/PLAN
P 1 APPLICATION 7
1011&1Menifee
11A�_
DATE 0 3/1 612 0 1 6 PERMIT/PLAN CHECK NUMBER MTlo- OA) 0�
TYPE: ❑✓ COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION [—]ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING [I RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Installation of merchandise fixtures in the stock room. No high pile.
PROJECT ADDRESS Countryside Marketplace, 30054 Haun Road, Menifee,California 92584
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME DONAHUE-SCHRIBER
ADDRESS 200 E. Baker St Suite 100, Costa Mesa, CA 92626
PHONE (714)966-6475 EMAIL
APPLICANT NAME Lisandro Martinez
ADDRESS 3880 N.Mission Road, Los Angeles,California 90031
PHONE (213)763-8302 EMAIL Lisandro.MQForever2l.com
CONTRACTOR'S NAME Wyatt Ng OWNER BUILDER? ❑YES ✓❑NO
BUSINESS NAME Ming Ho Construction Inc.
ADDRESS 305 W.Almora St. Monterey Park,California 91754
PHONE (323)889-1818 EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ $12,000.00 SQ FT 690 L SO FT
APPLICANT'S SIGNATURE DATE
TCITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION LI�� CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SM IP I
INVOICE 12A f'D PAIDAMOUNT
AMOUNT OCASH CCHECK# O[REDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT I OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER O YES O NO
= t;lenifee, CA 92586 951-672-6771,
www.cityafn;enijee.us tnscemoo Request Line 951-24C-6213
LEE & LEE STRUCTURAL ENGINEERING INC
CITY OF MENIFEE 1�5
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
REVIEWED BY OiAek
DATE
*Approval of these plans shall not be construed to be a permit for,or an Cicy of Menifee
approval of,any violation of any provisions of the federal,state or city Building& Safety Dept.
regulations and ordinances. This set of approved plans must be kept on the JUL 0 7 2016
Jobsite until completion.
Received
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uesign iviaps Nummary t<eport Fage I of 2
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USGS Design Maps Summary Report
User-Specified Input
Report Title 30054 Haun Rd. Menifee
Thu June 23, 2016 23:34:46 UTC
Building Code Reference Document ASCE 7-10 Standard
(which utilizes USGS hazard data available in 2008)
Site Coordinates 33.68346°N, 117.17254°W
Site Soil Classification Site Class D - "Stiff Soil"
Risk Category I/II/III
n `
^ A.Fkv Fie"
+ 14 �n A V rf
,Roniofand i HO,nP.land �. Hemet
BL i 1 L Aw) rt
II Skry rA k0J
StA1.Clty
i Wincheste . i
i;
004.1 NlTO�
LrnOra` -
Lakela
Village nd Sedco Hills I.A ,i
ea Ld) 'L hI t6V.
USGS-Provided Output
Ss = 1.500 g S„s = 1.500 g Sns = 1.000 g
S, = 0.600 g S„, = 0.900 g Sp, = 0.600 g
For information on how the SS and S1 values above have been calculated from probabilistic (risk-targeted) and
deterministic ground motions in the direction of maximum horizontal response, please return to the application and
select the"2009 NEHRP"building code reference document.
MCEa Response Spectrum Design Response Spectrum
1.65
1.50 1.10
1.35 0.59
1.20 0.so
1.05 0.77
m 0.90 m 0,66
y 0.75 !A 0.55
0.Go 0.44
0.45 0.22
0.30 0.22
0.15 0.11
0.00 0,00
0.00 0.20 0.40 0.60 0.90 1.00 1.20 1.40 1.60 1.90 2.00 0.00 0.20 0,40 0.60 0.90 1.00 1.20 1.40 1.60 1.90 2.00
Period, T(sec) Period, T(sec)
For PGA,,, T„ C,,, and C„ values, please view the detailed reoort.
http://ehp I-earthquake.cr.usgs.gov/designmaps/us/summary.php?template=minimal&latitu... 6/23/2016
Seismic Design
Seismic Force;ASCE 7-10,Section 13.3 3/s
�
Fn 0.4ap2S,sWp (1 + 2 -
l In
Wherer; ap = 2.5 SOS = 1.00 =213xSsxF.
Rp = 2.5 Ss = 1.5 From USGS Database
I p = 1 Fa = 1.0 Site Class D
z= 11.01t h= 11.0 ft
Fp = Seismic Design Force
Srrs = Sepctral Acceleration,short period
ap = Component Amplification Factor
Ip = Component Importance Factor
Wp= Component Operating Weight
RP= Component Response Modification Factor
z= Height in Structure
h= Average roof height of structure
Fe = Site Cofficient by Site Class
Fp= 1.20 Wp(Ult)
Fp max= 1.6 Spa to Wp= 1.60 Wp(Ult) .
Fp min= 0.3 SOS to Wp= 0.30 Wp(Ult)
Fp„an= 0.2 SOS Wp= 0.20 Wp(Ult)
1
Fp= 1.20 Wp .90 Wp(Allow) 1
1 Fp, n= 0.20 Wp(Ult)= 0.15 Wp(Allow) 1
1 1
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Large Diameter Tapeong Concrete Screws Technical Information Page 2 of 3 /
�i
YOUR ONE SOURCE FOR
CONCRETE SCREWS Large Diameter TapconD Concrete Screws Technical
/I ph:888.498.5747 Information
Ix:688.498.4985
PurchPun:hase Tapmn^
Concrete Scm.sTapcona COOCreh'$V¢WS
Concrete Screws .
Topcone Sees,Packaging Ultimate Teneiona and Shear Values in Concrete
Tapcona
Installation Instructions 2000 PSI 300O PSI 4000 PSI
Taxon. Diameter Embedment Depth Tension Shear Tension Shear Tension Shear
Available Diameters (in.) (In.) (lbs.) (lbs.) (lbs.) (lbs.) (Ibs.)' (lbs.)
Tapcona insbucllons 318 1-1/2 1336 2108 1652 2764 1968 3416
for Use 2 1492 3036 2024 3228 2552 3420
Concrete Screw FAQ 2-1/2 3732 3312 3748 3364 3760 3424
Stainless Steel Tapcon^FAQ 3 5396 3312 6624 368 7852 3428
Concrete Screw Articles 1/2 2 3580 5644 3908 6512 4236 7380
3-1/2 7252 6436 8044 7288 8836 8140
VIEW OUR VIDEO MORIAIS 4-1/2 10,176 7364 10,332 7968 10,488 8552
5/8 2-3/4 5276 0656 5560 11064 7844 13476
3-1/2 7972 10224 9848 12144 11724 14060
4-1/2 11568 12316 13432 13586 16892 14640 -
3/4 3-1/4 6876 7140 9756 10728 12636 14316
4-1/2 10304 13120 14424 16868 18540 20612
View Installation Video 5-1/2 13048 _ 17908 18156 21718 23268 25652
a All Orders Ship the Same -Allowable values are based upon a 4 to 1 safety factor.
Day Order Is Received Recommended Edge&Spacing requirements for Tension Loads*
a Buy Direct and Save Carbon and Stainless Steel
a Secure Shopping ..
a Satisfaction Guaranteed Diameter Embedment Edge Distance Load Factor Spacing to nce
LoadedFactor
(in.) Depth(in.) Measured to Obtain Applied at Min. Required to Obtain Applied at Min.
OTHER CONCRETE ANCHORS Max.Working Load Edge Distance I. Max.Working Load Spacing Olstanee
(in.) 3/4"Inches (In.) 3"Inches
Concrete Wedge Anchors 3/8" 1-1/2 2 70% 6 44%
sleeve Concrete Anchors 2 2 70% 6 44%
Machine Screw Anchor 2-1/2 3"' 70% 6' 44%
Up Shields 3-2/2 4 70% 6 44%
Split Drive Anchors 1/2 2 2-1/4 65% B 27%
Single Exparalm Anchors 2-1/2 3 65% 8 27%
Double Expansion Anchors 4-1/2 4 65% 8 27%
-Edge and spacing distance shall be divided by.75 when anchors are place In structural lightweight concrete.
Unear Interpolation may be used for Intermediate spacing and edge distances.
For 5/8"and 3/4"LOT anchors,the critical edge distance for these anchors is 10 times the anchor
diameter.
.The edge distance of these anchors may be reduced to 1-3/4"provided a 0.65 load factor Is used for tension loads,a
0.15 load factor Is used for shear loads applied perpencilcular to the edge,or a 0.60 load factor Is used for shear
loads applied parellel to the edge.Unear interpolation may be usd for Intermedlate edge distances.
Recommended Edge&Spacing requirements for Shear Loads*
Carbon and Stainless Steel
Diameter Embedment Edge Distance Load Factor Spacing Distance Load Factor
(In.) Depth(in.) Measured to Obtain Applied at Min. Required to Obtain Applied at Min.
Max.Working Lead Edge Distance I- Max.Working Load Spacing Distance
(In.) 3/4".inches (In.) 3"Inches
3/8" 1-1/2 3 25% 6 57%
-.� 2 4 25% 6 57%
2.1/2 5 25% 6 57%
3-1/2 5 25% 6 57%
1/2 2 S 25% fl 60%
hq://www.coneretescrews.com/technical-info/tapeon-large-diameter-screw.aspx 6/13/2011