PMT16-02419 City of Menifee Permit No.: PMT16-02419
29714 HAUN RD. Type: Commercial New
�/iCCEL/�> MENIFEE,CA 92586
MENIFEE Date Issued: 07/28/2016
PERMIT
Site Address: 33103 NANCY LN, MENIFEE, CA 92584 Parcel Number: 384-090-003
Construction Cost: $1,000.00
Existing Use: Warehouse Proposed Use:
Description of USED 10'x 52'COMMERCIAL MODULAR W/2 ACCESSORY PRE-FAB STRUCTURES
Work: SEE PMT16-02394 FOE ELECTRICAL RIVCO FIRE APPROVAL REQUIRED PRIOR TO FINAL
PLANS REQUIRED FOR ACCESSORY STRUCTURES PRIOR TO FINAL INSPECTION
MODULAR FOR STORAGE ONLY VERIFIED @ FINAL INSPECTION
Owner Contractor
CHARLES ANDREWS ,
33103 NANCY LN
MENIFEE, CA 92584
Applicant License Number.
CHARLESANDREWS
33103 NANCY LN
MENIFEE, CA 92584
Phone:9514533519
Fee Description Oft Amount IE1
Commercial Coach 1 240.72
Permit Fee 1 27.00
GREEN FEE 1 1.00
SMIP COMMERCIAL 1 1.00
$269.72
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 carded 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 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).
Chapter!)(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 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 1
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 .le in .ca. ov cola html.
this permit is issued. mTgPolity C# c Date ,0
o 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 o 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 an 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
Date
dollars($100)or less
PROPERTY OWNER OR AUTHORIZED AGENT
o 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 It
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
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS F.Y", o No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYERTO 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 forguidelines
CONSTRUCTION LENDING AGENCY Ves 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 for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) sfYes ❑No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
perjury j t er I hereby affirm under penalty of phat I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the p erury )indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
ten hazardous m al repo ng.
checkmark(s)I'have placed next to the applicable Item(s)(Section 7031.5 t1Les o No 1
Business and Professions Code).Any city or county that requires a permit to /(Y Date O� as aUl�b
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 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
A 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.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-LEAO(5323),
Code;The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will he 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:
n 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
4 G. •a 7- 'I PERMIT/PLAN CHECK NUMBER �mT 1 Cz
TYPE: I COMMERCIAL O RESIDENTIAL O MULTI-FAMILY MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION D ALTERATION O DEMOLITION D ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
Y DESCRIPTION OF Ann ``I'ko� Pi'SZ� /�/JuG,6'/e -T�jA'6-E� (,C//� 16 b/z 1 .
PROIECTADDRESS .33/e3 tV&4•c 1-4 cl 25o
Vt.KSSCIRISPARCEI NUMBER �j!��-" ��p - �� 'LOt TRACT
OWNER NAME OCA4WCS /{KGl�l2/�IS
ADDRESS Qlo
PHONE EMAIL
APPLICANT NAME
ADDRESS 33/O 3 A/./KC LY rAe� l -
Sg
PHONE /� 9.S/— yS3-3SlS nr 7. / ��MAIL
CONTRACTOR'S NAME e4*.-1<S A y4l-eadS OWNER BUILDER? m YES v NO
BUSINESS NAME Cr LcrYit frtecn SCw
ADDRESS 33103 N,t,re_ /'1of; cee C,4 AS8y
PHONE /-?S/-Yr3-.3S/9 mr EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ SO FT L SQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUiAR=. i
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP ,
INVOICE PAID AMOUNT
AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK# O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES C NO DL NUMBER NOTARIZED LETTER O YES ^ NO
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RNEPMDE COUNTY FIRE DEPARTMENT
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
s i 2300 Market St., Ste. ISO Riverside, California 92501 • (951) 955-4777
• Fax(95 1) 955-4886
www.rvcfire.org
PROUDLY SERVING THE
UNINCORPORATED AREAS OF RNERSIDE CONDITIONS OF APPROVAL
COUNTY AND THE CITIES
OF: CASE NUMBER: 12-MENI-PP-181
BANNING
BEAUMONT REVIEWED BY: L.GALLARDO DATE: 8-7-13
CALIMESA DESCRIPTION: Plot Plan proposes allow for an existing 468 sq. ft. office ,
CANYON LAKE two (2) 120 sq. ft. storage sheds, a 6,000 sq. ft. shade structure, and a
COACHELLA 22,200 sq. ft. Fenced equipment and vehicle area for a landscaping
DESERT HOT SPRINGS business and wholesale nursery on 5.22 acres.
EASTVALE SITE LOCATION: The project site is located at the south of Scott Road,
INDIAN WELLS west of Nancy Lane, and east of Nightly Rd.
INDIO APN: 384-0909-003
LAKE ELSINORE To: RYAN FOWLER, CITY OF MENIFEE,
LA QUINTA 29714 HAUN ROAD, MENIFEE CA 92586
MENIFEE
MORENO VALLEY PH: 951-672-6777 FAX: 951-679-3843 EMAIL: rfowler(a7.cityofinenifee.us
PALM DESERT 10. GENERAL CONDITIONS
PERRIS
RANCHO MIRAGE 10. FIRE.999PC-#01—West Fire Protection Planning Office Responsibility IN
EFFECT
RUeIDOUx CSD
SAN JACINTO It is the responsibility of the recipient of these Fire Department conditions to
forward them to all interested parties. The permit number (as it is noted
TEMECULA above) is required on all correspondence.
WILDOMAR
Additional information is available at our website: www.rvcfire.or(I go to the link
marked "Ordinance 787".
BOARD OF Questions should be directed to the Riverside County Fire Department, Fire
SUPERVISORS: Protection Planning Division at 2300 Market St. Suite 150, Riverside, CA
BOB BLISTER 92501. Phone: (951) 955-4777, Fax: (951) 955-4886.
DISTRICT I
JOHN TAVAGLIONE 10. FIRE.999 CASE—CITY CASE STATEMENT IN EFFECT
DISTRICT 2
JEFF STONE With respect to the conditions of approval for the referenced project, the Fire
DISTRICT Department recommends the following fire protection measures be provided in
JOHN BENOIT accordance with Riverside County Ordinances and/or recognize fire
DISTRICT protection standards.
MARION ASHLEY
DISTRICTS
77-933 Las Montanas, Palm Desert, CA 92211 . (760) 863-8886
e Fax (760) 863-7072
10. FIRE.999 USE*-#23— MIN REQ FIRE FLOW IN EFFECT
Minimum required fire flow shall be 1500 GPM for 2-hour duration at 20 PSI residual operating
pressure, which must be available before any combustible material is placed on the job site
10. FIRE.999 USE-#20-SUPER FIRE HYDRANT IN EFFECT
Super fire hydrant(s) (6"x 4"x 2 Yz') shall be located not less than 25 feet or more than 150
feet from any portion of the building as measured along approved vehicular travel ways.
10. FIRE.999 USE-#88A-AUTO/MAN GATES IN EFFECT
Gate (s) shall be automatic or manual operated, minimum 20 feet width, with a setback of 35
feet from face of curb/flow line. Gate access shall be equipped with a rapid entry system. Plans
shall be submitted to the Fire Department for approval prior to installation. Automatic/manual
gate pins shall be rated with shear pin force, not to exceed 30 foot pounds. Automatic gates
shall be equipped with emergency backup power. Gates activated by the rapid entry system
shall remain open until closed by the rapid entry system. Current plan check deposit base fee is
$126.00.
80. PRIOR TO BUILDING PERMIT ISSUANCE
80. FIRE.999 USE-#17A-BLDG PLAN CHECK $ IN EFFECT
Building plan check deposit fee of$307 to $1,056.00 shall be paid in a check or money order to
the Riverside County Fire Department after plans have been reviewed by our office.
80. FIRE.999 USE-#51-WATER CERTIFICATION IN EFFECT
The applicant or developer shall be responsible to submit written certification from the water
company noting the location of the existing fire hydrant and that the existing water system is
capable of delivering 1500 GPM fire flow for a 2-hour duration at 20 PSI residual operating
pressure. If a water system currently does not exist, the applicant or developer shall be
responsible to provide written certification that financial arrangements have been made to
provide them.
90. PRIOR TO BUILDING FINAL INSPECTION
90. FIRE.999 USE-#45— FIRE LANES IN EFFECT
The applicant shall prepare and submit to the Fire Department for approval, a site plan
designating required fire lanes with appropriate lane painting and/or signs.
90.FIRE.999 PC-#014— Display Address—Building IN EFFECT
Display street numbers in a prominent location on the address side of building(s) and rear
access if applicable. Numbers and letters shall be a minimum of 12" in height for building(s) up
to 25' in height and 24" in height for building(s) exceeding 25' in height. All addressing must be
legible, of a contrasting color with the background and adequately illuminated to be visible from
the street at all hours. All lettering shall be to Architectural Standards. All egress door hardware
shall comply with the California Building Code.
77-933 Las Montanas, Palm Desert, CA 92211 • (760) 863-8886
. Fax (760) 863-7072
90. FIRE.999 USE-927-EXTINGUISHERS IN EFFECT
Install portable fire extinguishers with a minimum rating of 2A-10BC and signage. Fire
Extinguishers located in public areas shall be in recessed cabinets mounted 48" (Inches) to
center above the floor level with Maximum 4" projection from the wall. Contact Fire Department
for proper placement of equipment prior to installation.
Conditions of approval may change based on Conditions hazardous to life, property or
public welfare in the occupancy of structures or premises; and Fire hazards in the
structure or on the premises from occupancy or operation.
77-933 Las Montanas, Palm Desert, CA 92211 Y (760) 863.8886
• Fax (760) 863-7072