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PMT16-02158 City of Menifee Permit No.: PMT16-02158 _ 29714 HAUN RD. Type: Commercial Alteration {ACCELA? MENIFEE, CA 92586 MENIFEE Date Issued: 0 7/1 112 0 1 6 PERMIT Site Address: 27701 SCOTT RD, Suite#301 BLDG J, Parcel Number: 384-180-038 MENIFEE, CA 92584 Construction Cost: $0.00 Existing Use: Proposed Use: Description of HOURLY INSPECTION FOR CERTIFICATE OF OCCUPANCY FOR"LA BELLA VITA BEAUTY LOFT' Work: Owner Contractor MENIFEE PARTNERS LA BELLA VITA BEAUTY LOFT 4909 MURPHY CYN RD#405 27701 SCOTT RD SUITE 301 BLDG J SAN DIEGO, CA 92123 MENIFEE, CA 92584 Applicant Phone: 9513770348 RODOLFO RODRIGUEZ License Number: 16-PEOP-00027 27701 SCOTT RD SUITE 301 BLDG J MENIFEE, CA 92584 Phone: 9513770348 Fee Description ON Amount is) Building Permit Issuance 1 27.00 Inspections not specified 129 129.07 General Plan Maintenance Fee-Building 1 6.45 $162.52 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 forthe projects I hereby affirm under penalty of perjurythat 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 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 pass 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 ❑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 www.leeinfo.ca.eav/calaw.html. this permit is issued. Policy N Date D I 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 ;Womy 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.1 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 g Expires enter the above identified prop for inspection purpo��ses (This section need not to be completed is the permit is for one-hundred Date�f dollars($100)or less PROPERTY OW FAR OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, 1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE M 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 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 15 ❑Yes 100 UNLAWFUL,AND SHALLSUB1ECTAN EMPLOYER TO CRIMINAL PENALTIES Will the i tended use of the building bythe applicant or future building AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COSTOF 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 forguidelines CONSTRUCTION LENDING AGENCY oyes �No 1 hereby affirm that under the penalty of perjury there is a construction Will the 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 a OWNER BUILDER DECLARATIONS I have re d 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,Secti 25505 and 25534[once ning Contractors License Law for the reason(s)indicated below by the hazardous material repo ing. / checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 bfs o No Business and Professions Code).Any city or county that requires a permitto Date r VVV 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(RRP1 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-1976 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 theirsole 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 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: D 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 out the RRP Acknowledgement. CERTIFICATE OCCUPANCY I TENANT , , 1 APPLICATION �'�• City of Menifee building & safety Dept. JUL 11 2016 Menifee ,,,,�gq L DATED ) ) II CJ �EY9�1 E L A{ Q �I Gt.J T LU rT BUSINESSADDRESS `L _7U sGo+� ) SJEe 3w OW 7— NAME(S)OF BUSINESS OWNERS �odo( r STeJi U)1 a r- PHONE NUMBER CISi)3� G3 A FS EMAIL 11�.. / I ��2y�{� OWNER OF BUILDING I C d d �v( I�Q� ql TIV?✓.S L 1 C`,�,o'( OWNER OF BUILDING ADDRESS tr' (Oq Mt1f (CL, 50 (e �vS i/�t� t"�v Z INTENDED BUSINESS USE 6-e�0 S/acIU✓) Cvi-, `72y-1 IS THIS A NEW BUSINESS IN THE CITY OF MENIFEE? YES NO (CIRCLE ONE) ARE YOU THE FIRST TENANT TO OCCUPY THIS SPACE? YES NO (CIRCLE ONE) IS THE BUILDING EQUIPPED WITH FIRESPRNKLERS? YE NO (CIRCLE ONE) SQUARE FOOTAGE -Z/q -1 h NUMBER OF EMPLOYEES NUMBER AND LOCATION OF RESTROOM FACILITIES ' S+rOUO t'/( fe-L r • LISTANYTOXIC CHEMICALS, FLAMMABLE/COMBUSTIBLE LIQUIDS OR GASES USED OR STORED WITH MSDS SHEETS AND QUANTITIES OF EACH BELOW OR ON A SEPARATE ATTACHED SHEET(S): • ARE YOU MAKING ANY IMPROVEMENTS 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 agrees that the Certificate of Occupancy shall be posted in a conspicuous location,and will operate subject to the City' issuance of the Certificate of Occupancy. I, tf FW c(� ( Z L— , hereby agree to comply with the above- described terms in this A pI'c ion of Certificate of Occupancy. SIGNATURE DAT oh CITY STAFF USE ONLY APN ?'SL�`ISb` 03 PERMIT NUMBER INVOICE AMOUNT OCCUPANCY GROUP OCCUPANCY O• APPLICATION ° Menifee / l +DATE ,+} BUSINESS NAME -LA 132�I U � TI�Q Gea LO FT �/1 C BUSINESS ADDRESS 2-7 7 O I 5co-y' , suil 3D MehiFc e P�/ NAME(S) OF BUSINESS OWNERS ( UII -o' or,(U Op P PHONE NUMBER 6yQ) 67Z • 1136 1 EMAIL Lid Yc11 V1'}ct 'Ijpcwi I&T OWNER OF BUILDING ' 2VLt e'� 4f+W 4?- D- OWNER OF BUILDING ADDRESS 4 qDC( IJ f C eO t7c `fUS A+Jv INTENDED BUSINESS USE �f 5:% th(1 Qu�3 IS THIS A NEW BUSINESS IN THE CITY OF MENIFEE? NO (CIRCLE ONE) ARE YOU THE FIRST TENANT TO OCCU PY THIS SPACE? YES NO (CIRCLE ONE) IS THE BUILDING EQUIPPED WITH FIRE SPRNKLERS? YES NO (CIRCLE ONE) SQUARE FOOTAGE 2 q L� NUMBER OF EMPLOYEES 3 NUMBER AND LOCATION OF RESTROOM FACILITIES 1 t M1 - • 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): • ARE YOU MAKING ANY IMPROVEMENTS 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 agrees that the Certificate of Occupancy shall be posted in a conspicuous location, and will operate sMtot,�y/issuance of the Certi�fic/a�te of Occupancy. I, W01f 6Wl' YO , hereby agree to comply with the above- described ternYs in this pplication of Certi cate of Occupancy. SIGNATURE DATE APN PERMIT NUMBER INVOICE AMOUNT OCCUPANCY GROUP -. ' Hove xc. M> i=_: C' 25S 95' 0 1-6:'77 :ECERTIFICATE OF OCCUPANCY CHECKLIST Ad j", Men ifee WHAT WILLTHE INSPECTOR BE LOOKING FOR DURING MY INSPECTION? The following checklist consists of the most common items the Building and Safety Department will be inspecting. Based on the type of business you are conducting, other items may be required for compliance. If there are any violations found during the inspection,you will be advised of the corrections at the time of you inspection. It is your responsibility to correct the violations and call for a re-inspection once the violations are corrected. 1. Facility Layout a) All furniture,office equipment,service counters,storage shelves, product, machinery,etc.must be in place for the inspection 2. Address a) Must be visible from the street b) Minimum four(4) inch high numbers c) If applicable,your suite number must be clearly displayed d) Address and suite number must be contrasting to the background 3. Exit and Signage a) A sign that reads "THIS DOOR TO REMAIN UNLOCKED WHEN BUILDING IS OCCUPIED" posted above all exit doors on the interior side in one (1) inch high letters on a contrasting background b) An EXIT sign must be posted above all exit doors with the text in high contrast to the background with letters a minimum of six(6)inches high 4. Electrical a) All light switches, receptacles and electrical boxes must have cover plates b) Electrical outlets are properly functioning c) Extension cords and multi-plug adaptors must be removed and are not allowed to be used for any permanent wiring d) Approved surge protectors must be securely mounted a minimum of four(4)inches above the floor e) No storage or equipment within 36" inches in front of and within 30" inches on the side of any electrical service panel or sub-panel (breaker box) f) All circuit breakers must be clearly labeled as to their exact use g) Any blank breaker spaces in any panel must be properly closed with an approved blank plate 5. Fire Extinguisher a) Afire extinguisher must be installed in your business for every 75 feet of foot travel b) The fire extinguisher must be mounted on a wall no higher than 48 inches above the floor near the exit door c) The extinguisher must be a type 2A10BC City Of iVienifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us A o 4 l� q�� • 1 • r ihw : e , `+r 1 01 Ir � FN $- 'tv .warr�.- .�-'`.: ✓ i+r iAs�b � '�`� °�s lei