PMT16-02149 City of Menifee Permit No.: PMT16-02149
29714 HAUN RD.
�ACCEL/? MENIFEE, CA 92586 Type: Commercial New
MENIFEE Date Issued:
10/13@017
PERMIT
Site Address: 29171 NEWPORT RD, MENIFEE, CA Parcel Number:
92584 Construction Cost: $1,799,954.09
Existing Use: Retail Proposed use: Restaurant
Description of CONSTRUCTION OF NEW CVS PHARMACY STORE 14099 SQ FT,262 SQ FT CANOPIES
Work:
Owner Contractor
CVS PHARMACY KZ MILLER CONSTRUCTION INC
777 S HARBOR BLVD#E163 3180 UNIVERSITY AVENUE STE 430
LA HABRA, CA 90631 SAN DIEGO,CA 92104
Applicant Phone:6195B42858
MENIFEE,CA License Number: 1011565
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 ❑I 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 y ,,//��G License/ . 1 S,6 5, By my signature below I acknowledge that,except for my personal residence
Expires 3' 51, 10 Signature t! - b 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 followingwebsite:
by Section 3700 of the Labor Cc4&,for the performance of work for which www.1 cinfo.ca.zov/calaw.htm 1.
this permit is issued.
Policy If Date
*have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,forthe 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: application and the information I have provided is correct.I agree to comply
Carrier
2, �A (� ` with all applicable city and county ordinances and state laws relating to
!/[: p building construction.I authorize representatives of this city or county to
Pony#�aGt�1'1�r43) 1 Expires 1 q' (Z' )8 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
❑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 subjectto 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
/�,erS/�with�jcomply with those provisions. �'l ,p Will the applicant or future building occupant handle hazardous material or a
Applicant�__got, Date ?. 13-LD mixture containing a hazardous material equal to or greaterthatthe
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑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)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes -JiMo
1 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) in Yes 00
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
C California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the
,hazardous material,reporting.
checkmark(s)I have placed nett to the applicable item(s)(Section 7031.5 /y a
Business and Professions Code).Any city or county that requires a permit to tfkes ❑No "T Date q3 t2l
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN R OR AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement
that he or sheds licensed pursuant to the provisions of the Contractor's 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
in 1,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.eRaJgov/Ierid 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 ❑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. ❑No EPA Lead-Safe Certified Firm is required for this 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 Contractor's 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.
- &enifee
DATE 08/15/2016 PERMIT/PLAN CHECK NUMBER 1 tz
TYPE: ❑✓ COMMERCIAL []RESIDENTIAL ❑MULTI-FAMILY [:]MOBILE HOME Ej POOL/SPA []SIGN
SUBTYPE: []ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑✓ NEW ❑PLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK New ground-up building for CVS Pharmacy
PROJECTADDRESS SEC NEWPORT ROAD&MENI FEE ROAD, MEN IFEE, CA
ASSESSOR'S PARCEL NUMBER 341-900-205 LOT 345 TRACT 30422-1
PROPERTY OWNER'S NAME Stater Bros. Markets
ADDRESS 301 S.Tippecanoe Avenue, San Bernardino, CA 92408
PHONE (909) 733-5005 EMAIL Scott.limbacher@staterbros.com
APPLICANT NAME Alvin Suarez
ADDRESS 1300 Dove Street,Suite 100, Newport Beach, CA 92660
PHONE (949)698-1424 EMAIL asuarez@littleonline.com
CONTRACTOR'S NAME OWNERBUILDER? ❑YES❑NO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION $ $ 1.80 0 SO FT 14,099 L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAIDAMOUNT
AMOUNT -CASH {;CHECK# "CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CASH -CHECK# 'OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED '.)YES NO DL NUMBER NOTARIZED LETTER - YES C:; NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
"Menifee
DATE 07/07/2016 PERMIT/PLAN CHECK NUMBER I10 -O,9
TYPE: ❑✓ COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑✓ NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK NEW GROUND UP CVS PHARMACY STORE(14,500 S.F.)
PROJECTADDRESS SEC Newport Road&Menifee Road(THE SHOPS AT MAN IFEE LAKES)
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME CVSPHARMACY
ADDRESS 777 S.HARBOR BLVD.E163, LA HABRA,CA 90631
PHONE (714)321-9318 EMAIL
APPLICANT NAME Joselito Garcia/Lorenzo Dimaano
ADDRESS 1300 Dove Street,Suite 100, Newport Beach, CA 92660
PHONE (949)698-1409 EMAIL Idimaano@littleonline.com
CONTRACTOR'S NAME NOT AVAILABLE AT THIS TIME OWNERBUILDER? [:]YES ONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ $ 1,800-000.00 SQFT 6 ' �l(7� LSQFT
APPLICANT'S SIGNATURE DATE
a
DEPARTMENT DISTRIBUTION t CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT OCASH 0CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
PfSelf+
19-7 1 I d�
REQUEST i,;, ;, ._ Menifee
140�1-k_
CITY OF . DEPARTMENT
Afte r 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 it to Building&
Safety Department.All signatures must be original signatures with exception of EMWD& Fire.
Permit Number: LK/lo' ozi4q
Business Name: Cw5
APN: Owner: L1705 �df2IG
Address: ��64b
New Commercial: YES r� NO ( ) Shell: YES NO
Addition: YES ( ) NO M Tenant Improvement: YES NO
DEPARTMENT DATE APPROVAL SIGNATURE
ENGINEERING Olzg 4/:z5/d
PW INSPECTOR
PLANNING yA5(18
EMWD $/� //� By Email }
RIVERSIDE COUNTY FIRE y 23 By Email
.BUILDING 51
List of required items for Occupancy:
Engineering-Final Field Inspection Sign Off(including verification of BMP's built per plans[WQMP),payment of all TUMF and RBBD
fees,Final Grade Certificate provided
Planning-Landscaping Inspection Sign Off(including any open space landscaping adjacent to the subject lot),inspection sign off
from Planning Staff,payment of DIF and MSHCP fees,any other Priorto Final conditions that the tract requires for sign 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
PERMIT NUMBER
`SCHEDULING DEPENDENT UPON INSPECTIONS REQUESTED AND AVAILABILITY*
� j� Requests must be made prior to 2pM to be on the next business day
V Fp n I !�` POST IN VISABLE LOCATION WITH APPROVED PLANS
BUILDING &SAFETY INSPECTION JOB CARD INSPECTION DATE INSPECTOR
INSPECTION REQUEST LINE 951-246-6213 or Block Wall
EMAIL bldg-insp@atyofinenifee.us Footings/Steel
INSPECTIQN DATE INSPECTOR Bond Beam/Grout
Building Final
Set-Backs Patio/Awnin
Ground Plumbing !0 Z3 -11 -kZ Footings
Footings —/ —17 Track/Ledger
Ll/G Electric Roof/Deck Nail
Slab Grade — Final
Floor Nail Pool &Spa
Shear Nail ( '1 Pre-Gunite
Roof Nail Rough Plumbing
Rough Frame U/G Electrical
Rough Electric I Gas Line
Rough Plumbing Deck/Pool-Bonding
Rough HVAC Pre-Plaster
Insulation — Q— �i Rough Electric
Drywall Nail Final
Firewall Re-Roof
Exterior Lath Pre-Deck
T-Bar 2-{ 4 Final
Sewer/Septic Hood Duct
Water Line Ducts
Gas Line Fire Wrap
Electric Release 2- / Accessibility
Temp Electric Interior
Mobile Home Exterior
Site-Prep Finals
Footings Solar
Bond Beam Electric
Plate Line/Framing Plumbing
Piers Mechanical
Perm. Foundation Environmental Health
Roof Connect Engineering
Continui /Rin -Out Planning
Gas Test Building -1
Final
NOTES: "yt UL 7WC ' O_
c
d "
NOTICE: PERMIT WILL VPIRE lViNSFrEltTlONS ARE NOT SCHEDULED EVERY 180 DAYS
County of Riverside
DEPARTMENT OF ENVIRONMENTAL HEALTH
www.rivcoeh.org
SUPPLEMENTAL REPORT TO SAN. FORM# DATE
SUBJECT cV s l hG✓M�� PERMIT NO. aC 7�o yY
ADDRESS �G`�� I �VPL7OY`� 'r ���� DISTRICT
11 r INSPECTOR v��
REMARKS: n l I A V 4 Ci t'On C-7 ,(��C G�
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RECEIVED BY:
DEH-32(REV)/15) Distribution:WHITE-Office;CANARY-Owner
P.O. Box 8300
EASTERN MUNICIPAL Perris, CA 92572-8300
W A T E R D I S T R I C T. ,:-' Telephone (951)928-3777
`-"----SINCE 1950 _=
CLEARANCE FROM FURTHER
EMWD RELEASES
Business Name: CVS# 10434 Date: 8/9/2017
Contact Name: Lorenzo Dimaano Contact Phone: (949)698-1409
Contact Address: 1300 Dove Street Suite 100 Phone Ext:
Newport, CA 92660- Contact Fax Num:
District presently provides: ❑ Water ❑ Sewer 0 Water and Sewer
Requesting Agency: City of Menifee - Email: brivera@cityofinenifee.us, ccarlson@cityofinenifee.0
Second Requesting Riv. Co. Env. Hlth-Tem/SC/Men. - Liliana Lizalde at Ilizalde@rivcocha.org
Agency: ..._.. - —
Type of Request:
❑ New Single Dwelling ❑Adding Second Unit 0 Business
Service Address: 29171 Newport Road Menifee, CA 92584-
APN No:
Tract No: Lot No:
Business Type: Retail Sales
FOR OFFICE USE ONLY:
0 This project, as now constituted, is not required to obtain further clearance/inspections/releases from
EMWD
EMWD Fees: LLl Paid 0 Not Applicable
"Any future alterations involving water usage and/or plumbing configurations should be reported to the
District at (951) 928-3777, extension 4411.
Additional Comments:
14,099 SF "
8/9/2017
Vanessa Buenrostro - New Business Department Fax Number: (951) 928.6118
Eastern Municipal Water District
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Menifee PMT16-02149
08/24/2016
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: Menifee PLAN CHECK NO.: PMT16-02149
PREPARED BY: Dwight Ashman DATE: 08/24/2016
BUILDING ADDRESS: Newport Rd & Menifee Rd.
BUILDING OCCUPANCY:
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code MNF IManual Input
Bldg. Permit Fee by Ordinance
Plan Check Fee by Ordinance W
Type of Review: I] Complete Review ❑ Structural Only
❑Repetitive Fee El Other ,
-� Repeats ❑ Hourly Hr. @
J EsGil Fee $4,869.74
Comments: Valuation = $1800000 Fixture Count = $3246
Esgil Fee: ($1800000'.0046 + $3246) ' 0.652 = $4869.74
In addition to the above fee, an additional fee of $90 is due (1 hour @ $90/hr.) for the
CalGreen review.
Sheet 1 of 1
macvalue.doc+
Menifee PMT16-02149
08/24/2016
APPENDIX
CITY OF MENIFEE D
BUILDING &SAFETY FEE SCHEDULE
MECHANICAL, ELECTRICAL& PLUMBING PERMIT FEES
OTY 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
Nan-SFR r1 183
Services,Switchboards,Control Centers& Panels (400+amps) 0
Receptacle, Switch,Outlet& Fixture (first one) 1 116
Receptacle,Switch, Outlet& Fixture (ea additional) 575
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) 3 15
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 1 150
Misc. Permit, Flat Fee, or Hourly as determined by staff 0 0
Inspections not specified (Hourly Rate)
EJ '
Menifee PMT16-02149
08/24/2016
Reinspections (Hourly Rate)
After Hours Inspection (4 hour minimum, OT Hourly Rate)
OVERTIME HOURLY RATE IS 120%OF THE REGULAR HOURLY
RATE
APPENDIX
CITY OF MENIFEE D
BUILDING &SAFETY FEE SCHEDULE
MECHANICAL, ELECTRICAL& PLUMBING PERMIT FEES
QTY TOTAL
MECHANICAL
PERMITS
Forced-Air or Gravity-Type Furnace or Burner 5 745
Suspended/Recessed Wall/Floor Mounted Heater 0 0
Air Handling/Condensing Units
S 0 0
FR
Non-SFR 5 915
Hood Served by Mechanical Exhaust 0 r1 0
Boilers, Compressors, and Absorption Systems & 7 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
h '
EsG 1 '
iaFEhui❑Gim Fad,
DATE: 02/07/2018 ❑ APPLICANT
---d�JURIS.
JURISDICTION: MENIFEE ❑ PLAN REVIEWER
❑ FILE
PLAN CHECK NO.: PMT16-02149 (REV. _1) SET: I
PROJECT ADDRESS: NEWPORT ROAD & MENIFEE ROAD
PROJECT NAME: CVS PHARMACY
❑ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
® The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
❑ The check list transmitted herewith is for your information. The plans are being held at EsGil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to:
® EsGil Corporation staff did not advise the applicant that the plan check has been completed.
❑ EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted;�� Telephone #:
Date contacted: Email:
Mail Telephone Fax In Person
® REMARKS: Provide evidence to the City that the engineer-of-record has reviewed the truss calculation package
prepared by others (i.e., a"review"stamp on the truss calculations, or a letter) indicating they have been reviewed
and no exceptions are taken. Sec. 107.3.4.1.
'[Roof& mezzanine open web steel truss joists/girders plans&calc's., a deferred package, are under this plan revision].
By: ALI SADRE, S.E. (for D.A.) Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ MB ❑ PC 1/31
9320 Chesapeake Drive, Suite 208 ♦ San Diego,California 92123 ♦ (858)560-1468 ♦ Fax(858)560-1576
MENIFEE PMT16-02149 (REV. _1)
02/07/2018
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: MENIFEE PLAN CHECK NO.: PMT16-02149 (REV. _1)
PREPARED BY: ALI SADRE, S.E. (for D.A.) DATE: 02/07/2018
BUILDING ADDRESS: NEWPORT ROAD & MENIFEE ROAD
BUILDING OCCUPANCY: M; III-B/SPR.
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
ROOF & MEZZ.
TRUSS JOISTS
PLANS & CALC'S.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code MNF Manual Input
Bldg.Permit Fee by Ordinance
Plan Check Fee by Ordinance W ' $300.00
Type of Review: ❑ Complete Review ❑ Structural Only
❑ Other
❑ Repetitive Fee
G
Re eats Hourly 2 Hrs.
� p
- EsGil Fee $120.00 $240.00 t/
' Based on hourly rate
Comments:
Sheet 1 of 1
macvalue.doc+
JKL ASSOCIATES Ilk
STRUCTURAL ENGINEERS
106 WEST LIME AVENUE SUITE 206B
MONROVIA,CALIFORNIA 91016
(626)357-5225 FAX(626)357-6674
16026
April 26,2018
Building Offical
CITY OF MENIFEE
29714 Haun Road
Menifee, CA 92586
RE: CVS Pharmacy
SEC Newport Road&Menifee Road
To Whom it May Concern::
I am the structural engineer of record on this project. As part of my duties, I reviewed the
steel joist shop submittals for the project. As notated, I found them to be in substantial
conformance with the intent of the approved construction documents. Please find a copy
of the submittal including my hand-written notations and review stamp attached with this
letter.
CITY OF MENIFEE
Respectfully, BUILDING AND.SAFETY DEPARTMENT
PLAN APPROVAL
"eROFEssi/
,• O ii
a REVIEWED BY �• �o•`
•:
DATE
S 269
da. 4-3D-19 ;' 'Approval of these plans shall not be construed to be a permit for,or an
�9' �� - '��.•' PP a roval of V
an violation of any Provisions of the federal state or city
CA�,,,,• regulations and ordinances. This set of approved plans must be kept on the
Joseph K. Leonard lobsite until completion.
Structural Engineer#S2969
Office Copy
NOT FOR CONSTRUCTION
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COMM ERCIALTEMPORARY UTILITY CONNECTION APPLICATION
q r-•:,
µ :;rMen'fee
WE city of Moil fpp if
SECTION I—APPLICANT INFORMATION Building Dept.
ADDRESS OF PROPERTY:
'a Cl t I mew ' % -TEb FEB 12 2018
LOT NUMBER: BUS INE S NAME:
345 of i2ALO-1 304ZZ- I R � C
ASSESSORS PARCEL NUMBER:
364 ftozo
NAME OF PROPERTY OWNER: SUPERINTENDANT NAME:
Ba5 r 7/c�°,To,r � Si iusal i t T -
ADDRESS OF PROPERTY OWNER: SUPERINTENDANT PHONE:
701 R, P be Sr 113 do. 9Lw�;-
Reason For Request:
?a&ISG Ot 5L 5Lecrrzl C m-
SECTION 2—BOND
1. The applicant for a Temporary Clearance for Utility Connection must post a cash bond or Cashiers 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$2,000 or the estimated costs, as approveny the
Building Official,for the completion of the remainin i ems for the Applicant to obtain permanent utilities,
whichever is higher.
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 the Applicant will forfeit the deposited
bond.
SECTION 3—APPLICANT DUTIES
1. Applicant waives any cause of action against either the City of Menifee or any of its officers and employees
because of any defect in the construction or installation of electrical equipment,or for any other defect in
construction of the above mentioned building,or for any connection to or disconnection from any utility
which many cause any damage whatsoever to the premises,any other premises,or any person or
persons, and agrees to hold the City of Menifee or any of its officers and employees, harmless from any
damage or injury of any kind caused by such temporary clearance.
APPLICANT INITIALS:
City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us
2. Applicant further covenant and agrees to have the above building completed and in compliance with all
building codes, ordinances, and regulations, and ready for final inspection by
and further agrees that if the final inspection and approval is not granted before such date that the electrical
service may be disconnected by the City of Menifee without any notice and the applicant agrees to hold the
City of Menifee, its officers and employees, harmless from any and all damage and injury which may arise
therefrom.
APPLICANT INITIALS: -46
3. Applicant acknowledges that any occupancy of the above mentioned building without final approval or a
Certificate of Occupancy shall constitute an occupancy violation in accordance with Section 111.4, of the
2016 California State Building Code, and will result in the immediate disconnection of utilities by the City of
Menifee.
APPLICANT INITIALS:
4. 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.
APPLICANT INITIALS: 46
i - e St'gaw hereby agree to comply with the above-described terms in this Application for
AP LICANT(PRINT)
Temporary Clearance For Utility Connection.
z• tz' rS
APPLICANT(SIGNATURE) DATE
CITY STAFF USE ONLY •
PLANNING DATE FIRE DATE
BUILDING DATE EM W D DATE
i
ENGINEERING DATE
ENGINEERING INSPECTION(INCLUDE VERIFICATION OF BMP'S BUILT PER PLANS/WQMP)
REF WQ/SW# APPROVED BY DATE
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us
Menifee
7 PROJECT INFORMATION /
PROJECT NAME:
PERMIT NUMBER(S):
REFUND 15 TO BE MAILED TO:
BUSINESS NAME:
ATTN/CARE OF(IF APPLICABLE):
BUSINESS ADDRESS:
i
CITY,STATE,ZIP CODE: JAJ .�lL�V
CONTACT INFORMATION
NAME: f�Gi3l�2C
PHONE: �) 5
EMAIL: 1 t, (0, k�/11 Ctc,t �Z�te k} ). CUin
This document does not guarantee a refund, in part or full, will be processed. Refunds will be issued at the Building
Official's discretion and only when approved and signed off by all appropriate parties.
REI UESTOR (SIGNATURE) DATE
OFFICE USE ONLY
REFUND PROCESSED BY:
DATE PROCESSED:
City of Menifee Building & safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us
COMMERCIAL TEMPORARY UTILITY CONNECTION APPLICATION
ii� "' "1 1" r,� 1 Y
Menifee . �21 lit`r��- ?'�
SECTION I—APPLICANT INFORMATION
ADDRESS OF PROPERTY:
z9 1 paid
LOT NUMBER: BUSINESS NAME:
�45 0f�79AA-TI 4 3o4 zZ-1 Gd5 P1)A4*14
ASSESSORS PARCEL NUMBER:
364i obZo
NAME OF PROPERTY OWNER: SUPERINTENDANT NAME:
Eons ShfAcv)J
ADDRESS OF PROPERTY OWNER: SUPERINTENDANT PHONE:
:76t M, Q IL cam L - 6AWfiVA t4- 98��0(05
Reason For Request: city of Menifee
Dept.
SECTION 2—BOND Received
1. The applicant for a Temporary Clearance for Utility Connection 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 $2,000 or the estimated costs, as approved by the
Building Official, for the completion of the remaining items for the Applicant to obtain permanent utilities,
whichever is higher.
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 the Applicant will forfeit the deposited
bond.
SECTION 3—APPLICANT DUTIES
1. Applicant waives any cause of action against either the City of Menifee or any of its officers and employees
because of any defect in the construction or installation of electrical equipment, or for any other defect in
construction of the above mentioned building, or for any connection to or disconnection from any utility
which many cause any damage whatsoever to the premises, any other premises, or any person or
persons, and agrees to hold the City of Menifee or any of its officers and employees, harmless from any
damage or injury of any kind caused by such temporary clearance. n }
APPLICANT INITIALS: Vz
City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us
2. Applicant further covenant and agrees to have the above building completed and in compliance with all
building codes, ordinances, and regulations, and ready for final inspection by
and further agrees that if the final inspection and approval is not granted before such date that the electrical
service may be disconnected by the City of Menifee without any notice and the applicant agrees to hold the
City of Menifee, its officers and employees, harmless from any and all damage and injury which may arise
therefrom.
APPLICANT INITIALS:
3. Applicant acknowledges that any occupancy of the above mentioned building without final approval or a
Certificate of Occupancy shall constitute an occupancy violation in accordance with Section 111.4, of the
2016 California State Building Code, and will result in the immediate disconnection of utilities by the City of
Menifee. I�
APPLICANT INITIALS:
4. 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.
APPLICANT INITIALS:
�r
I. hereby agree to comply with the above-described terms in this Application for
AP LICANT(PRINT)
Temporary Clearance For Utility Connection.
APPLICANT(SIGNATURE) DATE
CITY STAFF USE ONLY[PLEASE SIGN&DATEWAPPROVED
PLANNING DATE FIRE DATE
BUILDING DATE EMWD DATE
ENGINEERING DATE
ENGINEERING INSPECTION(INCLUDE VERIFICATION OF BMP'S BUILT PER PLANS/WQMP)
REF WQ/SW# APPROVED BY DATE
City of Menifee
Building Dept.
FEB 21 2018
Received
City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us
DEPOSITREFUND REQUEST
"Menifee
PROJECT INFORMATION
PROJECT NAME:
PERMIT NUMBER(S):
REFUND IS TO BE MAILED TO: /y
BUSINESS NAME: y, M
ATTN/CARE OF(IF APPLICABLE): �/G-12t2(/ �l A t T2Z
BUSINESS ADDRESS: 3iS u Jz)&-P-'' r IV
CITY, STATE, ZIP CODE: lldh f gat a9-
CONTACT INFORMATION p
NAME: 27/ Z' 61AI12d-
PHONE:
EMAIL: -F'S A K%»'i 6W-E7POe7176A)o e-Om
This document does not guarantee a refund, in part or full,will be processed. Refunds will be issued at the Building
Official's discretion and only when approved and signed off by all appropriate parties.
REQUE TOR (SIGNATURE) DATE
OFFICE USE ONLY City of Menifee
Building Dept.
REFUND PROCESSED BY:
FEB 21 2018
DATE PROCESSED:
Received
City of Menifee Building & Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us
- r
-------------
City of Menifee
K H_
�Menifee Building Dept.
SE APR 10 2018
CTION 1—gppLICANT INFORMATION
BUSINESS ADDRESS:
17 I N&Wp6e a>'
Re
NAME OF BUSINESS:
ell TYPE OF BUSINESS:
NAME OF BUSINESS OWN R: C__.
Cl/5 CAtc I BUSINESS PHONE:
ADDRESS OF HOME OFFICE OF BUSINESS OWNER:
(IF DIFFERENT FROM ABOVE)
I PHONE
BUILDING OWNER:
s• j�(/� PHONE:
BUILDING OWNER ADDRESS:
CITY, STATE:
DESCRIBE EXACT US OF ALL PORTIONS OF EACH BU ING AND LOT.' � ZIP.
K�IL /4 R�3j
C
PREVIOUS USE OF BUILDING:
SECTION 2-BOND
1. The applicant for a Tem ora
payable to the City of Menifee in additioneto t�e required$148 37 inspection fee and p
y must ost a cash bond or Cashier's check made
The amount of the bond shall not be less than
Official, for the completion of the remaining items�orDthe Applicant to obta nsa permane t Cerby the tificate Building
cessing e
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 �-
the deposited bond. IR
the Applicant will forfeit
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 h/aun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us
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
IT IS 1 , I YS . If the remaining items are not completed and approved by the
City Building Official by S I t 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.
I, �LY2(L I �Fi 1Lc` hereby agree to comply with the above-described terms in this Application for
APPLICANT(PRINT)
Temporary Certifica of Occupancy.
APPLICANT(SIGNATURE) DATE
CITY STAFF USE ONLY DATE WAPPROVED
PLANNING h- ' DATE `l��`I FIRE ' I DATE/ 1�-7-/9
BUILDING DATE �J1�� EM DATE tJ Iaa- h �p,�� ��,y�
ENGINEERIN��DATE� '� ` r p � 5,f[t' gm, pap -6 be'' A&eb^•
i`W I- -to coT o
ENGINEERING INSP '^x LUDE VERIFICATION OF BMP's BUILT PER PLANS/ MP)
REF WQ/SW# -V PPROVE DATE 2 ��
City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenlfee.us
FP
OSIT REFUND REQUEST
'Menifee
PROJECT PROJECT INFORMATION
PROJECT NAME:
PERMIT NUMBER(S): l 16 62-147
REFUND IS TO BE MAILED TO: n
BUSINESS NAME: � ))71/�L12 C:OAVac-ybd
ATTN/CARE OF (IF APPLICABLE):BUSINESS ADDRESS: :�S/eb L.m to �)? , w— 4�,6
CITY, STATE, ZIP CODE: .S,�J 31-- I Z6 0,4 9 Q
CONTACT INFORMATION
NAME: i C>4 1
PHONE: /� 3' (U- � Z�/
EMAIL: lr.� (D Cs�722(l C 7W C1 M
This document does not guarantee a refund, in part or full, will be processed. Refunds will be issued at the Building
Official's discretion and only when approved and signed off by all appropriate parties.
�C �91 -f• ?. /,9
REQUESTOR (SIGNATURE) DATE
OFFICE USE ONLY
REFUND PROCESSED BY:
DATE PROCESSED:
City of Menifee Building & Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us
MU PAL
WATER
DISTRICT
June 22, 2017
Project Name: Shoppes at the Lakes-Pad C
CVS Pharmacy
29171 Newport Road
City of Menifee Menifee,CA 92584
Building&Safety Department Service Order No. : 240189
29714 Haun Road
Menifee,CA 92586 Water Reclaimed Sewer
XX Water X)(
Eastern Municipal Water District Facility Acceptance
To Whom It May Concern:
You are advised that the above referenced water and/or sewer service, in the City of Menifee,
is installed in conjunction with agreements required for the filing of a final map and is
complete to the satisfaction of Eastern Municipal Water District (EMWD). Said service
indicated is hereby accepted by EMWD as part of its distribution and/or collection system.
Associated buildings to be released for occupancy separately via certificate of occupancy
issued by EMWD New Business Development;to obtain certificate, please call (951)928-3777,
Ext.2081 or email DevelopmentServicesRepresentativesGroup@emwd.org.
Sincerely,
JJP4,4_,�
p.p. Bruce A. Mitzel, P.E.
Director of Field Engineering
c: Engineering Tract File
Developer
BAM:cl
2270 Trumble Road ^ P.O.Box 8300 ^ Perris,CA 92572-8300
T 951.928.3777 • F 951.928.6177 www.emwd.org
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